COMMUNITY HEALTH SYSTEMS INC/
S-1, 2000-03-06
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<PAGE>
     AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON MARCH 6, 2000

                                                     REGISTRATION NO. 333-
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

                       SECURITIES AND EXCHANGE COMMISSION
                              WASHINGTON, DC 20549
                            ------------------------

                                    FORM S-1
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                             ---------------------

                         COMMUNITY HEALTH SYSTEMS, INC.

             (Exact name of registrant as specified in its charter)

<TABLE>
<S>                                 <C>                                 <C>
             DELAWARE                              8062                             13-3893191
 (State or other jurisdiction of       (Primary Standard Industrial      (I.R.S. Employer Identification
  incorporation or organization)       Classification Code Number)                   Number)
</TABLE>

                           --------------------------

                          155 FRANKLIN ROAD, SUITE 400
                           BRENTWOOD, TENNESSEE 37027
                                 (615) 373-9600
         (Address, including zip code, and telephone number, including
            area code, of registrant's principal executive offices)

                           --------------------------

                               RACHEL A. SEIFERT
                          155 FRANKLIN ROAD, SUITE 400
                           BRENTWOOD, TENNESSEE 37027
                                 (615) 373-9600

 (Name, address, including zip code, and telephone number, including area code,
                             of agent for service)
                           --------------------------

                                   COPIES TO:

<TABLE>
<S>                                           <C>
               JEFFREY BAGNER                               MICHAEL W. BLAIR
  FRIED, FRANK, HARRIS, SHRIVER & JACOBSON                DEBEVOISE & PLIMPTON
             ONE NEW YORK PLAZA                             875 THIRD AVENUE
          NEW YORK, NEW YORK 10004                      NEW YORK, NEW YORK 10022
               (212) 859-8000                                (212) 909-6000
</TABLE>

                           --------------------------

    APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO PUBLIC: As soon as
practicable after the effective date of this registration statement.

    If any of the securities being registered on this Form are to be offered on
a delayed or continuous basis pursuant to Rule 415 under the Securities Act,
check the following box. / /

    If this Form is filed to register additional securities for an offering
pursuant to Rule 462(b) under the Securities Act, check the following box and
list the Securities Act registration statement number of the earlier effective
registration statement for the same offering. / /

    If this Form is a post-effective amendment filed pursuant to Rule 462(c)
under the Securities Act, check the following box and list the Securities Act
registration statement number of the earlier effective registration statement
for the same offering. / /

    If this Form is a post-effective amendment filed pursuant to Rule 462(d)
under the Securities Act, check the following box and list the Securities Act
registration statement number of the earlier effective registration statement
for the same offering. / /

    If delivery of the prospectus is expected to be made pursuant to Rule 434,
please check the following box. / /

                         ------------------------------

                        CALCULATION OF REGISTRATION FEE

<TABLE>
<CAPTION>
   TITLE OF EACH CLASS OF SECURITIES             PROPOSED MAXIMUM AGGREGATE
            TO BE REGISTERED                         OFFERING PRICE (1)                  AMOUNT OF REGISTRATION FEE (2)
<S>                                       <C>                                       <C>
COMMON STOCK, $.01 PAR VALUE                            $230,000,000                                $60,720
</TABLE>

(1) A portion of the proposed maximum aggregate offering price represents shares
    that are to be offered outside the United States but that may be resold from
    time to time in the United States. Such shares are not being registered for
    the purpose of sales outside the United States.

(2) Estimated pursuant to Rule 457(o) solely for the purpose of calculating the
    registration fee.
                         ------------------------------

    THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION
STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF
THE SECURITIES ACT OF 1933 OR UNTIL THE REGISTRATION STATEMENT SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(A),
MAY DETERMINE.

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
                                EXPLANATORY NOTE

    This registration statement contains two separate prospectuses. The first
prospectus relates to a public offering in the United States and Canada of an
aggregate of                     shares of common stock. The second prospectus
relates to a concurrent offering outside the United States and Canada of an
aggregate of                     shares of common stock. The prospectuses for
each of the U.S. offering and the international offering will be identical with
the exception of an alternate front cover page, an alternate back cover page,
and an alternate "Underwriting" section for the international offering. These
alternate pages appear in this registration statement immediately following the
complete prospectus for the U.S. offering.
<PAGE>
The information in this prospectus is not complete and may be changed. We may
not sell these securities until the registration statement filed with the
Securities and Exchange Commission is effective.  This prospectus is not an
offer to sell these securities and it is not soliciting an offer to buy these
securities in any state where the offer or sale is not permitted.
<PAGE>
                             SUBJECT TO COMPLETION
                   PRELIMINARY PROSPECTUS DATED MARCH 6, 2000

PROSPECTUS

                                            SHARES

                                     [LOGO]

                                  COMMON STOCK
                                 --------------

    This is Community Health Systems, Inc.'s initial public offering. We are
selling all of the shares. The U.S. underwriters are offering          shares in
the U.S. and Canada and the international managers are offering       shares
outside the U.S. and Canada.

    We expect the public offering price to be between $    and $    per share.
Currently, no public market exists for the shares. After pricing of the
offering, we expect that the shares will trade on the New York Stock Exchange
under the symbol "CYH."

    INVESTING IN THE COMMON STOCK INVOLVES RISKS WHICH ARE DESCRIBED IN THE
"RISK FACTORS" SECTION BEGINNING ON PAGE 9 OF THIS PROSPECTUS.

                               -----------------

<TABLE>
<CAPTION>
                                                              PER SHARE       TOTAL
                                                              ---------       -----
<S>                                                          <C>           <C>
Public offering price......................................       $             $
Underwriting discount......................................       $             $
Proceeds before expenses to Community Health Systems.......       $             $
</TABLE>

    The U.S. underwriters may also purchase up to an additional       shares
from us at the public offering price, less the underwriting discount, within
30 days from the date of this prospectus to cover over-allotments. The
international managers may similarly purchase up to an additional        shares
from us.

    Neither the Securities and Exchange Commission nor any state securities
commission has approved or disapproved of these securities or determined if this
prospectus is truthful or complete. Any representation to the contrary is a
criminal offense.

    The shares will be ready for delivery on or about             , 2000.

                              -------------------

MERRILL LYNCH & CO.

     BANC OF AMERICA SECURITIES LLC

           CHASE H & Q

                CREDIT SUISSE FIRST BOSTON

                      GOLDMAN, SACHS & CO.

                           MORGAN STANLEY DEAN WITTER

                              -------------------

               The date of this prospectus is             , 2000.
<PAGE>
                 DESCRIPTION OF INSIDE FRONT COVER ART TO COME
<PAGE>
                               TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                                PAGE
                                                              --------
<S>                                                           <C>
Prospectus Summary..........................................      1

Risk Factors................................................      9

Special Note Regarding Forward-Looking Statements...........     16

Use of Proceeds.............................................     16

Dividend Policy.............................................     17

Capitalization..............................................     18

Dilution....................................................     19

Selected Consolidated Financial and Other Data..............     20

Management's Discussion and Analysis of Financial Condition
  and Results of Operations.................................     22

Business of Community Health Systems........................     31

Management..................................................     54

Principal Stockholders......................................     64

Description of Indebtedness.................................     66

Description of Capital Stock................................     67

Shares Eligible for Future Sale.............................     71

United States Federal Tax Considerations for Non-United
  States Holders............................................     72

Underwriting................................................     76

Legal Matters...............................................     80

Experts.....................................................     80

Where You Can Find More Information.........................     80

Index to Consolidated Financial Statements..................    F-1
</TABLE>

                            ------------------------

    We were incorporated in Delaware in 1996. Our principal subsidiary was
incorporated in Delaware in 1985. Our principal executive offices are located at
155 Franklin Road, Suite 400, Brentwood, Tennessee 37027. Our telephone number
at that address is (615) 373-9600. Our World Wide Web site address is
www.chs.net. The information in the website is not incorporated into this
prospectus by reference and should not be considered a part of this prospectus.

    You should rely only on the information contained in this prospectus. We
have not, and the underwriters have not, authorized anyone to provide you with
information different from that contained in this prospectus. If anyone provides
you with different information you should not rely on it. We are offering to
sell, and seeking offers to buy, shares of common stock only in jurisdictions
where offers and sales are permitted. The information contained in this
prospectus is accurate only as of the date of this prospectus regardless of the
time of delivery of this prospectus or of any sale of common stock. Our
business, financial condition, results of operations, and prospects may have
changed since that date.

                                       i
<PAGE>
                               PROSPECTUS SUMMARY

    THIS SUMMARY HIGHLIGHTS SOME OF THE INFORMATION CONTAINED ELSEWHERE IN THIS
PROSPECTUS. THIS SUMMARY IS NOT COMPLETE AND DOES NOT CONTAIN ALL OF THE
INFORMATION THAT YOU SHOULD CONSIDER BEFORE INVESTING IN OUR COMMON STOCK. YOU
SHOULD READ THE ENTIRE PROSPECTUS CAREFULLY, ESPECIALLY THE RISKS OF INVESTING
IN OUR COMMON STOCK DISCUSSED UNDER RISK FACTORS. UNLESS OTHERWISE INDICATED,
ALL INFORMATION IN THIS PROSPECTUS GIVES EFFECT TO THE EXCHANGE, REDESIGNATION,
AND A   -FOR-  SPLIT OF OUR COMMON STOCK. THIS RECAPITALIZATION WILL OCCUR
IMMEDIATELY BEFORE THE CLOSING OF THE OFFERING. THE "AS ADJUSTED" FINANCIAL
INFORMATION IN THIS PROSPECTUS REFLECTS THE RECAPITALIZATION. A DISCUSSION OF
ADJUSTED EBITDA IS INCLUDED IN SELECTED CONSOLIDATED FINANCIAL AND OTHER DATA,
WHICH MAY BE FOUND LATER IN THE PROSPECTUS.

                            COMMUNITY HEALTH SYSTEMS

OVERVIEW OF OUR COMPANY

    We are the largest non-urban provider of acute healthcare services in the
United States in terms of number of facilities and the second largest in terms
of revenues and EBITDA. As of December 31, 1999, we owned, leased or operated 46
hospitals, geographically diversified across 20 states, with an aggregate of
4,115 licensed beds. In over 80% of our markets, we are the sole provider of
acute care services. In most of our other markets, we are one of two providers
of these services. For the fiscal year ended December 31, 1999, we generated
$1.08 billion in revenues and $204.2 million in adjusted EBITDA.

    We were formed by affiliates of Forstmann Little & Co. to acquire our
predecessor company in July 1996. Wayne T. Smith, who has over 30 years of
experience in the healthcare industry, joined our company as President in
January 1997 and was named Chief Executive Officer in April 1997. Under this new
ownership and leadership, we have:

    - strengthened the senior management team in all key business areas;

    - standardized and centralized our operations across key business areas;

    - implemented a disciplined acquisition program;

    - expanded and improved the services and facilities at our hospitals;

    - recruited additional physicians to our hospitals;

    - instituted a company-wide regulatory compliance program; and

    - divested certain non-core assets.

As a result of these initiatives, we achieved compound annual revenue growth of
20.6% from 1997 to 1999 and compound annual adjusted EBITDA growth of 29.2% over
the same period. Our adjusted EBITDA margins have improved from 16.5% for 1997
to 18.9% for 1999.

    Our hospitals typically have 50 to 200 beds and annual revenue ranging from
$15 million to $75 million. They are generally located in non-urban markets with
populations of 20,000 to 80,000 people and economically diverse employment
bases. These facilities, together with their medical staffs, provide a wide
range of inpatient and outpatient acute care services and a variety of specialty
services.

    We target growing, non-urban healthcare markets because of their favorable
demographic and economic trends and competitive conditions. Because non-urban
service areas have smaller populations, there are generally fewer hospitals and
other healthcare service providers in each community. We believe that smaller
populations result in less direct competition for hospital-based services. Also,
we believe that non-urban communities generally view the local hospital as an
integral part of the community. There is generally a lower level of managed care
payor penetration in these markets.

                                       1
<PAGE>
OUR BUSINESS STRATEGY

    The key elements of our business strategy are to:

    - INCREASE REVENUE AT OUR FACILITIES. We seek to increase revenue at our
      facilities by providing a broader range of services in a more attractive
      care setting, as well as by supporting and recruiting physicians. We
      identify the healthcare needs of the community by analyzing demographic
      data and patient referral trends. We also work with local hospital boards,
      management teams, and medical staffs to determine the number and type of
      additional physicians needed. Our initiatives to increase revenue include:

     u recruiting additional primary care physicians and specialists. Since
       1997, we have increased the number of physicians affiliated with us by
       320, including 80 in 1997, 84 in 1998, and 156 in 1999;

     u expanding the breadth of services offered at our hospitals through
       targeted capital expenditures to support the addition of more complex
       services, including orthopedics, cardiology, OB/GYN, and occupational
       medicine; and

     u providing the capital to invest in technology and the physical plant at
       our facilities, particularly in our emergency rooms.

      By taking these actions, we believe that we can increase our share of
      the healthcare dollars spent by local residents and limit inpatient
      and outpatient migration to larger urban facilities. Total revenue for
      hospitals operated by us for a full year increased 7.6% from 1998 to
      1999. Total inpatient admissions increased 4.9% over the same period.

    - GROW THROUGH SELECTIVE ACQUISITIONS. Each year we intend to selectively
      acquire two to four hospitals that fit our acquisition criteria. Since
      1996, we have acquired 17 hospitals, including four in 1998 and five in
      1999. We pursue acquisition candidates that:

     u have a general service area population between 20,000 and 80,000 with a
       stable or growing population base;

     u are the sole or primary provider of acute care services in the community;

     u are located more than 25 miles from a competing hospital;

     u are not located in an area that is dependent upon a single employer or
       industry; and

     u have financial performance that we believe will benefit from our
       management's operating skills.

      We believe that non-urban markets provide us with attractive
      acquisition opportunities. We estimate that there are currently
      approximately 400 acute care hospitals that meet our acquisition
      criteria. These hospitals are primarily not-for-profit or municipally
      owned. Many of these hospitals have experienced declining financial
      performance, lack the resources necessary to maintain and improve
      facilities, have difficulty attracting qualified physicians, and are
      challenged by the changing healthcare industry. We believe that these
      circumstances will continue and may encourage owners of these
      facilities to turn to companies, like ours, that have greater
      management expertise and financial resources and can enhance the local
      availability of healthcare. We believe that these conditions, combined
      with our disciplined approach to acquisitions, position us to
      negotiate attractive terms for the facilities that we acquire.

                                       2
<PAGE>
      After we acquire a hospital, we:

     u improve hospital operations by implementing our standardized and
       centralized programs and appropriate expense controls as well as by
       managing staffing levels;

     u recruit additional primary care physicians and specialists;

     u expand the breadth of services offered in the community to increase local
       market share and reduce inpatient and outpatient migration to larger
       urban hospitals; and

     u implement appropriate capital expenditure programs to renovate the
       facility and upgrade equipment.

    - REDUCE COSTS. To improve efficiencies and increase margins, we implement
      cost containment programs which include:

     u standardizing and centralizing our operations, including patient
       accounting, physician support, materials management and facilities
       management;

     u optimizing resource allocation by utilizing our company-devised case and
       resource management program, which assists in improving clinical care and
       containing expenses;

     u capitalizing on purchasing efficiencies through the use of company-wide
       standardized purchasing contracts and terminating or renegotiating
       unfavorable vendor contracts;

     u installing a standardized management information system, resulting in
       more efficient billing and collection procedures; and

     u managing staffing levels according to patient volumes and acuity levels.

      In addition, each of our hospital management teams is supported by our
      centralized operational, reimbursement, regulatory, and compliance
      expertise as well as by our senior management team, which has an average
      of 20 years of experience in the healthcare industry. Adjusted EBITDA
      margins on a same hospitals basis improved from 18.9% in 1998 to 19.7% in
      1999.

    - IMPROVE QUALITY. We have implemented various programs to ensure
      improvement in the quality of care provided. We have developed training
      programs for all senior hospital management, chief nursing officers,
      quality directors, physicians, and other clinical staff. We share
      information among our hospital management teams to implement best
      practices and assist in complying with regulatory requirements. We have
      standardized accreditation documentation and requirements. Corporate
      support is provided to each facility to assist with accreditation reviews.
      Several of our facilities have received accreditation "with commendation"
      from the Joint Commission on Accreditation of Healthcare Organizations.
      All of our hospitals conduct patient, physician, and staff satisfaction
      surveys to help identify methods of improving the quality of care.

OVERVIEW OF THE INDUSTRY

    The U.S. Healthcare Financing Administration estimated that in 1999, total
U.S. healthcare expenditures grew by 6.0% to $1.2 trillion. Total U.S.
healthcare spending is projected to grow by 7.1% in 2000 and by 6.5% annually
from 2001 through 2008. By these estimates, healthcare expenditures will account
for approximately $2.2 trillion, or 16.2% of the total U.S. gross domestic
product, by 2008.

    Hospital services, the market in which we operate, is the largest single
category of healthcare at 33.7% of total healthcare spending in 1999, or
$401.3 billion. The hospital services category is projected to grow by 5.7% per
year through 2008. Growth in hospital healthcare spending is expected to
continue due to the aging of the U.S. population and consumer demand for
expanded medical services. As hospitals remain the primary setting for
healthcare delivery, hospital services is expected to remain the largest
category of healthcare spending.

                                       3
<PAGE>
    According to the American Hospital Association, there are approximately
5,015 inpatient hospital facilities in the U.S. that are owned by not-for-profit
entities, for-profit investors, or state or local governments. Of these
hospitals, 44% are located in non-urban areas. We estimate that approximately
400 of these hospitals meet our acquisition criteria. We believe that facilities
located in non-urban areas offer the following advantages:

    - a lower cost structure, resulting from their geographic location as well
      as less need for the most highly advanced services;

    - limited competition, which generally results in more favorable pricing
      with commercial payors;

    - favorable Medicare payment provisions for "sole community hospitals"; and

    - a high level of patient and physician loyalty that fosters cooperative
      relationships among the local hospital, physicians, employees, and
      patients.

                                       4
<PAGE>
                                  THE OFFERING

<TABLE>
<S>                                            <C>
Common stock offered by us:
  U.S. offering..............................  shares
  International offering.....................  shares
                                               ----------
    Total....................................  shares

Common stock to be outstanding after the
  offering...................................  shares (a)

Use of proceeds..............................  Our net proceeds from the offering are
                                               estimated to be approximately $    million.
                                               We will use these proceeds to repay
                                               approximately $    million of senior debt and
                                               approximately $    million of subordinated
                                               debt.

Risk factors.................................  See "Risk Factors" and other information
                                               included in this prospectus for a discussion
                                               of factors you should carefully consider
                                               before deciding to invest in shares of our
                                               common stock.

Proposed NYSE symbol.........................  CYH
</TABLE>

- ------------------------

(a) Excludes       shares of common stock reserved for issuance under our stock
    option plans. Of these reserved shares,        shares are issuable upon
    exercise of outstanding stock options at an average exercise price of
    $       .

    Unless we specifically state otherwise, the information in this prospectus
does not take into account the sale of up to       shares of common stock which
the underwriters have the option to purchase from us to cover over-allotments.

                                       5
<PAGE>
                 SUMMARY CONSOLIDATED FINANCIAL AND OTHER DATA

    You should read the summary consolidated financial and other data below in
conjunction with our Consolidated Financial Statements and the accompanying
notes. The historical financial data for the three years ended December 31, 1999
and as of December 31, 1999 have been derived from our audited Consolidated
Financial Statements. You should also read Selected Consolidated Financial and
Other Data and the accompanying Management's Discussion and Analysis of
Financial Condition and Results of Operations. All of these materials are
contained later in this prospectus. The pro forma, as adjusted, consolidated
statement of operations data have been adjusted for the recapitalization, the
offering, and the use of the estimated net proceeds from the offering to repay a
portion of outstanding debt as if these events had occurred on January 1, 1999.
The pro forma, as adjusted, consolidated balance sheet data give effect to these
events as if they had occurred on December 31, 1999.

<TABLE>
<CAPTION>
                                                                 YEAR ENDED DECEMBER 31,
                                                ----------------------------------------------------------
                                                                                              PRO FORMA,
                                                                                              AS ADJUSTED
                                                    1997           1998           1999          1999(a)
                                                ------------   ------------   ------------   -------------
                                                 (DOLLARS IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)
<S>                                             <C>            <C>            <C>            <C>
CONSOLIDATED STATEMENT OF OPERATIONS DATA
  Net operating revenues......................   $  742,350     $  854,580     $1,079,953      $1,079,953
  Operating expenses (b)......................      620,112        688,190        875,768         875,768
  Depreciation and amortization...............       43,753         49,861         56,943          56,943
  Amortization of goodwill....................       25,404         26,639         24,708          24,708
  Interest, net...............................       89,753        101,191        116,491
  Impairment of long-lived assets.............           --        164,833             --              --
  Provision for excess reimbursement and Year
    2000 remediation costs....................           --         20,209         17,279          17,279
                                                 ----------     ----------     ----------      ----------
  Income (loss) before cumulative effect of a
    change in accounting principle and income
    taxes.....................................      (36,672)      (196,343)       (11,236)
  Provision for (benefit from) income taxes...       (4,501)       (13,405)         5,553
                                                 ----------     ----------     ----------      ----------
  Income (loss) before cumulative effect of a
    change in accounting principle............      (32,171)      (182,938)       (16,789)
  Cumulative effect of a change in accounting
    principle, net of taxes...................           --           (352)            --
                                                 ----------     ----------     ----------      ----------
  Net income (loss)...........................   $  (32,171)    $ (183,290)    $  (16,789)     $
                                                 ==========     ==========     ==========      ==========
  Basic and diluted income (loss) per common
    share (Class A and Class B):
    Income (loss) before cumulative effect of
      a change in accounting principle........   $   (70.95)    $  (398.52)    $   (36.08)     $
    Cumulative effect of a change in
      accounting principle....................           --          (0.77)            --              --
                                                 ----------     ----------     ----------      ----------
    Net income (loss).........................   $   (70.95)    $  (399.29)    $   (36.08)     $
                                                 ==========     ==========     ==========      ==========
  Weighted-average number of shares
    outstanding, basic and diluted (c)........      453,462        459,046        465,365
                                                 ==========     ==========     ==========      ==========

<CAPTION>
                                                                                AS OF DECEMBER 31, 1999
                                                                              ----------------------------
                                                                                              PRO FORMA,
                                                                                 ACTUAL       AS ADJUSTED
                                                                              ------------   -------------
CONSOLIDATED BALANCE SHEET DATA
<S>                                             <C>            <C>            <C>            <C>
    Cash and cash equivalents..............................................    $    4,282      $    4,282
    Total assets...........................................................     1,886,017       1,886,017
    Long-term obligations..................................................     1,430,099
    Stockholders' equity...................................................       229,708
</TABLE>

                                             (FOOTNOTES BEGIN ON FOLLOWING PAGE)

                                       6
<PAGE>
SELECTED OPERATING DATA

    The following table sets forth operating statistics for our hospitals for
each of the years presented. Statistics for 1997 include a full year of
operations for 36 hospitals, including one hospital acquired on January 1, 1997,
and a partial period for one hospital acquired during the year. Statistics for
1998 include a full year of operations for 37 hospitals and partial periods for
four hospitals acquired during the year. Statistics for 1999 include a full year
of operations for 41 hospitals and partial periods for four hospitals acquired,
and one hospital constructed and opened, during the year.

<TABLE>
<CAPTION>
                                                                      YEAR ENDED DECEMBER 31,
                                                               --------------------------------------
                                                                 1997          1998           1999
                                                               --------      ---------      ---------
                                                                       (DOLLARS IN THOUSANDS)
<S>                                                            <C>           <C>            <C>
  Number of hospitals (d)................................           37              41             46
  Licensed beds (d)(e)...................................        3,288           3,644          4,115
  Beds in service (d)(f).................................        2,543           2,776          3,123
  Admissions (g).........................................       88,103         100,114        120,414
  Adjusted admissions (h)................................      153,618         177,075        217,006
  Patient days (i).......................................      399,012         416,845        478,658
  Average length of stay (days) (j)......................          4.5             4.2            4.0
  Occupancy rate (beds in service) (k)...................         43.1%           43.3%          44.1%
  Net inpatient revenue as a % of total net revenue......         57.3%           55.7%          52.7%
  Net outpatient revenue as a % of total net revenue.....         41.5%           42.6%          45.5%
  Adjusted EBITDA (l)....................................      $122,238      $ 166,390      $ 204,185
  Adjusted EBITDA as a % of net revenue..................         16.5%           19.5%          18.9%
  Net cash flows provided by (used in) operating
    activities...........................................      $21,544       $  15,719      $ (11,746)
  Net cash flows used in investing activities............      $(76,651)     $(236,553)     $(155,541)
  Net cash flows provided by financing activities........      $36,182       $ 219,890      $ 164,850
</TABLE>

<TABLE>
<CAPTION>
                                                                YEAR ENDED DECEMBER 31,       PERCENTAGE
                                                                ------------------------       INCREASE
                                                                  1998           1999         (DECREASE)
                                                                ---------      ---------      ----------
                                                                 (DOLLARS IN THOUSANDS)
<S>                                                             <C>            <C>            <C>
SAME HOSPITALS DATA (m)
  Admissions (g)..........................................       100,114        105,053            4.9%
  Adjusted admissions (h).................................       177,075        190,661            7.7%
  Patient days (i)........................................       416,845        419,942            0.7%
  Average length of stay (days) (j).......................           4.2            4.0           (4.8%)
  Occupancy rate (beds in service) (k)....................          43.3%          43.5%
  Net revenue.............................................      $850,980       $915,811            7.6%
  Adjusted EBITDA (l).....................................      $160,611       $180,794           12.6%
  Adjusted EBITDA, as a % of net revenue..................          18.9%          19.7%
</TABLE>

- ------------------------

(a) Reflects the recapitalization, the offering, the application of the
    estimated net proceeds from the offering to repay debt of $      , and the
    resultant reduction of interest expense of $      as if these events had
    occurred on January 1, 1999. Also reflects an increase in provision for
    income taxes resulting from the decrease in interest expense. See "Use of
    Proceeds."

(b) Operating expenses include salaries and benefits, provision for bad debts,
    supplies, rent, and other operating expenses, and exclude the items that are
    excluded for purposes of determining adjusted EBITDA as discussed in
    footnote (l) on the next page.

(c) See Note 10 to our Consolidated Financial Statements.

(d) At end of period.

                                         (FOOTNOTES CONTINUED ON FOLLOWING PAGE)

                                       7
<PAGE>
(FOOTNOTES CONTINUED FROM PREVIOUS PAGE)

(e) Licensed beds are the number of beds for which a facility has been licensed
    by the appropriate state agency, regardless of whether the beds are actually
    available for patient use.

(f) Beds in service are the number of beds that are readily available for
    patient use.

(g) Admissions represent the number of patients admitted for inpatient
    treatment.

(h) Adjusted admissions is a general measure of combined inpatient and
    outpatient volume. Adjusted admissions is computed by multiplying admissions
    by gross patient revenues and then dividing that number by gross inpatient
    revenues.

(i) Patient days represent the total number of days of care provided to
    inpatients.

(j) Average length of stay (days) represents the average number of days
    inpatients stay in our hospitals.

(k) Percentages are calculated by dividing the average daily number of
    inpatients by the weighted average of beds in service.

(l) We define adjusted EBITDA as EBITDA adjusted to exclude cumulative effect of
    a change in accounting principle, impairment of long-lived assets, provision
    for excess reimbursement and Year 2000 remediation costs, and loss from
    hospital sales. EBITDA consists of income (loss) before interest, income
    taxes, depreciation and amortization, and amortization of goodwill. EBITDA
    and adjusted EBITDA should not be considered as measures of financial
    performance under generally accepted accounting principles. Items excluded
    from EBITDA and adjusted EBITDA are significant components in understanding
    and assessing financial performance. EBITDA and adjusted EBITDA are key
    measures used by management to evaluate our operations and provide useful
    information to investors. EBITDA and adjusted EBITDA should not be
    considered in isolation or as alternatives to net income, cash flows
    generated by operations, investing or financing activities, or other
    financial statement data presented in the consolidated financial statements
    as indicators of financial performance or liquidity. Because EBITDA and
    adjusted EBITDA are not measurements determined in accordance with generally
    accepted accounting principles and are thus susceptible to varying
    calculations, EBITDA and adjusted EBITDA as presented may not be comparable
    to other similarly titled measures of other companies.

(m) Includes acquired hospitals to the extent they were operated by us during
    comparable periods in both years.

                                       8
<PAGE>
                                  RISK FACTORS

    INVESTING IN OUR COMMON STOCK WILL PROVIDE YOU WITH AN EQUITY OWNERSHIP
INTEREST IN COMMUNITY HEALTH SYSTEMS. AS A STOCKHOLDER OF COMMUNITY HEALTH
SYSTEMS, YOU MAY BE EXPOSED TO RISKS INHERENT IN OUR BUSINESS AND TO GENERAL
ECONOMIC AND MARKET CONDITIONS. THE VALUE OF YOUR INVESTMENT MAY INCREASE OR
DECREASE. YOU SHOULD CAREFULLY CONSIDER THE FOLLOWING FACTORS AS WELL AS OTHER
INFORMATION CONTAINED IN THIS PROSPECTUS BEFORE DECIDING TO INVEST IN SHARES OF
OUR COMMON STOCK.

LIMITS ON PAYMENTS AND HEALTHCARE REFORM MAY REDUCE PROFITABILITY.

    A large portion of our revenues come from the Medicare and Medicaid
programs. In recent years, federal and state governments made significant
changes in the Medicare and Medicaid programs. These changes have decreased the
amount of money hospitals receive for their services relating to these programs.
The Balanced Budget Act of 1997 contemplated decreases of $115 billion in
spending levels for the Medicare and Medicaid programs over five years. However,
the Congressional Budget Office subsequently estimated that these decreases will
be substantially larger. The Balanced Budget Refinement Act of 1999 restored
approximately $16 billion to these programs over five years. A number of states
are considering legislation to reduce the amount of money they spend for
Medicaid. We believe that large additional reductions in the payments we receive
for our services could have a material adverse effect on us.

    In recent years, an increasing number of proposals have been introduced in
Congress and in some state legislatures to make major changes in the healthcare
system. While the rate of increase in the payments we receive for our services
may be reduced as a result of future federal and state legislation, it is
uncertain at this time what healthcare reform legislation may ultimately be
enacted or whether other changes in healthcare programs will occur.

    In addition, insurance and managed care companies and other third party
payors from whom we receive payment for our services increasingly are attempting
to control healthcare costs by requiring that hospitals discount their services.
We believe that this trend may continue and may have an adverse effect on us.

EXTENSIVE LAWS AND GOVERNMENT REGULATION COULD ADVERSELY AFFECT US.

    The healthcare industry is required to comply with many laws and regulations
at the federal, state, and local government levels. These laws and regulations
require that hospitals meet various requirements, including those relating to
the adequacy of medical care, equipment, personnel, operating policies and
procedures, maintenance of adequate records, compliance with building codes, and
environmental protection. We believe that our hospitals are in substantial
compliance with these laws and regulations. However, if we fail to comply with
applicable laws and regulations, we may lose our licenses to operate and our
ability to participate in the Medicare, Medicaid, and other federal and state
healthcare programs. In the future, these laws and regulations may be enforced
differently and may change. We cannot assure you that these events will not
adversely affect us by requiring us to make changes in our facilities,
equipment, personnel, services, capital expenditure programs, and operating
expenses.

    The Health Insurance Portability and Accountability Act of 1996 broadened
the scope of the fraud and abuse laws by adding several criminal statutes that
are not related to receipt of payments from a federal healthcare program. In
addition, the Accountability Act created civil penalties for conduct, including
upcoding and billing for medically unnecessary goods or services. It establishes
new enforcement mechanisms to combat fraud and abuse. These include a bounty
system, where a portion of the payments recovered is returned to the government
agencies, as well as a whistleblower program. This statute also expanded the
categories of persons that may be excluded from participation in federal
healthcare programs.

                                       9
<PAGE>
    Another law regulating the healthcare industry is a section of the Social
Security Act known as the "anti-kickback" or "fraud and abuse" statute. This law
prohibits some business practices and relationships under Medicare, Medicaid,
and other federal healthcare programs. These practices include the payment,
receipt, offer, or solicitation of money in connection with the referral of
patients covered by a federal or state healthcare program. We contract with
physicians under a variety of financial arrangements, and physicians have
ownership interests in some of our facilities. Our financial arrangements
include employment contracts, leases, management agreements, and professional
services agreements. We also provide financial incentives to recruit physicians
to relocate to communities served by our hospitals. These incentives include
revenue guarantees and, in some cases, loans. The Department of Health and Human
Services has issued "safe harbor" regulations that describe some of the conduct
and business relationships permissible under the anti-kickback statute. Although
we believe that our financial arrangements with physicians have been structured
in light of these "safe harbor" rules, we cannot assure you that the regulatory
authorities will not determine otherwise.

    The Social Security Act also includes a provision commonly known as the
"Stark law." This law prohibits Medicare and Medicaid referrals by physicians to
other healthcare providers in which the physicians or their family members have
ownership or other compensation arrangements. The federal government has not
finalized its regulations which interpret the Stark law. We believe that we have
structured our financial arrangements with physicians to comply with the
statutory exceptions included in the Stark law. When the government finalizes
these regulations, it may interpret the law differently than we have. While the
Stark law is not a criminal law, the civil penalties imposed under the statute
are potentially severe.

    Another trend affecting the healthcare industry is the use of the False
Claims Act. This law has been used not only by the U.S. government, but also by
individuals who bring actions on behalf of the government under the law's "qui
tam" or "whistleblower" provisions. Civil liability under the False Claims Act
can be up to three times the damages sustained by the government plus civil
penalties for each separate false claim. We are aware of several actions that
have been brought against us under the False Claims Act. For a description of
these actions, see "Business of Community Health Systems--Legal Proceedings."

    In addition, many states have adopted or may adopt similar laws. Some of
these laws apply even if the payment for care does not come from the government.
While there is little precedent for the interpretation or enforcement of these
state laws, we have attempted to structure our financial relationships with
physicians and others in light of these laws.

    If we are found to have failed to comply with any of these laws, we could
suffer criminal and civil penalties and/or exclusion from participating in
Medicare, Medicaid, or other government healthcare programs and possible
licensure revocation. These penalties or exclusions could have a material
adverse effect on us.

THE POSITIONS TAKEN BY AUTHORITIES IN HEALTHCARE INDUSTRY INVESTIGATIONS COULD
HAVE A NEGATIVE EFFECT ON OUR BUSINESS.

    Significant media and public attention has recently been focused on the
hospital industry. In addition to the legislation that has been enacted, both
federal and state government agencies have announced heightened coordinated
civil and criminal enforcement efforts relating to the healthcare industry,
including the hospital segment. The ongoing investigations relate to various
referral, cost reporting, and billing practices, laboratory and home healthcare
services, and physician ownership and joint ventures involving hospitals.

    As part of our hospital operations, we operate laboratories and provide some
home healthcare services. We also have significant Medicare and Medicaid
billings. We monitor our billing practices and hospital practices to maintain
compliance with prevailing industry interpretations of applicable law. However,
as applicable laws are complex and constantly evolving, there can be no
assurance that the

                                       10
<PAGE>
government investigations will not result in interpretations which are
inconsistent with our practices. In public statements surrounding the current
investigations, governmental authorities have taken positions on a number of
issues, including some for which little official interpretation has previously
been available. These include the legality of physician ownership in healthcare
facilities in which they perform services and the propriety of including
marketing costs in the Medicare cost report of hospital-affiliated home health
agencies. Certain of these positions appear to be inconsistent with practices
that have been common within the industry and which have not previously been
challenged in this manner. Moreover, in various instances, government inquiries
that have in the past been conducted as administrative procedures are now being
conducted as criminal investigations under the Medicare fraud and abuse laws. We
have reviewed the current billing practices of our facilities in light of these
investigations and do not believe that our facilities are taking positions that
are contrary to the government's positions. There can be no assurance that we or
other hospital operators will not be the subject of future investigations or
inquiries. The positions taken by authorities in the current investigations or
any future investigations of us or other providers could have a material adverse
effect on us.

WE HAVE CONTINUING COMPLIANCE OBLIGATIONS UNDER A SETTLEMENT AGREEMENT RESULTING
FROM OUR VOLUNTARY DISCLOSURE TO THE U.S. GOVERNMENT.

    In December 1997, we approached the Office of Inspector General of the U.S.
Department of Health and Human Services and made a voluntary disclosure
regarding reimbursements we received from the U.S. government programs from 1993
to 1997. The disclosure related to possible inaccurate inpatient coding
practices and policies. We have executed a settlement agreement with the
Department of Justice and the Inspector General under the terms of which we will
pay approximately $31 million to the appropriate governmental agencies in
exchange for a release of civil claims relating to these reimbursements. The
settlement agreement has not yet been executed by the applicable state Medicaid
programs. However, the Department of Justice has advised us that all parties to
the settlement agreement have agreed to its terms and are expected to execute
the settlement agreement by March 31, 2000.

    As part of this settlement, we entered into a corporate compliance agreement
with the Inspector General. Complying with our corporate compliance agreement
will require additional efforts and costs. We can not quantify these costs at
this time, but we believe they will not be significant. Our failure to comply
with the terms of the compliance agreement could subject us to civil and
criminal penalties, including significant fines. In addition, failure to comply
with the material terms of the compliance agreement could lead to suspension or
disbarment from further participation in the federal and state healthcare
programs, including Medicare and Medicaid. Any suspension or disbarment would
have a material adverse effect on us. See "Business of Community Health
Systems--Compliance Program."

DIFFICULTIES IN COMPLETING ACQUISITIONS AND INTEGRATING ACQUIRED HOSPITALS INTO
OUR OPERATIONS COULD ADVERSELY AFFECT OUR BUSINESS.

    An important part of our business strategy is to acquire additional acute
care hospitals in non-urban markets. However, not-for-profit hospital systems
and other for-profit hospital companies generally attempt to acquire the same
type of hospitals as we do. Some of these other purchasers have greater
financial resources than we do. In addition, some hospitals are sold through an
auction process, which may result in higher purchase prices than we believe are
reasonable. Therefore, we cannot assure you that hospital acquisitions can be
accomplished on terms favorable to us or that the necessary financing for these
acquisitions can be obtained. In addition, new acquisitions may result in more
debt.

    Some of the hospitals we have acquired had operating losses prior to our
acquisition. There can be no assurance that we will be able to operate
profitably any hospital or other facility we may acquire, effectively integrate
the operations of any acquisitions, or otherwise achieve the intended benefit of
our

                                       11
<PAGE>
growth strategy. The failure to achieve results consistent with our growth
strategy could have a negative impact on our financial performance.

    We are currently evaluating proposals to acquire additional hospitals. These
proposals are at various stages of consideration, and we have entered into and
may enter into letters of intent or other agreements at any time relating to
these proposals. However, we cannot predict when we may acquire these hospitals
or if any of these acquisitions will be completed.

    Hospitals that we acquire may have unknown or contingent liabilities,
including liabilities for failure to comply with healthcare laws and
regulations. Although we seek indemnification from prospective sellers covering
these matters, we cannot assure you that we will not become liable for past
activities of acquired hospitals or that any of those liabilities will not be
material.

    Many states, including some where we have hospitals and others where we may
in the future acquire hospitals, have adopted legislation regarding the sale or
other disposition of hospitals operated by not-for-profit entities. In other
states that do not have specific legislation, the attorneys general have
demonstrated an interest in these transactions under their general obligations
to protect charitable assets from waste. These legislative and administrative
efforts are primarily focused on the appropriate valuation of the assets
divested and the use of the proceeds of the sale by the non-profit seller. While
these review and, in some instances, approval processes can add additional time
to the closing of a hospital acquisition, we have not had any significant
difficulties or delays in completing acquisitions. There can be no assurance,
however, that future actions on the state level will not seriously delay or even
prevent our ability to acquire hospitals. If these activities are widespread,
they could have a negative impact on our ability to acquire additional
hospitals.

    Some states require prior approval for the construction or acquisition of
healthcare facilities and for the expansion of healthcare facilities and
services. In giving approval, these states consider the need for additional or
expanded healthcare facilities or services. State agencies with jurisdiction
over healthcare facilities may be required to issue certificates of need, known
as CONs, for capital expenditures exceeding a prescribed amount, changes in bed
capacity or services, and certain other matters. Several states, including 11 in
which we operate, require CONs. Other states in which we operate may adopt
similar legislation. We cannot assure you that we will be able to obtain the
required CONs or other prior approvals for additional or expanded facilities in
the future or that the failure to obtain any required prior approval will not
have a material adverse effect on us.

WE HAVE SUBSTANTIAL INDEBTEDNESS AND MAY REQUIRE ADDITIONAL CAPITAL TO CONTINUE
  ACQUISITIONS.

    Our acquisition program requires substantial capital resources. In addition,
the operations of our existing hospitals require ongoing capital expenditures
for renovation, expansion, and the addition of costly medical equipment and
technology utilized in the hospitals. We have incurred indebtedness and may
issue debt or equity securities to fund these expenditures. There can be no
assurance that sufficient financing will be available on terms satisfactory to
us.

    As of December 31, 1999, our total long-term debt was approximately
$1.4 billion or 86% of our total capitalization. At that time, we had an
additional $47 million of available credit under our revolving credit facility
and $144 million of available credit under our acquisition loan facility. After
giving effect to the use of the net proceeds of the offering, our total long
term debt on a pro forma basis as of that date would have been approximately
$      million, or   % of our total capitalization. Also, we could have incurred
an additional $      million of borrowings under our credit facility and
$      million of borrowings under our acquisition loan facility. These
facilities will be available to us through December 2002. At that time, we will
seek replacement loan facilities.

                                       12
<PAGE>
    The degree to which we are leveraged could have important consequences to
holders of the common stock, including the following:

    - our ability to obtain additional financing in the future for working
      capital, capital expenditures, acquisitions, general corporate purposes or
      other purposes may be impaired;

    - a substantial portion of our cash flow from operations must be dedicated
      to the payment of principal and interest on our indebtedness, reducing the
      funds available for our operations;

    - a portion of our borrowings are at variable rates of interest, which makes
      us vulnerable to increases in interest rates; and

    - our indebtedness contains numerous financial and other restrictive
      covenants, including restrictions on paying dividends, incurring
      additional indebtedness, and selling assets.

COMPETITION CAN NEGATIVELY AFFECT OUR OPERATIONS.

    The hospital industry is highly competitive. In addition to the competition
we face for acquisitions and physicians, we must also compete with other
hospitals and healthcare providers for patients. The competition among hospitals
and other healthcare providers for patients has intensified in recent years. Our
hospitals are located in non-urban service areas. Most of our hospitals face no
direct competition because there are no other hospitals in their primary service
areas. However, these hospitals do face competition from hospitals outside of
their primary service area, including tertiary care hospitals in urban areas.
These tertiary care facilities, which provide higher acuity level services, are
generally located in excess of 25 miles from our facilities. Patients in our
primary service areas may travel to these other hospitals for a variety of
reasons, including the need for services we do not offer or physician referrals.

    Some of our hospitals operate in primary service areas where they compete
with one other hospital. One of our hospitals competes with more than one other
hospital in its primary service area. Some of these competing hospitals use
equipment and services more specialized than those available at our hospitals.
In addition, some of the hospitals that compete with us are owned by
tax-supported governmental agencies or not-for-profit entities supported by
endowments and charitable contributions. These hospitals can make capital
expenditures without paying sales, property and income taxes. We also face
competition from other specialized care providers, including outpatient surgery,
orthopedic, oncology, and diagnostic centers.

    We expect that these competitive trends will continue. Our inability to
compete effectively with other hospitals and other healthcare providers could
have a material adverse effect on us. See "Business of Community Health
Systems--Competition."

LOSS OF PHYSICIANS OR OTHER KEY PERSONNEL COULD ADVERSELY AFFECT OUR BUSINESS.

    Since physicians generally make the decision as to whether patients are
admitted to hospitals, the success of our hospitals depends upon the number and
quality of physicians on our medical staffs, the admission practices of these
physicians, and the maintenance of good relations between us and our physicians.
Hospital physicians are generally not our employees and most of them can admit
patients at other hospitals. It can be difficult to recruit physicians to
practice in non-urban communities. The inability to attract and retain
sufficient qualified physicians or to maintain good relations with the
physicians on our staffs could adversely affect our business. Our operations
could also be adversely affected by any shortage of nurses and other healthcare
professionals.

    We are also dependent upon the continued services and management experience
of our executive officers. If our executive officers were to resign their
positions or otherwise be unable to serve, our operating results could be
adversely affected. In addition, our success depends on our ability to attract
and retain managers at hospitals, on the ability of our officers and key
employees to manage growth successfully, and on our ability to attract and
retain skilled employees.

                                       13
<PAGE>
PROFESSIONAL LIABILITY RISKS COULD ADVERSELY AFFECT OUR RESULTS OF OPERATIONS
AND CASH FLOW AND LIABILITY INSURANCE COULD BE UNAVAILABLE.

    In recent years, physicians, hospitals, and other healthcare providers have
become subject to an increasing number of legal actions alleging malpractice,
product liability, or related legal theories. Many of these actions involve
large claims and significant defense costs. To protect us from the cost of these
claims, we generally maintain professional malpractice liability insurance and
general liability insurance coverage in amounts and with deductibles that we
believe to be appropriate for our operations. There can be no assurance that our
insurance coverage will cover all claims against us or continue to be available
at a reasonable cost for us to maintain adequate levels of insurance.

WE HAVE SIGNIFICANT GOODWILL FOR ACCOUNTING PURPOSES.

    Our acquisitions have resulted in significant increases in goodwill for
accounting purposes. At December 31, 1999, we had goodwill of $877.9 million,
which is being amortized over 40 years. On an ongoing basis, we make an
evaluation, based on projected undiscounted cash flows, to determine whether
events and circumstances indicate that all or a portion of the carrying value of
goodwill for accounting purposes may no longer be recoverable, in which case an
additional charge to earnings may be necessary. In 1998, in connection with our
periodic review process, we determined that projected undiscounted cash flows
from seven of our hospitals were below the carrying value of long-lived assets
associated with these hospitals. In accordance with generally accepted
accounting principles, we adjusted the carrying value of the assets of these
hospitals to their estimated fair value through an impairment charge of
$164.8 million. Of this charge, $134.3 million was related to goodwill. Any
future determination requiring a significant write-off of a portion of
unamortized goodwill for accounting purposes could result in a material non-cash
charge. See note 3 in the Notes to our Consolidated Financial Statements.

INVESTORS WILL EXPERIENCE IMMEDIATE AND SUBSTANTIAL DILUTION.

    The initial public offering price of $      per share exceeds the net
tangible book deficit per share of the common stock after the offering by
$      per share. Purchasers of the common stock in the offering will experience
immediate and substantial dilution in the amount of $      per share, and
present stockholders will experience an immediate and substantial decrease in
net tangible book deficit in the amount of $      per share of common stock. Our
net tangible book deficit at December 31, 1999 was $  million, or $      per
share of common stock, as adjusted for the recapitalization.

OUR STOCK PRICE MAY FLUCTUATE AFTER THE OFFERING AND YOU COULD LOSE A
SIGNIFICANT PART OF YOUR INVESTMENT.

    Prior to the offering, there has been no public market for our common stock.
We intend to list our common stock on the NYSE. We do not know if an active
trading market will develop for our common stock or how the common stock will
trade in the future. The initial public offering price will be determined
through negotiations between the underwriters and us. You may not be able to
resell your shares at or above the initial public offering price due to
fluctuations in the market price of our common stock. These fluctuations may
result from a number of factors, including:

    - the perceived prospects of our company;

    - changes in our operating results;

    - differences between our actual financial and operating results and those
      expected by investors and analysts;

    - changes in analysts' recommendations or projections; and

    - changes in the condition of the healthcare industry.

                                       14
<PAGE>
    In addition, the stock market in general has experienced extreme volatility
that often has been unrelated to the operating performance of particular
companies. These broad market and industry fluctuations may adversely affect the
trading price of our common stock, regardless of our actual operating
performance.

WE ARE CONTROLLED BY FORSTMANN LITTLE AND OUR MANAGEMENT, WHOSE INTERESTS MAY
CONFLICT WITH THOSE OF OTHER STOCKHOLDERS.

    Following the offering, the Forstmann Little partnerships and our management
will together own approximately   % of our outstanding common stock.
Accordingly, they will be able to:

    - elect our entire board of directors;

    - control our management and policies; and

    - determine, without the consent of our other stockholders, the outcome of
      any corporate transaction or other matter submitted to our stockholders
      for approval, including mergers, consolidations and the sale of all or
      substantially all of our assets.

    The Forstmann Little partnerships and our management will also be able to
prevent or cause a change in control of us and will be able to amend our
certificate of incorporation and by-laws at any time. Their interests may
conflict with the interests of the other holders of common stock.

EXISTING STOCKHOLDERS MAY SELL THEIR COMMON STOCK, WHICH COULD ADVERSELY AFFECT
THE MARKET PRICE OF OUR COMMON STOCK.

    Sales of a substantial number of shares of common stock into the public
market after the offering, or the perception that these sales could occur, could
have a material adverse effect on our stock price. As of       , 2000 and giving
effect to the recapitalization and the offering, there were           shares of
common stock outstanding. We have granted to the Forstmann Little partnerships
six demand rights to cause us to file, at our expense, a registration statement
under the Securities Act covering resales of their shares. These shares, along
with shares held by others who can participate in the registrations, will
represent       % of our outstanding common stock after the offering. The
Forstmann Little partnerships have no present intent to exercise their demand
registration rights, although they retain the right to do so. These shares may
also be sold under Rule 144 of the Securities Act, depending on their holding
period and subject to significant restrictions in the case of shares held by
persons deemed to be our affiliates.

PROVISIONS IN OUR CORPORATE DOCUMENTS AND DELAWARE LAW COULD DELAY OR PREVENT A
CHANGE IN CONTROL OF OUR COMPANY.

    Our certificate of incorporation and by-laws may discourage, delay, or
prevent a merger or acquisition involving us that our stockholders may consider
favorable by:

    -  authorizing the issuance of preferred stock, the terms of which may be
       determined at the sole discretion of the board of directors;

    -  providing for a classified board of directors, with staggered three-year
       terms; and

    -  establishing advance notice requirements for nominations for election to
       the board of directors or for proposing matters that can be acted on by
       stockholders at meetings.

    Delaware law may also discourage, delay or prevent someone from acquiring or
merging with us. For a description you should read "Description of Capital
Stock."

                                       15
<PAGE>
               SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

THIS PROSPECTUS INCLUDES FORWARD-LOOKING STATEMENTS WHICH COULD DIFFER FROM
ACTUAL FUTURE RESULTS.

    Some of the matters discussed in this prospectus include forward-looking
statements. Statements that are predictive in nature, that depend upon or refer
to future events or conditions or that include words such as "expects,"
"anticipates," "intends," "plans," "believes," "estimates," "thinks," and
similar expressions are forward-looking statements. These statements involve
known and unknown risks, uncertainties, and other factors that may cause our
actual results and performance to be materially different from any future
results or performance expressed or implied by these forward-looking statements.
These factors include, in addition to the factors described above, the
following:

    - general economic and business conditions, both nationally and in the
      regions in which we operate;

    - demographic changes;

    - existing governmental regulations and changes in, or the failure to comply
      with, governmental regulations;

    - legislative proposals for healthcare reform;

    - the ability, where appropriate, to enter into managed care provider
      arrangements and the terms of these arrangements;

    - changes in Medicare and Medicaid payment levels;

    - liability and other claims asserted against us;

    - competition;

    - our ability to attract and retain qualified personnel, including
      physicians;

    - trends toward treatment of patients in lower acuity healthcare settings;

    - changes in medical or other technology;

    - changes in generally accepted accounting principles; and

    - the availability and terms of capital to fund additional acquisitions or
      replacement facilities.

    Although we believe that these statements are based upon reasonable
assumptions, we can give no assurance that our goals will be achieved. Given
these uncertainties, prospective investors are cautioned not to place undue
reliance on these forward-looking statements. These forward-looking statements
are made as of the date of this prospectus. We assume no obligation to update or
revise them or provide reasons why actual results may differ.

                                USE OF PROCEEDS

    Our net proceeds from the offering, after deducting estimated expenses and
underwriting discounts and commissions of $      million, are estimated to be
approximately $      million. We will use these proceeds to:

    -  repay approximately $      million of senior debt under our revolving
       credit facility and $      million of senior debt under our acquisition
       loan facility. These facilities are included in our credit agreement with
       The Chase Manhattan Bank and other lenders and expire December 31, 2002.
       As of December 31, 1999, the effective interest rate for $      of these
       facilities was   %. The balance of these facilities had an effective
       interest rate of   %; and

    -  repay approximately $  million of debt under our series   subordinated
       debentures. These debentures are held by the limited partners of one of
       the two Forstmann Little partnerships which own our common stock. The
       subordinated debentures being repaid mature on                and bear
       interest at an annual rate of 7 1/2%.

                                       16
<PAGE>
    Any net proceeds received by us from the exercise by the underwriters of
their over-allotment option will be used to repay debt under the series
subordinated debentures. These subordinated debentures mature on
and bear interest at an annual rate of 7 1/2%.

    We expect to borrow under the revolving credit facility as needed to fund
our working capital needs and for general corporate purposes. We also expect to
borrow under the acquisition loan facility as needed to fund the acquisition of
additional hospitals. See "Business of Community Health Systems--Our Business
Strategy--Grow Through Selective Acquisitions."

    See "Management--Relationships and Transactions between Community Health
Systems and its Officers, Directors and 5% Beneficial Owners and their Family
Members" and "Description of Indebtedness."

                                DIVIDEND POLICY

    We have not paid any cash dividends in the past, and we do not intend to pay
any cash dividends for the foreseeable future. We intend to retain earnings, if
any, for the future operation and expansion of our business. Any determination
to pay dividends in the future will be dependent upon results of operations,
financial condition, contractual restrictions, restrictions imposed by
applicable law, and other factors deemed relevant by the Board of Directors. Our
existing indebtedness restricts our ability to pay dividends and make
distributions to stockholders.

                                       17
<PAGE>
                                 CAPITALIZATION

    The following table sets forth our debt and capitalization as of
December 31, 1999, on an actual basis as adjusted for the recapitalization, and
on a pro forma, as adjusted, basis. The pro forma, as adjusted, data reflect the
recapitalization, the offering, and the use of the estimated net proceeds from
the offering to repay a portion of the outstanding debt.

    In addition, the following table should be read in conjunction with Selected
Consolidated Financial and Other Data, our Consolidated Financial Statements and
the accompanying notes, Management's Discussion and Analysis of Financial
Condition and Results of Operations, and Description of Indebtedness which are
contained later in this prospectus.

<TABLE>
<CAPTION>
                                                               AS OF DECEMBER 31, 1999
                                                              --------------------------
                                                              ACTUAL, AS
                                                               ADJUSTED    PRO FORMA, AS
                                                                 (a)         ADJUSTED
                                                              ----------   -------------
                                                                    (IN THOUSANDS)
<S>                                                           <C>          <C>
LONG-TERM DEBT:
  Credit facilities:
    Revolving credit loans..................................  $  109,750     $
    Acquisition loans.......................................     138,551
    Term loans..............................................     624,345
  Subordinated debentures...................................     500,000
  Taxable bonds.............................................      29,700
  Tax-exempt bonds..........................................       8,000
  Capital lease obligations and other debt..................      24,287
                                                              ----------     ----------
    Total debt..............................................   1,434,633
  Less current maturities...................................     (27,029)
                                                              ----------     ----------
    Total long-term debt....................................   1,407,604(b)
                                                              ----------     ----------
STOCKHOLDERS' EQUITY:
  Preferred stock, $.01 par value per share,       shares
    authorized, none issued.................................          --
  Common stock, $.01 par value per share,       shares
    authorized;       shares issued and outstanding.........           5
  Additional paid-in capital, net of treasury stock.........     477,211
  Accumulated deficit.......................................    (245,352)
  Notes receivable for common stock.........................      (1,997)
  Unearned stock compensation...............................        (159)
                                                              ----------     ----------
      Total stockholders' equity............................     229,708
                                                              ----------     ----------
      Total capitalization..................................  $1,637,312     $
                                                              ==========     ==========
</TABLE>

- ------------------------

(a) The recapitalization includes the exchange of Class B common stock for
    Class A common stock, the exchange of options to acquire Class C common
    stock for options to acquire Class A common stock, the redesignation of
    Class A common stock as common stock, and a   -for-  split of our common
    stock. It will have no effect on our long-term debt.

(b) We also had letters of credit issued, primarily in support of our taxable
    and tax-exempt bonds, of approximately $43 million, reducing to $40 million
    by December 31, 2000.

                                       18
<PAGE>
                                    DILUTION

    At December 31, 1999, after giving effect to the recapitalization, we had a
net tangible book deficit of $683 million or $      per share. Net tangible book
deficit is the difference between our total tangible assets and our total
liabilities. The adjusted net tangible book deficit per share is determined by
dividing our tangible net book deficit by the total number of shares of common
stock outstanding. After giving effect to the sale of the       shares of common
stock offered by us in the offering at $      per share, the mid-point of the
range of the initial public offering prices set forth on the cover page of this
prospectus, and after deducting estimated underwriting discounts and commissions
and offering expenses payable by us, our adjusted net tangible book deficit
would have been approximately $      , or $      per share of common stock. This
represents an immediate decrease in net tangible book deficit of $      per
share to existing stockholders and an immediate dilution of $      per share to
new investors purchasing shares of common stock in the offering. The following
table illustrates this dilution on a per share basis:

<TABLE>
<S>                                                           <C>          <C>
Assumed initial public offering price per share.............               $
  Adjusted net tangible book deficit per share before the
    offering................................................  $
  Increase in adjusted net tangible book value per share
    attributable to new investors...........................
                                                              ----------
Pro forma net tangible book deficit per share after the
  offering..................................................
                                                                           ----------
Dilution per share to new investors.........................               $
                                                                           ==========
</TABLE>

    The following table sets forth, on a pro forma basis as of December 31,
1999, the number of shares of common stock owned by existing stockholders and to
be owned by new investors, the total consideration paid and the average price
per share paid by our existing stockholders and to be paid by new investors in
the offering at $      , the mid-point of the range of the initial public
offering prices set forth on the cover page of this prospectus, and before
deduction of estimated underwriting discounts and commissions:

<TABLE>
<CAPTION>
                                       SHARES PURCHASED         TOTAL CONSIDERATION
                                    -----------------------   -----------------------   AVERAGE PRICE
                                      NUMBER      PERCENT       AMOUNT      PERCENT       PER SHARE
                                    ----------   ----------   ----------   ----------   -------------
<S>                                 <C>          <C>          <C>          <C>          <C>
Existing stockholders.............                         %  $                      %   $
New investors.....................                         %  $                      %
                                    ----------   ----------   ----------   ----------
    Total.........................                         %  $                      %
                                    ==========   ==========   ==========   ==========
</TABLE>

                                       19
<PAGE>
                 SELECTED CONSOLIDATED FINANCIAL AND OTHER DATA

    You should read the selected consolidated historical financial and other
data below in conjunction with our Consolidated Financial Statements and the
accompanying notes. You should also read Management's Discussion and Analysis of
Financial Condition and Results of Operations. All of these materials are
contained later in this prospectus. The consolidated historical financial data
as of December 31, 1998 and 1999 and for the three years ended December 31, 1999
have been derived from our Consolidated Financial Statements. The pro forma data
have been adjusted for the recapitalization, the offering, and the use of the
estimated net proceeds from the offering to repay a portion of outstanding debt
as if these events had occurred on January 1, 1999 with respect to the
consolidated statement of operations data and December 31, 1999 with respect to
consolidated balance sheet data. The selected consolidated financial and other
data as of December 31, 1996 and 1997 for the period from July 1 through
December 31, 1996 have been derived from our unaudited consolidated financial
statements, which are not contained in this prospectus. The selected
consolidated financial and other data at December 31, 1995 and June 30, 1996 and
for the year ended December 31, 1995 and the period from January 1, 1996 through
June 30, 1996 have been derived from the unaudited consolidated financial
statements of our predecessor company, which are not contained in this
prospectus.

<TABLE>
<CAPTION>

<S>                         <C>              <C>             <C>              <C>          <C>          <C>          <C>

                                  PREDECESSOR (a)
                            ---------------------------
                                               PERIOD
                                                FROM         PERIOD FROM                    YEAR ENDED DECEMBER 31,
                                             JANUARY 1          JULY 1        ---------------------------------------------------
                            YEAR ENDED        THROUGH          THROUGH                                               PRO FORMA,
                            DECEMBER 31,     JUNE 30,        DECEMBER 31,                                            AS ADJUSTED
                              1995(b)         1996(c)          1996(d)           1997         1998         1999        1999(e)
                            --------------   ----------      --------------   ----------   ----------   ----------   ------------
<CAPTION>

<S>                         <C>              <C>             <C>              <C>          <C>          <C>          <C>
                                                      (DOLLARS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
CONSOLIDATED STATEMENT OF OPERATIONS DATA
  Net operating
    revenues..............     $547,926      $ 294,166         $  327,922     $  742,350   $  854,580   $1,079,953    $1,079,953
  Operating expenses
    (f)...................      453,173        291,712(g)         270,319        620,112      688,190      875,768       875,768
  Depreciation and
    amortization..........       35,944         17,558             18,858         43,753       49,861       56,943        56,943
  Amortization of
    goodwill..............          223            164             11,627         25,404       26,639       24,708        24,708
  Interest, net...........       18,790          8,930             38,964         89,753      101,191      116,491
  Impairment of long-lived
    assets and relocation
    costs.................       25,400         15,655                 --             --      164,833           --            --
  Provision for excess
    reimbursement and Year
    2000 remediation
    costs.................           --             --                 --             --       20,209       17,279        17,279
  Loss from hospital
    sales.................           --          3,146                 --             --           --           --            --
                               --------      ----------        ----------     ----------   ----------   ----------    ----------
  Income (loss) before
    cumulative effect of a
    change in accounting
    principle and income
    taxes.................       14,396        (42,999)           (11,846)       (36,672)    (196,343)     (11,236)
  Provision for (benefit
    from) income taxes....        4,443        (15,747)             1,256         (4,501)     (13,405)       5,553
                               --------      ----------        ----------     ----------   ----------   ----------    ----------
  Income (loss) before
    cumulative effect of a
    change in accounting
    principle.............        9,953        (27,252)           (13,102)       (32,171)    (182,938)     (16,789)
  Cumulative effect of a
    change in accounting
    principle, net of
    taxes.................           --             --                 --             --         (352)          --            --
                               --------      ----------        ----------     ----------   ----------   ----------    ----------
  Net income (loss).......     $  9,953      $ (27,252)        $  (13,102)    $  (32,171)  $ (183,290)  $  (16,789)   $       --
                               ========      ==========        ==========     ==========   ==========   ==========    ==========
  Basic and diluted income
    (loss) per common
    share (Class A and
    Class B):
    Income (loss) before
      cumulative effect of
      a change in
      accounting
      principle...........                                     $   (29.17)    $   (70.95)  $  (398.52)  $   (36.08)
    Cumulative effect of a
      change in accounting
      principle...........                                             --             --        (0.77)          --
                                                               ----------     ----------   ----------   ----------    ----------
    Net income (loss).....                                     $   (29.17)    $   (70.95)  $  (399.29)  $   (36.08)   $
                                                               ==========     ==========   ==========   ==========    ==========
  Weighted-average number
    of shares outstanding,
    basic and diluted
    (h)...................                                        449,123        453,462      459,046      465,365
                                                               ==========     ==========   ==========   ==========    ==========
CONSOLIDATED BALANCE SHEET
  DATA (AS OF END OF
  PERIOD OR YEAR)
  Cash and cash
    equivalents...........     $ 14,282      $  10,410         $   26,588     $    7,663   $    6,719   $    4,282    $    4,282
  Total assets............      547,910        506,323          1,604,706      1,629,804    1,727,161    1,886,017     1,886,017
  Long-term obligations...      227,088        246,216          1,009,698      1,053,450    1,273,502    1,430,099
  Stockholders' equity....      215,012        187,760            465,673        433,625      246,826      229,708
</TABLE>

                                                   (CONTINUED ON FOLLOWING PAGE)

                                       20
<PAGE>

<TABLE>
<CAPTION>

<S>                                   <C>              <C>                 <C>               <C>          <C>          <C>
                                               PREDECESSOR (a)
                                      ----------------------------------
                                                        PERIOD FROM         PERIOD FROM
                                      YEAR ENDED         JANUARY 1         JULY 1 THROUGH          YEAR ENDED DECEMBER 31,
                                      DECEMBER 31,     THROUGH JUNE 30,    DECEMBER 31,      ------------------------------------
                                        1995(b)           1996(c)             1996(d)           1997         1998         1999
                                      --------------   -----------------   ---------------   ----------   ----------   ----------
<CAPTION>

<S>                                   <C>              <C>                 <C>               <C>          <C>          <C>
                                                                        (DOLLARS IN THOUSANDS)
SELECTED OPERATING DATA
  Number of hospitals (i)...........           36                 29                  35             37           41           46
  Licensed beds (i)(j)..............        3,298              2,641               3,222          3,288        3,644        4,115
  Beds in service (i)(k)............        2,519              2,005               2,311          2,543        2,776        3,123
  Admissions (l)....................       76,347             34,876              40,246         88,103      100,114      120,414
  Adjusted admissions (m)...........      118,042             56,136              68,059        153,618      177,075      217,006
  Patient days (n)..................      404,453            168,995             183,809        399,012      416,845      478,658
  Average length of stay (days)
    (o).............................          5.3                4.8                 4.6            4.5          4.2          4.0
  Occupancy rate (beds in service)
    (p).............................         44.0%              46.3%               43.2%          43.1%        43.3%        44.1%
  Net inpatient revenue as a % of
    total net revenue...............         63.0%              61.1%               58.3%          57.3%        55.7%        52.7%
  Net outpatient revenue as a % of
    total net revenue...............         35.4%              37.5%               40.4%          41.5%        42.6%        45.5%

  Adjusted EBITDA (q)...............     $ 94,753         $    2,454(g)      $    57,603     $  122,238   $  166,390    $ 204,185
  Adjusted EBITDA as a % of net
    revenue.........................         17.3%               0.8%               17.6%          16.5%        19.5%        18.9%

  Net cash flows provided by (used
    in) operating activities........     $ 47,899         $   30,081         $     2,953     $   21,544   $   15,719   $  (11,746)
  Net cash flows used in investing
    activities......................     $(71,414)        $  (25,067)        $(1,259,268)    $  (76,651)  $ (236,553)  $ (155,541)
  Net cash flows provided by (used
    in) financing activities........     $  5,659         $   (8,886)        $ 1,282,903     $   36,182   $  219,890   $  164,850
</TABLE>

- ----------------------------------

(a) Effective in July 1996, all of the outstanding common stock of our principal
    subsidiary, CHS/Community Health Systems, Inc., was acquired by us. The
    predecessor company had a substantially different capital structure compared
    to ours. Because of the limited usefulness of the earnings per share
    information for the predecessor company, these amounts have been excluded.

(b) Includes nine hospitals divested or held for divestiture in 1996.

(c) Includes two acquisitions.

(d) Includes six acquisitions.

(e) Reflects the recapitalization, the offering, the application of the
    estimated net proceeds from the offering to repay debt of $       and the
    resultant reduction of interest expense of $    as if these events had
    occurred on January 1, 1999. Also reflects an increase in provision for
    income taxes resulting from the decrease in interest expense. See "Use of
    Proceeds."

(f) Operating expenses include salaries and benefits, provision for bad debts,
    supplies, rent, and other operating expenses, and exclude the items that are
    excluded for purposes of determining adjusted EBITDA as discussed in
    footnote (q) below.

(g) Includes $47.5 million of expense resulting from the cancellation of stock
    options associated with the acquisition of our principal subsidiary as
    discussed in footnote (a).

(h) See Note 10 to the Consolidated Financial Statements.

(i) At end of period.

(j) Licensed beds are the number of beds for which a hospital has been licensed
    by the appropriate state agency regardless of whether the beds are actually
    available for patient use.

(k) Beds in service are the number of beds that are readily available for
    patient use.

(l) Admissions represent the number of patients admitted for inpatient
    treatment.

(m) Adjusted admissions is a general measure of combined inpatient and
    outpatient volume. Adjusted admissions is computed by multiplying admissions
    by gross patient revenues and then dividing that number by gross inpatient
    revenues.

(n) Patient days represent the total number of days of care provided to
    inpatients.

(o) Average length of stay (days) represents the average number of days
    inpatients stay in our hospitals.

(p) Percentages are calculated by dividing the daily average number of
    inpatients by the weighted average of beds in service.

(q) We define adjusted EBITDA as EBITDA adjusted to exclude cumulative effect of
    a change in accounting principle, impairment of long-lived assets and
    relocation costs, provision for excess reimbursement and Year 2000
    remediation costs, and loss from hospital sales. EBITDA consists of income
    (loss) before interest, income taxes, depreciation and amortization, and
    amortization of goodwill. EBITDA and adjusted EBITDA should not be
    considered as measures of financial performance under generally accepted
    accounting principles. Items excluded from EBITDA and adjusted EBITDA are
    significant components in understanding and assessing financial performance.
    EBITDA and adjusted EBITDA are key measures used by management to evaluate
    our operations and provide useful information to investors. EBITDA and
    adjusted EBITDA should not be considered in isolation or as alternatives to
    net income, cash flows generated by operations, investing or financing
    activities, or other financial statement data presented in the consolidated
    financial statements as indicators of financial performance or liquidity.
    Because EBITDA and adjusted EBITDA are not measurements determined in
    accordance with generally accepted accounting principles and are thus
    susceptible to varying calculations, EBITDA and adjusted EBITDA as presented
    may not be comparable to other similarly titled measures of other companies.

                                       21
<PAGE>
        MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
                             RESULTS OF OPERATIONS

    This discussion should be read together with our Consolidated Financial
Statements and the accompanying notes and Selected Consolidated Financial and
Other Data included elsewhere in this prospectus.

OVERVIEW

    We are the largest non-urban provider of acute care services in the United
States in terms of number of facilities and the second largest in terms of
revenues and EBITDA. As of December 31, 1999, we owned, leased or operated 46
acute care hospitals, geographically diversified across 20 states, with an
aggregate of 4,115 licensed beds. In over 80% of our markets, we are the sole
provider of acute care services. In most of our other markets, we are one of two
providers of acute care services. For the fiscal year ended December 31, 1999,
we generated $1.08 billion in net operating revenues and $204.2 million in
adjusted EBITDA. We achieved compound annual revenue growth of 20.6% from 1997
to 1999 and compound annual adjusted EBITDA, growth of 29.2% over the same
period.

ACQUISITIONS

    During 1999, we acquired, through two purchase and two capital lease
transactions, most of the assets, including working capital, of four hospitals.
The consideration for the four hospitals totaled $77.8 million. This
consideration consisted of $59.7 million in cash, which was borrowed under our
acquisition loan facilities, and assumed liabilities of $18.1 million. The
entire lease obligation relating to each lease transaction was prepaid. The
prepayment was included as part of the cash consideration. We also opened one
additional hospital, after completion of construction, at a cost of
$15.3 million. This owned hospital replaced a hospital that we managed.

    During 1998, we acquired, through two purchase and two capital lease
transactions, most of the assets, including working capital, of four hospitals.
The consideration for the four hospitals totaled $218.6 million. This
consideration consisted of $169.8 million in cash, which was borrowed under our
acquisition loan facilities, and assumed liabilities of $48.8 million. The
entire lease obligation relating to each lease transaction was prepaid. The
prepayment was included as part of the cash consideration. Also, effective
December 1, 1998, we entered into an operating agreement relating to a 38
licensed bed hospital. We also purchased the working capital accounts of that
hospital. The cash payment made for this hospital was $2.8 million. Pursuant to
this operating agreement, upon specified conditions being met, we will be
obligated to construct a replacement hospital and to purchase for $0.9 million
the remaining assets of the hospital. Upon completion, all rights of ownership
and operation will transfer to us.

    During 1997, we exercised a purchase option under an operating lease and
acquired two hospitals through capital lease transactions. The consideration for
these three hospitals totaled $46.1 million, including working capital. This
consideration consisted of $36.3 million in cash, which was borrowed under our
acquisition loan facilities, and assumed liabilities of $9.8 million. The entire
lease obligation relating to each lease transaction was prepaid. The prepayment
was included as part of the cash consideration.

    In the future, we intend to selectively acquire two to four hospitals in our
target markets annually. Because of the financial impact of acquisitions, it is
difficult to make meaningful comparisons between our financial statements for
the periods presented. Because EBITDA margins at hospitals we acquire are, at
the time of acquisition, lower than those of our existing hospitals,
acquisitions can negatively affect our EBITDA margins on a consolidated basis.

                                       22
<PAGE>
SOURCES OF REVENUE

    Net operating revenues include amounts estimated by management to be
reimbursable by Medicare under the prospective payment system and by Medicare
and Medicaid programs under the provisions of cost-reimbursement and other
payment formulae. Amounts received by us for treatment of patients covered by
such programs are generally less than our standard billing rates. The
differences between the estimated program reimbursement rates and our standard
billing rates are accounted for as contractual adjustments, which are deducted
from gross revenues to arrive at net operating revenues. Final settlements under
certain of these programs are subject to adjustment based on administrative
review and audit by third parties. Net operating revenues also include amounts
for which we expect to be reimbursed by other payors under the applicable
payment formulae. Net operating revenues are recognized when services are
provided. Adjustments to the estimated billings are recorded as final
settlements are determined. Services rendered to patients covered by the
Medicare and Medicaid programs represented the following percentage of our net
operating revenues: 55% in 1997, 49% in 1998, and 48% in 1999.

    The percentage of revenues received from the Medicare program is expected to
increase due to the general aging of the population. The payment rates under the
Medicare program for inpatients are based on a prospective payment system, based
upon the diagnosis of a patient. While these rates are indexed for inflation
annually, the increases have historically been less than actual inflation.
Reductions in the rate of increase in Medicare and Medicaid reimbursement may
have an adverse impact on our net operating revenue growth. In addition,
Medicaid programs, insurance companies, and employers are actively negotiating
the amounts paid to hospitals as opposed to their standard rates. The trend
toward increased enrollment in managed care may adversely affect our net
operating revenue growth.

    In 1997, we initiated a voluntary review of inpatient medical records in
order to determine the extent to which we may have claimed reimbursement in
excess of what we should have claimed for services rendered under certain
government programs for the years 1993 through 1997. We have executed a
settlement agreement with the appropriate federal governmental agencies relating
to an overpayment liability for an aggregate amount of $31 million. The
settlement agreement has not yet been executed by the applicable state Medicaid
programs. However, the Department of Justice has advised us that all parties to
the settlement agreement have agreed to its terms and are expected to execute
the settlement agreement by March 31, 2000. We have recorded as a charge to
income, under the caption Provision for Excess Reimbursement, $20 million in
1998 and $14 million in 1999. Through our compliance program and other external
initiatives, we may periodically detect instances of overpayment by governmental
payors.

RESULTS OF OPERATIONS

    Our hospitals offer a variety of services involving a broad range of
inpatient and outpatient medical and surgical services. These include
orthopedics, cardiology, OB/GYN, occupational medicine, rehabilitation
treatment, home health, and skilled nursing. The strongest demand for hospital
services generally occurs during January through April and the weakest demand
for these services occurs during the summer months. Accordingly, eliminating the
effect of new acquisitions, our net operating revenues and earnings are
generally highest during the first quarter and lowest during the third quarter.

                                       23
<PAGE>
    The following tables summarize, for the periods indicated, selected
operating data.

<TABLE>
<CAPTION>
                                                                        YEAR ENDED DECEMBER 31,
                                                                  ------------------------------------
                                                                    1997          1998          1999
                                                                  --------      --------      --------
                                                                     (EXPRESSED AS A PERCENTAGE OF
                                                                        NET OPERATING REVENUES)
<S>                                                               <C>           <C>           <C>
Net operating revenues......................................       100.0         100.0         100.0
Operating expenses (a)......................................       (83.5)        (80.5)        (81.1)
                                                                   -----         -----         -----
Adjusted EBITDA (b).........................................        16.5          19.5          18.9
Depreciation and amortization...............................        (5.9)         (5.8)         (5.3)
Amortization of goodwill....................................        (3.4)         (3.1)         (2.3)
Interest, net...............................................       (12.1)        (11.8)        (10.8)
Impairment of long-lived assets.............................        --           (19.3)         --
Provision for excess reimbursement and Year 2000 remediation
  costs.....................................................        --            (2.4)         (1.6)
                                                                   -----         -----         -----
Loss before cumulative effect of a change in accounting
  principle and income taxes................................        (4.9)        (22.9)         (1.1)
Provision for (benefit from) income taxes...................        (0.6)         (1.5)           .5
                                                                   -----         -----         -----
Loss before cumulative effect of a change in accounting
  principle.................................................        (4.3)        (21.4)         (1.6)
                                                                   =====         =====         =====
</TABLE>

<TABLE>
<CAPTION>
                                                                    YEAR ENDED
                                                                   DECEMBER 31,
                                                              -----------------------
                                                                1998           1999
                                                              --------       --------
                                                                   (EXPRESSED IN
                                                                   PERCENTAGES)
<S>                                                           <C>            <C>
PERCENTAGE CHANGE FROM PRIOR YEAR:
  Net operating revenues....................................    15.1           26.4
  Admissions................................................    13.6           20.3
  Adjusted admissions (c)...................................    15.3           22.6
  Average length of stay....................................    (6.7)          (4.8)
  Adjusted EBITDA...........................................    36.1           22.7
SAME HOSPITALS PERCENTAGE CHANGE FROM PRIOR YEAR (d):
  Net operating revenues....................................     2.5            7.6
  Admissions................................................     4.3            4.9
  Adjusted admissions.......................................     6.4            7.7
  Adjusted EBITDA...........................................    11.7           12.6
</TABLE>

- ------------------------

(a) Operating expenses include salaries and benefits, provision for bad debts,
    supplies, rent, and other operating expenses, and exclude the items that are
    excluded for purposes of determining adjusted EBITDA as discussed in
    footnote (b) below.

(b) We define adjusted EBITDA as EBITDA adjusted to exclude cumulative effect of
    a change in accounting principle, impairment of long-lived assets, provision
    for excess reimbursement and Year 2000 remediation costs, and loss from
    hospital sales. EBITDA consists of income (loss) before interest, income
    taxes, depreciation and amortization, and amortization of goodwill. EBITDA
    and adjusted EBITDA should not be considered as measures of financial
    performance under generally accepted accounting principles. Items excluded
    from EBITDA and adjusted EBITDA are significant components in understanding
    and assessing financial performance. EBITDA and adjusted EBITDA are key
    measures used by management to evaluate our operations and provide useful
    information to investors. EBITDA and adjusted EBITDA should not be
    considered in isolation or as alternatives to net income, cash flows
    generated by operations, investing or financing activities, or other
    financial statement data presented in the consolidated financial

                                         (FOOTNOTES CONTINUED ON FOLLOWING PAGE)

                                       24
<PAGE>
(FOOTNOTES CONTINUED FROM PREVIOUS PAGE)

        statements as indicators of financial performance or liquidity. Because
    EBITDA and adjusted EBITDA are not measurements determined in accordance
    with generally accepted accounting principles and are thus susceptible to
    varying calculations, EBITDA and adjusted EBITDA as presented may not be
    comparable to other similarly titled measures of other companies.

(c) Adjusted admissions is a general measure of combined inpatient and
    outpatient volume. Adjusted admissions is computed by multiplying admissions
    by gross patient revenues and then dividing that number by gross inpatient
    revenues.

(d) Includes acquired hospitals to the extent they were operated by us during
    comparable periods in both years.

YEAR ENDED DECEMBER 31, 1999 COMPARED TO YEAR ENDED DECEMBER 31, 1998

    Net operating revenues increased by 26.4% to $1,080.0 million in 1999 from
$854.6 million in 1998. Of the $225.4 million increase in net operating
revenues, $160.6 million was contributed by the nine hospitals we acquired,
including one constructed, in 1998 and 1999, and $64.8 million was attributable
to hospitals we owned throughout both periods. The $64.8 million, or 7.6%,
increase in same hospitals net operating revenues was primarily attributable to
inpatient and outpatient volume increases, partially offset by a decrease in
reimbursement. In 1999, we experienced $23 million of reductions from the
Balanced Budget Act of 1997. We have experienced lower payments from a number of
payors, resulting primarily from:

    - reductions mandated by the Balanced Budget Act of 1997, particularly in
      the areas of reimbursement for Medicare outpatient, capital, bad debts,
      home health, and skilled nursing;

    - reductions in various states' Medicaid programs; and

    - reductions in length of stay for patients not reimbursed on an admission
      basis.

    Inpatient admissions increased by 20.3%, adjusted admissions increased by
22.6%, and average length of stay decreased by 4.8%. On a same hospitals basis,
inpatient admissions increased by 4.9% and adjusted admissions increased by
7.7%. The increase in same hospitals inpatient admissions and adjusted
admissions was due primarily to an increase in services offered, physician
relationship development efforts, and the addition of physicians through our
focused recruitment program. Outpatient growth is reflective of the continued
trend toward a preference for outpatient procedures, where appropriate, by
patients, physicians, and payors.

    Operating expenses, as a percentage of net operating revenues, increased
from 80.5% in 1998 to 81.1% in 1999 due to higher operating expenses and lower
initial adjusted EBITDA margins associated with acquired hospitals. Adjusted
EBITDA margin decreased from 19.5% in 1998 to 18.9% in 1999. Operating expenses
include salaries and benefits, provision for bad debts, supplies, rent, and
other operating expenses. Salaries and benefits, as a percentage of net
operating revenues, increased to 38.8% in 1999 from 38.4% in 1998, due to
acquisitions of hospitals in 1998 and 1999 having higher salaries and benefits
as a percentage of net operating revenues than our 1998 results. Provision for
bad debts, as a percentage of net operating revenues, increased to 8.8% in 1999
from 8.1% in 1998 due to an increase in self-pay revenues and payor remittance
slowdowns in part caused by Year 2000 conversions. Supplies, as a percentage of
net operating revenues, decreased to 11.7% in 1999 from 11.8% in 1998. Rent and
other operating expenses, as a percentage of net operating revenues, decreased
to 21.7% in 1999 from 22.3% in 1998.

    On a same hospitals basis, operating expenses as a percentage of net
operating revenues decreased from 81.1% in 1998 to 80.3% in 1999 and adjusted
EBITDA margin increased from 18.9% in 1998 to

                                       25
<PAGE>
19.7% in 1999. These efficiency and productivity gains resulted from the
achievement of target staffing ratios and improved compliance with national
purchasing contracts. Operating expenses improved as a percentage of net
operating revenues in every major category except provision for bad debts.

    Depreciation and amortization increased by $7 million from $49.9 million in
1998 to $56.9 million in 1999. The nine hospitals acquired in 1998 and 1999
accounted for $7.1 million of the increase, with the remaining $3.3 million of
the increase being related to facility renovations and purchases of equipment.
These increases were offset by a $3.4 million reduction in depreciation and
amortization related to the 1998 impairment write-off of certain assets.

    Amortization of goodwill decreased by $1.9 million from $26.6 million in
1998 to $24.7 million in 1999. The nine hospitals acquired in 1998 and 1999
resulted in a $1.7 million increase in 1999, which was offset by a $3.6 million
reduction in amortization of goodwill in 1999 and 1998 related to the 1998
impairment charge.

    Interest, net increased by $15.3 million from $101.2 million in 1998 to
$116.5 million in 1999. The nine hospitals acquired in 1998 and 1999 accounted
for $10.2 million of the increase, with the remaining $5.1 million of the
increase being related to borrowings under our credit agreement to finance
capital expenditures.

    Loss before cumulative effect of a change in accounting principle and income
taxes for 1999 was $11.2 million compared to a loss of $196.3 million in 1998. A
majority of this variance was due to a $164.8 million charge for impairment of
long-lived assets recorded in 1998. In December 1998, in connection with our
periodic review process, we determined that as a result of adverse changes in
physician relationships, undiscounted cash flows from seven of our hospitals
were below the carrying value of long-lived assets associated with those
hospitals. Therefore, in accordance with Statement of Financial Accounting
Standards No. 121, "Accounting for the Impairment of Long-Lived Assets and for
Long-Lived Assets to be Disposed of," we adjusted the carrying value of the
related long-lived assets, primarily goodwill, to their estimated fair value.
The estimated fair values of these hospitals were based on specific market
appraisals.

    The provision for income taxes in 1999 was $5.6 million compared to a
benefit of $13.4 million in 1998. Due to the non-deductible nature of certain
goodwill amortization and the goodwill portion of the 1998 impairment charge,
the resulting effective tax rate is in excess of the statutory rate.

    Including the impairment of long-lived assets, provision for excess
reimbursement, Year 2000 remediation costs, and cumulative effect of a change in
accounting principle charges, net loss for 1999 was $16.8 million as to compared
to $183.3 million net loss in 1998.

YEAR ENDED DECEMBER 31, 1998 COMPARED TO YEAR ENDED DECEMBER 31, 1997

    Net operating revenues increased by 15.1% to $854.6 million in 1998 from
$742.4 million in 1997. Of the $112.2 million increase, $93.3 million was
contributed by the six hospitals we acquired in 1997 and 1998 and $18.9 million
was attributable to the hospitals we owned throughout both periods. The
$18.9 million, or 2.5%, increase in same hospital net operating revenues was
primarily attributable to inpatient and outpatient volume increases, partially
offset by a decrease in reimbursement. In 1998, we experienced $14 million of
reductions from the Balanced Budget Act of 1997. We have experienced lower
payments from a number of payors, resulting primarily from:

    - reductions mandated by the Balanced Budget Act of 1997, particularly in
      the areas of reimbursement for Medicare outpatient, capital, bad debts,
      and home health;

    - reductions in various states' Medicaid programs;

                                       26
<PAGE>
    - reductions in length of stay for patients not reimbursed on an admission
      basis; and

    - a reduction in Medicare case-mix index.

    Inpatient admissions increased by 13.6%, adjusted admissions increased by
15.3%, and average length of stay decreased by 6.7%. On a same hospitals basis,
inpatient admissions increased by 4.3% and adjusted admissions increased by
6.4%. The increase in same hospitals inpatient admissions and adjusted
admissions was due primarily to an increase in services offered as a result of
our capital expenditure program, physician relationship development efforts, and
the addition of physicians through recruitment. Outpatient growth is reflective
of the continued trend toward a preference for outpatient procedures, where
appropriate, by patients, physicians, and payors.

    Operating expenses, as a percentage of net operating revenues, decreased
from 83.5% in 1997 to 80.5% in 1998. Adjusted EBITDA margin increased to 19.5%
in 1998 from 16.5% in 1997. Salaries and benefits, as a percentage of net
operating revenues, decreased to 38.4% in 1998 from 40.0% in 1997. Provision for
bad debts, as a percentage of net operating revenues, increased to 8.1% in 1998
from 7.7% in 1997 due to an increase in self pay revenues. Supplies, as a
percentage of net operating revenues, decreased to 11.8% in 1998 from 12.2% in
1997. Rent and other operating expenses, as a percentage of net operating
revenues, decreased to 22.3% in 1998 from 23.7% in 1997.

    On a same hospitals basis, operating expenses as a percentage of net
operating revenues decreased from 82.4% in 1997 to 80.9% in 1998 and adjusted
EBITDA margin increased from 17.6% in 1997 to 19.1% in 1998. These efficiency
and productivity gains resulted in part from the achievement of target staffing
ratios. Operating expenses improved as a percentage of net operating revenues in
every major category except provision for bad debts.

    Depreciation and amortization increased by $6.1 million from $43.8 million
in 1997 to $49.9 million in 1998. The six hospitals acquired in 1997 and 1998
accounted for $4.2 million of the increase, with the remaining $1.9 million of
the increase being related to facility renovations and purchases of equipment.

    Amortization of goodwill increased by $1.2 million from $25.4 million in
1997 to $26.6 million in 1998. The six hospitals acquired in 1997 and 1998
accounted for this increase.

    Interest, net increased by $11.4 million from $89.8 million in 1997 to
$101.2 million in 1998. The six hospitals acquired in 1997 and 1998 accounted
for $8 million of the increase, with the remaining increase of $3.4 million
related to borrowings under our credit agreement to finance capital
expenditures.

    Loss before cumulative effect of a change in accounting principle and income
taxes for 1998 was $196.3 million compared to a loss of $36.7 million in 1997. A
majority of this increase was due to a $164.8 million charge for impairment of
long-lived assets recorded in 1998.

    The provision for income taxes in 1998 was a benefit of $13.4 million
compared to a benefit of $4.5 million in 1997. Due to the non-deductible nature
of goodwill amortization and the goodwill portion of the 1998 impairment charge,
the resulting effective tax rate is in excess of the statutory rate.

    Including the impairment of long-lived assets, provision for excess
reimbursement, Year 2000 remediation costs, and cumulative effect of a change in
accounting principle charges, net loss for 1998 was $183.3 million as compared
to $32.2 million net loss in 1997.

                                       27
<PAGE>
LIQUIDITY AND CAPITAL RESOURCES

1999 COMPARED TO 1998

    Net cash provided by operating activities decreased by $27.4 million, from
$15.7 million during 1998 to a use of $11.7 million during 1999 due primarily to
an increase in accounts receivable at both same hospitals and newly-acquired
hospitals. The use of cash in investing activities decreased from
$236.6 million in 1998 to $155.5 million in 1999. The $81.1 million decrease was
due primarily to a decrease in cash used to finance hospital acquisitions of
$112.9 million during 1999. This decrease was offset by a $31.8 million increase
in cash used to finance capital expenditures during 1999, including
approximately $15.0 million of Year 2000 expenditures. The 1998 use of cash to
acquire facilities, included four hospitals, two of which were larger
facilities. Net cash provided by financing activities decreased from
$219.9 million in 1998 to $164.9 million in 1999. Excluding the refinancing of
our credit facility, borrowings in 1999 would have been $186.3 million and
repayments would have been $20.9 million. This represents a $56.2 million
decrease compared to $242.5 million borrowed in 1998 and repayments of long-term
indebtedness of $20.9 million in 1999 compared to repayments of $18.8 million in
1998. The $56.2 million decrease in borrowings related to a lesser amount spent
on acquisition of facilities, partially offset by increased capital expenditures
and an increase in the accounts receivable balance.

1998 COMPARED TO 1997

    Net cash provided by operating activities decreased by $5.8 million from
$21.5 million during 1997 to $15.7 million during 1998, due primarily to an
increase in accounts receivable at both same hospitals and newly-acquired
hospitals. The use of cash in investing activities increased from $76.7 million
in 1997 to $236.5 million in 1998. The $159.8 million increase was primarily
attributable to the four hospitals acquired in 1998, including two larger
facilities, as compared to two hospitals acquired in 1997. Net cash provided by
financing activities increased by $183.7 million to $219.9 million in 1998, as
compared to $36.2 million in 1997. The increase was due primarily to the
purchase of four hospitals in 1998.

CAPITAL EXPENDITURES

    Our capital expenditures for 1999 totaled $64.8 million compared to
$51.3 million in 1998 and $48.8 million in 1997. Our capital expenditures for
1999 excludes $15.3 million of costs associated with the opening and
construction of one additional hospital. The increase in capital expenditures in
1999 was due primarily to an increase in purchases of medical equipment and
information systems upgrades related to Year 2000 compliance. The increase in
capital expenditures during 1998 as compared to 1997 was primarily attributable
to an increase in purchases of medical equipment and facility improvements.

    As an obligation under certain hospital purchase agreements, we are required
to construct three hospitals through 2004 with an aggregate estimated
construction cost of approximately $85 million. We expect total capital
expenditures of approximately $70 million in 2000, including $55 million for
renovation and equipment purchases and $15 million for construction of
replacement hospitals.

CAPITAL RESOURCES

    Net working capital was $65.2 million at December 31, 1999 compared to
$3.4 million at December 31, 1998. The $61.8 million increase was primarily
attributable to an increase in patient accounts receivable due to a combination
of growth in same hospitals revenues during 1999 and the addition of five
hospitals in 1999.

    During March 1999, we amended our credit agreement. The amended credit
agreement provides for $644 million in term debt with quarterly amortization and
staggered maturities in 2000, 2001, 2002,

                                       28
<PAGE>
2003, 2004 and 2005. This agreement also provides for $482.5 million of
revolving facility debt for working capital and acquisitions and matures on
December 31, 2002. Borrowings under the facility bear interest at either LIBOR
or prime rate plus various applicable margins which are based upon financial
covenant ratio tests. As of December 31, 1999, under our credit agreement, our
weighted average interest rate was 9.29%. As of December 31, 1999, we had
availability to borrow an additional $47 million under the working capital
revolving facility and an additional $144 million under the acquisition loan
revolving facility.

    We are required to pay a quarterly commitment fee at a rate which ranges
from .375% to .500% based on specified financial performance criteria. This fee
applies to unused commitments under the revolving credit facility and the
acquisition loan facility.

    The terms of the credit agreement include various restrictive covenants.
These covenants include restrictions on additional indebtedness, investments,
asset sales, capital expenditures, dividends, sale and leasebacks, contingent
obligations, transactions with affiliates, and fundamental changes. The
covenants also require maintenance of various ratios regarding senior
indebtedness, senior interest, and fixed charges.

    We believe that internally generated cash flows and borrowings under our
revolving credit facility will be sufficient to finance acquisitions, capital
expenditures and working capital requirements through the 12 months following
the date of this prospectus. If funds required for future acquisitions exceed
existing sources of capital, we will need to increase our revolving credit
facility or obtain additional capital by other means.

REIMBURSEMENT, LEGISLATIVE AND REGULATORY CHANGES

    Legislative and regulatory action has resulted in continuing change in the
Medicare and Medicaid reimbursement programs which will continue to limit
payment increases under these programs. Within the statutory framework of the
Medicare and Medicaid programs, there are substantial areas subject to
administrative rulings, interpretations, and discretion which may further affect
payments made under those programs, and the federal and state governments might,
in the future, reduce the funds available under those programs or require more
stringent utilization and quality reviews of hospital facilities. Additionally,
there may be a continued rise in managed care programs and future restructuring
of the financing and delivery of healthcare in the United States. These events
could have an effect on our future financial results.

INFLATION

    The healthcare industry is labor intensive. Wages and other expenses
increase especially during periods of inflation and when labor shortages occur
in the marketplace. In addition, suppliers pass along rising costs to us in the
form of higher prices. We have implemented cost control measures, including our
case and resource management program, to curb increases in operating costs and
expenses. We have, to date, offset increases in operating costs by increasing
reimbursement for services and expanding services. However, we cannot predict
our ability to cover or offset future cost increases.

PREPARATION FOR YEAR 2000

    As with most industries, hospitals and healthcare systems use information
systems that had the potential to misidentify dates beginning January 1, 2000,
which could have resulted in systems or equipment failures or miscalculations.
We engaged in a comprehensive project to upgrade computer software and hospital
equipment and systems to be Year 2000 compliant. This project was successfully
completed with no major difficulties encountered.

                                       29
<PAGE>
RECENT ACCOUNTING PRONOUNCEMENT NOT YET ADOPTED

    During 1998, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards (SFAS) No. 133, "Accounting for Derivative
Instruments and Hedging Activities." This statement specifies how to report and
display derivative instruments and hedging activities and is effective for
fiscal years beginning after June 15, 2000. We are evaluating the impact, if
any, of adopting SFAS No. 133.

FEDERAL INCOME TAX EXAMINATIONS

    The Internal Revenue Service is examining our filed federal income tax
returns for the tax periods ended between December 31, 1993 and December 31,
1996. The Internal Revenue Service has indicated that it is considering a number
of adjustments, primarily involving temporary or timing differences. To date, a
revenue agent's report has not been issued in connection with the examination of
these tax periods. We do not expect that the ultimate outcome of the Internal
Revenue Service examinations will have a material effect on us.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

    We are exposed to interest rate changes, primarily as a result of our credit
agreement which bears interest based on floating rates. We have not taken any
action to cover interest rate market risk, and are not a party to any interest
rate market risk management activities.

    A 1% change in interest rates on variable rate debt would have resulted in
interest expense fluctuating approximately $6 million for 1998 and $8 million
for 1999.

                                       30
<PAGE>
                      BUSINESS OF COMMUNITY HEALTH SYSTEMS

OVERVIEW OF OUR COMPANY

    We are the largest non-urban provider of acute healthcare services in the
United States in terms of number of facilities and the second largest in terms
of revenues and EBITDA. As of December 31, 1999, we owned, leased or operated 46
hospitals, geographically diversified across 20 states, with an aggregate of
4,115 licensed beds. In over 80% of our markets, we are the sole provider of
these services. In most of our other markets, we are one of two providers of
these services. For the fiscal year ended December 31, 1999, we generated
$1.08 billion in revenues and $204.2 million in adjusted EBITDA.

    We were formed by affiliates of Forstmann Little & Co. to acquire our
predecessor company in July 1996. Wayne T. Smith, who has over 30 years of
experience in the healthcare industry, joined our company as President in
January 1997 and was named Chief Executive Officer in April 1997. Under this new
ownership and leadership, we have:

    - strengthened the senior management team in all key business areas;

    - standardized and centralized our operations across key business areas;

    - implemented a disciplined acquisition program;

    - expanded and improved the services and facilities at our hospitals;

    - recruited additional physicians to our hospitals;

    - instituted a company-wide regulatory compliance program; and

    - divested certain non-core assets.

As a result of these initiatives, we achieved compound annual revenue growth of
20.6% from 1997 to 1999 and compound annual adjusted EBITDA growth of 29.2% over
the same period. Our adjusted EBITDA margins have improved from 16.5% for 1997
to 18.9% for 1999.

    Our hospitals typically have 50 to 200 beds and annual revenue ranging from
$15 million to $75 million. They are generally located in non-urban markets with
populations of 20,000 to 80,000 people and economically diverse employment
bases. These facilities, together with their medical staffs, provide a wide
range of inpatient and outpatient acute care services and a variety of specialty
services.

    We target growing, non-urban healthcare markets because of their favorable
demographic and economic trends and competitive conditions. Because non-urban
service areas have smaller populations, there are generally fewer hospitals and
other healthcare service providers in each community. We believe that smaller
populations result in less direct competition for hospital-based services. Also,
we believe that non-urban communities generally view the local hospital as an
integral part of the community. There is generally a lower level of managed care
payor penetration in these markets.

OUR BUSINESS STRATEGY

    The key elements of our business strategy are to:

    - increase revenue at our facilities;

    - grow through selective acquisitions;

    - reduce costs; and

    - improve quality.

    INCREASE REVENUE AT OUR FACILITIES

    OVERVIEW.  We seek to increase revenue at our facilities by providing a
broader range of services in a more attractive care setting, as well as by
supporting and recruiting physicians. We identify the healthcare needs of the
community by analyzing demographic data and patient referral trends. We also

                                       31
<PAGE>
work with local hospital boards, management teams, and medical staffs to
determine the number and type of additional physicians needed. Our initiatives
to increase revenue include:

    - recruiting additional primary care physicians and specialists;

    - expanding the breadth of services offered at our hospitals through
      targeted capital expenditures to support the addition of more complex
      services, including orthopedics, cardiology, OB/GYN, and occupational
      medicine; and

    - providing the capital to invest in technology and the physical plant at
      the facilities, particularly in our emergency rooms.

    By taking these actions, we believe that we can increase our share of the
healthcare dollars spent by local residents and limit inpatient and outpatient
migration to larger urban facilities. Total revenue for hospitals operated by us
for a full year increased by 7.6% from 1998 to 1999. Total inpatient admissions
increased by 4.9% over the same period.

    PHYSICIAN RECRUITING.  The primary method of adding or expanding medical
services is the recruitment of new physicians into the community. A core group
of primary care physicians is necessary as an initial contact point for all
local healthcare. The addition of specialists who offer services including
general surgery, OB/GYN, cardiology, and orthopedics completes the full range of
medical and surgical services required to meet a community's core healthcare
needs. When we acquire a hospital, we identify the healthcare needs of the
community by analyzing demographic data and patient referral trends. We are then
able to determine what we believe to be the optimum mix of primary care
physicians and specialists. We employ recruiters at the corporate level to
support the local hospital managers in their recruitment efforts. During the
past three years, we have increased the number of physicians affiliated with us
by 320, including 80 in 1997, 84 in 1998, and 156 in 1999. The percentage of
recruited physicians commencing practice that were surgeons or specialists grew
from 45% in 1997 to 52% in 1999. Most of our physicians are not employed by us,
but rather establish their own private practices in the community. We have been
successful in recruiting physicians because of the practice opportunities of
physicians in our markets, as well as the lower managed care penetration as
compared to urban areas. These physicians are able to earn incomes comparable to
incomes earned by physicians in urban centers. Approximately 1,600 physicians
are currently affiliated with our hospitals.

    To attract and retain qualified physicians, we provide recruited physicians
with various services to assist them in opening and operating their practices,
including:

    - relocation assistance;

    - physician practice management assistance, either through consulting advice
      or training;

    - access to medical office building space adjacent to our hospitals;

    - joint marketing programs for community awareness of new services and
      providers of care in the community;

    - case management consulting for best practices; and

    - access to a physician advisory board which communicates regularly with
      physicians regarding a wide range of issues affecting the medical staffs
      of our hospitals.

    EMERGENCY ROOM INITIATIVES.  Given that over 50% of our hospital admissions
originate in the emergency room, we systematically take steps to increase
patient flow in our emergency rooms as a means of optimizing utilization rates
for our hospitals. Furthermore, the impression of our overall operations by our
customers is substantially influenced by our emergency room since often that is
their first experience with our hospitals. The steps we take to increase patient
flow in our emergency rooms include renovating and expanding our emergency room
facilities, improving service, and reducing waiting times, as well as
publicizing our emergency room capabilities in the local community. We have
expanded or renovated four of our emergency room facilities since 1997 and are
now in the process of upgrading an additional nine emergency room facilities.
Since 1997, we have entered into approximately

                                       32
<PAGE>
20 new contracts with emergency room operating groups to improve performance in
our emergency rooms. We have implemented marketing campaigns that emphasize the
speed, convenience, and quality of our emergency rooms to enhance each
community's awareness of our emergency room services.

    Our upgrades include the implementation of specialized software programs
designed to assist physicians in making diagnoses and determining treatments.
The software also benefits patients and hospital personnel by assisting in
proper documentation of patient records. It enables our nurses to provide more
consistent patient care and provides clear instructions to patients at time of
discharge to help them better understand their treatments.

    EXPANSION OF SERVICES.  To capture a greater portion of the healthcare
spending in our markets and to more efficiently utilize our hospital facilities,
we have added a broad range of emergency, outpatient, and specialty services to
our hospitals. Depending on the needs of the community, we identify
opportunities to expand into various specialties, including orthopedics,
cardiology, OB/GYN, and occupational medicine. In addition to expanding
services, we have completed major capital projects at selected facilities to
offer these types of services. For example, in 1999 we invested $1 million in a
new cardiac catheterization laboratory at our Crestview, Florida hospital. As a
result, the number of procedures performed by this laboratory increased by 84%,
from 122 in 1998 to 224 in 1999. In 1999, major capital projects were in
progress at many of our hospitals. These projects included renovations to nine
emergency rooms, two operating rooms, two OB/GYN facilities, and three intensive
care units at various hospitals. We believe that through these efforts we will
reduce patient migration to competing providers of healthcare services and
increase volume.

    MANAGED CARE STRATEGY.  Managed care has seen growth across the U.S. as
health plans expand service areas and membership. As we service primarily
non-urban markets, our relationships with managed care organizations are
limited. We have responded with a proactive and carefully considered strategy
developed specifically for each of our facilities. Our experienced business
development department reviews and approves all managed care contracts, which
are managed through a central database. The primary mission of this department
is to select and evaluate appropriate managed care opportunities, manage
existing reimbursement arrangements, negotiate increases, and educate our
physicians. We have terminated our only risk sharing capitated contract, which
we acquired through our acquisition of a California hospital.

    GROW THROUGH SELECTIVE ACQUISITIONS

    ACQUISITION CRITERIA.  Each year we intend to selectively acquire two to
four hospitals that fit our acquisition criteria. We pursue acquisition
candidates that:

    - have a general service area population between 20,000 and 80,000 with a
      stable or growing population base;

    - are the sole or primary provider of acute care services in the community;

    - are located more than 25 miles from a competing hospital;

    - are not located in an area that is dependent upon a single employer or
      industry; and

    - have financial performance that we believe will benefit from our
      management's operating skills.

    Most hospitals we have acquired are located in service areas having
populations within the lower to middle range of our criteria. However, we have
also acquired hospitals having service area populations in the upper range of
our criteria. For example, in 1998, we acquired a 162-bed facility in Roswell,
New Mexico which has a service area population of over 70,000 and is located 200
miles from the nearest urban centers in Albuquerque, New Mexico and Lubbock,
Texas. Facilities similar to the one located in Roswell offer even greater
opportunities to expand services given their larger service area populations.

    Most of our acquisition targets are municipal and other not-for-profit
hospitals. We believe that our access to capital and ability to recruit
physicians make us an attractive partner for these

                                       33
<PAGE>
communities. In addition, we have found that communities located in states where
we already operate a hospital are more receptive to us when they consider
selling their hospital because they are aware of our operating track record with
respect to our facilities within the state.

    ACQUISITION OPPORTUNITIES.  We believe that there are significant
opportunities for growth through the acquisition of additional facilities. We
estimate that there are currently approximately 400 acute care hospitals that
meet our acquisition criteria. These hospitals are primarily not-for-profit or
municipally owned. Many of these hospitals have experienced declining financial
performance, lack the resources necessary to maintain and improve facilities,
have difficulty attracting qualified physicians, and are challenged by the
changing healthcare industry. We believe that these circumstances will continue
and may encourage owners of these facilities to turn to companies, like ours,
that have greater management expertise and financial resources and can enhance
the local availability of healthcare.

    After we acquire a hospital, we:

    - improve hospital operations by implementing our standardized and
      centralized programs and appropriate expense controls as well as by
      managing staff levels;

    - recruit additional primary care physicians and specialists;

    - expand the breadth of services offered in the community to increase local
      market share and reduce inpatient and outpatient migration to larger urban
      hospitals; and

    - implement appropriate capital expenditure programs to renovate the
      facility, add new services, and upgrade equipment.

    REPLACEMENT FACILITIES.  In some cases, we enter into agreements with the
owners of hospitals to construct a new facility to be owned or leased by us that
will replace the existing facility. The new facilities offer many benefits to us
as well as the local community, including:

    - state of the art technology, which attracts physicians trained in the
      latest medical procedures;

    - physical plant efficiencies designed to enhance the flow of services,
      including emergency room and outpatient services;

    - improved registration and business office functions; and

    - local support for the institution.

    As an obligation under certain hospital purchase agreements, we are required
to construct three hospitals through 2004 with an aggregate estimated
construction cost of approximately $85 million.

    DISCIPLINED ACQUISITION APPROACH.  We have been disciplined in our approach
to acquisitions. We have a dedicated team of internal and external professionals
who complete a thorough review of the hospital's financial and operating
performance, the demographics of the market, and the state of the physical plant
of the facilities. Based on our historical experience, we then build a pro forma
financial model that reflects what we believe can be accomplished under our
ownership. Whether we buy or lease the existing facility or agree to construct a
replacement hospital, we have been disciplined in our approach to pricing.

    ACQUISITION EFFORTS.  We have significantly enhanced our acquisition efforts
in the last three years in an effort to achieve our goals. We have focused on
identifying possible acquisition opportunities through expanding our internal
acquisition group and working with a broad range of financial advisors who are
active in the sale of hospitals, especially in the not-for-profit sector. Since
July 1996, we have acquired 17 hospitals through December 31, 1999, for an
aggregate investment of $432 million. The

                                       34
<PAGE>
following is a list of the acquisitions which we have completed since July 1996
or expect to complete by April 2000:

<TABLE>
<CAPTION>
                                                                             YEAR OF
                                                                        ACQUISITION/LEASE       LICENSED BEDS
HOSPITAL NAME                                    CITY         STATE         INCEPTION                (a)
- -------------                                -------------   --------   -----------------   ---------------------
<S>                                          <C>             <C>        <C>                 <C>
Chesterfield General (b)...................  Cheraw          SC                1996                            66
Marlboro Park (b)..........................  Bennettsville   SC                1996                           109
Northeast Medical (b)......................  Bonham          TX                1996                            75
Cleveland Regional (b).....................  Cleveland       TX                1996                           115
River West Medical (b).....................  Plaquemine      LA                1996                            80
Marion Memorial............................  Marion          IL                1996                            99
Lake Granbury Medical......................  Granbury        TX                1997                            56
Payson Regional............................  Payson          AZ                1997                            66
Eastern New Mexico.........................  Roswell         NM                1998                           162
Watsonville Community......................  Watsonville     CA                1998                           102
Martin General.............................  Williamston     NC                1998                            49
Fallbrook Hospital.........................  Fallbrook       CA                1998                            47
Greensville Memorial.......................  Emporia         VA                1999                           114
Berwick Hospital...........................  Berwick         PA                1999                           144
King's Daughters...........................  Greenville      MS                1999                           137
Big Bend Regional (c)......................  Alpine          TX                1999                            40
Evanston Regional..........................  Evanston        WY                1999                            42
Southhampton Memorial (d)..................  Franklin        VA                2000                           105
Northeastern Regional (d)..................  Las Vegas       NM                2000                            54
</TABLE>

- ------------------------

(a) Licensed beds are the number of beds for which a facility has been licensed
    by the appropriate state agency regardless of whether the beds are actually
    available for patient use.

(b) Acquired in a single transaction from a private, for-profit company.

(c) New hospital constructed to replace existing facility that we managed.

(d) Scheduled to be acquired by April 2000.

    Since 1998, we have also operated a hospital in Tooele, Utah under an
operating agreement pending our completion of the construction of a replacement
facility.

    REDUCE COSTS

    OVERVIEW.  To improve efficiencies and increase operating margins, we
implement cost containment programs and adhere to operating philosophies which
include:

    - standardizing and centralizing our operations;

    - optimizing resource allocation by utilizing our company-devised case and
      resource management program, which assists in improving clinical care and
      containing expenses;

    - capitalizing on purchasing efficiencies through the use of company-wide
      standardized purchasing contracts and terminating or renegotiating certain
      vendor contracts;

    - installing a standardized management information system, resulting in more
      efficient billing and collection procedures; and

    - managing staffing levels according to patient volumes and acuity levels.

    In addition, each of our hospital management teams is supported by our
centralized operational, reimbursement, regulatory, and compliance expertise as
well as by our senior management team, which has an average of 20 years of
experience in the healthcare industry. Adjusted EBITDA margins on a same
hospitals basis improved from 18.9% in 1998 to 19.7% in 1999.

                                       35
<PAGE>
    STANDARDIZATION AND CENTRALIZATION.  Our standardization and centralization
initiatives encompass nearly every aspect of our business, from developing
standard policies and procedures with respect to patient accounting and
physician practice management, to implementing standard processes to initiate,
evaluate, and complete construction projects. Our standardization and
centralization initiatives have been a key element in improving our adjusted
EBITDA margins.

    - BILLING AND COLLECTIONS. We have adopted standard policies and procedures
      with respect to billing and collections. We have also automated and
      standardized various components of the collection cycle, including
      statement and collection letters and the movement of accounts through the
      collection cycle. Upon completion of an acquisition, our management
      information system team converts the hospital's existing information
      system to our standardized system. This enables us to quickly implement
      our business controls and cost containment initiatives.

    - PHYSICIAN SUPPORT. We support our physicians to enhance their performance.
      We have implemented physician practice management seminars and training.
      We host these seminars at least quarterly. All newly recruited physicians
      are required to attend a three-day introductory seminar. The subjects
      covered in these comprehensive seminars include:

     u our corporate structure and philosophy;

     u provider applications, physician to physician relationships, and
       performance standards;

     u marketing and volume building techniques;

     u medical records, equipment, and supplies;

     u review of coding and documentation guidelines;

     u compliance, legal, and regulatory issues;

     u understanding financial statements;

     u national productivity standards; and

     u managed care.

    - MATERIALS MANAGEMENT. We have standardized and centralized our operations
      with respect to medical supplies and equipment and pharmaceuticals used in
      our hospitals. In 1997, after evaluating our vendor contract pricing, we
      entered into an affiliation agreement with BuyPower, a group purchasing
      organization owned by Tenet Healthcare Corporation. At the present time,
      BuyPower is the source for a substantial portion of our medical supplies
      and equipment and pharmaceuticals. We have reduced supply costs for
      hospitals operated by us for a full year from 11.8% of our revenue in 1998
      to 11.5% of our revenue in 1999.

    - FACILITIES MANAGEMENT. We have standardized interiors, lighting, and
      furniture programs. We have also implemented a standard process to
      initiate, evaluate, and complete construction projects. Our corporate
      staff monitors all construction projects and pays all construction project
      invoices. Our initiatives in this area have reduced our construction costs
      while maintaining the same level of quality and improving upon the time it
      takes us to complete these projects.

    - OTHER INITIATIVES. We have also improved margins by implementing standard
      programs with respect to ancillary services support in areas including
      pharmacy, laboratory imaging, home health, skilled nursing, emergency
      medicine, and health information management. We have reduced costs
      associated with these services by improving contract terms, standardizing
      information systems, and encouraging adherence to best practices
      guidelines.

    CASE AND RESOURCE MANAGEMENT.  Our case and resource management program is a
company-devised program developed in response to ongoing reimbursement changes
with the goal of improving clinical care and cost containment. The program
focuses on:

    - appropriately treating patients along the care continuum;

    - reducing inefficiently applied processes, procedures, and resources;

                                       36
<PAGE>
    - developing and implementing standards for operational best practices; and

    - using on-site clinical facilitators to train and educate care
      practitioners on identified best practices.

    Our case and resource management program integrates the functions of
utilization review, discharge planning, overall clinical management, and
resource management into a single effort to improve the quality and efficiency
of care. Issues evaluated in this process include patient treatment, patient
length of stay, and utilization of resources. The average length of inpatient
stays decreased from 4.5 days in 1997 to 4.0 days in 1999. We believe this
decrease was primarily a result of these initiatives.

    Under our case and resource management program, patient care begins with a
clinical assessment of the appropriate level of care, discharge planning, and
medical necessity for planned services. Once a patient is admitted to the
hospital, a review for ongoing medical necessity is conducted using
appropriateness criteria. Discharge plan options are reassessed and adjusted as
the needs of the patient change. Cases are closely monitored to prevent delayed
service or inappropriate utilization of resources. Once clinical improvement is
obtained, the attending physician is encouraged to consider alternatives to
acute hospitalization through discussions with the facility's physician advisor.
Finally, the patient is referred to the appropriate post-acute resources.

    IMPROVE QUALITY

    We have implemented various programs to ensure improvement in the quality of
care provided. We have developed training programs for all senior hospital
management, chief nursing officers, quality directors, physicians and other
clinical staff. We share information among our hospital management to implement
best practices and assist in complying with regulatory requirements. We have
standardized accreditation documentation and requirements. Corporate support is
provided to each facility to assist with accreditation reviews. Several of our
facilities have received accreditation "with commendation" from the Joint
Commission on Accreditation of Healthcare Organizations. All hospitals conduct
patient, physician, and staff satisfaction surveys to help identify methods of
improving the quality of care.

    Each of our hospitals is governed by a board of trustees, which includes
members of the hospital's medical staff. The board of trustees establishes
policies concerning the hospital's medical, professional, and ethical practices,
monitors these practices, and is responsible for ensuring that these practices
conform to legally required standards. We maintain quality assurance programs to
support and monitor quality of care standards and to meet Medicare and Medicaid
accreditation and regulatory requirements. Patient care evaluations and other
quality of care assessment activities are reviewed and monitored continuously.

OUR FACILITIES

    Our hospitals are general acute care hospitals offering a wide range of
inpatient and outpatient medical services. These services generally include
internal medicine, general surgery, cardiology, oncology, orthopedics, OB/GYN,
diagnostic and emergency room services, outpatient surgery, laboratory,
radiology, respiratory therapy, physical therapy, and rehabilitation services.
In addition, some of our hospitals provide skilled nursing and home health
services based on individual community needs.

                                       37
<PAGE>
    For each of our hospitals, the following table shows its location, the date
of its acquisition or lease inception and the number of licensed beds as of
January 31, 2000:

<TABLE>
<CAPTION>
                                                                         DATE OF
                                                         LICENSED   ACQUISITION/LEASE    OWNERSHIP
HOSPITAL                                     CITY        BEDS(a)        INCEPTION           TYPE
- --------                                 -------------   --------   -----------------   ------------
<S>                                      <C>             <C>        <C>                 <C>
ALABAMA
Woodland Community Hospital............  Cullman           100      October, 1994       Owned
Parkway Medical Center Hospital........  Decatur           120      October, 1994       Owned
L.V. Stabler Memorial Hospital.........  Greenville         72      October, 1994       Owned
Hartselle Medical Center...............  Hartselle         150      October, 1994       Owned
Edge Regional Hospital.................  Troy               97      December, 1994      Owned
ARIZONA
Payson Regional Medical Center.........  Payson             66      August, 1997        Leased
ARKANSAS
Harris Hospital........................  Newport           132      October, 1994       Owned
Randolph County Medical Center.........  Pocahontas         50      October, 1994       Leased
CALIFORNIA
Barstow Community Hospital.............  Barstow            56      January, 1993       Leased
Fallbrook Hospital.....................  Fallbrook          47      November, 1998      Operated (b)
Watsonville Community Hospital.........  Watsonville       102      September, 1998     Owned
FLORIDA (c)
North Okaloosa Medical Center..........  Crestview         110      March, 1996         Owned
GEORGIA
Berrien County Hospital................  Nashville          71      October, 1994       Leased
Fannin Regional Hospital...............  Blue Ridge         34      January, 1986       Owned
ILLINOIS
Crossroads Community Hospital..........  Mt. Vernon         55      October, 1994       Owned
Marion Memorial Hospital...............  Marion             99      October, 1996       Leased
KENTUCKY
Parkway Regional Hospital..............  Fulton             70      May, 1992           Owned
Three Rivers Medical Center............  Louisa             90      May, 1993           Owned
Kentucky River Medical Center..........  Jackson            55      August, 1995        Leased
LOUISIANA
Byrd Regional Hospital.................  Leesville          70      October, 1994       Owned
Sabine Medical Center..................  Many               52      October, 1994       Owned
River West Medical Center..............  Plaquemine         80      August, 1996        Leased
MISSISSIPPI
The King's Daughters Hospital..........  Greenville        137      September, 1999     Owned
MISSOURI
Moberly Regional Medical Center........  Moberly           114      November, 1993      Owned
NEW MEXICO
Mimbres Memorial Hospital..............  Deming             49      March, 1996         Owned
Eastern New Mexico Medical Center......  Roswell           162      April, 1998         Owned
NORTH CAROLINA
Martin General Hospital................  Williamston        49      November, 1998      Leased
PENNSYLVANIA
Berwick Hospital.......................  Berwick           144      March, 1999         Owned
SOUTH CAROLINA
Marlboro Park Hospital.................  Bennettsville     109      August, 1996        Leased
Chesterfield General Hospital..........  Cheraw             66      August, 1996        Leased
Springs Memorial Hospital..............  Lancaster         194      November, 1994      Owned
</TABLE>

                                       38
<PAGE>

<TABLE>
<CAPTION>
                                                                         DATE OF
                                                         LICENSED   ACQUISITION/LEASE    OWNERSHIP
HOSPITAL                                     CITY        BEDS(a)        INCEPTION           TYPE
- --------                                 -------------   --------   -----------------   ------------
<S>                                      <C>             <C>        <C>                 <C>
TENNESSEE
Lakeway Regional Hospital..............  Morristown        135      May, 1993           Owned
Scott County Hospital..................  Oneida             99      November, 1989      Leased
Cleveland Community Hospital...........  Cleveland         100      October, 1994       Owned
White County Community Hospital........  Sparta             60      October, 1994       Owned
TEXAS
Big Bend Regional Medical Center.......  Alpine             40      October, 1999       Owned
Northeast Medical Center...............  Bonham             75      August, 1996        Owned
Cleveland Regional Medical Center......  Cleveland         115      August, 1996        Leased
Highland Medical Center................  Lubbock           123      September, 1986     Owned
Scenic Mountain Medical Center.........  Big Spring        150      October, 1994       Owned
Hill Regional Hospital.................  Hillsboro          92      October, 1994       Owned
Lake Granbury Medical Center...........  Granbury           56      January, 1997       Leased
UTAH
Tooele Valley Regional Medical
  Center...............................  Tooele             38      November, 1998      Operated (d)
VIRGINIA
Greensville Memorial Hospital..........  Emporia           114      March, 1999         Leased
Russell County Medical Center..........  Lebanon            78      September, 1986     Owned
WYOMING
Evanston Regional Hospital.............  Evanston           42      November, 1999      Owned
</TABLE>

- ------------------------

(a) Licensed beds are the number of beds for which a facility has been licensed
    by the appropriate state agency regardless of whether the beds are actually
    available for patient use.

(b) We operate this hospital under a lease-leaseback and operating agreement. We
    recognize all revenue and expenses associated with this hospital on our
    financial statements.

(c) We are also party to a lease for a 34 licensed bed facility located in
    Bonifay, Florida. Since the lease is expected to be terminated in
    March 2000, we have not included this facility in the above table.

(d) We operate this hospital pending our completion of the construction of a
    replacement facility. Our fee is equal to the EBITDA of the facility. For
    purposes of determining the aggregate number of licensed beds at our
    hospitals, we have not included the licensed beds at this facility.

SELECTED OPERATING DATA

    The following table sets forth operating statistics for our hospitals for
each of the years presented. Statistics for 1997 include a full year of
operations for 36 hospitals, including one hospital acquired on January 1, 1997,
and a partial period for one hospital acquired during the year. Statistics for
1998 include a full year of operations for 37 hospitals and partial periods for
four hospitals acquired during

                                       39
<PAGE>
the year. Statistics for 1999 include a full year of operations for 41 hospitals
and partial periods for four hospitals acquired, and one hospital constructed
and opened, during the year.

<TABLE>
<CAPTION>
                                                                     YEAR ENDED DECEMBER 31,
                                                               ------------------------------------
                                                                 1997          1998          1999
                                                               --------      --------      --------
<S>                                                            <C>           <C>           <C>
  Number of hospitals (a)................................            37            41            46
  Licensed beds (a)(b)...................................         3,288         3,644         4,115
  Beds in service (a)(c).................................         2,543         2,776         3,123
  Admissions (d).........................................        88,103       100,114       120,414
  Adjusted admissions (e)................................       153,618       177,075       217,006
  Patient days (f).......................................       399,012       416,845       478,658
  Average length of stay (days) (g)......................           4.5           4.2           4.0
  Occupancy rate (beds in service) (h)...................          43.1%         43.3%         44.1%
  Net inpatient revenue as a % of total net revenue......          57.3%         55.7%         52.7%
  Net outpatient revenue as a % of total net revenue.....          41.5%         42.6%         45.5%
</TABLE>

<TABLE>
<CAPTION>
                                                               YEAR ENDED DECEMBER 31,       PERCENTAGE
                                                               ------------------------       INCREASE
                                                                 1998           1999         (DECREASE)
                                                               ---------      ---------      ----------
<S>                                                            <C>            <C>            <C>
SAME HOSPITALS DATA (i)
  Admissions (d).........................................       100,114        105,053             4.9%
  Adjusted admissions (e)................................       177,075        190,661             7.7%
  Patient days (f).......................................       416,845        419,942             0.7%
  Average length of stay (days) (g)......................           4.2            4.0            (4.8%)
  Occupancy rate (beds in service) (h)...................          43.3%          43.5%
</TABLE>

- ------------------------

(a) At end of period.

(b) Licensed beds are the number of beds for which a facility has been licensed
    by the appropriate state agency regardless of whether the beds are actually
    available for patient use.

(c) Beds in service are the number of beds that are readily available for
    patient use.

(d) Admissions represent the number of patients admitted for inpatient
    treatment.

(e) Adjusted admissions is a general measure of combined inpatient and
    outpatient volume. Adjusted admissions is computed by multiplying admissions
    by gross patient revenues and then dividing that number by gross inpatient
    revenues.

(f) Patient days represent the total number of days of care provided to
    inpatients.

(g) Average length of stay (days) represents the average number of days
    inpatients stay in our hospitals.

(h) Percentages are calculated by dividing the average daily number of
    inpatients by the weighted average of beds in service.

(i) Includes acquired hospitals to the extent they were operated by us during
    comparable periods in both years.

                                       40
<PAGE>
SOURCES OF REVENUE

    We receive payment for healthcare services provided by our hospitals from:

    - the federal Medicare program;

    - state Medicaid programs;

    - healthcare insurance carriers, health maintenance organizations or "HMOs,"
      preferred provider organizations or "PPOs," and other managed care
      programs; and

    - patients directly.

    The following table presents the approximate percentages of net revenue
received from private, Medicare, Medicaid and other sources for the periods
indicated. The data for the years presented are not strictly comparable due to
the significant effect that hospital acquisitions and dispositions have had on
these statistics.

<TABLE>
<CAPTION>
NET REVENUE BY PAYOR SOURCE                          1997       1998       1999
- ---------------------------                        --------   --------   --------
<S>                                                <C>        <C>        <C>
Medicare.........................................    43.9%      39.0%      36.2%
Medicaid.........................................    11.5%      10.2%      11.9%
Managed Care (HMO/PPO)...........................     7.7%      14.0%      14.3%
Private and Other................................    36.9%      36.8%      37.6%
                                                    ------     ------     ------
    Total........................................   100.0%     100.0%     100.0%
                                                    ======     ======     ======
</TABLE>

    As shown above, we receive a substantial portion of our revenue from the
Medicare and Medicaid programs.

    Medicare is a federal program that provides medical insurance benefits to
persons age 65 and over, some disabled persons, and persons with end-stage renal
disease. Medicaid is a federal-state funded program, administered by the states,
which provides medical benefits to individuals who are unable to afford
healthcare. All of our hospitals are certified as providers of Medicare and
Medicaid services. Amounts received under the Medicare and Medicaid programs are
generally significantly less than the hospital's customary charges for the
services provided. In recent years, changes made to the Medicare and Medicaid
programs have further reduced payment to hospitals. We expect this trend to
continue. Since an important portion of our revenues comes from patients under
Medicare and Medicaid programs, our ability to operate our business successfully
in the future will depend in large measure on our ability to adapt to changes in
these programs.

    In addition to government programs, we are paid by private payors, which
include insurance companies, HMOs, PPOs, other managed care companies, and
employers, as well as by patients directly. Patients are generally not
responsible for any difference between customary hospital charges and amounts
paid for hospital services by Medicare and Medicaid programs, insurance
companies, HMOs, PPOs, and other managed care companies, but are responsible for
services not covered by these programs or plans, as well as for deductibles and
co-insurance obligations of their coverage. The amount of these deductibles and
co-insurance obligations has increased in recent years. Collection of amounts
due from individuals is typically more difficult than collection of amounts due
from government or business payors. To further reduce their healthcare costs, an
increasing number of insurance companies, HMOs, PPOs, and other managed care
companies are negotiating discounted fee structures or fixed amounts for
hospital services performed, rather than paying healthcare providers the amounts
billed. If an increased number of insurance companies, HMOs, PPOs, and other
managed care companies are successful in negotiating discounted fee structures
or fixed amounts, our results of operations may be negatively affected. For more
information on the payment programs on which our revenues depend, see
"--Payment."

                                       41
<PAGE>
    Hospital revenues depend upon inpatient occupancy levels, the volume of
outpatient procedures, and the charges or negotiated payment rates for hospital
services provided. Charges and payment rates for routine inpatient services vary
significantly depending on the type of service performed and the geographic
location of the hospital. In recent years, we have experienced a significant
increase in revenue received from outpatient services. We attribute this
increase to:

    - advances in technology, which have permitted us to provide more services
      on an outpatient basis; and

    - pressure from Medicare or Medicaid programs, insurance companies, and
      managed care plans to reduce hospital stays and to reduce costs by having
      services provided on an outpatient rather than on an inpatient basis.

SUPPLY CONTRACTS

    During fiscal 1997, we entered into an affiliation agreement with BuyPower,
a group purchasing organization owned by Tenet Healthcare Corporation. Our
affiliation with BuyPower combines the purchasing power of our hospitals with
the purchasing power of more than 600 other healthcare providers affiliated with
the program. This increased purchasing power has resulted in reductions in the
prices paid by our hospitals for medical supplies and equipment and
pharmaceuticals. We believe that as internet-based applications for purchasing
become more pervasive, we may have further opportunities to reduce our supply
costs company-wide.

OVERVIEW OF THE INDUSTRY

    The U.S. Healthcare Financing Administration estimated that in 1999, total
U.S. healthcare expenditures grew by 6.0% to $1.2 trillion. Total U.S.
healthcare spending is projected to grow by 7.1% in 2000 and by 6.5% annually
from 2001 through 2008. By these estimates, healthcare expenditures will account
for approximately $2.2 trillion, or 16.2% of the total U.S. gross domestic
product by 2008.

    Hospital services, the market in which we operate, is the largest single
category of healthcare at 33.7% of total healthcare spending in 1999, or
$401.3 billion. The hospital services category is projected to grow by 5.7% per
year through 2008. Growth in hospital healthcare spending is expected to
continue due to the aging of the U.S. population and consumer demand for
expanded medical services. As hospitals remain the primary setting for
healthcare delivery, hospital services is expected to remain the largest
category of healthcare spending.

    U.S. HOSPITAL INDUSTRY.  The U.S. hospital industry is broadly defined to
include acute care, rehabilitation, and psychiatric facilities that are either
public (government owned and operated), not-for-profit private (religious or
secular), or for-profit institutions (investor owned). According to the American
Hospital Association, there are approximately 5,015 inpatient hospital
facilities in the U.S. which are not-for-profit owned, investor owned, or state
or local government owned. Of these hospitals, 44% are located in non-urban
communities. These facilities offer a broad range of healthcare services,
including internal medicine, general surgery, cardiology, oncology,
neurosurgery, orthopedics, OB/GYN, and emergency services. In addition,
hospitals also offer other ancillary services including psychiatric, diagnostic,
rehabilitation, home health, and outpatient surgery services.

    URBAN VS. NON-URBAN HOSPITALS

    According to the U.S. Census Bureau, 25% of the U.S. population lives in
communities designated as non-urban. In these non-urban communities, hospitals
are typically the primary source of healthcare and, in many cases, a single
hospital is the only provider of acute care services. According to the American
Hospital Association, in 1998, there were 2,199 non-urban hospitals in the U.S.
We believe that a majority of these hospitals are owned by not-for-profit or
governmental entities.

                                       42
<PAGE>
    FACTORS AFFECTING PERFORMANCE.  Among the many factors that can influence a
hospital's financial and operating performance are:

    - facility size and location;

    - facility ownership structure (i.e., tax-exempt or investor owned);

    - a facility's ability to participate in group purchasing organizations; and

    - facility payor mix.

    We believe that non-urban hospitals are generally able to obtain higher
operating margins than urban hospitals. Factors contributing to a non-urban
hospital's margin advantage include lower acuity level patients, a lower cost
structure, limited competition, and favorable Medicare payment provisions.
Patients needing the most acute care are more often served by the larger and/or
more specialized urban hospitals. A non-urban hospital's lower cost structure
results from its geographic location as well as the lower number of patients
treated who need the most highly advanced services. Additionally, because
non-urban hospitals are generally sole providers or one of a small group of
providers in their markets, there is limited competition. This generally results
in more favorable pricing with commercial payors. Medicare has special payment
provisions for "sole community hospitals." Under present law, hospitals that
qualify for this designation receive higher reimbursement rates and are
guaranteed capital reimbursement equal to 90% of capital costs. As of
December 31, 1999, 11 of our hospitals were "sole community hospitals." In
addition, we believe that non-urban communities are generally characterized by a
high level of patient and physician loyalty that fosters cooperative
relationships among the local hospitals, physicians, employees, and patients.

    The type of third party responsible for the payment of services performed by
healthcare service providers is also an important factor which affects hospital
margins. These payors have increasingly exerted pressure on healthcare service
providers to reduce the cost of care. The most active payors in this regard have
been HMOs, PPOs, and other managed care organizations. The characteristics of
non-urban markets make them less attractive to these managed care payors. This
is partly because the limited size of non-urban markets and their diverse,
non-national employer bases minimize the ability of managed care payors to
achieve economies of scale. In 1999, approximately 14% of our revenues were paid
by managed care organizations.

    HOSPITAL INDUSTRY TRENDS

    DEMOGRAPHIC TRENDS.  According to the U.S. Census Bureau, there are
approximately 35 million Americans aged 65 or older in the U.S. today, who
comprise approximately 13% of the total U.S. population. By the year 2030 the
number of elderly is expected to climb to 69 million, or 20% of the total
population. Due to the increasing life expectancy of Americans, the number of
people aged 85 years and older is also expected to increase from 4.3 million to
8.5 million by the year 2030. This increase in life expectancy will increase
demand for healthcare services and, as importantly, the demand for innovative,
more sophisticated means of delivering those services. Hospitals, as the largest
category of care in the healthcare market, will be among the main beneficiaries
of this increase in demand. Based on data compiled for us, the populations of
the service areas where our hospitals are located grew by 6.9% from 1990 to 1997
and are projected to grow by 4.6% from 1998 to 2002. The number of people aged
65 or older in these service areas grew by 16.4% from 1990 to 1997 and is
projected to grow by 5.7% from 1998 to 2002.

    CONSOLIDATION.  During the late 1980s and early 1990s, there was significant
industry consolidation involving large, investor owned hospital companies
seeking to achieve economies of scale. While consolidation activity in the
hospital industry is continuing, the consolidation is currently primarily taking
place through mergers and acquisitions involving not-for-profit hospital
systems. Reasons for this activity include:

                                       43
<PAGE>
    - limited access to capital;

    - financial performance issues, including challenges associated with changes
      in reimbursement;

    - the desire to enhance the local availability of healthcare in the
      community;

    - the need and ability to recruit primary care physicians and specialists;
      and

    - the need to achieve general economies of scale and to gain access to
      standardized and centralized functions, including favorable supply
      agreements.

    SHIFTING UTILIZATION TRENDS.  Over the past decade, many procedures that had
previously required hospital visits with overnight stays have been performed on
an outpatient basis. This shift has been driven by cost containment efforts led
by private and government payors. The focus on cost containment has coincided
with advancements in medical technology that have allowed patients to be treated
with less invasive procedures that do not require overnight stays. According to
the American Hospital Association, the number of surgeries performed on an
inpatient basis declined from 1994 to 1998 at an average annual rate of 0.3%,
from 9.8 million in 1994 to 9.7 million in 1998. During the same period, the
number of outpatient surgeries increased at an average annual rate of 4.3%, from
13.2 million in 1994 to 15.6 million in 1998. The mix of inpatient as compared
to outpatient surgeries shifted from a ratio of 42.8% inpatient to 57.2%
outpatient in 1994 to a ratio of 38.4% inpatient to 61.6% outpatient in 1998.

    These trends have led to a reduction in the average length of stay and, as a
result, inpatient utilization rates. According to the American Hospital
Association, the average length of stay in acute care hospitals has declined
from 6.7 days in 1994 to 6.0 days in 1998.

GOVERNMENT REGULATION

    OVERVIEW.  The healthcare industry is required to comply with extensive
government regulation at the federal, state, and local levels. Under these
regulations, hospitals must meet requirements to be certified as hospitals and
qualified to participate in government programs, including the Medicare and
Medicaid programs. These requirements relate to the adequacy of medical care,
equipment, personnel, operating policies and procedures, maintenance of adequate
records, hospital use, rate-setting, compliance with building codes, and
environmental protection laws. There are also extensive regulations governing a
hospital's participation in these government programs. If we fail to comply with
applicable laws and regulations, we can be subject to criminal penalties and
civil sanctions, our hospitals can lose their licenses and we could lose our
ability to participate in these government programs. In addition, government
regulations may change. If that happens, we may have to make changes in our
facilities, equipment, personnel, and services so that our hospitals remain
certified as hospitals and qualified to participate in these programs. We
believe that our hospitals are in substantial compliance with current federal,
state, and local regulations and standards.

    Hospitals are subject to periodic inspection by federal, state, and local
authorities to determine their compliance with applicable regulations and
requirements necessary for licensing and certification. All of our hospitals are
licensed under appropriate state laws and are qualified to participate in
Medicare and Medicaid programs. In addition, most of our hospitals are
accredited by the Joint Commission on Accreditation of Healthcare Organizations.
This accreditation indicates that a hospital satisfies the applicable health and
administrative standards to participate in Medicare and Medicaid programs.

    FRAUD AND ABUSE LAWS.  Participation in the Medicare program is heavily
regulated by federal statute and regulation. If a hospital fails substantially
to comply with the requirements for participating in the Medicare program, the
hospital's participation in the Medicare program may be terminated and/or civil
or criminal penalties may be imposed. For example, a hospital may lose its
ability to participate in the Medicare program if it performs any of the
following acts:

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<PAGE>
    - making claims to Medicare for services not provided or misrepresenting
      actual services provided in order to obtain higher payments;

    - paying money to induce the referral of patients where services are
      reimbursable under a federal health program; or

    - failing to provide treatment to any individual who comes to a hospital's
      emergency room with an "emergency medical condition" or otherwise failing
      to properly treat and transfer emergency patients.

    The Health Insurance Portability and Accountability Act of 1996 broadened
the scope of the fraud and abuse laws by adding several criminal statutes that
are not related to receipt of payments from a federal healthcare program. The
Accountability Act created civil penalties for conduct, including upcoding and
billing for medically unnecessary goods or services. It established new
enforcement mechanisms to combat fraud and abuse. These include a bounty system,
where a portion of the payments recovered is returned to the government
agencies, as well as a whistleblower program. This law also expanded the
categories of persons that may be excluded from participation in federal
healthcare programs.

    Another law regulating the healthcare industry is a section of the Social
Security Act, known as the "anti-kickback" or "fraud and abuse" statute. This
law prohibits some business practices and relationships under Medicare,
Medicaid, and other federal healthcare programs. These practices include the
payment, receipt, offer, or solicitation of money in connection with the
referral of patients covered by a federal or state healthcare program.
Violations of the anti-kickback statute may be punished by criminal and civil
fines, exclusion from federal healthcare programs, and damages up to three times
the total dollar amount involved.

    The Office of Inspector General of the Department of Health and Human
Services has been authorized to publish regulations outlining activities and
business relationships that would be deemed not to violate the anti-kickback
statute. These regulations are known as "safe harbor" regulations. However, the
failure of a particular activity to comply with the safe harbor regulations does
not mean that the activity violates the anti-kickback statute.

    The Office of Inspector General is responsible for identifying fraud and
abuse activities in government programs. In order to fulfill its duties, the
Office of Inspector General performs audits, investigations, and inspections. In
addition, it provides guidance to healthcare providers by identifying types of
activities that could violate the anti-kickback statute. The Office of the
Inspector General has identified the following incentive arrangements as
potential violations:

    - payment of any incentive by the hospital each time a physician refers a
      patient to the hospital;

    - use of free or significantly discounted office space or equipment for
      physicians in facilities usually located close to the hospital;

    - provision of free or significantly discounted billing, nursing, or other
      staff services;

    - free training for a physician's office staff including management and
      laboratory techniques;

    - guarantees which provide that if the physician's income fails to reach a
      predetermined level, the hospital will pay any portion of the remainder;

    - low-interest or interest-free loans, or loans which may be forgiven if a
      physician refers patients to the hospital;

    - payment of the costs of a physician's travel and expenses for conferences;
      or

    - payment of services which require few, if any, substantive duties by the
      physician, or payment for services in excess of the fair market value of
      the services rendered.

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<PAGE>
    In addition to physicians having ownership interests in a few of our
facilities, we have contracts with physicians providing for a variety of
financial arrangements, including employment contracts, leases, management
agreements, and professional service agreements. We provide financial incentives
to recruit physicians to relocate to communities served by our hospitals. These
incentives include revenue guarantees and, in some cases, loans. Although we
believe that our arrangements with physicians have been structured in light of
the "safe harbor" rules, we cannot assure you that regulatory authorities will
not determine otherwise. If that happens, we would be subject to criminal and
civil penalties and/or exclusion from participating in Medicare, Medicaid, or
other government healthcare programs.

    The Social Security Act also includes a provision commonly known as the
"Stark law." This law prohibits physicians from referring Medicare and Medicaid
patients to healthcare entities in which they or any of their immediate family
members have ownership or other financial interests. These types of referrals
are commonly known as "self referrals." Sanctions for violating the Stark law
include civil money penalties, assessments equal to twice the dollar value of
each service, and exclusion from Medicare and Medicaid programs. There are
ownership and compensation arrangement exceptions to the self-referral
prohibition. One exception allows a physician to make a referral to a hospital
if the physician owns the entire hospital, as opposed to an ownership interest
in a department of the hospital. Another exception allows a physician to refer
patients to a healthcare entity in which the physician has an ownership interest
if the entity is located in a rural area, as defined in the statute. There are
also exceptions for many of the customary financial arrangements between
physicians and providers, including employment contracts, leases, and
recruitment agreements. The federal government has not finalized its regulations
which will interpret several of the provisions included in the Stark law. We
have structured our financial arrangements with physicians to comply with the
statutory exceptions included in the Stark law. However, when the government
finalizes these regulations, it may interpret certain provisions of this law in
a manner different from the manner with which we have interpreted them. We
cannot predict the final form that such regulations will take or the effect
those regulations will have on us.

    Many states in which we operate also have adopted, or are considering
adopting, similar laws. Some of these state laws apply even if the payment for
care does not come from the government. These statutes typically provide
criminal and civil penalties as well as loss of licensure. While there is little
precedent for the interpretation or enforcement of these state laws, we have
attempted to structure our financial relationships with physicians and others in
light of these laws. However, if we are found to have violated these state laws,
it could result in the imposition of criminal and civil penalties as well as
possible licensure revocation.

    CORPORATE PRACTICE OF MEDICINE FEE-SPLITTING.  Some states have laws that
prohibit unlicensed persons or business entities, including corporations, from
employing physicians. Some states also have adopted laws that prohibit direct or
indirect payments or fee-splitting arrangements between physicians and
unlicensed persons or business entities. Possible sanctions for violations of
these restrictions include loss of a physician's license, civil and criminal
penalties and rescission of business arrangements. These laws vary from state to
state, are often vague and have seldom been interpreted by the courts or
regulatory agencies. We structure our arrangements with healthcare providers to
comply with the relevant state law. However, we cannot assure you that
governmental officials charged with responsibility for enforcing these laws will
not assert that we, or transactions in which we are involved, are in violation
of these laws. These laws may also be interpreted by the courts in a manner
inconsistent with our interpretations.

    EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT.  The Emergency Medical
Treatment and Active Labor Act imposes requirements as to the care that must be
provided to anyone who comes to facilities providing emergency medical services
seeking care before they may be transferred to another facility or otherwise
denied care. Sanctions for failing to fulfill these requirements include
exclusion

                                       46
<PAGE>
from participation in Medicare and Medicaid programs and civil money penalties.
In addition, the law creates private civil remedies which enable an individual
who suffers personal harm as a direct result of a violation of the law to sue
the offending hospital for damages and equitable relief. A medical facility that
suffers a financial loss as a direct result of another participating hospital's
violation of the law also has a similar right. Although we believe that our
practices are in compliance with the law, we can give no assurance that
governmental officials responsible for enforcing the law or others will not
assert we are in violation of these laws.

    FALSE CLAIMS ACT.  Another trend in healthcare litigation is the use of the
False Claims Act. This law has been used not only by the U.S. government, but
also by individuals who bring an action on behalf of the government under the
law's "qui tam" or "whistleblower" provisions. When a private party brings a qui
tam action under the False Claims Act, the defendant will generally not be aware
of the lawsuit until the government makes a determination whether it will
intervene and take a lead in the litigation.

    Civil liability under the False Claims Act can be up to three times the
actual damages sustained by the government plus civil penalties for each
separate false claim. There are many potential bases for liability under the
False Claims Act. Although liability under the False Claims Act arises when an
entity knowingly submits a false claim for reimbursement to the federal
government, the False Claims Act defines the term "knowingly" broadly. Thus,
although simple negligence generally will not give rise to liability under the
False Claims Act, submitting a claim with reckless disregard to its truth or
falsity can constitute "knowingly" submitting a claim.

    See "--Legal Proceedings" for a description of pending, unsealed False
Claims Act litigation.

    HEALTHCARE REFORM.  The healthcare industry continues to attract much
legislative interest and public attention. In recent years, an increasing number
of legislative proposals have been introduced or proposed in Congress and in
some state legislatures that would effect major changes in the healthcare
system. Proposals that have been considered include cost controls on hospitals,
insurance market reforms to increase the availability of group health insurance
to small businesses, and mandatory health insurance coverage for employees. The
costs of implementing some of these proposals would be financed, in part, by
reductions in payments to healthcare providers under Medicare, Medicaid, and
other government programs. We cannot predict the course of future healthcare
legislation or other changes in the administration or interpretation of
governmental healthcare programs and the effect that any legislation,
interpretation, or change may have on us.

    CONVERSION LEGISLATION.  Many states, including some where we have hospitals
and others where we may in the future acquire hospitals, have adopted
legislation regarding the sale or other disposition of hospitals operated by
not-for-profit entities. In other states that do not have specific legislation,
the attorneys general have demonstrated an interest in these transactions under
their general obligations to protect charitable assets from waste. These
legislative and administrative efforts are primarily focused on the appropriate
valuation of the assets divested and the use of the proceeds of the sale by the
not-for-profit seller. While these review and, in some instances, approval
processes can add additional time to the closing of a hospital acquisition, we
have not had any significant difficulties or delays in completing the process.
There can be no assurance, however, that future actions on the state level will
not seriously delay or even prevent our ability to acquire hospitals. If these
activities are widespread, they could have a negative impact on our ability to
acquire additional hospitals. See "--Our Business Strategy."

    CERTIFICATES OF NEED.  The construction of new facilities, the acquisition
of existing facilities and the addition of new services at our facilities may be
subject to state laws that require prior approval by state regulatory agencies.
These certificate of need laws generally require that a state agency determine
the public need and give approval prior to the construction or acquisition of
facilities or the addition of new services. We operate hospitals in 11 states
that have adopted certificate of need laws. If we fail to

                                       47
<PAGE>
obtain necessary state approval, we will not be able to expand our facilities,
complete acquisitions or add new services in these states. Violation of these
state laws may result in the imposition of civil sanctions or the revocation of
a hospital's licenses.

PAYMENT

    MEDICARE.  Under the Medicare program, we are paid for inpatient and
outpatient services performed by our hospitals.

    Payments for inpatient acute services are generally made pursuant to a
prospective payment system, commonly known as "PPS." Under a PPS, our hospitals
are paid a prospectively determined amount for each hospital discharge based on
the patient's diagnosis. Specifically, each discharge is assigned to a
diagnosis-related group, commonly known as a "DRG," based upon the patient's
condition and treatment during the relevant inpatient stay. Each DRG is assigned
a payment rate that is prospectively set using national average costs per case
for treating a patient for a particular diagnosis. DRG payments do not consider
the actual costs incurred by a hospital in providing a particular inpatient
service. However, DRG payments are adjusted by a predetermined geographic
adjustment factor assigned to the geographic area in which the hospital is
located. While a hospital generally does not receive payment in addition to a
DRG payment, hospitals may qualify for an "outlier" payment when the relevant
patient's treatment costs are extraordinarily high and exceed a specified
threshold.

    The DRG rates are adjusted by an update factor each federal fiscal year,
which begins on October 1. The update factor is determined, in part, by the
projected increase in the cost of goods and services that are purchased by
hospitals. For several years the annual update factor has been lower than the
projected increases in the costs of goods and services purchased by hospitals.
DRG rate increases were 1.1% for federal fiscal year 1995, 1.5% for federal
fiscal year 1996, and 2.0% for federal fiscal year 1997. For federal fiscal year
1998, there was no increase. The DRG rate was increased by the projected
increase in the cost of goods and services minus 1.9% for federal fiscal year
1999 and 1.8% for federal fiscal year 2000. For both federal fiscal years 2001
and 2002, the DRG rate will be increased by the projected increase in the cost
of goods and services minus 1.1%. Future legislation may decrease the rate of
increase for DRG payments, but we are not able to predict the amount of the
reduction or the effect that the reduction will have on us.

    Outpatient services have traditionally been paid at the lower of customary
charges or on a reasonable cost basis. The Balanced Budget Act established a PPS
for outpatient hospital services that was scheduled to commence on January 1,
1999, but which has not yet been implemented. The Balanced Budget Refinement Act
of 1999 eliminated the anticipated average reduction of 5.7% for various
Medicare outpatient business under the Balanced Budget Act of 1997. Under the
Balanced Budget Refinement Act of 1999, non-urban hospitals with 100 beds or
less are held harmless under Medicare outpatient PPS through December 31, 2003.
Thirty-three of our hospitals qualify for this relief. Losses under Medicare
outpatient PPS of non-urban hospitals with greater than 100 beds and urban
hospitals will be mitigated through a corridor reimbursement approach, where a
percentage of losses will be reimbursed through December 31, 2003. Substantially
all of our remaining hospitals qualify for relief under this provision.

    Skilled nursing facilities have historically been paid by Medicare on the
basis of actual costs, subject to limitations. The Balanced Budget Act
established a PPS for Medicare skilled nursing facilities. The new PPS commenced
in July 1998, and is being implemented progressively over a three year term. We
have experienced reductions in payments for our skilled nursing services.
However, the Balanced Budget Refinement Act of 1999 has established adjustments
to the PPS payments made to skilled nursing facilities which are scheduled to be
implemented on October 1, 2000.

    The Balanced Budget Act also requires the Department of Health and Human
Services to establish a PPS for home health services. The Balanced Budget Act of
1997 put in place the interim payment system, commonly known as "IPS," until the
home health PPS could be implemented. The

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<PAGE>
home health PPS is currently scheduled to replace IPS on October 1, 2000. We
have experienced reductions in payments for our home health services and a
decline in home health visits due to a reduction in benefits by reason of the
Balanced Budget Act.

    MEDICAID.  Most state Medicaid payments are made under a PPS or under
programs which negotiate payment levels with individual hospitals. Medicaid is
currently funded jointly by state and federal governments. The federal
government and many states are currently considering significantly reducing
Medicaid funding, while at the same time expanding Medicaid benefits. This could
adversely affect future levels of Medicaid payments received by our hospitals.

    ANNUAL COST REPORTS.  Hospitals participating in the Medicare and some
Medicaid programs, whether paid on a reasonable cost basis or under a PPS, are
required to meet certain financial reporting requirements. Federal and, where
applicable, state regulations require submission of annual cost reports
identifying medical costs and expenses associated with the services provided by
each hospital to Medicare beneficiaries and Medicaid recipients.

    Annual cost reports required under the Medicare and some Medicaid programs
are subject to routine governmental audits. These audits may result in
adjustments to the amounts ultimately determined to be due to us under these
reimbursement programs. Finalization of these audits often takes several years.
Providers can appeal any final determination made in connection with an audit.

    COMMERCIAL INSURANCE.  Our hospitals provide services to individuals covered
by private healthcare insurance. Private insurance carriers pay our hospitals or
in some cases reimburse their policyholders based upon the hospital's
established charges and the coverage provided in the insurance policy.
Commercial insurers are trying to limit the costs of hospital services by
negotiating discounts, including PPS, which would reduce payments by commercial
insurers to our hospitals. Reductions in payments for services provided by our
hospitals to individuals covered by commercial insurers could adversely affect
us.

COMPETITION

    The hospital industry is highly competitive. In addition to the competition
we face for acquisitions and physicians, we must also compete with other
hospitals and healthcare providers for patients. The competition among hospitals
and other healthcare providers for patients has intensified in recent years. Our
hospitals are located in non-urban service areas. Most of our hospitals face no
direct competition because there are no other hospitals in their primary service
areas. However, these hospitals do face competition from hospitals outside of
their primary service area, including tertiary care hospitals in urban areas.
These tertiary care facilities are generally located in excess of 25 miles from
our facilities. Patients in our primary service areas may travel to these other
hospitals for a variety of reasons, including the need for services we do not
offer or physician referrals.

    Some of our hospitals operate in primary service areas where they compete
with one other hospital. One of our hospitals competes with more than one other
hospital in its primary service area. Some of these competing hospitals use
equipment and services more specialized than those available at our hospitals.
In addition, some of the hospitals that compete with us are owned by
tax-supported governmental agencies or not-for-profit entities supported by
endowments and charitable contributions. These hospitals can make capital
expenditures without paying sales, property and income taxes. We also face
competition from other specialized care providers, including outpatient surgery,
orthopedic, oncology, and diagnostic centers.

    The number and quality of the physicians on a hospital's staff is an
important factor in a hospital's competitive advantage. Physicians decide
whether a patient is admitted to the hospital and the procedures to be
performed. Admitting physicians may be on the medical staffs of other hospitals
in addition to those of our hospitals. We attempt to attract our physicians'
patients to our hospitals by offering quality services and facilities,
convenient locations, and state-of-the-art equipment.

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<PAGE>
COMPLIANCE PROGRAM

    OUR COMPLIANCE PROGRAM.  In early 1997, under our new management and
leadership, we voluntarily adopted a company-wide compliance program. The
program included the appointment of a compliance officer and committee, adoption
of an ethics and business conduct code, employee education and training,
implementation of an internal system for reporting concerns, auditing and
monitoring programs, and a means for enforcing the program's policies.

    We take an operations team approach to compliance and utilize corporate
experts for program design efforts and facility leaders for employee-level
implementation. Compliance is another area that demonstrates our utilization of
standardization and centralization techniques and initiatives which yield
efficiencies and consistency throughout our facilities. We recognize that our
compliance with applicable laws and regulations depends on individual employee
actions as well as company operations. Our approach focuses on integrating
compliance responsibilities with operational function. This approach is intended
to reinforce our company-wide commitment to operate strictly in accordance with
the laws and regulations that govern our business.

    Since its initial adoption, the compliance program continues to be expanded
and developed to meet the industry's expectations and our needs. Specific
written policies, procedures, training and educational materials and programs,
as well as auditing and monitoring activities have been prepared and implemented
to address the functional and operational aspects of our business. Included
within these functional areas are materials and activities for business
sub-units, including laboratory, radiology, pharmacy, emergency, surgery,
observation, home health, skilled nursing, and clinics. Specific areas
identified through regulatory interpretation and enforcement activities have
also been addressed in our program. Claims preparation and submission, including
coding, billing, and cost reports, comprise the bulk of these areas. Financial
arrangements with physicians and other referral sources, including anti-kickback
and Stark laws, emergency department treatment and transfer requirements, and
other patient disposition issues are also the focus of policy and training,
standardized documentation requirements, and review and audit.

    INPATIENT CODING COMPLIANCE ISSUE.  In August 1997, during a routine
internal audit at one of our facilities, we discovered inaccuracies in the DRG
coding for some of our inpatient medical records. At that time, this was the
primary auditing activity for our compliance program. These inaccuracies
involved inpatient coding practices that had been put in place prior to the time
we acquired our operating company in 1996.

    Because of the concerns raised by the internal audit, we performed an
internal review of historical inpatient coding practices. At the completion of
this review in December 1997, we voluntarily disclosed the coding problems to
the Office of Inspector General of the U.S. Department of Health and Human
Services. After discussions with the Inspector General, we agreed to have an
independent consultant audit the coding for eight specific DRGs. This audit
ultimately involved a review by the consultant of approximately 1,500 patient
files. The audit procedures we followed generated a statistically valid estimate
of the overpayments related to coding errors for these DRGs at 36 of our
hospitals for the period 1993 to 1997.

    The results of this audit were reviewed by the Inspector General and the
Department of Justice. These government agencies also conducted their own
investigation into the reimbursement claims related to these DRGs that we made
to the U.S. government, including those claims made under Medicare and Medicaid
programs. We cooperated fully with their investigation. The government agencies
advised us of potential liability under various legal theories, including the
False Claims Act. Under the False Claims Act, we could be liable for as much as
treble damages and penalties of between $5,000 and $10,000 per false claim
submitted to Medicare and Medicaid.

    We have executed a settlement agreement with these federal government
agencies and are in the process of obtaining executed settlement documents from
the applicable state Medicaid programs.

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<PAGE>
However, the Department of Justice has advised us that all parties to the
settlement agreement have agreed to its terms and are expected to execute the
settlement agreement by March 31, 2000. Pursuant to the settlement agreement, we
will pay approximately $31 million and will be released from all civil claims
relating to the coding of the eight specific DRGs for the hospitals and time
periods covered in the audit. During 1998 and 1999, we established a reserve in
our financial statements for this amount. We have also agreed with the Inspector
General to continue our existing voluntary compliance program under a corporate
compliance agreement and to adopt various additional compliance measures for a
period of three years. These additional compliance measures include making
various reports to the federal government and having our actions pursuant to the
compliance agreement reviewed annually by a third party.

    The compliance measures and reporting and auditing requirements contained in
the compliance agreement include:

    - continuing the duties and activities of our corporate compliance officer,
      corporate compliance work group, and facility compliance chairs and
      committees;

    - maintaining our written ethics and conduct policy, which sets out our
      commitment to full compliance with all statutes, regulations, and
      guidelines applicable to federal healthcare programs;

    - maintaining our written policies and procedures addressing the operation
      of our compliance program, including proper coding for inpatient hospital
      stays;

    - continuing our general training on the ethics and conduct policy and
      adding training about our compliance program and the compliance agreement;

    - continuing our specific training for the appropriate personnel on billing
      and coding issues;

    - continuing independent third party periodic audits of our facilities'
      inpatient DRG coding;

    - having an independent third party perform an annual review of our
      compliance with the compliance agreement;

    - continuing our confidential disclosure program and "ethics hotline" to
      enable employees or others to disclose issues or questions regarding
      possible inappropriate policies or behavior;

    - enhancing our screening program to ensure that we do not hire or engage
      employees or contractors who are ineligible persons for federal healthcare
      programs;

    - reporting any material deficiency which resulted in an overpayment to us
      by a federal healthcare program; and

    - submitting annual reports to the Inspector General which describe in
      detail the operations of our corporate compliance program for the past
      year.

    Our substantial adherence to the terms and conditions of the compliance
agreement will constitute an element of our eligibility to participate in the
federal healthcare programs. Consequently, material, uncorrected violations of
the compliance agreement could lead to suspension or disbarment from these
federal programs. In addition, we will be subject to possible civil penalties
for a failure to substantially comply with the terms of the compliance
agreement, including stipulated penalties ranging between $1,000 to $2,500 per
day. We will also be subject to a stipulated penalty of $25,000 per day,
following notice and cure periods, for any deliberate and/or flagrant breach of
the material provisions of the compliance agreement.

EMPLOYEES

    At December 31, 1999, we employed 8,643 full time employees and 4,475
part-time employees. Of these employees, 1,056 are union members. We believe
that our labor relations are good.

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<PAGE>
PROFESSIONAL LIABILITY

    As part of our business of owning and operating hospitals, we are subject to
legal actions alleging liability on our part. To cover claims arising out of the
operations of hospitals, we generally maintain professional malpractice
liability insurance and general liability insurance on a claims made basis in
amounts and with deductibles that we believe to be sufficient for our
operations. We also maintain umbrella liability coverage covering claims which,
due to their nature or amount, are not covered by our insurance policies. We
cannot assure you that professional liability insurance will cover all claims
against us or continue to be available at reasonable costs for us to maintain
adequate levels of insurance.

LEGAL PROCEEDINGS

    We have executed a settlement agreement with the Inspector General and the
Department of Justice pursuant to which we will pay approximately $31 million in
exchange for a release of civil claims relating to overpayments associated with
possible inaccurate inpatient coding for the period 1993 to 1997. The settlement
agreement has not yet been executed by the applicable state Medicaid programs.
However, the Department of Justice has advised us that all parties to the
settlement agreement have agreed to its terms and are expected to execute the
settlement agreement by March 31, 2000. For a description of the terms of the
settlement agreement as well as the events giving rise to the settlement
agreement, see "--Compliance Program" and "Risk Factors--We have continuing
compliance obligations under a settlement agreement resulting from our voluntary
disclosure to the U.S. government."

    In May 1999, we were served with a complaint in U.S. EX REL. BLEDSOE V.
COMMUNITY HEALTH SYSTEMS, INC., Case # 1-98-CV-0435-MHS (N.D. Ga.). This qui tam
action seeks treble damages and penalties under the False Claims Act against us.
The Department of Justice did not intervene in this action. The allegations in
the proposed complaint are extremely general, but appear to involve Medicare
billing at our White County Community Hospital in Sparta, Tennessee. No
discovery has occurred in this action. Based on our review of the complaint, we
do not believe that this lawsuit is meritorious and we intend to vigorously
defend ourselves against this action. However, because of the uncertain nature
of litigation, we cannot predict the outcome of this matter.

    The Department of Justice also has notified us of the existence of U.S. EX
REL. SMITH V. COMMUNITY HEALTH SYSTEMS, INC., filed in September 1999 in the
federal court in Nashville, Tennessee. This qui tam lawsuit was brought against
us by a former employee of our Lakeway Regional Hospital. The complaint alleges
violations of the False Claims Act in connection with alleged inflated costs
caused by incorrect allocation of employee salaries to Lakeway Regional
Hospital's rehabilitation unit, as well as improper Medicare reimbursement for
patients readmitted to that hospital from the rehabilitation unit. Our initial
review indicates that the allegations relating to the reimbursement for the
readmitted patients lack factual support. In addition, our initial review
indicates that any inaccuracies in salary allocations to the rehabilitation
unit's cost reports were relatively minimal in amount. This litigation is at a
very preliminary stage and we have not been served with the complaint. The
Department of Justice has informed us that it has not made a decision to
intervene. We intend to assert a number of factual and legal defenses to these
allegations.

    During the past year, we have received federal grand jury subpoenas from the
U.S. Attorney's Office for the Eastern District of Arkansas seeking documents
from our Harris Hospital facility relating to its mammography department.
Investigators from the Food and Drug Administration and the State of Arkansas
also have sought documents and interviewed employees relating to the activities
of the Harris Hospital mammography department. We have cooperated with the
government's investigation and made documents and individuals available. The
U.S. Attorney's Office has not disclosed to us the specific nature of its
investigation. We are unable to determine if the government intends to go
forward on this matter against us and, if so, whether it will proceed civilly or
criminally.

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<PAGE>
    We have also received various inquiry letters or subpoenas from state
regulators, fiscal intermediaries, and the Department of Justice regarding
various Medicare and Medicaid billing issues, including a letter from the
Assistant U.S. Attorney for the Eastern District of Missouri concerning hospital
laboratory billing practices. We believe that many other hospitals and hospital
systems have also received similar letters and subpoenas.

    We are subject to other claims and lawsuits arising in the ordinary course
of our business. Plaintiffs in these lawsuits generally request punitive or
other damages that by state law may not be able to be covered by insurance. We
are not aware of any pending or threatened litigation which we believe would
have a material adverse impact on us.

ENVIRONMENTAL MATTERS

    We are subject to various federal, state, and local laws and regulations
governing the use, discharge, and disposal of hazardous materials, including
medical waste products. Compliance with these laws and regulations is not
expected to have a material adverse effect on us. It is possible, however, that
environmental issues may arise in the future which we cannot now predict.

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                                   MANAGEMENT

DIRECTORS AND EXECUTIVE OFFICERS

    The following sets forth information regarding our executive officers and
directors as of February 28, 2000. Unless otherwise indicated, each of our
executive officers holds an identical position with CHS/Community Health
Systems, Inc., our wholly owned subsidiary:

<TABLE>
<CAPTION>
NAME                                          AGE                       POSITION
- ----                                        --------   ------------------------------------------
<S>                                         <C>        <C>
Wayne T. Smith............................     54      President and Chief Executive Officer and
                                                       Director (Class III)
W. Larry Cash.............................     51      Executive Vice President and Chief
                                                       Financial Officer
David Miller..............................     51      Group Vice President
Gary Newsome..............................     42      Group Vice President
Michael T. Portacci.......................     41      Group Vice President
John Fromhold.............................     46      Group Vice President
Martin G. Schweinhart.....................     45      Vice President Operations
T. Mark Buford............................     47      Vice President and Corporate Controller
Rachel A. Seifert.........................     40      Vice President and General Counsel
Erskine B. Bowles.........................     54      Director (Class III)
Sheila P. Burke...........................     49      Director (Class III)
Robert J. Dole............................     76      Director (Class I)
J. Anthony Forstmann......................     62      Director (Class I)
Nicholas C. Forstmann.....................     53      Director (Class II)
Theodore J. Forstmann.....................     60      Director (Class III)
Dale F. Frey..............................     67      Director (Class II)
Sandra J. Horbach.........................     39      Director (Class II)
Michael A. Miles..........................     60      Chairman of the Board (Class I)
Samuel A. Nunn............................     61      Director (Class II)
</TABLE>

    WAYNE T. SMITH is the President and Chief Executive Officer. Mr. Smith
joined us in January 1997 as President. In April 1997 he was also named our
Chief Executive Officer and a member of the Board of Directors. Prior to joining
us, Mr. Smith spent 23 years at Humana Inc., most recently as President and
Chief Operating Officer, and as a director, from 1993 to mid-1996. He is also a
director of Almost Family.

    W. LARRY CASH is the Executive Vice President and Chief Financial Officer.
Mr. Cash joined us in September 1997 as Executive Vice President and Chief
Financial Officer. Prior to joining Community Health Systems, he served as Vice
President and Group Chief Financial Officer of Columbia/HCA Healthcare
Corporation from September 1996 to August 1997. Prior to Columbia/HCA, Mr. Cash
spent 23 years at Humana Inc., most recently as Senior Vice President of Finance
and Operations from 1993 to 1996.

    DAVID MILLER is a Group Vice President. Mr. Miller joined us in
November 1997 as a Group Vice President, managing hospitals in Alabama, Florida,
North Carolina, South Carolina, and Virginia. Prior to joining us, he served as
a Divisional Vice President for Health Management Associates, Inc. from January
1996 to October 1997. From July 1994 to December 1995, Mr. Miller was the Chief
Executive Officer of the Lake Norman Regional Medical Center in Mooresville,
North Carolina, which is owned by Health Management Associates, Inc.

    GARY NEWSOME is a Group Vice President. Mr. Newsome joined us in February
1998 as Group Vice President, managing hospitals in Arkansas, Kentucky,
Louisiana, Mississippi, Wyoming, Pennsylvania, Tennessee, and Utah. Prior to
joining us, he was a Divisional Vice President of Health Management
Associates, Inc. in Midwest City, Oklahoma from January 1996 to February 1998.
From January 1995 to January 1996, Mr. Newsome served as Assistant Vice
President/Operations and Group Operations Vice

                                       54
<PAGE>
President responsible for facilities of Health Management Associates, Inc. in
Oklahoma, Arkansas, Kentucky, and West Virginia.

    MICHAEL T. PORTACCI is a Group Vice President. Mr. Portacci joined us in
1987 as a hospital administrator and became a Group Director in 1991. In 1994,
he became Group Vice President, managing facilities in Arizona, California,
Illinois, Missouri, New Mexico, and Texas.

    JOHN FROMHOLD is a Group Vice President. Mr. Fromhold joined us in
June 1998 as a Group Vice President, managing hospitals in Florida, Georgia, and
Texas. Prior to joining us, he served as Chief Executive Officer of Columbia
Medical Center of Arlington, Texas from 1995 to 1998.

    MARTIN G. SCHWEINHART is Vice President Operations. Mr. Schweinhart joined
us in June 1997 and has served as the Vice President Operations. From 1994 to
1997 he served as Chief Financial Officer of the Denver and Kentucky divisional
markets of Columbia/HCA Healthcare Corporation. Prior to that time he spent 18
years with Humana Inc. and Columbia/HCA in various management capacities.

    T. MARK BUFORD is Vice President and Corporate Controller. Mr. Buford has
served as our Corporate Controller since 1986 and as a Vice President since
1988.

    RACHEL A. SEIFERT is Vice President, Secretary and General Counsel.
Ms. Seifert joined us in January 1998. From 1992 to 1997, she was Associate
General Counsel of Columbia/HCA Healthcare Corporation and became Vice
President-Legal Operations in 1994. Prior to joining Columbia/HCA in 1992, she
was in private practice in Dallas, Texas.

    ERSKINE B. BOWLES has been a Director since 1999. He has been a general
partner of FLC XXIX, Partnership, L.P., the general partner of Forstmann
Little & Co., since 1999. He was White House Chief of Staff from November 1996
to November 1998. Mr. Bowles was Assistant to the President and Deputy Chief of
Staff from October 1994 through December 1995. From January 1996 to
November 1996 and again since January 1999, he has been the Managing Director of
Carousel Capital. He is Vice Chairman of the Charlotte Hospital Authority, one
of the largest not-for-profit hospital entities in the U.S. He is also a
director of McLeodUSA Incorporated, First Union Corporation, and VF Corporation.

    SHEILA P. BURKE has been a Director since 1997. She has been Executive Dean
of the John F. Kennedy School of Government, Harvard University since 1996.
Previously in 1996, Ms. Burke was senior advisor to the Dole for President
Campaign. From 1986 until June 1996, Ms. Burke served as the chief of staff to
former Senator Robert Dole and, in that capacity, was actively involved in
writing some of the healthcare legislation in effect today. She is a director of
WellPoint Health Networks Inc. and The Chubb Corporation.

    ROBERT J. DOLE has been a Director since 1997. He was a U.S. Senator from
1968 to 1996, during which time he served as Senate majority leader, minority
leader and chairman of the Senate Finance Committee. Mr. Dole was also a U.S.
Representative from 1960 to 1968. He has been a special counsel with Verner,
Liipfert, Bernhard, McPherson and Hand since 1997. He is also a director of TB
Woods Corp.

    J. ANTHONY FORSTMANN has been a Director since 1996. He has been a Managing
Director of J.A. Forstmann & Co., a merchant banking firm, since October 1987.
Mr. Forstmann was President of The National Registry Inc. from October 1991 to
August 1993 and from September 1994 to March 1995 and Chief Executive Officer
from October 1991 to August 1993 and from September 1994 to December 1995. In
1968, he co-founded Forstmann-Leff Associates, an institutional money management
firm with $6 billion in assets. He is also a special limited partner of one of
the Forstmann Little partnerships.

    NICHOLAS C. FORSTMANN has been a Director since 1996. He has been a general
partner of FLC XXIX Partnership, L.P. since he co-founded Forstmann Little & Co.
in 1978. He is also a director of The Yankee Candle Company, Inc. and NEXTLINK
Communications, Inc.

                                       55
<PAGE>
    THEODORE J. FORSTMANN has been a Director since 1996. He has been a general
partner of FLC XXIX Partnership, L.P. since he co-founded Forstmann Little & Co.
in 1978. He is also a director of The Yankee Candle Company, Inc. and McLeodUSA
Incorporated.

    DALE F. FREY has been a Director since 1997. From 1984 until 1997, Mr. Frey
was the Chairman of the Board and President of General Electric Investment Corp.
From 1980 until 1997, he was also Vice President of General Electric Company.
Mr. Frey is also a director of Praxair, Inc., Roadway Express Inc., and
Aftermarket Technology Corp.

    SANDRA J. HORBACH has been a Director since 1996. She has been a general
partner of FLC XXIX Partnership, L.P. since 1993. She is also a director of The
Yankee Candle Company, Inc. and NEXTLINK Communications, Inc.

    MICHAEL A. MILES has been a Director since 1997 and has served as Chairman
of the Board since March 1998. Mr. Miles served as Chairman and Chief Executive
Officer of Philip Morris from 1991 to 1994. He is also a director of Dell
Computer Corp., Morgan Stanley Dean Witter, Sears Roebuck and Co., Time
Warner Inc., Allstate Inc., and the Interpublic Group of Companies. He is a
special limited partner of one of the Forstmann Little partnerships.

    SAMUEL A. NUNN has been a Director since 1997. Mr. Nunn has been a partner
at the law firm of King & Spalding since 1997. Prior to joining King & Spalding,
he was a United States Senator from 1972 to 1997. He is also a director of The
Coca Cola Company, Dell Computer Corporation, General Electric Company, Internet
Security Systems Group, Inc., National Service Industries, Inc., Scientific-
Atlanta, Inc., Texaco, Inc., and Total System Services, Inc. He has continued
his service in the public policy arena as Chairman of the Board of the Center
for Strategic and International Studies.

THE BOARD OF DIRECTORS

    Our certificate of incorporation will provide for a classified board of
directors consisting of three classes. Each class will consist, as nearly as
possible, of one-third of the total number of directors constituting the entire
board. The term of the initial Class I directors will terminate on the date of
the 2001 annual meeting of stockholders; the term of the initial Class II
directors will terminate on the date of the 2002 annual meeting of stockholders;
and the term of the initial Class III directors will terminate on the date of
the 2003 annual meeting of stockholders. Beginning in 2001, at each annual
meeting of stockholders, successors to the class of directors whose term expires
at that annual meeting will be elected for a three-year term and until their
respective successors are elected and qualified. A director may only be removed
with cause by the affirmative vote of the holders of a majority of the
outstanding shares of capital stock entitled to vote in the election of
directors. The Forstmann Little partnerships have a contractual right to elect
two directors until they no longer own any shares of our common stock.

    Directors who are neither our executive officers nor general partners in the
Forstmann Little partnerships have been granted options to purchase common stock
in connection with their election to our board of directors. Directors do not
receive any fees for serving on our board, but are reimbursed for their
out-of-pocket expenses arising from attendance at meetings of the board and
committees. See "--Outside Director Stock Options."

    The board has three committees: Executive, Compensation, and Audit and
Compliance. The Executive Committee consists of Theodore J. Forstmann, Sandra J.
Horbach, Michael A. Miles, and Wayne T. Smith. The Compensation Committee
consists of Michael A. Miles, J. Anthony Forstmann, and Nicholas C. Forstmann.
The Audit and Compliance Committee consists of Dale F. Frey, Michael A. Miles,
Sheila P. Burke, and Sandra J. Horbach.

COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

    The current members of the Compensation Committee of our Board of Directors
are: Michael A. Miles, J. Anthony Forstmann, and Nicholas C. Forstmann. During
1999, the Compensation Committee consisted of Theodore J. Forstmann and Sandra
J. Horbach. Sandra J. Horbach formerly served as one

                                       56
<PAGE>
of our officers but received no compensation for her services. None of the other
members of the current or former Compensation Committees are current or former
executive officers or employees of us or any of our subsidiaries. Each of
Theodore J. Forstmann, Nicholas C. Forstmann, and Sandra J. Horbach are general
partners in partnerships affiliated with the Forstmann Little partnerships. See
"--Relationships and Transactions between Community Health Systems and its
Officers, Directors and 5% Beneficial Owners and their Family Members" for a
description of the 1996 acquisition of our principal subsidiary by the Forstmann
Little partnerships and members of our management.

EXECUTIVE COMPENSATION

    The following table sets forth certain summary information with respect to
compensation for 1999 paid by us for services to our Chief Executive Officer and
our four other most highly paid executive officers who were serving as executive
officers at December 31, 1999.

                           SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>
                                                  ANNUAL COMPENSATION
                                        ---------------------------------------
                                                                     OTHER
                                                                     ANNUAL             ALL
                                                                  COMPENSATION         OTHER
NAME AND POSITION                       SALARY ($)   BONUS ($)        (a)         COMPENSATION ($)
- -----------------                       ----------   ---------   --------------   ----------------
<S>                                     <C>          <C>         <C>              <C>
Wayne Smith                               475,002     427,500                           4,822 (b)
  President and Chief
  Executive Officer

W. Larry Cash                             375,000     318,750                           5,139 (b)
  Executive Vice President and
  Chief Financial Officer

Michael Portacci                          216,000     145,800                           3,335 (b)
  Group Vice President

David Miller                              235,000     137,475                           4,235 (b)
  Group Vice President

Gary Newsome                              216,000     163,080                          30,260 (c)
  Group Vice President
</TABLE>

- --------------------------

(a) The amount of other annual compensation is not required to be reported since
    the aggregate amount of perquisites and other personal benefits was less
    than $50,000 or 10% of the total annual salary and bonus reported for each
    named executive officer.

(b) Amount consists of additional long-term disability premiums and payments
    made to the Supplemental Survivors Accumulation Plan.

(c) Amount consists of additional long-term disability premiums and payments
    made to the Supplemental Survivors Accumulation Plan totaling $3,502 and
    relocation expense reimbursement of $26,758.

                                       57
<PAGE>
                       OPTION GRANTS IN LAST FISCAL YEAR

    There were no stock options granted to any of our executive officers or
directors during the year ended December 31, 1999.

                AGGREGATED OPTION VALUES AS OF DECEMBER 31, 1999

    The executive officers named in the summary compensation table did not
exercise any stock options during the year ended December 31, 1999. The
following table sets forth the stock option values as of December 31, 1999 for
these persons.

<TABLE>
<CAPTION>
                                                    NUMBER OF SECURITIES          VALUE OF UNEXERCISED
                                                   UNDERLYING UNEXERCISED         IN-THE-MONEY OPTIONS
                                                 OPTIONS AT FISCAL YEAR-END        AT FISCAL YEAR-END
                                                             (#)                         ($)(a)
                                                 ---------------------------   ---------------------------
                                                 EXERCISABLE   UNEXERCISABLE   EXERCISABLE   UNEXERCISABLE
                                                 -----------   -------------   -----------   -------------
<S>                                              <C>           <C>             <C>           <C>
Wayne T. Smith.................................
Larry W. Cash..................................
David Miller...................................
Gary Newsome...................................
Michael T. Portacci............................
</TABLE>

- ------------------------

(a) Sets forth values for options that represent the positive spread between the
    respective exercise prices of outstanding stock options and the value of the
    common stock as of December 31, 1999, based on the mid-point of the range of
    initial public offering prices set forth on the cover page of this
    prospectus.

COMMUNITY HEALTH SYSTEMS STOCK OPTION PLAN

    The Community Health Systems Holdings Corp. Employee Stock Option Plan
provides for the granting of options to purchase shares of common stock of our
company to any employee of our company or our subsidiaries. These options are
not intended to qualify as incentive stock options. The plan is currently
administered by the Compensation Committee of our Board of Directors. As of
        , 2000, options to purchase         shares of common stock have been
issued. There are an additional         shares of common stock available for
grant under the plan.

    STOCK OPTION AGREEMENTS.  Options are granted pursuant to stock option
agreements. To exercise an option, the optionee must pay for the shares in full
and execute the stockholder's agreement described below. One-fifth of the
options generally vest and become exercisable on each of the first, second,
third, fourth and fifth anniversaries of the grant date. Unvested options expire
on the date of the optionee's termination of employment and vested options
expire after the termination of employment as described below.

    Each option expires, unless earlier terminated, on the earliest of:

    - the tenth anniversary of the date of grant; and

    - the exercise in full of the option.

    If an optionee's employment is terminated for any reason, the options will
terminate to the extent they were not exercisable at the time of termination of
employment. The optionee has a 60-day period from the date of our notification
to exercise the vested portion of the option. These options are generally
exercisable only by an optionee during the optionee's lifetime and are not
transferable.

                                       58
<PAGE>
    The stock option agreements provide that we will notify the optionee prior
to a total sale or a partial sale. A total sale includes:

    - the merger or consolidation of us into another corporation, other than a
      merger or consolidation in which we are the surviving corporation and
      which does not result in a capital reorganization, reclassification or
      other change in the then outstanding common stock;

    - the liquidation of us;

    - the sale to a third party of all or substantially all of our assets; or

    - the sale to a third party of common stock, other than through a public
      offering;

but only if the Forstmann Little partnerships cease to own any shares of the
voting stock of our Company.

    A partial sale means a sale by the Forstmann Little partnerships of all or a
portion of their shares of common stock to a third party, including through a
public offering, other than a total sale. This offering constitutes neither a
total sale nor a partial sale.

    The optionee may exercise his or her options only for purposes of
participating in the partial sale, whether or not the options were otherwise
exercisable, with respect to the excess, if any, of

    - the number of shares with respect to which the optionee would be entitled
      to participate in the partial sale under the stockholder's agreement which
      permits proportional participation with the Forstmann Little partnerships
      in a public offering or sale to a third party, as described below, over

    - the number of shares previously issued upon exercise of such options and
      not previously disposed of in a partial sale.

    Upon receipt of a notice of a total sale, the optionee may exercise all or
part of his or her options, whether or not such options were otherwise
exercisable, within five days of receiving such notice, or a shorter time as
determined by the committee.

    In connection with a total sale involving the merger, consolidation or
liquidation of us or the sale of common stock by the Forstmann Little
partnerships, we may redeem the unexercised portion of the options, for a price
equal to the price received per share of common stock in the total sale, less
the exercise price of the options, in lieu of permitting the optionee to
exercise the options. Any unexercised portion of an option will terminate upon
the completion of a total sale, unless we provide for its continuation.

    In the event a total sale or partial sale is not completed, any option that
the optionee had exercised in connection with the total sale or partial sale
will be deemed not to have been exercised and will be exercisable after the
total sale or partial sale only to the extent it would have been exercisable if
notice of the total sale or partial sale had not been given to the optionee. The
optionee has no independent right to require us to register the shares of common
stock underlying the options under the Securities Act.

    The stock option agreements permit us to terminate all of an optionee's
options if the optionee engages in prohibited or competitive activities,
including:

    - disclosing confidential information about us;

    - soliciting any of our employees within eighteen months of being
      terminated;

    - publishing any statement critical of us;

    - engaging in any competitive activities; or

                                       59
<PAGE>
    - being convicted of a crime against us.

    The number and class of shares underlying, and the terms of, outstanding
options may be adjusted in certain events, such as a merger, consolidation,
stock split or stock dividend.

    STOCKHOLDER'S AGREEMENT.  Upon exercise of an option under the plan, an
optionee is required to enter into a stockholder's agreement with us in the form
then in effect. The stockholder's agreement governs the optionee's rights and
obligations as a stockholder. The stockholder's agreement provides that,
generally, the shares issued upon exercise of the options may not be sold,
assigned or otherwise transferred. The description below summarizes the terms of
the form of the stockholder's agreement currently in effect.

    If one or more partial sales result in the Forstmann Little partnerships
owning, in the aggregate, less than 25% of our then outstanding voting stock,
the stockholder is entitled to sell, transfer or hold his or her shares of
common stock free of the restrictions and rights contained in the stockholder's
agreement.

    The stockholder's agreement provides that the stockholder may participate
proportionately in any sale by the Forstmann Little partnerships of all or a
portion of their shares of common stock to any person who is not a partner or
affiliate of the Forstmann Little partnerships. In addition, the stockholder
shall be entitled to (and may be required to) participate proportionately in a
public offering of shares of common stock by the Forstmann Little partnerships,
by selling the same percentage of the stockholder's shares that the Forstmann
Little partnerships are selling of their shares. The sale of shares of common
stock in such a transaction must be for the same price and otherwise on the same
terms and conditions as the sale by the Forstmann Little partnerships. If the
Forstmann Little partnerships sell or exchange all or a portion of their common
stock in a bona fide arm's-length transaction, the Forstmann Little partnerships
may require the stockholder to sell a proportionate amount of his or her shares
for the same price and on the same terms and conditions as the sale of common
stock by the Forstmann Little partnerships and, if stockholder approval of the
transaction is required, to vote his or her shares in favor of the sale or
exchange.

    The stockholder's agreement permits us to repurchase all the shares of
common stock then held by a stockholder if the stockholder engages in any
prohibited activity or competitive activity or is convicted of a crime against
us. For a purchase in respect of a prohibited activity or competitive activity,
the per share purchase price would be the lesser of the stockholder's cost and
the book value per share.

OUTSIDE DIRECTOR STOCK OPTIONS

    Six directors, Messrs. Dole, J. Anthony Forstmann, Frey, Miles, and Nunn and
Ms. Burke, have options which were granted pursuant to individual stock option
agreements. The date of these director option agreements and the date of grant,
for Messrs. Nunn, Dole, and Frey was May 14, 1997, for Ms. Burke was August 8,
1997, and for Mr. J. Anthony Forstmann was October 15, 1997. Mr. Miles' director
option agreement, dated May 14, 1997, was amended on March 2, 1998. Each of the
director optionees other than Mr. Miles has options to purchase       shares of
common stock at $      per share. Mr. Miles has options to purchase       shares
of common stock at $      per share. These options are not intended to qualify
as incentive stock options and were not issued pursuant to the plan.

    One-third of the options generally become exercisable on each of the first,
second and third anniversaries of the date of the grant. Each option expires on
the earliest of:

    - the tenth anniversary of the date of grant;

    - the date the director optionee ceases to serve as one of our directors;
      and

    - the exercise in full of the option.

                                       60
<PAGE>
    The director optionees may not sell or otherwise transfer their options.

    The director option agreements provide that we will notify the director
optionees prior to a total sale or a partial sale. Upon receipt of a notice of a
partial sale, a director optionee may exercise his or her options only for
purposes of participating in the partial sale, whether or not the options were
otherwise exercisable, with respect to the excess, if any, of:

    - the number of shares with respect to which the director optionee would be
      entitled to participate in the partial sale under the director
      stockholder's agreements described below, over

    - the number of shares previously issued upon exercise of the options and
      not previously disposed of in a partial sale.

    Upon receipt of a notice of a total sale, a director optionee may exercise
all or part of his options, whether or not the options were otherwise
exercisable.

    In connection with a total sale, we may redeem the unexercised portion of
the director optionee's options. Any unexercised portion of a director
optionee's options will terminate upon the completion of a total sale, unless we
provide for continuation of the options.

    In the event a total sale or partial sale is not completed, any option which
a director optionee had exercised in connection with the sale will be
exercisable after the sale only to the extent it would have been exercisable if
notice of the sale had not been given to the director optionee. The offering
constitutes neither a total sale nor a partial sale.

    The director option agreements provide that, if the Forstmann Little
partnerships sell shares of common stock in a bona fide arm's-length
transaction, at our election, a director optionee may be required to:

    - proportionately exercise the director optionee's options and to sell all
      of the shares of common stock purchased under the exercise in the same
      transaction and on the same terms as the shares sold by the Forstmann
      Little partnerships, or if unwilling to do so; or

    - forfeit the portion of the option required to be exercised.

    The director optionees have no independent right to require us to register
the shares of common stock underlying the options under the Securities Act.

    The number and class of shares underlying and the terms of outstanding
options may be adjusted in certain events, such as a merger, consolidation,
stock split or stock dividend.

    DIRECTOR STOCKHOLDER'S AGREEMENTS.  Upon exercise of a director option, a
director optionee is required to enter into a director stockholder's agreement
with us in the form then in effect. The form of director stockholder's agreement
currently in effect is substantially the same as the form of employee
stockholder's agreement currently in effect.

STOCKHOLDER'S AGREEMENTS

    Currently, 23 members of our management and other employees or former
employees own an aggregate of       shares of our common stock. These shares
were purchased pursuant to the terms of stockholder agreements. The stockholder
agreements contain transfer provisions substantially similar to those in the
form of stockholder's agreements that the employee and director optionees must
execute upon exercise of options.

    Upon termination of employment, we have the right, at our option, to
purchase all of the unvested shares of common stock held by the stockholder. The
stock vests at a rate of 20% per year, beginning after one year. The
stockholders have no independent right to require us to register their shares
under the Securities Act.

                                       61
<PAGE>
THE COMMUNITY HEALTH SYSTEMS STOCK OPTION AND AWARD PLAN

    Our Board of Directors adopted the 2000 Stock Option and Award Plan in   ,
2000, and the stockholders approved it in   , 2000. The stock plan provides for
the grant of incentive stock options intended to qualify under Section 422 of
the Internal Revenue Code and stock options which do not so qualify, stock
appreciation rights, restricted stock, performance units and performance shares,
phantom stock awards, and share awards. Persons are eligible to receive grants
under the stock plan include our directors, officers, employees, and
consultants. The stock plan is designed to comply with the requirements for
"performance-based compensation" under Section 162(m) of the Internal Revenue
Code, and the conditions for exemption from the short-swing profit recovery
rules under Rule 16b-3 under the Securities Exchange Act.

    The stock plan is administered by a committee that consists of at least two
nonemployee outside board members. The Compensation Committee of the board
currently serves as the committee. Generally, the committee has the right to
grant options and other awards to eligible individuals and to determine the
terms and conditions of options and awards, including the vesting schedule and
exercise price of options and awards. The stock plan authorizes the issuance of
  % of the outstanding shares of common stock determined on a fully diluted
basis as of         , 2000, with adjustments to give effect to our
recapitalization and in the case of changes in capitalization affecting the
options. For the purpose of determining the number of outstanding shares, all
shares issuable under the plan are deemed outstanding.

    The stock plan provides that the term of any option may not exceed ten
years, except in the case of the death of an optionee in which event the option
may be exercised for up to one year following the date of death even if it
extends beyond ten years from the date of grant. If a participant's employment,
or service as a director, is terminated following a change in control, any
options or stock appreciation rights become immediately and fully vested at that
time and will remain outstanding until the earlier of the six-month anniversary
of termination and the expiration of the option term.

THE COMMUNITY HEALTH SYSTEMS 2000 EMPLOYEE STOCK PURCHASE PLAN

    We adopted the 2000 Employee Stock Purchase Plan in         , 2000. The
stock purchase plan provides our employees with the opportunity to purchase
shares of our common stock on the date of this offering at the initial public
offering price as part of our directed share program. After this offering, the
plan allows our employees to purchase additional shares of our common stock on
the NYSE at the then current market price. Employees who elect to participate in
the program will pay for these subsequent purchases with funds that we will
withhold from their paychecks.

RELATIONSHIPS AND TRANSACTIONS BETWEEN COMMUNITY HEALTH SYSTEMS AND ITS
OFFICERS, DIRECTORS AND 5% BENEFICIAL OWNERS AND THEIR FAMILY MEMBERS

    In July 1996, we were formed by two Forstmann Little partnerships and
members of our management to acquire CHS/Community Health Systems, Inc., which
was then a publicly owned company named Community Health Systems, Inc. We
financed the acquisition by issuing our common stock to the Forstmann Little
partnerships and members of management, by incurring indebtedness under credit
facilities, and by issuing an aggregate of $500 million of subordinated
debentures to one of the Forstmann Little partnerships, Forstmann Little & Co.
Subordinated Debt and Equity Management Buyout Partnership-VI, L.P. ("MBO-VI").
MBO-VI immediately distributed the subordinated debentures to its limited
partners. We will use approximately $  million of the proceeds from the offering
to prepay a portion of the subordinated debentures. See "Use of Proceeds" and
"Description of Indebtedness."

    We have engaged Greenwood Marketing and Management Services to provide
oversight for our Senior Circle Association, which is a community affinity
organization with local chapters sponsored by

                                       62
<PAGE>
each of our 46 hospitals. Greenwood Marketing and Management is a company owned
and operated by Anita Greenwood Cash, the spouse of W. Larry Cash. In 1999, we
paid Greenwood Marketing and Management Services $268,000 for marketing
services, postage, magazines, handbooks, sales brochures, training manuals, and
membership services.

    The law firm of King & Spalding, of which Mr. Samuel A. Nunn is a partner,
has in the past provided, and may continue to provide, legal services to us and
our subsidiaries.

    The following executive officers of our company were indebted to us in
amounts greater than $60,000 since January 1, 1999 under full recourse
promissory notes. These notes were delivered in partial payment for the purchase
of our common stock. The promissory notes are secured by the shares to which
they relate. The highest amounts outstanding under these notes since January 1,
1999 and the amounts outstanding at December 31, 1999 were as follows:

<TABLE>
<CAPTION>
                                                      SINCE JANUARY 1,    AT DECEMBER 31,
                                                            1999               1999         INTEREST RATE
                                                      -----------------   ---------------   -------------
<S>                                                   <C>                 <C>               <C>
W. Larry Cash.......................................  $        697,771       $697,771           6.84%
David Miller........................................           344,620        344,620           6.84%
Gary Newsome........................................           221,707        221,707           6.84%
Michael T. Portacci.................................            82,065         82,065           6.84%
John Fromhold.......................................           224,250        224,250           6.84%
Rachel A. Seifert...................................            75,000         72,157           6.84%
</TABLE>

    In connection with the relocation of our corporate office from Houston to
Nashville in May 1996, we lent $100,000 to Mr. T. Mark Buford, our Vice
President and Corporate Controller. This loan is due on December 15, 2000 and
bears no interest.

                                       63
<PAGE>
                             PRINCIPAL STOCKHOLDERS

    The following table sets forth certain information regarding the beneficial
ownership of our common stock immediately prior to the consummation of the
offering and as adjusted to reflect the sale of the shares of common stock
pursuant to the offering. The table includes:

    - each person who is known by us to be the beneficial owner of more than 5%
      of the outstanding common stock;

    - each of our directors;

    - each executive officer named in the summary compensation table; and

    - all directors and executive officers as a group.

    Except as otherwise indicated, the persons or entities listed below have
sole voting and investment power with respect to all shares of common stock
beneficially owned by them, except to the extent such power may be shared with a
spouse.

<TABLE>
<CAPTION>
                                                                                    PERCENT BENEFICIALLY
                                                                                          OWNED (a)
                                                              SHARES BENEFICIALLY   ---------------------
                                                                OWNED PRIOR TO       BEFORE       AFTER
NAME                                                             OFFERING (a)       OFFERING    OFFERING
- ----                                                          -------------------   ---------   ---------
<S>                                                           <C>                   <C>         <C>
5% STOCKHOLDERS:
Forstmann Little & Co. Equity Partnership-V, L.P. (b).......
Forstmann Little & Co. Subordinated Debt and Equity
  Management Buyout Partnership-VI, L.P. (b)................

DIRECTORS:
Erskine B. Bowles...........................................
Sheila P. Burke.............................................
Robert J. Dole..............................................
J. Anthony Forstmann........................................
Nicholas C. Forstmann.......................................
Theodore J. Forstmann.......................................
Dale F. Frey................................................
Sandra A. Horbach...........................................
Michael A. Miles............................................
Samuel A. Nunn..............................................
Wayne T. Smith..............................................

OTHER NAMED EXECUTIVE OFFICERS:
W. Larry Cash...............................................
David Miller................................................
Gary Newsome................................................
Michael T. Portacci.........................................
All Directors and Executive Officers as a Group
  (19 persons)..............................................
</TABLE>

- ------------------------

(a) For purposes of this table, information as to the shares of common stock
    assumes that the recapitalization has been effected and, in the case of the
    column "After Offering," that the underwriters' over-allotment option is not
    exercised. In addition, a person or group of persons is deemed to have
    "beneficial ownership" of any shares of common stock when such person or
    persons has the right to acquire them within 60 days after the date of this
    prospectus. For purposes of computing the percentage of outstanding shares
    of common stock held by each person or group of persons named above, any
    shares which such person or persons have the right to

                                       64
<PAGE>
    acquire within 60 days after the date of this prospectus is deemed to be
    outstanding but is not deemed to be outstanding for the purpose of computing
    the percentage ownership of any other person.

(b) The general partner of Forstmann Little & Co. Equity Partnership-V, L.P., a
    Delaware limited partnership ("Equity-V"), is FLC XXX Partnership, L.P. a
    New York limited partnership of which Theodore J. Forstmann, Nicholas C.
    Forstmann, Sandra J. Horbach, Thomas H. Lister, Winston W. Hutchins, Erskine
    B. Bowles (through Tywana LLC, a North Carolina limited liability company
    having its principal business office at 2012 North Tryon Street, Suite 2450,
    Charlotte, N.C. 28202), Jamie C. Nicholls and S. Joshua Lewis are general
    partners. The general partner of Forstmann Little & Co. Subordinated Debt
    and Equity Management Buyout Partnership-VI, L.P., a Delaware limited
    partnership ("MBO-VI"), is FLC XXIX Partnership, L.P., a New York limited
    partnership of which Theodore J. Forstmann, Nicholas C. Forstmann, Sandra J.
    Horbach, Thomas H. Lister, Winston W. Hutchins, Erskine B. Bowles (through
    Tywana LLC), Jamie C. Nicholls and S. Joshua Lewis are general partners.
    Accordingly, each of the individuals named above, other than Mr. Lister,
    with respect to MBO-VI, and Mr. Bowles, Ms. Nicholls and Mr. Lewis, with
    respect to Equity-V and MBO-VI, for the reasons described below, may be
    deemed the beneficial owners of shares owned by MBO-VI and Equity-V and, for
    purposes of this table, beneficial ownership is included. Mr. Lister, with
    respect to MBO-VI, and Mr. Bowles, Ms. Nicholls and Mr. Lewis, with respect
    to Equity-V and MBO-VI, do not have any voting or investment power with
    respect to, or any economic interest in, the shares of common stock of the
    company held by MBO-VI or Equity-V; and, accordingly, Mr. Lister,
    Mr. Bowles, Ms. Nicholls and Mr. Lewis are not deemed to be the beneficial
    owners of these shares. Theodore J. Forstmann, Nicholas C. Forstmann and J.
    Anthony Forstmann are brothers. Messrs. Frey, Miles and Nunn are members of
    the Forstmann Little Advisory Board and, as such, have economic interests in
    the Forstmann Little partnerships. FLC XXX Partnership is a limited partner
    of Equity-V. Each of Messrs. J. Anthony Forstmann and Michael A. Miles is a
    special limited partner in one of the Forstmann Little partnerships. None of
    the other limited partners in each of MBO-VI and Equity-V is otherwise
    affiliated with Community Health Systems. The address of Equity-V and MBO-VI
    is c/o Forstmann Little & Co., 767 Fifth Avenue, New York, New York 10153.

                                       65
<PAGE>
                          DESCRIPTION OF INDEBTEDNESS

THE CREDIT AGREEMENT

    We and our wholly owned subsidiary, CHS/Community Health Systems, Inc., are
parties to a credit facility with a syndicate of banks and other financial
institutions led by The Chase Manhattan Bank, as a lender and administrative
agent, under which our subsidiary has, and may in the future, borrow. We have
guaranteed the performance of our subsidiary under this credit facility. The
credit facility consists of the following:

<TABLE>
<CAPTION>
                                                            BALANCE OUTSTANDING
                                                         (AS OF DECEMBER 31, 1999)
                                                         -------------------------
<S>                                                      <C>
Revolving Credit Commitment............................         $109,750,000
Acquisition Loan Commitment............................         $138,551,000
Tranche A term loan....................................         $ 29,500,000
Tranche B term loan....................................         $127,500,000
Tranche C term loan....................................         $127,500,000
Tranche D term loan....................................         $339,845,200
</TABLE>

    The loans bear interest, at our option, at either of the following rates:

    (a) the highest of:

       - the rate from time to time publicly announced by The Chase Manhattan
         Bank in New York as its prime rate;

       - the secondary market rate for three-month certificates of deposit from
         time to time plus 1%; and

       - the federal funds rate from time to time, plus 1/2 of 1%;

        in each case plus an applicable margin which is:

       - based on a pricing grid depending on our leverage ratio at that time
         for the revolving credit loans, acquisition loans and the tranche A
         term loan;

       - 2.00% for the tranche B term loan;

       - 2.50% for the tranche C term loan;

       - 2.75% for the tranche D term loan; or

    (b) a Eurodollar rate plus an applicable margin which is:

       - based on a pricing grid depending on our leverage ratio at that time,
         for revolving credit loans, acquisitions loans and the tranche A term
         loan;

       - 3.00% for the tranche B loan;

       - 3.50% for the tranche C loan;

       - 3.75% for the tranche D loan.

    The term loans are repayable in quarterly installments pursuant to a
predetermined payment schedule through December 31, 2005.

    We also pay a commitment fee for the daily average unused commitment under
the revolving credit commitment and available acquisition loan commitment. The
commitment fee is based on a pricing grid depending on the applicable margin in
effect for Eurodollar revolving credit loans. The commitment fee is payable
quarterly in arrears and on the revolving credit termination date with respect
to the available revolving credit commitments and on the acquisition loan
termination date with

                                       66
<PAGE>
respect to available acquisition loan commitments. In addition, we will pay fees
for each letter of credit issued under the credit facility.

    Loans under the revolving credit facility can be made at any time prior to
December 31, 2002, provided that no loan taken pursuant to the revolving credit
facility can mature later than December 31, 2002. The total borrowings we may
have outstanding at any time under our revolving credit facility is $200
million.

    The acquisition facility is a reducing revolving credit facility that will
be permanently reduced on predetermined anniversaries in accordance with a
schedule. Once reduced, outstanding acquisition loans must be repaid to the
extent they exceed the reduced level. The acquisition loan termination date is
December 31, 2002. The total borrowings we may have outstanding at any time
under our acquisition facility is $282.5 million.

    The loans must be prepaid with the net proceeds in excess of $20 million in
the aggregate of specified asset sales and issuances of additional indebtedness
not constituting permitted indebtedness in the credit facility. These net
proceeds will be applied first to prepay the outstanding balances of the term
loans and the acquisition loans and then to repay outstanding balances of the
revolving credit loans. The commitments under the acquisition loans and
revolving credit loans will be permanently reduced by the amount of the
repayment of these facilities.

    The credit facility contains covenants and provisions that restrict, among
other things, our ability to change the business we are conducting, declare
dividends, grant liens, incur additional indebtedness, exceed a specified
leverage ratio, fall below a minimum interest coverage ratio and make capital
expenditures.

    We will use approximately $   million of the proceeds of the offering to
prepay indebtedness under this credit facility. See "Use of Proceeds."

SUBORDINATED DEBT

    We issued an aggregate of $500 million of subordinated debentures to MBO-VI
in connection with the July 1996 acquisition of our subsidiary. MBO-VI
immediately distributed the subordinated debentures to its limited partners. The
subordinated debentures are divided into three equal series, due on June 30,
2007, June 30, 2008 and June 30, 2009. The subordinated debentures provide for
interest at a rate of 7 1/2%, payable semi-annually. The subordinated debentures
may be prepaid by us at any time without premium, penalty or charge and are
subordinate to our credit agreement and other senior obligations. We have a
right of first refusal on the transfer of the debentures. We will use
approximately $   million of the proceeds of the offering to prepay part of the
series   debentures due     . Any net proceeds received in connection with the
exercise by the underwriters of their over-allotment option will also be used to
prepay a portion of the subordinated debentures.

                          DESCRIPTION OF CAPITAL STOCK

OVERVIEW

    Immediately before the closing of the offering, we will be recapitalized as
follows:

    - each outstanding share of Class B common stock will be exchanged for
      shares of Class A common stock;

    - each outstanding option to purchase a share of Class C common stock will
      be exchanged for an option to purchase   shares of Class A common stock;

    - the Class A common stock will be redesignated as common stock and adjusted
      for a stock split on a   -for-  basis; and

                                       67
<PAGE>
    - the certificate of incorporation will be amended and restated to reflect a
      single class of common stock, par value $.01 per share, and the number of
      authorized shares of common stock and preferred stock will be increased.

    After giving effect to these changes to our certificate of incorporation,
our authorized capital stock will consist of           shares of common stock,
$.01 par value per share, and           shares of preferred stock, $.01 par
value per share.

    After giving effect to these changes to our certificate of incorporation and
the   -for-  stock split, but before the closing of the offering, based on share
information as of       , there will be       shares of common stock outstanding
and no shares of preferred stock outstanding. After the closing of the offering,
there will be       shares of common stock outstanding.

    After the closing of the offering, the Forstmann Little partnerships and our
management will beneficially own approximately       % of the outstanding common
stock,   % on a fully diluted basis. As long as the Forstmann Little
partnerships and our management continue to own in the aggregate more than 50%
of the outstanding shares of common stock, they will collectively have the power
to:

    - elect our entire Board of Directors;

    - determine without the consent of other stockholders, the outcome of any
      corporate transaction or other matter submitted to the stockholders for
      approval, including mergers, consolidations and the sale of all or
      substantially all of our assets;

    - prevent or cause a change in control; and

    - approve substantially all amendments to our certificate of incorporation.

    The Forstmann Little partnerships have a contractual right to elect two
directors until such time as they no longer own any of our shares of common
stock.

    The following summary contains material information relating to provisions
of our common stock, preferred stock, certificate of incorporation and by-laws
is not intended to be complete and is qualified by reference to the provisions
of applicable law and to our certificate of incorporation and by-laws included
as exhibits to the registration statement of which this prospectus is a part.

COMMON STOCK

    Holders of common stock are entitled to one vote for each share held on all
matters submitted to a vote of stockholders and do not have cumulative voting
rights. Accordingly, holders of a majority of the outstanding shares of common
stock entitled to vote in any election of directors may elect all of the
directors standing for election. Holders of common stock are entitled to receive
ratably such dividends, if any, as may be declared by the board of directors out
of legally available funds. Upon our liquidation, dissolution or winding-up,
holders of common stock are entitled to receive ratably our net assets available
for distribution after the payment of all of our liabilities and the payment of
any required amounts to the holders of any outstanding preferred stock. Holders
of common stock have no preemptive, subscription, redemption or conversion
rights. The outstanding shares of common stock are, and the shares sold in the
offering will be, when issued and paid for, validly issued, fully paid and
nonassessable. The rights, preferences and privileges of holders of common stock
are subject to, and may be adversely affected by, the rights of holders of
shares of any series of preferred stock that may designate and issue in the
future.

                                       68
<PAGE>
PREFERRED STOCK

    Our Board of Directors is authorized, subject to any limitations prescribed
by law, without further stockholder approval, to establish from time to time one
or more classes or series of preferred stock covering up to an aggregate of
            shares of preferred stock, and to issue such shares of preferred
stock. Each class or series of preferred stock will cover such number of shares
and will have such preferences, voting powers, qualifications and special or
relative rights or privileges as is determined by the board of directors, which
may include, among others, dividend rights, liquidation preferences, voting
rights, conversion rights, preemptive rights, and redemption rights.

    The purpose of authorizing the Board of Directors to establish preferred
stock is to eliminate delays associated with a stockholders vote on the creation
of a particular class or series of preferred stock. The rights of the holders of
common stock will be subject to the rights of holders of any preferred stock
issued in the future. The issuance of preferred stock, while providing desirable
flexibility in connection with possible acquisitions and other corporate
purposes, could have the effect of discouraging, delaying or preventing an
acquisition of our company at a price which many stockholders find attractive.
These provisions could also make it more difficult for our stockholders to
effect certain corporate actions, including the election of directors. We have
no present plans to issue any shares of preferred stock.

LIMITATION ON LIABILITY AND INDEMNIFICATION MATTERS

    Our certificate of incorporation limits the liability of our directors to us
and our stockholders to the fullest extent permitted by Delaware law.
Specifically, our directors will not be personally liable for money damages for
breach of fiduciary duty as a director, except for liability

    - for any breach of the director's duty of loyalty to us or our
      stockholders;

    - for acts or omissions not in good faith or which involve intentional
      misconduct or a knowing violation of law;

    - under Section 174 of the Delaware General Corporation Law, which concerns
      unlawful payments of dividends, stock purchases, or redemptions; and

    - for any transaction from which the director derived an improper personal
      benefit.

    Our certificate of incorporation and by-laws will also contain provisions
indemnifying our directors and officers to the fullest extent permitted by
Delaware law. The indemnification permitted under Delaware law is not exclusive
of any other rights to which such persons may be entitled.

    In addition, we maintain directors' and officers' liability insurance to
provide our directors and officers with insurance coverage for losses arising
from claims based on breaches of duty, negligence, error and other wrongful
acts.

    We have entered into, or intend to enter into, indemnification agreements
with our directors and executive officers. These agreements contain provisions
that may require us, among other things, to indemnify these directors and
executive officers against certain liabilities that may arise because of their
status or service as directors or executive officers, advance their expenses
incurred as a result of any proceeding against them as to which they could be
indemnified and obtain directors' and officers' liability insurance.

    At present there is no pending litigation or proceeding involving any
director or officer, as to which indemnification is required or permitted. We
are not aware of any threatened litigation or proceeding which may result in a
claim for such indemnification.

                                       69
<PAGE>
ANTI-TAKEOVER EFFECTS OF OUR CERTIFICATE OF INCORPORATION AND BYLAWS AND
  PROVISIONS OF DELAWARE LAW

    A number of provisions in our certificate of incorporation, by-laws and
Delaware law may make it more difficult to acquire control of us. These
provisions could deprive the stockholders of opportunities to realize a premium
on the shares of common stock owned by them. In addition, these provisions may
adversely affect the prevailing market price of the common stock. These
provisions are intended to:

    - enhance the likelihood of continuity and stability in the composition of
      the board and in the policies formulated by the board;

    - discourage certain types of transactions which may involve an actual or
      threatened change in control of our company;

    - discourage certain tactics that may be used in proxy fights; and

    - encourage persons seeking to acquire control of our company to consult
      first with the board of directors to negotiate the terms of any proposed
      business combination or offer.

    STAGGERED BOARD.  Our certificate of incorporation and by-laws will provide
that the number of our directors shall be fixed from time to time by a
resolution of a majority of our board of directors. Our certificate of
incorporation and by-laws also provide that the board of directors shall be
divided into three classes. The members of each class of directors will serve
for staggered three-year terms. In accordance with the Delaware General
Corporation Law, directors serving on classified boards of directors may only be
removed from office for cause. The classification of the board has the effect of
requiring at least two annual stockholder meetings, instead of one, to replace a
majority of the members of the board. Subject to the rights of the holders of
any outstanding series of preferred stock, vacancies on the board of directors
may be filled only by a majority of the remaining directors, or by the sole
remaining director, or by the stockholders if the vacancy was caused by removal
of the director by the stockholders. This provision could prevent a stockholder
from obtaining majority representation on the board by enlarging the board of
directors and filling the new directorships with its own nominees.

    ADVANCE NOTICE PROCEDURES FOR STOCKHOLDER PROPOSALS AND DIRECTOR
NOMINATIONS.  Our by-laws will provide that stockholders seeking to bring
business before an annual meeting of stockholders, or to nominate candidates for
election as directors at an annual meeting of stockholders, must provide timely
notice thereof in writing. To be timely, a stockholder's notice generally must
be delivered to or mailed and received at our principal executive offices not
less than 45 or more than 75 days prior to the first anniversary of the date on
which we first mailed our proxy materials for the preceding year's annual
meeting of stockholders. However, if the date of the annual meeting is advanced
more than 30 days prior to or delayed by more than 30 days after the anniversary
of the preceding year's annual meeting, to be timely, notice by the stockholder
must be delivered not later than the close of business on the later of the 90th
day prior to the annual meeting or the 10th day following the day on which
public announcement of the date of the meeting is first made. The by-laws will
also specify certain requirements as to the form and content of a stockholder's
notice. These provisions may preclude stockholders from bringing matters before
an annual meeting of stockholders or from making nominations for directors at an
annual meeting of stockholders.

    STOCKHOLDER ACTION BY WRITTEN CONSENT.  Our by-laws provide that
stockholders may take action by written consent.

    PREFERRED STOCK.  The ability of our board to establish the rights and issue
substantial amounts of preferred stock without the need for stockholder
approval, while providing desirable flexibility in connection with possible
acquisitions, financings, and other corporate transactions, may among other
things, discourage, delay, defer, or prevent a change in control of the company.

                                       70
<PAGE>
    AUTHORIZED BUT UNISSUED SHARES OF COMMON STOCK.  The authorized but unissued
shares of common stock are available for future issuance without stockholder
approval. These additional shares may be utilized for a variety of corporate
purposes, including future public offerings to raise additional capital,
corporate acquisitions, and employee benefit plans. The existence of authorized
but unissued shares of common stock could render more difficult or discourage an
attempt to obtain control of us by means of a proxy contest, tender offer,
merger or otherwise.

    WE HAVE OPTED OUT OF SECTION 203 OF THE DELAWARE GENERAL CORPORATION
LAW.  Our certificate of incorporation provides that we have opted out of the
provisions of Section 203 of the Delaware General Corporation Law. In general,
Section 203 prohibits a publicly held Delaware corporation from engaging in a
"business combination" with an "interested stockholder" for a period of three
years after the date of the transaction in which the person became an interested
stockholder, unless the business combination is approved in a prescribed manner.
Because we have opted out in the manner permitted under Delaware law, the
restrictions of this provision will not apply to us.

                        SHARES ELIGIBLE FOR FUTURE SALE

RULE 144 SECURITIES

    Upon the consummation of the offering, we will have       shares of common
stock outstanding. Of these shares, only the             shares of common stock
sold in the offering will be freely tradable without registration under the
Securities Act and without restriction by persons other than our "affiliates."
The       shares of common stock held by the Forstmann Little partnerships and
our directors and executive officers after the offering will be "restricted"
securities under the meaning of Rule 144 under the Securities Act and may not be
sold in the absence of registration under the Securities Act, unless an
exemption from registration is available, including exemptions pursuant to
Rule 144 or Rule 144A under the Securities Act.

    In general, under Rule 144 as currently in effect, beginning 90 days after
the date of this prospectus, a person who has beneficially owned shares of our
common stock for at least one year would be entitled to sell within any
three-month period a number of shares that does not exceed the greater of either
of the following:

    - 1% of the number of shares of common stock then outstanding, which will
      equal approximately the number of shares outstanding immediately after the
      offering, or

    - the average weekly trading volume of the common stock on the NYSE during
      the four calendar weeks preceding the filing of a notice on Form 144 with
      respect to such sale.

    Sales under Rule 144 are also subject to certain manner of sale provisions
and notice requirements and to the availability of current public information
about us.

    Under Rule 144(k), a person who is not deemed to have been one of our
"affiliates" at any time during the 90 days preceding a sale, and who has
beneficially owned the shares proposed to be sold for at least two years,
including the holding period of any prior owner other than an "affiliate," is
entitled to sell its shares without complying with the manner of sale, public
information, volume limitation or notice provisions of Rule 144. Therefore,
unless otherwise restricted, "144(k) shares" may be sold immediately upon the
completion of the offering. The sale of these shares, or the perception that
sales will be made, could adversely affect the price of our common stock after
the offering because a greater supply of shares would be, or would be perceived
to be, available for sale in the public market.

    We and our executive officers and directors and all existing stockholders
have agreed that, without the prior written consent of Merrill Lynch & Co. on
behalf of the underwriters, it will not, during the period ended 180 days after
the date of this prospectus, sell shares of common stock or take certain related
actions, subject to limited exceptions, all as described under "Underwriting."

                                       71
<PAGE>
REGISTRATION RIGHTS

    We have entered into a registration rights agreement with the Forstmann
Little partnerships, pursuant to which we have granted to the Forstmann Little
partnerships six demand rights to cause us to file a registration statement
under the Securities Act covering resales of all shares of common stock held by
the Forstmann Little partnerships, and to cause the registration statement to
become effective. The registration rights agreement also grants "piggyback"
registration rights permitting the Forstmann Little partnerships to include its
registrable securities in a registration of securities by us. Under the
agreement, we will pay the expenses of such registrations.

    In addition, pursuant to the stockholder's and subscription agreements, we
have granted "piggyback" registration rights to all of our employees and
directors who have purchased shares of common stock and/or that have been
awarded options to purchase shares of common stock. These registration rights
are exercisable only upon registration by us of shares of common stock held by
the Forstmann Little partnerships. The holders of common stock entitled to these
registration rights are entitled to notice of any proposal to register shares
held by the Forstmann Little partnerships and to include their shares in such
registration. We will pay the expenses of these piggyback registrations.

     UNITED STATES FEDERAL TAX CONSIDERATIONS FOR NON-UNITED STATES HOLDERS

    The following is a general discussion of the principal United States federal
income and estate tax consequences of the ownership and disposition of our
common stock by a non-U.S. holder. As used in this discussion, the term
"non-U.S. holder" means a beneficial owner of our common stock that is not, for
U.S. federal income tax purposes:

    - an individual who is a citizen or resident of the United States;

    - a corporation or partnership created or organized in or under the laws of
      the United States or of any political subdivision of the United States,
      other than a partnership treated as foreign under U.S. Treasury
      regulations;

    - an estate whose income is includible in gross income for U.S. federal
      income tax purposes regardless of its source; or

    - a trust, in general, if a U.S. court is able to exercise primary
      supervision over the administration of the trust and one or more U.S.
      persons have authority to control all substantial decisions of the trust.

    An individual may be treated as a resident of the United States in any
calendar year for U.S. federal income tax purposes, instead of a nonresident,
by, among other ways, being present in the United States on at least 31 days in
that calendar year and for an aggregate of at least 183 days during a three-year
period ending in the current calendar year. For purposes of this calculation,
you would count all of the days present in the current year, one-third of the
days present in the immediately preceding year and one-sixth of the days present
in the second preceding year. Residents are taxed for U.S. federal income
purposes as if they were U.S. citizens.

    This discussion does not consider:

    - U.S. state and local or non-U.S. tax consequences;

    - specific facts and circumstances that may be relevant to a particular
      non-U.S. holder's tax position, including, if the non-U.S. holder is a
      partnership that the U.S. tax consequences of holding and disposing of our
      common stock may be affected by certain determinations made at the partner
      level;

    - the tax consequences for the shareholders, partners or beneficiaries of a
      non-U.S. holder;

                                       72
<PAGE>
    - special tax rules that may apply to particular non-U.S. holders, such as
      financial institutions, insurance companies, tax-exempt organizations,
      U.S. expatriates, broker-dealers, and traders in securities; or

    - special tax rules that may apply to a non-U.S. holder that holds our
      common stock as part of a "straddle," "hedge," "conversion transaction,"
      "synthetic security" or other integrated investment.

    The following discussion is based on provisions of the U.S. Internal Revenue
Code of 1986, as amended, applicable U.S. Treasury regulations and
administrative and judicial interpretations, all as in effect on the date of
this prospectus, and all of which are subject to change, retroactively or
prospectively. The following summary assumes that a non-U.S. holder holds our
common stock as a capital asset. EACH NON-U.S. HOLDER SHOULD CONSULT A TAX
ADVISOR REGARDING THE U.S. FEDERAL, STATE, LOCAL, AND NON-U.S. INCOME AND OTHER
TAX CONSEQUENCES OF ACQUIRING, HOLDING, AND DISPOSING OF SHARES OF OUR COMMON
STOCK.

DIVIDENDS

    We do not anticipate paying cash dividends on our common stock in the
foreseeable future. See "Dividend Policy." In the event, however, that we pay
dividends on our common stock, we will have to withhold a U.S. federal
withholding tax at a rate of 30%, or a lower rate under an applicable income tax
treaty, from the gross amount of the dividends paid to a non-U.S. holder.
Non-U.S. holders should consult their tax advisors regarding their entitlement
to benefits under a relevant income tax treaty.

    Dividends paid prior to 2001 to an address in a foreign country are
presumed, absent actual knowledge to the contrary, to be paid to a resident of
such country for purposes of the withholding discussed above and for purposes of
determining the applicability of a tax treaty rate. For dividends paid after
2000:

    - a non-U.S. holder who claims the benefit of an applicable income tax
      treaty rate generally will be required to satisfy applicable certification
      and other requirements;

    - in the case of common stock held by a foreign partnership, the
      certification requirement will generally be applied to the partners of the
      partnership and the partnership will be required to provide certain
      information, including a U.S. taxpayer identification number; and

    - look-through rules will apply for tiered partnerships.

    A non-U.S. holder that is eligible for a reduced rate of U.S. federal
withholding tax under an income tax treaty may obtain a refund or credit of any
excess amounts withheld by filing an appropriate claim for a refund with the
U.S. Internal Revenue Service.

    Dividends that are effectively connected with a non-U.S. holder's conduct of
a trade or business in the United States or, if an income tax treaty applies,
attributable to a permanent establishment in the United States, are taxed on a
net income basis at the regular graduated rates and in the manner applicable to
U.S. persons. In that case, we will not have to withhold U.S. federal
withholding tax if the non-U.S. holder complies with applicable certification
and disclosure requirements. In addition, a "branch profits tax" may be imposed
at a 30% rate, or a lower rate under an applicable income tax treaty, on
dividends received by a foreign corporation that are effectively connected with
the conduct of a trade or business in the United States.

                                       73
<PAGE>
GAIN ON DISPOSITION OF COMMON STOCK

    A non-U.S. holder generally will not be taxed on gain recognized on a
disposition of our common stock unless:

    - the gain is effectively connected with the non-U.S. holder's conduct of a
      trade or business in the United States or, alternatively, if an income tax
      treaty applies, is attributable to a permanent establishment maintained by
      the non-U.S. holder in the United States; in these cases, the gain will be
      taxed on a net income basis at the regular graduated rates and in the
      manner applicable to U.S. persons and, if the non-U.S. holder is a foreign
      corporation, the "branch profits tax" described above may also apply;

    - the non-U.S. holder is an individual who holds our common stock as a
      capital asset, is present in the United States for more than 182 days in
      the taxable year of the disposition and meets other requirements; or

    - we are or have been a "U.S. real property holding corporation" for U.S.
      federal income tax purposes at any time during the shorter of the
      five year period ending on the date of disposition or the period that the
      non-U.S. holder held our common stock.

    In general, we will be treated as a "U.S. real property holding corporation"
if the fair market value of our "U.S. real property interests" equals or exceeds
50% of the sum of the fair market value of our worldwide real property interests
and our other assets used or held for use in a trade or business. Currently, it
is our best estimate that the fair market value of our U.S. real property
interests is, and has been for at least the previous five years, less than 50%
of the sum of the fair market value of our worldwide real property interests and
our other assets, including goodwill, used or held for use in a trade or
business. Therefore, we believe that we are not currently a U.S. real property
holding corporation. Nor do we anticipate becoming a U.S. real property holding
corporation in the future.

    However, even if we are or have been a U.S. real property holding
corporation, a non-U.S. holder which did not beneficially own, directly or
indirectly, more than 5% of the total fair market value of our common stock at
any time during the shorter of the five-year period ending on the date of
disposition or the period that our common stock was held by the non-U.S. holder
(a "non-5% holder") and which is not otherwise taxed under any other
circumstances described above, generally will not be taxed on any gain realized
on the disposition of our common stock if, at any time during the calendar year
of the disposition, our common stock was regularly traded on an established
securities market within the meaning of the applicable U.S. Treasury
regulations.

    We have applied to have our common stock listed on the NYSE. Although not
free from doubt, our common stock should be considered to be regularly traded on
an established securities market for any calendar quarter during which it is
regularly quoted on the NYSE by brokers or dealers which hold themselves out to
buy or sell our common stock at the quoted price. If our common stock were not
considered to be regularly traded on the NYSE at any time during the applicable
calendar year, then a non-5% holder would be taxed for U.S. federal income tax
purposes on any gain realized on the disposition of our common stock on a net
income basis as if the gain were effectively connected with the conduct of a
U.S. trade or business by the non-5% holder during the taxable year and, in such
case, the person acquiring our common stock from a non-5% holder generally would
have to withhold 10% of the amount of the proceeds of the disposition. Such
withholding may be reduced or eliminated pursuant to a withholding certificate
issued by the U.S. Internal Revenue Service in accordance with applicable U.S.
Treasury regulations. We urge all non-U.S. holders to consult their own tax
advisors regarding the application of these rules to them.

                                       74
<PAGE>
FEDERAL ESTATE TAX

    Common stock owned or treated as owned by an individual who is a non-U.S.
holder at the time of death will be included in the individual's gross estate
for U.S. federal estate tax purposes, unless an applicable estate tax or other
treaty provides otherwise and, therefore, may be subject to U.S. federal estate
tax.

INFORMATION REPORTING AND BACKUP WITHHOLDING TAX

    We must report annually to the U.S. Internal Revenue Service and to each
non-U.S. holder the amount of dividends paid to that holder and the tax withheld
from those dividends. Copies of the information returns reporting those
dividends and withholding may also be made available to the tax authorities in
the country in which the non-U.S. holder is a resident under the provisions of
an applicable income tax treaty or agreement.

    Under some circumstances, U.S. Treasury regulations require additional
information reporting and backup withholding at a rate of 31% on some payments
on common stock. Under currently applicable law, non-U.S. holders generally will
be exempt from these additional information reporting requirements and from
backup withholding on dividends paid prior to 2001 if we either were required to
withhold a U.S. federal withholding tax from those dividends or we paid those
dividends to an address outside the United States. After 2000, however, the
gross amount of dividends paid to a non-U.S. holder that fails to certify its
non-U.S. holder status in accordance with applicable U.S. Treasury regulations
generally will be reduced by backup withholding at a rate of 31%.

    The payment of the proceeds of the disposition of common stock by a non-U.S.
holder to or through the U.S. office of a broker or a non-U.S. office of a U.S.
broker generally will be reported to the U.S. Internal Revenue Service and
reduced by backup withholding at a rate of 31% unless the non-U.S. holder either
certifies its status as a non-U.S. holder under penalties of perjury or
otherwise establishes an exemption and the broker has no actual knowledge to the
contrary. The payment of the proceeds of the disposition of common stock by a
non-U.S. holder to or through a non-U.S. office of a non-U.S. broker will not be
reduced by backup withholding or reported to the U.S. Internal Revenue Service
unless the non-U.S. broker has certain enumerated connections with the United
States. In general, the payment of proceeds from the disposition of common stock
by or through a non-U.S. office of a broker that is a U.S. person or has certain
enumerated connections with the United States will be reported to the U.S.
Internal Revenue Service and, after 2000, may be reduced by backup withholding
at a rate of 31%, unless the broker receives a statement from the non-U.S.
holder, signed under penalty of perjury, certifying its non-U.S. status or the
broker has documentary evidence in its files that the holder is a non-U.S.
holder and the broker has no actual knowledge to the contrary.

    Non-U.S. holders should consult their own tax advisors regarding the
application of the information reporting and backup withholding rules to them,
including changes to these rules that will become effective after 2000.

    Any amounts withheld under the backup withholding rules from a payment to a
non-U.S. holder will be refunded, or credited against the holder's U.S. federal
income tax liability, if any, provided that the required information is
furnished to the U.S. Internal Revenue Service.

                                       75
<PAGE>
                                  UNDERWRITING

    We intend to offer the shares in the U.S. and Canada through the U.S.
underwriters and elsewhere through the international managers. Merrill Lynch,
Pierce, Fenner & Smith Incorporated, Banc of America Securities LLC, Chase
Securities Inc., Credit Suisse First Boston Corporation, Goldman, Sachs & Co.,
and Morgan Stanley & Co. Incorporated are acting as U.S. representatives of the
U.S. underwriters named below. Subject to the terms and conditions described in
a U.S. purchase agreement between us and the U.S. underwriters, and concurrently
with the sale of       shares to the international managers, we have agreed to
sell to the U.S. underwriters, and the U.S. underwriters severally have agreed
to purchase from us, the number of shares listed opposite their names below.

<TABLE>
<CAPTION>
                                                               NUMBER
U.S. UNDERWRITER                                              OF SHARES
<S>                                                           <C>
Merrill Lynch, Pierce, Fenner & Smith
          Incorporated......................................
Banc of America Securities LLC..............................
Chase Securities Inc........................................
Credit Suisse First Boston Corporation......................
Goldman, Sachs & Co.........................................
Morgan Stanley & Co. Incorporated...........................

                                                               -------

          Total.............................................
                                                               =======
</TABLE>

    We have also entered into an international purchase agreement with the
international managers for sale of the shares outside the U.S. and Canada for
whom Merrill Lynch International, Bank of America International Limited, Chase
Securities Inc., Credit Suisse First Boston (Europe) Limited, Goldman Sachs
International, and Morgan Stanley & Co. International Limited are acting as lead
managers. Subject to the terms and conditions in the international purchase
agreement, and concurrently with the sale of       shares to the U.S.
underwriters pursuant to the U.S. purchase agreement, we have agreed to sell to
the international managers, and the international managers severally have agreed
to purchase       shares from us. The initial public offering price per share
and the total underwriting discount per share are identical under the U.S.
purchase agreement and the international purchase agreement.

    The U.S. underwriters and the international managers have agreed to purchase
all of the shares sold under the U.S. and international purchase agreements if
any of these shares are purchased. If an underwriter defaults, the U.S. and
international purchase agreements provide that the purchase commitments of the
nondefaulting underwriters may be increased or the purchase agreements may be
terminated. The closings for the sale of shares to be purchased by the U.S.
underwriters and the international managers are conditioned on one another.

    We have agreed to indemnify the U.S. underwriters and the international
managers against certain liabilities, including liabilities under the Securities
Act, or to contribute to payments the U.S. underwriters and international
managers may be required to make in respect of those liabilities.

    The underwriters are offering the shares, subject to prior sale, when, as,
and if issued to and accepted by them, subject to approval of legal matters by
their counsel, including the validity of the shares, and other conditions
contained in the purchase agreements, such as the receipt by the underwriters of
officer's certificates and legal opinions. The underwriters reserve the right to
withdraw, cancel, or modify offers to the public and to reject orders in whole
or in part.

                                       76
<PAGE>
COMMISSIONS AND DISCOUNTS

    The U.S. representatives have advised us that the U.S. underwriters propose
initially to offer the shares to the public at the initial public offering price
on the cover page of this prospectus and to dealers at that price less a
concession not in excess of $      per share. The U.S. underwriters may allow,
and the dealers may reallow, a discount not in excess of $      per share to
other dealers. After the initial public offering, the public offering price,
concession, and discount may be changed.

    The following table shows the public offering price, underwriting discount
and proceeds before our expenses. The information assumes either no exercise or
full exercise by the U.S. underwriters and the international managers of their
over-allotment options.

<TABLE>
<CAPTION>
                                                    PER SHARE   WITHOUT OPTION   WITH OPTION
                                                    ---------   --------------   -----------
<S>                                                 <C>         <C>              <C>
Public offering price.............................      $              $              $
Underwriting discount.............................      $              $              $
Proceeds before expenses to Community Health
  Systems.........................................      $              $              $
</TABLE>

    The expenses of the offering, not including the underwriting discount, are
estimated at $      and are payable by us.

OVER-ALLOTMENT OPTION

    We have granted options to the U.S. underwriters to purchase up to
      additional shares at the public offering price less the underwriting
discount. The U.S. underwriters may exercise these options for 30 days from the
date of this prospectus solely to cover any overallotments. If the U.S.
underwriters exercise these options, each will be obligated, subject to
conditions contained in the purchase agreements, to purchase a number of
additional shares proportionate to that U.S. underwriter's initial amount
reflected in the above table.

    We have also granted options to the international managers, exercisable for
30 days from the date of this prospectus, to purchase up to       additional
shares to cover any over-allotments on terms similar to those granted to the
U.S. underwriters.

INTERSYNDICATE AGREEMENT

    The U.S. underwriters and the international managers have entered into an
intersyndicate agreement that provides for the coordination of their activities.
Under the intersyndicate agreement, the U.S. underwriters and the international
managers may sell shares to each other for purposes of resale at the initial
public offering price, less an amount not greater than the selling concession.
Under the intersyndicate agreement, the U.S. underwriters and any dealer to whom
they sell shares will not offer to sell or sell shares to persons who are
non-U.S. or non-Canadian persons or to persons they believe intend to resell to
persons who are non-U.S. or non-Canadian persons, except in the case of
transactions under the intersyndicate agreement. Similarly, the international
managers and any dealer to whom they sell shares will not offer to sell or sell
shares to U.S. persons or Canadian persons or to persons they believe intend to
resell to U.S. or Canadian persons, except in the case of transactions under the
intersyndicate agreement.

RESERVED SHARES

    At our request, the underwriters have reserved for sale, at the initial
public offering price, up to       shares offered by this prospectus for sale to
some of our directors, officers, employees, business associates, and related
persons. If these persons purchase reserved shares, this will reduce the number
of shares available for sale to the general public. Any reserved shares that are
not orally confirmed for

                                       77
<PAGE>
purchase within one day of the pricing of the offering will be offered by the
underwriters to the general public on the same terms as the other shares offered
by this prospectus.

NO SALES OF SIMILAR SECURITIES

    We and our executive officers and directors and all existing stockholders
have agreed, with exceptions, not to sell or transfer any common stock for
180 days after the date of this prospectus without first obtaining the written
consent of Merrill Lynch. Specifically, we and these other individuals have
agreed not to directly or indirectly

    - offer, pledge, sell or contract to sell any common stock;

    - sell any option or contract to purchase any common stock;

    - purchase any option or contract to sell any common stock;

    - grant any option, right or warrant for the sale of any common stock;

    - lend or otherwise dispose of or transfer any common stock;

    - request or demand that we file a registration statement related to the
      common stock; or

    - enter into any swap or other agreement that transfers, in whole or in
      part, the economic consequence of ownership of any common stock whether
      any such swap or transaction is to be settled by delivery of shares or
      other securities, in cash or otherwise.

    This lockup provision applies to common stock and to securities convertible
into or exchangeable or exercisable for or repayable with common stock. It also
applies to common stock owned now or acquired later by the person executing the
agreement or for which the person executing the agreement later acquires the
power of disposition. This lockup provision does not limit our ability to grant
options to purchase common stock under stock option plans or to issue common
stock under our employee stock purchase plan.

NEW YORK STOCK EXCHANGE LISTING

    We expect the shares to be approved for listing on the NYSE under the symbol
"CYH." In order to meet the requirements for listing on that exchange, the U.S.
underwriters and the international managers have undertaken to sell a minimum
number of shares to a minimum number of beneficial owners as required by that
exchange.

    Before the offering, there has been no public market for our common stock.
The initial public offering price will be determined through negotiations among
us and the U.S. representatives and lead managers. In addition to prevailing
market conditions, the factors to be considered in determining the initial
public offering price are

    - the valuation multiples of publicly traded companies that the U.S.
      representatives and the lead managers believe to be comparable to us;

    - our financial information;

    - the history of, and the prospects for, us and the industry in which we
      compete;

    - an assessment of our management, its past and present operations, and the
      prospects for, and timing of, our future revenues;

    - the present state of our development; and

    - the above factors in relation to market values and various valuation
      measures of other companies engaged in activities similar to ours.

                                       78
<PAGE>
    An active trading market for the shares may not develop. It is also possible
that after the offering the shares will not trade in the public market at or
above the initial public offering price.

    The underwriters do not expect to sell more than 5% of the shares in the
aggregate to accounts over which they exercise discretionary authority.

NASD REGULATIONS

    It is anticipated that more than ten percent of the proceeds of the offering
will be applied to pay down debt obligations owed to affiliates of Chase
Securities Inc., Banc of America Securities LLC, Merrill Lynch, Pierce, Fenner &
Smith Incorporated, and Morgan Stanley & Co. Incorporated. Because more than ten
percent of the net proceeds of the offering may be paid to members or affiliates
of members of the National Association of Securities Dealers, Inc. participating
in the offering, the offering will be conducted in accordance with NASD Conduct
Rule 2710(c)(8). This rule requires that the public offering price of an equity
security be no higher than the price recommended by a qualified independent
underwriter which has participated in the preparation of the registration
statement and performed its usual standard of due diligence with respect to that
registration statement. Merrill Lynch, Pierce, Fenner & Smith Incorporated has
agreed to act as qualified independent underwriter for the offering. The price
of the shares will be no higher than that recommended by Merrill Lynch, Pierce,
Fenner & Smith Incorporated.

PRICE STABILIZATION, SHORT POSITIONS, AND PENALTY BIDS

    Until the distribution of the shares is completed, Commission rules may
limit underwriters and selling group members from bidding for and purchasing our
common stock. However, the U.S. representatives may engage in transactions that
stabilize the price of the common stock, such as bids or purchases to peg, fix
or maintain that price.

    If the underwriters create a short position in the common stock in
connection with the offering, i.e., if they sell more shares than are listed on
the cover of this prospectus, the U.S. representatives may reduce that short
position by purchasing shares in the open market. The U.S. representatives may
also elect to reduce any short position by exercising all or part of the
over-allotment option described above. Purchases of the common stock to
stabilize its price or to reduce a short position may cause the price of the
common stock to be higher than it might be in the absence of such purchases.

    The U.S. representatives may also impose a penalty bid on underwriters. This
means that if the U.S. representatives purchase shares in the open market to
reduce the underwriter's short position or to stabilize the price of such
shares, they may reclaim the amount of the selling concession from the
underwriters who sold those shares. The imposition of a penalty bid may also
affect the price of the shares in that it discourages resales of those shares.

    Neither we nor any of the underwriters makes any representation or
prediction as to the direction or magnitude of any effect that the transactions
described above may have on the price of the common stock. In addition, neither
we nor any of the underwriters makes any representation that the U.S.
representatives or the lead managers will engage in these transactions or that
these transactions, once commenced, will not be discontinued without notice.

OTHER RELATIONSHIPS

    Some of the underwriters and their affiliates have engaged in, and may in
the future engage in, investment banking and other commercial dealings in the
ordinary course of business with us. They have received customary fees and
commissions for these transactions. In particular, an affiliate of Chase
Securities Inc. acts as administrative agent for our credit facility and
affiliates of Chase Securities Inc., Banc of America Securities LLC, Merrill
Lynch, Pierce, Fenner & Smith Incorporated, and Morgan

                                       79
<PAGE>
Stanley & Co. are lenders under our credit facility. Michael A. Miles, our
Chairman of the Board, is a director of Morgan Stanley Dean Witter and receives
customary compensation for serving in this position.

                                 LEGAL MATTERS

    The validity of the shares of common stock offered by this prospectus will
be passed upon for us by Fried, Frank, Harris, Shriver & Jacobson (a partnership
including professional corporations), New York, New York. Certain legal matters
related to the offering will be passed upon for the underwriters by Debevoise &
Plimpton, New York, New York. Fried, Frank, Harris, Shriver & Jacobson has in
the past provided, and may continue to provide, legal services to Forstmann
Little and its affiliates.

                                    EXPERTS

    The consolidated financial statements as of December 31, 1998 and 1999 and
for each of the three years in the period ended December 31, 1999 included in
this prospectus and the related financial statement schedule included elsewhere
in the registration statement have been audited by Deloitte & Touche LLP,
independent auditors, as stated in their reports appearing herein and elsewhere
in the registration statement, and have been so included in reliance upon the
reports of such firm given upon their authority as experts in accounting and
auditing.

                      WHERE YOU CAN FIND MORE INFORMATION

    We have filed with the Commission a registration statement on Form S-1,
which includes amendments, exhibits, schedules and supplements, under the
Securities Act and the rules and regulations under the Securities Act, for the
registration of the common stock offered by this prospectus. Although this
prospectus, which forms a part of the registration statement, contains all
material information included in the registration statement, parts of the
registration statement have been omitted from this prospectus as permitted by
the rules and regulations of the Commission. For further information with
respect to us and the common stock offered by this prospectus, please refer to
the registration statement. Statements contained in this prospectus as to the
contents of any contracts or other document referred to in this prospectus are
not necessarily complete and, where such contract or other document is an
exhibit to the registration statement, each such statement is qualified in all
respects by the provisions of such exhibit, to which reference is now made. The
registration statement can be inspected and copied at prescribed rates at the
public reference facilities maintained by the Commission at Room 1024, 450 Fifth
Street, N.W., Washington, D.C. 20549, and at the Commission's regional offices
at Seven World Trade Center, 13th Floor, New York, New York 10048 and
Northwestern Atrium Center, 500 West Madison Street, Suite 1400, Chicago,
Illinois 60661. The public may obtain information regarding the Washington, D.C.
Public Reference Room by calling the Commission at 1-800-SEC-0330. In addition,
the registration statement is publicly available through the Commission's site
on the Internet's World Wide Web, located at: http://www.sec.gov. Following the
offering, our future public filings are expected to be available for inspection
at the offices of the New York Stock Exchange, Inc., 20 Broad Street, New York,
New York 10005.

    After the offering, we will be subject to the full informational
requirements of the Securities Exchange Act. To comply with these requirements,
we will file periodic reports, proxy statements and other information with the
Commission.

                                       80
<PAGE>
                   INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

<TABLE>
<S>                                                           <C>
Independent Auditors' Report................................    F-2

Consolidated Balance Sheets as of December 31, 1998 and
  1999......................................................    F-3

Consolidated Statements of Operations for the years ended
  December 31, 1997, 1998 and 1999..........................    F-4

Consolidated Statements of Stockholders' Equity for the
  years ended December 31, 1997, 1998 and 1999..............    F-5

Consolidated Statements of Cash Flows for the years ended
  December 31, 1997, 1998 and 1999..........................    F-6

Notes to Consolidated Financial Statements..................    F-7
</TABLE>

                                      F-1
<PAGE>
                          INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Stockholders of
Community Health Systems, Inc.
Brentwood, Tennessee

    We have audited the accompanying consolidated balance sheets of Community
Health Systems, Inc. (formerly Community Health Systems Holdings Corp.) and
subsidiaries as of December 31, 1998 and 1999, and the related consolidated
statements of operations, stockholders' equity, and cash flows for each of the
three years in the period ended December 31, 1999. These financial statements
are the responsibility of the Company's management. Our responsibility is to
express an opinion on these financial statements based on our audits.

    We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

    In our opinion, such consolidated financial statements present fairly, in
all material respects, the consolidated financial position of Community Health
Systems, Inc. and subsidiaries as of December 31, 1998 and 1999, and the results
of their operations and their cash flows for each of the three years in the
period ended December 31, 1999, in conformity with generally accepted accounting
principles.

/s/ Deloitte & Touche LLP

Nashville, Tennessee
February 25, 2000

                                      F-2
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

                          CONSOLIDATED BALANCE SHEETS

                       (IN THOUSANDS, EXCEPT SHARE DATA)

<TABLE>
<CAPTION>
                                                                   AS OF DECEMBER 31,
                                                                ------------------------
                                                                   1998          1999
                                                                ----------    ----------
<S>                                                             <C>           <C>
ASSETS
CURRENT ASSETS
  Cash and cash equivalents.................................    $    6,719    $    4,282
  Patient accounts receivable, net of allowance for doubtful
    accounts of $28,771 and $34,499 in 1998 and 1999,
    respectively............................................       148,797       217,283
  Supplies..................................................        26,037        32,134
  Prepaid and current deferred income taxes.................         7,564         5,862
  Prepaid expenses..........................................         7,456         9,846
  Other current assets......................................        13,683        22,022
                                                                ----------    ----------
      Total current assets..................................       210,256       291,429
                                                                ----------    ----------
PROPERTY AND EQUIPMENT
  Land and improvements.....................................        35,804        41,327
  Buildings and improvements................................       402,853       470,856
  Equipment and fixtures....................................       184,472       219,659
                                                                ----------    ----------
                                                                   623,129       731,842
  Less accumulated depreciation and amortization............       (70,114)     (108,499)
                                                                ----------    ----------
      property and equipment, net...........................       553,015       623,343
                                                                ----------    ----------
GOODWILL, NET OF ACCUMULATED AMORTIZATION OF $73,058 AND
  $97,766 IN 1998 AND 1999, RESPECTIVELY....................       878,416       877,890
                                                                ----------    ----------
OTHER ASSETS, NET OF ACCUMULATED AMORTIZATION OF $27,343 AND
  $34,265 IN 1998 AND 1999, RESPECTIVELY....................        85,474        93,355
                                                                ----------    ----------
TOTAL ASSETS................................................    $1,727,161    $1,886,017
                                                                ==========    ==========
LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES
  Current maturities of long-term debt......................    $   21,248    $   27,029
  Accounts payable..........................................        63,843        57,392
  Excess reimbursement payable..............................        20,000        30,900
  Accrued liabilities
      Employee compensation.................................        36,524        49,346
      Interest..............................................        25,523        19,451
      Other.................................................        39,695        42,092
                                                                ----------    ----------
      Total current liabilities.............................       206,833       226,210
                                                                ----------    ----------
LONG-TERM DEBT..............................................     1,246,594     1,407,604
                                                                ----------    ----------
OTHER LONG-TERM LIABILITIES.................................        26,908        22,495
                                                                ----------    ----------
COMMITMENTS AND CONTINGENCIES
STOCKHOLDERS' EQUITY
  Preferred stock, $.01 par value per share, 10,000 shares
    authorized, none issued.................................            --            --
  Common stock, Class A, $.01 par value per share, 532,500
    shares authorized; 449,123 shares issued and outstanding
    at December 31, 1998 and 1999...........................             4             4
  Common stock, Class B, $.01 par value per share, 60,000
    shares authorized and issued; 39,530 and 39,275 shares
    outstanding at December 31, 1998 and 1999,
    respectively............................................             1             1
  Common stock, Class C, $.01 par value per share, 10,000
    shares authorized, none issued..........................            --            --
  Additional paid-in capital................................       482,649       483,798
  Accumulated deficit.......................................      (228,563)     (245,352)
  Treasury stock, at cost, Class B shares, 20,470 and 20,725
    shares at December 31, 1998 and 1999, respectively......        (5,555)       (6,587)
  Notes receivable for Class B shares.......................        (1,710)       (1,997)
  Unearned stock compensation...............................            --          (159)
                                                                ----------    ----------
      Total stockholders' equity............................       246,826       229,708
                                                                ----------    ----------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY..................    $1,727,161    $1,886,017
                                                                ==========    ==========
</TABLE>

                See notes to consolidated financial statements.

                                      F-3
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

                     CONSOLIDATED STATEMENTS OF OPERATIONS

                (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)

<TABLE>
<CAPTION>
                                                                  YEAR ENDED DECEMBER 31,
                                                             ----------------------------------
                                                               1997        1998         1999
                                                             --------   ----------   ----------
<S>                                                          <C>        <C>          <C>
NET OPERATING REVENUES.....................................  $742,350   $  854,580   $1,079,953
                                                             --------   ----------   ----------
COSTS AND EXPENSES
  Salaries and benefits....................................   296,779      328,264      419,320
  Provision for bad debts..................................    57,376       69,005       95,149
  Supplies.................................................    90,391      100,633      126,693
  Rent.....................................................    20,281       22,344       25,522
  Other operating expenses.................................   155,285      167,944      209,084
  Depreciation and amortization............................    43,753       49,861       56,943
  Amortization of goodwill.................................    25,404       26,639       24,708
  Interest, net............................................    89,753      101,191      116,491
  Impairment of long-lived assets..........................        --      164,833           --
  Provision for excess reimbursement and Year 2000
    remediation costs......................................        --       20,209       17,279
                                                             --------   ----------   ----------
TOTAL COSTS AND EXPENSES...................................   779,022    1,050,923    1,091,189
                                                             --------   ----------   ----------
LOSS BEFORE CUMULATIVE EFFECT OF A CHANGE IN ACCOUNTING
  PRINCIPLE AND INCOME TAXES...............................   (36,672)    (196,343)     (11,236)
PROVISION FOR (BENEFIT FROM) INCOME TAXES..................    (4,501)     (13,405)       5,553
                                                             --------   ----------   ----------
LOSS BEFORE CUMULATIVE EFFECT OF A CHANGE IN ACCOUNTING
  PRINCIPLE................................................   (32,171)    (182,938)     (16,789)
CUMULATIVE EFFECT OF A CHANGE IN ACCOUNTING PRINCIPLE, NET
  OF TAXES OF $189.........................................        --         (352)          --
                                                             --------   ----------   ----------
NET LOSS...................................................  $(32,171)  $ (183,290)  $  (16,789)
                                                             ========   ==========   ==========
BASIC AND DILUTED LOSS PER COMMON SHARE (CLASS A AND CLASS
  B):
  Loss before cumulative effect of a change in accounting
    principle..............................................  $ (70.95)  $  (398.52)  $   (36.08)
  Cumulative effect of a change in accounting principle....        --        (0.77)          --
                                                             --------   ----------   ----------
  Net loss.................................................  $ (70.95)  $  (399.29)  $   (36.08)
                                                             ========   ==========   ==========
WEIGHTED-AVERAGE NUMBER OF SHARES OUTSTANDING, BASIC AND
  DILUTED..................................................   453,462      459,046      465,365
                                                             ========   ==========   ==========
</TABLE>

                See notes to consolidated financial statements.

                                      F-4
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

                CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY

                       (IN THOUSANDS, EXCEPT SHARE DATA)
<TABLE>
<CAPTION>
                                CLASS A               CLASS B                                           CLASS B
                             COMMON STOCK          COMMON STOCK       ADDITIONAL                    TREASURY STOCK         NOTES
                          -------------------   -------------------    PAID-IN     ACCUMULATED    -------------------   RECEIVABLE
                           SHARES     AMOUNT     SHARES     AMOUNT     CAPITAL       DEFICIT       SHARES     AMOUNT    FOR CLASS B
                          --------   --------   --------   --------   ----------   ------------   --------   --------   -----------
<S>                       <C>        <C>        <C>        <C>        <C>          <C>            <C>        <C>        <C>
BALANCE, January 1,
  1997..................  449,123      $  4      51,828      $  1      $479,684     $ (13,102)         --    $    --      $  (904)

  Issuance of common
    stock...............       --        --       3,631        --         1,310            --          --         --         (634)
  Redemption of common
    stock...............       --        --          --        --            --            --      (2,909)    (1,041)         450
  Payments on notes
    receivable..........       --        --          --        --            --            --          --         --           38
  Net loss..............       --        --          --        --            --       (32,171)         --         --           --
                          -------      ----      ------      ----      --------     ---------     -------    -------      -------

BALANCE, December 31,
  1997..................  449,123         4      55,459         1       480,994       (45,273)     (2,909)    (1,041)      (1,050)

  Issuance of common
    stock...............       --        --       4,541        --         1,655            --       3,213      1,120         (900)
  Redemption of common
    stock...............       --        --          --        --            --            --     (20,774)    (5,634)         204
  Payments on notes
    receivable..........       --        --          --        --            --            --          --         --           36
  Net loss..............       --        --          --        --            --      (183,290)         --         --           --
                          -------      ----      ------      ----      --------     ---------     -------    -------      -------

BALANCE, December 31,
  1998..................  449,123         4      60,000         1       482,649      (228,563)    (20,470)    (5,555)      (1,710)

  Issuance of common
    stock...............       --        --          --        --           907            --       6,732      1,748         (440)
  Redemption of common
    stock...............       --        --          --        --            --            --      (6,987)    (2,780)          --
  Payments on notes
    receivable..........       --        --          --        --            --            --          --         --          153
  Unearned stock
    compensation........       --        --          --        --           242            --          --         --           --
  Earned stock
    compensation........       --        --          --        --            --            --          --         --           --
  Net loss..............       --        --          --        --            --       (16,789)         --         --           --
                          -------      ----      ------      ----      --------     ---------     -------    -------      -------

BALANCE, December 31,
  1999..................  449,123      $  4      60,000      $  1      $483,798     $(245,352)    (20,725)   $(6,587)     $(1,997)
                          =======      ====      ======      ====      ========     =========     =======    =======      =======

<CAPTION>

                            UNEARNED
                              STOCK
                          COMPENSATION      TOTAL
                          -------------   ---------
<S>                       <C>             <C>
BALANCE, January 1,
  1997..................      $  --       $ 465,683
  Issuance of common
    stock...............         --             676
  Redemption of common
    stock...............         --            (591)
  Payments on notes
    receivable..........         --              38
  Net loss..............         --         (32,171)
                              -----       ---------
BALANCE, December 31,
  1997..................         --         433,635
  Issuance of common
    stock...............         --           1,875
  Redemption of common
    stock...............         --          (5,430)
  Payments on notes
    receivable..........         --              36
  Net loss..............         --        (183,290)
                              -----       ---------
BALANCE, December 31,
  1998..................         --         246,826
  Issuance of common
    stock...............         --           2,215
  Redemption of common
    stock...............         --          (2,780)
  Payments on notes
    receivable..........         --             153
  Unearned stock
    compensation........       (242)             --
  Earned stock
    compensation........         83              83
  Net loss..............         --         (16,789)
                              -----       ---------
BALANCE, December 31,
  1999..................      $(159)      $ 229,708
                              =====       =========
</TABLE>

                See notes to consolidated financial statements.

                                      F-5
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

                     CONSOLIDATED STATEMENTS OF CASH FLOWS

                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                  YEAR ENDED DECEMBER 31,
                                                              --------------------------------
                                                                1997       1998        1999
                                                              --------   ---------   ---------
<S>                                                           <C>        <C>         <C>
CASH FLOWS FROM OPERATING ACTIVITIES
  Net loss..................................................  $(32,171)  $(183,290)  $ (16,789)
  Adjustments to reconcile net loss to net cash provided by
    (used in) operating activities:
    Depreciation and amortization...........................    69,157      76,500      81,651
    Deferred income taxes...................................    (5,751)    (14,797)     (3,799)
    Impairment charge.......................................        --     164,833          --
    Provision for excess reimbursement......................        --      20,000      14,000
    Stock compensation expense..............................        --          --          83
    Other non-cash (income) expenses, net...................       146        (528)       (570)
    Changes in operating assets and liabilities, net of
      effects of acquisitions and divestitures:
        Patient accounts receivable.........................    (9,336)    (26,273)    (53,761)
        Supplies, prepaid expenses and other current
          assets............................................    11,076      (7,724)    (17,598)
        Accounts payable, accrued liabilities and income
          taxes.............................................    (3,322)     (3,174)    (17,283)
        Other...............................................    (8,255)     (9,828)      2,320
                                                              --------   ---------   ---------
  Net cash provided by (used in) operating activities.......    21,544      15,719     (11,746)
                                                              --------   ---------   ---------
CASH FLOWS FROM INVESTING ACTIVITIES
  Acquisitions of facilities, pursuant to purchase
    agreements..............................................   (36,296)   (172,597)    (59,699)
  Proceeds from sale of facilities..........................    18,750          --          --
  Purchases of property and equipment, net..................   (48,826)    (51,349)    (80,134)
  Increase in other assets..................................   (10,279)    (12,607)    (15,708)
                                                              --------   ---------   ---------
    Net cash used in investing activities...................   (76,651)   (236,553)   (155,541)
                                                              --------   ---------   ---------
CASH FLOWS FROM FINANCING ACTIVITIES
  Proceeds from issuance of common stock....................       676       1,875       2,215
  Redemption of common stock................................    (1,041)     (5,634)     (2,780)
  Borrowings under credit agreement.........................    73,404     242,491     436,300
  Repayments of long-term indebtedness......................   (36,857)    (18,842)   (270,885)
                                                              --------   ---------   ---------
    Net cash provided by financing activities...............    36,182     219,890     164,850
                                                              --------   ---------   ---------
NET CHANGE IN CASH AND CASH EQUIVALENTS.....................   (18,925)       (944)     (2,437)
CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD............    26,588       7,663       6,719
                                                              --------   ---------   ---------
CASH AND CASH EQUIVALENTS AT END OF PERIOD..................  $  7,663   $   6,719   $   4,282
                                                              ========   =========   =========
</TABLE>

                See notes to consolidated financial statements.

                                      F-6
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1. BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

    BUSINESS.  In June 1996, Community Health Systems Inc. (formerly Community
Health Systems Holding Corp.) (the "Company") through its wholly-owned
subsidiary, FLCH Acquisition Corp. ("Acquisition Corp."), corporations formed by
affiliates of Forstmann Little & Co. ("FL&Co."), entered into an agreement to
acquire (the "Acquisition") all of the outstanding common stock of CHS/
Community Health Systems, Inc. ("CHS"). The aggregate purchase price for the
Acquisition was $1,100.2 million. The purchase price, the refinancing of certain
CHS debt obligations ($140.8 million) and payments for cancellation of CHS stock
options ($47.5 million) were funded by the issuance of $482.1 million of common
stock, $500 million of subordinated debentures and $415 million of Term Loans
under the Credit Agreement (see Note 5).

    The Company owns, leases and operates acute care hospitals that are the
principal providers of primary healthcare services in non-urban communities. As
of December 31, 1999, the Company owned, leased or operated 46 hospitals,
licensed for 4,115 beds in 20 states.

    USE OF ESTIMATES.  The preparation of financial statements in conformity
with generally accepted accounting principles requires management to make
estimates and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities at the date of
the financial statements and the reported amounts of revenues and expenses
during the reporting period. Actual results could differ from those estimates.

    PRINCIPLES OF CONSOLIDATION.  The consolidated financial statements include
the accounts of the Company and its subsidiaries. All significant intercompany
accounts and transactions have been eliminated. Certain of the subsidiaries have
minority stockholders. The amount of minority interest in equity and minority
interest in income or loss is not material and is included in other long-term
liabilities and other operating expenses.

    CASH EQUIVALENTS.  The Company considers highly liquid investments with
original maturities of three months or less to be cash equivalents.

    SUPPLIES.  Supplies, principally medical supplies, are stated at the lower
of cost (first-in, first-out basis) or market.

    PROPERTY AND EQUIPMENT.  Property and equipment are recorded at cost.
Depreciation is recognized using the straight-line method over the estimated
useful lives of the buildings and improvements (5 to 40 years) and equipment and
fixtures (5 to 20 years). Expenditures for renovations and other significant
improvements are capitalized; however, maintenance and repairs which do not
improve or extend the useful lives of the respective assets are charged to
operations as incurred. Interest capitalized in accordance with Statement of
Financial Accounting Standards ("SFAS") No. 34, "Capitalization of Interest
Cost," was $0.6 million, $0.7 million and $1.4 million for the years ended
December 31, 1997, 1998, and 1999, respectively.

    The Company also leases certain facilities and equipment under capital
leases (see Notes 2 and 7). Such assets are amortized on a straight-line basis
over the lesser of the terms of the respective leases, or the remaining useful
lives of the assets.

    GOODWILL.  Goodwill represents the excess of cost over the fair value of net
assets acquired and is amortized on a straight-line basis generally over
40 years.

                                      F-7
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

1. BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
    OTHER ASSETS.  Other assets consist primarily of the noncurrent portion of
deferred income taxes and costs associated with the issuance of debt which are
amortized over the life of the related debt using the effective interest method.
Amortization of deferred financing costs is included in interest expense.

    THIRD-PARTY REIMBURSEMENT.  Net operating revenues include amounts estimated
by management to be reimbursable by Medicare and Medicaid under prospective
payment systems, provisions of cost-reimbursement and other payment formulae. In
addition, the Company is reimbursed by non-governmental payors using a variety
of payment methodologies. Amounts received by the Company for treatment of
patients covered by such programs are generally less than the standard billing
rates. The differences between the estimated program reimbursement rates and the
standard billing rates are accounted for as contractual adjustments, which are
deducted from gross revenues to arrive at net operating revenues. Final
settlements under certain of these programs are subject to adjustment based on
administrative review and audit by third parties. Adjustments to the estimated
billings are recorded as final settlements are determined. Approximately 55%,
49% and 48% of net operating revenues for the years ended December 31, 1997,
1998 and 1999, respectively, are related to services rendered to patients
covered by the Medicare and Medicaid programs.

    CONCENTRATIONS OF CREDIT RISK.  The Company grants unsecured credit to its
patients, most of whom reside in the service area of the Company's facilities
and are insured under third-party payor agreements. Because of the geographic
diversity of the Company's facilities and non-governmental third-party payors,
Medicare and Medicaid represent the Company's only significant concentrations of
credit risk.

    NET OPERATING REVENUES.  Net operating revenues are recorded net of
provisions for contractual adjustments and other allowances of approximately
$586 million, $829 million and $1,157 million in 1997, 1998 and 1999,
respectively. Net operating revenues are recognized when services are provided.

    PROFESSIONAL LIABILITY INSURANCE CLAIMS.  Provisions for estimated losses
resulting from professional liability claims are based upon actuarially
determined estimates. To the extent that subsequent claims information varies
from management's estimates, the liability is adjusted currently.

    ACCOUNTING FOR THE IMPAIRMENT OF LONG-LIVED ASSETS.  In accordance with SFAS
No. 121, "Accounting for Impairment of Long-Lived Assets and for Long-Lived
Assets to be Disposed Of," whenever events or changes in circumstances indicate
that the carrying values of certain long-lived assets and related intangible
assets may be impaired, the Company projects the undiscounted cash flows
expected to be generated by these assets. If the projections indicate that the
reported amounts are not expected to be recovered, such amounts are reduced to
their estimated fair value.

    INCOME TAXES.  The Company accounts for income taxes under the asset and
liability method, in which deferred income tax assets and liabilities are
recognized for the tax consequences of "temporary differences" by applying
enacted statutory tax rates applicable to future years to differences between
the financial statement carrying amounts and the tax bases of existing assets
and liabilities. The effect on deferred taxes of a change in tax rates is
recognized in the statement of operations during the period in which the tax
rate change becomes law.

                                      F-8
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

1. BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
    COMPREHENSIVE INCOME.  In June 1997, the Financial Accounting Standards
Board ("FASB") issued SFAS No. 130, "Reporting Comprehensive Income," which is
effective for fiscal years beginning after December 15, 1997. Comprehensive
income is defined as the change in equity of a business enterprise during a
period from transactions and other events and circumstances from non-owner
sources. Comprehensive loss for 1997, 1998 and 1999 is equal to the net loss
reported.

    STOCK-BASED COMPENSATION.  The Company accounts for stock-based compensation
using the intrinsic value method prescribed in Accounting Principles Board
("APB") Opinion No. 25, "Accounting for Stock Issued to Employees" and related
interpretations. Compensation cost, if any, is measured as the excess of the
fair value of the Company's stock at the date of grant over the amount an
employee must pay to acquire the stock. SFAS No. 123, "Accounting for
Stock-Based Compensation," established accounting and disclosure requirements
using a fair value based method of accounting for stock-based employee
compensation plans; however, it allows an entity to continue to measure
compensation for those plans using the intrinsic value method of accounting
prescribed by APB Opinion No. 25. The Company has elected to continue to measure
compensation under the method of accounting as described above, and has adopted
the disclosure requirements of SFAS No. 123.

    SEGMENT REPORTING.  In June 1997, the FASB issued SFAS No. 131, "Disclosures
About Segments of an Enterprise and Related Information," which is effective for
fiscal years ending after December 15, 1997. This statement requires that a
public company report annual and interim financial and descriptive information
about its reportable operating segments. Operating segments, as defined, are
components of an enterprise about which separate financial information is
available that is evaluated regularly by the chief operating decision maker in
deciding how to allocate resources and in assessing performance. The Company has
one reportable segment that owns, leases and operates acute care hospitals in
non-urban communities.

    RECENT ACCOUNTING PRONOUNCEMENT NOT YET ADOPTED.  During 1998, the FASB
issued SFAS No. 133, "Accounting for Derivative Instruments and Hedging
Activities." This statement specifies how to report and display derivative
instruments and hedging activities and is effective for fiscal years beginning
after June 15, 2000. The Company is currently evaluating the impact, if any, of
adopting SFAS No. 133.

2. LONG-TERM LEASES AND PURCHASES OF HOSPITALS

    During 1997, the Company exercised a purchase option under an existing
operating lease and acquired two hospitals through capital lease transactions.
The consideration for the three hospitals totaled $46.1 million, including
working capital. The consideration consisted of $36.3 million in cash, which was
borrowed under the acquisition loan facilities, and assumed liabilities of $9.8
million. The entire lease obligation relating to each lease transaction was
prepaid. The prepayment was included as part of the cash consideration. Licensed
beds at the two hospitals acquired totaled 122 beds.

    During 1998, the Company acquired, through two purchase and two capital
lease transactions, most of the assets, including working capital, of four
hospitals. The consideration for the four hospitals totaled $218.6 million. The
consideration consisted of $169.8 million in cash, which was borrowed under the
acquisition loan facilities, and assumed liabilities of $48.8 million. The
entire lease obligation relating to each lease transaction was prepaid. The
prepayment was included as part of the cash consideration. Licensed beds at
these four hospitals totaled 360.

                                      F-9
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

2. LONG-TERM LEASES AND PURCHASES OF HOSPITALS (CONTINUED)
    Also, effective December 1, 1998, the Company entered into an operating
agreement relating to, and purchased certain working capital accounts of, a 38
licensed bed hospital, for a cash payment of $2.8 million. Pursuant to this
agreement, upon certain conditions being met, the Company will be obligated to
construct a replacement hospital and to purchase for $0.9 million the remaining
assets of the hospital. Upon completion, all rights of ownership and operations
will transfer to the Company.

    During 1999, the Company acquired, through two purchase and two capital
lease transactions, most of the assets, including working capital, of four
hospitals. The consideration for the four hospitals totaled $77.8 million. The
consideration consisted of $59.7 million in cash, which was borrowed under the
acquisition loan facilities, and assumed liabilities of $18.1 million. The
entire lease obligation relating to each lease transaction was prepaid. The
prepayment was included as part of the cash consideration. The Company also
constructed and opened an additional hospital at a cost of $15.3 million, which
replaced a hospital we managed. Licensed beds at the four hospitals acquired
totaled 477.

    The foregoing acquisitions were accounted for using the purchase method of
accounting. The allocation of the purchase price for acquisition transactions
closed in 1999 has been determined by the Company based upon available
information and is subject to the gathering and analyzing of additional
information, and further refinement.

    The table below summarizes the allocations of the purchase price (including
assumed liabilities) for these acquisitions (in thousands):

<TABLE>
<CAPTION>
                                                    1997       1998       1999
                                                  --------   --------   --------
<S>                                               <C>        <C>        <C>
Current assets..................................  $ 4,309    $ 40,680   $15,514
Property and equipment..........................   29,848     116,443    55,170
Goodwill........................................   11,988      61,441    22,393
</TABLE>

    The operating results of the foregoing hospitals have been included in the
consolidated statements of operations from their respective dates of
acquisition. The following pro forma combined summary of operations of the
Company gives effect to using historical information of the operations of the
hospitals purchased in 1998 and 1999 as if the acquisitions had occurred as of
January 1, 1998 (in thousands except per share data):

<TABLE>
<CAPTION>
                                                        YEAR ENDED DECEMBER 31,
                                                       -------------------------
                                                          1998          1999
                                                       -----------   -----------
<S>                                                    <C>           <C>
Net operating revenue................................  $1,046,568    $1,119,664
Loss before cumulative effect of a change in
  accounting principle...............................    (190,174)      (21,498)
Net loss.............................................    (189,846)      (21,498)
Net loss per share:
  Total basic and diluted (Class A and Class B)......  $  (413.57)   $   (46.20)
                                                       ==========    ==========
</TABLE>

                                      F-10
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

3. IMPAIRMENT OF LONG-LIVED ASSETS

    In December 1998, in connection with the Company's periodic review process,
it was determined that primarily as a result of adverse changes in physician
relationships, undiscounted cash flows from seven of the Company's hospitals
were below the carrying value of long-lived assets associated with those
hospitals. Therefore, in accordance with SFAS No. 121, "Accounting for the
Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed Of",
the Company adjusted the carrying value of the related long-lived assets to
their estimated fair value. The estimated fair values of these hospitals were
based on specific market appraisals. The impairment charge of $164.8 million was
comprised of reductions to goodwill of $134.3 million with the remaining amount
related to reductions in tangible assets.

4. INCOME TAXES

    The provision for (benefit from) income taxes consists of the following (in
thousands):

<TABLE>
<CAPTION>
                                                      YEAR ENDED DECEMBER 31,
                                                   ------------------------------
                                                     1997       1998       1999
                                                   --------   --------   --------
<S>                                                <C>        <C>        <C>
Current
  Federal........................................  $    80    $     --    $   --
  State..........................................    1,170       1,204     2,815
                                                   -------    --------    ------
                                                     1,250       1,204     2,815
Deferred
  Federal........................................   (4,740)    (11,036)    3,163
  State..........................................   (1,011)     (3,573)     (425)
                                                   -------    --------    ------
                                                    (5,751)    (14,609)    2,738
                                                   -------    --------    ------
Total provision for (benefit from) income
  taxes..........................................  $(4,501)   $(13,405)   $5,553
                                                   =======    ========    ======
</TABLE>

                                      F-11
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

4. INCOME TAXES (CONTINUED)
    The following table reconciles the differences between the statutory federal
income tax rate and the effective tax rate (in thousands):

<TABLE>
<CAPTION>
                                               YEAR ENDED DECEMBER 31,
                          -----------------------------------------------------------------
                                 1997                   1998                   1999
                          -------------------    -------------------    -------------------
                           AMOUNT       %         AMOUNT       %         AMOUNT       %
                          --------   --------    --------   --------    --------   --------
<S>                       <C>        <C>         <C>        <C>         <C>        <C>
Benefit from income
  taxes at statutory
  federal rate..........  $(12,835)    35.0%     $(68,843)    35.0%     $(3,933)     35.0%
State income taxes, net
  of federal income tax
  benefit...............       456     (1.2)       (1,379)     0.7        2,389     (21.3)
Non-deductible goodwill
  amortization..........     7,774    (21.2)        7,859     (4.0)       6,751     (60.1)
Impairment charge--
  goodwill..............        --       --        41,652    (21.2)          --        --
Other...................       104     (0.3)        7,306     (3.7)         346      (3.0)
                          --------    -----      --------    -----      -------     -----
Provision for (benefit
  from) income taxes and
  effective tax rate....  $ (4,501)    12.3%     $(13,405)     6.8%     $ 5,553     (49.4)%
                          ========    =====      ========    =====      =======     =====
</TABLE>

    Deferred income taxes are based on the estimated future tax effects of
differences between the financial statement and tax bases of assets and
liabilities under the provisions of the enacted tax laws. Deferred income taxes
as of December 31, consist of (in thousands):

<TABLE>
<CAPTION>
                                                1998                     1999
                                       ----------------------   ----------------------
                                        ASSETS    LIABILITIES    ASSETS    LIABILITIES
                                       --------   -----------   --------   -----------
<S>                                    <C>        <C>           <C>        <C>
Net operating loss and credit
  carryforwards......................  $ 68,269     $    --     $ 76,798     $    --
Property and equipment...............        --      28,567           --      40,020
Self-insurance liabilities...........     7,740          --        6,212          --
Intangibles..........................        --       4,148           --       9,385
Other liabilities....................     2,368          --           --       1,828
Long-term debt and interest..........        --       4,476           --       4,373
Accounts receivable..................     2,173          --        5,362          --
Accrued expenses.....................     9,311          --       15,975          --
Other................................     3,558       2,942        2,538       1,578
                                       --------     -------     --------     -------
                                         93,419      40,133      106,885      57,184
Valuation allowance..................   (18,260)         --      (18,474)         --
                                       --------     -------     --------     -------
Total deferred income taxes..........  $ 75,159     $40,133     $ 88,411     $57,184
                                       ========     =======     ========     =======
</TABLE>

    Management believes that the net deferred tax assets will ultimately be
realized, except as noted below. Management's conclusion is based on its
estimate of future taxable income and the expected timing of temporary
difference reversals. The Company has federal net operating loss carryforwards
of

                                      F-12
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

4. INCOME TAXES (CONTINUED)
$150.4 million which expire from 2000 to 2019 and state net operating loss
carryforwards of $298.1 million which expire from 2000 to 2019.

    The valuation allowance recognized at the date of the Acquisition
($13.2 million) relates primarily to state net operating losses and other tax
attributes. Any future decrease in this valuation allowance will be recorded as
a reduction in goodwill recorded in connection with the Acquisition. The
valuation allowance increased by $2.7 million and $0.2 million during the years
ended December 31, 1998 and 1999, respectively. These increases are primarily
related to net operating losses in certain state income tax jurisdictions not
expected to be realized.

    The Company received refunds, net of payments, of $14 million during 1997
and paid income taxes, net of refunds received, of $0.3 million, and
$1.4 million during 1998 and 1999, respectively.

    FEDERAL INCOME TAX EXAMINATIONS.  The Internal Revenue Service ("IRS") is
examining the Company's filed federal income tax returns for the tax periods
between December 31, 1993 and December 31, 1996. The IRS has indicated that it
is considering a number of adjustments primarily involving "temporary" or timing
differences. To date, a Revenue Agent's Report has not been issued in connection
with the examination of these tax periods. In management's opinion, the ultimate
outcome of the IRS examinations will not have a material effect on the Company's
results of operations, financial condition or cash flows.

5. LONG-TERM DEBT

    Long-term debt consists of the following (in thousands):

<TABLE>
<CAPTION>
                                                         AS OF DECEMBER 31,
                                                       -----------------------
                                                          1998         1999
                                                       ----------   ----------
<S>                                                    <C>          <C>
Credit Facilities:
  Revolving Credit Loans.............................  $  104,199   $  109,750
  Acquisition Loans..................................     202,251      138,551
  Term Loans.........................................     394,000      624,345
Subordinated debentures..............................     500,000      500,000
Taxable bonds........................................      33,400       29,700
Tax-exempt bonds.....................................       8,000        8,000
Capital lease obligations (see Note 7)...............      21,948       20,828
Other................................................       4,044        3,459
                                                       ----------   ----------
  Total debt.........................................   1,267,842    1,434,633
Less current maturities..............................     (21,248)     (27,029)
                                                       ----------   ----------
  Total long-term debt...............................  $1,246,594   $1,407,604
                                                       ==========   ==========
</TABLE>

    CREDIT FACILITIES.  In connection with the Acquisition, a $900 million
credit agreement was entered into with a consortium of creditors (the "Credit
Agreement"). The financing under the Credit Agreement consists of (i) a 6 1/2
year term loan facility (the "Tranche A Loan") in an aggregate principal amount
equal to $50 million, (ii) a 7 1/2 year term loan facility (the "Tranche B
Loan") in an aggregate principal amount equal to $132.5 million, (iii) an 8 1/2
year term loan facility (the "Tranche C Loan") in an aggregate principal amount
equal to $132.5 million, (iv) a 9 1/2 year term loan facility (the

                                      F-13
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

5. LONG-TERM DEBT (CONTINUED)
"Tranche D Loan") in an original aggregate principal amount equal to
$100 million and amended to an aggregate principal amount of $350 million in
March 1999 (collectively, the "Term Loans"), (v) a revolving credit facility
(the "Revolving Credit Loans") in an aggregate principal amount equal to
$200 million, of which up to $90 million may be used, to the extent available,
for standby and commercial letters of credit and up to $25 million is available
to the Company pursuant to a swingline facility and (vi) a reducing acquisition
loan facility (the "Acquisition Loans") in an aggregate principal amount of
$285 million, reduced to $282.5 million in July 1999.

    The Term Loans are scheduled to be paid in consecutive quarterly
installments with aggregate principal payments for future years as follows (in
thousands):

<TABLE>
<S>                                                           <C>
2000........................................................  $ 20,655
2001........................................................    21,155
2002........................................................    48,905
2003........................................................   129,655
2004........................................................   169,662
2005........................................................   234,313
                                                              --------
Total.......................................................  $624,345
                                                              ========
</TABLE>

    Revolving Credit Loans may be made, and letters of credit may be issued, at
any time during the period between July 22, 1996, the loan origination date (the
"Origination Date"), and December 31, 2002 (the "Termination Date"). No letter
of credit will have an expiration date after the Termination Date. The
Acquisition Loans may be made at any time during the period preceding the
Termination Date.

    The Acquisition Loans facility will automatically be reduced and the
Acquisition Loans will be repaid to the following levels on each of the
following anniversaries of the Origination Date: fourth anniversary,
$263.2 million; fifth anniversary, $215.3 million; sixth anniversary,
$139.0 million; with payment of any remaining balance on the Termination Date.

    The Company may elect that all or a portion of the borrowings under the
Credit Agreement bear interest at a rate per annum equal to (a) the highest of
three different rates (the "ABR") or (b) the Eurodollar Rate, in each case
increased by the applicable margin (the "Applicable Margin") which will vary
between 1.50% and 3.75% per annum. The applicable margin on the Revolving Credit
Loans, Acquisition Loans and Tranche A Loan are subject to a reduction based on
achievement of certain financial ratios.

    Interest based on the ABR is payable on the last day of each calendar
quarter and interest based on the Eurodollar Rate is payable on set maturity
dates. The borrowings under the Credit Agreement bore interest at rates ranging
from 7.44% to 11.25% as of December 31, 1999.

    The Company is also required to pay a quarterly commitment fee at a rate
which ranges from .375% to .500% based on the Eurodollar Applicable Margin for
Revolving Credit Loans. This rate is applied to unused commitments under the
Revolving Credit Loans and the Acquisition Loans.

    The Company is also required to pay letters of credit fees at rates which
vary from 1.625% to 2.625%.

                                      F-14
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

5. LONG-TERM DEBT (CONTINUED)
    All or a portion of the outstanding borrowings under the Credit Agreement
may be prepaid at any time and the unutilized portion of the facility for the
Revolving Credit Loans or the Acquisition Loans may be terminated, subject to
certain conditions, in whole or in part at the Company's option. Repaid Term
Loans and permanent reductions to the Acquisition Loans and Revolving Credit
Loans may not be reborrowed.

    Credit Facilities generally are required to be prepaid with the net proceeds
(in excess of $20 million) of certain permitted asset sales and the issuances of
debt obligations (other than certain permitted indebtedness) of the Company or
any of its subsidiaries.

    Generally, prepayments of Term Loans will be applied to principal payments
due during the next twelve months with any excess being applied pro rata to
scheduled principal payments thereafter.

    The terms of the Credit Agreement include certain restrictive covenants.
These covenants include restrictions on indebtedness, investments, asset sales,
capital expenditures, dividends, sale and leasebacks, contingent obligations,
transactions with affiliates, and fundamental change. The covenants also require
maintenance of certain ratios regarding senior indebtedness, senior interest,
and fixed charges.

    As of December 31, 1998 and 1999, the Company had letters of credit issued,
primarily in support of its Taxable Bonds and Tax-Exempt Bonds, of approximately
$55 million and $43 million, respectively. Availability at December 31, 1998 and
1999 under the Revolving Credit Loans facility was approximately $41 million and
$47 million and under the Acquisition Loans facility was approximately $83
million and $144 million, respectively.

    SUBORDINATED DEBENTURES.  In connection with the Acquisition, the Company
issued its subordinated debentures to an affiliate of Forstmann Little & Co. for
$500 million in cash. The debentures are a general senior subordinated
obligation of the Company, are not subject to mandatory redemption and mature in
three equal annual installments beginning June 30, 2007, with the final payment
due on June 30, 2009. The debentures bear interest at a fixed rate of 7.50%
which is payable semi-annually in January and July. Total interest expense for
the debentures was $37.5 million for each of the years ended December 31, 1997,
1998 and 1999.

    TAXABLE BONDS AND TAX-EXEMPT BONDS.  Taxable Bonds bear interest at a
floating rate which averaged 5.73% and 5.29% during 1998 and 1999, respectively.
These bonds are subject to mandatory annual redemptions with the final payment
of $17.4 million due on October 1, 2003. Tax-Exempt Bonds bear interest at
floating rates which averaged 3.58% and 3.36% during 1998 and 1999,
respectively. These bonds are not subject to mandatory annual redemptions under
the bond provisions and are due in 2010. Taxable Bonds and Tax-Exempt Bonds are
both guaranteed by letters of credit

    OTHER DEBT.  As of December 31, 1999, other debt consisted primarily of an
industrial revenue bond and other obligations maturing in various installments
through 2014.

                                      F-15
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

5. LONG-TERM DEBT (CONTINUED)
    As of December 31, 1999, the scheduled maturities of long-term debt
outstanding including capital leases for each of the next five years and
thereafter are as follows (in thousands):

<TABLE>
<S>                                                           <C>
2000........................................................  $   27,029
2001........................................................      27,107
2002........................................................      54,495
2003........................................................     150,010
2004........................................................     170,188
Thereafter..................................................   1,005,804
                                                              ----------
                                                              $1,434,633
                                                              ==========
</TABLE>

    The Company paid interest of $87 million, $101 million and $118 million on
borrowings during the years ended December 31, 1997, 1998 and 1999,
respectively.

6. FAIR VALUES OF FINANCIAL INSTRUMENTS

    The fair value of financial instruments has been estimated by the Company
using available market information as of December 31, 1998 and 1999, and
valuation methodologies considered appropriate. The estimates presented are not
necessarily indicative of amounts the Company could realize in a current market
exchange (in thousands):

<TABLE>
<CAPTION>
                                                                   AS OF DECEMBER 31,
                                                      ---------------------------------------------
                                                              1998                    1999
                                                      ---------------------   ---------------------
                                                      CARRYING   ESTIMATED    CARRYING   ESTIMATED
                                                       AMOUNT    FAIR VALUE    VALUE     FAIR VALUE
                                                      --------   ----------   --------   ----------
<S>                                                   <C>        <C>          <C>        <C>
Assets:
  Cash and cash equivalents.........................  $  6,719    $  6,719    $  4,282    $  4,282
Liabilities:
  Credit facilities.................................   700,450     692,045     872,646     862,174
  Taxable Bonds.....................................    33,400      33,400      29,700      29,700
  Tax-exempt Bonds..................................     8,000       8,000       8,000       8,000
</TABLE>

    Cash and cash equivalents: The carrying amount approximates fair value due
to the short term maturity of these instruments (less than three months).

    Credit facilities: Estimated fair value is based on communications with the
Company's bankers regarding relevant pricing for trading activity among the
Company's lending institutions.

    Taxable and Tax-exempt Bonds: The carrying amount approximates fair value as
a result of the weekly interest rate reset feature of these publically traded
instruments.

    The Company believes that it is not practicable to estimate the fair value
of the subordinated debentures because of (i) the fact that the subordinated
debentures were issued in connection with the issuance of the original equity of
the Company at the date of Acquisition as an investment unit, (ii) the related
party nature of the subordinated debentures, (iii) the lack of comparable
securities, and (iv) the lack of a credit rating of the Company by an
established rating agency.

                                      F-16
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

7. LEASES

    The Company leases hospitals, medical office buildings, and certain
equipment under capital and operating lease agreements. All lease agreements
generally require the Company to pay maintenance, repairs, property taxes and
insurance costs. Commitments relating to noncancellable operating and capital
leases for each of the next five years and thereafter are as follows (in
thousands):

<TABLE>
<CAPTION>
YEAR ENDED DECEMBER 31,                                    OPERATING   CAPITAL
- -----------------------                                    ---------   --------
<S>                                                        <C>         <C>
2000.....................................................   $16,306    $ 3,140
2001.....................................................    14,237      4,110
2002.....................................................    11,332      3,504
2003.....................................................     8,968      2,959
2004.....................................................     8,408      2,600
Thereafter...............................................    20,769     27,525
                                                            -------    -------
Total minimum future payments............................   $80,020     43,838
                                                            =======
Less debt discounts......................................              (23,010)
                                                                       -------
                                                                        20,828
Less current portion.....................................               (2,472)
                                                                       -------
Long-term capital lease obligations......................              $18,356
                                                                       =======
</TABLE>

    Assets capitalized under capital leases as reflected in the accompanying
consolidated balance sheets were $5.1 million of land and improvements, and
$39.4 million of buildings and improvements, and $17.4 million of equipment and
fixtures as of December 31, 1998 and $5.8 million of land and improvements,
$55.7 million of buildings and improvements and $19.2 million of equipment and
fixtures as of December 31, 1999. The accumulated depreciation related to assets
under capital leases was $11.7 million and $15.1 million as of December 31, 1998
and 1999, respectively. Depreciation of assets under capital leases is included
in depreciation and amortization and amortization of debt discounts on capital
lease obligations is included in interest expense in the consolidated statements
of operations.

8. EMPLOYEE BENEFIT PLANS

    The Company has a defined contribution plan that is qualified under
Section 401(k) of the Internal Revenue Code, which covers all eligible employees
at its hospitals, clinics, and the corporate offices. Participants may
contribute a portion of their compensation not exceeding a limit set annually by
the Internal Revenue Service. This plan includes a provision for the Company to
match a portion of employee contributions. The Company also provides a welfare
benefit plan for post-termination benefits to certain management employees.
Total expense under the defined contribution plan was $2.2 million for each of
the years ended December 31, 1997 and 1998 and $2.9 million for the year ended
December 31, 1999. Total expense under the welfare benefit plan was
$0.8 million, $0.9 million and $0.8 million for the years ended December 31,
1997, 1998 and 1999, respectively.

9. STOCKHOLDERS' EQUITY

    Authorized capital shares of the Company include 612,500 shares of capital
stock consisting of four classes of stock: 532,500 shares of Class A common
stock ("Class A"), 60,000 shares of nonvoting

                                      F-17
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

9. STOCKHOLDERS' EQUITY (CONTINUED)
Class B common stock ("Class B"), 10,000 shares of nonvoting Class C common
stock ("Class C") and 10,000 shares of Preferred Stock. Each of the
aforementioned classes of capital stock has a par value of $.01 per share.
Shares of Preferred Stock, of which none are outstanding as of December 31,
1999, may be issued in one or more series having such rights, preferences and
other provisions as determined by the Board of Directors without approval by the
holders of common stock.

    In a liquidation and other distributions, as set forth in the corporate
charter, shares of Class A have preference over shares of Class B and Class C
and shares of Class B have preference over shares of Class C with respect to
return of capital amounts and shares of Class A and Class C have preference over
shares of Class B with respect to additional distributions, up to a specified
dollar amount per share. Immediately prior to an initial public offering, the
outstanding shares of Class B and options to acquire shares of Class C will be
exchanged for shares of Class A and options to acquire shares of Class A,
respectively, and shares of Class A will be redesignated as common stock.

    During 1997, the Company granted options to purchase 1,600 shares of
Class A Common Stock to non-employee directors at an exercise price of $1,073.52
per share. One-third of such options are exercisable each year on a cumulative
basis beginning on the first anniversary of the date of grant and expiring ten
years from the date of grant. As of December 31, 1999, 1,067 options to purchase
Class A common stock were exercisable with a weighted average remaining
contractual life of 7.47 years.

    In November 1996, the Board of Directors approved an Employee Stock Option
Plan (the "Plan") to provide incentives to key employees of the Company. Options
to purchase up to 9,000 shares of Class C Common Stock are authorized under the
Plan. All options granted pursuant to the Plan are generally exercisable each
year on a cumulative basis at a rate of 20% of the total number of Class C
shares covered by the option beginning one year from the date of grant and
expiring ten years from the date of grant. As of December 31, 1999, there were
2,455 shares of unissued Class C common stock reserved for issuance under the
Plan.

    The options granted are "nonqualified" for tax purposes. For financial
reporting purposes, the exercise price of certain option grants were considered
to be below the fair value of the stock at the time of grant. The fair value was
determined based on an appraisal conducted by an independent appraisal firm as
of the relevant date. The aggregate differences between fair value and the
exercise price is being charged to compensation expense over the relevant
vesting periods. In 1999, such expense aggregated $83,000.

    A summary of the number of shares of Class C common stock issuable upon the
exercise of options under the Company's Employee Stock Option Plan for fiscal
1997, 1998 and 1999 and changes during those years is presented below:

<TABLE>
<CAPTION>
                                                                 YEAR ENDED DECEMBER 31,
                                                              ------------------------------
                                                                1997       1998       1999
                                                              --------   --------   --------
<S>                                                           <C>        <C>        <C>
Outstanding at the beginning of the year....................    --         5,130      7,265
Granted.....................................................    6,670      3,560      1,075
Exercised...................................................    --         --         --
Forfeited or canceled.......................................   (1,540)    (1,425)    (1,795)
                                                               ------     ------     ------
Outstanding at the end of the year..........................    5,130      7,265      6,545
                                                               ------     ------     ------
</TABLE>

                                      F-18
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

9. STOCKHOLDERS' EQUITY (CONTINUED)
    Of the options outstanding as of December 31, 1997, 1998 and 1999, none, 741
and 1,745, respectively, were exercisable. As of December 31, 1999, the
outstanding options had a weighted-average remaining contractual life of 7.84
years. All Class C options outstanding as of December 31, 1999 had an exercise
price of $587.50 per share.

    Under SFAS No. 123, the fair value of each option grant is estimated on the
date of grant using the Black-Scholes option-pricing model. The weighted-average
fair value of each option granted during 1997, 1998 and 1999 were $182.30,
$172.70, and $428.75, respectively. In 1997 and 1998, the exercise price of
options granted was the same as the fair value of the related stock. In 1999,
the exercise price of options granted was less than the fair value of the
related stock. The following weighted-average assumptions were used for grants
in fiscal 1997, 1998 and 1999: risk-free interest rate of 6.10%, 5.14% and
5.49%; expected volatility of the Company's common stock based on peer companies
in the healthcare industry of 35%, 34% and 45%, respectively; no dividend
yields; and weighted-average expected life of the options of 3 years for all
years.

    Had the fair value of the Class A and Class C options granted been
recognized as compensation expense on a straight-line basis over the vesting
period of the grant, the Company's net loss and loss per share would have been
reduced to the pro forma amounts indicated below (in thousands except per share
data):

<TABLE>
<CAPTION>
                                                                1997       1998        1999
                                                              --------   ---------   --------
<S>                                                           <C>        <C>         <C>
Net loss:
  As reported...............................................  $(32,171)  $(183,290)  $(16,789)
  Pro forma.................................................  $(32,333)  $(183,513)  $(17,010)
Net loss per share:
  As reported--basic and diluted (Class A and Class B)......  $ (70.95)  $ (399.29)  $ (36.08)
  Pro forma--basic and diluted (Class A and Class B)........  $ (71.30)  $ (399.77)  $ (36.55)
</TABLE>

                                      F-19
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

10. EARNINGS PER SHARE

    The following table sets forth the computation of basic and diluted earnings
per share (in thousands, except share data):

<TABLE>
<CAPTION>
                                                   YEAR ENDED DECEMBER 31,
                                              ---------------------------------
                                                1997        1998        1999
                                              ---------   ---------   ---------
<S>                                           <C>         <C>         <C>
NUMERATOR:
  Loss before cumulative effect of a change
    in accounting principle.................  $ (32,171)  $(182,938)  $ (16,789)
  Cumulative effect of a change in
    accounting principle....................         --        (352)         --
                                              ---------   ---------   ---------
  Net loss available to common--basic and
    diluted.................................  $ (32,171)  $(183,290)  $ (16,789)
                                              =========   =========   =========
DENOMINATOR:
Weighted-average number of shares
  outstanding--basic........................    453,462     459,046     465,365
Effect of dilutive securities:
  none......................................         --          --          --
                                              ---------   ---------   ---------
Weighted-average number of shares
  outstanding--diluted......................    453,462     459,046     465,365
                                              =========   =========   =========
Dilutive securities outstanding not included
  in the computation of earnings (loss) per
  share because their effect is
  antidilutive:
  Class A options...........................      1,600       1,600       1,600
  Unvested Class B shares...................     40,621      26,547      22,090
  Class C options...........................      5,130       7,265       6,545
</TABLE>

    The weighted-average number of shares outstanding include 449,123 shares of
Class A as of December 31, 1997, 1998, and 1999, and 4,339 shares, 9,923 shares
and 16,242 shares of Class B as of December 31, 1997, 1998, and 1999,
respectively. Earnings per share has been computed using the two class method
with losses allocated to each class on a pro rata basis.

11. ACCOUNTING CHANGE

    In 1998, the Company adopted The American Institute of Certified Public
Accountants Statement of Position 98-5, "Reporting on the Costs of Start-Up
Activities," which affects the accounting for start-up costs. The change
involved expensing these costs as incurred, rather than capitalizing and
subsequently amortizing such costs. The cumulative effect of the change on the
accumulated deficit as of the beginning of 1998 is reflected as a charge of
$0.5 million ($0.4 million net of taxes) to 1998 earnings. The effect of the
change to the new method on net loss or loss per share for both Class A and
Class B in 1997, 1998 and 1999 was not material.

                                      F-20
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

12. COMMITMENTS AND CONTINGENCIES

    CONSTRUCTION COMMITMENTS.  As of December 31, 1999, the Company has
obligations under certain hospital agreements to construct three hospitals
through 2004 with an aggregate estimated construction cost of approximately
$85 million.

    PROFESSIONAL LIABILITY RISKS.  Substantially all of the Company's
professional and general liability risks are subject to a $0.5 million per
occurrence deductible (with an annual deductible cap of $5 million). The
Company's insurance is underwritten on a "claims-made basis." The Company
accrues an estimated liability for its uninsured exposure and self-insured
retention based on historical loss patterns and actuarial projections. The
Company's estimated liability for the self-insured portion of professional and
general liability claims was $15.7 million and $16.4 million as of December 31,
1998 and 1999, respectively. These estimated liabilities represent the present
value of estimated future professional liability claims payments based on
expected loss patterns using a discount rate of 4.51% and 5.72% in 1998 and
1999, respectively.

    PROVISION FOR EXCESS REIMBURSEMENT.  In 1997, the Company initiated a
voluntary review of its inpatient medical records in order to determine the
extent it may have claimed reimbursement in excess of what it should have
claimed for services rendered under certain government programs. In late 1999,
the Company reached a settlement understanding with appropriate governmental
agencies to settle the overpayment liability for an aggregate of $31 million.
Through its compliance program and other external initiatives, the Company may
periodically detect instances of overpayment by governmental payors.

    LEGAL MATTERS.  The Company is a party to legal proceedings incidental to
its business. In the opinion of management, any ultimate liability with respect
to these actions will not have a material adverse effect on the Company's
consolidated financial position, cash flows or results of operations.

13. SUBSEQUENT EVENTS

    The Company currently is pursuing an initial public offering which it
expects to be completed during the second quarter of 2000.

                                      F-21
<PAGE>
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

    Through and including             2000 (the 25(th) day after the date of
this prospectus), all dealers effecting transactions in these securities,
whether or not participating in this offering, may be required to deliver a
prospectus. This is in addition to the dealers' obligation to deliver a
prospectus when acting as underwriters and with respect to their unsold
allotments or subscriptions.

                                        SHARES

                                     [LOGO]

                                  COMMON STOCK

                                 --------------

                                   PROSPECTUS

                                 --------------

                              MERRILL LYNCH & CO.

                         BANC OF AMERICA SECURITIES LLC

                                   CHASE H&Q

                           CREDIT SUISSE FIRST BOSTON

                              GOLDMAN, SACHS & CO.

                           MORGAN STANLEY DEAN WITTER

                                           , 2000

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>

The information in this prospectus is not complete and may be changed. We may
not sell these securities until the registration statement filed with the
Securities and Exchange Commission is effective. This prospectus is not an offer
to sell these securities and it is not soliciting an offer to buy these
securities in any state where the offer or sale is not permitted.
<PAGE>
                             SUBJECT TO COMPLETION
                   PRELIMINARY PROSPECTUS DATED MARCH 6, 2000

PROSPECTUS

                                            SHARES

                                     [LOGO]

                                  COMMON STOCK
                                 --------------

    This is Community Health Systems, Inc.'s initial public offering. We are
selling all of the shares. The international managers are offering
shares outside the U.S. and Canada and the U.S. underwriters are offering
        shares in the U.S. and Canada.

    We expect the public offering price to be between $           and $
  per share. Currently, no public market exists for the shares. After pricing of
the offering, we expect that the shares will trade on the New York Stock
Exchange under the symbol "CYH."

    INVESTING IN THE COMMON STOCK INVOLVES RISKS WHICH ARE DESCRIBED IN THE
"RISK FACTORS" SECTION BEGINNING ON PAGE 9 OF THIS PROSPECTUS.
                               -----------------

<TABLE>
<CAPTION>
                                                               PER SHARE       TOTAL
                                                               ---------       -----
<S>                                                           <C>           <C>
Public offering price.......................................       $             $
Underwriting discount.......................................       $             $
Proceeds before expenses to Community Health Systems........       $             $
</TABLE>

    The international managers may also purchase up to an additional
shares from us at the public offering price, less the underwriting discount,
within 30 days from the date of this prospectus to cover over-allotments. The
U.S. underwriters may similarly purchase up to an additional         shares from
us.

    Neither the Securities and Exchange Commission nor any state securities
commission has approved or disapproved of these securities or determined if this
prospectus is truthful or complete. Any representation to the contrary is a
criminal offense.

    The shares will be ready for delivery on or about             , 2000.

                              -------------------

MERRILL LYNCH INTERNATIONAL

       BANK OF AMERICA INTERNATIONAL LIMITED

              CHASE SECURITIES INC.

                      CREDIT SUISSE FIRST BOSTON (EUROPE) LIMITED

                             GOLDMAN SACHS INTERNATIONAL

                                     MORGAN STANLEY DEAN WITTER

                              -------------------

               The date of this prospectus is             , 2000.
<PAGE>

                                  UNDERWRITING

    We intend to offer the shares outside the U.S. and Canada through the
international managers and in the U.S. and Canada through the U.S. underwriters.
Merrill Lynch International, Bank of America International Limited, Chase
Securities Inc., Credit Suisse First Boston (Europe) Limited, Goldman Sachs
International, and Morgan Stanley & Co. International Limited are acting as lead
managers for the international managers named below. Subject to the terms and
conditions described in an international purchase agreement between us and the
international managers, and concurrently with the sale of         shares to the
U.S. underwriters, we have agreed to sell to the international managers, and the
international managers severally have agreed to purchase from us, the number of
shares listed opposite their names below.

<TABLE>
<CAPTION>
                                                               NUMBER
INTERNATIONAL MANAGER                                         OF SHARES
- ---------------------                                         ---------
<S>                                                           <C>
Merrill Lynch International.................................
Bank of America International Limited.......................
Chase Securities Inc........................................
Credit Suisse First Boston (Europe) Limited.................
Goldman Sachs International.................................
Morgan Stanley & Co. International Limited..................
                                                              ---------
          Total.............................................
                                                              =========
</TABLE>

    We have also entered into a U.S. purchase agreement with the U.S.
underwriters for sale of the shares in the U.S. and Canada for whom Merrill
Lynch, Pierce, Fenner & Smith Incorporated, Banc of America Securities LLC,
Chase Securities Inc., Credit Suisse First Boston Corporation, Goldman, Sachs &
Co., and Morgan Stanley & Co. Incorporated are acting as U.S. representatives.
Subject to the terms and conditions in the U.S. purchase agreement, and
concurrently with the sale of     shares to the pursuant to the international
purchase agreement, we have agreed to sell to the U.S. underwriters, and U.S.
underwriters severally have agreed to purchase     shares from us. The initial
public offering price per share and the total underwriting discount per share
are identical under the international purchase agreement and the U.S. purchase
agreement.

    The international managers and the U.S. underwriters have agreed to purchase
all of the shares sold under the international and U.S. purchase agreements if
any of these shares are purchased. If an underwriter defaults, the international
purchase agreements provide that the purchase commitments of the nondefaulting
underwriters may be increased or the purchase agreements may be terminated. The
closings for the sale of shares to be purchased by the international managers
and the U.S. underwriters are conditioned on one another.

    We have agreed to indemnify the international managers and the U.S.
underwriters against certain liabilities, including liabilities under the
Securities Act, or to contribute to payments the international managers and U.S.
underwriters may be required to make in respect of those liabilities.

    The underwriters are offering the shares, subject to prior sale, when, as,
and if issued to and accepted by them, subject to approval of legal matters by
their counsel, including the validity of the shares, and other conditions
contained in the purchase agreements, such as the receipt by the underwriters of
officer's certificates and legal opinions. The underwriters reserve the right to
withdraw, cancel or modify offers to the public and to reject orders in whole or
in part.

COMMISSIONS AND DISCOUNTS

    The lead managers have advised us that the international managers propose
initially to offer the shares to the public at the initial public offering price
on the cover page of this prospectus and to dealers at that price less a
concession not in excess of $        per share. The international managers may
allow, and the dealers may reallow, a discount not in excess of $        per
share to other
<PAGE>

dealers. After the initial public offering, the public offering price,
concession and discount may be changed.

    The following table shows the public offering price, underwriting discount,
and proceeds before our expenses. The information assumes either no exercise or
full exercise by the international managers and the U.S. underwriters of their
over-allotment options.

<TABLE>
<CAPTION>
                                           PER SHARE   WITHOUT OPTION   WITH OPTION
                                           ---------   --------------   -----------
<S>                                        <C>         <C>              <C>
Public offering price....................     $             $               $
Underwriting discount....................     $             $               $
Proceeds before expenses to Community
  Health Systems.........................     $             $               $
</TABLE>

    The expenses of the offering, not including the underwriting discount, are
estimated at $        and are payable by us.

OVER-ALLOTMENT OPTION

    We have granted options to the international managers to purchase up to
        additional shares at the public offering price less the underwriting
discount. The international managers may exercise these options for 30 days from
the date of this prospectus solely to cover any overallotments. If the
international managers exercise these options, each will be obligated, subject
to conditions contained in the purchase agreements, to purchase a number of
additional shares proportionate to that international managers initial amount
reflected in the above table.

    We have also granted options to the U.S. underwriters, exercisable for
30 days from the date of this prospectus, to purchase up to         additional
shares to cover any over-allotments on terms similar to those granted to the
international managers.

INTERSYNDICATE AGREEMENT

    The international managers and the U.S. underwrites have entered into an
intersyndicate agreement that provides for the coordination of their activities.
Under the intersyndicate agreement, the international managers and the U.S.
underwriters may sell shares to each other for purposes of resale at the initial
public offering price, less an amount not greater than the selling concession.
Under the intersyndicate agreement, the international managers and any dealer to
whom they sell shares will not offer to sell or sell shares to persons who are
U.S. or Canadian persons or to persons they believe intend to resell to persons
who are U.S. or Canadian persons, except in the case of transactions under the
intersyndicate agreement. Similarly, the U.S. underwriters and any dealer to
whom they sell shares will not offer to sell or sell shares to non-U.S. persons
or non-Canadian persons or to persons they believe intend to resell to non-U.S.
or non-Canadian persons, except in the case of transactions under the
intersyndicate agreement.

RESERVED SHARES

    At our request, the underwriters have reserved for sale, at the initial
public offering price, up to         shares offered by this prospectus for sale
to some of our directors, officers, employees, business associates, and related
persons. If these persons purchase reserved shares, this will reduce the number
of shares available for sale to the general public. Any reserved shares that are
not orally confirmed for purchase within one day of the pricing of this offering
will be offered by the underwriters to the general public on the same terms as
the other shares offered by this prospectus.

NO SALES OF SIMILAR SECURITIES

    We and our executive officers and directors and all existing stockholders
have agreed, with exceptions, not to sell or transfer any common stock for
180 days after the date of this prospectus
<PAGE>

without first obtaining the written consent of Merrill Lynch. Specifically, we
and these other individuals have agreed not to directly or indirectly

    - offer, pledge, sell, or contract to sell any common stock;

    - sell any option or contract to purchase any common stock;

    - purchase any option or contract to sell any common stock;

    - grant any option, right, or warrant for the sale of any common stock;

    - lend or otherwise dispose of or transfer any common stock;

    - request or demand that we file a registration statement related to the
      common stock; or

    - enter into any swap or other agreement that transfers, in whole or in
      part, the economic consequence of ownership of any common stock whether
      any such swap or transaction is to be settled by delivery of shares or
      other securities, in cash or otherwise.

    This lockup provision applies to common stock and to securities convertible
into or exchangeable or exercisable for or repayable with common stock. It also
applies to common stock owned now or acquired later by the person executing the
agreement or for which the person executing the agreement later acquires the
power of disposition. This lockup provision does not limit our ability to grant
options to purchase common stock under stock option plans or to issue common
stock under our employee stock purchase plan.

NEW YORK STOCK EXCHANGE LISTING

    We expect the shares to be approved for listing on the New York Stock
Exchange under the symbol "        ." In order to meet the requirements for
listing on that exchange, the international managers and the U.S. underwriters
have undertaken to sell a minimum number of shares to a minimum number of
beneficial owners as required by that exchange.

    Before this offering, there has been no public market for our common stock.
The initial public offering price will be determined through negotiations among
us and the U.S. representatives and lead managers. In addition to prevailing
market conditions, the factors to be considered in determining the initial
public offering price are

    - the valuation multiples of publicly traded companies that the U.S.
      representatives and the lead managers believe to be comparable to us;

    - our financial information;

    - the history of, and the prospects for, our company and the industry in
      which we compete;

    - an assessment of our management, its past and present operations, and the
      prospects for, and timing of, our future revenues;

    - the present state of our development; and

    - the above factors in relation to market values and various valuation
      measures of other companies engaged in activities similar to ours.

    An active trading market for the shares may not develop. It is also possible
that after the offering the shares will not trade in the public market at or
above the initial public offering price.

    The underwriters do not expect to sell more than 5% of the shares in the
aggregate to accounts over which they exercise discretionary authority.

PRICE STABILIZATION, SHORT POSITIONS AND PENALTY BIDS

    Until the distribution of the shares is completed, SEC rules may limit
underwriters and selling group members from bidding for and purchasing our
common stock. However, the U.S. representatives
<PAGE>

and the lead managers may engage in transactions that stabilize the price of the
common stock, such as bids or purchases to peg, fix, or maintain that price.

    If the underwriters create a short position in the common stock in
connection with the offering, i.e., if they sell more shares than are listed on
the cover of this prospectus, the U.S. representatives and the lead managers may
reduce that short position by purchasing shares in the open market. The U.S.
representatives and the lead managers may also elect to reduce any short
position by exercising all or part of the over-allotment option described above.
Purchases of the common stock to stabilize its price or to reduce a short
position may cause the price of the common stock to be higher than it might be
in the absence of such purchases.

    The U.S. representatives and the lead managers may also impose a penalty bid
on underwriters. This means that if the U.S. representatives and the lead
managers purchase shares in the open market to reduce the underwriter's short
position or to stabilize the price of such shares, they may reclaim the amount
of the selling concession from the underwriters who sold those shares. The
imposition of a penalty bid may also affect the price of the shares in that it
discourages resales of those shares.

    Neither we nor any of the underwriters makes any representation or
prediction as to the direction or magnitude of any effect that the transactions
described above may have on the price of the common stock. In addition, neither
we nor any of the underwriters makes any representation that the U.S.
representatives or the lead managers will engage in these transactions or that
these transactions, once commenced, will not be discontinued without notice.

UK SELLING RESTRICTIONS

    Each international manager has agreed that

    - it has not offered or sold and will not offer or sell any shares of common
      stock to persons in the United Kingdom, except to persons whose ordinary
      activities involve them in acquiring, holding, managing, or disposing of
      investments (as principal or agent) for the purposes of their businesses
      or otherwise in circumstances which do not constitute an offer to the
      public in the United Kingdom with the meaning of the Public Offers of
      Securities Regulations 1995;

    - it has complied and will comply with all applicable provisions of the
      Financial Services Act 1986 with respect to anything done by it in
      relation to the common stock in, from, or otherwise involving the United
      Kingdom; and

    - it has only issued or passed on and will only issue or pass on in the
      United Kingdom any document received by it in connection with the issuance
      of common stock to a person who is of a kind described in Article 11(3) of
      the Financial Services Act 1986 (Investment Advertisements)(Exemptions)
      Order 1996 as amended by the Financial Services Act of 1986 (Investment
      Advertisements)(Exemptions) Order 1997 or is a person to whom such
      document may otherwise lawfully be issued or passed on.

NO PUBLIC OFFERING OUTSIDE THE UNITED STATES

    No action has been or will be taken in any jurisdiction (except in the
United States) that would permit a public offering of the shares of common
stock, or the possession, circulation, or distribution of this prospectus or any
other material relating to our company, or shares of our common stock in any
jurisdiction where action for that purpose is required. Accordingly, the shares
of our common stock may not be offered or sold, directly or indirectly, and
neither this prospectus nor any other offering materials or advertisements in
connection with the shares of common stock may be distributed or published, in
or from any country or jurisdiction except in compliance with any applicable
rules and regulations or any such country or jurisdiction.

    Purchasers or the shares offered by this prospectus may be required to pay
stamp taxes and other charges in accordance with the laws and practices of the
country of purchase in addition to the offering price on the cover page of this
prospects.
<PAGE>

NASD REGULATIONS

    It is anticipated that more than ten percent of the proceeds of the offering
will be applied to pay down debt obligations owed to affiliates of Chase
Securities Inc., Bank of America International Limited, Merrill Lynch
International, and Morgan Stanley & Co. International Limited. Because more than
ten percent of the net proceeds of the offering may be paid to members or
affiliates of members of the National Association of Securities Dealers, Inc.
participating in the offering, the offering will be conducted in accordance with
NASD Conduct Rule 2710(c)(8). This rule requires that the public offering price
of an equity security be no higher than the price recommended by a qualified
independent underwriter which has participated in the preparation of the
registration statement and performed its usual standard of due diligence with
respect to that registration statement. Merrill Lynch, Pierce, Fenner & Smith
Incorporated has agreed to act as qualified independent underwriter for the
offering. The price of the shares will be no higher than that recommended by
Merrill Lynch, Pierce, Fenner & Smith Incorporated.

OTHER RELATIONSHIPS

    Some of the underwriters and their affiliates have engaged in, and may in
the future engage in, investment banking and other commercial dealings in the
ordinary course of business with us. They have received customary fees and
commissions for these transactions. In particular, an affiliate of Chase
Securities Inc. acts as an administrative agent for our credit facility and
affiliates of Chase Securities Inc., Banc of America Securities LLC, Merrill
Lynch, Pierce, Fenner & Smith Incorporated, and Morgan Stanley & Co.
Incorporated are lenders under our credit facility. Michael A. Miles, our
Chairman of the Board, is a director of Morgan Stanley Dean Witter and receives
customary compensation therefrom.
<PAGE>

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

    Through and including       2000 (the 25(th) day after the date of this
prospectus), all dealers effecting transactions in these securities, whether or
not participating in this offering, may be required to deliver a prospectus.
This is in addition to the dealers' obligation to deliver a prospectus when
acting as underwriters and with respect to their unsold allotments or
subscriptions.

                                        SHARES

                                     [LOGO]

                                  COMMON STOCK

                                ---------------

                                   PROSPECTUS

                                ---------------

                          MERRILL LYNCH INTERNATIONAL

                     BANK OF AMERICA INTERNATIONAL LIMITED

                             CHASE SECURITIES INC.

                  CREDIT SUISSE FIRST BOSTON (EUROPE) LIMITED

                          GOLDMAN SACHS INTERNATIONAL

                           MORGAN STANLEY DEAN WITTER

                                        , 2000

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
                                    PART II
                     INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM 13. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

    The following table sets forth the expenses expected to be incurred in
connection with the issuance and distribution of common stock registered hereby,
all of which expenses, except for the Securities and Exchange Commission
registration fee, the National Association of Securities Dealers, Inc. filing
fee, and the New York Stock Exchange listing application fee, are estimated.

<TABLE>
<S>                                                           <C>
Securities and Exchange Commission registration fee.........  $
National Association of Securities Dealers, Inc. filing
  fee.......................................................
New York Stock Exchange listing application fee.............
Printing and engraving fees and expenses....................
Legal fees and expenses.....................................
Accounting fees and expenses................................
Blue Sky fees and expenses..................................
Transfer Agent and Registrar fees and expenses..............
Miscellaneous expenses......................................
  Total.....................................................
</TABLE>

ITEM 14. INDEMNIFICATION OF DIRECTORS AND OFFICERS

    The Certificate of Incorporation and By-Laws provide that the directors and
officers of the Registrant shall be indemnified by the Registrant to the fullest
extent authorized by Delaware law, as it now exists or may in the future be
amended, against all expenses and liabilities reasonably incurred in connection
with service for or on behalf of the Registrant, except with respect to any
matter that such director or officer has been adjudicated not to have acted in
good faith or in the reasonable belief that his action was in the best interests
of the Registrant.

    The Registrant has entered into agreements to indemnify its directors and
officers in addition to the indemnification provided for in the Certificate of
Incorporation and By-Laws. These agreements, among other things, indemnify
directors and officers of the Registrant to the fullest extent permitted by
Delaware law for certain expenses (including attorneys' fees), liabilities,
judgments, fines and settlement amounts incurred by such person arising out of
or in connection with such person's service as a director or officer of the
Registrant or an affiliate of the Registrant.

    Policies of insurance are maintained by the Registrant under which its
directors and officers are insured, within the limits and subject to the
limitations of the policies, against certain expenses in connection with the
defense of, and certain liabilities which might be imposed as a result of,
actions, suits or proceedings to which they are parties by reason of being or
having been such directors or officers.

    The form of Underwriting Agreement filed as Exhibit 1.1 hereto provides for
the indemnification of the registrant, its controlling persons, its directors
and certain of its officers by the underwriters against certain liabilities,
including liabilities under the Securities Act.

ITEM 15. RECENT SALES OF UNREGISTERED SECURITIES

    During the three years preceding the filing of this registration statement,
the Registrant has not sold shares of its common stock without registration
under the Securities Act of 1933, except as described below.

    During 1997, the Registrant sold an aggregate of 3,631 shares of its
Class B common stock to employees of the Registrant for an aggregate purchase
price of $1,310,317. During 1998, the Registrant

                                      II-1
<PAGE>
sold an aggregate of 7,754 shares of its Class B common stock to employees of
the Registrant for an aggregate purchase price of $2,774,691.36. During 1999,
the Registrant sold an aggregate of 6,733 shares of its Class B common stock to
employees of the Registrant for an aggregate purchase price of $2,654,848. These
issuances were exempt from registration under the Securities Act pursuant to
section 4(2) thereof because they did not involve a public offering as the
shares were offered and sold only to a small group of employees.

    Immediately before the closing of this offering, we will be recapitalized as
follows:

    - each outstanding share of Class B common stock will be exchanged for
              shares of Class A common stock;

    - each outstanding option to purchase a share of Class C common stock will
      be exchanged for an option to purchase         shares of Class A common
      stock;

    - the Class A common stock will be redesignated as common stock and adjusted
      for a stock split on a       -for-      basis; and

    - the certificate of incorporation will be amended and restated to reflect a
      single class of common stock, par value $.01 per share, and the number of
      authorized shares of common stock and preferred stock will be increased.

    Registration under the Securities Act will not be required in respect of
issuances pursuant to this recapitalization because they will be made
exclusively to existing holders of our securities and will not involve any
solicitation. Therefore, these issuances will be exempt from registration under
the Securities Act pursuant to section 3(a)(9) of the Securities Act.

    No other sales of our securities have taken place within the last three
years.

ITEM 16. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

    (a) Exhibits

    The following exhibits are filed with this registration statement.

<TABLE>
<CAPTION>
NO.                     DESCRIPTION
- ---                     -----------
<C>                     <S>
             1.1        Form of U.S. Purchase Agreement, by and among the
                        Registrant, and the underwriters named therein.**

             1.2        Form of International Purchase Agreement, by and among the
                        Registrant, and the underwriters named therein.**

             2.1        Agreement and Plan of Merger between the Registrant, FLCH
                        Acquisition Corp. and Community Health Systems, Inc. (now
                        known as CHS/Community Health Systems, Inc.), dated June 9,
                        1996*

             3.1        Form of Restated Certificate of Incorporation of the
                        Registrant.**

             3.2        Form of Restated By-laws of the Registrant.**

             4.1        Form of Common Stock Certificate.**

             5.1        Opinion of Fried, Frank, Harris, Shriver & Jacobson.**

            10.1        Form of outside director Stock Option Agreement.*

            10.2        Form of Stockholder's Agreement between the Registrant and
                        outside directors.*

            10.3        Form of Employee Stockholder's Agreement.*
</TABLE>

                                      II-2
<PAGE>

<TABLE>
<CAPTION>
NO.                     DESCRIPTION
- ---                     -----------
<C>                     <S>
            10.4        The Registrant's Employee Stock Option Plan and form of
                        Stock Option Agreement.*

            10.5        The Registrant's 2000 Stock Incentive Plan.**

            10.6        Form of Stockholder's Agreement between the Registrant and
                        employees.*

            10.7        Registration Rights Agreement, dated July 9, 1996, among the
                        Registrant, FLCH Acquisition Corp., Forstmann Little & Co.
                        Equity Partnership--V, L.P. and Forstmann Little & Co.
                        Subordinated Debt and Equity Management Buyout
                        Partnership--VI, L.P.*

            10.8        Form of Indemnification Agreement between the Registrant and
                        its directors and executive officers.**

            10.9        Amended and Restated Credit Agreement, dated as of March 26,
                        1999, among Community Health Systems, Inc. (now known as
                        CHS/Community Health Systems, Inc.), the Registrant, certain
                        lenders, The Chase Manhattan Bank, as Administrative Agent,
                        and Nationsbank, N.A. and The Bank of Nova Scotia, as
                        Co-Agents.*

            10.10       First Amendment, dated            , 2000, to the Amended and
                        Restated Credit Agreement, dated as of March 26, 1999, among
                        Community Health Systems, Inc. (now known as CHS/Community
                        Health Systems, Inc.), the Registrant, certain lenders, The
                        Chase Manhattan Bank, as Administrative Agent, and
                        Nationsbank, N.A. and The Bank of Nova Scotia, as
                        Co-Agents.**

            10.11       Form of Management Rights Letter between the Registrant and
                        the partnerships affiliated with Forstmann Little & Co.**

            10.12       Form of Series A 7 1/2% Subordinated Debenture.*

            10.13       Form of Series B 7 1/2% Subordinated Debenture.*

            10.14       Form of Series C 7 1/2% Subordinated Debenture.*

            21          List of subsidiaries.**

            23.1        Consent of Fried, Frank, Harris, Shriver & Jacobson
                        (included in the opinion filed as Exhibit 5.1).**

            23.2        Consent of Deloitte & Touche LLP.*

            24          Powers of Attorney (included on signature page).

            27          Financial Data Schedule.*
</TABLE>

- ------------------------

*   Filed herewith.

**  To be filed by amendment.

    (b) Financial Statement Schedules

    Auditors' Report on Schedule

    Schedule II--Valuation and Qualifying Accounts

    All schedules not identified above have been omitted because they are not
required, are not applicable or the information is included in the selected
consolidated financial data or notes contained in this Registration Statement.

                                      II-3
<PAGE>
ITEM 17. UNDERTAKINGS

    (a) The undersigned registrant hereby undertakes to provide to the
underwriters at the closing specified in the underwriting agreement,
certificates in such denominations and registered in such names as required by
the underwriters to permit prompt delivery to each purchaser.

    (b) Insofar as indemnification for liabilities arising under the Securities
Act may be permitted to directors, officers and controlling persons of the
registrant pursuant to the foregoing provisions, or otherwise, the registrant
has been advised that in the opinion of the Securities and Exchange Commission
such indemnification is against public policy as expressed in the Securities Act
and is, therefore, unenforceable. In the event that a claim for indemnification
against such liabilities (other than the payment by the registrant of expenses
incurred or paid by the director, officer or controlling person of the
registrant in the successful defense of any action, suit or proceeding) is
asserted by such director, officer or controlling person in connection with the
securities being registered, the registrant will, unless in the opinion of its
counsel the matter has been settled by controlling precedent, submit to a court
of appropriate jurisdiction the question whether such indemnification by it is
against public policy as expressed in the Securities Act and will be governed by
the final adjudication of such issue.

    (c) The undersigned registrant hereby undertakes that:

       (1) For purposes of determining any liability under the Securities Act,
           the information omitted from the form of prospectus filed as part of
           this registration statement in reliance upon Rule 430A and contained
           in a form of prospectus filed by the registrant pursuant to
           Rule 424(b)(1) or (4) or 497(h) under the Securities Act shall be
           deemed to be part of this registration statement as of the time it
           was declared effective.

       (2) For the purpose of determining any liability under the Securities
           Act, each post-effective amendment that contains a form of prospectus
           shall be deemed to be a new registration statement relating to the
           securities offered therein, and the offering of such securities at
           that time shall be deemed to be the initial bona fide offering
           thereof.

                                      II-4
<PAGE>
                                   SIGNATURES

    Pursuant to the requirements of the Securities Act of 1933, the registrant
has duly caused this registration statement to be signed on its behalf by the
undersigned, thereunto duly authorized, in the City of Brentwood, State of
Tennessee, on the 6th day of March, 2000.

<TABLE>
<S>                                                    <C>  <C>
                                                       COMMUNITY HEALTH SYSTEMS, INC.

                                                       By:              /s/ WAYNE T. SMITH
                                                            -----------------------------------------
                                                                          Wayne T. Smith
                                                              President and Chief Executive Officer
</TABLE>

    KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears
below constitutes and appoints Sandra J. Horbach, Wayne T. Smith and W. Larry
Cash his or her true and lawful attorneys-in-fact and agents, each acting alone,
with full powers of substitution and resubstitution, for him and in his name,
place and stead, in any and all capacities, to sign any or all amendments to
this registration statement, including post-effective amendments and a
registration statement registering additional securities pursuant to Rule 462
(b) under the Securities Act of 1933, and to file the same, with all exhibits
thereto, and to other documents in connection therewith, with the Securities and
Exchange Commission, granting unto said attorneys-in-fact and agents full power
and authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises, as fully to all intents and
purposes as he might or could do in person, and hereby ratifies and confirms all
his said attorneys-in-fact and agents, each acting alone, or his substitute or
substitutes may lawfully do or cause to be done by virtue thereof.

    Pursuant to the requirements of the Securities Act of 1933, this
registration statement has been signed below by the following persons in the
capacities indicated.

<TABLE>
<CAPTION>
                      SIGNATURE                                    TITLE                    DATE
- -----------------------------------------------------  ------------------------------  --------------
<C>                                                    <S>                             <C>
                                                       President and Chief Executive
                 /s/ WAYNE T. SMITH                      Officer and Director
     -------------------------------------------         (principal executive          March 6, 2000
                   Wayne T. Smith                        officer)

                                                       Executive Vice President and
                  /s/ W. LARRY CASH                      Chief Financial Officer
     -------------------------------------------         (principal financial          March 6, 2000
                    W. Larry Cash                        officer)

                                                       Vice President and Corporate
                 /s/ T. MARK BUFORD                      Controller
     -------------------------------------------         (principal accounting         March 6, 2000
                   T. Mark Buford                        officer)

                /s/ ERSKINE B. BOWLES
     -------------------------------------------       Director                        March 6, 2000
                  Erskine B. Bowles
</TABLE>

                                      II-5
<PAGE>

<TABLE>
<CAPTION>
                      SIGNATURE                                    TITLE                    DATE
- -----------------------------------------------------  ------------------------------  --------------
<C>                                                    <S>                             <C>
                 /s/ SHEILA P. BURKE
     -------------------------------------------       Director                        March 6, 2000
                   Sheila P. Burke

                 /s/ ROBERT J. DOLE
     -------------------------------------------       Director                        March 6, 2000
                   Robert J. Dole

              /s/ J. ANTHONY FORSTMANN
     -------------------------------------------       Director                        March 6, 2000
                J. Anthony Forstmann

              /s/ NICHOLAS C. FORSTMANN
     -------------------------------------------       Director                        March 6, 2000
                Nicholas C. Forstmann

              /s/ THEODORE J. FORSTMANN
     -------------------------------------------       Director                        March 6, 2000
                Theodore J. Forstmann

                  /s/ DALE F. FREY
     -------------------------------------------       Director                        March 6, 2000
                    Dale F. Frey

                /s/ SANDRA J. HORBACH
     -------------------------------------------       Director                        March 6, 2000
                  Sandra J. Horbach

                /s/ MICHAEL A. MILES
     -------------------------------------------       Director                        March 6, 2000
                  Michael A. Miles

                 /s/ SAMUEL A. NUNN
     -------------------------------------------       Director                        March 6, 2000
                   Samuel A. Nunn
</TABLE>

                                      II-6
<PAGE>
INDEPENDENT AUDITORS' REPORT

To the Board of Directors and Stockholders of
Community Health Systems, Inc.
Brentwood, Tennessee

We have audited the consolidated financial statements of Community Health
Systems, Inc. (formerly Community Health Systems Holdings Corp.) and
subsidiaries as of December 31, 1998 and 1999, and for each of the three years
in the period ended December 31, 1999, and have issued our report thereon dated
February 25, 2000 (included elsewhere in this Registration Statement). Our
audits also included the consolidated financial statement schedule listed in
Item 16 of this Registration Statement. The consolidated financial statement
schedule is the responsibility of the Company's management. Our responsibility
is to express an opinion based on our audits. In our opinion, the consolidated
financial statement schedule, when considered in relation to the basic
consolidated financial statement taken as a whole, presents fairly in all
material respects the information set forth therein.

/s/ Deloitte & Touche LLP

Nashville, Tennessee
February 25, 2000
<PAGE>
                COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
                 SCHEDULE II--VALUATION AND QUALIFYING ACCOUNTS
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                              BALANCE AT       CHARGED TO                        BALANCE
                                              BEGINNING        COSTS AND                          AT END
                DESCRIPTION                    OF YEAR          EXPENSES        WRITE-OFFS       OF YEAR
                -----------                   ----------       ----------       ----------       --------
<S>                                           <C>              <C>              <C>              <C>
Year ended December 31, 1999 allowance for
  doubtful accounts.........................   $ 28,771         $ 95,149        $ (89,421)       $ 34,499

Year ended December 31, 1998 allowance for
  doubtful accounts.........................     20,873           69,005          (61,107)         28,771

Year ended December 31, 1997 allowance for
  doubtful accounts.........................     33,200           57,376          (69,703)         20,873
</TABLE>

                                      S-1
<PAGE>
                                 EXHIBIT INDEX

<TABLE>
<CAPTION>
         NO.            DESCRIPTION                                                     PAGE
- ---------------------   -----------                                                   --------
<C>                     <S>                                                           <C>
             1.1        Form of U.S. Purchase Agreement, by and among the
                        Registrant, and the underwriters named therein.**
             1.2        Form of International Purchase Agreement, by and among the
                        Registrant, and the underwriters named therein.**
             2.1        Agreement and Plan of Merger between the Registrant, FLCH
                        Acquisition Corp. and Community Health Systems, Inc. (now
                        known as CHS/Community Health Systems, Inc.) dated June 9,
                        1996*
             3.1        Form of Restated Certificate of Incorporation of the
                        Registrant**
             3.2        Form of Restated By-laws of the Registrant**
             4.1        Form of Common Stock Certificate.**
             5.1        Opinion of Fried, Frank, Harris, Shriver & Jacobson.**
            10.1        Form of outside director Stock Option Agreement.*
            10.2        Form of Stockholder's Agreement between the Registrant and
                        outside directors.*
            10.3        Form of Employee Stockholder's Agreement.*
            10.4        The Registrant's Employee Stock Option Plan and form of
                        Stock Option Agreement.*
            10.5        The Registrant's 2000 Stock Incentive Plan.**
            10.6        Form of Stockholder's Agreement between the Registrant and
                        employees.*
            10.7        Registration Rights Agreement, dated July 9, 1996, among the
                        Registrant, FLCH Acquisition Corp., Forstmann Little & Co.
                        Equity Partnership--V, L.P. and Forstmann Little & Co.
                        Subordinated Debt and Equity Management Buyout
                        Partnership--VI, L.P.*
            10.8        Form of Indemnification Agreement between the Registrant and
                        its directors and executive officers.**
            10.9        Amended and Restated Credit Agreement, dated as of March 26,
                        1999, among Community Health Systems, Inc. (now known as
                        CHS/Community Health Systems, Inc.), the Registrant, certain
                        lenders, The Chase Manhattan Bank, as Administrative Agent,
                        and Nationsbank, N.A. and The Bank of Nova Scotia, as
                        Co-Agents.*
            10.10       First Amendment, dated             , 2000, to the Amended
                        and Restated Credit Agreement, dated as of March 26, 1999,
                        among Community Health Systems, Inc. (now known as
                        CHS/Community Health Systems, Inc.), the Registrant, certain
                        lenders, The Chase Manhattan Bank, as Administrative Agent,
                        and Nationsbank, N.A. and The Bank of Nova Scotia, as
                        Co-Agents.**
            10.11       Form of Management Rights Letter between the Registrant and
                        the partnerships affiliated with Forstmann Little & Co.**
            10.12       Form of Series A 7 1/2% Subordinated Debenture.*
            10.13       Form of Series B 7 1/2% Subordinated Debenture.*
            10.14       Form of Series C 7 1/2% Subordinated Debenture.*
            21          List of subsidiaries.**
            23.1        Consent of Fried, Frank, Harris, Shriver & Jacobson
                        (included in the opinion filed as Exhibit 5.1).**
            23.2        Consent of Deloitte & Touche LLP.*
            24          Powers of Attorney (included on signature page).
            27          Financial Data Schedule.*
</TABLE>

- ------------------------

*   Filed herewith.

** To be filed by amendment.

<PAGE>

                                                                     Exhibit 2.1

                          AGREEMENT AND PLAN OF MERGER

                                     between

                               FLCH HOLDINGS CORP.

                             FLCH ACQUISITION CORP.

                                       and

                         COMMUNITY HEALTH SYSTEMS, INC.

                            Dated as of June 9, 1996


                                TABLE OF CONTENTS

                                                                       Page
ARTICLE 1                                                                 1
    1.  The Offer.                                                        1
        1.1.  The Offer.                                                  1
        1.2.  Actions by Purchaser and Merger Sub.                        2
        1.3.  Actions by the Company                                      3
        1.4.  Directors.                                                  5

ARTICLE 2                                                                 6
    2.  The Merger                                                        6
        2.1.  The Merger                                                  6
        2.2.  The Closing.                                                6
        2.3.  Effective Time                                              6

ARTICLE 3                                                                 7
    3.  Certificate of Incorporation and Bylaws of the Surviving
        Corporation.                                                      7
        3.1.  Certificate of Incorporation                                7
        3.2.  Bylaws                                                      7

ARTICLE 4                                                                 7
    4.  Directors and Officers of the Surviving Corporation.              7
        4.1.  Directors.                                                  7
        4.2.  Officers                                                    7

ARTICLE 5                                                                 7
    5.  Effect of the Merger on Securities of Merger Sub and
        the Company.                                                      7
        5.1.  Merger Sub Stock                                            8
        5.2.  Company Securities                                          9
        5.3.  Exchange of Certificates Representing Common Stock         10
        5.4.  Adjustment of Merger Consideration                         11
        5.5.  Dissenting Company Stockholders.                           11
        5.6.  Merger Without Meeting of Stockholders                     12

ARTICLE 6                                                                12
    6.  Representations and Warranties of Company.                       12
        6.1.  Existence; Good Standing; Corporate Authority.             12
        6.2.  Authorization, Validity and Effect of Agreements           13
        6.3.  Compliance with Laws                                       13


i
<PAGE>

        6.4.  Capitalization                                             13
        6.5.  Subsidiaries                                               14
        6.6.  No Violation                                               15
        6.7.  Company Reports; Offer Documents                           15
        6.8.  Litigation                                                 17
        6.9.  Absence of Certain Changes                                 17
        6.10.  Taxes.                                                    18
        6.11.  Employee Benefit Plans                                    18
        6.12.  Labor and Employment Matters                              20
        6.13.  Brokers.                                                  20
        6.14.  Licenses and Permits                                      20
        6.15.  Medicare Participation/Accreditation                      21
        6.16.  Medicare/Medicaid Compliance                              21
        6.17.  Environmental Compliance and Disclosure.                  22
        6.18.  Title to Assets.                                          22
        6.19.  Material Contracts                                        23
        6.20.  Required Vote of Company Stockholders.                    23
        6.21.  Rights Agreement                                          23

ARTICLE 7                                                                24
    7.  Representations and Warranties of Purchaser and Merger Sub       24
        7.1.  Existence; Good Standing; Corporate Authority.             24
        7.2.  Authorization, Validity and Effect of Agreements           24
        7.3.  Offer Documents.                                           24
        7.4.  No Violation                                               25
        7.5.  Financing.                                                 26

ARTICLE 8                                                                26
    8.  Covenants.                                                       26
        8.1.  No Solicitation.                                           26
        8.2.  Interim Operations                                         27
        8.3.  Company Stockholder Approval; Proxy Statement.             28
        8.4.  Filings; Other Action.                                     30
        8.5.  Access to Information.                                     31
        8.6.  Publicity.                                                 31
        8.7.  Further Action                                             32
        8.8.  Insurance; Indemnity                                       32
        8.9.  Restructuring of Merger.                                   34
        8.10.  Employee Benefit Plans                                    34
        8.11.  No Liability for Failure to Obtain Consent of Lenders.    34


ii
<PAGE>

ARTICLE 9                                                                35
    9.  Conditions                                                       35
        9.1.   Conditions to Each Party's Obligation to Effect the
               Merger.                                                   35
        9.2.   Conditions to Obligation of Purchaser and Merger Sub to
               Effect the Merger                                         35

ARTICLE 10                                                               36
    10. Termination; Amendment; Waiver                                   36
        10.1.  Termination                                               36
        10.2.  Effect of Termination                                     37
        10.3.  Amendment                                                 37
        10.4.  Extension; Waiver                                         38

ARTICLE 11                                                               38
    11.  General Provisions.                                             38
        11.1.  Nonsurvival of Representations and Warranties             38
        11.2.  Notices                                                   38
        11.3.  Assignment; Binding Effect.                               39
        11.4.  Entire Agreement.                                         39
        11.5.  Fees and Expenses                                         39
        11.6.  Governing Law                                             41
        11.7.  Headings.                                                 42
        11.8.  Interpretation.                                           42
        11.9.  Investigations.                                           42
        11.10.  Severability.                                            42
        11.11.  Enforcement of Agreement.                                42
        11.12.  Counterparts.                                            43


iii
<PAGE>

                          AGREEMENT AND PLAN OF MERGER

AGREEMENT AND PLAN OF MERGER (this "AGREEMENT"), dated as of June 9, 1996,
between FLCH Holdings Corp., a Delaware corporation ("PURCHASER"), FLCH
Acquisition Corp., a Delaware corporation and a wholly owned subsidiary of
Purchaser ("MERGER SUB"), and Community Health Systems, Inc., a Delaware
corporation (the "COMPANY").

                                    RECITALS

WHEREAS, the Boards of Directors of Purchaser and the Company each have
determined that it is in the best interests of their respective companies and
stockholders for Purchaser to acquire the Company upon the terms and subject to
the conditions set forth herein.

WHEREAS, the parties hereto desire to make certain representations, warranties,
covenants and agreements in connection herewith.

NOW, THEREFORE, in consideration of the foregoing, and of the representations,
warranties, covenants and agreements contained herein, the parties hereto hereby
agree as follows:

                                    ARTICLE 1

                                    THE OFFER

1.1 THE OFFER.

(a) Subject to the provisions of this Agreement and this Agreement not having
been terminated, as promptly as practicable but in no event later than June 14,
1996, Merger Sub shall, and Purchaser shall cause Merger Sub to, commence,
within the meaning of Rule 14d-2 under the Securities Exchange Act of 1934, as
amended, and the rules and regulations promulgated thereunder (the "EXCHANGE
ACT"), an offer to purchase all of the outstanding shares of Common Stock, par
value $.01 per share (the "COMMON STOCK") of the Company together with the
associated Rights (as hereinafter defined), at a price of $52.00 (fifty-two
dollars) per share of Common Stock net to the seller in cash (the "OFFER").
Except where the context otherwise requires, all references herein to the shares
of Common Stock shall include the associated Rights. The obligation of Merger
Sub to, and of Purchaser to cause Merger Sub to, commence the Offer and accept
for payment, and pay for, any shares of Common Stock tendered pursuant to the
Offer shall be subject to the conditions set forth in EXHIBIT A and to the terms
and conditions of this Agreement. Subject to the provisions of this Agreement,
the Offer shall expire 20 business days after the date of its commencement,
unless this Agreement is terminated in accordance with ARTICLE 10, in which case
the Offer (whether or not previously extended in accordance with the terms
hereof) shall expire on such date of termination.

(b) Without the prior written consent of the Company, Merger Sub shall not (i)
waive the Minimum Condition (as defined in EXHIBIT A), (ii) reduce the number of
shares of Common Stock subject to the Offer, (iii) reduce the price per share of
Common Stock to be paid pursuant to the Offer, (iv) extend the Offer if all of
the Offer conditions are satisfied or waived, (v) change the form of
consideration payable in the Offer, or (vi) amend or modify any term or
condition of the Offer (including the conditions set forth on EXHIBIT A) in any
manner adverse to the holders of Common Stock. Notwithstanding anything herein
to the contrary, Merger Sub may, in its sole discretion without the consent of
the Company, extend the Offer at any time and from time to time (i) if at the
then scheduled expiration date of the Offer any of the conditions to Merger
Sub's obligation to accept for payment and pay for shares of Common Stock shall
not have been satisfied or waived; (ii) for any period required by any rule,
regulation, interpretation or position of the Securities and Exchange Commission
(the "SEC") or its staff applicable to the Offer; (iii) for any period required
by applicable law in connection with an increase in the consideration to be paid
pursuant to the Offer; and (iv) if all Offer conditions are satisfied or waived
but the number of shares of Common Stock tendered is 85% or more, but less than
90%, of the then outstanding number of shares of Common Stock, for an aggregate
period of not more than 5 business days (for all such extensions under this
clause (iv)) beyond the latest expiration date that would be permitted under
clause (i), (ii) or (iii) of this sentence. So long as this Agreement is in
effect and the Offer conditions have not been satisfied or waived, at the
request of the Company, Merger Sub shall, and Purchaser shall cause Merger Sub
to, extend the Offer for an aggregate period of not more than 20 business days
(for all such extensions) beyond the originally scheduled expiration date of the
Offer. Subject to the terms and conditions of the Offer and this Agreement (but
subject to the right of termination in accordance with ARTICLE 10), Merger Sub
shall, and Purchaser shall cause Merger Sub to, accept for payment, in
accordance with the terms of the Offer, all shares of Common Stock validly
tendered and not withdrawn pursuant to the Offer as soon as practicable after
the expiration of the Offer.

1.2.  ACTIONS BY PURCHASER AND MERGER SUB.

(a) As soon as reasonably practicable following execution of this Agreement, but
in no event later than five business days from the date hereof, Purchaser and
Merger Sub shall file with the SEC a Tender Offer Statement on Schedule 14D-1
with respect to the Offer, which shall contain an offer to purchase and a
related letter of transmittal and any other ancillary documents pursuant to
which the Offer shall be made (such Schedule 14D-1 and the documents therein
pursuant to which the Offer will be made, together with any supplements or
amendments thereto, the "OFFER DOCUMENTS"). The Company and its counsel shall


2
<PAGE>

be given an opportunity to review and comment upon the Offer Documents prior to
the filing thereof with the SEC. The Offer Documents shall comply as to form in
all material respects with the requirements of the Exchange Act, and on the date
filed with the SEC and on the date first published, sent or given to the
Company's stockholders, the Offer Documents shall not contain any untrue
statement of a material fact or omit to state any material fact required to be
stated therein or necessary in order to make the statements therein, in light of
the circumstances under which they were made, not misleading, except that no
representation is made by Purchaser or Merger Sub with respect to information
supplied by the Company for inclusion in the Offer Documents. Each of Purchaser,
Merger Sub and the Company agrees promptly to correct any information provided
by it for use in the Offer Documents if and to the extent that such information
shall have become false or misleading in any material respect, and each of
Purchaser, Merger Sub and the Company further agrees to take all steps necessary
to cause the Offer Documents as so corrected to be filed with the SEC and to be
disseminated to holders of shares of Common Stock, in each case as and to the
extent required by applicable federal securities laws. Purchaser and Merger Sub
agree to provide the Company and its counsel in writing with any comments
Purchaser, Merger Sub or their counsel may receive from the SEC or its staff
with respect to the Offer Documents promptly after receipt of such comments and
with copies of any written responses and telephonic notification of any verbal
responses by Purchaser, Merger Sub or their counsel.

(b) Purchaser shall provide or cause to be provided to Merger Sub all of the
funds necessary to purchase any shares of Common Stock that Merger Sub becomes
obligated to purchase pursuant to the Offer.

1.3.  ACTIONS BY THE COMPANY.

(a) The Company hereby approves of and consents to the Offer and represents and
warrants that the Board of Directors of the Company (the "BOARD OF DIRECTORS" or
the "BOARD") at a meeting duly called and held has duly adopted, by unanimous
vote, resolutions (i) approving this Agreement, the Offer and the Merger (as
hereinafter defined), determining that the Merger is advisable and that the
terms of the Offer and Merger are fair to, and in the best interests of, the
Company's stockholders and recommending that the Company's stockholders accept
the Offer and approve the Merger and this Agreement, and (ii) taking all action
necessary to render (x) Section 203 of the Delaware General Corporation Law (the
"DGCL"), (y) Article IX of the Company's Certificate of Incorporation, and (z)
the Company's Rights Agreement, dated as of September 7, 1995, between the
Company and First Union Bank of North Carolina, as trustee (the "RIGHTS
AGREEMENT") inapplicable to the Offer, the Merger and this Agreement or any of
the transactions contemplated hereby or thereby. The Company further represents
and warrants that the Board of Directors has received the written opinion of
Merrill Lynch & Co. (the "FINANCIAL ADVISOR") that the proposed consideration to
be received by the


3
<PAGE>

holders of shares of Common Stock pursuant to the Offer and the Merger is fair
to such holders from a financial point of view (the "FAIRNESS OPINION"). The
Company hereby consents to the inclusion in the Offer Documents of the
recommendation of the Board of Directors described in the first sentence of this
SECTION 1.3(A). The Company hereby represents and warrants that it has been
authorized by the Financial Advisor to permit the inclusion of the Fairness
Opinion and references thereto, subject to prior review and consent by the
Financial Advisor (such consent not to be unreasonably withheld) in the Offer
Documents, the Schedule 14D-9 (as hereinafter defined) and the Proxy Statement
(as hereinafter defined).

(b) On the date the Offer Documents are filed with the SEC, the Company shall
file with the SEC a Solicitation/Recommendation Statement on Schedule 14D-9 with
respect to the Offer (such Schedule 14D-9, as amended from time to time, the
"SCHEDULE 14D-9") containing the recommendations described in paragraph (a)
above and shall mail the Schedule 14D-9 to the stockholders of the Company. To
the extent practicable, the Company shall cooperate with Purchaser in mailing or
otherwise disseminating the Schedule 14D-9 with the appropriate Offer Documents
to the Company's stockholders. Purchaser and its counsel shall be given an
opportunity to review and comment upon the Schedule 14D-9 prior to the filing
thereof with the SEC. The Schedule 14D-9 shall comply as to form in all material
respects with the requirements of the Exchange Act and, on the date filed with
the SEC and on the date first published, sent or given to the Company's
stockholders, shall not contain any untrue statement of a material fact or omit
to state any material fact required to be stated therein or necessary in order
to make the statements therein, in light of the circumstances under which they
were made, not misleading, except that no representation is made by the Company
with respect to information supplied by Purchaser or Merger Sub for inclusion in
the Schedule 14D-9. Each of the Company, Purchaser and Merger Sub agrees
promptly to correct any information provided by it for use in the Schedule 14D-9
if and to the extent that such information shall have become false or misleading
in any material respect, and the Company further agrees to take all steps
necessary to cause the Schedule 14D-9 as so corrected to be filed with the SEC
and to be disseminated to the holders of shares of Common Stock, in each case as
and to the extent required by applicable federal securities laws. The Company
agrees to provide Purchaser and Merger Sub and their counsel in writing with any
comments the Company or its counsel may receive from the SEC or its staff with
respect to the Schedule 14D-9 promptly after the receipt of such comments and
with copies of any written responses and telephonic notification of any verbal
responses by the Company or its counsel.

(c) In connection with the Offer, the Company shall cause its transfer agent to
furnish Merger Sub with mailing labels containing the names and addresses of the
record holders of Common Stock as of a recent date and of those persons becoming
record holders subsequent to such date, together with copies of all lists of
stockholders, security position listings and computer files and all other


4
<PAGE>

information in the Company's possession or control regarding the beneficial
owners of Common Stock, and shall furnish to Merger Sub such information and
assistance (including updated lists of stockholders, security position listings
and computer files) as Merger Sub may reasonably request in communicating the
Offer to the Company's stockholders. Subject to the requirements of law, and
except for such steps as are necessary to disseminate the Offer Documents and
any other documents necessary to consummate the Offer and the Merger, Purchaser
and Merger Sub and each of their affiliates and associates shall hold in
confidence the information contained in any of such labels, lists and files,
shall use such information only in connection with the Offer and the Merger,
and, if this Agreement is terminated, shall promptly deliver to the Company all
copies of such information then in their possession.

(d) Subject to the terms and conditions of this Agreement, if there shall occur
a change in law or in a binding judicial interpretation of existing law which
would, in the absence of action by the Company or the Board, prevent the Merger
Sub, were it to acquire a specified percentage of the shares of Common Stock
then outstanding, from approving and adopting this Agreement by its affirmative
vote as the holder of a majority of shares of Common Stock and without the
affirmative vote of any other stockholder, the Company will use its best efforts
to promptly take or cause such action to be taken.

1.4.  DIRECTORS.

(a) Promptly upon the purchase of shares of Common Stock pursuant to the Offer,
Purchaser shall be entitled to designate such number of directors, rounded up to
the next whole number, as will give Purchaser representation on the Board of
Directors equal to the product of (i) the number of directors on the Board of
Directors and (ii) the percentage that the number of shares of Common Stock
purchased by Merger Sub or Purchaser or any affiliate bears to the number of
shares of Common Stock outstanding (the "PERCENTAGE"), and the Company shall,
upon request by Purchaser, promptly increase the size of the Board of Directors
and/or exercise its best efforts to secure the resignations of such number of
directors as is necessary to enable Purchaser's designees to be elected to the
Board of Directors and shall cause the Purchaser's designees to be so elected.
At the request of Purchaser, the Company will use its best efforts to cause such
individuals designated by Purchaser to constitute the same Percentage of (i)
each committee of the Board, (ii) the board of directors of Community Health
Investment Corporation and Hallmark Healthcare Corporation and (iii) the
committees of each such board of directors. The Company's obligations to appoint
designees to the Board of Directors shall be subject to Section 14(f) of the
Exchange Act. The Company shall take, at its expense, all action necessary to
effect any such election, and shall include in the Schedule 14D-9 the
information required by Section 14(f) of the Exchange Act and Rule 14f-1
promulgated thereunder. Purchaser will supply to Company in writing and be
solely responsible


5
<PAGE>

for any information with respect to itself and its nominees, directors and
affiliates required by Section 14(f) and Rule 14f-1. Notwithstanding the
foregoing, the parties hereto shall use their respective best efforts to ensure
that at least two of the members of the Board of Directors shall at all times
prior to the Effective Time (as hereinafter defined) be Continuing Directors (as
hereinafter defined).

(b) Following the election or appointment of Purchaser's designees pursuant to
this SECTION 1.4 and prior to the Effective Time, the approval of a majority of
the directors of the Company then in office who are not designated by Purchaser
(the "CONTINUING DIRECTORS") shall be required to authorize (and such
authorization shall constitute the authorization of the Board of Directors and
no other action on the part of the Company, including any action by any other
director of the Company, shall be required to authorize) any termination of this
Agreement by the Company, any amendment of this Agreement requiring action by
the Board of Directors, any extension of time for the performance of any of the
obligations or other acts of Purchaser or Merger Sub, and any waiver of
compliance with any of the agreements or conditions contained herein for the
benefit of the Company.

                                    ARTICLE 2

                                   THE MERGER

2.1. THE MERGER. Subject to the terms and conditions of this Agreement, at the
Effective Time (as defined in SECTION 2.3), Merger Sub shall be merged with and
into the Company in accordance with this Agreement and the applicable provisions
of the DGCL, and the separate corporate existence of Merger Sub shall thereupon
cease (the "MERGER"). The Company shall be the surviving corporation in the
Merger (sometimes hereinafter referred to as the "SURVIVING CORPORATION"). The
Merger shall have the effects specified in the DGCL.

2.2. THE CLOSING. Subject to the terms and conditions of this Agreement, the
closing of the Merger (the "CLOSING") shall take place at the offices of Fried,
Frank, Harris, Shriver & Jacobson, One New York Plaza, New York, New York, at
10:00 a.m., local time, as soon as practicable following the satisfaction (or
waiver if permissible) of the conditions set forth in ARTICLE 9. The date on
which the Closing occurs is hereinafter referred to as the "CLOSING DATE."

2.3. EFFECTIVE TIME. If all the conditions to the Merger set forth in ARTICLE 9
shall have been fulfilled or waived in accordance herewith and this Agreement
shall not have been terminated as provided in ARTICLE 10, the parties hereto
shall cause a Certificate of Merger meeting the requirements of Section 251 of
the DGCL to be properly executed and filed in accordance with such Section on
the Closing Date. The Merger shall become effective at the time of filing of the
Certificate of Merger with the Secretary of State of the State of Delaware in
accordance with the DGCL or at such later time which the parties hereto shall
have


6
<PAGE>

agreed upon and designated in such filing as the effective time of the Merger
(the "EFFECTIVE TIME").

                                    ARTICLE 3

                    CERTIFICATE OF INCORPORATION AND BYLAWS
                          OF THE SURVIVING CORPORATION

3.1. CERTIFICATE OF INCORPORATION. The Certificate of Incorporation of the
Surviving Corporation shall be in the form attached hereto as EXHIBIT B, until
duly amended in accordance with applicable law.

3.2. BYLAWS. The Bylaws of Merger Sub in effect immediately prior to the
Effective Time shall be the Bylaws of the Surviving Corporation, until duly
amended in accordance with applicable law.

                                    ARTICLE 4

              DIRECTORS AND OFFICERS OF THE SURVIVING CORPORATION

4.1. DIRECTORS. The directors of Merger Sub immediately prior to the Effective
Time shall be the directors of the Surviving Corporation as of the Effective
Time and until their successors are duly appointed or elected in accordance with
applicable law.

4.2. OFFICERS. The officers of the Company immediately prior to the Effective
Time shall be the officers of the Surviving Corporation as of the Effective Time
and until their successors are duly appointed or elected in accordance with
applicable law.

                                    ARTICLE 5

                       EFFECT OF THE MERGER ON SECURITIES
                          OF MERGER SUB AND THE COMPANY

5.1. MERGER SUB STOCK. At the Effective Time, each share of common stock, $.01
Par value per share, of Merger Sub outstanding immediately prior to the
Effective Time shall be converted into and exchanged for one validly issued,
fully paid and non-assessable share of common stock, $.01 Par value per share,
of the Surviving Corporation.


7
<PAGE>

5.2.  COMPANY SECURITIES.

(a) At the Effective Time, each share of Common Stock issued and outstanding
immediately prior to the Effective Time (other than shares of Common Stock owned
by Purchaser or Merger Sub or held by the Company, all of which shall be
cancelled, and other than shares of Dissenting Common Stock (as hereinafter
defined)) shall, by virtue of the Merger and without any action on the part of
the holder thereof, be converted into the right to receive the per share
consideration in the Offer, without interest (the "MERGER CONSIDERATION").

(b) As a result of the Merger and without any action on the part of the holder
thereof, at the Effective Time all shares of Common Stock shall cease to be
outstanding and shall be cancelled and retired and shall cease to exist, and
each holder of shares of Common Stock (other than Merger Sub, Purchaser and the
Company) shall thereafter cease to have any rights with respect to such shares
of Common Stock, except the right to receive, without interest, the Merger
Consideration in accordance with SECTION 5.3 upon the surrender of a certificate
or certificates (a "CERTIFICATE") representing such shares of Common Stock.

(c) Each share of Common Stock issued and held in the Company's treasury at the
Effective Time shall, by virtue of the Merger, cease to be outstanding and shall
be cancelled and retired without payment of any consideration therefor.

(d) All options (individually, an "OPTION" and collectively, the "OPTIONS")
outstanding immediately prior to the Effective Time under any Company stock
option plan (the "STOCK OPTION PLANS"), whether or not then exercisable, shall
be cancelled and each holder of an Option will be entitled to receive from the
Surviving Corporation, for each share of Common Stock subject to an Option, an
amount in cash equal to the excess, if any, of the Merger Consideration over the
per share exercise price of such Option, without interest. The amounts payable
pursuant to this SECTION 5.2(d) shall be paid (i) with respect to shares of
Common Stock subject to Options held by employees who are ranked for
compensation purposes below the level of corporate vice-president of the Company
and by non-employees of the Company or its Subsidiaries who hold Options, at the
Effective Time and (ii) with respect to shares of Common Stock subject to
Options held by employees who are ranked for compensation purposes at or above
such level, at the time or times the Option or portion of an Option will become
exercisable in accordance with its terms as in effect on the date hereof (or, to
the extent the Option is already exercisable at the Effective Time, payment
shall be made at the Effective Time), provided the holder of the Option
continues in employment with the Company at the time the payment is due and
provided further that the entire amount shall come due and payable if the holder
of the Option shall be terminated without cause prior to the first anniversary
of the Effective Time. All amounts payable pursuant to this SECTION 5.2(d) shall
be subject to all applicable withholding


8
<PAGE>

of taxes. The Company shall use its reasonable best efforts to obtain all
necessary consents of the holders of Options, provided, however, that the
failure of the Company to obtain any one or more of such consents shall have no
effect on the Purchaser's and Merger Sub's obligation to consummate the Offer
and the Merger and shall not afford any basis for them to assert the condition
set forth in clause (ii) of paragraph (d) of Exhibit A.

5.3.  EXCHANGE OF CERTIFICATES REPRESENTING COMMON STOCK.

(a) Prior to the Effective Time, Purchaser shall appoint a commercial bank or
trust company having net capital of not less than $20 million, or such other
party reasonably satisfactory to the Company, to act as paying agent hereunder
for payment of the Merger Consideration upon surrender of Certificates (the
"PAYING AGENT"). Purchaser shall cause the Surviving Corporation to provide the
Paying Agent with cash in amounts necessary to pay for all the shares of Common
Stock pursuant to SECTION 5.2(a) and, in connection with the Options, pursuant
to SECTION 5.2(d), as and when such amounts are needed by the Paying Agent. Such
amounts shall hereinafter be referred to as the "EXCHANGE FUND."

(b) Promptly after the Effective Time, Purchaser shall cause the Paying Agent to
mail to each holder of record of shares of Common Stock (i) a letter of
transmittal which shall specify that delivery shall be effected, and risk of
loss and title to such Certificates shall pass, only upon delivery of the
Certificates to the Paying Agent and which letter shall be in such form and have
such other provisions as Purchaser may reasonably specify and (ii) instructions
for effecting the surrender of such Certificates in exchange for the Merger
Consideration. Upon surrender of a Certificate to the Paying Agent together with
such letter of transmittal, duly executed and completed in accordance with the
instructions thereto, and such other documents as may reasonably be required by
the Paying Agent, the holder of such Certificate shall promptly receive in
exchange therefor the amount of cash into which shares of Common Stock
theretofore represented by such Certificate shall have been converted pursuant
to SECTION 5.2, and the shares represented by the Certificate so surrendered
shall forthwith be cancelled. No interest will be paid or will accrue on the
cash payable upon surrender of any Certificate. In the event of a transfer of
ownership of Common Stock which is not registered in the transfer records of the
Company, payment may be made with respect to such Common Stock to such a
transferee if the Certificate representing such shares of Common Stock is
presented to the Paying Agent, accompanied by all documents required to evidence
and effect such transfer and to evidence that any applicable stock transfer
taxes have been paid.

(c) At or after the Effective Time, there shall be no transfers on the stock
transfer books of the company of the shares of Common Stock which were
outstanding immediately prior to the Effective Time. If, after the Effective
Time,


9
<PAGE>

Certificates are presented to the Surviving Corporation, they shall be cancelled
and exchanged as provided in this ARTICLE 5.

(d) Any portion of the Exchange Fund (including the proceeds of any interest and
other income received by the Paying Agent in respect of all such funds) that
remains unclaimed by the former stockholders of the Company six months after the
Effective Time shall be delivered to the Surviving Corporation. Any former
stockholders of the Company who have not theretofore complied with this ARTICLE
5 shall thereafter look only to the Surviving Corporation for payment of any
Merger Consideration that may be payable in respect of each share of Common
Stock such stockholder holds as determined pursuant to this Agreement, without
any interest thereon.

(e) None of Purchaser, the Company, the Surviving Corporation, the Paying Agent
or any other person shall be liable to any former holder of shares of Common
Stock for any amount properly delivered to a public official pursuant to
applicable abandoned property, escheat or similar laws.

(F) If any Certificate shall have been lost, stolen or destroyed, upon the
making of an affidavit of that fact by the person claiming such Certificate to
be lost, stolen or destroyed and, if required by the Surviving Corporation, the
posting by such person of a bond in such reasonable amount as the Surviving
Corporation may direct as indemnity against any claim that may be made against
it with respect to such Certificate, the Paying Agent will issue in exchange for
such lost, stolen or destroyed Certificate the Merger Consideration payable in
respect thereof pursuant to this Agreement.

5.4. ADJUSTMENT OF MERGER CONSIDERATION. If, subsequent to the date of this
Agreement but prior to the Effective Time, the outstanding shares of Common
Stock shall have been changed into a different number of shares or a different
class as a result of a stock split, reverse stock split, stock dividend,
subdivision, reclassification, split, combination, exchange, recapitalization or
other similar transaction, the Merger Consideration shall be appropriately
adjusted.

5.5. DISSENTING COMPANY STOCKHOLDERS. Notwithstanding any provision of this
Agreement to the contrary, if required by the DGCL but only to the extent
required thereby, shares of Common Stock which are issued and outstanding
immediately prior to the Effective Time and which are held by holders of such
shares of Common Stock who have properly exercised appraisal rights with respect
thereto in accordance with Section 262 of the DGCL (the "DISSENTING COMMON
STOCK") will not be exchangeable for the right to receive the Merger
Consideration, and holders of such shares of Dissenting Common Stock will be
entitled to receive payment of the appraised value of such shares of Common
Stock in accordance with the provisions of such Section 262 unless and until
such holders fail to perfect or effectively withdraw or lose their rights to
appraisal and payment under the


10
<PAGE>

DGCL. If, after the Effective Time, any such holder fails to perfect or
effectively withdraws or loses such right, such shares of Common Stock will
thereupon be treated as if they had been converted into and to have become
exchangeable for, at the Effective Time, the right to receive the Merger
Consideration, without any interest thereon. The Company will give Purchaser
prompt notice of any demands received by the Company for appraisals of shares of
Common Stock. The Company shall not, except with the prior written consent of
Purchaser, make any payment with respect to any demands for appraisal or offer
to settle or settle any such demands.

5.6. MERGER WITHOUT MEETING OF STOCKHOLDERS. Notwithstanding the foregoing but
subject to the provisions of Section 8.3(f), if Merger Sub, or any other direct
or indirect subsidiary of Purchaser, shall acquire at least 90 percent of the
outstanding shares of Common Stock, the parties hereto shall take all necessary
and appropriate action to cause the Merger to become effective as soon as
practicable after the expiration of the Offer without a meeting of stockholders
of the Company, in accordance with Section 253 of the DGCL.

                                    ARTICLE 6

                 REPRESENTATIONS AND WARRANTIES OF THE COMPANY

The Company hereby represents and warrants to Purchaser and Merger Sub as
follows:

6.1.  EXISTENCE; GOOD STANDING; CORPORATE AUTHORITY.  Each of the Company and
      its Significant Subsidiaries (as hereinafter defined) is (i) a
      corporation duly incorporated, validly existing and in good standing
      under the laws of its jurisdiction of incorporation and (ii) is duly
      licensed or qualified to do business as a foreign corporation and is in
      good standing under the laws of any other state of the United States in
      which the character of the properties owned or leased by it or in which
      the transaction of its business makes such qualification necessary,
      except where the failure to be so qualified or to be in good standing,
      individually or in the aggregate, would not have a Material Adverse
      Effect (as hereinafter defined).  Each of the Company and its
      Significant Subsidiaries has all requisite corporate power and authority
      to own, operate and lease its properties and carry on its business as
      now conducted, except where the failure to have such power and
      authority, individually or in the aggregate, would not have a Material
      Adverse Effect.  The Company has no reason to believe that the
      representations and warranties contained in the preceding two sentences
      are not also true of its Subsidiaries.  The Company has heretofore
      delivered to Purchaser true and correct copies of the Company's
      Certificate of Incorporation and Bylaws as currently in effect.

6.2.  AUTHORIZATION, VALIDITY AND EFFECT OF AGREEMENTS.  The Company has the
      requisite corporate power and authority to execute and deliver


11
<PAGE>

      this Agreement and all agreements and documents contemplated hereby or
      executed in connection herewith (the "ANCILLARY DOCUMENTS") and to
      consummate the transactions contemplated hereby and thereby. The execution
      and delivery of this Agreement and the Ancillary Documents by the Company
      and the consummation by the Company of the transactions contemplated
      hereby and thereby have been duly and validly authorized by the Board of
      Directors, and no other corporate proceedings on the part of the Company
      are necessary to authorize this Agreement and the Ancillary Documents or
      to consummate the transactions contemplated hereby and thereby (other than
      the approval of this Agreement by the holders of a majority of the shares
      of Common Stock if required by applicable law). This Agreement has been,
      and any Ancillary Document at the time of execution will have been, duly
      and validly executed and delivered by the Company, and (assuming this
      Agreement and such Ancillary Documents each constitutes a valid and
      binding obligation of the Purchaser and Merger Sub) constitutes and will
      constitute the valid and binding obligations of the Company, enforceable
      in accordance with their respective terms, subject to applicable
      bankruptcy, insolvency, moratorium or other similar laws relating to
      creditors' rights and general principles of equity.

6.3.  COMPLIANCE WITH LAWS.  Except as set forth in the Company Reports (as
      hereinafter defined), each of the Company and its Subsidiaries is in
      compliance with all applicable foreign, federal, state or local laws,
      statutes, ordinances, rules, regulations, orders, judgments, rulings and
      decrees ("LAWS") of any foreign, federal, state or local judicial,
      legislative, executive, administrative or regulatory body or authority
      or any court, arbitration, board or tribunal ("GOVERNMENTAL ENTITY"),
      except where the failure to be in compliance, individually or in the
      aggregate, would not have a Material Adverse Effect.

6.4.  CAPITALIZATION.  The authorized capital stock of the Company consists of
      45,000,000 shares of Common Stock and 5,000,000 shares of preferred
      stock, $.01 par value, of which 830,000 shares have been designated as
      Series A Junior Participating Preferred Stock ("PREFERRED STOCK").  As
      of June 6, 1996, (a) 19,731,068 shares of Common Stock were issued and
      outstanding, (b) 830,000 shares of Preferred Stock were subject to
      Preferred Stock Purchase Rights ("RIGHTS") issued pursuant to the
      Company's Rights Agreement and no other shares of Preferred Stock are
      issued and outstanding, (c) Options to purchase an aggregate of
      2,017,515 shares of Common Stock were outstanding, 2,017,515 shares of
      Common Stock were reserved for issuance upon the exercise of outstanding
      Options and 42,666 shares were reserved for future grants under the
      Stock Option Plans, and there are no stock appreciation rights or
      limited stock appreciation rights outstanding other than those attached
      to such Options, (d) no shares of Common Stock were held by the Company
      in its treasury, and (e) no shares of capital stock of the Company were
      held by the Company's Subsidiaries.  Except for the Rights, the Company
      has no outstanding bonds, debentures, notes or other obligations
      entitling the holders thereof to vote (or which are convertible into or
      exercisable for securities having the right to vote) with the
      stockholders of


12
<PAGE>

      the Company on any matter. Since June 6, 1996, the Company (i) has not
      issued any shares of Common Stock other than upon the exercise of Options,
      (ii) has granted no Options to purchase shares of Common Stock under the
      Stock Option Plans, and (iii) has not split, combined or reclassified any
      of its shares of capital stock. All issued and outstanding shares of
      Common Stock are duly authorized, validly issued, fully paid,
      nonassessable and free of preemptive rights. Except for the Rights and
      except as set forth in this SECTION 6.4 or in SCHEDULE 6.4, there are no
      other shares of capital stock or voting securities of the Company, and no
      existing options, warrants, calls, subscriptions, convertible securities,
      or other rights, agreements or commitments which obligate the Company or
      any of its Subsidiaries to issue, transfer or sell any shares of capital
      stock of, or equity interests in, the Company or any of its Subsidiaries.
      There are no outstanding obligations of the Company or any Subsidiaries to
      repurchase, redeem or otherwise acquire any shares of capital stock of the
      Company and there are no performance awards outstanding under the Stock
      Option Plan or any other outstanding stock related awards. After the
      Effective Time, the Surviving Corporation will have no obligation to
      issue, transfer or sell any shares of capital stock of the Company or the
      Surviving Corporation pursuant to any Company Benefit Plan (as defined in
      SECTION 6.11). There are no voting trusts or other agreements or
      understandings to which the Company or any of its Subsidiaries is a party
      with respect to the voting of capital stock of the Company or any of its
      Subsidiaries.

6.5.  SUBSIDIARIES.  Except as set forth in SCHEDULE 6.5, (i) the Company
      owns, directly or indirectly through a Subsidiary, all of the
      outstanding shares of capital stock (or other ownership interests having
      by their terms ordinary voting power to elect directors or others
      performing similar functions with respect to such Subsidiary) of each of
      the Company's Subsidiaries, and (ii) each of the outstanding shares of
      capital stock of each of the Company's Subsidiaries is duly authorized,
      validly issued, fully paid and nonassessable, and is owned, directly or
      indirectly, by the Company free and clear of all liens, pledges,
      security interests, claims or other encumbrances ("ENCUMBRANCES") except
      (in the case of Subsidiaries which are not Significant Subsidiaries for
      Encumbrances which individually or in the aggregate would not have a
      Material Adverse Effect.  SCHEDULE 6.5 sets forth for each Subsidiary of
      the Company: (i) its name and jurisdiction of incorporation or
      organization; (ii) its authorized capital stock or share capital; (iii)
      the number of issued and outstanding shares of capital stock or share
      capital; (iv) the holder or holders of such shares; and (v) whether such
      Subsidiary is a Significant Subsidiary.  Except for interests in the
      Company's Subsidiaries or as set forth in SCHEDULE 6.5, neither the
      Company nor any of its Subsidiaries owns directly or indirectly any
      interest or investment (whether equity or debt) in any corporation,
      partnership, joint venture, business, trust or other entity.

6.6.  NO VIOLATION. Except as set forth in SCHEDULE 6.6, neither the execution
      and delivery by the Company of this Agreement or any of the Ancillary
      Documents nor the consummation by the Company of the transactions


13
<PAGE>

      contemplated hereby or thereby will: (i) violate, conflict with or result
      in a breach of any provisions of the Certificate of Incorporation or
      Bylaws of the Company; (ii) violate, conflict with, result in a breach of
      any provision of, constitute a default (or an event which, with notice or
      lapse of time or both, would constitute a default) under, result in the
      termination or in a right of termination of, accelerate the performance
      required by or benefit obtainable under, result in the triggering of any
      payment or other obligations pursuant to, result in the creation of any
      Encumbrance upon any of the properties of the Company or its Subsidiaries
      under, or result in there being declared void, voidable, or without
      further binding effect, any of the terms, conditions or provisions of any
      note, bond, mortgage, indenture, deed of trust or any license, franchise,
      permit, lease, contract, agreement or other instrument, commitment or
      obligation to which the Company or any of its Subsidiaries is a party, or
      by which the Company or any of its Subsidiaries or any of their respective
      properties is bound (each, a "CONTRACT" and collectively, "CONTRACTS"),
      except for any of the foregoing matters which individually or in the
      aggregate would not have a Material Adverse Effect; (iii) other than the
      filings provided for in SECTION 2.3 and the filings required under the
      Exchange Act and the Securities Act of 1933, as amended (the "SECURITIES
      ACT"), require any consent, approval or authorization of, or declaration,
      filing or registration with, any Governmental Entity, the lack of which
      individually or in the aggregate would have a Material Adverse Effect or
      by Law prevent the consummation of the transactions contemplated hereby;
      and (iv) violate any Laws applicable to the Company, any of its
      Subsidiaries or any of their respective assets, except for violations
      which individually or in the aggregate would not have a Material Adverse
      Effect or materially adversely affect the ability of the Company to
      consummate the transactions contemplated hereby.

6.7.  COMPANY REPORTS; OFFER DOCUMENTS.

(a) The Company has delivered to Purchaser each registration statement, report,
    proxy statement or information statement (as defined under the Exchange Act)
    prepared by it since January 1, 1993, each in the form (including exhibits
    and any amendments thereto) filed with the SEC (collectively, the "COMPANY
    REPORTS"). As of their respective dates, (i) the Company Reports filed since
    December 31, 1994 complied as to form in all material respects with the
    applicable requirements of the Securities Act, the Exchange Act, and the
    rules and regulations thereunder and (ii) the Company Reports did not
    contain any untrue statement of a material fact or omit to state a material
    fact required to be stated therein or necessary to make the statements made
    therein, in the light of the circumstances under which they were made, not
    misleading. Each of the consolidated balance sheets of the Company included
    in or incorporated by reference into the Company Reports (including the
    related notes and schedules) fairly presents the consolidated financial
    position of the Company and its Subsidiaries as of its date, and each of the
    consolidated statements of income, retained earnings and cash flows of the
    Company included in or incorporated by


14
<PAGE>

    reference into the Company Reports (including any related notes and
    schedules) fairly presents the results of operations, retained earnings or
    cash flows, as the case may be, of the Company and its Subsidiaries for the
    periods set forth therein, in each case in accordance with generally
    accepted accounting principles consistently applied during the periods
    involved, except as may be noted therein. Except as set forth in SCHEDULE
    6.7, neither the Company nor any of its Subsidiaries has any liabilities or
    obligations, contingent or otherwise, except (i) liabilities and obligations
    in the respective amounts reflected or reserved against in the Company's
    consolidated balance sheet as of March 31, 1996 included in the Company
    Reports or (ii) liabilities and obligations incurred in the ordinary course
    of business since April 1, 1996 which individually or in the aggregate would
    not have a Material Adverse Effect.

(b) None of the Schedule 14D-9, the information statement, if any, filed by the
    Company in connection with the Offer pursuant to Rule 14f-1 under the
    Exchange Act (the "INFORMATION STATEMENT"), any schedule required to be
    filed by the Company with the SEC or any amendment or supplement thereto, at
    the respective times such documents are filed with the SEC or first
    published, sent or given to the Company's stockholders, will contain any
    untrue statement of a material fact or will omit to state any material fact
    required to be stated therein or necessary in order to make the statements
    therein, in the light of the circumstances under which they are made, not
    misleading except that no representation is made by the Company with respect
    to information supplied by the Purchaser or Merger Sub specifically for
    inclusion in the Schedule 14D-9 or Information Statement or any amendment or
    supplement. None of the information supplied or to be supplied by the
    Company in writing specifically for inclusion or incorporation by reference
    in the Offer Documents will, at the date of filing with the SEC, contain any
    untrue statement of a material fact or omit to state any material fact
    required to be stated therein or necessary in order to make the statements
    therein, in light of the circumstances under which they were made, not
    misleading. If at any time prior to the Effective Time the Company shall
    obtain knowledge of any facts with respect to itself, any of its officers
    and directors or any of its Subsidiaries that would require the supplement
    or amendment to any of the foregoing documents in order to make the
    statements therein, in the light of the circumstances under which they were
    made, not misleading, or to comply with applicable Laws, such amendment or
    supplement shall be promptly filed with the SEC and, as required by Law,
    disseminated to the stockholders of the Company, and in the event Purchaser
    shall advise the Company as to its obtaining knowledge of any facts that
    would make it necessary to supplement or amend any of the foregoing
    documents, the Company shall promptly amend or supplement such document as
    required and distribute the same to its stockholders.

6.8.  LITIGATION. Except as set forth in SCHEDULE 6.8 or in the Company Reports,
      (i) there are no claims, actions, suits, proceedings, arbitrations,
      investigations or audits (collectively, "LITIGATION") by a Governmental
      Entity pending


15
<PAGE>

      or, to the knowledge of the Company through receipt of written notice,
      threatened against the Company or any of its Subsidiaries, at law or in
      equity, other than those in the ordinary course of business which
      individually or in the aggregate would not have a Material Adverse Effect,
      and (ii) there are no claims, actions, suits, proceedings, or arbitrations
      by a non-Governmental Entity third party pending or, to the knowledge of
      the Company, threatened against the Company or any of its Subsidiaries, at
      law or at equity, other than those in the ordinary course of business
      which individually or in the aggregate would not have a Material Adverse
      Effect. Except as set forth in the Company Reports, no Governmental Entity
      has indicated in writing an intention to conduct any audit, investigation
      or other review with respect to the Company or any of its Subsidiaries
      which investigation or review, if adversely determined, individually or in
      the aggregate would have a Material Adverse Effect.

6.9.  ABSENCE OF CERTAIN CHANGES.  Except as set forth in SCHEDULE 6.9 or in
      the Company Reports, since December 31, 1995, the Company and its
      Subsidiaries have conducted their business only in the ordinary course
      of such business consistent with past practices, and there has not been
      (i) any events or states of fact which individually or in the aggregate
      would have a Material Adverse Effect; (ii) any declaration, setting
      aside or payment of any dividend or other distribution with respect to
      its capital stock; (iii) (during the period following May 31, 1996) any
      repurchase, redemption or any other acquisition by the Company or its
      Subsidiaries of any outstanding shares of capital stock or other
      securities of, or other ownership interests in, the Company or its
      Subsidiaries; (iv) any material change in accounting principles,
      practices or methods; (v) any entry into any employment agreement with,
      or any increase in the rate or terms (including, without limitation, any
      acceleration of the right to receive payment) of compensation payable or
      to become payable by the Company or any of its Subsidiaries to, their
      respective directors, officers or employees, except increases occurring,
      and employment agreements entered into, which are substantially
      consistent with the revised 1996 budget of the Company taken as a whole
      previously provided to the Purchaser (the " REVISED 1996 BUDGET") (it
      being understood that the acquisition of employees as part of the
      acquisition of hospitals or other healthcare facilities is not covered
      by this clause (v) or clause (vi) below); or (vi) any increase in the
      rate or terms (including, without limitation, any acceleration of the
      right to receive payment) of any bonus, insurance, pension or other
      employee benefit plan or arrangement covering any such directors,
      officers or employees, except increases which are consistent with the
      Revised 1996 Budget.

6.10.  TAXES. Except as set forth in SCHEDULE 6.10, the Company and each of its
       Subsidiaries have timely filed all material Tax Returns required to be
       filed by any of them. All such Tax Returns are true, correct and
       complete, except for such instances which individually or in the
       aggregate would not have a Material Adverse Effect. All Taxes of the
       Company and its Subsidiaries which are (i) shown as due on such Returns,
       (ii) otherwise due and payable or (iii) claimed or asserted


16
<PAGE>

       by any taxing authority to be due, have been paid, except for those Taxes
       being contested in good faith and for which adequate reserves have been
       established in the financial statements included in the Company Reports
       in accordance with generally accepted accounting principles. The Company
       does not know of any proposed or threatened Tax claims or assessments
       which, if upheld, would individually or in the aggregate have a Material
       Adverse Effect. Except as set forth in SCHEDULE 6.10, the Company and
       each Subsidiary has withheld and paid over to the relevant taxing
       authority all Taxes required to have been withheld and paid in connection
       with payments to employees, independent contractors, creditors,
       stockholders or other third parties, except for such Taxes which
       individually or in the aggregate would not have a Material Adverse
       Effect. For purposes of this Agreement, (a) "TAX" (and, with correlative
       meaning, "TAXES") means any federal, state, local or foreign income,
       gross receipts, property, sales, use, license, excise, franchise,
       employment, payroll, premium, withholding, alternative or added minimum,
       ad valorem, transfer or excise tax, or any other tax, custom, duty,
       governmental fee or other like assessment or charge of any kind
       whatsoever, together with any interest or penalty, imposed by any
       Governmental Entity, and (b) "TAX RETURN" means any return, report or
       similar statement required to be filed with respect to any Tax (including
       any attached schedules), including, without limitation, any information
       return, claim for refund, amended return or declaration of estimated Tax.

6.11.  EMPLOYEE BENEFIT PLANS.  All employee benefit plans, compensation
       arrangements and other benefit arrangements covering employees of the
       Company or any of its Subsidiaries (the "COMPANY BENEFIT PLANS") and
       all employee agreements providing compensation, severance or other
       benefits to any employee or former employee of the Company or any of
       its Subsidiaries which are not disclosed in the Company Reports and
       which exceed $100,000 per annum are set forth in SCHEDULE 6.11.  True
       and complete copies of the Company Benefit Plans have been made
       available to Purchaser.  To the extent applicable, the Company Benefit
       Plans comply with the requirements of the Employee Retirement Income
       Security Act of 1974, as amended ("ERISA"), and the Internal Revenue
       Code of 1986, as amended (the "CODE"), and any Company Benefit Plan
       intended to be qualified under Section 401(a) of the Code has received
       a determination letter and, to the knowledge of the Company continues
       to satisfy the requirements for such qualification.  Neither the
       Company nor any of its Subsidiaries nor any ERISA Affiliate of the
       Company maintains, contributes to or has maintained or contributed in
       the past six years to any benefit plan which is covered by Title IV of
       ERISA or Section 412 of the Code.  No Company Benefit Plan nor the
       Company nor any Subsidiary has incurred any liability or penalty under
       Section 4975 of the Code or Section 502(i) of ERISA or, to the
       knowledge of the Company, engaged in any transaction that is reasonably
       likely to result in any such liability or penalty.  Except as set forth
       on SCHEDULE 6.11, each Company Benefit Plan has been maintained and
       administered in compliance with its terms and with ERISA and the Code
       to the extent applicable thereto, except for such non-compliance which
       individually or in


17
<PAGE>

       the aggregate would not have a Material Adverse Effect. There is no
       pending or, to the knowledge of the Company, anticipated Litigation
       against or otherwise involving any of the Company Benefit Plans and no
       Litigation (excluding claims for benefits incurred in the ordinary course
       of Company Benefit Plan activities) has been brought against or with
       respect to any such Company Benefit Plan, except for any of the foregoing
       which individually or in the aggregate would not have a Material Adverse
       Effect. All contributions required to be made as of the date hereof to
       the Company Benefit Plans have been made or provided for. Except as
       described in the Company Reports or as required by Law, neither the
       Company nor any of its Subsidiaries maintains or contributes to any plan
       or arrangement which provides or has any liability to provide life
       insurance or medical or other employee welfare benefits to any employee
       or former employee upon his retirement or termination of employment, and
       neither the Company nor any of its Subsidiaries has ever represented,
       promised or contracted (whether in oral or written form) to any employee
       or former employee that such benefits would be provided. Except as set
       forth in SCHEDULE 6.11, the execution of, and performance of the
       transactions contemplated in, this Agreement will not (either alone or
       upon the occurrence of any additional or subsequent events) constitute an
       event under any benefit plan, policy, arrangement or agreement or any
       trust or loan that will or may result in any payment (whether of
       severance pay or otherwise), acceleration, forgiveness of indebtedness,
       vesting, distribution, increase in benefits or obligation to fund
       benefits with respect to any employee. Except as set forth in Schedule
       6.11, no payment or benefit which will or may be made by the Company, any
       of its Subsidiaries, any ERISA Affiliate or Purchaser or Merger Sub with
       respect to any employee will constitute an "excess parachute payment"
       within the meaning of Section 280G(b)(1) of the Code.

    For purposes of this Agreement "ERISA AFFILIATE" means any business or
    entity which is a member of the same "controlled group of corporations,"
    under "common control" or an "affiliated service group" with an entity
    within the meanings of Sections 414(b), (c) or (m) of the Code, or required
    to be aggregated with the entity under Section 414(o) of the Code, or is
    under "common control" with the entity, within the meaning of Section
    4001(a)(14) of ERISA, or any regulations promulgated or proposed under any
    of the foregoing Sections.

6.12.  LABOR AND EMPLOYMENT MATTERS.  Except as set forth in SCHEDULE 6.12,
       neither the Company nor any of its Subsidiaries is a party to, or bound
       by, any collective bargaining agreement or other Contracts or
       understanding with a labor union or labor organization.  Except for
       such matters which, individually or in the aggregate, would not have a
       Material Adverse Effect, there is no (i) unfair labor practice, labor
       dispute (other than routine individual grievances) or labor arbitration
       proceeding pending or, to the knowledge of the Company, threatened
       against the Company or its Subsidiaries relating to their business,
       (ii) to the knowledge of the Company, activity or proceeding by a labor
       union or representative thereof to organize any employees of the
       Company or any of its


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<PAGE>

       Subsidiaries, or (iii) lockouts, strikes, slowdowns, work stoppages or
       threats thereof by or with respect to such employees.

6.13.  BROKERS. Except for the Financial Advisor, Merrill Lynch & Co., no
       broker, finder or financial advisor is entitled to any brokerage,
       finder's or other fee or commission in connection with the transactions
       contemplated by this Agreement based upon arrangements made by or on
       behalf of the Company and (ii) the Company's fee arrangements with the
       Financial Advisor have been disclosed to the Purchaser.

6.14.  LICENSES AND PERMITS.  Except as set forth in SCHEDULE 6.14, the
       Company, its Subsidiaries and all of the hospitals and other healthcare
       facilities owned, leased or managed by the Company or any of its
       Subsidiaries (collectively, "HOSPITALS") have all necessary licenses,
       permits, certificates of need, approvals and authorizations
       (collectively, "PERMITS") required to lawfully conduct their respective
       businesses as presently conducted, except for those Permits the lack of
       which individually or in the aggregate would not have a Material
       Adverse Effect, and (a) no Permit is subject to revocation or
       forfeiture by virtue of any existing circumstances, (b) there is no
       Litigation pending or, to the knowledge of the Company, threatened to
       modify or revoke any Permit, and (c) no Permit is subject to any
       outstanding order, decree, judgment, stipulation, or, to the knowledge
       of the Company, investigation that would be likely to affect such
       Permit, where the effect of the foregoing individually or in the
       aggregate would have a Material Adverse Effect.  Except as set forth in
       SCHEDULE 6.14, all of the Hospitals are accredited by the Joint
       Commission on Accreditation of Healthcare Organizations or the American
       Osteopathic Association, as indicated on such schedule.

6.15.  MEDICARE PARTICIPATION/ACCREDITATION.  All of the Hospitals are
       certified for participation or enrollment in the Medicare and Medicaid
       programs, have a current and valid provider contract with the Medicare
       and Medicaid programs, are in compliance with the conditions of
       participation of such programs and have received all approvals or
       qualifications necessary for capital reimbursement of the Company's
       assets, except where the failure to be in compliance individually or in
       the aggregate would not have a Material Adverse Effect.  Except as set
       forth in SCHEDULE 6.15, neither the Company nor any of its Subsidiaries
       has received notice from any Governmental Entities or other regulatory
       authorities which enforce the statutory or regulatory provisions in
       respect of either the Medicare or the Medicaid program of any pending
       or threatened investigations, audits or surveys, and neither the
       Company nor any of its Subsidiaries has any reason to believe that any
       such investigations, audits or surveys are pending, threatened or
       imminent which, individually or in the aggregate, may have a Material
       Adverse Effect.


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<PAGE>

6.16.  MEDICARE/MEDICAID COMPLIANCE.

(a) Except as set forth in SCHEDULE 6.16, (a) neither the Company nor any of its
    Subsidiaries has filed any required terminating Medicare cost report on any
    facility which the Company or any of its Subsidiaries has sold or no longer
    operates, for which it has not received a Notice of Program Reimbursement,
    and (b) neither the Company nor any of its Subsidiaries has received any
    Notice of Program Reimbursement (or similar document for Medicaid) with
    respect to any such facility's cost reports, including cost reports for
    those facilities it has sold or no longer operates, which requires a refund
    to the Governmental Entity responsible for the Medicare or Medicaid program,
    except for such refunds which (i) have been paid, (ii) have been reflected
    as a liability in the consolidated balance sheet of the Company and its
    Subsidiaries at December 31, 1995 included in the Company Reports (the "1995
    BALANCE SHEET") or (iii) individually or in the aggregate would not have a
    Material Adverse Effect.

(b) The Company and each of its Subsidiaries have filed all other reports
    required to be filed in connection with all state and federal Medicare and
    Medicaid programs, which reports are complete and correct in all material
    respects. Except as set forth in SCHEDULE 6.16, there is no Litigation
    pending or threatened before any Governmental Entity, with respect to any
    Medicare or Medicaid claims filed by the Company or any of its Subsidiaries
    on or before the date hereof which individually or in the aggregate would
    have a Material Adverse Effect, and no validation review or program
    integrity review related to the Company or any of its Subsidiaries or any
    Hospitals has been conducted by any Governmental Entity in connection with
    the Medicare or Medicaid program, and to the knowledge of the Company, no
    such reviews are scheduled, pending or threatened against or affecting the
    Company or any of its Subsidiaries or any Hospitals.

6.17.  ENVIRONMENTAL COMPLIANCE AND DISCLOSURE.  (a) Except as set forth on
       SCHEDULE 6.17 or except for any matters which individually or in the
       aggregate would not have a Material Adverse Effect, (i) the Company and
       each of its Subsidiaries is in full compliance with all applicable Laws
       relating to Environmental Matters (as defined below); (ii) the Company
       and each of its Subsidiaries has obtained, and is in full compliance
       with, all Permits required by applicable Laws for the use, storage,
       treatment, transportation, release, emission and disposal of raw
       materials, by-products, wastes and other substances used or produced by
       or otherwise relating to the operations of any of them; (iii) to the
       Company's knowledge, there are no past or present events, conditions,
       activities or practices that would prevent compliance or continued
       compliance with any Law or give rise to any Environmental Liability (as
       defined below).

(b) As used in this Agreement, the term "ENVIRONMENTAL MATTERS" means any matter
    arising out of or relating to pollution or protection of the environment,
    human safety or health, or sanitation, including matters relating to


20
<PAGE>

    emissions, discharges, releases, exposures, or threatened releases of
    pollutants, contaminants, or hazardous or toxic materials or wastes
    including petroleum and its fractions, radiation, biohazards and all toxic
    agents of whatever type or nature into ambient air, surface water, ground
    water, or land, or otherwise relating to the manufacture, processing,
    distribution, use, treatment, storage, disposal, transport or handling of
    pollutants, contaminants or hazardous or toxic materials or wastes including
    petroleum and its fractions, radiation, biohazards and all toxic agents of
    whatever type or nature. "ENVIRONMENTAL LIABILITY" shall mean any liability
    or obligation arising under any Law or under any other current theory of law
    or equity (including, without limitation, any liability for personal injury,
    property damage or remediation) that results from, or is based upon or
    related to, the manufacture, processing, distribution, use, treatment,
    storage, disposal, transport or handling, or the emission, discharge,
    release, exposures or threatened release into the environment, of any
    pollutant, contaminant, chemical, or industrial, toxic or hazardous
    substance or waste.

6.18.  TITLE TO ASSETS.  (a) Except as set forth in the 1995 Balance Sheet,
       the Company and each of its Subsidiaries have good and marketable title
       to all of their real and personal properties and assets reflected on
       the 1995 Balance Sheet (other than assets disposed of since December
       31, 1995 in the ordinary course of business consistent with past
       practice) or acquired since December 31, 1995, in each case free and
       clear of all Encumbrances except for (i) Encumbrances which secure
       indebtedness which is properly reflected in the 1995 Balance Sheet;
       (ii) liens for Taxes accrued but not yet payable; (iii) liens arising
       as a matter of law in the ordinary course of business with respect to
       obligations incurred after the date of the 1995 Balance Sheet, provided
       that the obligations secured by such liens are not delinquent; and (iv)
       such imperfections of title and Encumbrances, if any, as individually
       or in the aggregate would not have a Material Adverse Effect.  Except
       as set forth in SCHEDULE 6.18, the Company and each of its Subsidiaries
       either own, or have valid leasehold interests in, all properties and
       assets used by them in the conduct of their business except where the
       absence of such ownership or leasehold interest would not individually
       or in the aggregate have a Material Adverse Effect.

(b) Except as set forth in SCHEDULE 6.18, neither the Company nor any of its
    Subsidiaries has any legal obligation, absolute or contingent, to any other
    person to sell or otherwise dispose of any interest in any of the Hospitals,
    or to sell or dispose of any of its other assets with an individual value of
    $1,000,000 or an aggregate value in excess of $5,000,000.

6.19.  MATERIAL CONTRACTS.  SCHEDULE 6.19 sets forth a list of all (i)
       Contracts for borrowed money or guarantees thereof involving a
       currently outstanding principal amount in excess of $1,000,000, (ii)
       Contracts to acquire or dispose of Hospitals, (iii) Contracts
       containing non-compete covenants by the Company or any Subsidiary and
       (iv) other Contracts (other than national supply and national
       purchasing Contracts for the purchase of supplies in the ordinary
       course of


21
<PAGE>

       business) which involve the payment or receipt of $1 million or more per
       year. All Contracts to which the Company or any of its Subsidiaries is a
       party or by which any of their respective assets is bound are valid and
       binding, in full force and effect and enforceable against the Company or
       any of its Subsidiaries, as the case may be, and to the knowledge of the
       Company, the other parties thereto in accordance with their respective
       terms, subject to applicable bankruptcy, insolvency or other similar laws
       relating to creditors' rights and general principles of equity, except
       where the failure to be so valid and binding, in full force and effect or
       enforceable would not individually or in the aggregate have a Material
       Adverse Effect.

6.20.  REQUIRED VOTE OF COMPANY STOCKHOLDERS. Unless the Merger may be
       consummated in accordance with Section 253 of the DGCL, the only vote of
       the stockholders of the Company required to adopt this Agreement and
       approve the Merger is the affirmative vote of the holders of a majority
       of the outstanding shares of Common Stock.

6.21.  RIGHTS AGREEMENT. The Company has amended the Rights Agreement so that
       the Rights Agreement will not be applicable to this Agreement, the Offer,
       the announcement of the Offer, the purchase of shares of Common Stock by
       Parent or Merger Sub pursuant to the Offer, the Merger, or any other
       action contemplated hereby.

                                    ARTICLE 7

           REPRESENTATIONS AND WARRANTIES OF PURCHASER AND MERGER SUB

Purchaser and Merger Sub hereby represent and warrant to the Company as follows:

7.1.  EXISTENCE; GOOD STANDING; CORPORATE AUTHORITY.  Each of Purchaser and
      Merger Sub is a corporation duly incorporated, validly existing and in
      good standing under the laws of its jurisdiction of incorporation and
      has all requisite corporate power and authority to own, operate and
      lease its properties and carry on its business as now conducted, except
      where the failure to have such power and authority individually or in
      the aggregate would not materially adversely affect the Purchaser and
      Merger Sub, taken as a whole.

7.2.  AUTHORIZATION, VALIDITY AND EFFECT OF AGREEMENTS.  Each of Purchaser and
      Merger Sub has the requisite corporate power and authority to execute
      and deliver this Agreement and the Ancillary Documents and to consummate
      the transactions contemplated hereby and thereby.  The execution and
      delivery of this Agreement and the Ancillary Documents and the
      consummation by Purchaser and Merger Sub of the transactions
      contemplated hereby and thereby have been duly and validly authorized by
      the respective Boards of Directors of


22
<PAGE>

      Purchaser and Merger Sub and by Purchaser as the sole stockholder of
      Merger Sub and no other corporate proceedings on the part of Purchaser or
      Merger Sub are necessary to authorize this Agreement and the Ancillary
      Documents or to consummate the transactions contemplated hereby and
      thereby. This Agreement has been, and any Ancillary Documents at the time
      of execution will have been, duly and validly executed and delivered by
      Purchaser and Merger Sub, and (assuming this Agreement and such Ancillary
      Documents each constitutes a valid and binding obligation of the Company)
      constitutes and will constitute the valid and binding obligations of each
      of Purchaser and Merger Sub, enforceable in accordance with their
      respective terms, subject to applicable bankruptcy, insolvency, moratorium
      or other similar laws relating to creditors' rights and general principles
      of equity.

7.3.  OFFER DOCUMENTS.  None of the Offer Documents, any schedule required to
      be filed by Purchaser or Merger Sub with the SEC or any amendment or
      supplement will contain, on the date of filing with the SEC, any untrue
      statement of a material fact or will omit to state any material fact
      required to be stated therein or necessary in order to make the
      statements made therein, in light of the circumstances under which they
      are made, not misleading, except that no representation is made by the
      Purchaser or Merger Sub with respect to information supplied by the
      Company specifically for inclusion in the Offer Documents, any schedule
      required to be filed with the SEC or any amendment or supplement.  None
      of the information supplied by the Purchaser or Merger Sub in writing
      specifically for inclusion or incorporation by reference in the Schedule
      14D-9 will, at the date of filing with the SEC, contain any untrue
      statement of a material fact or omit to state any material fact required
      to be stated therein or necessary in order to make the statements
      therein, in light of the circumstances under which they were made, not
      misleading.  If at any time prior to the Effective Time either the
      Purchaser or Merger Sub shall obtain knowledge of any facts with respect
      to itself, any of its officers and directors or any of its Subsidiaries
      that would require the supplement or amendment to any of the foregoing
      documents in order to make the statements therein, in the light of the
      circumstances under which they were made, not misleading, or to comply
      with applicable Laws, such amendment or supplement shall be promptly
      filed with the SEC and, as required by Law, disseminated to the
      stockholders of the Company, and in the event the Company shall advise
      the Purchaser or Merger Sub as to its obtaining knowledge of any facts
      that would make it necessary to supplement or amend any of the foregoing
      documents, the Purchaser or Merger Sub shall promptly amend or
      supplement such document as required and distribute the same to the
      stockholders of the Company.

7.4.  NO VIOLATION. Neither the execution and delivery of this Agreement or any
      of the Ancillary Documents by the Purchaser and Merger Sub nor the
      consummation by them of the transactions contemplated hereby or thereby
      will (i) violate, conflict with or result in any breach of any provision
      of the respective Certificates of Incorporation or By-Laws of the
      Purchaser or Merger Sub; (ii) other


23
<PAGE>

      than the filings provided for in SECTION 2.3 and the filings required
      under the Exchange Act and the Securities Act, require any consent,
      approval or authorization of, or declaration, filing or registration with,
      any Governmental Entity, the lack of which individually or in the
      aggregate would have a material adverse effect on the ability of the
      Purchaser or Merger Sub to consummate the transactions contemplated
      hereby, (iii) violate any Laws applicable to the Purchaser or the Merger
      Sub or any of their respective assets, except for violations which
      individually or in the aggregate would not have a material adverse effect
      on the ability of the Purchaser or Merger Sub to consummate the
      transactions contemplated hereby, and (iv) violate, conflict with or
      result in a breach of any provision of, constitute a default (or an event
      which, with notice or lapse of time or both, would constitute a default)
      under, result in the termination or in a right of termination of,
      accelerate the performance required by or benefit obtainable under, result
      in the creation of any Encumbrance upon any of the properties of the
      Purchaser or Merger Sub under, or result in there being declared void,
      voidable, or without further binding effect, any of the terms, conditions
      or provisions of any note, bond, mortgage, indenture, deed of trust or any
      license, franchise, permit, lease, contract, agreement or other
      instrument, commitment or obligation to which the Purchaser or Merger Sub
      is bound, except for any of the foregoing matters which would not
      individually or in the aggregate have a material adverse effect on the
      Purchaser and Merger Sub, taken as a whole.

7.5.  FINANCING.  At the consummation of the Offer and at the Effective Time,
      the Purchaser will cause the Merger Sub to have funds available to it
      sufficient to consummate the Offer and the Merger on the terms
      contemplated hereby.  Affiliates of the Purchaser have, in the
      aggregate, committed capital of approximately $1.0 billion and the
      Purchaser intends to use a portion of those funds together with bank
      borrowings (together, the "FINANCING") in order to consummate the Offer
      and the Merger.  The Purchaser has received from Chemical Bank and Chase
      Securities Inc.  a commitment letter (the "COMMITMENT LETTER")
      confirming their commitments, subject to the terms and conditions
      thereof, to lend $900 million in senior debt financing.  True and
      complete copies of the Commitment Letter have been delivered to the
      Company.  To the extent that such bank borrowings are unavailable, the
      Purchaser will arrange for alternate financing for the transactions
      contemplated hereby.

                                    ARTICLE 8

                                    COVENANTS

8.1. NO SOLICITATION. Neither the Company nor any of its Subsidiaries, nor any
of their respective officers, directors, employees, representatives, agents or
affiliates, shall, directly or indirectly, encourage, solicit, initiate or,
except as is required in the exercise of the fiduciary duties of the Company's
directors to the Company or its stockholders after consultation with


24
<PAGE>

outside counsel (as hereinafter defined) to the Company, participate in any way
in any discussions or negotiations with, or provide any information to, or
afford any access to the properties, books or records of the Company or any of
its Subsidiaries to, or otherwise assist, facilitate or encourage, any
corporation, partnership, person or other entity or group (other than the
Purchaser or any affiliate or associate of the Purchaser) concerning any merger,
consolidation, business combination, liquidation, reorganization, sale of
substantial assets, sale of shares of capital stock or similar transactions
involving the Company or any Subsidiary or any division of any thereof (an
"ALTERNATIVE PROPOSAL"), and shall immediately cease and cause to be terminated
any existing activities, discussions or negotiations with any parties conducted
heretofore with respect to any of the foregoing; provided, however, that nothing
contained in this SECTION 8.1 shall prohibit the Company or its Board of
Directors from complying with Rule 14e-2(a) promulgated under the Exchange Act
or from making such disclosure to the Company's stockholders or from taking such
action which, in the judgment of the Board of Directors with the advice of
outside counsel, may be required under applicable law. The Company will promptly
notify the Purchaser if any such information is requested from it or any such
negotiations or discussions are sought to be initiated with the Company.

8.2.  INTERIM OPERATIONS.

(a) From the date of this Agreement to the Effective Time, except as set forth
in SCHEDULE 8.2(a), unless Purchaser has consented in writing thereto, the
Company shall, and shall cause each of its Subsidiaries to, (i) conduct its
operations according to its usual, regular and ordinary course of business
consistent with past practice; (ii) use its reasonable best efforts to preserve
intact their business organizations and goodwill, maintain in effect all
existing qualifications, licenses, permits, approvals and other authorizations
referred to in SECTIONS 6.1 and 6.14, keep available the services of their
officers and employees and maintain satisfactory relationships with those
persons having business relationships with them; (iii) promptly upon the
discovery thereof notify Purchaser of the existence of any breach of any
representation or warranty contained herein (or, in the case of any
representation or warranty that makes no reference to Material Adverse Effect,
any breach of such representation or warranty in any material respect) or the
occurrence of any event that would cause any representation or warranty
contained herein no longer to be true and correct (or, in the case of any
representation or warranty that makes no reference to Material Adverse Effect,
to no longer be true and correct in any material respect); and (iv) promptly
deliver to Purchaser true and correct copies of any report, statement or
schedule filed with the SEC subsequent to the date of this Agreement, any
internal monthly reports prepared for or delivered to the Board of Directors
after the date hereof and monthly financial statements for the Company and its
Subsidiaries for and as of each month end subsequent to the date of this
Agreement.


25
<PAGE>

(b) From and after the date of this Agreement to the Effective Time, except as
set forth on SCHEDULE 8.2(b), unless Purchaser has consented in writing thereto,
the Company shall not, and shall not permit any of its Subsidiaries to, (i)
amend its Certificate of Incorporation or Bylaws or comparable governing
instruments; (ii) issue, sell or pledge any shares of its capital stock or other
ownership interest in the Company (other than issuances of Common Stock in
respect of any exercise of Options outstanding on the date hereof and disclosed
in SCHEDULE 6.4) or any of the Subsidiaries, or any securities convertible into
or exchangeable for any such shares or ownership interest, or any rights,
warrants or options to acquire or with respect to any such shares of capital
stock, ownership interest, or convertible or exchangeable securities; or
accelerate any right to convert or exchange or acquire any securities of the
Company or any of its Subsidiaries for any such shares or ownership interest;
(iii) effect any stock split or otherwise change its capitalization as it exists
on the date hereof; (iv) grant, confer or award any option, warrant, convertible
security or other right to acquire any shares of its capital stock or take any
action to cause to be exercisable any otherwise unexercisable option under any
existing stock option plan; (v) declare, set aside or pay any dividend or make
any other distribution or payment with respect to any shares of its capital
stock or other ownership interests (other than such payments by a wholly-owned
Subsidiary); (vi) directly or indirectly redeem, purchase or otherwise acquire
any shares of its capital stock or capital stock of any of its Subsidiaries;
(vii) sell, lease or otherwise dispose of any of its assets (including capital
stock of Subsidiaries), except in the ordinary course of business, none of which
dispositions individually or in the aggregate will be material; (viii) settle or
compromise any pending or threatened Litigation, other than settlements which
involve solely the payment of money (without admission of liability) not to
exceed $500,000 in any one case; (ix) acquire by merger, purchase or any other
manner, any business or entity or otherwise acquire any assets that are
material, individually or in the aggregate, to the Company and its Subsidiaries
taken as a whole, except for purchases of inventory, supplies or capital
equipment in the ordinary course of business consistent with past practice; (x)
incur or assume any long-term or short-term debt, except for working capital
purposes in the ordinary course of business under the Company's existing credit
agreement set forth in SCHEDULE 6.19; (xi) assume, guarantee or otherwise become
liable or responsible (whether directly, contingently or otherwise) for the
obligations of any other person except wholly owned Subsidiaries of the Company;
(xii) make or forgive any loans, advances or capital continuations to, or
investments in, any other person other than loans and advances to employees in
the ordinary course of business which do not exceed $500,000 in the aggregate at
any one time outstanding; (xiii) make any Tax election or settle any Tax
liability other than settlements involving solely the payment of money, which
settlement would be permitted by clause (viii); (xiv) grant any stock related or
performance awards except for grants which are substantially consistent with the
Revised 1996 Budget; (xv) enter into any new employment, severance, consulting
or salary continuation agreements with any officers, directors or employees or
grant any increases in compensation or benefits to employees


26
<PAGE>

other than increases which are substantially consistent with the Revised 1996
Budget (it being understood that the acquisition of employees as part of the
acquisition of hospitals or other healthcare facilities is not covered by this
clause (xv)); (xvi) adopt, amend in any material respect or terminate any
employee benefit plan or arrangement; (xvii) amend, change or waive (or exempt
any person or entity from the effect of) the Rights Agreement, except in
connection with the exercise of its fiduciary duties by the Board of Directors
as set forth in SECTION 8.1 of this Agreement or as contemplated by SECTION
6.23; (xviii) permit any insurance policy naming the Company or any Subsidiary
as a beneficiary or a loss payee to be cancelled or terminated other than in the
ordinary course of business; and (xix) agree in writing or otherwise to take any
of the foregoing actions.

8.3.  COMPANY STOCKHOLDER APPROVAL; PROXY STATEMENT.

(a) If approval or action in respect of the Merger by the stockholders of the
Company is required by applicable law, the Company, acting through the Board of
Directors, shall (i) call a meeting of its stockholders (the "STOCKHOLDERS
MEETING") for the purpose of voting upon the Merger, (ii) hold the Stockholder
Meeting as soon as practicable following the purchase of shares of Common Stock
pursuant to the Offer, and (iii) subject to its fiduciary duties under
applicable law as advised by outside counsel, recommend to its stockholders the
approval of the Merger. The record date for the Stockholders Meeting shall be a
date subsequent to the date Purchaser or Merger Sub becomes a record holder of
Common Stock purchased pursuant to the Offer.

(b) If required by applicable law, the Company will, as soon as practicable
following the expiration of the Offer, prepare and file a preliminary Proxy
Statement (such proxy statement, and any amendments or supplements thereto, the
"PROXY STATEMENT") or, if applicable, an Information Statement with the SEC with
respect to the Stockholders Meeting and will use its best efforts to respond to
any comments of the SEC or its staff and to cause the Proxy Statement to be
cleared by the SEC. The Company will notify Purchaser of the receipt of any
comments from the SEC or its staff and of any request by the SEC or its staff
for amendments or supplements to the Proxy Statement or for additional
information and will supply Purchaser with copies of all correspondence between
the Company or any of its representatives, on the one hand, and the SEC or its
staff, on the other hand, with respect to the Proxy Statement or the Merger. The
Company shall give Purchaser and its counsel the opportunity to review the Proxy
Statement prior to its being filed with the SEC and shall give Purchaser and its
counsel the opportunity to review all amendments and supplements to the Proxy
Statement and all responses to requests for additional information and replies
to comments prior to their being filed with, or sent to, the SEC. Each of the
Company and Purchaser agrees to use its best efforts, after consultation with
the other parties hereto, to respond promptly to all such comments of and
requests by the SEC. As promptly as practicable after the Proxy Statement has
been cleared by the SEC, the Company


27
<PAGE>

shall mail the Proxy Statement to the stockholders of the Company. If at any
time prior to the approval of this Agreement by the Company's stockholders there
shall occur any event that should be set forth in an amendment or supplement to
the Proxy Statement, the Company will prepare and mail to its stockholders such
an amendment or supplement.

(c) The Company represents and warrants that the Proxy Statement will comply as
to form in all material respects with the Exchange Act and, at the respective
times filed with the SEC and distributed to stockholders of the Company, will
not contain any untrue statement of a material fact or omit to state any
material fact required to be stated therein or necessary in order to make the
statements therein, in the light of the circumstances under which they were
made, not misleading; provided, that the Company makes no representation or
warranty as to any information included in the Proxy Statement which was
provided by Purchaser or Merger Sub. The Purchaser represents and warrants that
none of the information supplied by Purchaser or Merger Sub for inclusion in the
Proxy Statement will, at the respective times filed with the SEC and distributed
to stockholders of the Company, contain any untrue statement of a material fact
or omit to state any material fact required to be stated therein or necessary in
order to make the statements therein, in the light of the circumstances under
which they were made, not misleading.

(d) The Company shall use its best efforts to obtain the necessary approvals by
its stockholders of the Merger, this Agreement and the transactions contemplated
hereby.

(e) Purchaser agrees, subject to applicable law, to cause all shares of Common
Stock purchased by Merger Sub pursuant to the Offer and all other shares of
Common Stock owned by Purchaser, Merger Sub or any other subsidiary or affiliate
of Purchaser to be voted in favor of the approval of the Merger.

(f) Notwithstanding anything in this Agreement to the contrary, Purchaser and
Merger Sub, in their sole discretion, shall have the right to defer the closing
of the Merger for a period of 135 days following the consummation of the Offer
if, in Purchaser's and Merger Sub's sole judgment, such deferral is necessary in
order to enable the Company to effect a covenant defeasance under the indenture
(the "INDENTURE") related to the Company's 10 1/4% Senior Subordinated
Debentures due 2003 (the "DEBENTURES").

8.4.  FILINGS; OTHER ACTION.

(a) Subject to the terms and conditions herein provided, the Company, Purchaser,
and Merger Sub shall: (a) use their best efforts to cooperate with one another
in (i) determining which filings are required to be made prior to the Effective
Time with, and which consents, approvals, permits, authorizations or


28
<PAGE>

waivers are required to be obtained prior to the Effective Time from,
Governmental Entities or other third parties in connection with the execution
and delivery of this Agreement and any other Ancillary Documents and the
consummation of the transactions contemplated hereby and thereby and (ii) timely
making all such filings and timely seeking all such consents, approvals,
permits, authorizations and waivers; and (b) use their best efforts to take, or
cause to be taken, all other action and do, or cause to be done, all other
things necessary, proper or appropriate to consummate and make effective the
transactions contemplated by this Agreement. If, at any time after the Effective
Time, any further action is necessary or desirable to carry out the purpose of
this Agreement, the proper officers and directors of Purchaser and the Surviving
Corporation shall take all such necessary action.

(b) Concurrently with the commencement of the Offer, the Company shall commence
(i) an offer (the "DEBENTURE OFFER") to purchase all of the outstanding
Debentures, and (ii) a solicitation as part of the Debenture Offer (the
"SOLICITATION") of consents to amendments to the Indenture from the holders of
not less than a majority in aggregate principal amount of the Debentures
outstanding (the consents from such holders, the "REQUISITE CONSENTS"). The
Debenture Offer and Solicitation (including the amendments) shall be on terms
determined by Purchaser, provided that the Company shall not be required to
purchase the Debentures pursuant to the Debenture Offer, and the proposed
amendments, if approved, shall not become operative, unless (i) Purchaser has
consummated the Offer and (ii) the Company has received the proceeds of
financing arranged by Purchaser in an amount sufficient to (a) consummate the
Debenture Offer and pay all fees and expenses associated therewith, and (b)
refinance any indebtedness of the Company coming due by reason of the Debenture
Offer and Solicitation and consummation thereof. The Company agrees that
promptly following the date the Requisite Consents are obtained it will execute
a supplemental indenture containing the proposed amendments that by their terms
shall become operative only upon consummation of the Offer and the Debenture
Offer.

8.5.  ACCESS TO INFORMATION.

(a) From the date of this Agreement to the Closing, the Company shall, and shall
cause its Subsidiaries to, (i) give Purchaser and its authorized representatives
and lender banks full access to all books, records, personnel, offices and other
facilities and properties of the Company and its Subsidiaries and their
accountants and accountants' work papers, (ii) permit Purchaser to make such
copies and inspections thereof as Purchaser may reasonably request and (iii)
furnish Purchaser with such financial and operating data and other information
with respect to the business and properties of the Company and its Subsidiaries
as Purchaser may from time to time reasonably request; provided that no
investigation or information furnished pursuant to this SECTION 8.5 shall affect
any representations or warranties made by the Company herein or the conditions
to the obligations of the Purchaser to consummate the transactions contemplated
hereby.


29
<PAGE>

(b) All such information and access shall be subject to the provisions of the
letter agreement between an affiliate of Purchaser and the Company (the
"CONFIDENTIALITY AGREEMENT") relating to the confidential treatment of
"Proprietary Information" (as defined therein).

8.6. PUBLICITY. The initial press release relating to this Agreement shall be a
joint press release and thereafter the Company and Purchaser shall, subject to
their respective legal obligations, consult with each other before issuing any
such press release or otherwise making public statements with respect to the
transactions contemplated hereby and in making any filings with any Governmental
Entity or with any national securities exchange with respect thereto.

8.7. FURTHER ACTION. Each party hereto shall, subject to the fulfillment at or
before the Effective Time of each of the conditions of performance set forth
herein or the waiver thereof, perform such further acts and execute such
documents as may be reasonably required to effect the Merger.

8.8.  INSURANCE; INDEMNITY.

(a) The Purchaser will cause the Surviving Corporation to purchase a three-year
pre-paid noncancellable directors and officers insurance policy expiring not
earlier than October 7, 1999, covering the current and all former directors and
officers with respect to acts or failures to act prior to the Effective Time, in
a single aggregate amount over the period expiring not earlier than October 7,
1999 equal to the policy limit for the Company's current directors and officers
insurance policy (the "CURRENT POLICY"). If such insurance is not obtainable at
a cost not in excess of the annual premium paid by the Company for the Current
Policy (the "CAP") times 3.25, then the Purchaser will cause the Surviving
Corporation to purchase policies providing at least the same coverage as the
Current Policy and containing terms and conditions no less advantageous to the
current and former directors and officers of the Company than the Current Policy
with respect to acts or failures to act prior to the Effective Time; provided,
however, that the Purchaser and the Surviving Corporation shall not be required
to obtain policies providing such coverage except to the extent that such
coverage can be provided at an annual cost of no greater than the Cap; and if
equivalent coverage cannot be obtained, or can be obtained only by paying an
annual premium in excess of the Cap, the Purchaser or the Surviving Corporation
shall only be required to obtain as much coverage as can be obtained by paying
an annual premium equal to the Cap.

(b) The Purchaser shall cause the Surviving Corporation to keep in effect in its
By-Laws a provision for a period of not less than three years from the Effective
Time (or, in the case of matters occurring prior to the Effective Time which
have not been resolved prior to the third anniversary of the Effective Time,


30
<PAGE>

until such matters are finally resolved) which provides for indemnification of
the past and present officers and directors of the Company to the fullest extent
permitted by the DGCL.

(c) From and after the Effective Time, the Purchaser shall indemnify and hold
harmless, to the fullest extent permitted under applicable law, each person who
is, or has been at any time prior to the date hereof or who becomes prior to the
Effective Time, an officer or director of the Company or any Subsidiary against
all losses, claims, damages, liabilities, costs or expenses (including
attorneys' fees), judgments, fines, penalties and amounts paid in settlement
(collectively, "LOSSES") in connection with any Litigation arising out of or
pertaining to acts or omissions, or alleged acts or omissions, by them in their
capacities as such, which acts or omissions existed or occurred at or prior to
the Effective Time, whether commenced, asserted or claimed before or after the
Effective Time, including, without limitation, liabilities arising under the
Securities Act, the Exchange Act and state corporation laws in connection with
the transactions contemplated hereby. Without limiting the foregoing, the
Company and after the Effective Time the Purchaser shall periodically advance
expenses as incurred with respect to the foregoing to the fullest extent
permitted under applicable law provided that the person to whom the expenses are
advanced provides an undertaking to repay such advance if it is ultimately
determined that such person is not entitled to indemnification.

(d) If the Merger shall have been consummated, the Surviving Corporation shall,
to the fullest extent permitted under applicable law, indemnify and hold
harmless the Purchaser and any person or entity who was a stockholder, officer,
director or affiliate of Purchaser prior to the Effective Time against any
Losses in connection with any Litigation arising out of or pertaining to any of
the transactions contemplated by this Agreement or the Ancillary Documents. The
Purchaser shall periodically advance expenses as incurred with respect to the
foregoing to the fullest extent permitted under applicable law provided that the
person to whom the expenses are advanced provides an undertaking to repay such
advance if it is ultimately determined that such person is not entitled to
indemnification.

(e) If any Litigation described in paragraph (c) or (d) of this SECTION 8.8
(each, an "ACTION") arises or occurs, the Surviving Corporation shall control
the defense of such Action through its counsel, but counsel for the party
seeking indemnification pursuant to paragraph (c) or (d) of this SECTION 8.8
(each, an "INDEMNIFIED PARTY") shall be selected by the Indemnified Party, which
counsel shall be reasonably acceptable to the Surviving Corporation, and the
Indemnified Parties shall be permitted to participate in the defense of such
Action through such counsel at the Corporation's expense. If there is any
conflict between the Surviving Corporation and any Indemnified Parties or there
are additional defenses available to any Indemnified Parties, the Indemnified
Parties shall be permitted to


31
<PAGE>

participate in the defense of such Action with counsel selected by the
Indemnified Parties, which counsel shall be reasonably acceptable to the
Surviving Corporation; provided that the Surviving Corporation shall not be
obligated to pay the reasonable fees and expenses of more than one counsel for
all Indemnified Parties in any single Action except to the extent that, in the
opinion of counsel for the Indemnified Parties, two or more of such Indemnified
Parties have conflicting interests in the outcome of such Action. The Surviving
Corporation shall not be liable for any settlement effected without its written
consent, which consent shall not unreasonably be withheld. The Purchaser shall
cause the Surviving Corporation to cooperate in the defense of any Action.

(f) This Section 8.8 is intended to benefit each of the persons referred to
herein and shall be binding on all successors and assigns of the Company and the
Purchaser.

8.9. RESTRUCTURING OF MERGER. Upon the mutual agreement of Purchaser and the
Company, the Merger shall be restructured in the form of a forward subsidiary
merger of the Company into Merger Sub, with Merger Sub being the surviving
corporation, or as a merger of the Company into Purchaser, with Purchaser being
the surviving corporation. In such event, this Agreement shall be deemed
appropriately modified to reflect such form of merger.

8.10.  EMPLOYEE BENEFIT PLANS.

(a) From and after the Effective Time, the Surviving Corporation and their
respective subsidiaries will honor and assume, and Purchaser will cause the
Surviving Corporation to honor and assume, in accordance with their terms, all
existing employment and severance agreements between the Company or any of its
Subsidiaries and any officer, director, or employee of the Company or any of its
Subsidiaries and all benefits or other amounts earned or accrued to the extent
vested or which becomes vested in the ordinary course, through the Effective
Time under all employee benefit plans of the Company and any of its
Subsidiaries.

(b) The Purchaser confirms that it is the Purchaser's intention that, until the
first anniversary of the Effective Time, the Surviving Corporation and its
Subsidiaries will provide benefits to their employees (excluding employees
covered by collective bargaining agreements, if any) which benefits will, in the
aggregate, be substantially equivalent to those currently provided by the
Company and its Subsidiaries to such employees (other than pursuant to stock
option, stock purchase or other stock based plans). The Purchaser intends that,
after the first anniversary of the Effective Time, the Surviving Corporation and
its Subsidiaries will provide benefits to their employees (excluding employees
covered by collective bargaining agreements, if any) which benefits are
appropriate in the judgment of the Surviving Corporation, taking into account
all relevant factors, including, without


32
<PAGE>

limitation, the businesses in which the Surviving Corporation and its
Subsidiaries are engaged.

8.11. NO LIABILITY FOR FAILURE TO OBTAIN CONSENT OF LENDERS. The Purchaser and
Merger Sub hereby agree that neither the Company nor any of its Affiliates (as
defined below) will incur any liability to Purchaser or Merger Sub if the
transactions contemplated hereby are not consummated because of the failure or
inability to obtain any consent, approval or waiver under the terms of the
Amended and Restated Credit Agreements, dated as of May 12, 1995, by and among
the Company, certain Subsidiaries, the lenders named therein, NationsBank of
Tennessee, N.A., as Administrative Agent, and First Union National Bank of North
Carolina, as Co-Agent and Issuing Bank. As used in this Section 8.11, the term
"Affiliates" shall mean any person directly or indirectly controlling the
Company (including all directors, officers and employees), directly or
indirectly controlled by or under direct or indirect common control with the
Company.

                                    ARTICLE 9

                                   CONDITIONS

9.1. CONDITIONS TO EACH PARTY'S OBLIGATION TO EFFECT THE MERGER. The respective
obligation of each party to effect the Merger shall be subject to the
satisfaction or waiver, where permissible, prior to the Effective Time, of the
following conditions:

(a) If approval of this Agreement and the Merger by the holders of Common Stock
    is required by applicable law, this Agreement and the Merger shall have been
    approved by the requisite vote of such holders.

(b) There shall not have been issued any injunction or issued or enacted any Law
    which prohibits or has the effect of prohibiting the consummation of the
    Merger or makes such consummation illegal.

9.2. CONDITIONS TO OBLIGATION OF PURCHASER AND MERGER SUB TO EFFECT THE MERGER.
The obligations of Purchaser and Merger Sub to effect the Merger shall be
further subject to the satisfaction or waiver on or prior to the Effective Time
of the condition that Purchaser shall have accepted for payment and paid for
shares of Common Stock tendered pursuant to the Offer; provided that this
condition shall be deemed satisfied if the Purchaser's failure to accept for
payment and pay for such shares breaches this Agreement or violates the terms
and conditions of the Offer.


33
<PAGE>

                                   ARTICLE 10

                         TERMINATION; AMENDMENT; WAIVER

10.1. TERMINATION. This Agreement may be terminated and the Merger contemplated
hereby may be abandoned at any time notwithstanding approval thereof by the
stockholders of the Company, but prior to the Effective Time:

(a) by mutual written consent of the Board of Directors of the Company (subject
    to SECTION 1.4) and the Purchaser;

(b) by the Purchaser or the Company:

(i) if the Effective Time shall not have occurred on or before December 31, 1996
    (provided that the right to terminate this Agreement pursuant to this clause
    (i) shall not be available to any party whose failure to fulfill any
    obligation under this Agreement has been the cause of or resulted in the
    failure of the Effective Time to occur on or before such date);

(ii) if there shall be any statute, law, rule or regulation that makes
     consummation of the Offer or the Merger illegal or prohibited or if any
     court of competent jurisdiction in the United States or other Governmental
     Entity shall have issued an order, judgment, decree or ruling, or taken any
     other action restraining, enjoining or otherwise prohibiting the Merger and
     such order, judgment, decree, ruling or other action shall have become
     final and non-appealable;

(iii) after October 31, 1996 if, on account of the failure of any condition
      specified in EXHIBIT A, the Merger Sub has not purchased any shares of
      Common Stock in the Offer by that date (provided that the right to
      terminate this Agreement pursuant to this clause (iii) shall not be
      available to any party whose failure to fulfill any obligation under this
      Agreement has been the cause of or resulted in the failure of any such
      condition); or

(iv) upon a vote at a duly held meeting or upon any adjournment thereof, the
     stockholders of the Company shall have failed to give any approval required
     by applicable law;

(c) by the Company if there is an Alternative Proposal which the Board of
    Directors in good faith determines is more favorable from a financial point
    of view to the stockholders of the Company as compared to the Offer and the
    Merger, and the Board of Directors determines, after consultation with
    Skadden, Arps, Slate, Meagher & Flom ("OUTSIDE COUNSEL"), that failure to
    terminate this Agreement would be inconsistent with the compliance by the
    Board of Directors


34
<PAGE>

    with its fiduciary duties to stockholders imposed by law; provided, however,
    that the right to terminate this Agreement pursuant to this SECTION 10.1(c)
    shall not be available (i) if the Company has breached in any material
    respect its obligations under SECTION 8.1, or (ii) if the Alternative
    Proposal (x) is subject to a financing condition or (y) involves
    consideration that is not entirely cash or does not permit stockholders to
    receive the payment of the offered consideration in respect of all shares at
    the same time, unless the Board of Directors has been furnished with a
    written opinion of the Financial Advisor or other nationally recognized
    investment banking firm to the effect that (in the case of clause (x)) the
    Alternative Proposal is readily financeable and (in the case of clause (y))
    that such offer provides a higher value per share than the consideration per
    share pursuant to the Offer or the Merger, or (iii) if, prior to or
    concurrently with any purported termination pursuant to this SECTION
    10.1(c), the Company shall not have paid the fees and expenses contemplated
    by SECTION 11.5, or (iv) if the Company has not provided Purchaser and
    Merger Sub with prior written notice of its intent to so terminate this
    Agreement and delivered to the Purchaser and Merger Sub a copy of the
    written agreement embodying the Alternative Proposal in its then most
    definitive form concurrently with the earlier of (x) the public announcement
    of, or (y) filing with the SEC of any documents relating to, the Alternative
    Proposal; and

(d) by the Purchaser if the Board of Directors shall have failed to recommend,
    or shall have withdrawn, modified or amended in any material respect, its
    approval or recommendation of the Offer or the Merger, or shall have
    recommended acceptance of any Alternative Proposal, or shall have resolved
    to do any of the foregoing.

10.2. EFFECT OF TERMINATION. If this Agreement is terminated and the Merger is
abandoned pursuant to SECTION 10.1 hereof, this Agreement, except for the
provisions of SECTIONS 1.3(c), 8.5(b), 8.6 and ARTICLE 11, shall terminate,
without any liability on the part of any party or its directors, officers or
stockholders. Nothing herein shall relieve any party to this Agreement of
liability for breach of this Agreement or prejudice the ability of the
non-breaching party to seek damages from any other party for any breach of this
Agreement, including without limitation, attorneys' fees and the right to pursue
any remedy at law or in equity.

10.3. AMENDMENT. To the extent permitted by applicable law, this Agreement may
be amended by action taken by or on behalf of the Board of Directors of the
Company (subject to SECTION 1.4) and the Purchaser at any time before or after
adoption of this Agreement by the stockholders of the Company but, after any
such stockholder approval, no amendment shall be made which decreases the Merger
Consideration or which adversely affects the rights of the Company's
stockholders hereunder without the approval of such stockholders. This Agreement
may not be amended except by an instrument in writing signed on behalf of all of
the parties.


35
<PAGE>

10.4. EXTENSION; WAIVER. At any time prior to the Effective Time, the parties
hereto, by action taken by or on behalf of the Board of Directors of the Company
(subject to SECTION 1.4) and the Purchaser, may (i) extend the time for the
performance of any of the obligations or other acts of the other parties hereto,
(ii) waive any inaccuracies in the representations and warranties contained
herein by any other applicable party or in any document, certificate or writing
delivered pursuant hereto by any other applicable party or (iii) waive
compliance with any of the agreements or conditions contained herein. Any
agreement on the part of any party to any such extension or waiver shall be
valid only if set forth in an instrument in writing signed on behalf of such
party.

                                   ARTICLE 11

                               GENERAL PROVISIONS

11.1. NONSURVIVAL OF REPRESENTATIONS AND WARRANTIES. None of the representations
and warranties in this Agreement or in any instrument delivered pursuant to this
Agreement shall survive the Effective Time.

11.2. NOTICES. Any notice required to be given hereunder shall be sufficient if
in writing, and sent by facsimile transmission (with a confirmatory copy sent by
overnight courier), by courier service (with proof of service), hand delivery or
certified or registered mail (return receipt requested and first-class postage
prepaid), addressed as follows:

     If to Purchaser or Merger Sub:          If to the Company:

     FLCH Holdings Corp.                     Community Health Systems, Inc.
     FLCH Acquisition Corp.                  155 Franklin Road
     c/o Forstmann Little & Co.              Suite 400
     767 Fifth Avenue                        Brentwood, TN  37027-4600
     New York, NY  10153                     Attn: Chairman of the Board and
     Attn: Ms. Sandra Horbach                      Chairman of the Special
     Facsimile: (212) 759-9059                     Committee
                                             Facsimile: (615) 377-1172


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<PAGE>

     With a copy to:                         With a copy to:

     Stephen Fraidin, P.C.                   J.  Michael Schell, Esq.
     Fried, Frank, Harris,                   Skadden, Arps, Slate, Meagher
       Shriver & Jacobson                      & Flom
     One New York Plaza                      919 Third Avenue
     New York, New York  10004               New York, New York  10022
     Facsimile: (212) 859-4000               Facsimile: (212) 735-2000

or to such other address as any party shall specify by written notice so given,
and such notice shall be deemed to have been delivered as of the date so
telecommunicated, personally delivered or mailed.

11.3. ASSIGNMENT; BINDING EFFECT. Neither this Agreement nor any of the rights,
interests or obligations hereunder shall be assigned by any of the parties
hereto (whether by operation of law or otherwise) without the prior written
consent of the other parties; provided, however, that either Purchaser or Merger
Sub (or both) may assign its rights hereunder (including without limitation the
right to make the Offer and/or to purchase shares of Common Stock in the Offer)
to an affiliate but nothing shall relieve the assignor from its obligations
hereunder. Subject to the preceding sentence, this Agreement shall be binding
upon and shall inure to the benefit of the parties hereto and their respective
successors and assigns. Notwithstanding anything contained in this Agreement to
the contrary, except for the provisions of SECTION 8.8, nothing in this
Agreement, expressed or implied, is intended to confer on any person other than
the parties hereto or their respective heirs, successors, executors,
administrators and assigns any rights, remedies, obligations or liabilities
under or by reason of this Agreement.

11.4. ENTIRE AGREEMENT. This Agreement, the Confidentiality Agreement, the
Schedules, the Exhibits, the Ancillary Documents and any other documents
delivered by the parties in connection herewith constitute the entire agreement
among the parties with respect to the subject matter hereof and supersede all
prior agreements and understandings among the parties with respect thereto.

11.5.  FEES AND EXPENSES.

(a) Except as provided in SECTION 11.5(b), whether or not the Offer or the
Merger is consummated, all costs and expenses incurred in connection with the
transactions contemplated by this Agreement shall be paid by the party incurring
such expenses.

(b)(1) To compensate Forstmann Little & Co. and its affiliates for incurring the
costs and expenses related to the transactions contemplated hereby


37
<PAGE>

and the forgoing by Forstmann Little & Co. or its affiliates of the opportunity
with respect to their investment in Purchaser in connection herewith, the
Company agrees that it shall pay to Forstmann Little & Co. and its affiliates,
in such manner as is designated by Forstmann Little & Co., an aggregate amount
equal to $45,000,000 (the "COMMITMENT AMOUNT") if this Agreement is terminated
(i) by the Company pursuant to SECTION 10.1(c); (ii) by the Purchaser (x)
pursuant to SECTION 10.1(d) (unless the event described therein occurs solely as
a result of the Purchaser's willful breach in any material respect of its
representations, warranties or obligations contained herein) or (y) pursuant to
SECTION 10.1(b)(iii) because of the failure of the condition set forth in
paragraph (d) of EXHIBIT A as a result of the Company's willful breach or
willful failure to comply in any material respect with any of its material
obligations under this Agreement; or (iii) pursuant to SECTION 10.1(b)(iii) at a
time when the Minimum Condition shall not have been satisfied and, either (x)
during the term of this Agreement or within 12 months after the termination of
this Agreement, the Board of Directors recommends an Alternative Proposal or the
Company enters into an agreement providing for an Alternative Proposal or a
majority of the outstanding shares of Common Stock is acquired by a third party
(including a "group" as defined in the Exchange Act) (a "STOCK ACQUISITION")
which Alternative Proposal (or another Alternative Proposal by the same or a
related person or entity) was made prior to the termination of this Agreement,
or (y) during the term of this Agreement or within two months after the
termination of this Agreement, the Board of Directors recommends an Alternative
Proposal or the Company enters into an agreement providing for an Alternative
Proposal or a Stock Acquisition occurs.

The Commitment Amount shall be payable (x) at the time of termination if such
Amount becomes payable pursuant to clause (i) above, (y) on the next business
day following termination if such Amount becomes payable pursuant to clause (ii)
above, and (z) on the next business day following the earliest of the
recommendation of an Alternative Proposal, the entering into of an agreement
providing for an Alternative Proposal or the occurrence of an Alternative
Proposal, if such Amount becomes payable pursuant to clause (iii) above.

(2) The Company shall reimburse the Purchaser and its affiliates for the
documented reasonable out-of-pocket expenses of the Purchaser and its
affiliates, but not in excess of $15,000,000 in the aggregate, incurred in
connection with or arising out of the Offer, the Merger, this Agreement and the
Ancillary Documents and the transactions contemplated hereby (including, without
limitation, amounts paid or payable to banks and investment bankers, fees and
expenses of counsel, accountants and consultants, and printing expenses),
regardless of when those expenses are incurred, if this Agreement is terminated
(i) by the Company pursuant to SECTION 10.1(c); (ii) by the Purchaser (x)
pursuant to SECTION 10.1(d) (unless the event described therein occurs solely as
a result of the Purchaser's willful breach in any material respect of its
representations, warranties or obligations contained herein) or (y) pursuant to
SECTION 10.1(b)(iii)


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<PAGE>

because of the failure of the condition set forth in paragraph (d) of EXHIBIT A,
or (iii) pursuant to SECTION 10.1(b)(iii) at a time when the Minimum Condition
shall not have been satisfied and, either (x) during the term of this Agreement
or within 12 months after the termination of this Agreement, the Board of
Directors recommends an Alternative Proposal or the Company enters into an
agreement providing for an Alternative Proposal or a Stock Acquisition occurs
which Alternative Proposal (or another Alternative Proposal by the same or a
related person or entity) was made prior to the termination of this Agreement,
or (y) during the term of this Agreement or within two months after the
termination of this Agreement, the Board of Directors recommends an Alternative
Proposal or the Company enters into an agreement providing for an Alternative
Proposal or a Stock Acquisition occurs. No amounts in reimbursement of expenses
shall be payable pursuant to this paragraph (2) if the Commitment Amount has
been paid. If the Company shall have reimbursed the Purchaser for expenses
incurred by the Purchaser and its affiliates pursuant to this paragraph (2) and
thereafter the Commitment Amount shall become payable pursuant to paragraph (1)
of this Section 11.5(b), then the Commitment Amount shall be reduced by the
amount of any reimbursed expenses.

(3) The Company acknowledges that the agreements contained in this SECTION
11.5(b) are an integral part of the transactions contemplated by this Agreement,
and that, without these agreements, the Purchaser would not enter into this
Agreement. Accordingly, if the Company fails to promptly pay any amounts owing
pursuant to this SECTION 11.5(b) when due, the Company shall in addition thereto
pay to the Purchaser and its affiliates all costs and expenses (including fees
and disbursements of counsel) incurred in collecting such amounts, together with
interest on such amounts (or any unpaid portion thereof) from the date such
payment was required to be made until the date such payment is received by the
Purchaser at the prime rate of Chemical Bank as in effect from time to time
during such period; provided, however, that no costs, expenses, or interest
shall be paid in respect of any payment owing under clause (y) of SECTION
11.5(b)(1)(ii). If the Company shall fail to pay the Commitment Amount when due,
and the Purchaser shall notify the Company of such failure to pay, the Purchaser
agrees that it will include in its notice to the Company a statement as to which
clause of Section 11.5(b)(1) the Purchaser believes entitles it to payment.

11.6. GOVERNING LAW. This Agreement shall be governed by and construed in
accordance with the laws of the State of Delaware without regard to its rules of
conflict of laws. Each of the Company, Purchaser and Merger Sub hereby
irrevocably and unconditionally consents to submit to the exclusive jurisdiction
of the courts of the State of Delaware and of the United States of America
located in the State of Delaware (the "DELAWARE COURTS") for any litigation
arising out of or relating to this Agreement and the transactions contemplated
hereby (and agrees not to commence any litigation relating thereto except in
such courts), waives any objection to the laying of venue of any such litigation
in the


39
<PAGE>

Delaware Courts and agrees not to plead or claim in any Delaware Court that such
litigation brought therein has been brought in an inconvenient forum.

11.7. HEADINGS. Headings of the Articles and Sections of this Agreement are for
the convenience of the parties only, and shall be given no substantive or
interpretive effect whatsoever.

11.8. INTERPRETATION. In this Agreement, unless the context otherwise requires,
words describing the singular number shall include the plural and vice versa,
and words denoting any gender shall include all genders and words denoting
natural persons shall include corporations and partnerships and vice versa.
Whenever the words "include," "includes" or "including" are used in this
Agreement, they shall be deemed to be followed by the words "without
limitation." As used in this Agreement, "Subsidiary" shall mean, when used with
respect to any party, any corporation or other organization, whether
incorporated or unincorporated, of which such party directly or indirectly owns
or controls at least a majority of the securities or other interests having by
their terms ordinary voting power to elect a majority of the board of directors
or others performing similar functions with respect to such corporation or other
organization. "Significant Subsidiaries" shall refer to Subsidiaries (as defined
above) which constitute "significant subsidiaries" under Rule 12b-2 under the
Exchange Act. As used in this Agreement, "MATERIAL ADVERSE EFFECT" shall mean a
material adverse effect on the business, results of operations, assets or
financial condition of the Company and its Subsidiaries taken as a whole.

11.9. INVESTIGATIONS. No action taken pursuant to this Agreement, including,
without limitation, any investigation by or on behalf of any party, shall be
deemed to constitute a waiver by the party taking such action of compliance with
any representations, warranties, covenants or agreements contained in this
Agreement.

11.10. SEVERABILITY. Any term or provision of this Agreement which is invalid or
unenforceable in any jurisdiction shall, as to that jurisdiction, be ineffective
to the extent of such invalidity or unenforceability without rendering invalid
or unenforceable the remaining terms and provisions of this Agreement or
affecting the validity or enforceability of any of the terms or provisions of
this Agreement in any other jurisdiction. If any provision of this Agreement is
so broad as to be unenforceable, the provision shall be interpreted to be only
so broad as is enforceable.

11.11. ENFORCEMENT OF AGREEMENT. The parties hereto agree that irreparable
damage would occur in the event that any of the provisions of this Agreement
were not performed in accordance with its specific terms or was otherwise
breached. It is accordingly agreed that the parties shall be entitled to an
injunction or injunctions to prevent breaches of this Agreement and to enforce


40
<PAGE>

specifically the terms and provisions hereof in any Delaware Court, this being
in addition to any other remedy to which they are entitled at law or in equity.

11.12. COUNTERPARTS. This Agreement may be executed by the parties hereto in
separate counterparts, each of which when so executed and delivered shall be an
original, but all such counterparts shall together constitute one and the same
instrument. Each counterpart may consist of a number of copies hereof each
signed by less than all, but together signed by all, of the parties hereto.


41
<PAGE>

IN WITNESS WHEREOF, the parties have executed this Agreement and caused the same
to be duly delivered on their behalf on the day and year first written above.

                                   COMMUNITY HEALTH SYSTEMS, INC.

                                       By:

                                           Name:
                                           Title:

                                   FLCH HOLDINGS CORP.

                                       By:

                                           Name:
                                           Title:

                                   FLCH ACQUISITION CORP.

                                       By:

                                           Name:
                                           Title:


42
<PAGE>

                                    EXHIBIT A

                             CONDITIONS OF THE OFFER

Notwithstanding any other term of the Offer, Merger Sub shall not be required to
accept for payment or pay for, subject to any applicable rules and regulations
of the SEC, including Rule 14e-1(c) of the Exchange Act, any shares of Common
Stock not theretofore accepted for payment or paid for and may terminate or
amend the Offer as to such shares of Common Stock unless there shall have been
validly tendered and not withdrawn prior to the expiration of the Offer that
number of shares of Common Stock which would represent at least a majority of
the outstanding shares of Common Stock on a fully diluted basis (the "MINIMUM
CONDITION"). Furthermore, notwithstanding any other term of the Offer or this
Agreement, Merger Sub shall not be required to accept for payment or, subject as
aforesaid, to pay for any shares of Common Stock not theretofore accepted for
payment or paid for, and may terminate or amend the Offer if at any time on or
after the date of this Agreement and before the acceptance of such shares of
Common Stock for payment or the payment therefor, any of the following
conditions exist or shall occur and remain in effect:

(a) there shall have been instituted or pending any litigation by the Government
    of the United States of America or any agency or instrumentality thereof (i)
    which seeks to challenge the acquisition by Purchaser or Merger Sub (or any
    of its affiliates) of shares of Common Stock pursuant to the Offer or
    restrain, prohibit or delay the making or consummation of the Offer or the
    Merger, (ii) which seeks to make the purchase of or payment for some or all
    of the shares of Common Stock pursuant to the Offer or the Merger illegal,
    (iii) which seeks to impose limitations on the ability of Purchaser or
    Merger Sub (or any of their affiliates) effectively to acquire or hold, or
    to require the Purchaser, Merger Sub or the Company or any of their
    respective affiliates or subsidiaries to dispose of or hold separate, any
    material portion of their assets or business, (iv) which seeks to impose
    limitations on the ability of Purchaser, Merger Sub or their affiliates to
    exercise full rights of ownership of the shares of Common Stock purchased by
    it, including, without limitation, the right to vote the shares purchased by
    it on all matters properly presented to the stockholders of the Company, or
    (v) which seeks to limit or prohibit any future business activity by
    Purchaser, Merger Sub or any of their affiliates, including, without
    limitation, requiring the prior consent of any person or entity (including
    the Government of the United States of America or any agency or
    instrumentality thereof) to future transactions by Purchaser, Merger Sub or
    any of their affiliates; or


A-1
<PAGE>

(b) there shall have been promulgated, enacted, entered, enforced or deemed
    applicable to the Offer or the Merger, by any Governmental Entity, any Law
    or there shall have been issued any injunction that results in any of the
    consequences referred to in subsection (a) above; or

(c) this Agreement shall have been terminated in accordance with its terms; or

(d) (i) any of the representations and warranties made by the Company in this
    Agreement shall not have been true and correct in all material respects when
    made, or shall thereafter have ceased to be true and correct in all material
    respects as if made as of such later date (other than representations and
    warranties made as of a specified date) or (ii) the Company shall have
    breached or failed to comply in any material respect with any of its
    obligations under this Agreement; or

(e) any corporation, entity, "group" or "person" (as defined in the Exchange
    Act), other than Purchaser or Merger Sub, shall have acquired beneficial
    ownership of more than 49% of the outstanding shares of Common Stock; or

(f) except as set forth in the Company Reports or the Schedules to the
    Agreement, any change shall have occurred or be threatened which
    individually or in the aggregate has had or is continuing to have a material
    adverse effect on the prospects of the Company and its Subsidiaries, taken
    as a whole; or

(g) there shall have occurred (i) any general suspension of, or limitation on
    prices for, trading in securities on any national securities exchange or in
    the over the counter market in the United States, (ii) a declaration of any
    banking moratorium by federal or state authorities or any suspension of
    payments in respect of banks or any limitation (whether or not mandatory)
    imposed by federal or state authorities on the extension of credit by
    lending institutions in the United States, (iii) a commencement of a war,
    armed hostilities or any other international or national calamity directly
    or indirectly involving the United States, other than any war, armed
    hostilities or other international calamity involving the former Yugoslavia,
    (iv) any mandatory limitation by the federal government on the extension of
    credit by banks or other financial institutions generally, (v) any increase
    of 500 or more basis points in the prime rate as announced by Chemical Bank,
    measured from the date of this Agreement, or (vi) in the case of the
    foregoing clause (iii), if existing at the time of the commencement of the
    Offer, in the reasonable judgment of the Purchaser, a material acceleration
    or worsening thereof.


A-2
<PAGE>

The foregoing conditions are for the sole benefit of Purchaser and Merger Sub
and may be asserted by Purchaser or Merger Sub regardless of the circumstances
(including any action or inaction by the Purchaser or the Company) giving rise
to any such condition and may be waived by Purchaser or Merger Sub, in whole or
in part, at any time and from time to time, in the sole discretion of Purchaser.
The failure by Purchaser or Merger Sub at any time to exercise any of the
foregoing rights will not be deemed a waiver of any right, the waiver of such
right with respect to any particular facts or circumstances shall not be deemed
a waiver with respect to any other facts or circumstances, and each right will
be deemed an ongoing right which may be asserted at any time and from time to
time.

Should the Offer be terminated pursuant to the foregoing provisions, all
tendered shares of Common Stock not theretofore accepted for payment shall
forthwith be returned by the depositary to the tendering stockholders.


A-3

<PAGE>

                                                                    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
<PAGE>

                  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


                                      -2-
<PAGE>

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


                                      -3-
<PAGE>

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


                                      -4-
<PAGE>

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.


                                      -5-
<PAGE>

                           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


                                      -6-
<PAGE>

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:


                                      -7-
<PAGE>

                           (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.


                                      -8-
<PAGE>

                  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.


                                      -9-
<PAGE>

                  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


                                      -10-

<PAGE>

                                                                    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.
<PAGE>

                        "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.


                                       2
<PAGE>

                        "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.


                                       3
<PAGE>

                        (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

<PAGE>

                                                                    Exhibit 10.3

           STOCKHOLDER'S AGREEMENT, dated as of ______________, between
Community Health Systems Holdings Corp., a Delaware corporation, and the
undersigned (the "Employee"), who was granted the right and option (the
"Option") to acquire shares of Class C Nonvoting Common Stock, par value $.01
per share, of the Company pursuant to the terms and conditions of the Community
Health Systems Holdings Corp. Employee Stock Option Plan (the "Plan") and a
Stock Option Agreement, dated as of March 31, 1999, between the Company and the
Employee (the "Option Agreement").

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

           WHEREAS, the Employee wishes to exercise the Option to acquire
shares of Class C Common Stock; and

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

           NOW, THEREFORE, the parties hereto agree as follows:

1. DEFINITIONS.

           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.

                "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.

                "Book Value of the Company" shall mean the sum of (i) the total
assets minus the total liabilities of the Company on a consolidated basis, plus
(ii) the
<PAGE>

amount of any reduction in stockholders' equity resulting from the application
of EITF Issue Summary No. 88-16, Basis in Leveraged Buyouts, as of the Valuation
Date. For purposes of calculating the Book Value of the Company and the Book
Value Per Share, (i) all options and other rights to acquire equity interests in
the Company outstanding immediately prior to the date of the Repurchase Notice
or exercised between the Valuation Date and the date of the Repurchase Notice
shall be deemed to have been exercised on the Valuation Date, and (ii) the
number of outstanding shares on the Valuation Date shall be increased by the
number of shares subject to each such option or other right and the assets of
the Company shall be increased by the aggregate exercise price payable in
respect of the exercise of each such option or other right (with respect to
clauses (i) and (ii), in the case of any such option or other right, unless the
effect thereof would be to increase the Book Value Per Share).

                "Book Value Per Share" shall mean the amount which would be
payable on the Valuation Date in respect of one share of Class C Common Stock in
the event of a dissolution, liquidation or winding-up of the affairs of the
Company if the amount of assets available for distribution in the event of such
dissolution, liquidation or winding-up with respect to all shares of capital
stock of the Company outstanding (or deemed to be outstanding, as set forth in
the definition of "Book Value of the Company") on the Valuation Date were equal
to the Book Value of the Company. In the event there has been a Stock Dividend
after the Valuation Date and prior to the date of the Repurchase Notice, the
number of shares outstanding for purposes of determining Book Value Per Share
shall be the number of shares that would have been outstanding immediately after
the Stock Dividend on the Valuation Date had the Stock Dividend occurred on the
Valuation Date.

                "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).

                "Certificate of Incorporation" shall mean the Restated
Certificate of Incorporation of the Company, as in effect from time to time.

                "CHS Hospital" shall have the meaning ascribed to such term in
the definition of Competitor.

                "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
<PAGE>

after the date hereof in respect of, or in exchange for, shares of Class A
Common Stock pursuant to a Capital Transaction or otherwise.

                "Class C Common Stock" shall mean the Class C Nonvoting Common
Stock, par value $0.01 per share, of the Company. There shall be included within
the term Class C Common Stock any Class C 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 C Common Stock pursuant to a Capital Transaction
or otherwise. Without limiting the generality of the foregoing, all references
herein to the Class C Common Stock shall include, and the provisions hereof
(including, without limitation, Sections 3 and 4 hereof) shall also be
applicable to, the Class A Common Stock for which the Class C Common Stock shall
be exchanged pursuant to the Certificate of Incorporation.

                "Class C Exchange Rate" shall have the meaning ascribed to such
term in Section 3.2 hereof.

                "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.

                "Competing Hospital" shall have the meaning ascribed to such
term in the definition of Competitive Activity.

                "Competing Operations" shall have the meaning ascribed to such
term in the definition of Competitive Activity.

                "Competitive Activity" shall mean engaging in any of the
following activities: (i) serving as a director of any Competitor; (ii) directly
or indirectly (X) controlling any Competitor or (Y) owning any equity or debt
interests in any Competitor (other than equity or debt interests which are
publicly traded and do not exceed 2% of the particular class of interests then
outstanding) (it being understood that, if any such interests in any Competitor
are owned by an investment vehicle or other entity in which the Employee owns an
equity interest, a portion of the interests in such Competitor owned by such
entity shall be attributed to the Employee, such portion determined by applying
the percentage of the equity interest in such entity owned by the Employee to
the interests in such Competitor owned by such entity); (iii) directly or
indirectly soliciting, diverting, taking away, appropriating or otherwise
interfering with any of the customers or suppliers of the Company or any
Affiliate controlled by the Company; or (iv) employment by (including serving as
an officer of), or providing consulting services to, any Competitor; provided,
however, that if the Competitor has more than one discrete and readily
distinguishable part of its business, employment by
<PAGE>

or providing consulting services to any Competitor shall be Competitive Activity
only if (1) his or her employment duties are at or involving the part of the
Competitor's business that competes with any of the businesses conducted by the
Company or any of its subsidiaries (the "Competing Operations"), including
serving in a capacity where any person at the Competing Operations reports to
the Employee, or (2) the consulting services are provided to or involve the
Competing Operations. For purposes of this definition, the term "control" means
the possession, directly or indirectly, of the power to direct or cause the
direction of the management and policies of any Competitor, whether through the
ownership of equity or debt interests, by contract or otherwise. Notwithstanding
the foregoing, the Employee shall not be deemed to be engaged in a Competitive
Activity so long as his or her employment duties are not at or involving any
general acute care hospital located within a 50-mile radius of any CHS Hospital
(a "Competing Hospital"), including serving in a capacity where any person at
the Competing Hospital reports to the Employee. For purposes hereof, a person
shall be deemed to report to the Employee whether he or she reports directly to
the Employee or indirectly through one or more other persons.

                "Competitor" shall mean any Person that is engaged in owning,
operating or acquiring directly or indirectly (through a corporation, trust,
partnership or other Person) one or more short-term, general acute care
hospitals located within a 50-mile radius of any hospital which, at the time the
Employee is Terminated, is owned or operated by the Company or any of its
subsidiaries or which the Company or any of its subsidiaries intend to own,
operate or acquire (which intention was disclosed to the Employee prior to or in
connection with his Termination) (a "CHS Hospital").

                "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 3.2, 3.3 or 3.4 hereof to the extent that such
expenses are not paid or reimbursed by the Company.

                "FL & Co. Companies" shall mean the collective reference to
Forstmann Little & Co. Equity Partnership-V, L.P., a Delaware limited
partnership, and Forstmann Little & Co. Subordinated Debt and Equity Management
Buyout Partnership-VI, L.P., a Delaware limited partnership.

                "Legal Representative" shall mean the guardian, executor,
administrator or other legal representative of the Employee. All references
herein to the Employee shall be deemed to include references to the Employee'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.
<PAGE>

                "Option," "Option Agreement" and "Plan" 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 3.1(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.

                "Prohibited Activity" shall have the meaning ascribed to such
term in Section 4.1 hereof.

                "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 6.13(b).

                "Repurchase Notice" shall have the meaning ascribed to such term
in Section 4.2 hereof.

                "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 3.2, 3.3 or 3.4
hereof.

                "Section 3.2 Notice" shall have the meaning ascribed to such
term in Section 3.2(a) hereof.

                "Section 3.3 Notice" shall have the meaning ascribed to such
term in Section 3.3(a) hereof.

                "Stock Dividend" shall mean any stock split, stock dividend,
reverse stock split or similar transaction which changes the number of
outstanding shares of capital stock of the Company.

                "Terminated" or "Termination" shall mean that the Employee's
employment on a full-time basis by the Company and its subsidiaries shall have
ceased
<PAGE>

for any reason whatsoever (including by reason of death, permanent disability or
adjudicated incompetency).

                "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 3.2,
3.3 or 3.4 hereof.

                "Valuation Date" shall mean the last day of the fiscal year of
the Company immediately preceding the fiscal year in which the Employee's
employment is Terminated.

                (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.

2. ACQUISITION OF CLASS C COMMON STOCK.

           2.1 EXERCISE OF OPTION. The Employee hereby elects to exercise the
Option in respect of the shares of Class C Common Stock set forth in Annex A
hereto. Promptly upon payment in full of the exercise price for the shares of
Class C Common Stock in respect of which the Option is being exercised and
compliance by the Employee with the other provisions of Article 5 of the Option
Agreement and Section 6.13(a)(ii) hereof, the Company shall issue a stock
certificate in the name of the Employee representing the shares of Class C
Common Stock in respect of which the Option is being exercised and shall enter
the Employee's name on the books of the Company as the stockholder of record of
such shares of Class C Common Stock.

3. RIGHTS AND RESTRICTIONS ON CLASS C COMMON STOCK.

           3.1 NO SALE OR TRANSFER.

                 (a) The Employee shall not sell, transfer, assign, exchange,
pledge, encumber or otherwise dispose of any shares of Class C Common Stock
acquired hereunder 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 Employee may transfer any shares of Class C Common
Stock acquired hereunder by will, but only to:
<PAGE>

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

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

(the person or persons to which shares of Class C Common Stock are transferred
in accordance with this Section 3.1(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
Employee (including, without limitation, Sections 4 and 6.13(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 agree 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 C Common Stock.
Any reference herein to the Employee shall be to the Permitted Transferee from
and after the date the transfer is effected in accordance with this Section
3.1(b). Without limiting the generality of the foregoing, the provisions of
Section 4.2 hereof shall be likewise applicable to any Permitted Transferee,
commencing upon the date that such person becomes a Permitted Transferee, for
the respective periods they would have applied to the Employee.

           3.2 PARTICIPATION IN SALE OF CLASS A COMMON STOCK. The Employee, at
the Employee's option, may participate proportionately (and the FL & Co.
Companies shall allow the Employee to participate proportionately) in any sale
(other than a public offering, which shall be governed by Section 3.3 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 (a) exchanging (i) the same percentage of
the Employee's shares of Class C Common Stock as the FL & Co. Companies propose
to sell of their shares of Class A Common Stock to the Third Party (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 (ii) shares of Class A Common Stock in accordance with the Class C Exchange
Rate, as defined in Subsection 5(d) of Section A of Article Fourth of the
Certificate of Incorporation (the "Class C Exchange Rate"), and (b) selling the
Class A Common Stock received in such exchange to the Third Party. Schedule I
hereto sets forth an example illustrating the calculation of the Class C
Exchange Rate. For purposes of determining the number of shares of Class C
Common
<PAGE>

Stock in respect of which the Employee may participate in such sale pursuant to
this Section 3.2, the Employee shall be deemed to own the shares of Class C
Common Stock acquired upon exercise of the Option at any time plus the shares of
Class C Common Stock subject to any then unexercised portion of the Option, in
each case other than any shares with respect to which any section of this
Agreement (including Section 4.3 hereof) or the Option Agreement (including
Section 6.2(c) thereof) provides that the Employee may not participate in such
sale. The Company shall notify the Employee 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, and shall set
forth its calculation of the Class C Exchange Rate, 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 3.2 Notice"), and
the Employee shall notify the Company in writing within five days after receipt
of the Section 3.2 Notice of his or her intention to participate in such sale,
including the number of shares of Class C Common Stock with respect to which he
or she will so participate. Any failure by the Employee to so notify the Company
within such five-day period shall be deemed an election by the Employee 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 Employee pursuant to this Section 3.2
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. The Company shall, immediately prior to, and contingent
upon, the consummation of such sale, exchange the shares of Class C Common Stock
with respect to which the Employee will participate in the sale for shares of
Class A Common Stock in accordance with the Class C Exchange Rate. If the
Employee sells any shares of Class A Common Stock pursuant to this Section 3.2,
the Employee shall pay and be responsible for the Employee's proportionate share
of the Expenses of Sale and the Sale Obligations.

           3.3 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 Employee shall be entitled and required to participate in
such public offering by selling in the public offering the same percentage of
the Employee's shares of Class A Common Stock (such Class A Common Stock having
been or being received by him pursuant to the Certificate of Incorporation,
which provides that, upon the initial public offering of shares of Class A
Common Stock, immediately prior to, and contingent upon, the consummation of the
offering, all outstanding shares of Class C Common Stock shall be exchanged for
shares of Class A Common Stock in accordance with the Class C Exchange Rate) 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,
<PAGE>

by the FL & Co. Companies). For purposes of determining the number of shares of
Class A Common Stock in respect of which the Employee may participate in such
public offering pursuant to this Section 3.3, the Employee shall be deemed to
own the shares of Class C Common Stock acquired upon exercise of the Option at
any time plus the shares of Class C Common Stock subject to any then unexercised
portion of the Option, in each case other than any shares with respect to which
any section of this Agreement (including Section 4.3 hereof) or the Option
Agreement (including Section 6.2(c) thereof) provides that the Employee may not
participate in such public offering. The Company shall notify the Employee 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 3.3 Notice") and shall cause the
Employee's shares to be sold in such public offering to be included therein. The
Employee shall notify the Company in writing within five days after receipt of
the Section 3.3 Notice of his or her intention to participate in such public
offering, including the number of shares of Class C Common Stock with respect to
which he or she will so participate. Any failure by the Employee to so notify
the Company within such five-day period shall be deemed an election by the
Employee not to participate in such public offering with respect to any of his
or her shares. If the Employee sells any shares of Class A Common Stock pursuant
to this Section 3.3, the Employee shall pay and be responsible for the
Employee'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 Employee agrees (i) to supply any information
reasonably requested by the Company 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 Employee 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 Employee take any of the actions
referred to in clause (i) or (ii) of the previous sentence, the Employee shall
take such action promptly but in any event within five days following the date
of such request.

           3.4 REQUIRED PARTICIPATION IN SALE OF CLASS A COMMON STOCK BY THE FL
& CO. COMPANIES. Notwithstanding any other provision of this Agreement to the
<PAGE>

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 (x) the Employee exchange the
same percentage of the Employee's shares of Class C 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
shares of Class A Common Stock in accordance with the Class C Exchange Rate, and
(y) sell all the Class A Common Stock received in such exchange 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 Employee is entitled to vote thereon, that the Employee vote the
Employee's shares in favor thereof. For purposes of determining the number of
shares of Class C Common Stock in respect of which the Employee is to
participate in such sale pursuant to this Section 3.4, the Employee shall be
deemed to own the shares of Class C Common Stock acquired upon exercise of the
Option at any time plus the shares of Class C Common Stock subject to any then
unexercised portion of the Option, in each case other than any shares with
respect to which any section of this Agreement (including Section 4.3 hereof) or
the Option Agreement (including Section 6.2(c) thereof) provides that the
Employee may not participate in such sale. The Company shall calculate the Class
C Exchange Rate and shall, immediately prior to, and contingent upon, the
consummation of the transaction, exchange the shares of Class C Common Stock
with respect to which the Employee will participate in the transaction for
shares of Class A Common Stock in accordance with the Class C Exchange Rate. If
the Employee sells any shares pursuant to this Section 3.4, the Employee shall
pay and be responsible for the Employee's proportionate share of the Expenses of
Sale and the Sale Obligations.

           3.5 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 C Common Stock owned by the Employee (a) may be sold,
transferred, assigned, exchanged, pledged, encumbered or otherwise disposed of
(and the Employee 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
Articles 3 and 4 hereof (other than this Section 3.5 and Section 4.1 hereof)
shall terminate and have no further force or effect.
<PAGE>

4. PROHIBITED ACTIVITIES.

           4.1 PROHIBITION AGAINST CERTAIN ACTIVITIES. The Employee agrees that
(a) the Employee will not, at any time during the Employee's employment (other
than in the course of such employment) with the Company or any Affiliate thereof
or after a Termination, directly or indirectly disclose or furnish to any other
Person or use for the Employee's own or any other Person's account any
confidential or proprietary knowledge or information or any other information
which is not a matter of public knowledge and which was obtained in the course
of the Employee's employment with, or other performance of services for, the
Company or any Affiliate thereof or any predecessor of any of the foregoing, no
matter from where or in what manner the Employee may have acquired such
knowledge or information, and the Employee shall retain all such knowledge and
information in trust for the benefit of the Company, its Affiliates and the
successors and assigns of any of them, (b) if the Employee is Terminated, the
Employee will not for 18 months following such Termination directly or
indirectly solicit for employment, including without limitation recommending to
any subsequent employer the solicitation for employment of, any employee of the
Company (other than such Employee's secretary or administrative assistant), (c)
the Employee will not, at any time during the Employee's employment with the
Company or any Affiliate thereof or after a Termination, publish any statement
or make any statement (under circumstances reasonably likely to become public or
that the Employee might reasonably expect to become public) critical of the
Company or any Affiliate of the Company, or in any way adversely affecting or
otherwise maligning the business or reputation of any of the foregoing entities,
and (d) the Employee will not breach the provisions of Section 3.1 hereof (any
activity prohibited by clause (a), (b), (c) or (d) of this Section 4.1 being
referred to as a "Prohibited Activity").

           4.2 RIGHT TO PURCHASE SHARES. The Employee understands and agrees
that the Company has granted to the Employee the right to acquire shares of
Class C Common Stock to reward the Employee for the Employee's future efforts
and loyalty to the Company and its Affiliates by giving the Employee the
opportunity to participate in the potential future appreciation of the Company.
Accordingly, (a) if the Employee engages in any Prohibited Activity, or (b) if,
at any time during the Employee's employment with the Company or any of its
Affiliates or during the 18 months following a Termination, the Employee engages
in any Competitive Activity, or (c) if, at any time (whether during the
Employee's employment or after any Termination thereof), the Employee is
convicted of a crime against the Company or any of its Affiliates, then, in
addition to any other rights and remedies available to the Company, the Company
shall be entitled, at its option, exercisable by written notice (the "Repurchase
Notice") to the Employee, to purchase all of the shares of Class C Common Stock
then held by the Employee.
<PAGE>

           4.3 PURCHASE PRICE; CLOSING. The purchase price per share of the
shares of Class C Common Stock purchased pursuant to this Article 4 shall be
equal to the lesser of (a) $587.50 (adjusted to reflect any Capital Transaction
effected after the date hereof and prior to the date of the Repurchase Notice)
and (b) the Book Value Per Share. The closing of such purchase shall take place
at the principal office of the Company 10 days following the date of the
Repurchase Notice, except that if the Company is prohibited from repurchasing
any shares of Class C Common Stock pursuant to this Article 4 by any contractual
obligation of the Company or any of its Affiliates or by applicable law, the
closing of such purchase shall take place on the first practicable date on which
the Company is permitted to purchase such shares. At such closing, the Employee
shall sell, convey, transfer, assign and deliver to the Company all right, title
and interest in and to the shares of Class C Common Stock being purchased by the
Company, which shall constitute (and, at the closing, the Employee shall certify
the same to the Company in writing) good and unencumbered title to such shares,
free and clear of all liens, security interests, encumbrances and adverse claims
of any kind and nature (other than those in favor of the Company and the FL &
Co. Companies pursuant to this Agreement), and shall deliver to the Company the
certificates representing the shares duly endorsed for transfer, or accompanied
by appropriate stock transfer powers duly executed, and with all necessary
transfer tax stamps affixed thereto at the expense of the Employee, and the
Company shall deliver to the Employee, in full payment of the purchase price
payable pursuant to this Section 4.3 for the shares of Class C Common Stock
purchased, a check payable to the order of the Employee in the amount of the
aggregate purchase price for the shares purchased. Notwithstanding anything
herein to the contrary, from and after the date of the Repurchase Notice, the
Employee shall not have any rights with respect to any shares of Class C Common
Stock which the Employee is required to sell to the Company pursuant to this
Article 4 (including any rights pursuant to Section 3.2 or 3.3 hereof), except
to receive the purchase price therefor.

           4.4 TRANSACTION PROCEEDS. Notwithstanding anything to the contrary
set forth in Section 3.2, 3.3 or 3.4 hereof, if at the time of a Transaction in
which the Employee is participating, the Company is entitled to purchase the
Employee's shares of Class C Common Stock pursuant to this Article 4, and if the
purchase price per share for a purchase pursuant to this Article 4 would be less
than the proceeds per share to the Employee from such Transaction, then the
Employee shall be entitled to receive only the aggregate purchase price payable
under this Article 4, with the balance of the proceeds of sale in the
Transaction being remitted to the other stockholders of the Company
participating in such Transaction pro rata in accordance with their respective
participation in such Transaction.
<PAGE>

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

           5.1 LEGEND. All certificates representing shares of Class C Common
Stock acquired hereunder or hereafter by the Employee (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."

           5.2 REPRESENTATIONS OF THE EMPLOYEE. The Employee represents and
warrants that: (a) the Employee understands that (i) the offer and sale of
shares of Class C 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; (ii) the shares of Class C 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; and (iii) the acquisition of Class C
Common Stock hereunder does not entitle the Employee to participate in any other
equity program of the Company, whether now existing or hereafter established;
(b) the Employee is acquiring the shares of Class C Common Stock being acquired
hereunder for investment for the Employee's own account and not with a view to
the distribution thereof; (c) the Employee will not, directly or indirectly,
sell, transfer, assign, exchange, pledge, encumber or otherwise dispose of any
shares of Class C Common Stock being acquired hereunder except in accordance
with this Agreement; (d) the Employee has, or the Employee together with the
Employee's advisers, if any, have, such knowledge and experience in financial
and business matters that the Employee is, or the Employee together with the
Employee's advisers, if any, are, and will be capable of evaluating the merits
and risks relating to the Employee's acquisition of shares of Class C Common
Stock under this Agreement; (e) the Employee 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 Employee's investment in the Class C Common Stock; (f) the Employee's
decision to invest in the Company has been based upon independent investigations
made by the Employee and the Employee's advisers, if any; (g) the
<PAGE>

Employee is able to bear the economic risk of a total loss of the Employee's
investment in the Company; and (h) the Employee has adequate means of providing
for the Employee's current needs and foreseeable personal contingencies and has
no need for the Employee's investment in the Class C Common Stock to be liquid.

6. MISCELLANEOUS.

           6.1 DISTRIBUTIONS. In the event of any dividend, distribution or
exchange paid or made in respect of the Class C Common Stock consisting of
Affiliate Securities, (a) the restrictions and rights with respect to the Class
C 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 C Common Stock being deemed references to the Affiliate Securities and
the references to the Company being deemed references to the Affiliate), and (b)
as a condition precedent to the receipt of the Affiliate Securities by the
Employee, the Employee shall enter into a stockholder's agreement containing
substantially equivalent terms with respect to the Affiliate Securities (but
reflecting the economics of the dividend, distribution or exchange and the
capitalization of the Affiliate) as are contained in Section 4.3 hereof. The
Board of Directors of the Company, in good faith, shall determine such economics
and its determination shall be final and binding on the Employee.

           6.2 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.

           6.3 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.

           6.4 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.

           6.5 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 enforceability of this Agreement, including that
provision, in any other jurisdiction. If
<PAGE>

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.

           6.6 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 Employee, to the address set forth below the
                     Employee'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 6.6.

           6.7 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.

           6.8 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.

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

           6.10 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.

           6.11 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 Employee agrees to indemnify the Company
against any Federal, state and local withholding taxes (but not penalties or
interest) for which the Company may be liable in connection with the Employee's
acquisition, ownership or disposition of any Class C Common Stock.

           6.12 NO RIGHT TO CONTINUED EMPLOYMENT. This Agreement shall not
confer upon the Employee any right with respect to continuance of employment by
the Company or any Affiliate thereof, nor shall it interfere in any way with the
right of the Company or any Affiliate thereof to terminate the Employee's
employment at any time.

           6.13 POSSESSION OF CERTIFICATES; POWER OF ATTORNEY.

                (a) In order to provide for the safekeeping of the certificates
representing the shares of Class C Common Stock acquired by the Employee
pursuant hereto 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 C Common Stock issued to the Employee, and (ii)
concurrently with the Employee's execution and delivery to the Company of this
Agreement, the Employee shall deliver to the Company an undated stock power,
duly executed in blank, for each such certificate. The Employee shall be
relieved of any obligation otherwise imposed by this Agreement to deliver
certificates representing shares of Class C Common Stock if the same are in the
custody of the Company.

                (b) The Employee hereby irrevocably appoints the FL & Co.
Companies, and each of them (individually and collectively, the
"Representative"), the Employee's true and lawful agent and attorney-in-fact,
with full powers of substitution, to act in the Employee'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 3.2, 3.4 or 4.2 hereof, including, without in any way
limiting the generality of the foregoing, in the case of a sale pursuant to
Section 3.2 or 3.4 hereof, to execute and deliver on behalf of the Employee 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 Employee an
underwriting agreement, a "hold
<PAGE>

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 3.2 or 3.4 hereof and
any public offering pursuant to Section 3.3(a) hereof, to receive on behalf of
the Employee the proceeds of the sale or public offering of the Employee's
shares, to hold back from any such proceeds any amount that the Representative
deems necessary to reserve against the Employee's share of any Expenses of Sale
and Sale Obligations and to pay such Expenses of Sale and Sale Obligations. The
Employee hereby ratifies and confirms all that the Representative shall do or
cause to be done by virtue of its appointment as the Employee's agent and
attorney-in-fact. In acting for the Employee pursuant to the appointment set
forth in this Section 6.13(b), the Representative shall not be responsible to
the Employee for any loss or damage the Employee 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 Employee, 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 Employee in all matters referred to in this
Section 6.13(b). The Representative shall advise the Employee in writing of any
Sale Obligations imposed on the Employee in any document executed by the
Representative as the Employee's attorney-in-fact pursuant to this Section
6.13(b).

           6.14 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 6.6 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.
<PAGE>

           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.


EMPLOYEE                               COMMUNITY HEALTH SYSTEMS
                                       HOLDINGS CORP.


______________________________         By: ______________________________
Name:                                      Title:
Address:


The undersigned hereby agree to be bound by the provisions of Sections 3.2 and
3.3 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
<PAGE>

           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 C Common Stock of Community Health Systems Holdings Corp. as
reflected in such Agreement and agrees to be bound by the foregoing Agreement.


                                      ___________________________
                                      Employee's Spouse
<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>
<PAGE>

                                   SCHEDULE I

Assume:  1)       Aggregate amount of assets available for distribution is
                  $2,200,000,000. THERE IS NO ASSURANCE THAT THE ACTUAL AMOUNT
                  OF ASSETS AVAILABLE FOR DISTRIBUTION WILL REACH THIS LEVEL.
         2)       449,123 shares of Class A Common Stock and 39,600 shares of
                  Class B Common Stock outstanding, and options granted to
                  acquire 9,000 shares of Class C Common Stock and 1,600 shares
                  of Class A Common Stock, all at the time of distribution.

<TABLE>
<CAPTION>
STEP 1
- ------
                                                                       To                 To                To
                                                                     CLASS A            CLASS B           CLASS C
                                                                     -------            -------           -------
<S>                     <C>                       <C>              <C>                <C>                <C>
First to A:             $1,073.52     x           450,723    =     $483,860,155

Second to B:               357.84     x            39,600    =                        $14,170,464
Third to C:                587.50     x             9,000    =                                           $5,287,500

Fourth to A:               279.17     x           450,723    =      125,828,340
and to C:                  279.17     x             9,000    =                                            2,512,530

Fifth to A               3,140.93*    x           450,723    =
and to B:                3,140.93*    x            39,600    =    1,415,691,577       124,381,020        28,268,414
                                                                  -------------       -----------        ----------
and to C:                3,140.93*    x             9,000    =

Total                                                            $2,025,380,072      $138,551,484       $36,068,444
                                                                 ==============      ============       ===========

STEP 2                                                         PER SHARE PROCEEDS   COST OF SHARES        NET GAIN
- ------                                                         ------------------   --------------        --------
           x = $ total for Class A divided by 450,723        =        $4,493.62        ($1,073.52)        $3,420.10
STEP 3
- ------
           y = $ total for Class B divided by 39,600         =        $3,498.77          ($357.84)        $3,140.93
STEP 4
- ------
           z = $ total for Class C divided by 9,000          =        $4,007.60          ($587.50)        $3,420.10

</TABLE>

Class B Exchange Rate = y/x or 0.779 of a share of Class A Common Stock for each
share of Class B Common Stock.

Class C Exchange Rate = z/x or 0.892 of a share of Class A Common Stock for each
share of Class C Common Stock.

- ---------------

*     Equals $2,200,000,000 less the payments from the first, second, third and
      fourth steps ($631,658,989) divided by 499,323 (449,123 plus 39,600 plus
      9,000 plus 1,600), rounded for presentation purposes.

<PAGE>

                                                                    Exhibit 10.4

                     COMMUNITY HEALTH SYSTEMS HOLDINGS CORP.

                           EMPLOYEE STOCK OPTION PLAN

            1. PURPOSE. The purpose of the Community Health Systems Holdings
Corp. Employee Stock Option Plan is to provide financial incentives to employees
of the Company or its direct or indirect wholly owned subsidiaries whose
entrepreneurial and management talents and commitments will contribute to the
continued growth and expansion of the Company's business.

                  The options granted under the Plan are not intended to qualify
as Incentive Stock Options within the meaning of Section 422 of the Code.

            2. DEFINITIONS. For purposes of this Plan:

                  (a) "Affiliate" means any person directly or indirectly
controlling, controlled by or under common control with the person of which it
is an Affiliate.

                  (b) "Board" means the Board of Directors of the Company or the
Executive Committee of the Board of Directors of the Company.

                  (c) "Class A Common Stock" means the Class A Common Stock, par
value $.01 per share, of the Company and any other securities into which such
shares are changed or for which such shares are exchanged.

                  (d) "Class C Common Stock" means the Class C Nonvoting Common
Stock, par value $.01 per share, of the Company and any other securities into
which such shares are changed or for which such shares are exchanged, including
as described in Section 7 hereof.

                  (e) "Code" means the Internal Revenue Code of 1986, as
amended.
<PAGE>

                  (f) "Committee" means the Compensation Committee of the Board
of Directors of the Company, unless otherwise specified by the Board, in which
event the committee shall be as specified by the Board, which committee shall
administer the Plan and perform the functions set forth herein.

                  (g) "Company" means Community Health Systems Holdings Corp., a
Delaware corporation, and any successor to Community Health Systems Holdings
Corp. by merger, consolidation or otherwise.

                  (h) "Eligible Person" means any employee of the Company or any
of its direct or indirect wholly owned subsidiaries whom the Committee
designates as eligible to receive Options under the Plan.

                  (i) "FL & Co. Companies" means individually and collectively
Forstmann Little & Co. Equity Partnership-V, L.P., a Delaware limited
partnership, and Forstmann Little & Co. Subordinated Debt and Equity Management
Buyout Partnership-VI, L.P., a Delaware limited partnership.

                  (j) "Initial Public Offering" means the first Public Offering.

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

                  (l) "Option" means an option to purchase shares of Class C
Common Stock granted under the Plan.

                  (m) "Optionee" means a person to whom an Option has been
granted under the Plan.

                  (n) "Option Price" means the price at which a share of Class C
Common Stock can be purchased pursuant to an Option.


                                      -2-
<PAGE>

                  (o) "Plan" means the Community Health Systems Holdings Corp.
Employee Stock Option Plan as set forth in this instrument and as it may be
amended from time to time.

                  (p) "Public Offering" means a public offering of Class A
Common Stock registered under the Securities Act of 1933, as amended.

                  (q) "Stock Option Agreement" means the written agreement
between an Optionee and the Company evidencing the grant of an Option under the
Plan and setting forth the terms and conditions of that Option.

                  (r) "Stockholder's Agreement" means the Stockholder's
Agreement governing the rights, duties and obligations of present or former
employees of the Company with respect to shares of Class C Common Stock granted
or sold to such persons, or issued pursuant to options granted or sold to such
persons, in the form attached hereto as Annex I or such form as is in use by the
Company at the time of exercise of the Option or any part thereof or such other
form which the Company elects to require the Optionee to execute in connection
with the Optionee's exercise of the Option. All references in any Stock Option
Agreement to sections of a Stockholder's Agreement shall be to sections of the
Stockholder's Agreement which is attached hereto or to the corresponding
sections of any Stockholder's Agreement in use by the Company at the time of
exercise of any Option or which the Company elects to require the Optionee to
execute in connection with the Optionee's exercise of the Option.

                  (s) "Third Party" means any person or entity which is not any
of the FL & Co. Companies or a partner or an Affiliate of any of the FL & Co.
Companies or an Affiliate of such partner.

                  (t) "Total Private Sale" means 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


                                      -3-
<PAGE>

the then outstanding shares of Class A Common Stock), or (ii) the liquidation of
the Company, or (iii) the sale to 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 and indirect partners of any 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.

            3. ADMINISTRATION. The Plan shall be administered by the Committee,
which shall hold meetings when it deems necessary and shall keep minutes of its
meetings. The Committee shall have all of the powers necessary to enable it to
carry out its duties under the Plan properly, including the power and duty to
construe and interpret the Plan and to determine all questions arising under it.
The Committee's interpretations and determinations shall be conclusive and
binding upon all persons. The Committee may also establish, from time to time,
such regulations, provisions, procedures and conditions regarding the Options
and granting of Options which in its opinion may be advisable in administering
the Plan. The acts of a majority of the total membership of the Committee at any
meeting, or the acts approved in writing by all of its members, shall be the
acts of the Committee; provided, that if at any time the Committee is the Board,
the acts of a majority of the members of the Board present at any meeting, or
the acts approved in writing by all of its members, shall be the acts of the
Committee.

            4. SHARES AVAILABLE FOR OPTION.

                  (a) The Committee shall have the authority to grant Options to
purchase up to an aggregate of 9,000 shares of Class C Common Stock.

                  (b) In the event that an Option granted under the Plan to any
Eligible Person expires or is for any other reason terminated, those shares of
Class C Common Stock covered by any portion of such Option that has not been
exercised prior thereto shall thereafter be available for the granting of future
Options under the Plan.


                                      -4-
<PAGE>

                  (c) The Company may, but shall not be required to, reserve out
of its authorized but unissued shares of Class C Common Stock, or out of shares
of Class C Common Stock held in treasury, or partly out of each, as may be
determined by the Board, shares of Class C Common Stock for issuance upon
exercise of any Option.

            5. GRANTING OPTIONS.

                  (a) Subject to the provisions of the Plan, the Committee shall
have full and final authority to select those Eligible Persons who will receive
Options. The Committee may also grant more than one Option to a given Eligible
Person during the term of the Plan, either in addition to, or in substitution
for, one or more Options previously granted that Eligible Person. Options shall
be issued pursuant to a Stock Option Agreement, in form and substance approved
by the Committee, executed by the Company and the Optionee.

                  (b) The Committee, in its sole discretion, shall establish the
Option Price at the time an Option is granted.

                  (c) The terms of each Option granted under the Plan may differ
from those of other Options granted under the Plan at the same time, or at some
other time.

                  (d) An Option shall be exercisable in such installments (which
need not be equal) and at such times as may be designated by the Committee and
set forth in the Stock Option Agreement. To the extent not exercised,
installments may accumulate and be exercisable, in whole or in part, at any time
after becoming exercisable, but not later than the date the Option expires. The
Committee may accelerate the exercisability of any Option or portion thereof at
any time. In no event shall the term of any Option granted under the Plan exceed
ten years.

                  (e) Options granted under the Plan shall not be transferable
by the Optionee except as approved by the Committee as reflected in the Stock
Option Agreement.


                                      -5-
<PAGE>

                  (f) Subject to the terms and conditions and within the
limitations of the Plan, the Committee may modify, extend, replace or renew
outstanding Options granted under the Plan, or accept the surrender of
outstanding Options (to the extent they have not yet been exercised) and grant
new Options in substitution for them. Notwithstanding the foregoing, however, no
modification of an Option shall adversely alter or impair any rights or
obligations under that Option without the affected Optionee's consent.

            6. EXERCISE OF OPTIONS.

                  (a) To exercise an Option, in whole or in part, the Optionee
shall deliver to the Committee a written notice of exercise specifying the
number of shares of Class C Common Stock in respect of which the Option is being
exercised. The Stock Option Agreement shall set forth the minimum number of
shares of Class C Common Stock, if any, which may be purchased at any one time
upon the exercise of an Option. An Optionee shall not be deemed the holder of
any shares of Class C Common Stock subject to the Option or have any rights of a
stockholder with respect thereto until the Option shall have been exercised in
accordance with the terms of the Stock Option Agreement, the shares of Class C
Common Stock in respect of which the Option was exercised shall have been issued
to such Optionee and the name of such Optionee shall have been entered as a
stockholder of record on the books of the Company. The Stock Option Agreement
may contain such other conditions to the exercise of an Option as the Committee
from time to time shall determine and may also contain provisions relating to
the ownership of the shares of Class C Common Stock issued upon the exercise of
the Option or may require the Optionee, as a condition of exercise of the
Option, to execute a Stockholder's Agreement.

                  (b) Except as provided in the Stock Option Agreement, any
Options held by an Optionee shall not be exercisable after the termination of
the Optionee's employment with the Company. In addition, except as provided in
the Stock


                                      -6-
<PAGE>

Option Agreement, Options granted under the Plan shall be exercisable only by
the Optionee or the Optionee's Legal Representative.

                  (c) All certificates representing shares of Class C Common
Stock issued pursuant to the exercise of an Option 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."

            or such other legend to the same effect as approved by the
Committee.

                  (d) To the extent that an Option is not exercised prior to the
expiration of its term or such shorter period of time prescribed by the Plan and
the Stock Option Agreement, the Option shall lapse and all rights of the
Optionee with respect thereto shall terminate.

            7. CHANGES IN CLASS C COMMON STOCK.

                  (a) In the event that the outstanding shares of Class C Common
Stock 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 Committee shall make appropriate
adjustments to the maximum number and kind of shares of stock as to which
Options may be granted under the Plan and the number and kind of shares of stock
with respect to which Options have been granted under the Plan, the Option Price
for such shares and any other economic terms of the Option. The Committee's
adjustment shall be final and binding for all purposes of the Plan and each
Stock Option Agreement entered into under the Plan. No adjustment


                                      -7-
<PAGE>

provided for in this Section 7 shall require the Company to issue a fractional
share, and with respect to each Stock Option Agreement the total adjustment as
to the number of shares for which Options have been granted shall be effected by
rounding down to the nearest whole number of shares.

                  (b) Upon the effective date of any Total Private Sale, the
Plan and any unexercised Options granted under the Plan shall terminate unless
provision shall be made in writing in connection with such Total Private Sale
for the continuance of the Plan and such unexercised Options or for the
assumption of such unexercised Options by a successor to the Company or for the
substitution for such unexercised Options of new options covering shares of such
a successor with appropriate adjustments as to number and kind of shares and
prices of shares subject to such new options; provided, however, that in
connection with a Total Private Sale, the Committee may, in its discretion,
authorize the redemption of unexercised Options for a redemption price set forth
in the Stock Option Agreement. In the event that provision is made in writing as
aforesaid in connection with a Total Private Sale, the Plan and the unexercised
Options theretofore granted or the new options substituted therefor shall
continue in the manner and under the terms provided in the Plan and the Stock
Option Agreements and in such writing.

            8. AMENDMENT OR TERMINATION OF PLAN. The Board shall have the right
to amend, suspend or terminate the Plan at any time. The rights of an Optionee
under any Option granted prior to an amendment, suspension or termination of the
Plan shall not be adversely affected by any such action of the Board except upon
the consent of the Optionee; provided that an amendment to Section 4 of the Plan
to increase the number of shares of Class C Common Stock with respect to which
Options may be granted by the Committee shall not be deemed to adversely affect
any Optionee.

            9. INDEMNIFICATION OF THE COMMITTEE. The members of the Committee
shall be indemnified by the Company against all losses, claims, damages and
liabilities, joint or several (including all legal and other expenses reasonably
incurred in connection


                                      -8-
<PAGE>

with the preparation for, or defense of, any claim, action or proceeding,
whether or not resulting in any liability), for any acts or omissions which are
within the scope of such member's duties as a member of the Committee to the
fullest extent permitted by law.

            10. COMPLIANCE WITH LAW AND OTHER CONDITIONS. All Options and Stock
Option Agreements 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, except that matters covered under the General
Corporation Law of the State of Delaware shall be governed thereby, to the
extent in either case not superseded by the laws of the United States.
Notwithstanding anything herein or in any agreements pursuant to which Options
are granted to the contrary, the Company shall not be required to issue shares
pursuant to the exercise of any Option granted under the Plan unless the
Company's counsel has advised the Company that such exercise and issuance comply
with all applicable laws including, without limitation, all applicable federal
and state securities laws.

            11. MISCELLANEOUS. Nothing in the Plan or in any Stock Option
Agreement shall (a) confer on any employee any right to continue in the employ
of the Company or any successor; or (b) affect the right of the Company or any
successor to terminate the employment of an employee at any time; or (c) be
deemed a waiver or modification of any provision contained in any agreement
between the employee and the Company or any successor.

            12. EFFECTIVE DATE AND DURATION OF PLAN. The effective date of the
Plan shall be the date of its adoption by the Board, subject only to the
approval of the stockholders of the Company entitled to vote thereon. No Options
may be granted under the Plan after the date twenty years from the date the Plan
is adopted by the Board.


                                      -9-
<PAGE>

                         Form of Stock Option Agreement

            STOCK OPTION AGREEMENT (the "Agreement"), dated as of _________,
between Community Health Systems Holdings Corp., a Delaware corporation
(together with its successors, the "Company"), and ___________ (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 ____
whole shares of Class C Nonvoting Common Stock, par value $.01 per share, of the
Company (the "Class C Common Stock") (such number being subject to adjustment as
provided in Section 8 hereof) on the terms and conditions set forth in this
Agreement and in the Community Health Systems Holdings Corp. Employee Stock
Option Plan (the "Plan"), a copy of which is being delivered to the Optionee
concurrently herewith and is made a part hereof as if fully set forth herein.

                  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
Code.

                  1.3 DEFINED TERMS. Except as otherwise defined herein,
capitalized terms used in this Agreement shall have the same definitions as set
forth in the Plan.

            2. PURCHASE PRICE. The price at which the Optionee shall be entitled
to purchase shares of Class C Common Stock upon the exercise of this Option
shall be $587.50 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 to the extent
and in the manner provided herein for a term of 10 years from the date hereof;
provided, however, that the Option may be earlier terminated as provided in
Section 4, Section 6, Section 7 or Section 9 hereof.

            4. EXERCISABILITY OF OPTION.

                  4.1 AMOUNT OF EXERCISE. Subject to the provisions of this
Agreement and the Plan, 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-fifth of the


                                      -10-
<PAGE>

            aggregate number of shares of Class C 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 40% of the aggregate number of shares of
            Class C 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;

                  (c) on or after the third anniversary of the date hereof but
            before the fourth anniversary of the date hereof, the Option may be
            exercised to acquire up to 60% of the aggregate number of shares of
            Class C 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;

                  (d) on or after the fourth anniversary of the date hereof but
            before the fifth anniversary of the date hereof, the Option may be
            exercised to acquire up to 80% of the aggregate number of shares of
            Class C 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;

                  (e) on or after the fifth 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 C 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 TIMING OF EXERCISE. Prior to the completion of an Initial
Public Offering, unless the Committee otherwise determines, the Optionee may
exercise the Option (to the extent the Option is exercisable pursuant to Section
4.1 hereof at such time) only during the 60-day period following the date upon
which the Company delivers to the Optionee a certificate of the chief financial
officer of the Company stating that a copy of the Company's consolidated
financial statements for the preceding


                                      -11-
<PAGE>

fiscal year is available to the Optionee for his or her review at the principal
office of the Company or such other locations as the Company shall specify (the
"Annual Certificate"). The Company shall use its best efforts to deliver the
Annual Certificate within 30 days after the consolidated financial statements
referred to therein are completed. Upon the completion of an Initial Public
Offering, the Company shall no longer be required to deliver the Annual
Certificate and the Option may be exercised (to the extent the Option is
exercisable pursuant to Section 4.1 hereof at such time) at any time.

                  4.3 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 Committee shall determine and so notify the Optionee), the Optionee shall be
permitted to exercise the Option to the extent provided in this Section 4.3,
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 3.4
of 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 C 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 3.2 or 3.3, as applicable, of the Stockholder's Agreement, 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 Committee, in its sole discretion, may instead cause the Company
to redeem the unexercised portion of the Option pursuant to Section 9 hereof. In
lieu of permitting the Optionee to exercise the Option in connection 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


                                      -12-
<PAGE>

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 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 and indirect partners of any 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.

                  4.4 TERMINATION OF OPTION. Subject to the provisions of
Section 9 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 and the Plan, 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 C Common
Stock in respect of which the Option is being exercised and shall be signed by
the Optionee or, where applicable, by the Optionee's Legal Representative. 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, together with any
withholding taxes that may be due as a result of the exercise of the Option,
such payment to be made 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 to the Plan),
will be supplied to the Optionee upon request) and the undated stock power
referred to in Section 6.13(a)(ii) of the Stockholder's Agreement. Not less than
[____] shares of Class C Common Stock may be purchased at any one time upon


                                      -13-
<PAGE>

any exercise of the Option, unless the number of shares of Class C Common Stock
so purchased constitutes the total number of shares of Class C Common Stock then
purchasable under the Option.

                  5.3 ISSUANCE OF SHARES. Upon receipt of notice of exercise,
full payment for the shares of Class C Common Stock in respect of which the
Option is being exercised and a fully executed Stockholder's Agreement and stock
power, and subject to Section 10 of the Plan, 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 C 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 C 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 and any withholding taxes due, (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 C
Common Stock in respect of which the Option is then being exercised and the
cumulative number of shares of Class C 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 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.


                                      -14-
<PAGE>

            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 EMPLOYMENT TERMINATION. (a) Except as may be agreed
between the Committee and the Optionee, if the Optionee shall no longer be
employed by the Company for any reason whatsoever (including by reason of death,
permanent disability or adjudicated incompetency) ("Terminated" or a
"Termination"), irrespective of whether the Optionee receives, in connection
with the Termination, any severance or other payment from the Company under any
employment agreement or otherwise (such Optionee being referred to herein as a
"Terminated Optionee"), (i) the Option, to the extent it is not exercisable
pursuant to Section 4.1 hereof at the date of such Termination, shall terminate
on and shall be of no further force and effect from and after the date of such
Termination, and (ii) the Company shall have the right, at its option,
exercisable by delivery of written notice to the Optionee within 90 days
following the date of Termination (the date of delivery of such written notice
being referred to herein as the "Election Date"), to redeem the Option to the
extent the Option is exercisable pursuant to Section 4.1 hereof immediately
prior to the date of the Optionee's Termination (the "Exercisable Portion of the
Option") or any portion thereof as determined by the Company (such portion to be
redeemed being referred to herein as the "Called Option") for the consideration
specified below.

                  (b) The redemption price of the Called Option (the "Redemption
Price") shall be equal to (i) the excess, if any, of (A) the amount which would
be payable on the Valuation Date (as defined below) in respect of one share of
Class C Common Stock in the event of a dissolution, liquidation or winding-up of
the affairs of the Company if the amount of assets available for distribution in
the event of such dissolution, liquidation or winding-up with respect to all
shares of capital stock of the Company outstanding as of the Valuation Date were
equal to the Book Value of the Company (as defined below), over (B) the Option
Price, multiplied by (ii) the number of shares of Class C Common Stock issuable
upon exercise of the Called Option. In the event there has been a stock split,
stock dividend or reverse stock split or similar transaction which changes the
number of outstanding shares of capital stock of the Company (each, a "Stock
Dividend") after the Valuation Date and prior to the Election Date, the number
of shares outstanding for purposes of determining the Redemption Price shall be
the number of shares that would have been outstanding immediately after the
Stock Dividend on the Valuation Date had the Stock Dividend occurred on the
Valuation Date.

                  The term "Book Value of the Company" shall mean the sum of (i)
the total assets minus the total liabilities of the Company on a consolidated
basis, plus


                                      -15-
<PAGE>

(ii) the amount of any reduction in stockholders' equity resulting from the
application of EITF Issue Summary No. 88-16, Basis in Leveraged Buyouts, all as
of the last day of the fiscal year immediately preceding the fiscal year in
which the Termination occurred (the "Valuation Date"). For purposes of
calculating the Book Value of the Company and the Redemption Price, all options
and other rights to acquire equity interests in the Company outstanding
immediately prior to the Delivery Date (as defined below) or exercised between
the Valuation Date and the Delivery Date shall be deemed to have been exercised
on the Valuation Date and the number of outstanding shares on the Valuation Date
shall be increased by the number of shares subject to each such option or other
right and the assets of the Company shall be increased by the aggregate exercise
price payable in respect of the exercise of each such option or other right (in
the case of any such option or other right, unless the effect thereof would be
to increase the per share Redemption Price).

                  If the Company exercises its right to redeem all or any
portion of the Exercisable Portion of the Option, then within 15 days following
the later of the Election Date or the date the financial statements referred to
below are available (such later date being referred to herein as the "Delivery
Date"), the Company shall deliver to the Terminated Optionee a certificate of
the chief financial officer of the Company setting forth the Redemption Price
and the calculation thereof and stating that a copy of the Company's
consolidated financial statements as of the Valuation Date is available to the
Terminated Optionee for his or her review at the principal office of the Company
(the "Redemption Price Certificate"), and shall make available to the Terminated
Optionee, for review at the principal office of the Company, a copy of such
financial statements.

                  The Book Value of the Company as of the Valuation Date as
reflected in the consolidated financial statements of the Company as of the
Valuation Date and the Redemption Price and the calculation thereof as certified
by the chief financial officer of the Company in the Redemption Price
Certificate shall be final and binding on the Company and the Terminated
Optionee for purposes of this Agreement. The Optionee shall keep the Redemption
Price Certificate, the financial statements and any other documentation provided
in connection therewith confidential, shall not use any such material or any
information contained therein for any purpose other than to verify the amount
due the Optionee in respect of the redemption of the Called Option, and shall
not disclose any such material or any information contained therein to anyone
other than to the Optionee's legal or financial advisers who have agreed in
writing to the equivalent confidentiality, non-use and non-disclosure provisions
contained in this paragraph.

                  (c) Subject to Section 6.2(d) hereof, the closing of the
redemption of the Called Option (the "Redemption Closing") shall take place at
the


                                      -16-
<PAGE>

principal office of the Company or such other place as may be specified by the
Company on the later of (i) 10 days after the Delivery Date and (ii) (if
applicable) 10 days after the appointment of the Optionee's Legal
Representative. At the Redemption Closing, the Company shall deliver to the
Terminated Optionee a check payable to the order of the Terminated Optionee in
the amount of the Redemption Price in full payment of the amount due the
Optionee in respect of the redemption of the Called Option. Upon payment by the
Company of the Redemption Price, if any, or, if no Redemption Price is owing,
upon delivery of the Redemption Price Certificate to the Optionee, the Called
Option shall automatically terminate and shall be of no further force or effect.
Notwithstanding anything herein to the contrary, from and after the Election
Date, the Optionee shall not have any rights with respect to the Called Option
(including any rights with respect to a Total Sale or a Partial Sale) except to
receive the Redemption Price therefor.

                  (d) Notwithstanding the provisions of Section 6.2(c) hereof,
if the Company exercises its option to redeem the Called Option but is
prohibited from effecting such redemption by any contractual obligation of the
Company or any of its Affiliates or by applicable law, the Redemption Closing
shall take place on the first practicable date on which the Company is permitted
to purchase the Called Option.

                  (e) If the Company elects not to exercise its right to redeem
the Exercisable Portion of the Option or any portion thereof, it shall so notify
the Terminated Optionee in writing within 90 days following the date of
Termination (the date of delivery of such written notice being referred to
herein as the "Notification Date"), and the Terminated Optionee shall have the
right, at his or her option, to exercise the portion of the Exercisable Portion
of the Option not being redeemed one time at any time within 60 days after the
Notification Date, but in no event after the expiration of the term of the
Option, and, until exercised, the portion of the Exercisable Portion of the
Option not being redeemed shall continue to be subject to the terms of this
Agreement, including Section 4.3 hereof. If an Initial Public Offering has not
been completed prior to the Notification Date and the Notification Date does not
fall within the 60-day exercise period set forth in Section 4.2 hereof, then,
for the 60-day exercise period provided for in this subsection (e), the Company
shall make available to the Terminated Optionee for his or her review at the
principal office of the Company, in addition to the most recent annual
consolidated financial statements of the Company then available, a copy of any
quarterly consolidated financial statements of the Company which have been
prepared by the Company and delivered to the lenders of the Company's subsidiary
after the date of such consolidated financial statements but on or prior to the
Notification Date. If the Terminated Optionee does not exercise the portion of
the Exercisable Portion of the Option not being redeemed within the 60-day
exercise period provided for in this subsection (e), such portion shall
terminate and shall be of no further force and effect from and after the final
date on which the Terminated Optionee


                                      -17-
<PAGE>

could have so exercised the portion of the Exercisable Portion of the Option not
being redeemed.

            7. PROHIBITED ACTIVITIES.

                  7.1 PROHIBITION. The Optionee agrees that (a) the Optionee
will not at any time during his or her employment (other than in the course of
his or her employment) with the Company or any Affiliate thereof, or after a
Termination, directly or indirectly disclose or furnish to any other person or
use for the Optionee's own or any other person's account any confidential or
proprietary knowledge or information or any other information which is not a
matter of public knowledge obtained during the course of his or her employment
with, or other performance of services for, the Company or any Affiliate thereof
or any predecessor of any of the foregoing, no matter from where or in what
manner the Optionee may have acquired such knowledge or information, and the
Optionee shall retain all such knowledge and information in trust for the
benefit of the Company, its Affiliates and the successors and assigns of any of
them, (b) the Optionee will not at any time during his or her employment with
the Company or any Affiliate thereof, or for 18 months following a Termination,
directly or indirectly solicit for employment, including without limitation
recommending to any subsequent employer the solicitation for employment of, any
employee of the Company, (c) the Optionee will not at any time during his or her
employment with the Company or any Affiliate thereof, or after a Termination,
publish any statement or make any statement (under circumstances reasonably
likely to become public or that the Optionee might reasonably expect to become
public) critical of the Company or any Affiliate of the Company, or in any way
adversely affecting or otherwise maligning the business or reputation of any of
the foregoing entities, and (d) the Optionee will not breach the provisions of
Section 6.1 hereof (any activity prohibited by clause (a), (b), (c) or (d) of
this Section 7.1 being herein referred to as a "Prohibited Activity").

                  7.2 RIGHT TO TERMINATE OPTION. The Optionee understands and
agrees that the Company is granting to the Optionee an option to purchase shares
of Class C Common Stock hereunder to reward the Optionee for the Optionee's
future efforts and loyalty to the Company and its Affiliates by giving the
Optionee the opportunity to participate in the potential future appreciation of
the Company. Accordingly, if, at any time during which any portion of the Option
(including the Exercisable Portion of the Option and the Called Option, as
applicable) is outstanding, (a) the Optionee engages in any Prohibited Activity,
or (b) the Optionee engages in any Competitive Activity (as hereinafter
defined), or (c) the Optionee is convicted of a crime against the Company or any
of its Affiliates, then, in addition to any other rights and remedies available
to the Company, the Company shall be entitled, at its option, to terminate the
Option (including the Exercisable Portion of the Option and the Called Option,
as applicable), or any unexercised portion thereof, which shall then be of no


                                      -18-
<PAGE>

further force and effect, and any amounts which may at the time be owing to the
Optionee pursuant to Section 6.2 hereof shall no longer be owing.

            The term "Competitor" shall mean any Person that is engaged in
owning, operating or acquiring directly or indirectly (through a corporation,
trust, partnership or other Person) one or more short-term, general acute care
hospitals located within a 50-mile radius of any hospital which, at the time the
Employee is Terminated, is owned or operated by the Company or any of its
subsidiaries or which the Company or any of its subsidiaries intend to own,
operate or acquire (which intention was disclosed to the Employee prior to or in
connection with his Termination) (a "CHS Hospital").

            The term "Competitive Activity" shall mean engaging in any of the
following activities: (i) serving as a director of any Competitor; (ii) directly
or indirectly (X) controlling any Competitor or (Y) owning any equity or debt
interests in any Competitor (other than equity or debt interests which are
publicly traded and do not exceed 2% of the particular class of interests then
outstanding) (it being understood that, if any such interests in any Competitor
are owned by an investment vehicle or other entity in which the Optionee owns an
equity interest, a portion of the interests in such Competitor owned by such
entity shall be attributed to the Optionee, such portion determined by applying
the percentage of the equity interest in such entity owned by the Optionee to
the interests in such Competitor owned by such entity); (iii) directly or
indirectly soliciting, diverting, taking away, appropriating or otherwise
interfering with any of the customers or suppliers of the Company or any
Affiliate controlled by the Company; or (iv) employment by (including serving as
an officer of), or providing consulting services to, any Competitor; provided,
however, that if the Competitor has more than one discrete and readily
distinguishable part of its business, employment by or providing consulting
services to any Competitor shall be Competitive Activity only if (1) his or her
employment duties are at or involving the part of the Competitor's business that
competes with any of the businesses conducted by the Company or any of its
subsidiaries (the "Competing Operations"), including serving in a capacity where
any person at the Competing Operations reports to the Optionee, or (2) the
consulting services are provided to or involve the Competing Operations. For
purposes of this definition, the term "control" means the possession, directly
or indirectly, of the power to direct or cause the direction of the management
and policies of any Competitor, whether through the ownership of equity or debt
interests, by contract or otherwise. Notwithstanding the foregoing, the Optionee
shall not be deemed to be engaged in a Competitive Activity so long as his or
her employment duties are not at or involving any general acute care hospital
located within a 50-mile radius of any CHS Hospital (a "Competing Hospital"),
including serving in a capacity where any person at the Competing Hospital
reports to the Optionee. For purposes hereof, a person shall be deemed to report
to the Optionee whether he or she reports directly to the Optionee or indirectly
through one or more other persons.


                                      -19-
<PAGE>

            8. ADJUSTMENTS. In the event that shares of Class C 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 Committee shall
make appropriate adjustments to the number and kind of shares of stock subject
to the Option, the Option Price and the Redemption Price payable pursuant to
Section 6.2 hereof. The Committee's adjustment shall be final and binding for
all purposes of the Plan and 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. TOTAL SALES.

                  9.1 CONTINUATION OF PLAN. 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 the Plan and 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 Committee
shall authorize the redemption of the unexercised portion of the Option pursuant
to Section 9.2 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 the Plan and this Agreement and in such writing.

                  9.2 REDEMPTION IN CONNECTION WITH A TOTAL SALE. In connection
with a Total Sale, the Committee may, in its sole discretion, authorize the
redemption of the unexercised portion of the Option for a consideration per
share of Class C Common Stock issuable upon exercise of the unexercised portion
of the Option equal to the excess of (i) the consideration payable in respect of
a share of Class C Common Stock in connection with such Total Sale (determined
by calculating the fraction of a share of Class A Common Stock for which a share
of Class C Common Stock would be exchanged in accordance with the Class C
Exchange Rate (as defined in Section 5(d) of the Certificate of Incorporation)
and multiplying that number by the proceeds payable in respect of a share of
Class A Common Stock in the 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


                                      -20-
<PAGE>

Company if the exercise price for such option or other right is greater than the
consideration that would be payable per share of Class C 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 9.2 shall occur
simultaneously with the occurrence of the Total Sale.

                  9.3 ALLOCABLE SHARE OF EXPENSES. In the event of a redemption
pursuant to Section 9.2 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 of Class C Common Stock which would have been
issuable upon exercise of the portion of the Option redeemed pursuant to Section
9.2 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").

                  9.4 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 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 9.4, 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


                                      -21-
<PAGE>

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 9.4.

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

            10. 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.

            11. NO RIGHT TO CONTINUED EMPLOYMENT. This Agreement and the Option
shall not confer upon the Optionee any right with respect to continuance of
employment by the Company or any Affiliate thereof, nor shall it interfere in
any way with the right of the Company or any Affiliate thereof to terminate the
Optionee's employment at any time.

            12. ENTIRE AGREEMENT. This Agreement and the Plan 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.

            13. 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.

            14. 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.

            15. ACKNOWLEDGMENT. The Optionee hereby acknowledges receipt of a
copy of the Plan and agrees to be bound by all the terms and provisions thereof
as the same may be amended from time to time. The Optionee hereby acknowledges
that the Optionee has reviewed the Plan and this Agreement and understands his
or her rights and obligations thereunder and hereunder. The Optionee also
acknowledges that the Optionee has been provided with such information
concerning the Company, the Plan and this Agreement as the Optionee and his or
her advisors have requested.


                                      -22-
<PAGE>

            16. 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.

            17. HEADINGS. The headings and captions contained herein are for
convenience only and shall not control or affect the meaning or construction of
any provision hereof.

            18. 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 Committee, in good faith, whose determination shall be final,
binding and conclusive for all purposes.

            19. 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.

            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.

            21. 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 it:

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


                                      -23-
<PAGE>

                        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.

            22. 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, the Option or the Plan and the
transactions contemplated hereby and thereby ("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 21 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.

OPTIONEE                               COMMUNITY HEALTH SYSTEMS
                                       HOLDINGS CORP.


______________________________         By: ______________________________
Name:    NAME
Address: ADDRESS


                                      -24-
<PAGE>

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


                                          ______________________________
                                                Optionee's Spouse


                                      -25-

<PAGE>

                                                                    Exhibit 10.6

            STOCKHOLDER'S AGREEMENT, dated as of ___________ ___, 1999, between
Community Health Systems Holdings Corp., a Delaware corporation, and
_______________ (the "Employee").

            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-VI, L.P., a Delaware
limited partnership ("MBO-VI"), have subscribed for and purchased shares of
Class A Common Stock;

            WHEREAS, the Employee wishes to subscribe for and purchase and the
Company desires to issue and sell to the Employee authorized but unissued shares
of Class B Common Stock on the terms and subject to the conditions set forth
herein; and

            WHEREAS, the Employee and the Company wish to provide for certain
arrangements with respect to the Employee's rights to hold and dispose of the
shares of Class B Common Stock acquired by the Employee hereunder.

            NOW, THEREFORE, the parties hereto agree as follows:

1.  DEFINITIONS

            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.

                  "Affiliate Securities" shall mean any securities issued
by an Affiliate of the Company.

                  "Aggregate Number of Acquired Shares" shall mean the aggregate
number of shares of Class B Common Stock acquired by the Employee pursuant
hereto (adjusted, where appropriate, to reflect any Capital Transaction).
<PAGE>

                  "Aggregate Number of Shares Sold" shall mean, as at any date,
the aggregate number of shares sold by the Employee pursuant to Section 3.3, 3.4
or 3.5 hereof prior to such date, if any (adjusted, where appropriate, to
reflect any Capital Transaction effected after the date of any such sale).

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

                  "Book Value of the Company" shall mean the sum, as of the
Valuation Date, of (i) the total assets minus the total liabilities of the
Company on a consolidated basis, plus (ii) the amount of any reduction in
stockholders' equity of the Company resulting from the application of EITF Issue
Summary No. 88-16, Basis in Leveraged Buyout Transactions, plus (iii) the
aggregate amount of amortization from July 1, 1996 through the Valuation Date of
the goodwill recorded as of July 1, 1996 (as adjusted from time to time) in
connection with the acquisition of Community Health Systems, Inc. by the Company
(the "Acquisition Goodwill"), plus (iv) the amount of $146,960,000 (representing
the December 1998 impairment charge of $164,833,000 less the related tax benefit
of $17,873,000), less the aggregate amount of depreciation and amortization
(less the related tax benefit), other than amortization of the Acquisition
Goodwill, that would have been recorded from January 1, 1999 through the
Valuation Date had the impairment charge not been recorded in December 1998
(i.e., assuming there had been no impairment of the assets), plus (v) the amount
of $20,000,000 (representing the provision for excess reimbursement recorded in
1998) and the amount of any additional related provision for excess
reimbursement recorded in 1999, less any related tax benefit, to the extent
recorded in the Company's financial statements through the Valuation Date, plus
(vi) the aggregate principal amount outstanding at the Valuation Date of loans
made to employees to purchase Class B Common Stock, to the extent recorded as a
reduction of stockholders' equity of the Company. For purposes of calculating
the Book Value of the Company and the Book Value Per Share, (x) all options and
other rights to acquire equity interests in the Company outstanding immediately
prior to the Delivery Date or exercised between the Valuation Date and the
Delivery Date shall be deemed to have been exercised on the Valuation Date, and
(y) the number of outstanding shares on the Valuation Date shall be increased by
the number of shares subject to each such option or other right and the assets
of the Company shall be increased by the aggregate exercise price payable in
respect of the exercise of each such option or other right (with respect to
clauses (x) and (y), in the case of any such option or other right unless the
effect thereof would be to increase the Book Value Per Share).

                  "Book Value Per Share" shall mean (i) the amount which would
be payable on the Valuation Date in respect of one share of Class B Common Stock
in the event of a dissolution, liquidation or winding-up of the affairs of the
Company if the

<PAGE>

amount of assets available for distribution in the event of such dissolution,
liquidation or winding-up with respect to all shares of capital stock of the
Company outstanding (or deemed to be outstanding, as set forth above in the
definition of "Book Value of the Company") on the Valuation Date were equal to
the Book Value of the Company, plus (ii) the excess, if any, of $400.00 over the
amount determined pursuant to clause (i), up to a maximum of $42.16 (the amounts
$400.00 and $42.16 being adjusted to reflect any Capital Transaction between the
date hereof and the Valuation Date). In the event there has been a Stock
Dividend after the Valuation Date and prior to the Election Date, the number of
shares outstanding for purposes of determining Book Value Per Share shall be the
number of shares that would have been outstanding immediately after the Stock
Dividend on the Valuation Date had the Stock Dividend occurred on the Valuation
Date.

                  "Call Shares" shall have the meaning ascribed to such term in
Section 3.2(d) hereof.

                  "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).

                  "Certificate of Incorporation" shall mean the Restated
Certificate of Incorporation of the Company, as in effect from time to time.

                  "CHS Hospital" shall have the meaning ascribed to such term in
the definition of Competitor.

                  "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.

                  "Class B Common Stock" shall mean the Class B Nonvoting Common
Stock, par value $0.01 per share, of the Company. There shall be included within
the term Class B Common Stock any Class B 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 B Common Stock pursuant to a Capital Transaction
or otherwise. Without limiting the generality of the foregoing, all references
herein to the Class B Common Stock shall include, and the provisions hereof
(including, without limitation,

<PAGE>

Sections 3 and 4 hereof) shall also be applicable to, the Class A Common Stock
for which the Class B Common Stock shall be exchanged pursuant to the
Certificate of Incorporation.

                  "Closing" shall have the meaning ascribed to such term in
Section 3.2(d) hereof.

                  "Closing Date" shall have the meaning ascribed to such
term in Section 2.2. hereof.

                  "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.

                  "Competitive Activity" shall mean engaging in any of the
following activities: (i) serving as a director of any Competitor; (ii) directly
or indirectly (X) controlling any Competitor or (Y) owning any equity or debt
interests in any Competitor (other than equity or debt interests which are
publicly traded and do not exceed 2% of the particular class of interests then
outstanding) (it being understood that, if any such interests in any Competitor
are owned by an investment vehicle or other entity in which the Employee owns an
equity interest, a portion of the interests in such Competitor owned by such
entity shall be attributed to the Employee, such portion determined by applying
the percentage of the equity interest in such entity owned by the Employee to
the interests in such Competitor owned by such entity); (iii) directly or
indirectly soliciting, diverting, taking away, appropriating or otherwise
interfering with any of the customers or suppliers of the Company or any
Affiliate controlled by the Company; or (iv) employment by (including serving as
an officer of), or providing consulting services to, any Competitor; provided,
however, that if the Competitor has more than one discrete and readily
distinguishable part of its business, employment by or providing consulting
services to any Competitor shall be Competitive Activity only if (1) his or her
employment duties are at or involving the part of the Competitor's business that
competes with any of the businesses conducted by the Company or any of its
subsidiaries (the "Competing Operations"), including serving in a capacity where
any person at the Competing Operations reports to the Employee, or (2) the
consulting services are provided to or involve the Competing Operations. For
purposes of this definition, the term "control" means the possession, directly
or indirectly, of the power to direct or cause the direction of the management
and policies of any Competitor, whether through the ownership of equity or debt
interests, by contract or otherwise. Notwithstanding the foregoing, the Employee
shall not be deemed to be engaged in a Competitive Activity so long as his or
her employment duties are not at or involving any general acute care hospital
located within a 50-mile radius of any CHS Hospital (a

<PAGE>

"Competing Hospital"), including serving in a capacity where any person at the
Competing Hospital reports to the Employee. For purposes hereof, a person shall
be deemed to report to the Employee whether he or she reports directly to the
Employee or indirectly through one or more other persons.

                  "Competitor" shall mean any Person that is engaged in owning,
operating or acquiring directly or indirectly (through a corporation, trust,
partnership or other Person) one or more short-term, general acute care
hospitals located within a 50-mile radius of any hospital which, at the time the
Employee is Terminated, is owned or operated by the Company or any of its
subsidiaries or which the Company or any of its subsidiaries intend to own,
operate or acquire (which intention was disclosed to the Employee prior to or in
connection with his Termination) (a "CHS Hospital").

                  "Delivery Date" shall have the meaning ascribed to such term
in Section 3.2(b) hereof.

                  "Election Date" shall have the meaning ascribed to such term
in Section 3.2(a) hereof.

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

                  "Exchange Rate" shall have the meaning ascribed to such term
in Section 3.3 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 3.3, 3.4 or 3.5 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 Employee. All references
herein to the Employee shall be deemed to include references to the Employee'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.
<PAGE>

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

                  "Permitted Transferee" shall have the meaning ascribed to such
term in Section 3.1 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.

                  "Prohibited Activity" shall have the meaning ascribed to such
term in Section 4.1 hereof.

                  "Promissory Note" shall mean any promissory note executed and
delivered by the Employee to evidence the Employee's loan from the Company to
finance in part the Employee's purchase of shares of Class B Common Stock
hereunder.

                  "Purchase Closing" shall have the meaning ascribed to such
term in Section 2.2 hereof.

                  "Purchase Price" shall have the meaning ascribed to such term
in Section 3.2(c) hereof.

                  "Purchase Price Certificate" shall have the meaning ascribed
to such term in Section 3.2(b) hereof.

                  "Quarter" shall mean a three-month period, with the first
Quarter ending on the three-month anniversary date of the Closing Date and each
subsequent Quarter ending on the three-month anniversary date of the preceding
Quarter.

                  "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 6.13(b).

                  "Repurchase Notice" shall have the meaning ascribed to such
term in Section 4.2 hereof.
<PAGE>

                  "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 3.3, 3.4 or 3.5
hereof.

                  "Scheduled Closing Date" shall have the meaning ascribed to
such term in Section 3.2(d) hereof.

                  "Stock Dividend" shall mean any stock split, stock dividend,
reverse stock split or similar transaction which changes the number of
outstanding shares of capital stock of the Company.

                  "Stock Pledge Agreement" shall mean the stock pledge agreement
which the Employee is entering into with the Company in connection with the
financing in part of the Employee's purchase of shares of Class B Common Stock
hereunder.

                  "Termination" or "Terminated" shall mean that the Employee's
employment on a full-time basis by the Company and its subsidiaries shall have
ceased for any reason whatsoever (including by reason of death, permanent
disability or adjudicated incompetency).

                  "Third Party" shall mean any Person other than any FL &
Co. Company 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 3.3, 3.4 or 3.5 hereof.

                  "Unvested Shares" shall mean, as at any date, all shares of
Class B Common Stock owned by the Employee which are not Vested Shares as of
such date.

                  "Valuation Date" shall mean the last day of the fiscal quarter
of the Company immediately preceding the fiscal quarter in which the Employee's
employment is Terminated, unless the Employee's shares of Class B Common Stock
are being repurchased (i) pursuant to Section 3.2 hereof by reason of the
Employee's having voluntarily Terminated his employment or (ii) pursuant to
Section 4.2 hereof, in either of which events "Valuation Date" shall mean the
last day of the fiscal year of the Company immediately preceding the fiscal year
in which the Employee's employment is Terminated.
<PAGE>

                  "Vested Shares" shall mean the number of shares of Class B
Common Stock determined as follows: (i) if the Employee is Terminated on or
before the first anniversary of the Closing Date, zero; and (ii) if the Employee
is Terminated after the first anniversary of the Closing Date, then by (A)
multiplying (x) the number of full Quarters that have elapsed from the Closing
Date to the date of Termination (but in no event exceeding 20 Quarters) by (y)
5% of the Aggregate Number of Acquired Shares, and subtracting therefrom (B) the
Aggregate Number of Shares Sold. The Employee shall be considered as having been
employed for a full Quarter only if the Employee is employed through the
applicable Quarterly anniversary date. For example, if the Employee is
Terminated on the second anniversary of the Closing Date, the Employee would
have been employed for seven full Quarters and his Vested Shares would equal (A)
35% of the Aggregate Number of Acquired Shares minus (B) the Aggregate Number of
Shares Sold, and if the Employee is Terminated on the day after the second
anniversary of the Closing Date, the Employee would have been employed for eight
full Quarters and his Vested Shares would equal (A) 40% of the Aggregate Number
of Acquired Shares minus (B) the Aggregate Number of Shares Sold.

                  (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.

2. PURCHASE AND SALE OF CLASS B COMMON STOCK.

            2.1 SUBSCRIPTION OF CLASS B COMMON STOCK. The Employee hereby
subscribes for the number of shares of Class B Common Stock set forth opposite
the Employee's name on Annex A hereto, at a price of $400.00 per share in cash.

            2.2 CLOSING OF THE PURCHASE AND SALE. The closing of the
transactions contemplated hereby (the "Purchase Closing") shall take place at
the offices of Fried, Frank, Harris, Shriver & Jacobson, One New York Plaza, New
York, New York, 10004, at such time as the Company shall designate on the date
hereof (the "Closing Date"). At the Purchase Closing, the Company shall deliver
to the Employee a duly executed certificate representing the number of shares of
Class B Common Stock being purchased by the Employee and shall enter the
Employee's name on the books of the Company as the stockholder of record of such
shares of Class B Common Stock as of the Closing Date. At or prior to the
Purchase Closing, the Employee shall deliver to the Company an amount equal to
the aggregate purchase price for such shares, by wire transfer or other
immediately available funds to the account of the Company at Chase Manhattan
Bank (ABA Number 021 000 021), 270 Park Avenue, New York, NY 10017, account
number 323-054439 and by an executed Promissory Note, together with an executed
Stock Pledge Agreement, in the respective amounts set forth on Annex A.
<PAGE>

3. RIGHTS AND RESTRICTIONS ON CLASS B COMMON STOCK.

            3.1 NO SALE OR TRANSFER.

                (a) The Employee shall not sell, transfer, assign, exchange,
pledge, encumber or otherwise dispose of any shares of Class B Common Stock
acquired hereunder 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 and the Stock Pledge Agreement.

                (b) The Employee may transfer any shares of Class B Common Stock
acquired hereunder by will, but only to:

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

                  (ii) a trust solely for the benefit of any spouse, parent,
            child (whether natural or adopted), grandchild, brother or sister of
            the Employee, or

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

(the person or persons to which shares of Class B Common Stock are transferred
in accordance with this Section 3.1(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 (which, in the
case of a trust, shall include each person having authority to sell or dispose
of such shares of Class B Common Stock proposed to be transferred to the trust)
shall agree in writing to be bound by all the terms of this Agreement applicable
to the Employee (including, without limitation, Sections 4 and 6.13(b) hereof)
and the Promissory Note and the Stock Pledge Agreement as if the Permitted
Transferee originally had been a party hereto and thereto; 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 agree 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), (ii) or (iii) 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 B

<PAGE>

Common Stock. Any reference herein to the Employee shall be to the Permitted
Transferee from and after the date the transfer is effected in accordance with
this Section 3.1(b). Without limiting the generality of the foregoing, the
provisions of Section 4.2 hereof shall be likewise applicable to any Permitted
Transferee, commencing upon the date that such person becomes a Permitted
Transferee, for the respective periods they would have applied to the Employee.

            3.2 EMPLOYMENT TERMINATION.

                  (a) If the Employee shall be Terminated, irrespective of
whether the Employee receives, in connection with such Termination, any
severance or other payment from the Company or any of its Affiliates under any
employment agreement or otherwise, the Company shall have the right, at its
option, exercisable by delivery of written notice to the Employee within 90 days
following the date of Termination (the date of delivery of such written notice
being referred to herein as the "Election Date"), to purchase all or any portion
of the Unvested Shares held by the Employee as of the date of such Termination.
Any Vested Shares and any Unvested Shares that the Company does not elect to
repurchase pursuant to the provisions of this Section 3.2(a) shall continue to
be subject to the provisions of this Agreement (including, without limitation,
Sections 3.3, 3.4, 3.5 and 4 hereof) other than this Section 3.2.

                  (b) If the Company exercises its purchase right pursuant to
Section 3.2(a) hereof, then, within 15 days following the later of the Election
Date or the date the financial statements referred to below are available (such
date of delivery being referred to herein as the "Delivery Date"), the Company
shall deliver to the Terminated Employee a certificate of the chief financial
officer of the Company setting forth the Purchase Price and the calculation
thereof and the Book Value of the Company and stating that a copy of the
Company's financial statements as of the Valuation Date are available for review
at the principal office of the Company (the "Purchase Price Certificate"), and
shall make available to the Employee, for review at the principal office of the
Company, a copy of the Company's financial statements as of the Valuation Date.
The Purchase Price Certificate shall be accompanied by a report from the
Company's independent public accountants to the effect that they have performed
certain procedures, which procedures have agreed the amounts shown on the
Purchase Price Certificate to the relevant financial statements and information
and have verified the mathematical accuracy of the calculations set forth in the
Purchase Price Certificate. The calculations as set forth on the Purchase Price
Certificate shall be final and binding on the Company and the Employee for
purposes of this Agreement. The Employee shall keep the Purchase Price
Certificate, the accountants' report, the financial statements and any other
documentation provided in connection therewith confidential, shall not use any
such material or any information contained therein for any purpose other than to
<PAGE>

verify the amounts due the Employee in respect of any shares owned by the
Employee being purchased by the Company, and shall not disclose any such
material or any information contained therein to anyone other than the
Employee's legal or financial advisers who have agreed in writing to the
equivalent confidentiality, non-use and non-disclosure provisions contained in
this paragraph.

                  (c) The purchase price per share of the shares of Class B
Common Stock purchased pursuant to Section 3.2(a) hereof (the "Purchase Price")
shall be equal to the Book Value Per Share, adjusted to reflect any Capital
Transaction between the Valuation Date and the Election Date, as if such event
had occurred as of the Valuation Date.

                  (d) Subject to Section 3.2(e) hereof, the closing (the
"Closing") of any purchase of shares of Class B Common Stock which the Company
has elected to purchase pursuant to Section 3.2(a) hereof (the "Call Shares")
shall take place at the principal office of the Company on the later of (i) 10
days after the Delivery Date (or, in the case of a First-Year Termination, 10
days after the Election Date) and (ii) (if applicable) 10 days after the
appointment of a Legal Representative (such later date, the "Scheduled Closing
Date"). At the Closing, the Employee shall sell, convey, transfer, assign and
deliver to the Company all right, title and interest in and to the Call Shares,
which shall constitute (and, at the Closing, the Employee shall certify the same
to the Company in writing) good and unencumbered title to such shares, free and
clear of all liens, security interests, encumbrances and adverse claims of any
kind and nature (other than those in favor of the Company and the FL & Co.
Companies pursuant to this Agreement), and shall deliver to the Company a
certificate representing the shares duly endorsed for transfer, or accompanied
by appropriate stock transfer powers duly executed, and with all necessary
transfer tax stamps affixed thereto at the expense of the Employee, and the
Company shall deliver to the Employee, in full payment of the purchase price for
the Call Shares, either a wire transfer to an account designated by the Employee
or a cashier's, certified or official bank check payable to the order of the
Employee (the method of payment to be at the option of the Company), in the
amount equal to the Purchase Price multiplied by the number of Call Shares.
Notwithstanding anything herein to the contrary, from and after the Election
Date, the Employee shall not have any rights with respect to any of the Call
Shares (including any rights pursuant to Sections 3.3 and 3.4 hereof), except to
receive the Purchase Price therefor.

                  (e) Notwithstanding the provisions of Section 3.2(d) hereof,
if the Company exercises its option to purchase Unvested Shares pursuant to
Section 3.2(a) hereof, but is prohibited from effecting the Closing on the
Scheduled Closing Date by any contractual obligation of the Company or any of
its Affiliates or by applicable law, then the Closing shall take place on the
first practicable date on which the Company is

<PAGE>

permitted to purchase such shares, and, at the Closing, the Company shall pay to
the Employee interest on the unpaid Purchase Price from and including the
Scheduled Closing Date to, but not including, the date of the Closing, at the
rate (as of the Scheduled Closing Date) for a six-month certificate of deposit
at Chase Manhattan Bank or any successor bank thereto. If at any time the
prohibition shall cease to be applicable to any portion of the shares not
repurchased, then the Company shall purchase such portion on the first
practicable date on which the Company is permitted to do so. The Company shall
not declare or pay any dividend of cash or cash equivalents, or repurchase any
shares of Class A Common Stock or Class B Common Stock for cash or cash
equivalents, until the purchase price for all of the Call Shares has been paid
in full.

            3.3 PARTICIPATION IN SALE OF CLASS A COMMON STOCK. The Employee, at
the Employee's option, may participate proportionately (and the FL & Co.
Companies shall allow the Employee to participate proportionately) in any sale
(other than a public offering, which shall be governed by Section 3.4 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 (a) exchanging the same percentage of the
Employee's shares of Class B 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 shares of Class
A Common Stock in accordance with the Exchange Rate, as defined in Subsection
4(d) of Section A of Article Fourth of the Certificate of Incorporation (the
"Exchange Rate"), and (b) selling the Class A Common Stock received in such
exchange to the Third Party. The Company shall notify the Employee in writing of
the FL & Co. Companies' intention to effect such a sale to a Third Party, the
identity of the Third Party and the nature and per share amount of consideration
to be paid by the Third Party, and shall set forth its calculation of the
Exchange Rate, 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. Schedule I hereto sets forth an example illustrating the
calculation of the Exchange Rate. Any sale of shares of Class A Common Stock by
the Employee pursuant to this Section 3.3 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. The Company
shall, immediately prior to, and contingent upon, the consummation of such sale,
exchange such shares of Class B Common Stock for Class A Common Stock in
accordance with the Exchange Rate. If the Employee sells any shares pursuant to
this Section 3.3, the Employee shall pay and be responsible for the Employee's
proportionate share of the Expenses of Sale and the Sale Obligations.

            3.4 PARTICIPATION IN PUBLIC OFFERING OF CLASS A COMMON STOCK.
<PAGE>

                  (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 Employee shall be entitled and required to participate in
such public offering by selling in the public offering the same percentage of
the Employee's shares of Class A Common Stock (such Class A Common Stock having
been or being received by him pursuant to the Certificate of Incorporation,
which provides that, upon the initial public offering of shares of Class A
Common Stock, immediately prior to, and contingent upon, the consummation of the
offering, all outstanding shares of Class B Common Stock shall be exchanged for
shares of Class A Common Stock in accordance with the Exchange Rate) 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).
The Company shall notify the Employee 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 and shall cause the Employee's shares to be sold in such public
offering to be included therein. If the Employee sells any shares pursuant to
this Section 3.4, the Employee shall pay and be responsible for the Employee'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 Employee agrees (i) to supply any information
reasonably requested by the Company 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 Employee 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 Employee take any of the actions
referred to in clause (i) or (ii) of the previous sentence, the Employee shall
take such action promptly but in any event within five days following the date
of such request.

            3.5 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

<PAGE>

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 (x) the Employee exchange the same percentage of
the Employee's shares of Class B 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 being sold, by the FL & Co. Companies) for shares of Class
A Common Stock in accordance with the Exchange Rate, and (y) sell all the Class
A Common Stock received in such exchange 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 Employee is
entitled to vote thereon, that the Employee vote the Employee's shares in favor
thereof. The Company shall calculate the Exchange Rate and shall, immediately
prior to, and contingent upon, the consummation of the transaction exchange such
shares of Class B Common Stock for Class A Common Stock in accordance with the
Exchange Rate. If the Employee sells any shares pursuant to this Section 3.5,
the Employee shall pay and be responsible for the Employee's proportionate share
of the Expenses of Sale and the Sale Obligations.

            3.6 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 B Common Stock owned by the Employee (a) may be
sold, transferred, assigned, exchanged, pledged, encumbered or otherwise
disposed of (and the Employee 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 Articles 3 and 4 hereof (other than this Section 3.6 and Section
4.1 hereof) shall terminate and have no further force or effect.

4. PROHIBITED ACTIVITIES.

            4.1 PROHIBITION AGAINST CERTAIN ACTIVITIES. The Employee agrees that
(a) the Employee will not at any time during the Employee's employment (other
than in the course of such employment) with the Company or any Affiliate
thereof, or after a Termination, directly or indirectly disclose or furnish to
any other Person or use for the Employee's own or any other Person's account any
confidential or proprietary knowledge or information or any other information
which is not a matter of public knowledge and which was obtained in the course
of the Employee's employment with, or other performance of services for, the
Company or any Affiliate thereof or any

<PAGE>

predecessor of any of the foregoing, no matter from where or in what manner the
Employee may have acquired such knowledge or information, and the Employee shall
retain all such knowledge and information in trust for the benefit of the
Company, its Affiliates and the successors and assigns of any of them, (b) if
the Employee is Terminated, the Employee will not for 18 months following such
Termination directly or indirectly solicit for employment, including without
limitation recommending to any subsequent employer the solicitation for
employment of, any employee of the Company (other than such Employee's secretary
or administrative assistant), (c) the Employee will not at any time during the
Employee's employment with the Company or any Affiliate thereof or after a
Termination publish any statement or make any statement (under circumstances
reasonably likely to become public or that the Employee might reasonably expect
to become public) critical of the Company or any Affiliate of the Company, or in
any way adversely affecting or otherwise maligning the business or reputation of
any of the foregoing entities, and (d) the Employee will not breach the
provisions of Section 3.1 hereof (any activity prohibited by clause (a), (b),
(c) or (d) of this Section 4.1 being referred to as a "Prohibited Activity").

            4.2 RIGHT TO PURCHASE SHARES. The Employee understands and agrees
that the Company has granted to the Employee the right to purchase shares of
Class B Common Stock to reward the Employee for the Employee's future efforts
and loyalty to the Company and its Affiliates by giving the Employee the
opportunity to participate in the potential future appreciation of the Company.
Accordingly, (a) if the Employee engages in any Prohibited Activity, or (b) if,
at any time during the Employee's employment with the Company or any of its
Affiliates or during the 18 months following a Termination, the Employee engages
in any Competitive Activity, or (c) if, at any time (whether during the
Employee's employment or after any Termination thereof), the Employee is
convicted of a crime against the Company or any of its Affiliates, then, in
addition to any other rights and remedies available to the Company, the Company
shall be entitled, at its option, exercisable by written notice (the "Repurchase
Notice") to the Employee, to purchase all of the shares of Class B Common Stock
then held by the Employee.

            4.3 PURCHASE PRICE; CLOSING. The purchase price per share of the
shares of Class B Common Stock purchased pursuant to this Article 4 shall be
equal to the lesser of (a) $357.84 (adjusted to reflect any Capital Transaction
effected after the Closing Date and prior to the date of the Repurchase Notice)
and (b) the Book Value Per Share (except that any reference to the Delivery Date
or Election Date shall instead be a reference to the date of the Repurchase
Notice). If such purchase price is determined pursuant to clause (b) of the
preceding sentence, then the Company shall, within 15 days following the later
of receipt of the Employee's written request therefor (which request must be
made within eight days of the date of the Repurchase Notice) and the date the

<PAGE>

relevant financial statements are available, provide the Employee with the same
purchase price certificate and report of the Company's independent public
accountants as are referred to in Section 3.2(b) hereof, and the Employee hereby
agrees to the same confidentiality, non-use and non-disclosure provisions with
respect thereto as are contained in Section 3.2(b) hereof. The calculations as
set forth on such certificate shall be final and binding on the Company and the
Employee for purposes of this Agreement. The closing of such purchase shall take
place at the principal office of the Company 10 days following the date of the
Repurchase Notice or, if a written request therefor was timely made, 10 days
following the date of delivery of the aforesaid certificate and report, except
that if the Company is prohibited from repurchasing any shares of Class B Common
Stock pursuant to this Article 4 by any contractual obligation of the Company or
any of its Affiliates or by applicable law, the closing of such purchase shall
take place on the first practicable date on which the Company is permitted to
purchase such shares (and the provisions of the last two sentences of Section
3.2(e) shall likewise apply to repurchases pursuant to this Article 4). At such
closing, the Employee shall sell, convey, transfer, assign and deliver to the
Company all right, title and interest in and to the shares of Class B Common
Stock being purchased by the Company, which shall constitute (and, at the
closing, the Employee shall certify the same to the Company in writing) good and
unencumbered title to such shares, free and clear of all liens, security
interests, encumbrances and adverse claims of any kind and nature (other than
those in favor of the Company and the FL & Co. Companies pursuant to this
Agreement), and shall deliver to the Company a certificate representing the
shares duly endorsed for transfer, or accompanied by appropriate stock transfer
powers duly executed, and with all necessary transfer tax stamps affixed thereto
at the expense of the Employee, and the Company shall deliver to the Employee,
in full payment of the purchase price payable pursuant to this Section 4.3 for
the shares of Class B Common Stock purchased, a check payable to the order of
the Employee, in the amount of the aggregate purchase price for the shares
purchased. Notwithstanding anything herein to the contrary, from and after the
date of the Repurchase Notice, the Employee shall not have any rights with
respect to any shares of Class B Common Stock which the Employee is required to
sell to the Company pursuant to this Article 4 (including any rights pursuant to
Section 3.3 or 3.4 hereof), except to receive the purchase price therefor.

            4.4 Notwithstanding anything to the contrary set forth in Sections
3.3, 3.4 or 3.5 hereof, if at the time of a Transaction in which the Employee is
participating, the Company is entitled to purchase the Employee's shares of
Class B Common Stock pursuant to this Article 4, and if the purchase price per
share for a purchase pursuant to this Article 4 would be less than the proceeds
per share to the Employee from such Transaction, then the Employee shall be
entitled to receive only the aggregate purchase price payable under this Article
4, with the balance of the proceeds of sale in the Transaction being remitted to
the other stockholders of the Company participating in

<PAGE>

such Transaction pro rata in accordance with their respective participation in
such Transaction.

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

           5.1 LEGEND. All certificates representing shares of Class B Common
Stock acquired hereunder or hereafter by the Employee (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."

           5.2 REPRESENTATIONS OF THE EMPLOYEE. The Employee represents and
warrants that: (a) the Employee understands that (i) the offer and sale of
shares of Class B 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; (ii) the shares of Class B 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; and (iii) the purchase of Class B
Common Stock hereunder does not entitle the Employee to participate in any other
equity program of the Company, whether now existing or hereafter established;
(b) the Employee is acquiring the shares of Class B Common Stock being acquired
hereunder for investment for the Employee's own account and not with a view to
the distribution thereof; (c) the Employee will not, directly or indirectly,
sell, transfer, assign, exchange, pledge, encumber or otherwise dispose of any
shares of Class B Common Stock being acquired hereunder except in accordance
with this Agreement and the Stock Pledge Agreement; (d) the Employee has, or the
Employee together with his advisers, if any, have, such knowledge and experience
in financial and business matters that the Employee is, or the Employee together
with the Employee's advisers, if any, are, and will be capable of evaluating the
merits and risks relating to the Employee's purchase of shares of Class B Common
Stock under this Agreement; (e) the Employee has been given the opportunity to
obtain information and

<PAGE>

documents relating to the Company and to ask questions of and receive answers
from representatives of the Company concerning the Company and the Employee's
investment in the Class B Common Stock; (f) the Employee's decision to invest in
the Company has been based upon independent investigations made by the Employee
and his advisers, if any; (g) the Employee is able to bear the economic risk of
a total loss of the Employee's investment in the Company; and (h) the Employee
has adequate means of providing for the Employee's current needs and foreseeable
personal contingencies and has no need for the Employee's investment in the
Class B Common Stock to be liquid.

6.  MISCELLANEOUS.

            6.1 DISTRIBUTIONS. In the event of any dividend, distribution or
exchange paid or made in respect of the Class B Common Stock consisting of
Affiliate Securities, (a) the restrictions and rights with respect to the Class
B 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 B Common Stock being deemed references to the Affiliate Securities and
the references to the Company being deemed references to the Affiliate), and (b)
as a condition precedent to the receipt of the Affiliate Securities by the
Employee, the Employee shall enter into a stockholders agreement containing
substantially equivalent terms with respect to the Affiliate Securities (but
reflecting the economics of the dividend, distribution or exchange and the
capitalization of the Affiliate) as are contained in Sections 3.2 and 4.3
hereof. The Board of Directors of the Company, in good faith, shall determine
such economics and its determination shall be final and binding on the Employee.

            6.2 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.

            6.3 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.

            6.4 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

<PAGE>

provisions of this Agreement shall be specifically enforceable in accordance
with their respective terms.

            6.5 INVALIDITY OF PROVISION. 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.

            6.6 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.
                  c/o Forstmann Little & Co.
                  767 Fifth Avenue, 44th Floor
                  New York, New York 10153
                  Attention:  Ms. Sandra J. Horbach

            (b)   If to the Employee, to the address set forth below the
                  Employee'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 6.6.

            6.7 BINDING EFFECT. This Agreement shall inure to the benefit of and
shall be binding upon the parties hereto and their respective heirs, legal
representatives,

<PAGE>

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.

            6.8 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.

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

            6.10 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.

            6.11 WITHHOLDING. The Company shall have the right to deduct from
the amount payable under this Agreement any taxes or other amounts required by
applicable law to be withheld. The Employee agrees to indemnify the Company
against any Federal, state and local withholding taxes (but not penalties or
interest) for which the Company may be liable in connection with the Employee's
acquisition, ownership or disposition of any Class B Common Stock.

            6.12 NO RIGHT TO CONTINUED EMPLOYMENT. This Agreement shall not
confer upon the Employee any right with respect to continuance of employment by
the Company or any Affiliate thereof, nor shall it interfere in any way with the
right of the Company or any Affiliate thereof to terminate the Employee's
employment at any time.

            6.13 POSSESSION OF CERTIFICATES; POWER OF ATTORNEY.

                  (a) In order to provide for the safekeeping of the
certificates representing the shares of Class B Common Stock purchased by the
Employee pursuant hereto and to facilitate the enforcement of the terms and
conditions hereof, at the Purchase Closing (i) the Employee shall redeliver to
the Company, and the Company shall retain physical possession of, all
certificates representing shares of Class B Common Stock acquired by the
Employee pursuant hereto and (ii) the Employee shall deliver to the Company an
undated stock power, duly executed in blank, for each such certificate. The
Employee shall be relieved of any obligation otherwise imposed by this Agreement
to deliver certificates representing shares of Class B Common Stock if the same
are in the custody of the Company.
<PAGE>

                  (b) The Employee hereby irrevocably appoints the FL & Co.
Companies, and each of them (individually and collectively, the
"Representative"), the Employee's true and lawful agent and attorney-in-fact,
with full powers of substitution, to act in the Employee'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 3.3, 3.5 or 4.2 hereof, including, without in any way
limiting the generality of the foregoing, in the case of a sale pursuant to
Section 3.3 or 3.5 hereof, to execute and deliver on behalf of the Employee 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 Employee an
underwriting agreement, a "holdback" 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 3.3 or 3.5 hereof and any public offering pursuant to Section 3.4(a)
hereof, to receive on behalf of the Employee the proceeds of the sale or public
offering of the Employee's shares, to hold back from any such proceeds any
amount that the Representative deems necessary to reserve against the Employee's
share of any Expenses of Sale and Sale Obligations and to pay such Expenses of
Sale and Sale Obligations. The Employee hereby ratifies and confirms all that
the Representative shall do or cause to be done by virtue of its appointment as
the Employee's agent and attorney-in-fact. In acting for the Employee pursuant
to the appointment set forth in this Section 6.13(b), the Representative shall
not be responsible to the Employee for any loss or damage the Employee 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 Employee, 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 Employee in all matters
referred to in this Section 6.13(b). The Representative shall advise the
Employee in writing of any Sale Obligations imposed on the Employee in any
document executed by the Representative as the Employee's attorney-in-fact
pursuant to this Section 6.13(b).

            6.14 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

<PAGE>

U.S. registered mail to its respective address set forth in Section 6.6 hereof
shall be effective service of process for any Litigation brought against it 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.


                                 COMMUNITY HEALTH SYSTEMS
                                 HOLDINGS CORP.


                                 By: ______________________________


                                 EMPLOYEE


                                 __________________________________
                                 Name:
                                 Address:
<PAGE>

The undersigned hereby agree to be bound by the provisions of Sections 3.3 and
3.4 of the foregoing Stockholder's Agreement.


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

                              By: FLC XXX Partnership,
                                  its general partner


                                  By: ______________________________
                                      a general partner


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

                              By: FLC XXIX Partnership, L.P.
                                  its general partner


                                  By: ______________________________
                                      a general partner
<PAGE>

            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 purchased
shares of Class B Common Stock as reflected in such Agreement and agrees to be
bound by the foregoing Agreement.


                                          ______________________________
                                          Employee's Spouse
<PAGE>

                                   SCHEDULE I

Assume:  1)       Aggregate amount of assets available for distribution is
                  $2,200,000,000. THERE IS NO ASSURANCE THAT THE ACTUAL AMOUNT
                  OF ASSETS AVAILABLE FOR DISTRIBUTION WILL REACH THIS LEVEL.
         2)       449,123 shares of Class A Common Stock and 39,600 shares of
                  Class B Common Stock outstanding, and options granted to
                  acquire 9,000 shares of Class C Common Stock and 1,600 shares
                  of Class A Common Stock, all at the time of distribution.

<TABLE>
<CAPTION>
STEP 1
- ------
                                                                       To                 To                To
                                                                     CLASS A            CLASS B           CLASS C
                                                                     -------            -------           -------
<S>                     <C>                       <C>              <C>                <C>                <C>
First to A:             $1,073.52     x           450,723    =     $483,860,155

Second to B:               357.84     x            39,600    =                        $14,170,464
Third to C:                587.50     x             9,000    =                                           $5,287,500

Fourth to A:               279.17     x           450,723    =      125,828,340
and to C:                  279.17     x             9,000    =                                            2,512,530

Fifth to A               3,140.93*    x           450,723    =
and to B:                3,140.93*    x            39,600    =    1,415,691,577       124,381,020        28,268,414
                                                                  -------------       -----------        ----------
and to C:                3,140.93*    x             9,000    =

Total                                                            $2,025,380,072      $138,551,484       $36,068,444
                                                                 ==============      ============       ===========

STEP 2                                                         PER SHARE PROCEEDS   COST OF SHARES        NET GAIN
- ------                                                         ------------------   --------------        --------
           x = $ total for Class A divided by 450,723        =        $4,493.62        ($1,073.52)        $3,420.10
STEP 3
- ------
           y = $ total for Class B divided by 39,600         =        $3,498.77          ($357.84)        $3,140.93
STEP 4
- ------
           z = $ total for Class C divided by 9,000          =        $4,007.60          ($587.50)        $3,420.10

</TABLE>

Class B Exchange Rate = y/x or 0.779 of a share of Class A Common Stock for each
share of Class B Common Stock.

Class C Exchange Rate = z/x or 0.892 of a share of Class A Common Stock for each
share of Class C Common Stock.

- ---------------

*     Equals $2,200,000,000 less the payments from the first, second, third and
      fourth steps ($631,658,989) divided by 499,323 (449,123 plus 39,600 plus
      9,000 plus 1,600), rounded for presentation purposes.
<PAGE>

                                     ANNEX A


              Employee                        Number of Shares
              --------                        ----------------

          ---------------------                      --



Cash Amount:   $___________


Note Amount:   $___________

<PAGE>

                                                                    Exhibit 10.7


                          REGISTRATION RIGHTS AGREEMENT

                                      among

                              FLCH HOLDINGS CORP.,

                             FLCH ACQUISITION CORP.,

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

                                       and

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


                                  July 9, 1996
<PAGE>

                  REGISTRATION RIGHTS AGREEMENT, dated as of July 9, 1996, among
FLCH Holdings Corp., a Delaware corporation ("Parent"), FLCH Acquisition Corp.,
a Delaware corporation (the "Company") and wholly owned subsidiary of Parent,
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 - VI, L.P. a Delaware limited partnership
("MBO-VI") (Equity-V and MBO-VI are individually referred to as a "Forstmann
Little Partnership" and collectively referred to as the "Forstmann Little
Partnerships").

                  On the date hereof, the Company is purchasing all of the
shares that have been validly tendered into its tender offer for the outstanding
shares of capital stock of Community Health Systems, Inc. ("CHS"). It is
contemplated that the Company will merge with and into CHS, as a result of which
Parent would own 100% of the capital stock of CHS (such events are collectively
referred to herein as the "Acquisition"). In connection with the Acquisition,
the Forstmann Little Partnerships are acquiring shares of Common Stock (as
defined below) and will acquire additional shares of Common Stock from Parent.

                  If either of the Forstmann Little Partnerships desires to sell
shares of Common Stock (whether prior to, concurrently with or following any
registration and offering by Parent of shares of its capital stock to the public
(an "Offering")), it may be necessary to register such shares under the
Securities Act (as defined below).

                  As part of, and as consideration for, the acquisition of
shares of Common Stock by the Forstmann Little Partnerships from Parent on the
date hereof and from time to time hereafter, Parent hereby grants to the
Forstmann Little Partnerships certain registration and other rights with respect
to their shares of Common Stock as more fully set forth herein.

                  Accordingly, the parties hereto agree as follows:

                  1. DEFINITIONS. As used herein, unless the context otherwise
requires, the following terms have the following respective meanings:

                  "Certificate of Incorporation" means the Certificate of
Incorporation of Parent, as it may be amended or restated hereafter from time to
time.

                  "Commission" means the Securities and Exchange Commission or
any other Federal agency at the time administering the Securities Act.

                  "Common Stock" means any shares of common stock, par value
$.01 per share, of Parent, now or hereafter authorized to be issued, and any and
all securities of any kind whatsoever of Parent which may be exchanged for or
converted into Common
<PAGE>

Stock, any and all securities of any kind whatsoever of Parent which may be
issued on or after the date hereof in respect of, in exchange for, or upon
conversion of shares of Common Stock pursuant to a merger, consolidation, stock
split, stock dividend, recapitalization of Parent or otherwise.

                  "Exchange Act" means the Securities Exchange Act of 1934, as
amended, or any similar Federal statute, and the rules and regulations of the
Commission thereunder, all as the same shall be in effect at the time. Reference
to a particular section of the Exchange Act shall include a reference to the
comparable section, if any, of any such similar Federal statute.

                  "Other Investor" means each Person who, at the time of any
registration of Common Stock hereunder, has the right under a stockholder's
agreement or stock option agreement with Parent to participate in any public
offering of all or a portion of the shares of Common Stock owned by the
Forstmann Little Partnerships.

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

                  "Registrable Securities" means (i) any shares of Common Stock
owned by the Forstmann Little Partnerships and acquired, whether prior or
subsequent to the effectiveness of this Agreement, directly from Parent, (ii)
any shares of Common Stock held pursuant to the terms of a stockholder's
agreement or issuable upon exercise of an option pursuant to the terms of a
stock option agreement, as the case may be, between any Other Investor and
Parent, which agreement gives such Other Investor the right to participate
proportionately with the Forstmann Little Partnerships in a public offering with
respect to such shares, and (iii) any Common Stock issued with respect to the
Common Stock referred to in clauses (i) or (ii) by way of a stock dividend,
stock split or reverse stock split or in connection with a combination of
shares, recapitalization, merger, consolidation or otherwise. As to any
particular Registrable Securities, such securities shall cease to be Registrable
Securities (a) when a registration statement with respect to the sale of such
securities shall have become effective under the Securities Act and such
securities shall have been disposed of in accordance with such registration
statement, (b) when such securities shall have been otherwise transferred, new
certificates for them not bearing a legend restricting further transfer shall
have been delivered by Parent and subsequent public distribution of them shall
not require registration of them under the Securities Act, or (c) when such
securities shall have been sold as permitted by, and in compliance with, the
Securities Act. Any certificate evidencing the Registrable Securities shall bear
a legend stating that the securities have not been registered under the
Securities Act and setting forth or referring to the restrictions on
transferability and sale of the securities.


                                       2
<PAGE>

                  "Registration Expenses" means all expenses incident to the
registration and disposition of the Registrable Securities pursuant to Section 2
hereof, including, without limitation, all registration, filing and applicable
national securities exchange fees, all fees and expenses of complying with state
securities or blue sky laws (including fees and disbursements of counsel to the
underwriters or the Forstmann Little Partnerships and the Other Investors in
connection with "blue sky" qualification of the Registrable Securities and
determination of their eligibility for investment under the laws of the various
jurisdictions), all word processing, duplicating and printing expenses, all
messenger and delivery expenses, the fees and disbursements of counsel for
Parent and of its independent public accountants, including the expenses of
"cold comfort" letters or any special audits required by, or incident to, such
registration, all fees and disbursements of underwriters (other than
underwriting discounts and commissions), all transfer taxes, and the fees and
expenses of counsel to the Forstmann Little Partnerships and the Other
Investors; PROVIDED, HOWEVER, that Registration Expenses shall exclude, and the
Forstmann Little Partnerships and the Other Investors shall pay, underwriting
discounts and commissions in respect of the Registrable Securities being
registered.

                  "Securities Act" means the Securities Act of 1933, as amended,
or any similar Federal statute, and the rules and regulations of the Commission
thereunder, all as the same shall be in effect at the time. References to a
particular section of the Securities Act shall include a reference to the
comparable section, if any, of any such similar Federal statute.

                  2. REGISTRATION UNDER SECURITIES ACT, ETC.

                         2.1 REGISTRATION ON REQUEST.

                                 (a) REQUEST. At any time or from time to time,
the Forstmann Little Partnerships, individually or jointly, shall have the right
to require Parent to effect the registration under the Securities Act of all or
part of the Registrable Securities, by delivering a written request therefor to
Parent specifying the number of shares of Registrable Securities and the
intended method of distribution. Parent shall, (i) as expeditiously as possible
(but in any event within 120 days of receipt of a written request), use its best
efforts to effect the registration under the Securities Act (including by means
of a shelf registration pursuant to Rule 415 under the Securities Act if so
requested in such request and if Parent is then eligible to use such a
registration) of the Registrable Securities which Parent has been so requested
to register by the Forstmann Little Partnerships, for distribution in accordance
with the intended method of distribution set forth in the written request
delivered by the Forstmann Little Partnerships, and (ii) if requested by the
Forstmann Little Partnerships, obtain acceleration of the effective date of then
registration statement relating to such registration.


                                       3
<PAGE>

                                 (b) REGISTRATION OF OTHER SECURITIES. Whenever
Parent shall effect a registration pursuant to this Section 2.1 in connection
with an underwritten offering by any Forstmann Little Partnership and any Other
Investors of Registrable Securities, no securities other than Registrable
Securities shall be included among the securities covered by such registration
unless the Forstmann Little Partnership or Partnerships so registering
Registrable Securities (the "Registering Forstmann Little Partnerships") shall
have consented in writing to the inclusion therein of such other securities,
which consent may be subject to terms and conditions determined by the
Registering Forstmann Little Partnerships in their sole discretion.

                                 (c) REGISTRATION STATEMENT FORM. Registrations
under this Section 2.1 shall be on such appropriate registration form of the
Commission as shall be selected by Parent and as shall be reasonably acceptable
to the Registering Forstmann Little Partnerships. Parent agrees to include in
any such registration statement all information which, in the opinion of counsel
to the Registering Forstmann Little Partnerships and counsel to Parent, is
necessary or desirable to be included therein.

                                 (d) EXPENSES. Parent and the Company shall pay,
and shall be jointly and severally responsible for, all Registration Expenses in
connection with any registration requested pursuant to this Section 2.1.

                                 (e) EFFECTIVE REGISTRATION STATEMENT. A
registration requested pursuant to this Section 2.1 shall not be deemed to have
been effected (including for purposes of paragraph (h) of this Section 2.1) (i)
unless a registration statement with respect thereto has become effective and
has been kept continuously effective for a period of at least 120 days (or such
shorter period which shall terminate when all the Registrable Securities covered
by such registration statement have been sold pursuant thereto), (ii) if after
it has become effective, such registration is interfered with by any stop order,
injunction or other order or requirement of the Commission or other governmental
agency or court for any reason not attributable to the Registering Forstmann
Little Partnerships and has not thereafter become effective, or (iii) if the
conditions to closing specified in the underwriting agreement, if any, entered
into in connection with such registration are not satisfied or waived.

                                 (f) SELECTION OF UNDERWRITERS. The underwriters
of each underwritten offering of the Registrable Securities so to be registered
shall be selected by the Registering Forstmann Little Partnerships.

                                 (g) RIGHT TO WITHDRAW. If the managing
underwriter of any underwritten offering shall advise the Registering Forstmann
Little Partnerships that the Registrable Securities covered by the registration
statement cannot be sold in such offering within a price range acceptable to the
Registering Forstmann Little Partnerships, then the Registering Forstmann Little
Partnerships shall have the right to notify Parent in


                                       4
<PAGE>

writing that they have determined that the registration statement be abandoned
or withdrawn, in which event Parent shall abandon or withdraw such registration
statement. In the event of such abandonment or withdrawal, such request shall
not be counted for purposes of the requests for registration to which the
Forstmann Little Partnerships are entitled pursuant to this Section 2.1.

                                 (h) LIMITATIONS ON REGISTRATION ON REQUEST. The
Forstmann Little Partnerships shall be entitled to require Parent to effect, and
Parent shall be required to effect, six registrations in the aggregate pursuant
to this Section 2.1, PROVIDED, HOWEVER, that the aggregate offering value of the
shares to be registered pursuant to any such registration shall be at least
$15,000,000 unless the Forstmann Little Partnerships then own shares with an
aggregate value less than $15,000,000 (in which case such lesser number of
shares may be registered).

                                 (i) POSTPONEMENT. Parent shall be entitled once
in any six-month period to postpone for a reasonable period of time (but not
exceeding 90 days) (the "Postponement Period") the filing of any registration
statement required to be prepared and filed by it pursuant to this Section 2.1
if Parent determines, in its reasonable judgment, that such registration and
offering would materially interfere with any material financing, corporate
reorganization or other material transaction involving Parent or any subsidiary,
or would require premature disclosure thereof, and promptly gives the
Registering Forstmann Little Partnerships written notice of such determination,
containing a general statement of the reasons for such postponement and an
approximation of the anticipated delay. If Parent shall so postpone the filing
of a registration statement, the Forstmann Little Partnerships shall have the
right to withdraw the request for registration by giving written notice to
Parent at any time and, in the event of such withdrawal, such request shall not
be counted for purposes of the requests for registration to which the Forstmann
Little Partnerships are entitled pursuant to this Section 2.1.

                         2.2 INCIDENTAL REGISTRATION.

                                 (a) RIGHT TO INCLUDE REGISTRABLE SECURITIES. If
Parent at any time proposes to register any of its securities under the
Securities Act by registration on Form S-1, S-2 or S-3 or any successor or
similar form(s) (except registrations on any such Form or similar form(s) solely
for registration of securities in connection with an employee benefit plan or
dividend reinvestment plan or a merger or consolidation), whether or not for
sale for its own account, it will each such time give prompt written notice to
each of the Forstmann Little Partnerships of its intention to do so and of the
Forstmann Little Partnerships' rights under this Section 2.2. Upon the written
request of any of the Forstmann Little Partnerships (which request shall specify
the maximum number of Registrable Securities intended to be disposed of by the
Forstmann Little Partnerships), made as promptly as practicable and in any event
within 30 days after the


                                       5
<PAGE>

receipt of any such notice (15 days if Parent states in such written notice or
gives telephonic notice to the Forstmann Little Partnerships, with written
confirmation to follow promptly thereafter, stating that (i) such registration
will be on Form S-3 and (ii) such shorter period of time is required because of
a planned filing date), Parent shall use its best efforts to effect the
registration under the Securities Act of all Registrable Securities which Parent
has been so requested to register by the Forstmann Little Partnerships;
PROVIDED, HOWEVER, that if, at any time after giving written notice of its
intention to register any securities and prior to the effective date of the
registration statement filed in connection with such registration, Parent shall
determine for any reason not to register or to delay registration of such
securities, Parent shall give written notice of such determination and its
reasons therefor to the Forstmann Little Partnerships and (i) in the case of a
determination not to register, shall be relieved of its obligation to register
any Registrable Securities in connection with such registration (but not from
any obligation of Parent to pay the Registration Expenses in connection
therewith), without prejudice, however, to the rights of the Forstmann Little
Partnerships to request that such registration be effected as a registration
under Section 2.1 and (ii) in the case of a determination to delay registering,
shall be permitted to delay registering any Registrable Securities, for the same
period as the delay in registering such other securities. No registration
effected under this Section 2.2 shall relieve Parent of its obligation to effect
any registration upon request under Section 2.1. Parent will pay all
Registration Expenses in connection with any registration of Registrable
Securities requested pursuant to this Section 2.2.

                                 (b) RIGHT TO WITHDRAW. The Forstmann Little
Partnerships shall have the right to withdraw their request for inclusion of its
Registrable Securities in any registration statement pursuant to this Section
2.2 at any time prior to the execution of an underwriting agreement with respect
thereto by giving written notice to Parent of its request to withdraw.

                                 (c) PRIORITY IN INCIDENTAL REGISTRATIONS. If
the managing underwriter of any underwritten offering shall inform Parent by
letter of its belief that the number of Registrable Securities requested to be
included in such registration, when added to the number of other securities to
be offered in such registration, would materially adversely affect such
offering, then Parent shall include in such registration, to the extent of the
number and type which Parent is so advised can be sold in (or during the time
of) such offering without so materially adversely affecting such offering (the
"Section 2.2 Sale Amount"), (i) all of the securities proposed by Parent to be
sold for its own account; (ii) thereafter, to the extent the Section 2.2 Sale
Amount is not exceeded, the Registrable Securities requested by the Forstmann
Little Partnerships to be included in such registration pursuant to Section
2.2(a) (including Registrable Securities held by Other Investors); and (iii)
thereafter, to the extent the Section 2.2 Sale Amount is not exceeded, any other
securities of Parent requested to be included in such registration by


                                       6
<PAGE>

any holder thereof, including, in the case where such registration is to be
effected as a result of the exercise by a holder of Parent's securities of such
holder's right to cause such securities to be so registered, the securities of
such holder.

                                 (d) PLAN OF DISTRIBUTION. Any participation by
holders of Registrable Securities in a registration by Parent shall be in
accordance with Parent's plan of distribution, provided that the Registering
Forstmann Little Partnerships shall have the right to select the co-managing
underwriter.

                         2.3 REGISTRATION PROCEDURES. If and whenever Parent is
required to use its best efforts to effect the registration of any Registrable
Securities under the Securities Act as provided in Sections 2.1 and 2.2 hereof,
Parent shall as expeditiously as possible:

                         (a) prepare and file with the Commission as soon as
                  practicable the requisite registration statement to effect
                  such registration (and shall include all financial statements
                  required by the Commission to be filed therewith) and
                  thereafter use its best efforts to cause such registration
                  statement to become effective; provided, however, that before
                  filing such registration statement (including all exhibits) or
                  any amendment or supplement thereto or comparable statements
                  under securities or blue sky laws of any jurisdiction, Parent
                  shall furnish such documents to the Registering Forstmann
                  Little Partnerships and each underwriter, if any,
                  participating in the offering of the Registrable Securities
                  and their respective counsel, which documents will be subject
                  to the review and comments of the Registering Forstmann Little
                  Partnerships, each underwriter and their respective counsel;
                  and provided, further, however, that Parent may discontinue
                  any registration of its securities which are not Registrable
                  Securities at any time prior to the effective date of the
                  registration statement relating thereto;

                         (b) notify the Registering Forstmann Little
                  Partnerships of the Commission's requests for amending or
                  supplementing the registration statement and the prospectus,
                  and prepare and file with the Commission such amendments and
                  supplements to such registration statement and the prospectus
                  used in connection therewith as may be necessary to keep such
                  registration statement effective and to comply with the
                  provisions of the Securities Act with respect to the
                  disposition of all Registrable Securities covered by such
                  registration statement for such period as shall be required
                  for the disposition of all of such Registrable Securities in
                  accordance with the intended method of distribution thereof;
                  PROVIDED, that except with respect to any such registration
                  statement filed pursuant to Rule 415 under the Securities Act,
                  such period need not exceed 120 days;


                                       7
<PAGE>

                         (c) furnish, without charge, to the Registering
                  Forstmann Little Partnerships and each underwriter such number
                  of conformed copies of such registration statement and of each
                  such amendment and supplement thereto (in each case including
                  all exhibits), such number of copies of the prospectus
                  contained in such registration statement (including each
                  preliminary prospectus and any summary prospectus) and any
                  other prospectus filed under Rule 424 under the Securities
                  Act, in conformity with the requirements of the Securities
                  Act, and such other documents, as the Registering Forstmann
                  Little Partnerships and such underwriters may reasonably
                  request;

                         (d) use its best efforts (i) to register or qualify all
                  Registrable Securities and other securities covered by such
                  registration statement under such securities or blue sky laws
                  of such States of the United States of America where an
                  exemption is not available and as the Registering Forstmann
                  Little Partnerships or any managing underwriter shall
                  reasonably request, (ii) to keep such registration or
                  qualification in effect for so long as such registration
                  statement remains in effect, and (iii) to take any other
                  action which may be reasonably necessary or advisable to
                  enable the Registering Forstmann Little Partnerships to
                  consummate the disposition in such jurisdictions of the
                  securities to be sold by the Registering Forstmann Little
                  Partnerships, except that Parent shall not for any such
                  purpose be required to qualify generally to do business as a
                  foreign corporation in any jurisdiction wherein it would not
                  but for the requirements of this subsection (d) be obligated
                  to be so qualified or to consent to general service of process
                  in any such jurisdiction;

                         (e) use its best efforts to cause all Registrable
                  Securities covered by such registration statement to be
                  registered with or approved by such other federal or state
                  governmental agencies or authorities as may be necessary in
                  the opinion of counsel to Parent and counsel to the
                  Registering Forstmann Little Partnerships to consummate the
                  disposition of such Registrable Securities;

                         (f) furnish to the Registering Forstmann Little
                  Partnerships and each underwriter, if any, participating in
                  the offering of the securities covered by such registration
                  statement, a signed counterpart of (i) an opinion of counsel
                  for Parent, and (ii) a "comfort" letter signed by the
                  independent public accountants who have certified Parent's
                  financial statements included or incorporated by reference in
                  such registration statement, covering substantially the same
                  matters with respect to such registration statement (and the
                  prospectus included therein) and, in the case


                                       8
<PAGE>

                  of the accountants' comfort letter, with respect to events
                  subsequent to the date of such financial statements, as are
                  customarily covered in opinions of issuer's counsel and in
                  accountants' comfort letters delivered to the underwriters in
                  underwritten public offerings of securities (and dated the
                  dates such opinions and comfort letters are customarily dated)
                  and, in the case of the legal opinion, such other legal
                  matters, and, in the case of the accountants' comfort letter,
                  such other financial matters, as the Registering Forstmann
                  Little Partnerships, or the underwriters, may reasonably
                  request;

                         (g) promptly notify the Registering Forstmann Little
                  Partnerships and each managing underwriter, if any,
                  participating in the offering of the securities covered by
                  such registration statement (i) when such registration
                  statement, any pre-effective amendment, the prospectus or any
                  prospectus supplement related thereto or post-effective
                  amendment to such registration statement has been filed, and,
                  with respect to such registration statement or any
                  post-effective amendment, when the same has become effective;
                  (ii) of any request by the Commission for amendments or
                  supplements to such registration statement or the prospectus
                  related thereto or for additional information; (iii) of the
                  issuance by the Commission of any stop order suspending the
                  effectiveness of such registration statement or the initiation
                  of any proceedings for that purpose; (iv) of the receipt by
                  Parent of any notification with respect to the suspension of
                  the qualification of any of the Registrable Securities for
                  sale under the securities or blue sky laws of any jurisdiction
                  or the initiation of any proceeding for such purpose; (v) at
                  any time when a prospectus relating thereto is required to be
                  delivered under the Securities Act, upon discovery that, or
                  upon the happening of any event as a result of which, the
                  prospectus included in such registration statement, as then in
                  effect, includes an untrue statement of a material fact or
                  omits to state any material fact required to be stated therein
                  or necessary to make the statements therein not misleading, in
                  the light of the circumstances under which they were made, and
                  in the case of this clause (v), at the request of the
                  Registering Forstmann Little Partnerships promptly prepare and
                  furnish to the Registering Forstmann Little Partnerships and
                  each managing underwriter, if any, participating in the
                  offering of the Registrable Securities, a reasonable number of
                  copies of a supplement to or an amendment of such prospectus
                  as may be necessary so that, as thereafter delivered to the
                  purchasers of such securities, such prospectus shall not
                  include an untrue statement of a material fact or omit to
                  state a material fact required to be stated therein or
                  necessary to make the statements therein not misleading in the
                  light of the circumstances under which they were made; and
                  (vi) at any time when the representations and warranties of
                  Parent contemplated by Section 2.4(a) or (b) hereof cease to
                  be true and correct;


                                       9
<PAGE>

                         (h) otherwise comply with all applicable rules and
                  regulations of the Commission, and make available to its
                  security holders, as soon as reasonably practicable, an
                  earnings statement covering the period of at least twelve
                  months beginning with the first full calendar month after the
                  effective date of such registration statement, which earnings
                  statement shall satisfy the provisions of Section 11(a) of the
                  Securities Act and Rule 158 promulgated thereunder, and
                  promptly furnish to the Registering Forstmann Little
                  Partnerships a copy of any amendment or supplement to such
                  registration statement or prospectus;

                         (i) provide and cause to be maintained a transfer agent
                  and registrar (which, in each case, may be Parent) for all
                  Registrable Securities covered by such registration statement
                  from and after a date not later than the effective date of
                  such registration;

                         (j) (i) use its best efforts to cause all Registrable
                  Securities covered by such registration statement to be listed
                  on the principal securities exchange on which similar
                  securities issued by Parent are then listed (if any), if the
                  listing of such Registrable Securities is then permitted under
                  the rules of such exchange, or (ii) if no similar securities
                  are then so listed, use its best efforts to (x) cause all such
                  Registrable Securities to be listed on a national securities
                  exchange or (y) failing that, secure designation of all such
                  Registrable Securities as a National Association of Securities
                  Dealers, Inc. Automated Quotation System ("NASDAQ") "national
                  market system security" within the meaning of Rule 11Aa2-1 of
                  the Commission or (z) failing that, to secure NASDAQ
                  authorization for such shares and, without limiting the
                  generality of the foregoing, to arrange for at least two
                  market makers to register as such with respect to such shares
                  with the National Association of Securities Dealers, Inc.;

                         (k) deliver promptly to counsel to the Registering
                  Forstmann Little Partnerships and each underwriter, if any,
                  participating in the offering of the Registrable Securities,
                  copies of all correspondence between the Commission and
                  Parent, its counsel or auditors and all memoranda relating to
                  discussions with the Commission or its staff with respect to
                  such registration statement;

                         (l) use its best efforts to obtain the withdrawal of
                  any order suspending the effectiveness of the registration
                  statement;

                         (m) provide a CUSIP number for all Registrable
                  Securities, no later than the effective date of the
                  registration statement; and


                                       10
<PAGE>

                         (n) make available its employees and personnel and
                  otherwise provide reasonable assistance to the underwriters
                  (taking into account the needs of Parent's and the Company's
                  businesses) in their marketing of Registrable Securities.

Parent may require the Registering Forstmann Little Partnerships to furnish
Parent such information regarding the Registering Forstmann Little Partnerships
and the distribution of the Registrable Securities as Parent may from time to
time reasonably request in writing.

                  The Forstmann Little Partnerships agree that upon receipt of
any notice from Parent of the happening of any event of the kind described in
paragraph (g)(iii) or (v) of this Section 2.3, each of the Registering Forstmann
Little Partnerships will, to the extent appropriate, discontinue its disposition
of Registrable Securities pursuant to the registration statement relating to
such Registrable Securities until, in the case of paragraph (g)(v) of this
Section 2.3, its receipt of the copies of the supplemented or amended prospectus
contemplated by paragraph (g)(v) of this Section 2.3 and, if so directed by
Parent, will deliver to Parent (at Parent's expense) all copies, other than
permanent file copies, then in its possession, of the prospectus relating to
such Registrable Securities current at the time of receipt of such notice. If
the disposition by the Registering Forstmann Little Partnerships of their
securities is discontinued pursuant to the foregoing sentence, Parent shall
extend the period of effectiveness of the registration statement by the number
of days during the period from and including the date of the giving of notice to
and including the date when the Registering Forstmann Little Partnerships shall
have received copies of the supplemented or amended prospectus contemplated by
paragraph (g)(v) of this Section 2.3; and, if Parent shall not so extend such
period, the Registering Forstmann Little Partnerships' request pursuant to which
such registration statement was filed shall not be counted for purposes of the
requests for registration to which the Forstmann Little Partnerships are
entitled pursuant to Section 2.1 hereof.

                         2.4 UNDERWRITTEN OFFERINGS.

                                 (a) REQUESTED UNDERWRITTEN OFFERINGS. If
requested by the underwriters for any underwritten offering by the Registering
Forstmann Little Partnerships (and any Other Investors) pursuant to a
registration requested under Section 2.1, Parent shall enter into a customary
underwriting agreement with a managing underwriter or underwriters selected by
the Registering Forstmann Little Partnerships. Such underwriting agreement shall
be satisfactory in form and substance to the Registering Forstmann Little
Partnerships and shall contain such representations and warranties by, and such
other agreements on the part of, Parent and such other terms as are generally
prevailing in agreements of that type, including, without limitation, customary
provisions relating to indemnification and contribution. The Registering


                                       11
<PAGE>

Forstmann Little Partnerships shall be parties to such underwriting agreement
and may, at their option, require that any or all of the representations and
warranties by, and the other agreements on the part of, Parent to and for the
benefit of such underwriters shall also be made to and for the benefit of the
Registering Forstmann Little Partnerships and that any or all of the conditions
precedent to the obligations of such underwriters under such underwriting
agreement be conditions precedent to the obligations of the Registering
Forstmann Little Partnerships. None of the Registering Forstmann Little
Partnerships shall be required to make any representations or warranties to or
agreements with Parent or the underwriters other than representations,
warranties or agreements regarding such Registering Forstmann Little
Partnership, its ownership of and title to the Registrable Securities, and its
intended method of distribution; and any liability of any Registering Forstmann
Little Partnership to any underwriter or other person under such underwriting
agreement shall be limited to liability arising from breach of its
representations and warranties and shall be limited to an amount equal to the
proceeds (net of expenses and underwriting discounts and commissions) that it
derives from such registration.

                                 (b) INCIDENTAL UNDERWRITTEN OFFERINGS. In the
case of a registration pursuant to Section 2.2 hereof, if Parent shall have
determined to enter into any underwriting agreements in connection therewith,
all of the Registrable Securities to be included in such registration shall be
subject to such underwriting agreements. The Registering Forstmann Little
Partnerships may, at their option, require that any or all of the
representations and warranties by, and the other agreements on the part of,
Parent to and for the benefit of such underwriters shall also be made to and for
the benefit of the Registering Forstmann Little Partnerships and that any or all
of the conditions precedent to the obligations of such underwriters under such
underwriting agreement be conditions precedent to the obligations of the
Registering Forstmann Little Partnerships. None of the Registering Forstmann
Little Partnerships shall be required to make any representations or warranties
to or agreements with Parent or the underwriters other than representations,
warranties or agreements regarding such Registering Forstmann Little
Partnership, its ownership of and title to the Registrable Securities, and its
intended method of distribution; and any liability of any Registering Forstmann
Little Partnership to any underwriter or other Person under such underwriting
agreement shall be limited to liability arising from breach of its
representations and warranties and shall be limited to an amount equal to the
proceeds (net of expenses and underwriting discounts and commissions) that it
derives from such registration.

                         2.5 PREPARATION; REASONABLE INVESTIGATION. In
connection with the preparation and filing of each registration statement under
the Securities Act pursuant to this Agreement, Parent will give the Registering
Forstmann Little Partnerships, their underwriters, if any, and their respective
counsel, accountants and other representatives and agents the opportunity to
participate in the preparation of such registration statement, each prospectus
included therein or filed with the Commission, and each amendment


                                       12
<PAGE>

thereof or supplement thereto, and give each of them such access to its books
and records and such opportunities to discuss the business of Parent with its
officers and employees and the independent public accountants who have certified
its financial statements, and supply all other information reasonably requested
by each of them, as shall be necessary or appropriate, in the opinion of the
Registering Forstmann Little Partnerships and such underwriters' respective
counsel, to conduct a reasonable investigation within the meaning of the
Securities Act.

                         2.6 INDEMNIFICATION.

                                 (a) INDEMNIFICATION BY PARENT AND THE COMPANY.
Parent and the Company agree, jointly and severally, that in the event of any
registration of any securities of Parent under the Securities Act, each of
Parent and the Company shall, and hereby does, indemnify and hold harmless each
Forstmann Little Partnership, its respective directors, officers, partners,
agents and affiliates and each other Person who participates as an underwriter
in the offering or sale of such securities and each other Person, if any, who
controls such Forstmann Little Partnership or any such underwriter within the
meaning of the Securities Act, against any losses, claims, damages, or
liabilities, joint or several, to which such Forstmann Little Partnership or any
such director, officer, partner, agent or affiliate or underwriter or
controlling person may become subject under the Securities Act or otherwise,
insofar as such losses, claims, damages or liabilities, joint or several (or
actions or proceedings, whether commenced or threatened, in respect thereof),
arise out of or are based upon (i) any untrue statement or alleged untrue
statement of any material fact contained in any registration statement under
which such securities were registered under the Securities Act, any preliminary
prospectus, final prospectus or summary prospectus contained therein, or any
amendment or supplement thereto, (ii) any omission or alleged omission to state
therein a material fact required to be stated therein or necessary to make the
statements therein in light of the circumstances in which they were made not
misleading, or (iii) any violation by Parent of any federal, state or common law
rule or regulation applicable to Parent and relating to action required of or
inaction by Parent in connection with any such registration, and each of Parent
and the Company shall reimburse such Forstmann Little Partnership and each such
director, officer, partner, agent or affiliate, underwriter and controlling
Person for any legal or any other expenses reasonably incurred by them in
connection with investigating or defending any such loss, claim, liability,
action or proceeding; PROVIDED that Parent and the Company shall not be liable
in any such case to the Forstmann Little Partnerships or any such director,
officer, partner, agent, affiliate, or controlling person to the extent that any
such loss, claim, damage, liability (or action or proceeding in respect thereof)
or expense arises out of or is based upon an untrue statement or alleged untrue
statement or omission or alleged omission made in such registration statement,
any such preliminary prospectus, final prospectus, summary prospectus, amendment
or supplement in reliance upon and in conformity with written


                                       13
<PAGE>

information furnished to Parent through an instrument duly executed by or on
behalf of the Forstmann Little Partnerships, specifically stating that it is for
use in the preparation thereof; and PROVIDED, FURTHER, that Parent and the
Company shall not be liable to any Person who participates as an underwriter in
the offering or sale of Registrable Securities or any other Person, if any, who
controls such underwriter within the meaning of the Securities Act, in any such
case to the extent that any such loss, claim, damage, liability (or action or
proceeding in respect thereof) or expense (i) arises out of or is based upon an
untrue statement or alleged untrue statement or omission or alleged omission
made in such registration statement, any such preliminary prospectus, final
prospectus, summary prospectus, amendment or supplement in reliance upon and in
conformity with written information furnished to Parent through an instrument
duly executed by or on behalf of such Person or (ii) arises out of such Person's
failure to send or give a copy of the final prospectus, as the same may be then
supplemented or amended, to the Person asserting an untrue statement or alleged
untrue statement or omission or alleged omission at or prior to the written
confirmation of the sale of Registrable Securities to such Person if such
statement or omission was corrected in such final prospectus. Such indemnity
shall remain in full force regardless of any investigation made by or on behalf
of any Forstmann Little Partnership or any such director, officer, partner,
agent, affiliate, underwriter or controlling Person and shall survive the
transfer of such securities by such Forstmann Little Partnership.

                                 (b) INDEMNIFICATION BY THE FORSTMANN LITTLE
PARTNERSHIPS. As a condition to including any Registrable Securities in any
registration statement, Parent shall have received an undertaking reasonably
satisfactory to it from each Registering Forstmann Little Partnership so
including any Registrable Securities to indemnify and hold harmless (in the same
manner and to the same extent as set forth in paragraph (a) of this Section 2.6)
Parent, and each director of Parent, each officer of Parent and each other
Person, if any, who controls Parent within the meaning of the Securities Act,
with respect to any statement or alleged statement in or omission or alleged
omission from such registration statement, any preliminary prospectus, final
prospectus or summary prospectus contained therein, or any amendment or
supplement thereto, but only to the extent such statement or alleged statement
or omission or alleged omission was made in reliance upon and in conformity with
written information furnished to Parent through an instrument duly executed by
such Registering Forstmann Little Partnership specifically stating that it is
for use in the preparation of such registration statement, preliminary
prospectus, final prospectus, summary prospectus, amendment or supplement;
PROVIDED, HOWEVER, that the liability of such indemnifying party under this
Section 2.6(b) shall be limited to the amount of proceeds (net of expenses and
underwriting discounts and commissions) received by such indemnifying party in
the offering giving rise to such liability. Such indemnity shall remain in full
force and effect, regardless of any investigation made by or on behalf of Parent
or any such director,


                                       14
<PAGE>

officer or controlling Person and shall survive the transfer of such securities
by such Forstmann Little Partnership.

                                 (c) NOTICES OF CLAIMS, ETC. Promptly after
receipt by an indemnified party of notice of the commencement of any action or
proceeding involving a claim referred to in the preceding subsections of this
Section 2.6, such indemnified party shall, if a claim in respect thereof is to
be made against an indemnifying party, give written notice to the latter of the
commencement of such action or proceeding; PROVIDED, HOWEVER, that the failure
of any indemnified party to give notice as provided herein shall not relieve the
indemnifying party of its obligations under the preceding subsections of this
Section 2.6, except to the extent that the indemnifying party is actually
prejudiced by such failure to give notice, and shall not relieve the
indemnifying party from any liability which it may have to the indemnified party
otherwise than under this Section 2.6. In case any such action or proceeding is
brought against an indemnified party, the indemnifying party shall be entitled
to participate therein and, unless in the opinion of outside counsel to the
indemnified party a conflict of interest between such indemnified and
indemnifying parties may exist in respect of such claim, to assume the defense
thereof, jointly with any other indemnifying party similarly notified to the
extent that it may wish, with counsel reasonably satisfactory to such
indemnified party; PROVIDED, HOWEVER, that if the defendants in any such action
or proceeding include both the indemnified party and the indemnifying party and
if in the opinion of outside counsel to the indemnified party there may be legal
defenses available to such indemnified party and/or other indemnified parties
which are different from or in addition to those available to the indemnifying
party, the indemnified party or parties shall have the right to select separate
counsel to defend such action or proceeding on behalf of such indemnified party
or parties, PROVIDED, HOWEVER, that the indemnifying party shall be obligated to
pay for only one counsel for all indemnified parties. After notice from the
indemnifying party to such indemnified party of its election so to assume the
defense thereof and approval by the indemnified party of such counsel, the
indemnifying party shall not be liable to such indemnified party for any legal
expenses subsequently incurred by the latter in connection with the defense
thereof other than reasonable costs of investigation (unless the first proviso
in the preceding sentence shall be applicable). No indemnifying party shall be
liable for any settlement of any action or proceeding effected without its
written consent. No indemnifying party shall, without the consent of the
indemnified party, consent to entry of any judgment or enter into any settlement
which does not include as an unconditional term thereof the giving by the
claimant or plaintiff to such indemnified party of a release from all liability
in respect to such claim or litigation.

                                 (d) CONTRIBUTION. If the indemnification
provided for in this Section 2.6 shall for any reason be held by a court to be
unavailable to an indemnified party under subsection (a) or (b) hereof in
respect of any loss, claim, damage or liability, or any action in respect
thereof, then, in lieu of the amount paid or payable under


                                       15
<PAGE>

subsection (a) or (b) hereof, the indemnified party and the indemnifying party
under subsection (a) or (b) hereof shall contribute to the aggregate losses,
claims, damages and liabilities (including legal or other expenses reasonably
incurred in connection with investigating the same), (i) in such proportion as
is appropriate to reflect the relative fault of the indemnifying party on the
one hand, and the indemnified party on the other, which resulted in such loss,
claim, damage or liability, or action in respect thereof, with respect to the
statements or omissions which resulted in such loss, claim, damage or liability,
or action in respect thereof, as well as any other relevant equitable
considerations, or (ii) if the allocation provided by clause (i) above is not
permitted by applicable law or if the allocation provided in this clause (ii)
provides a greater amount to the indemnified party than clause (i) above, in
such proportion as shall be appropriate to reflect not only the relative fault
but also the relative benefits received by the indemnifying party and the
indemnified party from the offering of the securities covered by such
registration statement as well as any other relevant equitable considerations.
The parties hereto agree that it would not be just and equitable if
contributions pursuant to this Section 2.6(d) were to be determined by pro rata
allocation or by any other method of allocation which does not take into account
the equitable considerations referred to in the preceding sentence of this
Section 2.6(d). No Person guilty of fraudulent misrepresentation (within the
meaning of Section 11(f) of the Securities Act) shall be entitled to
contribution from any Person who was not guilty of such fraudulent
misrepresentation. The Registering Forstmann Little Partnerships' obligations to
contribute as provided in this subsection (d) are several and not joint and
shall be in proportion to the relative value of their respective Registrable
Securities covered by such registration statement. In addition, no Person shall
be obligated to contribute hereunder any amounts in payment for any settlement
of any action or claim effected without such Person's consent, which consent
shall not be unreasonably withheld. Notwithstanding anything in this subsection
(d) to the contrary, no indemnifying party (other than Parent and the Company)
shall be required to contribute any amount in excess of the proceeds (net of
expenses and underwriting discounts and commissions) received by such party from
the sale of the Registrable Securities in the offering to which the losses,
claims, damages or liabilities of the indemnified parties relate.

                                 (e) OTHER INDEMNIFICATION. Indemnification and
contribution similar to that specified in the preceding subsections of this
Section 2.6 (with appropriate modifications) shall be given by Parent, the
Company and the Registering Forstmann Little Partnerships with respect to any
required registration or other qualification of securities under any federal,
state or blue sky law or regulation of any governmental authority other than the
Securities Act. The indemnification agreements contained in this Section 2.6
shall be in addition to any other rights to indemnification or contribution
which any indemnified party may have pursuant to law or contract and shall
remain operative and in full force and effect regardless of any investigation
made by or on behalf


                                       16
<PAGE>

of any indemnified party and shall survive the transfer of any of the
Registrable Securities by any of the Forstmann Little Partnerships.

                                 (f) INDEMNIFICATION PAYMENTS. The
indemnification and contribution required by this Section 2.6 shall be made by
periodic payments of the amount thereof during the course of the investigation
or defense, as and when bills are received or expense, loss, damage or liability
is incurred.

                         2.7 UNLEGENDED CERTIFICATES. In connection with the
offering of any Registrable Securities registered pursuant to this Section 2,
Parent shall (i) facilitate the timely preparation and delivery to the Forstmann
Little Partnerships, the Other Investors and the underwriters, if any,
participating in such offering, of unlegended certificates representing
ownership of such Registrable Securities being sold in such denominations and
registered in such names as requested by the Forstmann Little Partnerships, the
Other Investors or such underwriters and (ii) instruct any transfer agent and
registrar of such Registrable Securities to release any stop transfer orders
with respect to any such Registrable Securities.

                         2.8 LIMITATION ON SALE OF SECURITIES. Parent hereby
agrees that if it shall previously have received a request for registration
pursuant to Section 2.1 or 2.2 hereof, and if such previous registration shall
not have been withdrawn or abandoned, (i) Parent shall not effect any public or
private offer, sale or distribution of its securities or effect any registration
of any of its equity securities under the Securities Act (other than a
registration on Form S-8 or any successor or similar form which is then in
effect), whether or not for sale for its own account, until a period of 90 days
(or such shorter period as the Registering Forstmann Little Partnerships shall
be advised by their managing underwriter) shall have elapsed from the effective
date of such previous registration, and Parent shall so provide in any
registration rights agreements hereafter entered into with respect to any of its
securities; and (ii) Parent shall use its best efforts to cause each holder of
its equity securities purchased from Parent at any time after the date of this
Agreement to agree not to effect any public sale or distribution of any such
securities during such period, including a sale pursuant to Rule 144 under the
Securities Act.

                         2.9 NO REQUIRED SALE. Nothing in this Agreement shall
be deemed to create an independent obligation on the part of any of the
Forstmann Little Partnerships to sell any Registrable Securities pursuant to any
effective registration statement.

                  3. RULE 144. Parent shall take all actions reasonably
necessary to enable holders of Registrable Securities to sell such securities
without registration under the Securities Act within the limitation of the
exemptions provided by (a) Rule 144, or (b) any similar rule or regulation
hereafter adopted by the Commission including, without limiting the generality
of the foregoing, filing on a timely basis all reports required to be


                                       17
<PAGE>

filed by the Exchange Act. Upon the request of a Forstmann Little Partnership,
Parent will deliver to such holder a written statement as to whether it has
complied with such requirements.

                  4. AMENDMENTS AND WAIVERS. 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.

                  5. OTHER INVESTORS. The parties hereto acknowledge and agree
that no Other Investor has any right to request registration of the Common Stock
held by such Other Investor or to participate in any registration of securities
by Parent, other than in accordance with the terms of the stockholder's
agreement or option agreement, as the case may be, between such Other Investor
and Parent, pursuant to which such Other Investor generally may have the right
to participate in any public offering of all or a portion of the shares of
Common Stock owned by the Forstmann Little Partnerships.

                  6. ADJUSTMENTS. In the event of any change in the
capitalization of Parent as a result of any stock split, stock dividend, reverse
split, combination, recapitalization, merger, consolidation, or otherwise, the
provisions of this Agreement shall be appropriately adjusted. Parent agrees that
it shall not effect or permit to occur any combination or subdivision of shares
which would adversely affect the ability of the Forstmann Little Partnerships or
the Other Investors to include any Registrable Securities in any registration
contemplated by this Agreement or the marketability of such Registrable
Securities in any such registration. Parent agrees that it will take all
reasonable steps necessary to effect a combination or subdivision of shares if
in the reasonable judgment of the Forstmann Little Partnerships such combination
or subdivision would enhance the marketability of the Registrable Securities.

                  7. 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 any of the Forstmann Little Partnerships, to it:

                         c/o Forstmann Little & Co.
                         767 Fifth Avenue, 44th Floor
                         New York, New York  10153
                         Attention:  Ms. Sandra J. Horbach

                         With a copy to:

                         Fried, Frank, Harris, Shriver


                                       18
<PAGE>

                           & Jacobson
                         One New York Plaza
                         New York, New York  10004
                         Attention:  Aviva Diamant, Esq.

                (b)      If to Parent or the Company, to it at:

                         155 Franklin Road, Suite 400
                         Brentwood, Tennessee  37027
                         Attention:  President

                  8. ASSIGNMENT; THIRD PARTY BENEFICIARIES. This Agreement shall
be binding upon and inure to the benefit of and be enforceable by the parties
hereto and their respective successors and permitted assigns; provided, however,
that the Other Investors shall have no rights under this Agreement. This
Agreement may not be assigned by Parent. Any Forstmann Little Partnership may,
at its election, at any time or from time to time, assign its rights under this
Agreement, in whole or in part, to any purchaser of shares of Common Stock held
by it.

                  9. REMEDIES. The parties hereto agree that money damages or
other remedy at law would not be sufficient or adequate remedy for any breach or
violation of, or a default under, this Agreement by them and that, in addition
to all other remedies available to them, each of them shall be entitled to an
injunction restraining such breach, violation or default or threatened breach,
violation or default and to any other equitable relief, including without
limitation specific performance, without bond or other security being required.
In any action or proceeding brought to enforce any provision of this Agreement
(including the indemnification provisions thereof), the successful party shall
be entitled to recover reasonable attorneys' fees in addition to its costs and
expenses and any other available remedy.

                  10. NO INCONSISTENT AGREEMENTS. Parent will not, on or after
the date of this Agreement, enter into any agreement with respect to its
securities which is inconsistent with the rights granted to the Forstmann Little
Partnerships in this Agreement or otherwise conflicts with the provisions
hereof, other than any customary lock-up agreement with the underwriters in
connection with any Offering effected hereunder, pursuant to which Parent shall
agree not to register for sale, and Parent shall agree not to sell or otherwise
dispose of, Common Stock or any securities convertible into or exercisable or
exchangeable for Common Stock, for a specified period (not to exceed 180 days)
following such Offering. Parent has not previously entered into any agreement
with respect to its securities granting any registration rights to any Person.
The rights granted to the Forstmann Little Partnerships hereunder do not in any
way conflict with and are not inconsistent with any other agreements to which
Parent is a party or by which it is bound.


                                       19
<PAGE>

Parent further agrees that if any other registration rights agreement entered
into after the date of this Agreement with respect to any of its securities
contains terms which are more favorable to, or less restrictive on, the other
party thereto than the terms and conditions contained in this Agreement are
(insofar as they are applicable) with respect to the Forstmann Little
Partnerships, then the terms and conditions of this Agreement shall immediately
be deemed to have been amended without further action by Parent or the Forstmann
Little Partnerships so that the Forstmann Little Partnerships shall be entitled
to the benefit of any such more favorable or less restrictive terms or
conditions.

                  11. DESCRIPTIVE HEADINGS. The descriptive headings of the
several sections and paragraphs of this Agreement are inserted for reference
only and shall not control or otherwise affect the meaning hereof.

                  12. GOVERNING LAW. This Agreement shall be construed and
enforced in accordance with, and the rights and obligations of the parties
hereto shall be governed by, the laws of the State of New York, without giving
effect to the conflicts of law principles thereof. Each of the parties hereto
hereby irrevocably and unconditionally consents to submit to the exclusive
jurisdiction of the courts of the State of New York and the United States of
America located in the County of New York for any action or proceeding arising
out of or relating to this Agreement and the transactions contemplated hereby
(and agrees not to commence any action or proceeding relating thereto except in
such courts), and further agrees that service of any process, summons, notice or
document by U.S. registered mail to its respective address set forth in Section
7 hereof shall be effective service of process for any action or proceeding
brought against it in any such court. Each of the parties hereto hereby
irrevocably and unconditionally waives any objection to the laying of venue of
any action or proceeding arising out of this Agreement or the transactions
contemplated hereby in the courts of the State of New York or the United States
of America 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 such action or proceeding brought in any such court has been brought in an
inconvenient forum.

                  13. COUNTERPARTS. This Agreement may be executed in any number
of counterparts, each of which shall be deemed an original, but all such
counterparts shall together constitute one and the same instrument.

                  14. INVALIDITY OF PROVISION. 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 restriction or provision of
this Agreement is held unreasonable, unlawful or unenforceable in any respect,
such restriction or provision shall be interpreted, revised or


                                       20
<PAGE>

applied in a manner that renders it lawful and enforceable to the fullest extent
possible under law.

                  15. 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.

                  16. ENTIRE AGREEMENT; EFFECTIVENESS. 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.

                  IN WITNESS WHEREOF, the parties have caused this Agreement to
be executed and delivered by their respective officers thereunto duly
authorized.

                                   FLCH HOLDINGS CORP.


                                   By:     _________________________
                                           Name:
                                           Title:

                                   FLCH ACQUISITION CORP.


                                   By:     _________________________
                                           Name:
                                           Title:


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

                                   By:     FLC XXX Partnership,
                                           its general partner


                                   By:     _________________________
                                           Sandra J. Horbach,
                                           a general partner


                                       21
<PAGE>

                                   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


                                       22

<PAGE>

                                                               Exhibit 10.9

================================================================================

                                 $1,129,000,000
                      AMENDED AND RESTATED CREDIT AGREEMENT

                                      among

                         COMMUNITY HEALTH SYSTEMS, INC.,

                    COMMUNITY HEALTH SYSTEMS HOLDINGS CORP.,

                                CERTAIN LENDERS,

                            THE CHASE MANHATTAN BANK,
                          as Administrative Agent, and

                                NATIONSBANK, N.A.

                                       and

                            THE BANK OF NOVA SCOTIA,

                                  as Co-Agents

                           Dated as of March 26, 1999

================================================================================
<PAGE>

                                TABLE OF CONTENTS

                                                                        Page
                                                                        ----

SECTION 1.  DEFINITIONS....................................................1
     1.1  Defined Terms....................................................1
     1.2  Other Definitional Provisions...................................31

SECTION 2.  AMOUNT AND TERMS OF TRANCHE A TERM LOAN COMMITMENTS...........32
     2.1  Tranche A Term Loans............................................32
     2.2  Repayment of Tranche A Term Loans...............................32
     2.3  Proceeds of Tranche A Term Loans................................33

SECTION 3.  AMOUNT AND TERMS OF TRANCHE B TERM LOAN COMMITMENTS...........33
     3.1  Tranche B Term Loans............................................33
     3.2  Repayment of Tranche B Term Loans...............................33
     3.3  Proceeds of Tranche B Term Loans................................34

SECTION 4.  AMOUNT AND TERMS OF TRANCHE C TERM LOAN COMMITMENTS...........34
     4.1  Tranche C Term Loans............................................34
     4.2  Repayment of Tranche C Term Loans...............................34
     4.3  Proceeds of Tranche C Term Loans................................35

SECTION 5.  AMOUNT AND TERMS OF TRANCHE D TERM LOAN COMMITMENTS AND
            ADDITIONAL TRANCHE D TERM LOAN COMMITMENTS....................35
     5.1(a)  Tranche D Term Loans.........................................35
        (b)  Additional Tranche D Term Loans..............................35
     5.2  Repayment of Tranche D Term Loans...............................36
     5.3  Proceeds of Tranche D Term Loans................................36
     5.4  Proceeds of Additional Tranche D Term Loans.....................36

SECTION 6.  AMOUNT AND TERMS OF REVOLVING CREDIT COMMITMENTS..............37
     6.1  Revolving Credit Commitments....................................37
     6.2  Proceeds of Revolving Credit Loans..............................37
     6.3  Issuance of Letters of Credit...................................37
     6.4  Participating Interests.........................................39
     6.5  Procedure for Opening Letters of Credit.........................39
     6.6  Payments in Respect of Letters of Credit........................39
     6.7  Swing Line Commitment...........................................40
     6.8  Participations..................................................41

SECTION 7.  AMOUNT AND TERMS OF ACQUISITION LOAN COMMITMENTS..............41
     7.1  Acquisition Loan Commitments....................................41
     7.2  Mandatory Reduction of Acquisition Loan Commitments.............41
     7.3  Proceeds of Acquisition Loans...................................42

SECTION 8.  GENERAL PROVISIONS APPLICABLE TO LOANS AND LETTERS OF CREDIT..42
     8.1  Procedure for Borrowing by the Company..........................42
     8.2  Repayment of Loans; Evidence of Debt............................43
     8.3  Conversion Options..............................................44
     8.4  Changes of Commitment Amounts...................................45
     8.5  Optional Prepayments............................................45
     8.6  Mandatory Prepayments...........................................46
     8.7  Interest Rates and Payment Dates................................50
     8.8  Computation of Interest and Fees................................50
     8.9  Commitment Fees.................................................51
     8.10  Certain Fees...................................................51
     8.11  Letter of Credit Fees..........................................51
     8.12  Letter of Credit Reserves......................................52
     8.13  Further Assurances.............................................53
     8.14  Obligations Absolute...........................................53
     8.15  Assignments....................................................54
     8.16  Participations.................................................54
     8.17  Inability to Determine Interest Rate for Eurodollar Loans......54
     8.18  Pro Rata Treatment and Payments................................55
     8.19  Illegality.....................................................58
     8.20  Requirements of Law............................................58
     8.21  Indemnity......................................................60

SECTION 9.  [INTENTIONALLY OMITTED].......................................60

SECTION 10.  REPRESENTATIONS AND WARRANTIES...............................60
     10.1  Financial Condition............................................60
     10.2  Corporate Existence; Compliance with Law.......................61
     10.3  Corporate Power; Authorization.................................61
     10.4  Enforceable Obligations........................................62
     10.5  No Legal Bar...................................................62
     10.6  No Material Litigation.........................................62
     10.7  Investment Company Act.........................................62
     10.8  Federal Regulation.............................................62
     10.9  No Default.....................................................63
     10.10  No Burdensome Restrictions....................................63
     10.11  Taxes.........................................................63
     10.12  Subsidiaries..................................................63
     10.13  Ownership of Property; Liens..................................63
     10.14  ERISA.........................................................64
     10.15  Environmental Matters.........................................64
     10.16  Year 2000 Matters.............................................64

SECTION 11.  CONDITIONS PRECEDENT.........................................65
     11.1  Conditions to Additional Tranche D Term Loans..................65
     11.2  Conditions to Acquisition Loans................................66
     11.3  Conditions to All Loans and Letters of Credit..................67
     11.4  Conditions to Effectiveness of Certain Provisions..............68

SECTION 12.  AFFIRMATIVE COVENANTS........................................68
     12.1  Financial Statements...........................................68
     12.2  Certificates; Other Information................................69
     12.3  Payment of Obligations.........................................71
     12.4  Conduct of Business and Maintenance of Existence...............71
     12.5  Maintenance of Property; Insurance.............................71
     12.6  Inspection of Property; Books and Records; Discussions.........72
     12.7  Notices........................................................72
     12.8  Additional Subsidiary Guarantors; Pledge of Stock of
             Additional Subsidiaries......................................73
     12.9  Operation of the Hospitals.....................................74

SECTION 13.  NEGATIVE COVENANTS...........................................74
     13.1  Financial Condition Covenants..................................74
     13.2  Indebtedness...................................................75
     13.3  Limitation on Liens............................................76
     13.4  Limitation on Contingent Obligations...........................78
     13.5  Prohibition of Fundamental Changes.............................78
     13.6  Prohibition on Sale of Assets..................................79
     13.7  Limitation on Investments, Loans and Advances..................80
     13.8  Capital Expenditures...........................................82
     13.9  Limitation on Dividends........................................82
     13.10  Transactions with Affiliates..................................83
     13.11  Derivative Contracts..........................................83
     13.12  Subordinated Note; Subordinated HoldCo Debentures.............83
     13.13  Limitation on Sales and Leasebacks............................84
     13.14  Fiscal Year...................................................84
     13.15  Practice Guarantees...........................................84

SECTION 14.  EVENTS OF DEFAULT............................................84

SECTION 15.  THE CO-AGENTS, THE ADMINISTRATIVE AGENT;
             THE ISSUING LENDER...........................................88
     15.1  Appointment....................................................88
     15.2  Delegation of Duties...........................................88
     15.3  Exculpatory Provisions.........................................89
     15.4  Reliance by Co-Agents or the Administrative Agent..............89
     15.5  Notice of Default..............................................89
     15.6  Non-Reliance on Co-Agents, Administrative Agent and
             Other Lenders................................................90
     15.7  Indemnification................................................90
     15.8  Co-Agent or Administrative Agent in its Individual Capacity....91
     15.9  Successor Co-Agent or Administrative Agent.....................91
     15.10  Issuing Lender as Issuer of Letters of Credit.................91

SECTION 16.  MISCELLANEOUS................................................91
     16.1  Amendments and Waivers.........................................91
     16.2  Notices........................................................93
     16.3  No Waiver; Cumulative Remedies.................................94
     16.4  Survival of Representations and Warranties.....................94
     16.5  Payment of Expenses and Taxes..................................94
     16.6  Successors and Assigns; Participations; Purchasing Lenders.....96
     16.7  Adjustments; Set-off..........................................100
     16.8  Counterparts..................................................101
     16.9  Integration...................................................101
     16.10  GOVERNING LAW; NO THIRD PARTY RIGHTS.........................101
     16.11  SUBMISSION TO JURISDICTION; WAIVERS..........................101
     16.12  Acknowledgments..............................................102
     16.13  Restatement..................................................102
<PAGE>

SCHEDULES:

Schedule 1             Commitment Amounts
Schedule 1.1(A)        Existing Letters of Credit
Schedule 1.1(B)        Existing Hospitals
Schedule 1.1(C)        NonSignificant Subsidiaries
Schedule 7.2(a)        Step-Downs of Extended Acquisition Loan Commitments
Schedule 7.2(b)        Step-Downs of Non-Extended Acquisition Loan Commitments
Schedule 10.6          Litigation
Schedule 10.12(a)      Domestic Subsidiaries
Schedule 10.12(b)      Foreign Subsidiaries
Schedule 13.2          Existing Indebtedness
Schedule 13.3          Existing Liens
Schedule 13.4          Contingent Obligations
Schedule 13.6          Permitted Asset Sales
Schedule 13.7          Investments, Loans and Advances
Schedule 13.10         Transactions with Affiliates

EXHIBITS:

Exhibit A-1       Form of Tranche A Term Note
Exhibit A-2       Form of Tranche B Term Note
Exhibit A-3       Form of Tranche C Term Note
Exhibit A-4       Form of Tranche D Term Note
Exhibit A-5       Form of Revolving Credit Note
Exhibit A-6       Form of Swing Line Note
Exhibit A-7       Form of Acquisition Loan Note
Exhibit B-1       Form of Company Pledge Agreement
Exhibit B-2       Form of HoldCo Guarantee
Exhibit B-3       Form of HoldCo Pledge Agreement
Exhibit B-4       Form of Subsidiary Guarantee
Exhibit B-5       Form of Subsidiary Pledge Agreement
Exhibit C-1       Form of Opinion of Fried, Frank, Harris, Shriver & Jacobson
Exhibit C-2       Form of Opinion of the General Counsel of the Company
Exhibit D-1       Form of HoldCo Closing Certificate
Exhibit D-2       Form of Company Closing Certificate
Exhibit D-3       Form of Subsidiary Guarantor Closing Certificate
Exhibit E         Form of L/C Participation Certificate
Exhibit F         Form of Swing Line Loan Participation Certificate
Exhibit G         Form of Assignment and Acceptance
Exhibit H         Form of Exemption Certificate
Exhibit I         Form of Qualified Non-U.S. Lender Note
Exhibit J-1       Form of  Company Acknowledgment
Exhibit J-2       Form of HoldCo Acknowledgment
Exhibit J-3       Form of Subsidiary Guarantors Acknowledgment
<PAGE>

      AMENDED AND RESTATED CREDIT AGREEMENT, dated as of March 26, 1999, among
COMMUNITY HEALTH SYSTEMS, INC., a Delaware corporation (the "Company" or "CHS"),
COMMUNITY HEALTH SYSTEMS HOLDINGS CORP., a Delaware corporation ("HoldCo"), the
several lenders from time to time parties hereto (the "Lenders"), THE CHASE
MANHATTAN BANK, as administrative agent for the Lenders (in such capacity, the
"Administrative Agent"), and the Co-Agents (as hereinafter defined).

                              W I T N E S S E T H :

      WHEREAS, the Company has requested, and the Additional Tranche D Term Loan
Lenders (as defined below, including, without limitation, each Additional
Tranche D Term Loan Lender which shall first become a party to this Agreement
upon its execution hereof) have agreed to provide, an additional Tranche D Term
Loan (an "Additional Tranche D Term Loan") so that the Company may make
additional acquisitions consistent with its acquisition program and finance
other general corporate purposes of the Company and its Subsidiaries; and

      WHEREAS, to provide for (a) the Additional Tranche D Term Loans and (b)
certain other amendments to the Existing Credit Agreement (as defined below)
provided herein, the Company has requested, and the Required Lenders have
agreed, that the Credit Agreement, dated as of July 22, 1996 (the "Existing
Credit Agreement"), among the Company, HoldCo, the Lenders, the Administrative
Agent and the Co-Agents be amended and restated as follows:

      NOW, THEREFORE, in consideration of the premises and mutual covenants
herein contained, the Company, the Lenders, the Administrative Agent and the
Co-Agents hereby agree that the Existing Credit Agreement shall be and hereby is
amended and restated in its entirety to read as follows:

          SECTION 1. DEFINITIONS.

      1.1 Defined Terms. As used in this Agreement, the terms defined in the
preamble or recitals hereto shall have the meanings set forth therein, and the
following terms shall have the following meanings:

            "ABR": for any day, a rate per annum (rounded upwards, if necessary,
      to the next 1/16 of 1%) equal to the greatest of (a) the Prime Rate in
      effect on such day, (b) the Base CD Rate in effect on such day plus 1% and
      (c) the Federal Funds Effective Rate in effect on such day plus 2 of 1%.
      For purposes hereof: "Prime Rate" shall mean the rate of interest per
      annum publicly announced from time to time by Chase as its prime rate in
      effect at its principal office in New York City (the Prime Rate not being
      intended to be the lowest rate of interest charged by Chase in connection
      with extensions of credit to debtors); "Base CD Rate" shall mean the sum
      of (a) the product of (i) the Three-Month Secondary CD Rate and (ii) a
      fraction, the numerator of which is one and the denominator of which is
      one minus the C/D Reserve Percentage and (b) the C/D Assessment Rate;
      "Three-Month Secondary CD Rate" shall mean, for any day, the secondary
      market rate for three-month certificates of deposit reported as being in
      effect on such day (or, if such day shall not be a Business Day, the next
      preceding Business Day) by the Board through the public information
      telephone line of the Federal Reserve Bank of New York (which rate will,
      under the current practices of the Board, be published in Federal Reserve
      Statistical Release H.15(519) during the week following such day), or, if
      such rate shall not be so reported on such day or such next preceding
      Business Day, the average of the secondary market quotations for
      three-month certificates of deposit of major
<PAGE>

      money center banks in New York City received at approximately 10:00 A.M.,
      New York City time, on such day (or, if such day shall not be a Business
      Day, on the next preceding Business Day) by the Administrative Agent from
      three New York City negotiable certificate of deposit dealers of
      recognized standing selected by it; and "Federal Funds Effective Rate"
      shall mean, for any day, the weighted average of the rates on overnight
      federal funds transactions with members of the Federal Reserve System
      arranged by federal funds brokers, as published on the next succeeding
      Business Day by the Federal Reserve Bank of New York, or, if such rate is
      not so published for any day which is a Business Day, the average of the
      quotations for the day of such transactions received by the Administrative
      Agent from three federal funds brokers of recognized standing selected by
      it. If for any reason the Administrative Agent shall have determined
      (which determination shall be conclusive absent manifest error) that it is
      unable to ascertain the Base CD Rate or the Federal Funds Effective Rate,
      or both, for any reason, including the inability or failure of the
      Administrative Agent to obtain sufficient quotations in accordance with
      the terms hereof, the ABR shall be determined without regard to clause (b)
      or (c), or both, of the first sentence of this definition, as appropriate,
      until the circumstances giving rise to such inability no longer exist. Any
      change in the ABR due to a change in the Prime Rate, the Base CD Rate or
      the Federal Funds Effective Rate shall be effective as of the opening of
      business on the effective day of such change in the Prime Rate, the Base
      CD Rate or the Federal Funds Effective Rate, respectively.

            "ABR Loans": Loans whose interest rate is based on the ABR.

            "Acquisition Co." FLCH Acquisition Corp., a Delaware corporation.

            "Acquisition Loan" and "Acquisition Loans": as defined in subsection
      7.1.

            "Acquisition Loan Commitment": as to any Lender, its Extended
      Acquisition Loan Commitment or Non-Extended Acquisition Loan Commitment,
      as the case may be.

            "Acquisition Loan Commitment Percentage": as to any Lender at any
      time, the percentage which such Lender's Extended Acquisition Loan
      Commitment or Non-Extended Acquisition Loan Commitment, as the case may
      be, constitutes of all of such Extended Acquisition Loan Commitments or
      Non-Extended Acquisition Loan Commitments (or, if such Extended
      Acquisition Loan Commitments or Non-Extended Acquisition Commitment shall
      have been terminated, the percentage of the outstanding Acquisition Loans
      constituted by such Lender's Acquisition Loans).

            "Acquisition Loan Commitment Period": the period from and including
      the Original Closing Date to but not including the Acquisition Loan
      Termination Date.

          "Acquisition Loan Note": as defined in subsection 8.2(e).
<PAGE>

            "Acquisition Loan Termination Date": the earlier of (i) December 31,
      2002 and (ii) any other date on which the Acquisition Loan Commitments
      shall terminate hereunder.

            "Additional Tranche D Term Loan" and "Additional Tranche D Term
      Loans": as defined in the recitals hereto.

            "Additional Tranche D Term Loan Commitment": as to any Lender, its
      obligation to make an Additional Tranche D Term Loan to the Company on the
      Closing Date pursuant to subsection 5.1(b), in an aggregate amount not to
      exceed the amount set forth opposite such Lender's name in Schedule I
      under the heading "Additional Tranche D Term Loan Commitment" and in an
      aggregate amount not to exceed the amount equal to such Lender's
      Additional Tranche D Term Loan Commitment Percentage of the aggregate
      Additional Tranche D Term Loan Commitments; collectively, as to all the
      Lenders, the "Additional Tranche D Term Loan Commitments".

            "Additional Tranche D Term Loan Commitment Percentage": as to any
      Lender, the percentage which such Lender's Additional Tranche D Term Loan
      (or, prior to the Closing Date, Additional Tranche D Term Loan Commitment)
      constitutes of the aggregate then outstanding principal amount of
      Additional Tranche D Term Loans (or Additional Tranche D Term Loan
      Commitments).

            "Additional Tranche D Term Loan Lender": any Lender having an
      Additional Tranche D Term Loan Commitment.

            "Administrative Agent": as defined in the preamble hereto.

            "Affiliate": of any Person (a) any Person (other than a Subsidiary)
      which, directly or indirectly, is in control of, is controlled by, or is
      under common control with such Person, or (b) any Person who is a director
      or officer (i) of such Person, (ii) of any Subsidiary of such Person or
      (iii) of any Person described in clause (a) above. For purposes of this
      definition, "control" of a Person shall mean the power, direct or
      indirect, either to (i) vote 10% or more of the securities having ordinary
      voting power for the election of directors of such Person, or (ii) direct
      or cause the direction of the management and policies of such Person
      whether by contract or otherwise.

            "Agreement": this Credit Agreement, as amended, supplemented or
      otherwise modified from time to time.

            "Aggregate Revolving Credit Extensions of Credit": at any particular
      time, the sum of (a) the aggregate then outstanding principal amount of
      the Revolving Credit Loans, (b) the aggregate amount then available to be
      drawn under all outstanding Letters of Credit and (c) the aggregate amount
      of Revolving L/C Obligations.

            "Annualized Consolidated EBITDA": for any period, the sum of:

                  (a) Consolidated EBITDA for the period (the "Measurement

<PAGE>

            Period") of four full fiscal quarters ended on the last day of such
            period (other than Consolidated EBITDA attributable to businesses
            acquired during the Measurement Period);

      plus

                  (b) the product for each separate business acquired during the
            Measurement Period of (x) the sum for each full fiscal quarter
            during the Measurement Period after such business was acquired of
            Consolidated EBITDA attributable to such business for such full
            fiscal quarter divided by the Seasonal Adjustment Factor for such
            fiscal quarter during the Measurement Period after such business was
            acquired times (y) a fraction of which the numerator is 4 and the
            denominator is the number of full fiscal quarters in the Measurement
            Period after such business was acquired.

            "APB 16": Accounting Principles Board Opinion No. 16.

            "Applicable Level": as of any day, Level 1, Level 2, Level 3, Level
      4 or Level 5 below, whichever is applicable on such day, with each new
      Level to take effect on the day following the delivery to the
      Administrative Agent by the Company of the financial statements referred
      to in subsections 12.1(a) and (b) and the related certificate of the chief
      financial officer of the Company referred to in subsection 12.2(b),
      indicating the ratio of Total Senior Indebtedness as of the end of the
      period covered by such financial statements to Annualized Consolidated
      EBITDA for the period covered by such financial statements:

                                        Ratio of Total Senior Indebtedness to
                                        Annualized Consolidated EBITDA

      Level 1                           Greater than or equal to 3.25 to 1.0

      Level 2                           Greater than or equal to 3.00 to 1.0
                                        but less than 3.25 to 1.0

      Level 3                           Greater than or equal to 2.50 to 1.0
                                        but less than 3.00 to 1.0

      Level 4                           Greater than or equal to 2.00 to 1.0 but
                                        less than 2.50 to 1.0

      Level 5                           Less than 2.00 to 1.0

      provided, however, that, in the event that the financial statements
      required to be delivered pursuant to subsection 12.1(a) or 12.1(b) and the
      related certificate of the chief financial officer of the Company
<PAGE>

      referred to in subsection 12.2(b) are not delivered when due, then during
      the period from the date upon which such financial statements and
      certificate were required to be delivered until the date upon which they
      actually are delivered, the Applicable Level shall be Level 1.

            "Applicable Margin": (a) for each Revolving Credit Loan, Tranche A
      Term Loan, Acquisition Loan and Swing Line Loan (with respect to ABR only)
      for each day, the rate per annum for the relevant Type of such Loan set
      forth below opposite the Applicable Level in effect on such day:

                      ABR Loan                   Eurodollar Loan
                      --------                   ---------------

             Level 1             1.50%                2.50%
             Level 2             1.25%                2.25%
             Level 3             1.00%                2.00%
             Level 4              .75%                1.75%
             Level 5              .50%                1.50%

            (b) for each Tranche B Term Loan for each day, the rate per annum
      for the relevant Type of such Tranche B Term Loan set forth below:

                      ABR Loan                   Eurodollar Loan
                      --------                   ---------------

                       2.00%                          3.00%

            (c) for each Tranche C Term Loan for each day, the rate per annum
      for the relevant Type of such Tranche C Term Loan set forth below:

                      ABR Loan                   Eurodollar Loan
                      --------                   ---------------

                       2.50%                          3.50%

            (d) for each Tranche D Term Loan for each day, the rate per annum
      for the relevant Type of such Tranche D Term Loan set forth below:

                      ABR Loan                   Eurodollar Loan
                      --------                   ---------------

                       2.75%                          3.75%

            "Arranger": Chase Securities Inc.

            "Asset Exchange": as defined in subsection 13.6.

            "Asset Sale": any sale, sale-leaseback, assignment, conveyance,
      transfer or other disposition by the Company or any Subsidiary thereof of
      any of its property or assets, including the stock of any Subsidiary of
      the Company (except sales, sale-leasebacks, assignments, conveyances,
      transfers and other dispositions permitted by clauses
<PAGE>

      (a), (b), (c), (d), and (h) of subsection 13.6 and by subsection 13.13
      only to the extent of the first $30,000,000 thereunder).

            "Assignee": as defined in subsection 16.6(c).

            "Assignment and Acceptance": an Assignment and Acceptance
      substantially in the form of Exhibit G hereto.

            "Available Acquisition Loan Commitment": as to any Lender, at a
      particular time, an amount equal to the excess, if any, of (a) the amount
      of such Lender's Acquisition Loan Commitment at such time less (b) the
      aggregate unpaid principal amount at such time of all Acquisition Loans
      made by such Lender pursuant to subsection 7.1; collectively, as to all
      the Lenders, the "Available Acquisition Loan Commitments".

            "Available Revolving Credit Commitment": as to any Lender, at a
      particular time, an amount equal to the excess, if any, of (a) the amount
      of such Lender's Revolving Credit Commitment at such time less (b) the sum
      of (i) the aggregate unpaid principal amount at such time of all Revolving
      Credit Loans made by such Lender pursuant to subsection 6.1, (ii) such
      Lender's L/C Participating Interest in the aggregate amount available to
      be drawn at such time under all outstanding Letters of Credit, (iii) such
      Lender's Revolving Credit Commitment Percentage of the aggregate
      outstanding amount of Revolving L/C Obligations and (iv) such Lender's
      Revolving Credit Commitment Percentage of the aggregate unpaid principal
      amount at such time of all Swing Line Loans, provided that for purposes of
      calculating Available Revolving Credit Commitments pursuant to subsection
      8.9 the amount referred to in this clause (iv) shall be zero;
      collectively, as to all the Lenders, the "Available Revolving Credit
      Commitments".

            "Benefitted Lender": as defined in subsection 16.7 hereof.

            "Board": the Board of Governors of the Federal Reserve System of the
      United States (or any successor).

            "Bond Documents": the Series A and Series B Bond Documents and the
      Fulton Bond Documents.

            "Bond Pledge Agreements": (a) the Bond Pledge Agreement dated
      October 29, 1991, from the Company to First Union, as amended by a First
      Amendment to Bond Pledge Agreement dated as of August 24, 1994, as amended
      by a Second Amendment to Bond Pledge Agreement dated May 12, 1995, as
      amended by a Third Amendment to Bond Pledge Agreement dated July 9, 1996,
      and as further amended by a Fourth Amendment to Bond Pledge Agreement
      dated of even date herewith, with respect to the Series A Bonds, (b) the
      Bond Pledge Agreement dated October 29, 1991 from the Company to First
      Union, as amended by a First Amendment to Bond Pledge Agreement dated as
      of August 24, 1994, as amended by a Second Amendment to Bond Pledge
      Agreement dated May 12, 1995, as amended by a Third Amendment to Bond
      Pledge Agreement dated July 9, 1996, and as further amended by a Fourth
      Amendment to Bond Pledge Agreement dated of even date herewith, with
      respect to the Series B
<PAGE>

      Bonds and (c) the Bond Pledge Agreement dated August 14, 1992, among
      Hospital of Fulton, Inc., a Kentucky corporation, the Company and First
      Union, as amended by a First Amendment to Bond Pledge Agreement dated as
      of August 24, 1994, as amended by a Second Amendment to Bond Pledge
      Agreement dated May 12, 1995, as amended by a Third Amendment to Bond
      Pledge Agreement dated July 9, 1996, and as further amended by a Fourth
      Amendment to Bond Pledge Agreement dated of even date herewith, with
      respect to the Fulton Bonds.

            "Bonds": the Series A Bonds, the Series B Bonds, the Fulton Bonds or
      all of them as the context indicates.

            "Borrowing Date": any Business Day, or, in the case of Eurodollar
      Loans, any Working Day, specified in a notice pursuant to (a) subsection
      6.7 or 8.1 as a date on which the Company requests Chase to make Swing
      Line Loans or the Lenders to make Revolving Credit Loans or Acquisition
      Loans hereunder or (b) subsection 6.5 as a date on which the Company
      requests the Issuing Lender to issue a Letter of Credit hereunder.

            "Business Day": a day other than a Saturday, Sunday or other day on
      which commercial banks in New York City are authorized or required by law
      to close.

            "Capital Expenditures": for any period, all amounts (other than
      those arising from the acquisition or lease of businesses and assets which
      are permitted by subsection 13.7) which are set forth on the Company and
      its Subsidiaries' consolidated statement of cash flows for such period as
      the "purchase of property and equipment," in accordance with GAAP,
      consistent with the Company's financial statements for the year ended
      December 31, 1998; provided, however, that "Capital Expenditures", as it
      is used in subsections 13.1(b), 13.1(c) and 13.8, shall not include any
      such amounts representing Y2K Costs (as defined in subsection 10.16) of up
      to $20,000,000 in the aggregate for the Company and its Subsidiaries in
      the 1998, 1999 and 2000 fiscal years of the Company. For purposes of
      paragraphs (b) and (c) of subsection 13.1, Capital Expenditures
      attributable to any businesses and assets acquired as permitted by
      subsection 13.7 shall be disregarded through the end of the fiscal quarter
      in which such acquisition occurred, and thereafter shall, for any four
      quarter period ending prior to the end of the first quarter on which the
      Company shall have owned such business or assets for four full fiscal
      quarters, equal the Company's good faith estimate of the Capital
      Expenditures attributable to the business or assets so acquired for each
      of such first four full fiscal quarters after the Company's acquisition of
      such business or assets, which estimate shall be delivered at the time of
      such acquisition.

            "Cash Equivalents": (i) securities issued or directly and fully
      guaranteed or insured by the United States Government or any agency or
      instrumentality thereof having maturities of not more than six months from
      the date of acquisition, (ii) certificates of deposit and eurodollar time
      deposits with maturities of six months or less from the date of
      acquisition, bankers' acceptances with maturities not exceeding six months
      and overnight bank deposits, in each case, with
<PAGE>

      any Lender or with any domestic commercial bank having capital and surplus
      in excess of $300,000,000, (iii) repurchase obligations with a term of not
      more than seven days for underlying securities of the types described in
      clauses (i) and (ii) entered into with any financial institution meeting
      the qualifications specified in clause (ii) above, and (iv) commercial
      paper issued by any Lender, the parent corporation of any Lender or any
      Subsidiary of such Lender's parent corporation, and commercial paper rated
      A-1 or the equivalent thereof by Standard & Poor's Rating Group or P-1 or
      the equivalent thereof by Moody's Investors Service, Inc. and in each case
      maturing within six months after the date of acquisition thereof.

            "C/D Assessment Rate": for any day as applied to any ABR Loan, the
      net annual assessment rate (rounded upward to the nearest 1/100th of 1%)
      determined by the Administrative Agent to be payable on such day to the
      Federal Deposit Insurance Corporation or any successor ("FDIC") for FDIC's
      insuring time deposits made in Dollars at the offices of Chase in the
      United States.

            "C/D Reserve Percentage": for any day as applied to any ABR Loan,
      that percentage (expressed as a decimal) which is in effect on such day,
      as prescribed by the Board, for determining the maximum reserve
      requirement for a Depositary Institution (as defined in Regulation D of
      the Board) in respect of new non-personal time deposits in Dollars having
      a maturity of 30 days or more.

            "Change in Law": with respect to any Lender, the adoption of any
      law, rule, regulation, policy, guideline or directive (whether or not
      having the force of law) or any change therein or in the interpretation or
      application thereof by any Governmental Authority, including, without
      limitation, the issuance of any final rule, regulation or guideline by any
      regulatory agency having jurisdiction over such Lender or, in the case of
      subsection 8.12(b) or 8.20(b), any corporation controlling such Lender.

            "Chase": The Chase Manhattan Bank

            "CHS": as defined in the preamble hereto.

            "CHS Facility": the $425,000,000 Credit Agreement, dated as of July
      9, 1996, among CHS, the Lenders parties thereto and Chase, as
      administrative agent thereunder, as amended, supplemented or otherwise
      modified to the Original Closing Date.

            "CHS Stock": the common stock, par value $.01 per share, of the
      Company.

            "Closing Date": the date on which each of the conditions precedent
      to the effectiveness of this Agreement contained in subsection 11.1 has
      been either satisfied or waived.

            "Co-Agents": collectively, Nationsbank, N.A. and The Bank of Nova
      Scotia, in their capacities as co-agents with respect to the Commitments
      (each, a "Co-Agent").
<PAGE>

            "Code": the Internal Revenue Code of 1986, as amended from time to
      time.

            "Commercial L/C": a commercial documentary Letter of Credit under
      which the relevant Issuing Lender agrees to make payments in Dollars for
      the account of the Company, on behalf of the Company or any Subsidiary
      thereof, in respect of obligations of the Company or any Subsidiary
      thereof in connection with the purchase of goods or services in the
      ordinary course of business.

            "Commitment Percentage": with respect to any Lender, any of the
      Tranche A Term Loan Commitment Percentage, the Tranche B Term Loan
      Commitment Percentage, the Tranche C Term Loan Commitment Percentage, the
      Tranche D Term Loan Commitment Percentage, the Additional Tranche D Term
      Loan Commitment Percentage, the Revolving Credit Commitment Percentage and
      the Acquisition Loan Commitment Percentage of such Lender, as the context
      may require.

            "Commitments": the collective reference to the Tranche A Term Loan
      Commitments, the Tranche B Term Loan Commitments, the Tranche C Term Loan
      Commitments, the Tranche D Term Loan Commitments, the Additional Tranche D
      Term Loan Commitments, the Revolving Credit Commitments, the Swing Line
      Commitment and the Acquisition Loan Commitments; individually, a
      "Commitment".

            "Commonly Controlled Entity": an entity, whether or not
      incorporated, which is under common control with the Company within the
      meaning of Section 4001 of ERISA or is part of a group which includes the
      Company and which is treated as a single employer under Section 414 of the
      Code.

            "Company": as defined in the preamble hereto.

            "Company Pledge Agreement": the Pledge Agreement, dated as of July
      22, 1996, made by the Company in favor of the Administrative Agent, for
      the ratable benefit of the Lenders, substantially in the form of Exhibit
      B-1, as the same may be amended, supplemented or otherwise modified in
      accordance with its terms from time to time (it being understood and
      agreed that, notwithstanding anything that may be to the contrary herein,
      the Company Pledge Agreement shall not require the Company to pledge (x)
      any of the outstanding capital stock of, or other equity interests in, (i)
      any Non-Significant Subsidiary of the Company or (ii) any Foreign
      Subsidiary of the Company which is owned by a Foreign Subsidiary of the
      Company or, (y) more than 65% of the outstanding capital stock of, or
      other equity interests in, (i) any other Foreign Subsidiary of the
      Company, or (ii) any other Subsidiary of the Company if more than 65% of
      the assets of such Subsidiary are securities of foreign Persons (such
      determination to be made on the basis of fair market value).

            "Consolidated Cash Interest Expense": for any four-quarter period,
      the amount of Consolidated Interest Expense (other than Consolidated
      Interest Expense arising from the Subordinated Loan) for
<PAGE>

      such four-quarter period (or such other period) plus the amount, if
      greater than zero, equal to (i) the actual cash interest payments made on
      the Subordinated Loan during such four-quarter period (or such other
      period) minus (ii) the portion, if any, of the cash interest payment due
      on the Subordinated Loan on the interest payment date next following the
      end of such four-quarter period (or such other period) which the Company
      advises the Administrative Agent that it will not pay (the portion which
      the Company so advises it will not pay, the "Restricted Interest") in cash
      during the quarterly period in which such interest payment is otherwise
      due or at any time thereafter except as contemplated by the proviso to
      this definition solely to cause the Company to be in compliance with the
      Fixed Charge Coverage Ratio during such four-quarter period (or such other
      period); provided that (i) if the Company has so advised the
      Administrative Agent that it will not pay Restricted Interest and, so long
      as such Restricted Interest is not then overdue, as of the end of the
      fiscal quarter immediately prior to the date such Restricted Interest was
      scheduled to be paid, the Company was either in compliance with the Fixed
      Charge Coverage Ratio for the four-quarter period (or such other period)
      ending as of such date or the amount by which the Company was not in
      compliance with the Fixed Charge Coverage Ratio for such period was less
      than the amount of such Restricted Interest, the Company may, on the date
      such Restricted Interest was so scheduled to be paid, pay all such
      Restricted Interest or the portion thereof in excess of the amount by
      which the Company was not in compliance with the Fixed Charge Coverage
      Ratio for such period, as the case may be, and (ii) the Company may pay
      all or any portion of the aggregate amount of Restricted Interest which is
      overdue and unpaid as of the end of any quarterly period if the Company
      would be in compliance with the Fixed Charge Coverage Ratio for the
      four-quarter period (or such other period) ending on such date after
      giving effect to the inclusion in Consolidated Cash Interest Expense of
      all cash interest payments on the Subordinated Loan made during such
      period plus the amount of Restricted Interest proposed to be paid as of
      such date (and, to the extent such Restricted Interest is so paid, it
      shall be deemed for all purposes of this definition to have been paid
      during the last quarter of such four-quarter period (or such other
      period)).

            "Consolidated EBITDA": for any period, the consolidated net income
      ((i) including earnings and losses from discontinued operations, (ii)
      excluding extraordinary gains, and gains and losses arising from the
      proposed or actual disposition of material assets, and (iii) excluding the
      non-cash portion of other non-recurring losses) of the Company and its
      Subsidiaries for such period, plus to the extent reflected as a charge in
      the statement of consolidated net income for such period, the sum of (a)
      interest expense (net of interest income), including amortization and
      write offs of debt discount and debt issuance costs and commissions,
      discounts and other fees and charges associated with Letters of Credit,
      (b) taxes measured by income, (c) depreciation and amortization expenses
      including acceleration thereof and including the amortization of the
      increase in inventory resulting from the application of APB 16 for
      transactions contemplated by this Agreement including Permitted
      Acquisitions, (d) non-cash compensation expenses arising from the sale of
      stock, the
<PAGE>

      granting of stock options, the granting of stock appreciation rights and
      similar arrangements and (e) the excess of the expense in respect of
      post-retirement benefits and post-employment benefits accrued under
      Statement of Financial Accounting Standards No. 106 ("FASB 106") and
      Statement of Financial Accounting Standards No. 112 ("FASB 112") over the
      cash expense in respect of such post-retirement benefits and
      post-employment benefits, plus for purposes of calculating the covenants
      in Section 13 only, the amount of any non-recurring or extraordinary
      charges taken by the Company in fiscal year 1998 or to be taken by the
      Company in fiscal years 1999 or 2000, provided, that the amount of such
      charges shall not exceed, in the aggregate, $35,000,000.

            "Consolidated Interest Expense": for any period, the amount of
      interest expense, both expensed and capitalized (excluding amortization
      and write offs of debt discount and debt issuance costs), net of interest
      income, of the Company and its Subsidiaries, determined on a consolidated
      basis in accordance with GAAP, for such period and excluding for purposes
      of Section 13.1(b) and (c) any interest expense attributable to
      Indebtedness incurred or assumed in connection with any acquisition of any
      business until the day following the end of the fiscal quarter during
      which the acquisition occurred.

            "Consolidated Total Indebtedness": as of any date of determination,
      all Indebtedness of the Company and its Subsidiaries, determined on a
      consolidated basis in accordance with GAAP.

            "Contingent Obligation": as to any Person, any obligation of such
      Person guaranteeing or in effect guaranteeing any Indebtedness, leases,
      dividends or other obligations ("primary obligations") of any other Person
      (the "primary obligor") in any manner, whether directly or indirectly,
      including, without limitation, any obligation of such Person, whether or
      not contingent (a) to purchase any such primary obligation or any property
      constituting direct or indirect security therefor, (b) to advance or
      supply funds (i) for the purchase or payment of any such primary
      obligation or (ii) to maintain working capital or equity capital of the
      primary obligor or otherwise to maintain the net worth or solvency of the
      primary obligor, (c) to purchase property, securities or services
      primarily for the purpose of assuring the owner of any such primary
      obligation of the ability of the primary obligor to make payment of such
      primary obligation or (d) otherwise to assure or hold harmless the owner
      of any such primary obligation against loss in respect thereof; provided,
      however, that the term Contingent Obligation shall not (i) include
      endorsements of instruments for deposit or collection in the ordinary
      course of business or (ii) Practice Guarantees. The amount of any
      Contingent Obligation shall be deemed to be an amount equal to the stated
      or determinable amount (based on the maximum reasonably anticipated net
      liability in respect thereof as determined by the Company in good faith)
      of the primary obligation or portion thereof in respect of which such
      Contingent Obligation is made or, if not stated or determinable, the
      maximum reasonably anticipated net liability in respect thereof (assuming
      such Person is required to perform
<PAGE>

      thereunder) as determined by the Company in good faith.

            "Contractual Obligation": as to any Person, any provision of any
      security issued by such Person or of any agreement, instrument or
      undertaking to which such Person is a party or by which it or any of the
      property owned by it is bound.

            "Credit Documents": the collective reference to this Agreement, the
      Notes, the Pledge Agreements, the Guarantees and any guarantee executed
      and delivered pursuant to the terms of subsection 12.8.

            "Credit Parties": the collective reference to HoldCo, the Company
      and each Subsidiary which is a party, or which at any time becomes a
      party, to a Credit Document.

            "Debentures": the Company's 10-1/4% Senior Subordinated Debentures
      due 2003 in the original principal amount of $100,000,000.

            "Debenture Refinancing Loans": Loans made under the CHS Facility for
      the purpose of paying the purchase price of, interest on or consent
      payments in respect of, the Debentures pursuant to the tender offer
      described in subsection 11.1(f) or for paying fees, consent payments and
      expenses in connection with or pursuant to such tender offer in an
      aggregate amount for such purchase price, interest, fees, payments and
      expenses not to exceed $115,000,000.

            "Default": any of the events specified in Section 14, whether or not
      any requirement for the giving of notice, the lapse of time, or both, has
      been satisfied.

            "Dollars" and "$": dollars in lawful currency of the United States
      of America.

            "Domestic Subsidiary": any Subsidiary of the Company other than a
      Foreign Subsidiary.

            "Environmental Laws": any and all applicable Federal, state, local
      or municipal laws, rules, orders, regulations, statutes, ordinances,
      codes, decrees or requirements of any Governmental Authority regulating,
      relating to or imposing liability or standards of conduct concerning human
      health or the protection of the environment, including without limitation,
      Materials of Environmental Concern, as now or may at any time hereafter be
      in effect.

            "ERISA": the Employee Retirement Income Security Act of 1974, as
      amended from time to time.

            "Eurocurrency Reserve Requirements": for any day, as applied to a
      Eurodollar Loan, the aggregate (without duplication) of the rates
      (expressed as a decimal) of reserve requirements current on such day
      (including, without limitation, basic, supplemental, marginal and
      emergency reserves under any regulations of the Board or other
      Governmental Authority having jurisdiction with respect thereto), as now
      and from time to time hereafter in effect, dealing with reserve
<PAGE>

      requirements prescribed for Eurocurrency funding (currently referred to as
      "Eurocurrency liabilities" in Regulation D of such Board) maintained by a
      member bank of such System.

            "Eurodollar Base Rate": with respect to each day during any Interest
      Period for any Eurodollar Loan, the rate per annum equal to the rate at
      which Chase is offered Dollar deposits at or about 10:00 a.m., New York
      City time, two Working Days prior to the beginning of such Interest Period
      in the interbank eurodollar market where the foreign currency and exchange
      operations in respect of its Eurodollar Loans then are being conducted for
      delivery on the first day of such Interest Period for the number of days
      comprised therein and in an amount comparable to the amount of its
      Eurodollar Loan to be outstanding during such Interest Period.

            "Eurodollar Lending Office": the office of each Lender which shall
      be making or maintaining its Eurodollar Loans.

            "Eurodollar Loans": Loans at such time as they are made and/or being
      maintained at a rate of interest based upon a Eurodollar Rate.

            "Eurodollar Rate": with respect to each day during each Interest
      Period pertaining to a Eurodollar Loan, a rate per annum determined for
      such day in accordance with the following formula (rounded upward to the
      nearest 1/100th of 1%):

                              Eurodollar Base Rate
                              --------------------

                     1.00 - Eurocurrency Reserve Requirement

            "Event of Default": any of the events specified in Section 14,
      provided that any requirement for the giving of notice, the lapse of time,
      or both, has been satisfied.

            "Existing Credit Agreement": as defined in the recitals hereto.

            "Existing Credit Agreements": (a) the Amended and Restated Credit
      Agreements dated as of May 12, 1995, relating to the provision by the
      lenders parties thereto to CHS of two revolving credit facilities in the
      aggregate principal amount of $50,000,000 and $150,000,000, respectively,
      (b) the CHS Facility and (c) the Existing Credit Agreement.

            "Existing Letters of Credit": the Series A Bonds Letter of Credit,
      the Series B Bonds Letter of Credit and the Fulton Letter of Credit,
      issued pursuant to the First Union Credit Agreement or the Previous Credit
      Agreement and currently outstanding under the Existing Credit Agreements,
      together with any and all amendments, modifications, supplements,
      extensions, renewals, substitutions and/or replacements thereof issued
      pursuant to the Existing Credit Agreements, and any other letters of
      credit listed on Schedule 1.1(A) hereto.

            "Extended Acquisition Loan Commitment": as to any Lender, its
<PAGE>

      commitment to make Acquisition Loans to the Company pursuant to subsection
      7.1, in an aggregate amount not to exceed at any time the amount set forth
      opposite such Lender's name in Schedule I under the heading "Extended
      Acquisition Loan Commitment" and in an aggregate amount not to exceed at
      any time the amount equal to such Lender's Acquisition Loan Commitment
      Percentage of the aggregate Extended Acquisition Loan Commitments, as the
      aggregate Extended Acquisition Loan Commitments may be reduced or adjusted
      from time to time pursuant to this Agreement; collectively, as to all the
      Lenders, the "Extended Acquisition Loan Commitments".

            "Extensions of Credit": the collective reference to Loans made and
      Letters of Credit issued under this Agreement.

            "First Union": First Union National Bank of North Carolina, as the
      issuing bank and co-agent for the lenders under the Existing Credit
      Agreements, other than the Existing Credit Agreement.

            "First Union Credit Agreement": the Amended and Restated Credit
      Agreement dated as of August 14, 1992, as amended by Amendment to Credit
      Agreement dated as of August 16, 1992, Second Amendment to Credit
      Agreement dated November 2, 1992, Third Amendment to Credit Agreement
      dated January 13, 1993, Fourth Amendment to Credit Agreement dated May 28,
      1993, Fifth Amendment to Credit Agreement dated August 11, 1993, Sixth
      Amendment to Credit Agreement dated October 20, 1993, Seventh Amendment to
      Credit Agreement dated January 20, 1994 and Eighth Amendment to Credit
      Agreement dated May 1, 1994, each among the Company, certain Subsidiaries
      of the Company and the lenders parties thereto.

            "FL Affiliate": any of FL & Co., MBO-VI, FLCXXIX, FLCXXXIII, the
      partners of FL & Co., MBO-VI, FLCXXIX, FLCXXXIII on the Closing Date, any
      subordinated debt and equity partnership controlled by FL & Co. or MBO-VI,
      FLCXXIX or FLCXXXIII, any equity partnership controlled by FL & Co. or
      MBO-VI, FLCXXIX or FLCXXXIII, any Affiliate of FL & Co., MBO-VI, FLCXXIX
      or FLCXXXIII, any directors, executive officers or other employees or
      other members of the management of HoldCo, the Company, CHS or any
      Subsidiary of any thereof (or any "associate" (as defined in Rule 405
      under the Securities Act of 1933, as amended) of any thereof or employee
      benefit plan beneficially owned by any thereof), the Company, CHS or any
      Subsidiary of any thereof on the Closing Date, or any combination of the
      foregoing.

            "FL & Co.": FLCXXXI Partnership, L.P., a New York limited
      partnership, doing business as "Forstmann Little & Co.", the general
      partners of which are FLCXXIX Partnership, L.P., a New York limited
      partnership (AFLCXXIX@), and FLCXXXIII Partnership, a New York general
      partnership (AFLCXXIII@), and the limited partner of which is FLCXXIX.

            "Foreign Subsidiary": any Subsidiary of the Company (a) which is
      organized under the laws of any jurisdiction outside the United States
      (within the meaning of Section 7701(a)(9) of the Code), or (b) whose
      principal assets consist of capital stock or other equity interests of one
      or more Persons which conduct the major portion of their business
<PAGE>

      outside the United States (within the meaning of Section 7701(a)(9) of the
      Code).

            "Fulton Bond Documents": the Loan Agreement, as amended (as defined
      in the Fulton Indenture), the Remarketing Agreement (as defined in the
      Fulton Indenture), the Fulton Indenture, the Fulton Bonds and the
      corresponding Bond Pledge Agreement.

            "Fulton Bonds": the $8,000,000 aggregate principal amount City of
      Fulton, Kentucky Floating Rate Weekly Demand Revenue Bonds, Series 1985
      (United Healthcare of Kentucky, Inc. Project).

            "Fulton Indenture": the Trust Indenture dated as of May 22, 1985, as
      amended by the First Supplemental Trust Indenture, dated as of August 14,
      1992, between the City of Fulton and the Fulton Trustee.

            "Fulton Letter of Credit": that certain irrevocable letter of
      credit, dated August 14, 1992, issued by First Union for the account of
      Hospital of Fulton, Inc. to the Fulton Trustee, in an aggregate principal
      amount of $8,138,083.

            "Fulton Trustee": the Third National Bank in Nashville, a national
      banking association with principal offices in Nashville, Tennessee, and
      any successor trustee pursuant to the terms of the Fulton Indenture.

            "GAAP": generally accepted accounting principles in the United
      States of America in effect from time to time.

            "Governmental Authority": any nation or government, any state or
      other political subdivision thereof and any entity exercising executive,
      legislative, judicial, regulatory or administrative functions of or
      pertaining to government.

            "Guarantees": the collective reference to the HoldCo Guarantee and
      the Subsidiary Guarantees.

            "Health Care Associates": as defined in subsection 13.7(g).

            "HoldCo": as defined in the preamble hereto.

            "HoldCo Dividend Limit": as defined in subsection 13.9(c).

            "HoldCo Guarantee": the Guarantee, substantially in the form of
      Exhibit B-2 hereto, made by HoldCo in favor of the Administrative Agent,
      for the ratable benefit of the Lenders, as the same may be amended,
      supplemented or otherwise modified from time to time.

            "HoldCo Pledge Agreement": the Pledge Agreement, dated as of July
      22, 1996, made by HoldCo in favor of the Administrative Agent, for the
      ratable benefit of the Lenders, substantially in the form of Exhibit B-3,
      as the same may be amended, supplemented or otherwise modified from time
      to time.
<PAGE>

            "Hospital": each hospital listed in Schedule 1.1(B) hereto and each
      hospital now or hereafter owned or operated by the Company or any of its
      Subsidiaries.

            "Indebtedness": of any Person, at any particular date, (a) all
      indebtedness of such Person for borrowed money or for the deferred
      purchase price of property or services (other than current trade payables
      or liabilities and deferred payment for services to employees or former
      employees incurred in the ordinary course of business and payable in
      accordance with customary practices and other deferred compensation
      arrangements), (b) the face amount of all letters of credit issued for the
      account of such Person and, without duplication, all drafts drawn
      thereunder, (c) all liabilities (other than Lease Obligations) secured by
      any Lien on any property owned by such Person, to the extent attributable
      to such Person's interest in such property, even though such Person has
      not assumed or become liable for the payment thereof, (d) lease
      obligations of such Person which, in accordance with GAAP, should be
      capitalized and (e) all indebtedness of such Person arising under
      acceptance facilities; but excluding (y) customer deposits and interest
      payable thereon in the ordinary course of business and (z) trade and other
      accounts and accrued expenses payable in the ordinary course of business
      in accordance with customary trade terms and in the case of both clauses
      (y) and (z) above, which are not overdue for a period of more than 90 days
      or, if overdue for more than 90 days, as to which a dispute exists and
      adequate reserves in conformity with GAAP have been established on the
      books of such Person.

            "Insolvency": with respect to a Multiemployer Plan, the condition
      that such Plan is insolvent within the meaning of such term as used in
      Section 4245 of ERISA.

            "Interest Payment Date": (a) as to ABR Loans, the last day of each
      March, June, September and December, commencing on the first such day to
      occur after any ABR Loans are made or any Eurodollar Loans are converted
      to ABR Loans, (b) as to any Eurodollar Loan in respect of which the
      Company has selected an Interest Period of one, two or three months, the
      last day of such Interest Period, (c) as to any Eurodollar Loan in respect
      of which the Company has selected an Interest Period of six months, the
      day which is three months after the date on which such Eurodollar Loan is
      made or an ABR Loan is converted to such a Eurodollar Loan, and the last
      day of such Interest Period, (d) as to any Term Loan, each day on which
      principal of such Term Loan is payable and (e) in the case of the
      Revolving Credit Loans and Acquisition Loans, the Revolving Credit
      Termination Date or Acquisition Loan Termination Date, as the case may be.

            "Interest Period": with respect to any Eurodollar Loan:

                  (a) initially, the period commencing on, as the case may be,
            the Borrowing Date or conversion date with respect to such
            Eurodollar Loan and ending one, two, three or six months thereafter
            as selected by the Company in its notice of borrowing as provided in
            subsection 8.1 or its notice of conversion as
<PAGE>

            provided in subsection 8.3; and

                  (b) thereafter, each period commencing on the last day of the
            next preceding Interest Period applicable to such Eurodollar Loan
            and ending one, two, three or six months thereafter as selected by
            the Company by irrevocable notice to the Administrative Agent not
            less than three Working Days prior to the last day of the then
            current Interest Period with respect to such Eurodollar Loan;

      provided that the foregoing provisions relating to Interest Periods are
      subject to the following:

                  (A) if any Interest Period would otherwise end on a day which
            is not a Working Day, that Interest Period shall be extended to the
            next succeeding Working Day, unless the result of such extension
            would be to carry such Interest Period into another calendar month,
            in which event such Interest Period shall end on the immediately
            preceding Working Day;

                  (B) any Interest Period with respect to any Revolving Credit
            Loan or Acquisition Loan that would otherwise extend beyond the
            Revolving Credit Termination Date or Acquisition Loan Termination
            Date, as the case may be, shall end on the Revolving Credit
            Termination Date or Acquisition Loan Termination Date, as the case
            may be, or if the Revolving Credit Termination Date or Acquisition
            Loan Termination Date, as the case may be, shall not be a Working
            Day, on the next preceding Working Day;

                  (C) if the Company shall fail to give notice as provided above
            in clause (b), it shall be deemed to have selected a conversion of a
            Eurodollar Loan into an ABR Loan (which conversion shall occur
            automatically and without need for compliance with the conditions
            for conversion set forth in subsection 8.3);

                  (D) any Interest Period that begins on the last day of a
            calendar month (or on a day for which there is no numerically
            corresponding day in the calendar month at the end of such Interest
            Period) shall end on the last Working Day of a calendar month; and

                  (E) the Company shall select Interest Periods so as not to
            require a prepayment (to the extent practicable) or a scheduled
            payment of a Eurodollar Loan during an Interest Period for such
            Eurodollar Loan.

            "Issuing Lender": either Chase or First Union, as issuer of Letters
      of Credit.

            "L/C Application": a letter of credit application in the Issuing
      Lender's then customary form for the type of letter of credit requested.
<PAGE>

            "L/C Participating Interest": an undivided participating interest in
      the face amount of each issued and outstanding Letter of Credit and the
      L/C Application relating thereto.

            "L/C Participation Certificate": a certificate in substantially the
      form of Exhibit E hereto.

            "Lease Obligations": of the Company and its Subsidiaries, as of the
      date of any determination thereof, the rental commitments of the Company
      and its Subsidiaries determined on a consolidated basis, if any, under
      leases for real and/or personal property (net of rental commitments from
      sub-leases thereof), excluding however, obligations under leases which are
      classified as Indebtedness under clause (d) of the definition of
      Indebtedness.

            "Lenders": as defined in the preamble hereto.

            "Letter of Credit": a letter of credit issued by an Issuing Lender
      pursuant to the terms of subsection 6.3.

            "Lien": any mortgage, pledge, hypothecation, assignment, deposit
      arrangement, encumbrance, lien (statutory or other), or preference,
      priority or other security agreement or preferential arrangement of any
      kind or nature whatsoever (including, without limitation, any conditional
      sale or other title retention agreement, any financing lease having
      substantially the same economic effect as any of the foregoing, and the
      filing of any financing statement under the Uniform Commercial Code or
      comparable law of any jurisdiction in respect of any of the foregoing,
      except for the filing of financing statements in connection with Lease
      Obligations incurred by the Company or its Subsidiaries to the extent that
      such financing statements relate to the property subject to such Lease
      Obligations).

            "Loans": the collective reference to the Term Loans, the Revolving
      Credit Loans, the Acquisition Loans and the Swing Line Loans;
      individually, a "Loan".

            "Material Adverse Effect": a material adverse effect on the
      business, financial condition, assets or results of operations of the
      Company and its Subsidiaries taken as a whole.

            "Material Subsidiaries": any Subsidiary of the Company other than
      (i) any Permitted Minority-Interest Subsidiary, (ii) any Foreign
      Subsidiary of the Company, (iii) any Subsidiary of the Company if more
      than 65% of the assets of such Subsidiaries are securities of foreign
      Persons (such determination to be made on the basis of fair market value)
      and (iv) any Non-Significant Subsidiary of the Company.

            "Materials of Environmental Concern": any gasoline or petroleum
      (including crude oil or any fraction thereof) or petroleum products or any
      hazardous or toxic substances, materials or wastes, defined or regulated
      as such in, or which form the basis of liability under, any Environmental
      Law, including, without limitation, asbestos, polychlorinated biphenyls
      and urea-formaldehyde insulation, medical
<PAGE>

      waste, radioactive materials and electromagnetic fields.

            "MBO-VI": Forstmann Little & Co. Subordinated Debt and Equity
      Management Buyout Partnership-VI, L.P., a Delaware limited partnership.

            "Merger": as defined in the Merger Agreement.

            "Merger Agreement": the Agreement and Plan of Merger, dated as of
      June 9, 1996 among HoldCo, Acquisition Co, and the Company, as amended,
      supplemented or otherwise modified from time to time in accordance with
      the terms hereof.

            "Merger Date": the date of the filing of the Certificate of Merger
      relating to the Merger with the Secretary of State of Delaware.

            "Multiemployer Plan": a Plan which is a multiemployer plan as
      defined in Section 4001(a)(3) of ERISA.

            "Net Proceeds": the aggregate cash proceeds received by the Company
      or any Subsidiary of the Company in respect of any Asset Sale, and any
      cash payments received in respect of promissory notes or other non-cash
      consideration delivered to the Company or such Subsidiary in respect of an
      Asset Sale (subject to the limitations set forth in subsection 13.7(j)),
      net of (without duplication) (i) the reasonable expenses (including legal
      fees and brokers' and underwriters' commissions paid to third parties
      which are not Affiliates or Subsidiaries of the Company) incurred in
      effecting such Asset Sale, (ii) any taxes reasonably attributable to such
      Asset Sale and, in case of an Asset Sale in a foreign jurisdiction, any
      taxes reasonably attributable to the repatriation of the proceeds of such
      Asset Sale reasonably estimated by the Company or such Subsidiary to be
      actually payable, (iii) any amounts payable to a Governmental Entity
      triggered as a result of any such Asset Sale, (iv) any Indebtedness or
      Contractual Obligation of the Company and its Subsidiaries (other than the
      Loans and other Obligations) required to be paid or retained in connection
      with such Asset Sale and (v) the aggregate amount of reserves required in
      the reasonable judgment of the Company or such Subsidiary to be maintained
      on the books of the Company or such Subsidiary in order to pay contingent
      liabilities with respect to such Asset Sale; provided that amounts
      deducted from aggregate proceeds pursuant to clause (v) and not actually
      paid by the Company or any of its Subsidiaries in liquidation of such
      contingent liabilities shall be deemed to be Net Proceeds and shall be
      applied in accordance with subsection 8.6 at such time as such contingent
      liabilities shall cease to be obligations of the Company or any of its
      Subsidiaries.

            "Non-Extended Acquisition Loan Commitment": as to any Lender, its
      commitment to make Acquisition Loans to the Company pursuant to subsection
      7.1, in an aggregate amount not to exceed at any time the amount set forth
      opposite such Lender's name in Schedule I under the heading "Non-Extended
      Acquisition Loan Commitment" and in an aggregate amount not to exceed at
      any time the amount equal to such Lender's Acquisition Loan Commitment
      Percentage of the aggregate Non-Extended
<PAGE>

      Acquisition Loan Commitments, as the aggregate Non-Extended Acquisition
      Loan Commitments may be reduced or adjusted from time to time pursuant to
      this Agreement; collectively, as to all the Lenders, the "Non-Extended
      Acquisition Loan Commitments".

            "Non-Significant Subsidiary": at any time, any Subsidiary of the
      Company (i) which at such time has total assets book value (including the
      total assets book value of any Subsidiaries), or for which the Company or
      any of its Subsidiaries shall have paid (including the assumption of
      Indebtedness) in connection with the acquisition of capital stock (or
      other equity interests) or the total assets of such Subsidiary, less than
      $1,000,000 or (ii) which does not and will not itself or through
      Subsidiaries own a Hospital or an interest in a Hospital or manage or
      operate a Hospital and which is listed on Schedule 1.1(C) hereto (or on
      any updates to such Schedule subsequently furnished by the Company to the
      Administrative Agent) as a "Non-Significant Subsidiary" of the Company,
      provided that the total assets of all Non-Significant Subsidiaries at any
      time does not exceed 5% of the total assets of the Company and its
      Subsidiaries on a consolidated basis.

            "Non-U.S. Lender": as defined in subsection 8.18(e) hereof.

            "Notes": the collective reference to the Revolving Credit Notes, the
      Swing Line Note, the Acquisition Loan Notes and the Term Notes; one of the
      Notes, a "Note".

            "Obligations": the unpaid principal of and interest on the Loans and
      all other obligations and liabilities of the Company to the Administrative
      Agent, the Co-Agents or any Lenders (and in the case of any interest rate,
      currency or similar swap and hedging arrangements entered into with any
      Affiliate of a Lender, such Affiliates) (including, without limitation,
      interest accruing after the maturity of the Loans and interest accruing
      after the filing of any petition in bankruptcy, or the commencement of any
      insolvency, reorganization or like proceeding, related to the Company,
      whether or not a claim for post-filing or post-petition interest is
      allowed in such proceeding), whether direct or indirect, absolute or
      contingent, due or to become due, now existing or hereafter incurred,
      which may arise under, out of, or in connection with, this Agreement, the
      Loans, the other Credit Documents, any Letter of Credit or L/C
      Application, any agreements between the Company and any Lender relating to
      interest rate, currency or similar swap and hedging arrangements permitted
      pursuant to subsection 13.11 or any other document made, delivered or
      given in connection therewith, whether on account of principal, interest,
      reimbursement obligations, fees, indemnities, costs, expenses (including,
      without limitation, all fees and disbursements of counsel to the
      Administrative Agent, or any Co-Agent or any Lender or any such Affiliate)
      or otherwise.

            "Original Closing Date": July 22, 1996

            "Participants": as defined in subsection 16.6(b).
<PAGE>

            "Participating Lender": any Lender (other than the Issuing Lender
      with respect to such Letter of Credit) with respect to its L/C
      Participating Interest in each Letter of Credit.

            "PBGC": the Pension Benefit Guaranty Corporation established
      pursuant to Subtitle A of Title IV of ERISA (or any successor).

            "Permitted Acquisitions": non-hostile acquisitions (by merger,
      purchase, lease (including any lease that contains up front payments
      and/or buyout options) or otherwise) by the Company or any of its
      Subsidiaries of any of the assets of, or shares of the capital stock of or
      other equity interests in, a Person or division or line of business of a
      Person engaged in the same business as the Company and its Subsidiaries or
      in a related business, provided that immediately after giving effect
      thereto: (1) at least 80% of the outstanding capital stock or other equity
      interests of any acquired or newly formed corporation or other entity that
      acquires or leases such Person, division or line of business is owned
      directly by the Company or a Domestic Subsidiary; (2) any such capital
      stock or other equity interests owned directly by the Company or a
      Domestic Subsidiary are duly and validly pledged to the Administrative
      Agent for the ratable benefit of the Lenders (other than any capital stock
      of, or other equity interests in, any Non-Significant Subsidiary or
      Foreign Subsidiary of the Company or any other Subsidiary of the Company
      that is not required to be so pledged pursuant to the definition of
      "Company Pledge Agreement" or "Subsidiary Pledge Agreement" or pursuant to
      subsection 12.8(c)); (3) the Company causes any such corporation or other
      entity to comply with subsection 12.8 hereof, if subsection 12.8 is
      applicable; (4) any such corporation or other entity is not liable for and
      the Company and its Subsidiaries do not assume any Indebtedness (except
      for Indebtedness permitted pursuant to subsection 13.2); and (5) no
      Default or Event of Default shall have occurred and be continuing and the
      Company shall have delivered to the Administrative Agent an officers'
      certificate to such effect, together with all relevant financial
      information for such corporation or other entity or acquired assets.

            "Permitted Joint Ventures": acquisitions (by merger, purchase, lease
      (including any lease that contains upfront payments or buy out options) or
      otherwise) by the Company or any of its Subsidiaries not constituting
      Permitted Acquisitions of interests in any of the assets of, or shares of
      the capital stock of or other equity interests in, a Person or division or
      line of business of a Person engaged in the same business as the Company
      and its Subsidiaries or in a related business, provided that immediately
      after giving effect thereto: (1) any outstanding capital stock or other
      equity interests of any acquired or newly formed corporation or other
      entity owned directly by the Company or a Domestic Subsidiary is duly and
      validly pledged to the Administrative Agent for the ratable benefit of the
      Lenders (other than any capital stock of, or other equity interests in,
      any Non-Significant Subsidiary or Foreign Subsidiary of the Company or any
      other Subsidiary of the Company that is not required to be so pledged
      pursuant to the definition of "Company Pledge Agreement" or "Subsidiary
      Pledge Agreement" or pursuant to subsection 12.8(c)); and
<PAGE>

      (2) no Default or Event of Default shall have occurred and be continuing,
      and the Company shall have delivered to the Administrative Agent an
      officers' certificate to such effect, together with all relevant financial
      information for such corporation or other entity or acquired assets.

            "Permitted Minority-Interest Subsidiary":

                  (a) a Subsidiary of the Company (i) that itself or through
            wholly-owned Subsidiaries thereof owns or will own a Hospital or an
            interest in a Hospital, (ii) in which the Company and/or one or more
            Subsidiary Guarantors collectively own not less than eighty and
            one-tenth percent (80.1%) of the outstanding shares of each class of
            the capital stock thereof, which shares so owned, to the extent
            required under the definition of "Company Pledge Agreement" or
            "Subsidiary Pledge Agreement" or under subsection 12.8(c),
            constitute Pledged Stock, (iii) that has executed and delivered a
            "capitalization note" constituting a Pledged Note in a principal
            amount not less than eighty percent (80%) of the fair market value
            of the assets of such Subsidiary as of the date such Subsidiary
            becomes a Permitted Minority Interest Subsidiary, and (iv) any
            Indebtedness of such Permitted Minority Interest Subsidiary to the
            Company or any Subsidiary Guarantor is evidenced by a promissory
            note in form and substance satisfactory to the Administrative Agent
            which is a Pledged Note (a "First-Tier Permitted Minority-Interest
            Hospital Subsidiary"),

                  (b) any wholly-owned Subsidiary of a First-Tier Permitted
            Minority-Interest Hospital Subsidiary, provided that (i) any
            Indebtedness of such wholly-owned Subsidiary to such First-Tier
            Permitted Minority-Interest Hospital Subsidiary (or to any other
            Subsidiary of such First-Tier Permitted Minority Interest Hospital
            Subsidiary) is evidenced by a promissory note in form and substance
            satisfactory to the Administrative Agent, and (ii) the Indebtedness
            evidenced by the Pledged Note of such First-Tier Permitted
            Minority-Interest Hospital Subsidiary is secured by a first priority
            perfected security interest in the promissory note described in the
            preceding clause (i) and the Indebtedness evidenced thereby, which
            security interest has been assigned to the Administrative Agent for
            the ratable benefit of the Lenders pursuant to documentation in form
            and substance satisfactory to the Administrative Agent, and

                  (c) a Subsidiary of the Company (i) that does not and will not
            itself or through the Subsidiaries own a Hospital or an interest in
            a Hospital or manage or operate a Hospital, (ii) in which the
            Company and/or one or more Subsidiary Guarantors collectively own
            not less than fifty-one percent (51%) of the outstanding shares of
            each class of the capital stock thereof, and (iii) in which an
            Investment is permitted under Section 13.7(c) or Section 13.7(m).

            "Permitted Minority-Interest Transfer": a sale, issuance or other
      transfer of securities of a Subsidiary of the Company, if after such
<PAGE>

      sale or other transfer, such Subsidiary shall meet the applicable
      requirements of the definition of "Permitted Minority-Interest
      Subsidiary".

            "Permitted Uses of Proceeds": as defined in subsection 2.3.

            "Person": an individual, partnership, corporation, business trust,
      joint stock company, trust, limited liability company, unincorporated
      association, joint venture, Governmental Authority or other entity of
      whatever nature.

            "Plan": any pension plan which is covered by Title IV of ERISA and
      in respect of which the Company or a Commonly Controlled Entity is an
      "employer" as defined in Section 3(5) of ERISA.

            "Pledge Agreements": the collective reference to the Company Pledge
      Agreement, the Subsidiary Pledge Agreement and the HoldCo Pledge
      Agreement.

            "Pledged Note": as defined in the Pledge Agreements.

            "Pledged Stock": as defined in the Pledge Agreements.

            "Practice Guarantees": the physician or mental health professional
      practice guarantees pursuant to which the Company or any of its
      Subsidiaries guarantees to pay a physician or mental health professional
      on the medical staff of a hospital owned, leased or operated by the
      Company or one of its Subsidiaries the difference between the physician's
      or mental health professional's monthly net revenue from professional fees
      and a minimum monthly guaranteed amount.

            "Previous Credit Agreement": that certain Amended and Restated
      Credit Agreement of CHS dated as of August 24, 1994.

            "Principal Debt Payments": for any period, the sum of all scheduled
      payments of principal amounts of Indebtedness of the Company and its
      Subsidiaries, on a consolidated basis, during such period (provided that
      reductions in the Acquisition Loan Commitments are not payments of
      principal amounts of Indebtedness for purposes of this definition, unless
      and to the extent that the Company must pay Acquisition Loans at such time
      in accordance with subsection 7.2).

            "Properties": each parcel of real property currently or previously
      owned or operated by the Company or any Subsidiary of the Company.

            "Qualified Non-U.S. Lender Note": as defined in subsection 16.6(d).

            "Qualified Non-U.S. Lender Noteholder": as defined in subsection
      16.6(e).

            "Register": as defined in subsection 16.6(f).
<PAGE>

            "Refunded Swing Line Loans": as defined in subsection 6.7(b).

            "Regulation G": Regulation G of the Board, as from time to time in
      effect.

            "Regulation U": Regulation U of the Board, as from time to time in
      effect.

            "Related Document": any agreement, certificate, document or
      instrument relating to a Letter of Credit.

            "Release Lenders": at a particular time Lenders that hold at least
      (a) 75% of (i) the aggregate then outstanding principal amount of the
      Tranche A Term Loans, (ii) the Revolving Credit Commitments or if the
      Revolving Credit Commitments have been cancelled (w) the aggregate then
      outstanding principal amount of the Revolving Credit Loans, (x) the L/C
      Participating Interests in the aggregate amount then available to be drawn
      under all outstanding Letters of Credit, (y) the aggregate then
      outstanding principal amount of Revolving L/C Obligations and (z) the
      aggregate amount represented by the agreements of the Lenders in
      subsections 6.7(b) and (d) with respect to the Swing Line Loans then
      outstanding or the Swing Line Loan Participation Certificates then
      outstanding and (iii) the Acquisition Loan Commitments or if the
      Acquisition Loan Commitments have been cancelled the aggregate then
      outstanding principal amount of the Acquisition Loans and (b) 75% of the
      aggregate then outstanding principal amount of the Term Loans (other than
      the Tranche A Term Loans).

            "Reorganization": with respect to a Multiemployer Plan, the
      condition that such Plan is in reorganization as such term is used in
      Section 4241 of ERISA.

            "Reportable Event": any of the events set forth in Section 4043(b)
      of ERISA or the regulations thereunder.

            "Required Lenders": at a particular time Lenders that hold at least
      51% of (a) the aggregate then outstanding principal amount of the Term
      Loans or, prior to the Closing Date, the Term Loan Commitments, (b) the
      Revolving Credit Commitments or if the Revolving Credit Commitments have
      been cancelled (i) the aggregate then outstanding principal amount of the
      Revolving Credit Loans, (ii) the L/C Participating Interests in the
      aggregate amount then available to be drawn under all outstanding Letters
      of Credit, (iii) the aggregate then outstanding principal amount of
      Revolving L/C Obligations and (iv) the aggregate amount represented by the
      agreements of the Lenders in subsections 6.7(b) and (d) with respect to
      the Swing Line Loans then outstanding or the Swing Line Loan Participation
      Certificates then outstanding and (c) the Acquisition Loan Commitments or
      if the Acquisition Loan Commitments have been cancelled the aggregate then
      outstanding principal amount of the Acquisition Loans.

            "Required Application Lenders": at a particular time Lenders that
      hold:
<PAGE>

                  (a) at least 51% of (x) the aggregate then outstanding
            principal amount of Tranche A Term Loans, (y) the Revolving Credit
            Commitments or if the Revolving Credit Commitments have been
            cancelled (i) the aggregate then outstanding principal amount of the
            Revolving Credit Loans, (ii) the L/C Participating Interests in the
            aggregate amount then available to be drawn under all outstanding
            Letters of Credit, (iii) the aggregate then outstanding principal
            amount of Revolving L/C Obligations and (iv) the aggregate amount
            represented by the agreements of the Lenders in subsections 6.7(b)
            and (d) with respect to the Swing Line Loans then outstanding or the
            Swing Line Loan Participation Certificates then outstanding and (z)
            the Acquisition Loan Commitments or if the Acquisition Loan
            Commitments have been cancelled the aggregate then outstanding
            principal amount of the Acquisition Loans, and

                  (b) at least 51% of the aggregate then outstanding principal
            amount of the Tranche B Term Loans, Tranche C Term Loans and Tranche
            D Term Loans.

            "Requirement of Law": as to any Person, the Certificate of
      Incorporation and By-Laws or other organizational or governing documents
      of such Person, and any law, treaty, rule or regulation (including,
      without limitation, Environmental Laws) or determination of an arbitrator
      or a court or other Governmental Authority, in each case applicable to or
      binding upon such Person or any of its property or to which such Person or
      any of its property is subject.

            "Responsible Officer": the chief executive officer or the chief
      operating officer of the Company or, with respect to financial matters,
      the chief financial officer or controller of the Company.

            "Restricted Payments": as defined in subsection 13.9.

            "Revolving Credit Commitment": as to any Lender, its obligations to
      make Revolving Credit Loans to the Company pursuant to subsection 6.1, and
      to purchase its L/C Participating Interest in any Letter of Credit in an
      aggregate amount not to exceed at any time the amount set forth opposite
      such Lender's name in Schedule I under the heading "Revolving Credit
      Commitment" and in an aggregate amount not to exceed at any time the
      amount equal to such Lender's Revolving Credit Commitment Percentage of
      the aggregate Revolving Credit Commitments, as the aggregate Revolving
      Credit Commitments may be reduced or adjusted from time to time pursuant
      to this Agreement; collectively, as to all the Lenders, the "Revolving
      Credit Commitments".

            "Revolving Credit Commitment Percentage": as to any Lender at any
      time, the percentage which such Lender's Revolving Credit Commitment
      constitutes of all of the Revolving Credit Commitments (or, if the
      Revolving Credit Commitments shall have been terminated, the percentage of
      the outstanding Aggregate Revolving Credit Extensions of Credit and Swing
      Line Loans constituted by such Lender's Aggregate Revolving Credit
      Extensions of Credit and participating interest in
<PAGE>

      Swing Line Loans).

            "Revolving Credit Commitment Period": the period from and including
      the Original Closing Date to but not including the Revolving Credit
      Termination Date.

            "Revolving Credit Loan" and "Revolving Credit Loans": as defined in
      subsection 6.1(a).

            "Revolving Credit Note": as defined in subsection 8.2(e).

            "Revolving Credit Termination Date": the earlier of (i) December 31,
      2002 and (ii) any other date on which the Revolving Credit Commitments
      shall terminate hereunder.

            "Revolving L/C Obligations": the obligations of the Company to
      reimburse the Issuing Lender for any payments made by an Issuing Lender
      under any Letter of Credit that have not been reimbursed by the Company
      pursuant to subsection 6.6.

            "Seasonal Adjustment Factor": (a) with respect to a fiscal quarter,
      during any Measurement Period, ending on March 31, 1.08, (b) with respect
      to a fiscal quarter, during any Measurement Period, ending on June 30,
      .97, (c) with respect to a fiscal quarter, during any Measurement Period,
      ending on September 30, .93, and (d) with respect to a fiscal quarter,
      during any Measurement Period, ending on December 31, 1.02.

            "Senior Interest Expense": for any period, the amount of
      Consolidated Interest Expense for such period less, to the extent included
      therein, the amount of any interest expense on the Subordinated Loan.

            "Series A and Series B Bond Documents": shall mean the Remarketing
      Agreement (as defined in the Series A and Series B Indenture), the Series
      A and Series B Indenture, the Series A Bonds, the Series B Bonds and the
      corresponding Bond Pledge Agreement(s).

            "Series A and Series B Indenture": (i) the trust indenture dated as
      of October 1, 1991, between the Company and the Trustee, executed with
      respect to the Series A Bonds and the Series B Bonds, as the same may be
      modified, amended restated or supplemented from time to time, including in
      connection with a conversion of the interest rate on any portion of the
      Series A Bonds or the Series B Bonds to a fixed rate and (ii) any
      indenture, note purchase agreement or other similar debt instrument
      pursuant to which the Company issues bonds, notes or other evidences of
      indebtedness secured by the Series A Letter of Credit or the Series B
      Letter of Credit.

            "Series A and Series B Trustee": with respect to the Series A and
      Series B Indenture pursuant to which the Series A Bonds and the Series B
      Bonds have been issued, Texas Commerce Bank National Association and any
      successor trustee pursuant to the terms thereof.
<PAGE>

            "Series A Bonds": up to $40,000,000 aggregate principal amount of
      Company's bonds, notes or other evidences of indebtedness supported by the
      Series A Bonds Letters of Credit, initially, the Company's Floating Rate
      Weekly Demand Taxable, Series 1991A.

            "Series A Bonds Letter of Credit": that certain irrevocable letter
      of credit, dated October 29, 1991, issued by the First Union for the
      account of the Company to the Series A and Series B Trustee, in the
      aggregate principal amount of $40,000,000 plus an amount equal to the
      interest computed on such amount for forty-two (42) days at fifteen
      percent (15%) per annum.

            "Series B Bonds": up to $20,000,000 aggregate principal amount of
      Company's bonds, notes or other evidences of indebtedness supported by the
      Series B Bonds Letter of Credit, initially, the Company's Floating Rate
      Weekly Demand Taxable Bond Series 1991B.

            "Series B Bond Letter of Credit": that certain irrevocable letter of
      credit, dated October 29, 1991, issued by the First Union for the account
      of the Company to the Series A and Series B Trustee, in the aggregate
      principal amount of $20,000,000 plus an amount equal to the interest
      computed on such amount for forty-two (42) days at fifteen percent (15%)
      per annum.

            "Single Employer Plan": any Plan which is covered by Title IV of
      ERISA, but which is not a Multiemployer Plan.

            "Standby L/C": an irrevocable standby or direct pay Letter of Credit
      under which the Issuing Lender agrees to make payments in Dollars for the
      account of the Company on behalf of the Company or any Subsidiary thereof,
      in respect of obligations of the Company or a Subsidiary thereof incurred
      pursuant to contracts made or performance undertaken, or to be undertaken,
      or like matters relating to contracts to which the Company or a Subsidiary
      thereof is or proposes to become a party in the ordinary course of the
      Company's or such Subsidiary's business, including, without limitation,
      for insurance purposes or in respect of advance payments or as bid or
      performance bonds.

            "Subordinated HoldCo Debentures": the collective reference to
      HoldCo's (i) 7-1/2% Series A Debentures due June 30, 2007, in the
      aggregate principal amount of $166,666,666, (ii) 7-1/2% Series B
      Debentures due June 30, 2008, in the aggregate principal amount of
      $166,666,667, and (iii) 7-1/2% Series C Debentures due June 30, 2009, in
      the aggregate principal amount of $166,666,667, each substantially in the
      form of Exhibit J-1 to the Tender Facility, as each may be amended,
      endorsed, substituted, replaced, refinanced, supplemented or otherwise
      modified from time to time in accordance with subsection 13.12.

            "Subordinated Loan": the subordinated loan made by HoldCo to the
      Company and evidenced by the Subordinated Note in the principal amount of
      $500,000,000.

            "Subordinated Note": the 7-1/2% Note due June 30, 2009, in the
<PAGE>

      principal amount of $500,000,000, made by the Company in favor of HoldCo,
      to evidence the Subordinated Loan, substantially in the form of Exhibit
      J-2 to the Tender Facility, as the same may be amended, endorsed,
      substituted, replaced, refinanced, supplemented or otherwise modified from
      time to time in accordance with subsection 13.12.

            "Subsidiary": as to any Person, a corporation, partnership or other
      entity of which shares of capital stock or other equity interests having
      ordinary voting power (other than capital stock or other equity interests
      having such power only by reason of the happening of a contingency) to
      elect a majority of the board of directors or other managers of such
      corporation, partnership or other entity are at the time owned, directly
      or indirectly, or the management of which is otherwise controlled,
      directly or indirectly, or both, by such Person.

            "Subsidiary Guarantee": the Subsidiary Guarantee to be executed by
      each Subsidiary Guarantor in favor of the Administrative Agent, for the
      ratable benefit of the Lenders, substantially in the form of Exhibit B-4
      hereto, as the same may be amended, supplemented or otherwise modified
      from time to time.

            "Subsidiary Guarantor": any Subsidiary which enters into a
      Subsidiary Guarantee (it being understood and agreed that, subject to
      subsection 12.8(b), (i) no Foreign Subsidiary of the Company or HoldCo,
      (ii) no other Subsidiary of the Company if more than 65% of the assets of
      such Subsidiary are securities of foreign Persons (such determination to
      be made on the basis of fair market value), (iii) no Non-Significant
      Subsidiary and (iv) no Permitted Minority Interest Subsidiary shall, in
      any case, enter into a Subsidiary Guarantee pursuant to subsection
      12.8(a)).

            "Subsidiary Pledge Agreement": the Pledge Agreement dated as of the
      date hereof made by any Material Subsidiary in favor of the Administrative
      Agent, for the ratable benefit of the Lenders, substantially in the form
      of Exhibit B-5, as the same may be amended, supplemented or otherwise
      modified from time to time (it being understood and agreed that,
      notwithstanding anything that may be to the contrary herein, the
      Subsidiary Pledge Agreement shall not require any Material Subsidiary to
      pledge (x) any of the outstanding capital stock of, or other equity
      interests in any (i) Non-Significant Subsidiary of the Company or (ii) any
      Foreign Subsidiary of the Company which is owned by a Foreign Subsidiary
      of the Company or, (y) more than 65% of the outstanding capital stock of,
      or other equity interest in, (i) any other Foreign Subsidiary of the
      Company, or (ii) any other Subsidiary of the Company if more than 65% of
      the assets of such Subsidiary are securities of foreign Persons (such
      determination to be made on the basis of fair market value)).

            "Swing Line Commitment": Chase's obligation to make Swing Line Loans
      pursuant to subsection 6.7.

            "Swing Line Loan" and "Swing Line Loans": as defined in subsection
      6.7(a).
<PAGE>

            "Swing Line Loan Participation Certificate": a certificate in
      substantially the form of Exhibit F hereto.

            "Swing Line Note": as defined in subsection 8.2(e).

            "Tender Draft": with respect to any Existing Letter of Credit, a
      Tender Draft as defined in such Existing Letter of Credit.

            "Tender Facility": the $175,000,000 Credit Agreement among
      Acquisition Co., HoldCo, the Lenders parties thereto and Chase, as
      administrative agent thereunder, as amended, supplemented or otherwise
      modified prior to the Original Closing Date.

            "Tender Offer": the offer by Acquisition Co. to purchase all
      outstanding shares of CHS Stock of the Company.

            "Term Loan Commitments": as to any Lender, the collective reference
      to its Tranche A Term Loan Commitment, its Tranche B Term Loan Commitment,
      its Tranche C Term Loan Commitment, its Tranche D Term Loan Commitment and
      its Additional Tranche D Term Loan Commitment.

            "Term Loans": collectively, the Tranche A Term Loans, the Tranche B
      Term Loans, the Tranche C Term Loans and the Tranche D Term Loans; each, a
      "Term Loan".

            "Term Notes": collectively, the Tranche A Term Notes, the Tranche B
      Term Notes, the Tranche C Term Notes and the Tranche D Term Notes; each a
      "Term Note".

            "Total Senior Indebtedness": as of any date of determination,
      Consolidated Total Indebtedness less the principal amount of the
      Subordinated Loan, and excluding for purposes of Section 13.1(a) and the
      definition of "Applicable Level" any Indebtedness incurred or assumed in
      connection with an acquisition of any business until the end of the first
      full fiscal quarter after the date of acquisition.

            "Tranche A Term Loan" and "Tranche A Term Loans": as defined in
      subsection 2.1.

            "Tranche A Term Loan Commitment": as to any Lender, its obligations
      to make Tranche A Term Loans to the Company on the Original Closing Date
      pursuant to subsection 2.1, in an aggregate amount not to exceed the
      amount set forth opposite such Lender's name in Schedule I under the
      heading "Tranche A Term Loan" and in an aggregate amount not to exceed the
      amount equal to such Lender's Tranche A Term Loan Commitment Percentage of
      the aggregate Tranche A Term Loan Commitments; collectively, as to all the
      Lenders, the "Tranche A Term Loan Commitments".

            "Tranche A Term Loan Commitment Percentage": as to any Lender, the
      percentage which such Lender's Tranche A Term Loan constitutes of the
      aggregate then outstanding principal amount of Tranche A Term
<PAGE>

      Loans.

            "Tranche A Term Note" and "Tranche A Term Notes": as defined in
      subsection 8.2(e).

            "Tranche B Term Loan" and "Tranche B Term Loans": as defined in
      subsection 3.1.

            "Tranche B Term Loan Commitment": as to any Lender, its obligation
      to make a Tranche B Term Loan to the Company on the Original Closing Date
      pursuant to subsection 3.1, in an aggregate amount not to exceed the
      amount set forth opposite such Lender's name in Schedule I under the
      heading "Tranche B Term Loan" and in an aggregate amount not to exceed the
      amount equal to such Lender's Tranche B Term Loan Commitment Percentage of
      the aggregate Tranche B Term Loan Commitments; collectively, as to all the
      Lenders, the "Tranche B Term Loan Commitments".

            "Tranche B Term Loan Commitment Percentage": as to any Lender, the
      percentage which such Lender's Tranche B Term Loan constitutes of the
      aggregate then outstanding principal amount of Tranche B Term Loans.

            "Tranche B Term Note" and "Tranche B Term Notes": as defined in
      subsection 8.2(e).

            "Tranche C Term Loan" and "Tranche C Term Loans": as defined in
      subsection 4.1.

            "Tranche C Term Loan Commitment": as to any Lender, its obligation
      to make a Tranche C Term Loan to the Company on the Original Closing Date
      pursuant to subsection 4.1, in an aggregate amount not to exceed the
      amount set forth opposite such Lender's name in Schedule I under the
      heading "Tranche C Term Loan" and in an aggregate amount not to exceed the
      amount equal to such Lender's Tranche C Term Loan Commitment Percentage of
      the aggregate Tranche C Term Loan Commitments; collectively, as to all the
      Lenders, the "Tranche C Term Loan Commitments".

            "Tranche C Term Loan Commitment Percentage": as to any Lender, the
      percentage which such Lender's Tranche C Term Loan constitutes of the
      aggregate then outstanding principal amount of Tranche C Term Loans.

            "Tranche C Term Note" and "Tranche C Term Notes": as defined in
      subsection 8.2(e).

            "Tranche D Term Loan" and "Tranche D Term Loans": as defined in
      subsection 5.1(a).

            "Tranche D Term Loan Commitment": as to any Lender, its obligation
      to make a Tranche D Term Loan (excluding any Additional Tranche D Term
      Loan) to the Company on the Original Closing Date pursuant to subsection
      5.1, in an aggregate amount not to exceed the
<PAGE>

      amount set forth opposite such Lender's name in Schedule I under the
      heading "Tranche D Term Loan" and in an aggregate amount not to exceed the
      amount equal to such Lender's Tranche D Term Loan Commitment Percentage of
      the aggregate Tranche D Term Loan Commitments; collectively, as to all the
      Lenders, the "Tranche D Term Loan Commitments".

            "Tranche D Term Loan Commitment Percentage": as to any Lender, the
      percentage which such Lender's Tranche D Term Loans, excluding any
      Additional Tranche D Term Loan, constitutes of the aggregate then
      outstanding principal amount of Tranche D Term Loans, excluding Additional
      Tranche D Term Loans.

            "Tranche D Term Note" and "Tranche D Term Notes": as defined in
      subsection 8.2(e).

            "Type": as to any Loan, its nature as an ABR Loan or a Eurodollar
      Loan.

            "Uniform Customs": the Uniform Customs and Practice for Documentary
      Credits (1993 Revision), International Chamber of Commerce Publication No.
      500 (or any successor publication), as the same may be amended from time
      to time.

            "U.S. Taxes": any tax, assessment, or other charge or levy and any
      liabilities with respect thereto, including any penalties, additions to
      tax, fines or interest thereon, imposed by or on behalf of the United
      States or any taxing authority thereof.

            "Working Day": any day on which dealings in foreign currencies and
      exchange between banks may be carried on in London, England and in New
      York, New York.

            "Y2K Costs": as defined in subsection 10.16.

            1.2 Other Definitional Provisions. (a) Unless otherwise specified
      therein, all terms defined in this Agreement shall have the defined
      meanings when used in the Notes, any other Credit Document or any
      certificate or other document made or delivered pursuant hereto.

            (b) As used herein and in the Notes, any other Credit Document and
      any certificate or other document made or delivered pursuant hereto,
      accounting terms relating to HoldCo, the Company and its Subsidiaries not
      defined in subsection 1.1 and accounting terms partly defined in
      subsection 1.1 to the extent not defined, shall have the respective
      meanings given to them under GAAP.

            (c) The words "hereof", "herein" and "hereunder" and words of
      similar import when used in this Agreement shall refer to this Agreement
      as a whole and not to any particular provision of this Agreement, and
      section, subsection, schedule and exhibit references are to this Agreement
      unless otherwise specified.
<PAGE>

            (d) The meanings given to terms defined herein shall be equally
      applicable to the singular and plural forms of such terms.

      SECTION 2. AMOUNT AND TERMS OF TRANCHE A TERM LOAN COMMITMENTS.

      2.1 Tranche A Term Loans. The Company acknowledges and confirms that each
Lender has made a term loan (a "Tranche A Term Loan") to the Company on the
Original Closing Date in an amount equal to the Tranche A Term Loan Commitment
of such Lender. The Tranche A Term Loans may from time to time be (a) Eurodollar
Loans or (b) ABR Loans or (c) a combination thereof, as determined by the
Company and notified to the Administrative Agent in accordance with subsections
8.1, 8.2 and 8.3.

      2.2 Repayment of Tranche A Term Loans. The Company shall continue to repay
the aggregate principal amount of the Tranche A Term Loans outstanding on the
Closing Date in the aggregate principal amount set forth opposite each of the
dates specified below:

                Date                                  Amount
                -----                                 ------

             March 31, 1999                         $2,000,000
             June 30, 1999                           2,000,000
             September 30, 1999                      2,250,000
             December 31, 1999                       2,250,000
             March 31, 2000                          2,250,000
             June 30, 2000                           2,250,000
             September 30, 2000                      2,500,000
             December 31, 2000                       2,500,000
             March 31, 2001                          2,500,000
             June 30, 2001                           2,500,000
             September 30, 2001                      2,500,000
             December 31, 2001                       2,500,000
             March 31, 2002                          2,500,000
             June 30, 2002                           2,500,000
             September 30, 2002                      2,500,000
             December 31, 2002                       2,500,000

      2.3 Proceeds of Tranche A Term Loans. The Company acknowledges and
confirms that it has used the proceeds of the Tranche A Term Loans made on the
Original Closing Date (i) to refinance the borrowings of Acquisition Co. under
the Tender Facility and the CHS Facility, (ii) to finance the payment of the
consideration payable in or as a result of the Merger to holders of CHS Stock
(other than Acquisition Co.) or options thereon, (iii) to finance the repurchase
or refinancing by the Company of all or such portion of the Indebtedness (other
than under the CHS Facility) of the Company outstanding after the Merger, as the
Company shall determine, (iv) to finance the payment of up to $80,000,000 of the
fees and expenses of the Merger and the Tender Offer and the transactions
contemplated thereby, including the tender offer for the Debentures, (v) to
finance Permitted Acquisitions and Permitted Joint Ventures and (vi) to finance
other general corporate purposes of the Company or any of its Subsidiaries
(including severance and interest expense and Supplemental Subordinated Debt
Interest)
<PAGE>

and pay related fees and expenses (the uses referred to in clauses (i) through
(vi) referred to as the "Permitted Uses of Proceeds").

      SECTION 3. AMOUNT AND TERMS OF TRANCHE B TERM LOAN COMMITMENTS.

      3.1 Tranche B Term Loans. The Company acknowledges and confirms that each
Lender has made a term loan (a "Tranche B Term Loan") to the Company on the
Original Closing Date in an amount equal to the Tranche B Term Loan Commitment
of such Lender. The Tranche B Term Loans may from time to time be (a) Eurodollar
Loans or (b) ABR Loans or (c) a combination thereof, as determined by the
Company and notified to the Administrative Agent in accordance with subsections
8.1, 8.2 and 8.3.

      3.2 Repayment of Tranche B Term Loans. The Company shall continue to repay
the aggregate principal amount of the Tranche B Term Loans outstanding on the
Closing Date in the aggregate principal amount set forth opposite each of the
dates specified below:

                Date                                  Amount
                ----                                  ------

             March 31, 1999                         $ 500,000
             June 30, 1999                            500,000
             September 30, 1999                       500,000
             December 31, 1999                        500,000
             March 31, 2000                           500,000
             June 30, 2000                            500,000
             September 30, 2000                       500,000
             December 31, 2000                        500,000
             March 31, 2001                           500,000
             June 30, 2001                            500,000
             September 30, 2001                       500,000
             December 31, 2001                        500,000
             March 31, 2002                           500,000
             June 30, 2002                            500,000
             September 30, 2002                    14,375,000
             December 31, 2002                     14,375,000
             March 31, 2003                        14,375,000
             June 30, 2003                         14,375,000
             September 30, 2003                    16,250,000
             December 31, 2003                     48,750,000

      3.3 Proceeds of Tranche B Term Loans. The Company acknowledges and
confirms that it has used the proceeds of the Tranche B Term Loans, together
with the proceeds of the other Term Loans and the Revolving Credit Loans, made
on the Original Closing Date for the Permitted Uses of Proceeds.

      SECTION 4. AMOUNT AND TERMS OF TRANCHE C TERM LOAN COMMITMENTS.

      4.1 Tranche C Term Loans. The Company acknowledges and confirms
<PAGE>

that each Lender has made a term loan (a "Tranche C Term Loan") to the Company
on the Original Closing Date in an amount equal to the Tranche C Term Loan
Commitment of such Lender. The Tranche C Term Loans may from time to time be (a)
Eurodollar Loans or (b) ABR Loans or (c) a combination thereof, as determined by
the Company and notified to the Administrative Agent in accordance with
subsections 8.1, 8.2 and 8.3.

      4.2 Repayment of Tranche C Term Loans. The Company shall continue to repay
the aggregate principal amount of the Tranche C Term Loans outstanding on the
Closing Date in the aggregate principal amount set forth opposite each of the
dates specified below:

                Date                                  Amount
                ----                                  ------

             March 31, 1999                         $ 500,000
             June 30, 1999                            500,000
             September 30, 1999                       500,000
             December 31, 1999                        500,000
             March 31, 2000                           500,000
             June 30, 2000                            500,000
             September 30, 2000                       500,000
             December 31, 2000                        500,000
             March 31, 2001                           500,000
             June 30, 2001                            500,000
             September 30, 2001                       500,000
             December 31, 2001                        500,000
             March 31, 2002                           500,000
             June 30, 2002                            500,000
             September 30, 2002                       500,000
             December 31, 2002                        500,000
             March 31, 2003                           500,000
             June 30, 2003                            500,000
             September 30, 2003                    13,875,000
             December 31, 2003                     13,875,000
             March 31, 2004                        13,875,000
             June 30, 2004                         13,875,000
             September 30, 2004                    16,250,000
             December 31, 2004                     48,750,000

      4.3 Proceeds of Tranche C Term Loans. The Company acknowledges and
confirms that it has used the proceeds of the Tranche C Term Loans first to
refinance the Debenture Refinancing Loans in full and second the balance of such
proceeds, together with the proceeds of the other Term Loans and the Revolving
Credit Loans, made on the Original Closing Date for the Permitted Uses of
Proceeds.

      SECTION 5. AMOUNT AND TERMS OF TRANCHE D TERM LOAN COMMITMENTS AND
                 ADDITIONAL TRANCHE D TERM LOAN COMMITMENTS.

      5.1(a) Tranche D Term Loans. The Company acknowledges and
<PAGE>

confirms that each Lender has made a term loan (such term loan or any Additional
Tranche D Term Loan, a "Tranche D Term Loan") to the Company on the Original
Closing Date in an amount equal to the Tranche D Term Loan Commitment of such
Lender. The Tranche D Term Loans may from time to time be (a) Eurodollar Loans
or (b) ABR Loans or (c) a combination thereof, as determined by the Company and
notified to the Administrative Agent in accordance with subsections 8.1, 8.2 and
8.3.

      (b) Additional Tranche D Term Loans. Subject to the terms and conditions
hereof, each Additional Tranche D Lender severally agrees to make an Additional
Tranche D Term Loan to the Company on the Closing Date in an amount equal to the
Additional Tranche D Term Loan Commitment of such Lender. The Additional Tranche
D Term Loans may from time to time be (a) Eurodollar Loans or (b) ABR Loans or
(c) a combination thereof, as determined by the Company and notified to the
Administrative Agent in accordance with subsections 8.1, 8.2 and 8.3; provided
on the Closing Date, the Additional Tranche D Term Loans shall be made as ABR
Loans. The Company and the Additional Tranche D Lenders agree that the Interest
Periods applicable to the Additional Tranche D Term Loan shall be determined by
the Administrative Agent in its reasonable discretion in consultation with the
Company without regard to the provisions of the definition of "Interest Period"
in subsection 1.1 or subsection 8.1(b) during the three months following the
Closing Date in order to conform the Interest Periods for the Additional Tranche
D Term Loans to the Interest Periods for the other Tranche D Term Loans.

      5.2 Repayment of Tranche D Term Loans. The Company shall continue to repay
the Tranche D Term Loans outstanding on the Closing Date (after giving effect to
the making of the Additional Tranche D Term Loans) ratably in the aggregate
principal amount set forth opposite each of the dates specified below:

                Date                                  Amount
                ----                                  ------

             March 31, 1999                          $1,788,700
             June 30, 1999                            1,788,700
             September 30, 1999                       1,788,700
             December 31, 1999                        1,788,700
             March 31, 2000                           1,788,700
             June 30, 2000                            1,788,700
             September 30, 2000                       1,788,700
             December 31, 2000                        1,788,700
             March 31, 2001                           1,788,700
             June 30, 2001                            1,788,700
             September 30, 2001                       1,788,700
             December 31, 2001                        1,788,700
             March 31, 2002                           1,788,700
             June 30, 2002                            1,788,700
             September 30, 2002                       1,788,700
<PAGE>

             December 31, 2002                        1,788,700
             March 31, 2003                           1,788,700
             June 30, 2003                            1,788,700
             September 30, 2003                       1,788,700
             December 31, 2003                        1,788,700
              31, 2004                                1,788,700
             June 30, 2004                            1,788,700
             September 30, 2004                      36,667,500
             December 31, 2004                       36,667,500
              31, 2005                               36,667,500
             June 30, 2005                           36,667,500
             September 30, 2005                      40,244,800
             December 31, 2005                      120,733,800

      5.3 Proceeds of Tranche D Term Loans. The Company acknowledges and
confirms that it has used the proceeds of the Tranche D Term Loans (other than
the Additional Tranche D Term Loans), together with the proceeds of the other
Term Loans and the Revolving Credit Loans, made on the Original Closing Date for
the Permitted Uses of Proceeds.

      5.4 Proceeds of Additional Tranche D Term Loans. The Company shall use the
proceeds of the Additional Tranche D Term Loans to make optional prepayments of
the Revolving Credit Loans and Acquisition Loans on the Closing Date as
permitted hereunder.

      SECTION 6. AMOUNT AND TERMS OF REVOLVING CREDIT COMMITMENTS.

      6.1 Revolving Credit Commitments. (a) Each of the Company and each Lender
acknowledges and confirms that, as of the Original Closing Date, each Lender
agreed to extend credit, and subject to the terms and conditions hereof, each
Lender agrees to continue to extend credit, in an aggregate amount not to exceed
such Lender's Revolving Credit Commitment, to the Company from time to time on
any Borrowing Date during the Revolving Credit Commitment Period by purchasing
an L/C Participating Interest in each Letter of Credit issued by the Issuing
Lender and by making loans to the Company ("Revolving Credit Loans") from time
to time. Notwithstanding the foregoing, in no event shall (i) any Revolving
Credit Loan or Swing Line Loan be made, or any Letter of Credit be issued, if,
after giving effect to such making or issuance and the use of proceeds thereof
as irrevocably directed by the Company, the sum of the Aggregate Revolving
Credit Extensions of Credit and the aggregate outstanding principal amount of
the Swing Line Loans would exceed the aggregate Revolving Credit Commitments or
if subsection 6.7 would be violated thereby or (ii) any Revolving Credit Loan or
Swing Line Loan be made, or any Letter of Credit be issued, if the amount of
such Loan to be made or any Letter of Credit to be issued would, after giving
effect to the use of proceeds, if any, thereof, exceed the Available Revolving
Credit Commitments. During the Revolving Credit Commitment Period, the Company
may use the Revolving Credit Commitments by borrowing, prepaying the Revolving
Credit Loans or Swing Line Loans in whole or in part, and reborrowing, all in
accordance with the terms and conditions hereof, and/or by having the Issuing
Lenders issue Letters of Credit, having such Letters of Credit expire undrawn
upon or if drawn upon, reimbursing the relevant Issuing Lender for such drawing,
and having the Issuing Lenders issue new Letters of Credit.

      (b) Each borrowing of Revolving Credit Loans pursuant to the
<PAGE>

Revolving Credit Commitments shall be in an aggregate principal amount of the
lesser of (i) $3,000,000, or a whole multiple of $1,000,000 in excess thereof,
and (ii) the Available Revolving Credit Commitments, except that any borrowing
of a Revolving Credit Loan to be used solely to pay a like amount of Swing Line
Loans may be in the aggregate principal amount of such Swing Line Loans.

      6.2 Proceeds of Revolving Credit Loans. The Company shall use the proceeds
of Revolving Credit Loans solely for (a) Permitted Uses of Proceeds, (b) making
payments to the Issuing Lender to reimburse the Issuing Lender for drawings made
under the Letters of Credit, (c) repaying Swing Line Loans and Revolving Credit
Loans after the Original Closing Date, (d) financing the general working capital
needs of the Company or any of its Subsidiaries, and (e) other general corporate
purposes of the Company or any of its Subsidiaries, including, without
limitation, to finance the purchase price of Permitted Acquisitions and
Permitted Joint Ventures and pay related fees and expenses, all in accordance
with the terms and conditions hereof.

      6.3 Issuance of Letters of Credit. (a) The Company may from time to time
request any Issuing Lender to issue a Letter of Credit, which may be either a
Standby L/C or a Commercial L/C, by delivering to the Administrative Agent at
its address specified in subsection 16.2 and the Issuing Lender an L/C
Application completed to the satisfaction of the Issuing Lender, together with
the proposed form of the Letter of Credit (which shall comply with the
applicable requirements of paragraph (b) below) and such other certificates,
documents and other papers and information as the Issuing Lender may reasonably
request; provided that if the Issuing Lender informs the Company that it is for
any reason unable to open such Letter of Credit, the Company may request another
Lender to open such Letter of Credit upon the same terms offered to the initial
Issuing Lender and if such other Lender agrees to issue such Letter of Credit
each reference to the Issuing Lender for purposes of the Credit Documents shall
be deemed to be a reference to such Lender.

      (b) Each Letter of Credit issued hereunder shall, among other things, (i)
be in such form requested by the Company as shall be acceptable to the Issuing
Lender in its sole discretion and (ii) have an expiry date, in the case of each
Standby L/C, other than Existing Letters of Credit, occurring not later than the
earlier of (w) 365 days after the date of issuance of such Standby L/C and (x)
the Revolving Credit Termination Date, and, in the case of each Commercial L/C,
occurring not later than the earlier of (y) 180 days after the date of issuance
of such Commercial L/C; provided, however, that at the request of the Company
and upon the consent, in its sole and absolute discretion, of the Issuing Lender
issuing such Commercial L/C, such date may be up to 360 days after the date of
issuance of such Commercial L/C and (z) the Revolving Credit Termination Date.
Each L/C Application and each Letter of Credit shall be subject to the Uniform
Customs and, to the extent not inconsistent therewith, the laws of the State of
New York.

      (c) The Existing Letters of Credit shall be deemed outstanding pursuant
to, and shall constitute "Letters of Credit" for all purposes of, this
Agreement. For purposes of each of the Series A and B Indenture and
<PAGE>

the Fulton Indenture, this Agreement shall be deemed to be a "Reimbursement
Agreement" as therein defined.

      (d) Notwithstanding anything to the contrary contained in this subsection
6.3, when the Issuing Lender shall make any payment under any Existing Letter of
Credit pursuant to a Tender Draft, the amount of such payment by the Issuing
Lender shall constitute a Revolving L/C Obligation by the Company, which shall
be repaid by the Company pursuant to subsection 6.6. Subject to all of the terms
and conditions set forth in this Agreement, upon receipt of notice of any such
payment by the Issuing Lender under an Existing Letter of Credit, the
Administrative Agent shall establish the appropriate Revolving L/C Obligation
effective on the date of the corresponding payment under such Existing Letter of
Credit.

      (e) Pursuant to the Bond Pledge Agreements, the Company has agreed that,
in accordance with the terms of the Indentures, Bonds purchased with the
proceeds of any Tender Draft and not remarketed on the date of such Tender Draft
shall be delivered by the respective Tender Agent to the Administrative Agent as
designee of the Issuing Bank, to be held by the Administrative Agent in pledge
as collateral securing the Revolving L/C Obligations arising from the purchase
of such Bonds with the proceeds of such Tender Draft until such time as all such
Revolving L/C Obligations have been paid in full. Bonds so delivered to the
Administrative Agent shall, at the request of the Administrative Agent, be
registered in the name of the Administrative Agent or its designee, as pledgee
of the Company, as provided in the applicable Bond Pledge Agreement.

      6.4 Participating Interests. Effective in the case of each Letter of
Credit opened by the Issuing Lender as of the date of the opening thereof, the
Issuing Lender agrees to allot and does allot, to itself and each other Lender,
and each Lender severally and irrevocably agrees to take and does take in such
Letter of Credit and the related L/C Application, an L/C Participating Interest
in a percentage equal to such Lender's Revolving Credit Commitment Percentage.

      6.5 Procedure for Opening Letters of Credit. Upon receipt of any L/C
Application from the Company in respect of a Letter of Credit, the Issuing
Lender will promptly notify the Administrative Agent thereof. The Issuing Lender
will process such L/C Application, and the other certificates, documents and
other papers delivered to the Issuing Lender in connection therewith, upon
receipt thereof in accordance with its customary procedures and, subject to the
terms and conditions hereof, shall promptly open such Letter of Credit by
issuing the original of such Letter of Credit to the beneficiary thereof and by
furnishing a copy thereof to the Company; provided that no such Letter of Credit
shall be issued (a) if the amount of such requested Letter of Credit, together
with the sum of (i) the aggregate unpaid amount of Revolving L/C Obligations
outstanding at the time of such request and (ii) the maximum aggregate amount
available to be drawn under all Letters of Credit outstanding at such time,
would exceed $90,000,000 or (b) if subsection 6.1 would be violated thereby.

      6.6 Payments in Respect of Letters of Credit. (a) The Company agrees
forthwith upon demand by the Issuing Lender and otherwise in accordance with the
terms of the L/C Application relating thereto (i) to
<PAGE>

reimburse the Issuing Lender, through the Administrative Agent, for any payment
made by the Issuing Lender under any Letter of Credit, including any payment
arising from the purchase of Bonds with the proceeds of a Tender Draft, and (ii)
to pay interest on any unreimbursed portion of any such payment from the date of
such payment until reimbursement in full thereof at a rate per annum equal to
(A) prior to the date which is one Business Day after the day on which the
Issuing Lender demands reimbursement from the Company for such payment, the ABR
plus the Applicable Margin for Revolving Credit Loans which are ABR Loans and
(B) on such date and thereafter, the ABR plus the Applicable Margin for
Revolving Credit Loans which are ABR Loans plus 2%.

      (b) In the event that the Issuing Lender makes a payment under any Letter
of Credit and is not reimbursed in full therefor forthwith upon demand of the
Issuing Lender, and otherwise in accordance with the terms of the L/C
Application relating to such Letter of Credit, the Issuing Lender will promptly
notify each other Lender with a Revolving Credit Commitment through the
Administrative Agent. Forthwith upon its receipt of any such notice, each other
Lender with a Revolving Credit Commitment will transfer to the Issuing Lender,
through the Administrative Agent, in immediately available funds, an amount
equal to such other Lender's pro rata share of the Revolving L/C Obligation
arising from such unreimbursed payment. Upon its receipt from such other Lender
of such amount and a request of such Lender, the Issuing Lender will complete,
execute and deliver to such other Lender an L/C Participation Certificate dated
the date of such receipt and in such amount.

      (c) Whenever, at any time after the Issuing Lender has made a payment
under any Letter of Credit and has received from any other Lender such other
Lender's pro rata share of the Revolving L/C Obligation arising therefrom, the
Issuing Lender receives any reimbursement on account of such Revolving L/C
Obligation or any payment of interest on account thereof (including, as result
of any foreclosure or other exercise of remedies under any Bond Pledge
Agreement), the Issuing Lender will distribute to such other Lender, through the
Administrative Agent, its pro rata share thereof in like funds as received
(appropriately adjusted, in the case of interest payments, to reflect the period
of time during which such Lender's participating interest was outstanding and
funded); provided that, in the event that the receipt by the Issuing Lender of
such reimbursement or such payment of interest (as the case may be) is required
to be returned, such other Lender will return to the Issuing Lender, through the
Administrative Agent, any portion thereof previously distributed by the Issuing
Lender to it in like funds as such reimbursement or payment is required to be
returned by the Issuing Lender.

      6.7 Swing Line Commitment. (a) Subject to the terms and conditions hereof,
Chase agrees to make swing line loans (individually, a "Swing Line Loan";
collectively, the "Swing Line Loans") to the Company from time to time during
the Revolving Credit Commitment Period in an aggregate principal amount at any
one time outstanding not to exceed $25,000,000; provided that at no time may the
sum of the aggregate outstanding principal amount of the Swing Line Loans and
the Aggregate Revolving Credit Extensions of Credit exceed the Revolving Credit
Commitments. Amounts borrowed by the Company under this subsection may be
<PAGE>

repaid and, through but excluding the Revolving Credit Termination Date,
reborrowed. The Swing Line Loans shall be ABR Loans, and shall not be entitled
to be converted into Eurodollar Loans. The Company shall give Chase irrevocable
notice (which notice must be received by Chase prior to 12:00 Noon, New York
City time) on the requested Borrowing Date specifying the amount of each
requested Swing Line Loan, which shall be in the minimum amount of $500,000 or a
whole multiple thereof. The proceeds of each Swing Line Loan will be made
available by Chase to the Company by crediting the account of the Company at
Chase with such proceeds. The proceeds of Swing Line Loans may be used solely
for the purposes referred to in subsection 6.2.

      (b) Chase at any time in its sole and absolute discretion may, and on the
thirtieth day (or if such day is not a Business Day, the next Business Day)
after the Borrowing Date with respect to any Swing Line Loans shall, on behalf
of the Company (which hereby irrevocably directs Chase to act on its behalf),
request each Lender, including Chase, to make a Revolving Credit Loan (which
shall be initially an ABR Loan) in an amount equal to such Lender's Revolving
Credit Commitment Percentage of the amount of such Swing Line Loans (the
"Refunded Swing Line Loans") outstanding on the date such notice is given.
Unless any of the events described in paragraph (f) of Section 14 shall have
occurred (in which event the procedures of paragraph (c) of this subsection
shall apply) each Lender shall make the proceeds of its Revolving Credit Loan
available to Chase for the account of Chase at the office of Chase located at
270 Park Avenue, New York, New York 10017 prior to 12:00 Noon (New York City
time) in funds immediately available on the Business Day next succeeding the
date such notice is given. The proceeds of such Revolving Credit Loans shall be
immediately applied to repay the Refunded Swing Line Loans.

      (c) If prior to the making of a Revolving Credit Loan pursuant to
paragraph (b) of this subsection one of the events described in paragraph (f) of
Section 14 shall have occurred, each Lender will, on the date such Loan would
otherwise have been made, purchase an undivided participating interest in the
Refunded Swing Line Loans in an amount equal to its Revolving Credit Commitment
Percentage of such Refunded Swing Line Loans. Each Lender will immediately
transfer to Chase, in immediately available funds, the amount of its
participation and upon receipt thereof Chase will deliver to such Lender a Swing
Line Loan Participation Certificate dated the date of receipt of such funds and
in such amount.

      (d) Whenever, at any time after Chase has received from any Lender such
Lender's participating interest in a Swing Line Loan, Chase receives any payment
on account thereof, Chase will distribute to such Lender its participating
interest in such amount (appropriately adjusted, in the case of interest
payments, to reflect the period of time during which such Lender's participating
interest was outstanding and funded) in like funds as received; provided,
however, that in the event that such payment received by Chase is required to be
returned, such Lender will return to Chase any portion thereof previously
distributed by Chase to it in like funds as such payment is required to be
returned by Chase.

      6.8 Participations. Each Lender's obligation to purchase participating
interests pursuant to subsection 6.4 and clauses (b) and (c)
<PAGE>

of subsection 6.7 is absolute and unconditional as set forth in subsection 8.16.

      SECTION 7. AMOUNT AND TERMS OF ACQUISITION LOAN COMMITMENTS.

      7.1 Acquisition Loan Commitments. (a) Subject to the terms and conditions
hereof, each Lender agrees to extend credit, in an aggregate amount not to
exceed such Lender's Acquisition Loan Commitment, to the Company from time to
time on any Borrowing Date during the Acquisition Loan Commitment Period by
making loans to the Company ("Acquisition Loans") from time to time.
Notwithstanding the foregoing, in no event shall any Acquisition Loan be made if
after giving effect to such making and the use of proceeds thereof as
irrevocably directed by the Company, the aggregate then outstanding principal
amount of Acquisition Loans would exceed the aggregate Acquisition Loan
Commitments. During the Acquisition Loan Commitment Period, the Company may use
the Acquisition Loan Commitments by borrowing, prepaying the Acquisition Loans
in whole or in part, and reborrowing, all in accordance with the terms and
conditions hereof.

      (b) Each borrowing of Acquisition Loans pursuant to the Acquisition Loan
Commitments shall be in an aggregate principal amount of the lesser of (i)
$5,000,000, or a whole multiple of $1,000,000 in excess thereof, and (ii) the
Available Acquisition Loan Commitments.

      7.2 Mandatory Reduction of Acquisition Loan Commitments. On each
anniversary of the Original Closing Date set forth on Schedules 7.2(a) and 7.2
(b), (a) Extended Acquisition Loan Commitments shall automatically be
permanently reduced to, and each Lender's Extended Acquisition Loan Commitment
shall be permanently reduced to an amount equal to such Lender's Acquisition
Loan Commitment Percentage of the amount set forth on Schedule 7.2(a) and (b)
Non-Extended Acquisition Loan Commitments shall automatically be permanently
reduced to, and each Lender's Non-Extended Acquisition Loan Commitment shall be
permanently reduced to an amount equal to such Lender's Acquisition Loan
Commitment Percentage of the amount set forth on Schedule 7.2(b); provided,
however, if prior to any of the dates specified in Schedules 7.2(a) or 7.2(b),
the Acquisition Loan Commitment shall have been permanently reduced pursuant to
subsection 8.4 or 8.6 to an amount less than the amount to which the Acquisition
Loan Commitment is required to be reduced on such date pursuant to such
Schedules, the Acquisition Loan Commitments shall as of such date be such lesser
amount. If at the time of any such mandatory reduction of the Acquisition Loan
Commitments, the aggregate principal amount of the Acquisition Loans then
outstanding exceeds the Acquisition Loan Commitments as so reduced on such date,
the Company shall on such date prepay the Acquisition Loans in the amount of
such excess, together with accrued interest thereon to the date of payment.

      7.3 Proceeds of Acquisition Loans. The Company acknowledges and confirms
its agreement to use the proceeds of Acquisition Loans solely for purposes of
financing Permitted Acquisitions and Permitted Joint Ventures, including to
finance the purchase price thereof and to refinance any Indebtedness assumed or
being repaid or repurchased in connection therewith, including the upfront
payment and any buy-out or termination
<PAGE>

payments associated with any lease by the Company or a Subsidiary of a Hospital,
or any investment in working capital following a Permitted Acquisition or
Permitted Joint Venture, and to pay related fees and expenses.

      SECTION 8. GENERAL PROVISIONS APPLICABLE TO LOANS AND LETTERS OF CREDIT.

      8.1 Procedure for Borrowing by the Company. (a) The Company may borrow
under the Commitments on any Working Day, if the borrowing is of Eurodollar
Loans, or on any Business Day, if the borrowing is of ABR Loans. With respect to
the borrowings to take place on the Closing Date, the Company shall give the
Administrative Agent irrevocable notice (which notice must be received by the
Administrative Agent prior to 10:00 A.M., New York City time, on the Closing
Date). With respect to any subsequent borrowings, the Company shall give the
Administrative Agent irrevocable notice (which notice must be received by the
Administrative Agent prior to 12:00 Noon, New York City time, (i) three Working
Days prior to the requested Borrowing Date if all or any part of the Loans are
to be Eurodollar Loans and (ii) one Business Day prior to the requested
Borrowing Date if the borrowing is to be solely of ABR Loans) specifying (A) the
amount of the borrowing, (B) whether such Loans are initially to be Eurodollar
Loans or ABR Loans, or a combination thereof, (C) if the borrowing is to be
entirely or partly Eurodollar Loans, the length of the Interest Period for such
Eurodollar Loans, (D) if the borrowing is to be made after the Closing Date, the
amount of such borrowing to be constituted by Revolving Credit Loans and/or
Acquisition Loans and (E) if the borrowing is to be made on the Closing Date,
the amount of such borrowing to be constituted by Additional Tranche D Term
Loans and/or Revolving Credit Loans. Upon receipt of such notice the
Administrative Agent shall promptly notify each Lender (which notice shall in
any event be delivered to each Lender by 4:00 P.M., New York City time, on such
date). Not later than 12:00 Noon, New York City time, on the Borrowing Date
specified in such notice, each Lender shall make available to the Administrative
Agent at the office of the Administrative Agent specified in subsection 16.2 (or
at such other location as the Administrative Agent may direct) an amount in
immediately available funds equal to the amount of the Loan to be made by such
Lender. Subject to subsection 6.7(b) and any irrevocable direction of the
Company pursuant to subsection 6.1(a), loan proceeds received by the
Administrative Agent hereunder shall promptly be made available to the Company
by the Administrative Agent's crediting the account of the Company, at the
office of the Administrative Agent specified in subsection 16.2, with the
aggregate amount actually received by the Administrative Agent from the Lenders
and in like funds as received by the Administrative Agent.

      (b) Any borrowing of Eurodollar Loans by the Company hereunder shall be in
such amounts and be made pursuant to such elections so that, after giving effect
thereto, (i) the aggregate principal amount of all Eurodollar Loans having the
same Interest Period shall not be less than $3,000,000, or a whole multiple of
$1,000,000 in excess thereof, and (ii) no more than ten Interest Periods shall
be in effect at any one time with respect to Eurodollar Loans which are Tranche
A Term Loans, Tranche B Term
<PAGE>

Loans, Tranche C Term Loans or Tranche D Term Loans, respectively, and no more
than five Interest Periods shall be in effect at any one time with respect to
Eurodollar Loans which are Revolving Credit Loans or Acquisition Loans.

      8.2 Repayment of Loans; Evidence of Debt. (a) The Company hereby
unconditionally promises to pay to the Administrative Agent for the account of
each Lender (i) the then unpaid principal amount of each Revolving Credit Loan
of such Lender on the Revolving Credit Termination Date (or such earlier date on
which the Revolving Credit Loans become due and payable pursuant to Section 14),
(ii) the then unpaid principal amount of each Acquisition Loan of such Lender on
the Acquisition Loan Termination Date (or such earlier date on which the
Acquisition Loans become due and payable pursuant to Section 14) and (iii) the
principal amount of the Term Loan of such Lender, in accordance with the
applicable amortization schedule set forth in subsections 2.2, 3.2, 4.2 and 5.2
(or the then unpaid principal amount of such Term Loans, on the date that any or
all of the Term Loans become due and payable pursuant to Section 14). The
Company hereby further agrees to pay interest on the unpaid principal amount of
the Loans from time to time outstanding from the date hereof until payment in
full thereof at the rates per annum, and on the dates, set forth in subsection
8.7.

      (b) Each Lender shall maintain in accordance with its usual practice an
account or accounts evidencing indebtedness of the Company to such Lender
resulting from each Loan of such Lender from time to time, including the amounts
of principal and interest payable and paid to such Lender from time to time
under this Agreement.

      (c) The Administrative Agent shall maintain the Register pursuant to
subsection 16.6(f), and a subaccount therein for each Lender, in which shall be
recorded (i) the amount of each Loan made hereunder, the Type thereof and each
Interest Period applicable thereto, (ii) the amount of any principal or interest
due and payable or to become due and payable from the Company to each Lender
hereunder and (iii) both the amount of any sum received by the Administrative
Agent hereunder from the Company and each Lender's share thereof.

      (d) The entries made in the Register and the accounts of each Lender
maintained pursuant to subsection 8.2(b) shall, to the extent permitted by
applicable law, be prima facie evidence of the existence and amounts of the
obligations of the Company therein recorded; provided, however, that the failure
of any Lender or the Administrative Agent to maintain the Register or any such
account, or any error therein, shall not in any manner affect the obligation of
the Company to repay (with applicable interest) the Loans made to such Company
by such Lender in accordance with the terms of this Agreement.

      (e) The Company agrees that, upon the request to the Company and the
Administrative Agent by any Lender, the Company will execute and deliver to such
Lender (i) a promissory note of the Company evidencing the Revolving Credit
Loans of such Lender, substantially in the form of Exhibit A-5 with appropriate
insertions as to date and principal amount (a "Revolving Credit Note"), (ii) a
promissory note of the Company evidencing
<PAGE>

the Swing Line Loans of such Lender, substantially in the form of Exhibit A-6
with appropriate insertions as to date and principal amount (a "Swing Line
Note"), (iii) a promissory note of the Company evidencing the Acquisition Loans
of such Lender, substantially in the form of Exhibit A-7 with appropriate
insertions as to date and principal amount (an "Acquisition Loan Note"), (iv) a
promissory note of the Company evidencing the Tranche A Term Loan of such
Lender, substantially in the form of Exhibit A-1 with appropriate insertions as
to date and principal amount (a "Tranche A Term Note"), (v) a promissory note of
the Company evidencing the Tranche B Term Loan of such Lender, substantially in
the form of Exhibit A-2 with appropriate insertions as to date and principal
amount (a "Tranche B Term Note"), (vi) a promissory note of the Company
evidencing the Tranche C Term Loan of such Lender, substantially in the form of
Exhibit A-3 with appropriate insertions as to date and principal amount (a
"Tranche C Term Note") and/or (vii) a promissory note of the Company evidencing
the Tranche D Term Loan of such Lender, substantially in the form of Exhibit A-4
with appropriate insertions as to date and principal amount (a "Tranche D Term
Note").

      8.3 Conversion Options. The Company may elect from time to time to convert
Eurodollar Loans into ABR Loans by giving the Administrative Agent irrevocable
notice of such election, to be received by the Administrative Agent prior to
12:00 Noon, New York City time, at least three Working Days prior to the
proposed conversion date, provided that any such conversion of Eurodollar Loans
shall only be made on the last day of an Interest Period with respect thereto.
The Company may elect from time to time to convert all or a portion of the ABR
Loans (other than Swing Line Loans) then outstanding to Eurodollar Loans by
giving the Administrative Agent irrevocable notice of such election, to be
received by the Administrative Agent prior to 12:00 Noon, New York City time, at
least three Working Days prior to the proposed conversion date, specifying the
Interest Period selected therefor, and, if no Default or Event of Default has
occurred and is continuing, such conversion shall be made on the requested
conversion date or, if such requested conversion date is not a Working Day, on
the next succeeding Working Day. Upon receipt of any notice pursuant to this
subsection 8.3, the Administrative Agent shall promptly, but in any event by
4:00 P.M., New York City time, notify each Lender thereof. All or any part of
the outstanding Loans (other than Swing Line Loans) may be converted as provided
herein, provided that partial conversions of Loans shall be in the aggregate
principal amount of $3,000,000, or a whole multiple of $1,000,000 in excess
thereof, and the aggregate principal amount of the resulting Eurodollar Loans
outstanding in respect of any one Interest Period shall be at least $3,000,000
or a whole multiple of $1,000,000 in excess thereof.

      8.4 Changes of Commitment Amounts. (a) The Company shall have the right,
upon not less than three Business Days' notice to the Administrative Agent, to
terminate or, from time to time, reduce the Revolving Credit Commitments and/or
the Acquisition Loan Commitments subject to the provisions of this subsection
8.4. To the extent, if any, that the sum of the amount of the Revolving Credit
Loans, Swing Line Loans, and Revolving L/C Obligations then outstanding and the
amounts available to be drawn under outstanding Letters of Credit exceeds the
amount of the Revolving Credit Commitments as then reduced, the Company shall be
required to make a
<PAGE>

prepayment equal to such excess amount, the proceeds of which shall be applied
first, to payment of the Swing Line Loans then outstanding, second, to payment
of the Revolving Credit Loans then outstanding, third, to payment of any
Revolving L/C Obligations then outstanding, and last, to cash collateralize any
outstanding Letters of Credit on terms reasonably satisfactory to the
Administrative Agent. Any such termination of the Revolving Credit Commitments
shall be accompanied by prepayment in full of the Revolving Credit Loans, Swing
Line Loans and Revolving L/C Obligations then outstanding and by cash
collateralization of any outstanding Letter of Credit on terms reasonably
satisfactory to the Administrative Agent. Upon termination of the Revolving
Credit Commitments any Letter of Credit then outstanding which has been so cash
collateralized shall no longer be considered a "Letter of Credit", as defined in
subsection 1.1 and any L/C Participating Interests heretofore granted by the
Issuing Lender to the Lenders in such Letter of Credit shall be deemed
terminated (subject to automatic reinstatement in the event that such cash
collateral is returned and the Issuing Lender is not fully reimbursed for any
such L/C Obligations) but the Letter of Credit fees payable under subsection
8.11 shall continue to accrue to the Issuing Lender (or, in the event of any
such automatic reinstatement, as provided in subsection 8.11) with respect to
such Letter of Credit until the expiry thereof. To the extent, if any, that the
amount of the Acquisition Loans then outstanding exceeds the amount of the
Acquisition Loan Commitments as then reduced, the Company shall be required to
make a prepayment of Acquisition Loans equal to such excess amount.

      (b) Interest accrued on the amount of any partial prepayment pursuant to
this subsection 8.4 to the date of such partial prepayment shall be paid on the
Interest Payment Date next succeeding the date of such partial prepayment. In
the case of the termination of the Revolving Credit Commitments and/or the
Acquisition Loan Commitments, interest accrued on the amount of any prepayment
relating thereto and any unpaid commitment fee accrued hereunder shall be paid
on the date of such termination. Any such partial reduction of the Revolving
Credit Commitments and/or the Acquisition Loan Commitments shall be in an amount
of $3,000,000 or a whole multiple of $1,000,000 in excess thereof, and shall
reduce permanently the Revolving Credit Commitments and/or the Acquisition Loan
Commitments then in effect.

      8.5 Optional Prepayments. The Company may at any time and from time to
time prepay Loans, in whole or in part, without premium or penalty, upon at
least one Business Days' irrevocable notice to the Administrative Agent in the
case of ABR Loans and two Working Days' irrevocable notice to the Administrative
Agent in the case of Eurodollar Loans and specifying the date and amount of
prepayment; provided that Eurodollar Loans prepaid on other than the last day of
any Interest Period with respect thereto shall be prepaid subject to the
provisions of subsection 8.21. Upon receipt of such notice the Administrative
Agent shall promptly notify each Lender thereof. If such notice is given, the
Company shall make such prepayment, and the payment amount specified in such
notice shall be due and payable, on the date specified therein. Accrued interest
on any Notes or on the amount of any Loans paid in full pursuant to this
subsection 8.5 shall be paid on the date of such prepayment. Accrued interest on
the amount of any partial prepayment shall be paid on the Interest Payment Date
next
<PAGE>

succeeding the date of such partial prepayment. Partial prepayments shall be in
an aggregate principal amount equal to the lesser of (A) $2,500,000 or a whole
multiple of $1,000,000 in excess thereof and (B) the aggregate unpaid principal
amount of the applicable Loans, as the case may be. Any amount prepaid on
account of Term Loans may not be reborrowed. Partial prepayments of the Term
Loans pursuant to this subsection 8.5 shall be applied as set forth in
subsection 8.6(c).

      8.6 Mandatory Prepayments. (a) Subject to the provisions of paragraphs (c)
and (d) below, following any issuance of debt obligations of the Company or any
of its Subsidiaries (other than Indebtedness of the Company or any of its
Subsidiaries permitted to be issued under subsection 13.2), an amount equal to
100% of the net proceeds of such debt issuance shall, unless the Company and the
Required Lenders otherwise agree, be applied by the Company in the following
order of priority, except as such order of priority may be modified by agreement
of the Company and the Required Application Lenders: first, to the ratable
prepayment of the Term Loans (in the manner set forth in subsection 8.6(c)) and
the Acquisition Loans (with any such prepayments of Acquisition Loans
permanently reducing the Acquisition Loan Commitments in the amount thereof) and
second, to permanently reduce the Revolving Credit Commitments in the manner set
forth in subsection 8.4(a) (and, to the extent that the Aggregate Revolving
Credit Extensions of Credit plus the then outstanding principal amount of the
Swing Line Loans exceed the Revolving Credit Commitments as so reduced, such net
proceeds shall be applied to the prepayment of the Revolving Credit Loans and
the Swing Line Loans and the cash collateralization of the Letters of Credit in
accordance with subsection 8.4 in an amount equal to such excess).

      (b) Subject to paragraphs (c) and (d) below, following the consummation of
any Asset Sale by the Company or any of its Subsidiaries, in the case of cash
proceeds, and following receipt of cash proceeds representing payments under
notes or other securities received in connection with any non-cash consideration
obtained in connection with such Asset Sale, an amount equal to 100% of the Net
Proceeds of such Asset Sale shall, unless the Company and the Required Lenders
otherwise agree, be applied by the Company in the following order of priority,
except as such order of priority may be modified by agreement of the Company and
the Required Application Lenders, first, to the ratable prepayment of the Term
Loans (in the manner set forth in subsection 8.6(c)) and the Acquisition Loans
(with any such prepayments of Acquisition Loans permanently reducing the
Acquisition Loan Commitments in the amount thereof) and second, to permanently
reduce the Revolving Credit Commitments in the manner set forth in subsection
8.4(a) (and, to the extent that the Aggregate Revolving Credit Extensions of
Credit exceed the Revolving Credit Commitments as so reduced, such cash proceeds
shall be applied to the prepayment of the Revolving Credit Loans and the cash
collateralization of the Letters of Credit in an amount equal to such excess in
accordance with subsection 8.4).

      (c) Partial prepayments of the Term Loans pursuant to subsection 8.5 or
8.6 shall be applied first, to the installments thereof scheduled to be paid
during the next twelve months after the date of such prepayment, in the order
that such installments are scheduled to be paid, and second, to
<PAGE>

the remaining installments on a pro rata basis. Subject to clause first of the
immediately preceding sentence and the third succeeding sentence, prepayments
applicable to the Tranche A Term Loans, the Tranche B Term Loans, the Tranche C
Term Loans and the Tranche D Term Loans shall be made on a pro rata basis based
on the aggregate amount of such Term Loans then outstanding. With respect to any
optional prepayment pursuant to subsection 8.5, at any time prior to the date of
such prepayment, any holder of Tranche B Term Loans, Tranche C Term Loans or
Tranche D Term Loans may notify the Company and the Administrative Agent that
such holder of Tranche B Term Loans, Tranche C Term Loans or Tranche D Term
Loans elects not to have such optional prepayment applied to such Tranche B Term
Loans, Tranche C Term Loans or Tranche D Term Loans pursuant to this subsection
8.6(c). Any such notice given by any such holder of Tranche B Term Loans,
Tranche C Term Loans or Tranche D Term Loans shall become effective on the date
three Business Days after the date received by the Company and the
Administrative Agent and shall remain in effect until the date three Business
Days after the date on which the Company and the Administrative Agent receive a
notice of revocation from such holder. If any such holder of a Tranche B Term
Loan, Tranche C Term Loan or Tranche D Term Loan shall have so elected not to
have optional prepayments applied to such Tranche B Term Loan, Tranche C Term
Loan or Tranche D Term Loan, the amount of such optional prepayment which would
have been applied to such Tranche B Term Loans, Tranche C Term Loans or Tranche
D Term Loans shall be instead applied, first, ratably, to the Tranche A Term
Loans and the Acquisition Loans (with any such prepayments of Acquisition Loans
permanently reducing the Acquisition Loan Commitments in the amount thereof),
second, to the Tranche B Term Loans, Tranche C Term Loans and Tranche D Term
Loans held by any holder which has not made an election pursuant to this
subsection 8.6(c), pro rata in accordance with the principal amounts held by
such holders, and third, to the other Tranche B Term Loans, Tranche C Term Loans
and Tranche D Term Loans, pro rata in accordance with the principal amount
thereof, and

      (d)(i) Immediately upon receipt by the Company or any of its Subsidiaries
of any cash proceeds relating to any Asset Sale or other transaction described
in paragraph (a) or (b) above, the Company shall apply such cash proceeds (less
the aggregate amount of any reasonable underwriter's commissions and discounts,
placement agency fees and expenses, financial advisory fees and expenses,
accounting and legal fees and expenses, and other fees and expenses, in each
case relating to, and payable at the closing of, the transaction or transactions
resulting in such cash proceeds ("Closing Transaction Fees")) to prepay the
Revolving Credit Loans (or to the extent there are no Revolving Credit Loans
outstanding or the Company would not, as determined by the Company in good
faith, be permitted to reborrow Revolving Credit Loans as contemplated in this
subsection 8.6(d), such cash proceeds (less Closing Transaction Fees) shall be
delivered to the Administrative Agent to be held by it on behalf of the Lenders
until the calculations required to be made pursuant to clause (ii) hereof have
been reported to the Administrative Agent) and any such prepaid amounts may not
be reborrowed until the calculations required to be made pursuant to clause (ii)
hereof have been reported to the Administrative Agent.

      (ii) Within five days following the receipt by the Company or any of its
Subsidiaries of such cash proceeds, the Company shall calculate the
<PAGE>

anticipated net proceeds of any debt issuance or the anticipated amount of Net
Proceeds of any Asset Sale and shall report such calculation to the
Administrative Agent.

      (iii) Subject to the terms and conditions hereunder, after the Company has
reported such calculations to the Administrative Agent, the Company shall
immediately borrow Revolving Credit Loans, or apply from the cash proceeds
delivered to the Administrative Agent pursuant to clause (i) of this subsection
8.6(c), in an aggregate amount equal to the lesser of (A) 80% of the anticipated
net proceeds of such debt issuance or 80% of the anticipated amount of Net
Proceeds of such Asset Sale or (B) 50% of the cash proceeds used to prepay
Revolving Credit Loans or delivered to the Administrative Agent pursuant to
clause (i) of this subsection 8.6(c), and the proceeds of such Revolving Credit
Loans or such application shall immediately be used by the Company to prepay an
equal amount of the Term Loans and Acquisition Loans in accordance with this
subsection 8.6.

      (iv) Within 30 days following the receipt by the Company or any of its
Subsidiaries of such cash proceeds, the Company shall apply an amount equal to
(A) 100% of the net proceeds (in the case of a debt issuance) or 100% of the Net
Proceeds of an Asset Sale less (B) any amount used to prepay the Term Loans and
Acquisition Loans pursuant to clause (iii) hereof, to prepay the Loans and
permanently reduce the Acquisition Loan Commitments and the Revolving Credit
Commitments in the order set forth in paragraph (a) or (b) above, as applicable,
and the Administrative Agent shall remit to the Company the remainder, if any,
of any funds delivered to the Administrative Agent pursuant to clause (i) of
this subsection 8.6(c) therefor. For purposes of this subsection 8.6(c), the net
proceeds of any transaction (other than an Asset Sale) giving rise to a required
prepayment shall be determined in accordance with the definition of "Net
Proceeds" in subsection 1.1, with appropriate changes.

      (e) Upon receipt by the Administrative Agent of the amounts required to be
paid pursuant to clause (i) of paragraph (d) above from any Asset Sale
consisting of the sale of all of the shares of capital stock of any Subsidiary
Guarantor (or, upon receipt by the Company or its Subsidiaries of such amounts
as are permitted to be retained in accordance with clause (g) of this subsection
8.6), (1) the obligations of such Subsidiary Guarantor under its Guarantee shall
automatically be discharged and released without any further action by the
Administrative Agent, the Co-Agents or any Lender, and (2) the Administrative
Agent, the Co-Agents and the Lenders will, upon the request of the Company,
execute and deliver any instrument or other document in a form acceptable to the
Administrative Agent which may reasonably be required to evidence such discharge
and release.

      (f) Upon receipt by the Administrative Agent of the amounts required to be
paid pursuant to clause (i) of paragraph (d) above from any Asset Sale
consisting of the sale of shares of capital stock of any Subsidiary Guarantor or
any Subsidiary of the Company (or, upon receipt by the Company or its
Subsidiaries of such amounts as are permitted to be retained in accordance with
clause (g) of this subsection 8.6), (1) the Administrative Agent shall release
to the Company, without representation, warranty or recourse, express or
implied, those of such shares of capital
<PAGE>

stock of such Subsidiary Guarantor or Subsidiary held by it as Pledged Stock (as
defined in the Company Pledge Agreement) and (2) the Administrative Agent, the
Co-Agents and the Lenders will, upon the request of the Company, execute and
deliver any instrument or other document in a form acceptable to the
Administrative Agent which may reasonably be required to evidence such release.

      (g) Notwithstanding anything to the contrary contained in this subsection
8.6, so long as no Default or Event of Default has occurred or is continuing or
would result therefrom, the Company may elect, by notice to the Administrative
Agent, to retain, without compliance with respect thereto with any of the
provisions of this subsection 8.6, up to $20,000,000 in the aggregate of (i) net
proceeds from debt issuances and (ii) Net Proceeds from Asset Sales occurring
after the Closing Date which the Company would otherwise be required to apply to
prepayment of the Term Loans and the reduction of the Acquisition Loan
Commitments and Revolving Credit Commitments, and the Term Loans need not be
prepaid nor the Acquisition Loan Commitments and Revolving Credit Commitments
reduced by such amount.

      (h) The Company shall give the Administrative Agent (which shall promptly
notify each Lender) at least one Business Day's notice of each prepayment
pursuant to subsection 8.5 setting forth the date and amount thereof.
Prepayments of Eurodollar Loans pursuant to this subsection 8.6, if not on the
last day of the Interest Period with respect thereto, shall, at the Company's
option, as long as no Default or Event of Default has occurred and is
continuing, be prepaid subject to the provisions of subsection 8.21 or such
prepayment (after application to any ABR Loans, in the case of prepayments by
the Company) shall be deposited with the Administrative Agent as cash collateral
for such Eurodollar Loans on terms reasonably satisfactory to the Administrative
Agent and thereafter shall be applied to the prepayment of the Eurodollar Loans
on the last day of the respective Interest Periods for such Eurodollar Loans
next ending most closely to the date of receipt of such Net Proceeds. After such
application, unless a Default or an Event of Default shall have occurred and be
continuing, any remaining interest earned on such cash collateral shall be paid
to the Company.

      (i) Upon the Revolving Credit Termination Date the Company shall, with
respect to each then outstanding Letter of Credit, if any, either (i) cause such
Letter of Credit to be cancelled without such Letter of Credit being drawn upon
or (ii) collateralize the Revolving L/C Obligations with respect to such Letter
of Credit with a letter of credit issued by banks or a bank satisfactory to the
Administrative Agent on terms satisfactory to the Administrative Agent.

      (j) Upon consummation by the Company or any Subsidiary of a Permitted
Minority Interest Transfer, (i) the Administrative Agent shall release to the
Company, without representation, warranty or recourse, those shares of capital
stock of the Subsidiary that are the subject of such Permitted Minority Interest
Transfer as permitted in clauses (1) and (2) of subsection 8.6(f) and shall
release any Pledged Note theretofore pledged, provided that the conditions set
forth in clause (a)(iii) and (iv) of the definition of Permitted Minority
Interest Subsidiaries shall have been
<PAGE>

satisfied, and (ii) if such Subsidiary whose shares are the subject of such
Permitted Minority Interest Transfer is a Subsidiary Guarantor, the obligations
of such Subsidiary under its Subsidiary Guarantee shall automatically be
discharged and released as provided in clauses (1) and (2) of subsection 8.6(e)
above.

      8.7 Interest Rates and Payment Dates. (a) Each Eurodollar Loan shall bear
interest for each day during each Interest Period with respect thereto on the
unpaid principal amount thereof at a rate per annum equal to the Eurodollar Rate
determined for such Interest Period plus the Applicable Margin.

      (b) ABR Loans shall bear interest for the period from and including the
date thereof until maturity thereof on the unpaid principal amount thereof at a
rate per annum equal to the ABR plus the Applicable Margin.

      (c) If all or a portion of (i) the principal amount of any of the Loans or
(ii) any interest payable thereon shall not be paid when due (whether at the
stated maturity, by acceleration or otherwise), such overdue amount shall,
without limiting the rights of the Lenders under Section 14, bear interest at a
rate per annum which is (x) in the case of overdue principal, 2% above the rate
that would otherwise be applicable thereto pursuant to the foregoing provisions
of this subsection (provided that for all purposes of determining the Applicable
Margin, the Applicable Level shall be deemed to be Level 1) or (y) in the case
of overdue interest, 2% above the rate described in paragraph (b) of this
subsection for Revolving Credit Loans (provided that for purposes of this
paragraph (c), the Applicable Level shall be deemed to be Level 1), in each case
from the date of such nonpayment until such amount is paid in full (as well
after as before judgment).

      (d) Interest shall be payable in arrears on each Interest Payment Date;
provided that interest accruing pursuant to paragraph (c) of this subsection
shall be payable on demand by the Administrative Agent made at the request of
the Required Lenders.

      8.8 Computation of Interest and Fees. (a) Interest in respect of ABR Loans
at any time the ABR is calculated based on the Prime Rate and all fees hereunder
shall be calculated on the basis of a 365 or 366, as the case may be, day year
for the actual days elapsed. Interest in respect of Eurodollar Loans and ABR
Loans at any time the ABR is not calculated based on the Prime Rate shall be
calculated on the basis of a 360 day year for the actual days elapsed. The
Administrative Agent shall as soon as practicable notify the Company and the
Lenders of each determination of a Eurodollar Rate. Any change in the interest
rate on a Loan resulting from a change in the ABR shall become effective as of
the opening of business on the day on which such change in the ABR becomes
effective. The Administrative Agent shall as soon as practicable notify the
Company and the Lenders of the effective date and the amount of each such
change.

      (b) Each determination of an interest rate by the Administrative Agent
pursuant to any provision of this Agreement shall be conclusive and binding on
the Company and the Lenders in the absence of manifest error.
<PAGE>

The Administrative Agent shall, at the request of the Company, deliver to the
Company a statement showing the quotations used by the Administrative Agent in
determining the Eurodollar Rate.

      8.9 Commitment Fees. The Company agrees to pay to the Administrative
Agent, for the account of each Lender, a commitment fee from and including the
Closing Date to but excluding the later of the Revolving Credit Termination Date
and the Acquisition Loan Termination Date on the sum of such Lender's Available
Revolving Credit Commitment and Available Acquisition Loan Commitment
outstanding from time to time, at the rate per annum for each day during the
period for which payment is made set forth opposite the Applicable Margin in
effect for Revolving Credit Loans which are Eurodollar Loans on such day,
whether or not there are any such Eurodollar Loans outstanding on such day:

                    Eurodollar
                 Applicable Margin
                   for Revolving
                    Credit Loans                     Commitment Fee
                    ------------                     --------------

                       2.50%                             .500%
                       2.25%                             .500%
                       2.00%                             .375%
                       1.75%                             .375%
                       1.50%                             .375%

The commitment fee provided for in this subsection 8.9 shall be payable
quarterly in arrears on the last day of each fiscal quarter and on the
Revolving Credit Termination Date with respect to the Available Revolving
Credit Commitments and on the Acquisition Loan Termination Date with
respect to the Available Acquisition Loan Commitments.

      8.10 Certain Fees. The Company agrees to pay to the Administrative Agent
for its own account a non-refundable agent's fee of $600,000 in respect of the
period from the Original Closing Date to the first anniversary thereof and of
$500,000 in respect of each annual period thereafter, which fee shall be payable
in equal quarterly installments in advance on the Original Closing Date in
respect of the quarter in which the Original Closing Date occurs (prorated for
the period from the Original Closing Date to the end of such quarter) and on the
last day of each , June, September and December thereafter (pro rated for the
quarterly installment paid immediately prior to the first anniversary of the
Original Closing Date based on the $600,000 amount for the period from the
scheduled date of payment of such quarterly installment to such first
anniversary and based on the $500,000 amount for the remainder of the quarterly
period for which such payment is made).

      8.11 Letter of Credit Fees. (a) In lieu of any letter of credit
commissions and fees provided for in any L/C Application relating to Letters of
Credit (other than standard administrative issuance, amendment and negotiation
fees), the Company agrees to pay the Administrative Agent a Letter of Credit
fee, for the account of the Issuing Lender and the
<PAGE>

Participating Lenders, (i) with respect to each Standby L/C, on the average
outstanding amount available to be drawn under each Standby L/C at a rate per
annum equal to the Applicable Margin for Revolving Credit Loans which are
Eurodollar Loans in effect at such time, whether or not there are any such
Eurodollar Loans outstanding at such time, payable in arrears, on the last day
of each fiscal quarter of the Company and on the Revolving Credit Termination
Date and (ii) with respect to each Commercial L/C, on the aggregate face amount
of each Commercial L/C at a rate equal to the Applicable Margin for Revolving
Credit Loans which are Eurodollar Loans in effect at such time, whether or not
there are any such Eurodollar Loans outstanding at such time, payable on the
date such Commercial L/C is issued.

      In addition, the Company shall pay to the Issuing Lender, other than with
respect to the issuance of the Existing Letters of Credit, (i) with respect to
each Standby L/C, in arrears on the last day of each fiscal quarter of the
Company and on the Revolving Credit Termination Date with respect to the
Revolving Credit Commitments, a fee to be agreed with the applicable Issuing
Lender but not greater than 2 of 1% per annum on the average outstanding amount
available to be drawn under such Standby L/C, solely for its own account as
Issuing Lender of such Standby L/C and not on account of its L/C Participating
Interest therein and (ii) with respect to each Commercial L/C, on the date such
Commercial L/C is issued, a fee to be agreed with the applicable Issuing Lender
but not greater than 2 of 1% on the aggregate face amount of such Commercial
L/C, solely for its own account as Issuing Lender of such Commercial L/C and not
on account of its L/C Participating Interest therein.

      (b) In connection with any payment of fees pursuant to this subsection
8.11, the Administrative Agent agrees to provide to the Company a statement of
any such fees so paid; provided that the failure by the Administrative Agent to
provide the Company with any such invoice shall not relieve the Company of its
obligation to pay such fees.

      8.12 Letter of Credit Reserves. (a) If any Change in Law after the date of
this Agreement shall either (i) impose, modify, deem or make applicable any
reserve, special deposit, assessment or similar requirement against letters of
credit issued by the Issuing Lender or (ii) impose on the Issuing Lender any
other condition regarding this Agreement or any Letter of Credit, and the result
of any event referred to in clause (i) or (ii) above shall be to increase the
cost to the Issuing Lender of issuing or maintaining any Letter of Credit (which
increase in cost shall be the result of the Issuing Lender's reasonable
allocation of the aggregate of such cost increases resulting from such events),
then, upon demand by the Issuing Lender, the Company shall immediately pay to
the Issuing Lender, from time to time as specified by the Issuing Lender,
additional amounts which shall be sufficient to compensate the Issuing Lender
for such increased cost, together with interest on each such amount from the
date demanded until payment in full thereof at a rate per annum equal to the ABR
plus the Applicable Margin for Revolving Credit ABR Loans. A certificate
submitted by the Issuing Lender to the Company concurrently with any such demand
by the Issuing Lender, shall be conclusive, absent manifest error, as to the
amount thereof.
<PAGE>

      (b) In the event that at any time after the date hereof any Change in Law
with respect to the Issuing Lender shall, in the opinion of the Issuing Lender,
require that any obligation under any Letter of Credit be treated as an asset or
otherwise be included for purposes of calculating the appropriate amount of
capital to be maintained by the Issuing Lender or any corporation controlling
the Issuing Lender, and such Change in Law shall have the effect of reducing the
rate of return on the Issuing Lender's or such corporation's capital, as the
case may be, as a consequence of the Issuing Lender's obligations under such
Letter of Credit to a level below that which the Issuing Lender or such
corporation, as the case may be, could have achieved but for such Change in Law
(taking into account the Issuing Lender's or such corporation's policies, as the
case may be, with respect to capital adequacy) by an amount deemed by the
Issuing Lender to be material, then from time to time following notice by the
Issuing Lender to the Company of such Change in Law, within 15 days after demand
by the Issuing Lender, the Company shall pay to the Issuing Lender such
additional amount or amounts as will compensate the Issuing Lender or such
corporation, as the case may be, for such reduction. If the Issuing Lender
becomes entitled to claim any additional amounts pursuant to this subsection
8.12(b), it shall promptly notify the Company of the event by reason of which it
has become so entitled. A certificate submitted by the Issuing Lender to the
Company concurrently with any such demand by the Issuing Lender, shall be
conclusive, absent manifest error, as to the amount thereof.

      (c) The Company agrees that the provisions of the foregoing paragraphs (a)
and (b) and the provisions of each L/C Application providing for reimbursement
or payment to the Issuing Lender in the event of the imposition or
implementation of, or increase in, any reserve, special deposit, capital
adequacy or similar requirement in respect of the Letter of Credit relating
thereto shall apply equally to each Participating Lender in respect of its L/C
Participating Interest in such Letter of Credit, as if the references in such
paragraphs and provisions referred to, where applicable, such Participating
Lender or any corporation controlling such Participating Lender.

      8.13 Further Assurances. The Company hereby agrees, from time to time, to
do and perform any and all acts and to execute any and all further instruments
reasonably requested by the Issuing Lender to effect more fully the purposes of
this Agreement and the issuance of Letters of Credit hereunder. The Company
further agrees to execute any and all instruments reasonably requested by the
Issuing Lender in connection with the obtaining and/or maintaining of any
insurance coverage applicable to any Letters of Credit.

      8.14 Obligations Absolute. The payment obligations of the Company under
this Agreement with respect to the Letters of Credit shall be unconditional and
irrevocable and shall be paid strictly in accordance with the terms of this
Agreement under all circumstances, including, without limitation, the following
circumstances:

            (i) the existence of any claim, set-off, defense or other right
      which the Company or any of its Subsidiaries may have at any time against
      any beneficiary, or any transferee, of any Letter of Credit
<PAGE>

      (or any Persons for whom any such beneficiary or any such transferee may
      be acting), the Issuing Lender, the Administrative Agent, any Co-Agent or
      any Lender, or any other Person, whether in connection with this
      Agreement, the Related Documents, any Credit Documents, the transactions
      contemplated herein, or any unrelated transaction;

            (ii) any statement or any other document presented under any Letter
      of Credit proving to be forged, fraudulent, invalid or insufficient in any
      respect or any statement therein being untrue or inaccurate in any
      respect;

            (iii) payment by the Issuing Lender under any Letter of Credit
      against presentation of a draft or certificate which does not comply with
      the terms of such Letter of Credit, except where such payment constitutes
      gross negligence or wilful misconduct on the part of the Issuing Lender;
      or

            (iv) any other circumstances or happening whatsoever, whether or not
      similar to any of the foregoing, except for any such circumstances or
      happening constituting gross negligence or wilful misconduct on the part
      of the Issuing Lender.

      8.15 Assignments. No Participating Lender's participation in any Letter of
Credit or any of its rights or duties hereunder shall be subdivided, assigned or
transferred (other than in connection with a transfer of part or all of such
Participating Lender's Revolving Credit Commitment in accordance with subsection
16.6) without the prior written consent of the Issuing Lender, which consent
will not be unreasonably withheld. Such consent may be given or withheld without
the consent or agreement of any other Participating Lender. Notwithstanding the
foregoing, a Participating Lender may subparticipate its L/C Participating
Interest without obtaining the prior written consent of the Issuing Lender.

      8.16 Participations. Each Lender's obligation to purchase participating
interests pursuant to subsections 6.4 and 6.7(c) shall be absolute and
unconditional and shall not be affected by any circumstance, including, without
limitation, (i) any set-off, counterclaim, recoupment, defense or other right
which such Lender may have against the Issuing Lender, the Company, HoldCo or
any other Person for any reason whatsoever; (ii) the occurrence or continuance
of a Default or an Event of Default; (iii) any adverse change in the condition
(financial or otherwise) of the Company; (iv) any breach of this Agreement by
the Company or any other Lender; or (v) any other circumstance, happening or
event whatsoever, whether or not similar to any of the foregoing.

      8.17 Inability to Determine Interest Rate for Eurodollar Loans. In the
event that the Administrative Agent shall have determined (which determination
shall be conclusive and binding upon the Company) that (a) by reason of
circumstances affecting the interbank eurodollar market generally, adequate and
reasonable means do not exist for ascertaining the Eurodollar Rate for any
Interest Period with respect to (i) proposed Loans that the Company has
requested be made as Eurodollar Loans, (ii) any Eurodollar Loans that will
result from the requested conversion of all or part of ABR Loans into Eurodollar
Loans or (iii) the continuation of any
<PAGE>

Eurodollar Loan as such for an additional Interest Period, (b) the Eurodollar
Rate determined or to be determined for any Interest Period will not adequately
and fairly reflect the cost to Lenders constituting the Required Lenders of
making or maintaining their affected Eurodollar Loans during such Interest
Period by reason of circumstances affecting the interbank eurodollar market
generally or (c) dollar deposits in the relevant amount and for the relevant
period with respect to any such Eurodollar Loan are not available to any of the
Lenders in their respective Eurodollar Lending Offices' interbank eurodollar
market, the Administrative Agent shall forthwith give notice of such
determination, confirmed in writing, to the Company and the Lenders at least one
day prior to, as the case may be, the requested Borrowing Date, the conversion
date or the last day of such Interest Period. If such notice is given, (i) any
requested Eurodollar Loans shall be made as ABR Loans, (ii) any ABR Loans that
were to have been converted to Eurodollar Loans shall be continued as ABR Loans,
and (iii) any outstanding Eurodollar Loans shall be converted, on the last day
of the then current Interest Period applicable thereto, into ABR Loans. Until
such notice has been withdrawn by the Administrative Agent, no further
Eurodollar Loans shall be made and no ABR Loans shall be converted to Eurodollar
Loans.

      8.18 Pro Rata Treatment and Payments. (a) Each borrowing of any Loans
(other than Swing Line Loans) by the Company from the Lenders, each payment by
the Company on account of any fee hereunder (other than as set forth in
subsections 8.10 and 8.11) and any reduction of the Revolving Credit Commitments
or Acquisition Loan Commitments of the Lenders hereunder shall be made pro rata
according to the relevant Commitment Percentages of the Lenders. Each payment
(including each prepayment) by the Company on account of principal of and
interest on the Loans (other than Swing Line Loans and other than as set forth
in subsections 8.6, 8.19, 8.20 and 8.21) shall be made pro rata according to the
relevant Commitment Percentages of the Lenders. All payments (including
prepayments) to be made by the Company on account of principal, interest and
fees shall be made without set-off or counterclaim and shall be made to the
Administrative Agent, for the account of the Lenders, at the Administrative
Agent's office located at 270 Park Avenue, New York, New York 10017, in lawful
money of the United States of America and in immediately available funds. The
Administrative Agent shall promptly distribute such payments ratably to each
Lender in like funds as received. If any payment hereunder (other than payments
on Eurodollar Loans) becomes due and payable on a day other than a Business Day,
such payment shall be extended to the next succeeding Business Day and, with
respect to payments of principal, interest thereon shall be payable at the then
applicable rate during such extension. If any payment on a Eurodollar Loan
becomes due and payable on a day other than a Working Day, the maturity thereof
shall be extended to the next succeeding Working Day and, with respect to
payments of principal, interest thereon shall be payable at the then applicable
rate during such extension unless the result of such extension would be to
extend such payment into another calendar month in which event such payment
shall be made on the immediately preceding Working Day.

      (b) Unless the Administrative Agent shall have been notified in writing by
any Lender prior to a Borrowing Date that such Lender will not make the amount
which would constitute its relevant Commitment Percentage
<PAGE>

of the borrowing on such date available to the Administrative Agent, the
Administrative Agent may assume that such Lender has made such amount available
to the Administrative Agent on such Borrowing Date in accordance with subsection
8.1 and the Administrative Agent may, in reliance upon such assumption, make
available to the Company a corresponding amount. If such amount is made
available to the Administrative Agent by such Lender on a date after such
Borrowing Date, such Lender shall pay to the Administrative Agent on demand an
amount equal to the product of (i) the daily average Federal funds rate during
such period as quoted by the Administrative Agent, times (ii) the amount of such
Lender's relevant Commitment Percentage of such borrowing, times (iii) a
fraction the numerator of which is the number of days that elapse from and
including such Borrowing Date to the date on which such Lender's relevant
Commitment Percentage of such borrowing shall have become immediately available
to the Administrative Agent and the denominator of which is 360. A certificate
of the Administrative Agent submitted to any Lender with respect to any amounts
owing under this subsection 8.18(b) shall be conclusive, absent manifest error.
If such Lender's relevant Commitment Percentage of such borrowing is not in fact
made available to the Administrative Agent by such Lender within three Business
Days of such Borrowing Date, the Administrative Agent shall be entitled to
recover such amount with interest thereon at the rate per annum applicable to
ABR Loans hereunder, on demand, from the Company without prejudice to any rights
which the Company or the Administrative Agent may have against such Lender
hereunder. Nothing contained in this subsection 8.18(b) shall relieve any Lender
which has failed to make available its ratable portion of any borrowing
hereunder from its obligation to do so in accordance with the terms hereof.

      (c) The failure of any Lender to make the Loan to be made by it on any
Borrowing Date shall not relieve any other Lender of its obligation, if any,
hereunder to make its Loan on such Borrowing Date, but no Lender shall be
responsible for the failure of any other Lender to make the Loan to be made by
such other Lender on such Borrowing Date.

      (d) All payments and prepayments (other than mandatory prepayments as set
forth in subsection 8.6 and other than prepayments as set forth in subsection
8.20 with respect to increased costs) of Eurodollar Loans hereunder shall be in
such amounts and be made pursuant to such elections so that, after giving effect
thereto, the aggregate principal amount of all Eurodollar Loans with the same
Interest Period shall not be less than $3,000,000 or a whole multiple of
$1,000,000 in excess thereof.

      (e) Each Lender, Assignee and Participant that is not a citizen or
resident of the United States of America, a corporation, partnership or other
entity created or organized in or under the laws of the United States of
America, or any estate or trust that is subject to U.S. federal income taxation
regardless of the source of its income (a "Non-U.S. Lender") shall deliver to
the Company and the Administrative Agent, and if applicable, the assigning
Lender (or, in the case of a Participant, to the Lender from which the related
participation shall have been purchased) on or before the date on which it
becomes a party to this Agreement (or, in the case of a Participant, on or
before the date on which such Participant purchases the related participation)
either:
<PAGE>

            (A) (x) two duly completed and signed copies of either Internal
      Revenue Service Form 1001 (relating to such Non-U.S. Lender and entitling
      it to a complete exemption from withholding of U.S. Taxes on all amounts
      to be received by such Non-U.S. Lender pursuant to this Agreement and the
      other Credit Documents) or Form 4224 (relating to all amounts to be
      received by such Non-U.S. Lender pursuant to this Agreement and the other
      Credit Documents), or successor and related applicable forms, as the case
      may be, and (y) two duly completed and signed copies of Internal Revenue
      Service Form W-8 or W-9, or successor and related applicable forms, as the
      case may be; or

            (B) in the case of a Non-U.S. Lender that is not a "bank" within the
      meaning of Section 881(c)(3)(A) of the Code and that does not comply with
      the requirements of clause (A) hereof, (x) a statement in the form of
      Exhibit H (or such other form of statement as shall be reasonably
      requested by the Company from time to time) to the effect that such
      Non-U.S. Lender is eligible for a complete exemption from withholding of
      U.S. Taxes under Code Section 871(h) or 881(c), and (y) two duly completed
      and signed copies of Internal Revenue Service Form W-8 or successor and
      related applicable forms (it being understood and agreed that no
      Participant and, without the prior written consent of the Company
      described in clause (C) of the proviso to the first sentence of subsection
      16.6(c), no Assignee shall be entitled to deliver any forms or statements
      pursuant to this clause (B), but rather shall be required to deliver forms
      pursuant to clause (A) of this subsection 8.18(e)).

Each Non-U.S. Lender that delivers a statement in the form of Exhibit H (or such
other form of statement as shall have been requested by the Company) agrees that
it shall hold only Qualified Non-U.S. Lender Notes and that it shall be the sole
beneficial and record owner of all Qualified Non-U.S. Lender Notes held by it.
Further, each Non-U.S. Lender agrees (i) to deliver to the Company and the
Administrative Agent, and if applicable, the assigning Lender (or, in the case
of a Participant, to the Lender from which the related participation shall have
been purchased) two further duly completed and signed copies of such Forms 1001,
4224, W-8 or W-9, as the case may be, or successor and related applicable forms,
on or before the date that any such form expires or becomes obsolete and
promptly after the occurrence of any event requiring a change from the most
recent form(s) previously delivered by it to the Company (or, in the case of a
Participant, to the Lender from which the related participation shall have been
purchased) in accordance with applicable U.S. laws and regulations, (ii) in the
case of a Non-U.S. Lender that delivers a statement in the form of Exhibit H (or
such other form of statement as shall have been requested by the Company), to
deliver to the Company and the Administrative Agent, and if applicable, the
assigning Lender, such statement on an annual basis on the anniversary of the
date on which such Non-U.S. Lender became a party to this Agreement and to
deliver promptly to the Company and the Administrative Agent, and if applicable,
the assigning Lender, such additional statements and forms as shall be
reasonably requested by the Company from time to time, and (iii) to notify
promptly the Company and the Administrative Agent (or, in the case of a
Participant, the Lender from which the related participation shall have been
purchased) if it is no longer able to deliver, or if it is required to withdraw
or cancel, any
<PAGE>

form or statement previously delivered by it pursuant to this subsection
8.18(e). Each Non-U.S. Lender agrees to indemnify and hold harmless the Company
from and against any taxes, penalties, interest or other costs or losses
(including, without limitation, reasonable attorneys' fees and expenses)
incurred or payable by the Company as a result of the failure of the Company to
comply with its obligations to deduct or withhold any U.S. Taxes from any
payments made pursuant to this Agreement to such Non-U.S. Lender or the
Administrative Agent which failure resulted from the Company's reliance on any
form, statement, certificate or other information provided to it by such
Non-U.S. Lender pursuant to clause (B) or clause (ii) of this subsection
8.18(e). The Company hereby agrees that for so long as a Non-U.S. Lender
complies with this subsection 8.18(e), the Company shall not withhold any
amounts from any payments made pursuant to this Agreement to such Non-U.S.
Lender, unless the Company reasonably determines that it is required by law to
withhold or deduct any amounts from any payments made to such Non-U.S. Lender
pursuant to this Agreement. Notwithstanding any other provision of this
subsection 8.18(e), a Non-U.S. Lender shall not be required to deliver any form
or statement pursuant to the immediately preceding sentences in this subsection
8.18(e) that such Non-U.S. Lender is not legally able to deliver (it being
understood and agreed that the Company shall withhold or deduct such amounts
from any payments made to such Non-U.S. Lender that the Company reasonably
determines are required by law). If any Credit Party other than the Company
makes any payment to any Non-U.S. Lender under any Credit Document, the
foregoing provisions of this subsection 8.18(e) shall apply to such Non-U.S.
Lender and such Credit Party as if such Credit Party were the Company (but a
Non-U.S. Lender shall not be required to provide any form or make any statement
to any such Credit Party unless such Non-U.S. Lender has received a request to
do so from such Credit Party and has a reasonable time to comply with such
request).

      8.19 Illegality. Notwithstanding any other provisions herein, if any
Requirement of Law or any change therein or in the interpretation or application
thereof occurring after the date that any lender becomes a Lender party to this
Agreement shall make it unlawful for such Lender to make or maintain Eurodollar
Loans as contemplated by this Agreement, the commitment of such Lender hereunder
to make Eurodollar Loans or to convert all or a portion of ABR Loans into
Eurodollar Loans shall forthwith be cancelled and such Lender's Loans then
outstanding as Eurodollar Loans, if any, shall, if required by law and if such
Lender so requests, be converted automatically to ABR Loans on the date
specified by such Lender in such request. To the extent that such affected
Eurodollar Loans are converted into ABR Loans, all payments of principal which
would otherwise be applied to such Eurodollar Loans shall be applied instead to
such Lender's ABR Loans. The Company hereby agrees promptly to pay any Lender,
upon its demand, any additional amounts necessary to compensate such Lender for
any costs incurred by such Lender in making any conversion in accordance with
this subsection 8.19 including, but not limited to, any interest or fees payable
by such Lender to lenders of funds obtained by it in order to make or maintain
its Eurodollar Loans hereunder (such Lender's notice of such costs, as certified
to the Company through the Administrative Agent, to be conclusive absent
manifest error).

      8.20 Requirements of Law. (a) In the event that, at any time
<PAGE>

after the date hereof, the adoption of any Requirement of Law, or any change
therein or in the interpretation or application thereof or compliance by any
Lender with any request or directive (whether or not having the force of law)
from any central bank or other Governmental Authority:

            (i) does or shall subject any Lender to any tax of any kind
      whatsoever with respect to this Agreement, any Note or any Eurodollar
      Loans made by it, or change the basis of taxation of payments to such
      Lender of principal, interest or any other amount payable hereunder
      (except for changes in the rate of tax on the overall net income of such
      Lender), it being understood and agreed that, in the case of a Non-U.S.
      Lender that does not comply with clause (A) of subsection 8.18(e), this
      clause (i) shall apply only to the extent that it would have applied if
      such Non-U.S. Lender were able to comply with clause (A) of subsection
      8.18(e);

            (ii) does or shall impose, modify or hold applicable any reserve,
      special deposit, compulsory loan or similar requirement against assets
      held by, or deposits or other liabilities in or for the account of,
      advances or loans by, or other credit extended by, or any other
      acquisition of funds by, any office of such Lender which are not otherwise
      included in the determination of the Eurodollar Rate; or

            (iii) does or shall impose on such Lender any other condition;

and the result of any of the foregoing is to increase the cost to such Lender of
making, converting, renewing or maintaining advances or extensions of credit or
to reduce any amount receivable hereunder, in each case, in respect of its
Eurodollar Loans, then, in any such case, the Company, shall promptly pay such
Lender, on demand, any additional amounts necessary to compensate such Lender on
an after-tax basis for such additional cost or reduced amount receivable which
such Lender deems to be material as determined by such Lender with respect to
such Eurodollar Loans together with interest on each such amount from the date
demanded until payment in full thereof at a rate per annum equal to the ABR plus
the Applicable Margin for Revolving Credit Loans which are ABR Loans.

      (b) In the event that at any time after the date hereof any Change in Law
with respect to any Lender shall, in the opinion of such Lender, require that
any Commitment of such Lender be treated as an asset or otherwise be included
for purposes of calculating the appropriate amount of capital to be maintained
by such Lender or any corporation controlling such Lender, and such Change in
Law shall have the effect of reducing the rate of return on such Lender's or
such corporation's capital, as the case may be, as a consequence of such
Lender's obligations hereunder to a level below that which such Lender or such
corporation, as the case may be, could have achieved but for such Change in Law
(taking into account such Lender's or such corporation's policies, as the case
may be, with respect to capital adequacy) by an amount deemed by such Lender to
be material, then from time to time following notice by such Lender to the
Company of such Change in Law as provided in paragraph (c) of this subsection
8.20, within 15 days after demand by such Lender, the Company shall pay to such
Lender such additional amount or amounts as will compensate such Lender or such
<PAGE>

corporation, as the case may be, on an after-tax basis for such reduction.

      (c) If any Lender becomes entitled to claim any additional amounts
pursuant to this subsection 8.20, it shall promptly notify the Company through
the Administrative Agent, of the event by reason of which it has become so
entitled. If any Lender has notified the Company through the Administrative
Agent of any increased costs pursuant to paragraph (a) of this subsection 8.20,
the Company at any time thereafter may, upon at least two Working Days' notice
to the Administrative Agent (which shall promptly notify the Lenders thereof),
and subject to subsection 8.21, prepay or convert into ABR Loans all (but not a
part) of the Eurodollar Loans then outstanding. Each Lender agrees that, upon
the occurrence of any event giving rise to the operation of paragraph (a) of
this subsection 8.20 with respect to such Lender, it will, if requested by the
Company, and to the extent permitted by law or by the relevant Governmental
Authority, endeavor in good faith to avoid or minimize the increase in costs or
reduction in payments resulting from such event (including, without limitation,
endeavoring to change its Eurodollar Lending Office); provided, however, that
such avoidance or minimization can be made in such a manner that such Lender, in
its sole determination, suffers no economic, legal or regulatory disadvantage.
If any Lender has notified the Company, through the Administrative Agent, of any
increased costs pursuant to paragraph (b) of this subsection 8.20, the Company
at any time thereafter may, upon at least three Business Days' notice to the
Administrative Agent (which shall promptly notify the Lender thereof), and
subject to subsection 8.21, reduce or terminate the Revolving Credit Commitments
in accordance with subsection 8.4.

      (d) A certificate submitted by such Lender, through the Administrative
Agent, to the Company shall be conclusive in the absence of manifest error. The
covenants contained in this subsection 8.20 shall survive the termination of
this Agreement and repayment of the outstanding Loans.

      8.21 Indemnity. The Company agrees to indemnify each Lender and to hold
such Lender harmless from any loss or expense which such Lender may sustain or
incur as a consequence of (a) default by the Company in payment of the principal
amount of or interest on any Eurodollar Loans of such Lender, including, but not
limited to, any such loss or expense arising from interest or fees payable by
such Lender to lenders of funds obtained by it in order to make or maintain its
Eurodollar Loans hereunder, (b) default by the Company in making a borrowing of
Eurodollar Loans after the Company has given a notice in accordance with
subsection 8.1 or in making a conversion of ABR Loans to Eurodollar Loans after
the Company has given notice in accordance with subsection 8.3 or in continuing
Eurodollar Loans for an additional Interest Period after the Company has given a
notice in accordance with clause (b) of the definition of Interest Period, (c)
default by the Company in making any prepayment of Eurodollar Loans after the
Company has given a notice in accordance with subsection 8.5 or (d) a payment or
prepayment of a Eurodollar Loan or conversion of any Eurodollar Loan into an ABR
Loan, in either case on a day which is not the last day of an Interest Period
with respect thereto, including, but not limited to, any such loss or expense
arising from interest or fees payable by such Lender to lenders of funds
obtained by it in order to maintain its Eurodollar
<PAGE>

Loans hereunder. This covenant shall survive termination of this Agreement and
payment of the outstanding Obligations.

      SECTION 9. [INTENTIONALLY OMITTED]

      SECTION 10. REPRESENTATIONS AND WARRANTIES

      In order to induce the Lenders to enter into this Agreement and to make or
continue to make the Loans and to induce the Issuing Lenders to issue, and the
Participating Lenders to participate in, the Letters of Credit, the Company
hereby represents and warrants to each Lender, each Co-Agent and the
Administrative Agent, (i) on and as of the date hereof and (ii) on the date of
each Loan made or Letter of Credit issued thereafter, that (and, for purposes of
this Agreement, HoldCo shall be deemed to be a party to the Subordinated Note to
the extent HoldCo has obligations thereunder):

      10.1 Financial Condition. (a) The audited consolidated balance sheets of
the Company and its Subsidiaries at December 31, 1998 and the related
consolidated statements of income, retained earnings and cash flows for the
fiscal years ended on such dates, reported on by Deloitte & Touche LLP, copies
of each of which have heretofore been furnished to each Lender, fairly present
in all material respects (except, with respect to interim reports, for normal
year-end adjustments) the consolidated financial position of the Company and its
Subsidiaries as at such date, and the consolidated results of their operations
and cash flows for the fiscal period then ended, in accordance with GAAP
consistently applied throughout the periods involved (except as noted therein).

      (b) Since December 31, 1998 (i) there have not been any events or states
of fact which individually or in the aggregate would have a Material Adverse
Effect, and (ii) no change has occurred or is threatened which individually or
in the aggregate has had or is continuing to have a material adverse effect on
the prospects of the Company and its Subsidiaries taken as a whole.

      10.2 Corporate Existence; Compliance with Law. Each Credit Party and its
Subsidiaries (a) is a corporation duly organized, validly existing and in good
standing under the laws of the jurisdiction of its incorporation, (b) has the
corporate power and authority and the legal right to own and operate its
property, to lease the property it operates and to conduct the business in which
it is currently engaged, except to the extent that the failure to possess such
corporate power and authority and such legal right would not, in the aggregate,
have a Material Adverse Effect, (c) is duly qualified as a foreign corporation
and in good standing under the laws of each jurisdiction where its ownership,
lease or operation of property or the conduct of its business requires such
qualification, except where the failure to be so qualified would not have a
Material Adverse Effect and (d) is in compliance with all applicable
Requirements of
<PAGE>

Law (including, without limitation, occupational safety and health, health care,
pension, certificate of need, Medicare, Medicaid, insurance fraud or similar
law, the Comprehensive Environmental Response, Compensation and Liability Act,
any so-called "Superfund" or "Superlien" law, or any applicable federal, state,
local or other statute, law, ordinance, code, rule, regulation, order or decree
regulating, relating to, or imposing liability or standards of conduct
concerning, any Materials of Environmental Concern), except to the extent that
the failure to comply therewith would not, in the aggregate, have a Material
Adverse Effect.

      10.3 Corporate Power; Authorization. Each Credit Party has the corporate
power and authority and the legal right to make, deliver and perform the Credit
Documents to which it is a party; the Company has the corporate power and
authority and legal right to borrow hereunder, to have Letters of Credit issued
for its account hereunder and to perform its obligations under the Subordinated
Note; and HoldCo has the corporate power and authority and legal right to make
and maintain the Subordinated Loan. Each Credit Party has taken all necessary
corporate action to authorize the execution, delivery and performance of the
Credit Documents to which it is a party and (a) in case of the Company, to
authorize the borrowings hereunder, the issuance of Letters of Credit for its
account hereunder and to perform its obligations under the Subordinated Note,
and (b) in case of HoldCo, to make and maintain the Subordinated Loan. No
consent or authorization of, or filing with, any Person (including, without
limitation, any Governmental Authority) is required in connection with the
execution, delivery or performance by any Credit Party, or the validity or
enforceability against any Credit Party, of any Credit Document and the
Subordinated Note to the extent that it is a party thereto, or the guarantee of
the Obligations pursuant to the Guarantees, or the making or maintaining of the
Subordinated Loan by HoldCo.

      10.4 Enforceable Obligations. Each of the Credit Documents and the
Subordinated Note has been duly executed and delivered on behalf of each Credit
Party party thereto and each of such Credit Documents and the Subordinated Note
constitutes the legal, valid and binding obligation of such Credit Party,
enforceable against such Credit Party in accordance with its terms, except as
such enforceability may be limited by applicable bankruptcy, insolvency,
reorganization, moratorium, or similar laws affecting creditors' rights
generally and by general principles of equity (regardless of whether enforcement
is sought in a proceeding in equity or at law).

      10.5 No Legal Bar. The performance of each Credit Document and the
Subordinated Note, the guarantee of the Obligations pursuant to the Guarantees,
the use of the proceeds of the Loans and of drawings under the Letters of Credit
and the making of the Subordinated Loan will not violate any Requirement of Law
or any Contractual Obligation applicable to or binding upon any Credit Party,
any of its Subsidiaries or any of its properties or assets, which violations,
individually or in the aggregate, would have a material adverse effect on the
ability of such Credit Party to perform its obligations under the Credit
Documents or the Subordinated Note to the extent that it is a party thereto, or
which would give rise to any liability on the part of the Administrative Agent
or any Lender, or which would have a Material Adverse Effect, and will not
result in the creation
<PAGE>

or imposition (or the obligation to create or impose) of any Lien (other than
any Liens created pursuant to the Credit Documents) on any of its or their
respective properties or assets pursuant to any Requirement of Law applicable to
it or them, as the case may be, or any of its or their Contractual Obligations.

      10.6 No Material Litigation. No litigation or investigation known to the
Company through receipt of written notice or proceeding of or by any
Governmental Authority or any other Person is pending against any Credit Party
or any of its Subsidiaries, (a) with respect to the validity, binding effect or
enforceability of any Credit Document or the Subordinated Note, or with respect
to the Loans made hereunder, the use of proceeds thereof or of any drawings
under a Letter of Credit, the making of the Subordinated Loan, the issuance of
the Subordinated Note and the other transactions contemplated hereby or thereby,
or (b) except as disclosed on Schedule 10.6 hereto, which would have a Material
Adverse Effect or a material adverse effect on the validity or enforceability of
this Agreement, any of the Notes or any of the other Credit Documents or the
rights and remedies of the Administrative Agent or the Lenders hereunder or
thereunder.

      10.7 Investment Company Act. Neither any Credit Party nor any of its
Subsidiaries is an "investment company" or a company "controlled" by an
"investment company" (as each of the quoted terms is defined or used in the
Investment Company Act of 1940, as amended).

      10.8 Federal Regulation. No part of the proceeds of any of the Loans or
any drawing under a Letter of Credit will be used for any purpose which
violates, or which would be inconsistent with, the provisions of Regulation G,
T, U or X of the Board. Neither the Company nor any of its Subsidiaries is
engaged or will engage, principally or as one of its important activities, in
the business of extending credit for the purpose of "purchasing" or "carrying"
any "margin stock" within the respective meanings of each of the quoted terms
under said Regulation U.

      10.9 No Default. Neither the Company nor any of its Subsidiaries is in
default in the payment or performance of any of its or their Contractual
Obligations in any respect which would have a Material Adverse Effect. Neither
the Company nor any of its Subsidiaries is in default under any order, award or
decree of any Governmental Authority or arbitrator binding upon or affecting it
or them or by which any of its or their properties or assets may be bound or
affected in any respect which would have a Material Adverse Effect, and no such
order, award or decree would materially adversely affect the ability of the
Company and its Subsidiaries taken as a whole to carry on their businesses as
presently conducted or the ability of any Credit Party to perform its
obligations under any Credit Document or the Subordinated Note to which it is a
party.

      10.10 No Burdensome Restrictions. Neither the Company nor any of its
Subsidiaries is a party to or is bound by any Contractual Obligation or subject
to any Requirement of Law or other corporate restriction which would have a
Material Adverse Effect.

      10.11 Taxes. Each of the Company and its Subsidiaries has filed or caused
to be filed or has timely requested an extension to file or has
<PAGE>

received an approved extension to file all tax returns which, to the knowledge
of the Company, are required to have been filed, and has paid all taxes shown to
be due and payable on said returns or extension requests or on any assessments
made against it or any of its property and all other taxes, fees or other
charges imposed on it or any of its property by any Governmental Authority
(other than those the amount or validity of which is currently being contested
in good faith by appropriate proceedings and with respect to which reserves in
conformity with GAAP have been provided in the books of the Company or its
Subsidiaries, as the case may be), except any such filings or taxes, fees or
charges, the making of or the payment of which, or the failure to make or pay,
would not have a Material Adverse Effect; and, to the knowledge of the Company,
no claims are being asserted with respect to any such taxes, fees or other
charges (other than those the amount or validity of which is currently being
contested in good faith by appropriate proceedings and with respect to which
reserves in conformity with GAAP have been provided in the books of the Company
or its Subsidiaries, as the case may be), except as to any such taxes, fees or
other charges, the payment of which, or the failure to pay, would not have a
Material Adverse Effect.

      10.12 Subsidiaries. The Subsidiaries of the Company listed on Schedule
10.12(a) constitute all of the Domestic Subsidiaries of the Company and the
Subsidiaries listed on Schedule 10.12(b) constitute all of the Foreign
Subsidiaries of the Company as of the Closing Date.

      10.13 Ownership of Property; Liens. Except as set forth in the Merger
Agreement, the Company and each of its Subsidiaries has good and marketable
title to, or valid and subsisting leasehold interests in, all its respective
material real property, and good title to all its respective material other
property, and none of such property is subject, except as permitted hereunder,
to any Lien (including, without limitation, and subject to subsection 13.3
hereof, Federal, state and other tax liens).

      10.14 ERISA. No "prohibited transaction" (as defined in Section 406 of
ERISA or Section 4975 of the Code) or "accumulated funding deficiency" (as
defined in Section 302 of ERISA) or Reportable Event (other than a Reportable
Event with respect to which the 30-day notice requirement under Section 4043 of
ERISA has been waived) has occurred during the five years preceding each date on
which this representation is made or deemed made with respect to any Plan in any
case the consequences of which would have a Material Adverse Effect. The present
value of all accrued benefits under each Single Employer Plan maintained by the
Company or a Commonly Controlled Entity (based on those assumptions used to fund
such Plan) did not, as of the most recent annual valuation date in respect of
each such Plan, exceed the fair market value of the assets of the Plan
(including for these purposes accrued but unpaid contributions) allocable to
such benefits by an amount that would have a Material Adverse Effect. The
liability to which the Company or any Commonly Controlled Entity would become
subject under ERISA if the Company or any such Commonly Controlled Entity were
to withdraw completely from all Multiemployer Plans as of the valuation date
most closely preceding the date hereof would not have a Material Adverse Effect.
No Multiemployer Plan is either in Reorganization or Insolvent in any case the
consequences of which would have a Material Adverse Effect.
<PAGE>

      10.15 Environmental Matters. Except as disclosed in the Merger Agreement,
to the Company's knowledge:

            (a) The Properties do not contain any Materials of Environmental
      Concern in concentrations which constitute a violation of, or would
      reasonably be expected to give rise to liability under, Environmental Laws
      that would have a Material Adverse Effect.

            (b) The Properties and all operations at the Properties are in
      compliance with all applicable Environmental Laws, except for failure to
      be in compliance that would not have a Material Adverse Effect, and there
      is no contamination at, under or about the Properties that would have a
      Material Adverse Effect.

            (c) Neither the Company nor any of its Subsidiaries has received any
      written notice of violation, alleged violation, non-compliance, liability
      or potential liability regarding environmental matters or compliance with
      Environmental Laws with regard to the Properties that would have a
      Material Adverse Effect, nor does the Company have knowledge that any such
      action is being contemplated, considered or threatened.

            (d) There are no judicial proceedings or governmental or
      administrative actions pending or threatened under any Environmental Law
      to which the Company or any Subsidiary is or will be named as a party with
      respect to the Properties that would have a Material Adverse Effect, nor
      are there any consent decrees or other decrees, consent orders,
      administrative orders or other orders under any Environmental Law with
      respect to the Properties that would have a Material Adverse Effect.

      10.16 Year 2000 Matters. The costs (the "Y2K Costs") incurred and to be
incurred by the Company and its Subsidiaries for any reprogramming required (or
for replacing equipment where such reprogramming is not feasible) to permit the
proper functioning (but only to the extent that such proper functioning would
otherwise be impaired by the occurrence of the year 2000) in and following the
year 2000 of computer systems and other equipment containing embedded
microchips, in either case owned or operated by the Company or any of its
Subsidiaries or used or relied upon in the conduct of their business (including
any such systems and other equipment supplied by others or with which the
computer systems of the Company or any of its Subsidiaries interface), and the
testing of all such systems and other equipment as so reprogrammed (or
replaced), will be completed prior to the end of the 1999 fiscal year of the
Company, except to the extent that the failure to complete the same would not
reasonably be expected to have a Material Adverse Effect. The Y2K Costs to the
Company and its Subsidiaries that have not been incurred as of December 31, 1998
for such reprogramming and testing and for the other reasonably foreseeable
consequences to them of any improper functioning of other computer systems and
equipment containing embedded microchips due to the occurrence of the year 2000
would not reasonably be expected to have a Material Adverse Effect.

      SECTION 11. CONDITIONS PRECEDENT
<PAGE>

      11.1 Conditions to Additional Tranche D Term Loans. The effectiveness of
this Agreement and the obligation of each Lender to make Additional Tranche D
Term Loans on the Closing Date are subject to the satisfaction, or waiver by the
Lenders, immediately prior to or concurrently with the effectiveness of this
Agreement, of the following conditions precedent:

            (a) Required Lender Approval. The Administrative Agent shall have
      received this Agreement duly executed and delivered by the Required
      Lenders, the Additional Tranche D Term Loan Lenders, the Company and
      HoldCo.

            (b) Acknowledgment of Guarantees and Pledge Agreements. The
      Administrative Agent shall have received Acknowledgments, subsequently in
      the form of Exhibit J-1, duly executed and delivered by the Company, in
      the form of Exhibit J-2, duly executed and delivered by HoldCo, and in the
      form of Exhibit J-3, duly executed and delivered by each Subsidiary
      Guarantor.

            (c) Legal Opinions. The Administrative Agent shall have received,
      dated the Closing Date and addressed to the Administrative Agent and the
      Lenders, an opinion of Fried, Frank, Harris, Shriver & Jacobson, counsel
      to HoldCo and the Company, substantially in the form of Exhibit C-1 hereto
      and an opinion of the General Counsel of the Company, substantially in the
      form of Exhibit C-2 hereto, with such changes thereto as may be approved
      by the Administrative Agent and its counsel. Such opinion shall also cover
      such other matters incident to the transactions contemplated by this
      Agreement as the Administrative Agent shall reasonably require.

            (d) Closing Certificates. The Administrative Agent shall have
      received a Closing Certificate of HoldCo, the Company, and each Subsidiary
      Guarantor, dated the Closing Date, substantially in the form of Exhibits
      D-1, D-2 and D-3 hereto, respectively, with appropriate insertions and
      attachments, satisfactory in form and substance to the Administrative
      Agent and its counsel, executed by the President or any Vice President and
      the Secretary or any Assistant Secretary of HoldCo, the Company and each
      Subsidiary Guarantor, respectively.

            (e) Fees. The Administrative Agent shall have received for the
      account of each Lender that indicates its consent to this Agreement by its
      execution and delivery hereof, or for its own account, as the case may be,
      all fees (including the fees referred to in subsection 8.10) payable to
      such Lenders and the Administrative Agent on or prior to the Closing Date.

            (f) Related Agreements. The Administrative Agent shall have received
      each additional document, instrument or piece of information reasonably
      requested by the Lenders, including, without limitation, a copy of any
      debt instrument, security agreement or other material contract to which
      any Credit Party or any of their Subsidiaries is a
<PAGE>

      party.

            (g) Financial Statements. The Administrative Agent shall have
      received a copy of the financial statements referred to in subsection
      10.1(a), with a photocopy thereof for each Lender, which shall be
      satisfactory in form and substance to the Administrative Agent.

            (h) Additional Matters. All other documents and legal matters in
      connection with the transactions contemplated by this Agreement shall be
      reasonably satisfactory in form and substance to the Administrative Agent
      and its counsel.

      11.2 Conditions to Acquisition Loans. The obligation of each Lender with
an Acquisition Loan Commitment to make any Acquisition Loan on any Borrowing
Date (other than the Original Closing Date) is subject to the satisfaction of
the following conditions precedent on the relevant Borrowing Date:

            (a) Permitted Acquisition. The Administrative Agent shall have
      received a certificate of an officer of the Company certifying to it that
      the Permitted Acquisition to be financed with the proceeds of such
      Acquisition Loans shall have been, or shall be concurrently therewith,
      consummated.

            (b) No Legal Constraints. There shall be no inquiry, injunction,
      restraining order, action, suit or proceeding pending or entered or any
      statute or rule proposed, enacted or promulgated by any Governmental
      Authority or any other Person, which, in the opinion of the Administrative
      Agent (i) would have a material adverse effect on the making of such
      Acquisition Loans, (ii) would give rise to any liability on the part of
      any Lender, the Administrative Agent or the Co-Agents in connection with
      this Agreement, any other Credit Document or the transactions contemplated
      hereby or thereby or (iii) would bar the making of such Acquisition Loans,
      or the use of the proceeds thereof in accordance with the terms of this
      Agreement.

            (c) The Permitted Acquisition to be funded, in whole or in part,
      with the proceeds of the Acquisition Loan to be made on such Borrowing
      Date shall be of an entity in a similar line of business as the Company.

            (d) Legal Opinions. The Administrative Agent shall have received,
      dated such Borrowing Date and addressed to the Administrative Agent and
      the Lenders, an opinion of Fried, Frank, Harris, Shriver & Jacobson or
      other counsel to the Company, covering the matters incident to the
      Acquisition Loan to be made on such Borrowing Date and the Permitted
      Acquisition to be financed thereby, as the Administrative Agent shall
      reasonably require.

            (e) Pledged Stock; Stock Powers; Pledged Notes. The Administrative
      Agent shall have received (i) the certificates representing all capital
      stock or other equity interests acquired by the Company or any of its
      Material Subsidiaries in the Permitted Acquisition being consummated on
      such Borrowing Date, if any, and
<PAGE>

      required to be pledged to the Administrative Agent pursuant to subsection
      12.8(c) (pursuant to the Pledge Agreements or supplements thereto, in form
      and substance satisfactory to the Administrative Agent), together with an
      undated stock power for each such certificate executed in blank by a duly
      authorized officer of the pledgor thereof and (ii) any Pledged Notes to be
      issued.

            (f) Additional Matters. All other certificates, documents and legal
      matters in connection with the transactions contemplated by the
      Acquisition Loan to be made on such Borrowing Date and the Permitted
      Acquisition to be financed thereby, shall be reasonably satisfactory in
      form and substance to the Administrative Agent and its counsel.

      11.3 Conditions to All Loans and Letters of Credit. The obligation of each
Lender to make any Loan (other than any Revolving Credit Loan the proceeds of
which are to be used to repay Refunded Swing Line Loans) and the obligation of
each Issuing Lender to issue any Letter of Credit is subject to the satisfaction
of the following conditions precedent on the relevant Borrowing Date:

            (a) Representations and Warranties. If such Loan is made (and/or
      Letter of Credit issued) on the Closing Date, each of the representations
      and warranties made as of the Closing Date in or pursuant to Section 10,
      or which are contained in any other Credit Document or any certificate,
      document or financial or other statement furnished by or on behalf of
      HoldCo, the Company or any Subsidiary thereof, at any time under or in
      connection herewith, shall be true and correct in all material respects on
      and as of the Closing Date as if made on and as of the Closing Date
      (unless stated to relate to a specific earlier date, in which case such
      representations and warranties shall be true and correct in all material
      respects as of such earlier date). If such Loan is made (and/or Letter of
      Credit issued) subsequent to the Closing Date, each of the representations
      and warranties made in or pursuant to Section 10 or which are contained in
      any other Credit Document or in any certificate, document or financial or
      other statement furnished by or on behalf of HoldCo, the Company or any
      Subsidiary thereof shall be true and correct in all material respects on
      and as of the date of such Loan (or such Letter of Credit) as if made on
      and as of such date (unless stated to relate to a specific earlier date,
      in which case, such representations and warranties shall be true and
      correct in all material respects as of such earlier date).

            (b) No Default or Event of Default. No Default or Event of Default
      shall have occurred and be continuing on such date or after giving effect
      to the Loan to be made or the Letter of Credit to be issued on such
      Borrowing Date.

      Each borrowing by the Company hereunder and the issuance of each Letter of
Credit by each Issuing Lender hereunder shall constitute a representation and
warranty by the Company as of the date of such borrowing or issuance that the
conditions in clauses (a), (b) and (c) of this subsection 11.3, 11.4 have been
satisfied.
<PAGE>

      11.4 Conditions to Effectiveness of Certain Provisions. The parties hereto
agree that, notwithstanding whether the conditions set forth in subsection 11.1
are satisfied, or waived by the Lenders, upon execution and delivery of this
Agreement by the Required Lenders, the Company and HoldCo, the definition of
"Consolidated EBITDA" as it appears in subsection 1.1 of the Existing Credit
Agreement and subsections 13.1, 13.2, 13.7 and 13.8 of the Existing Credit
Agreement shall each be amended to read in its entirety as set forth herein.

      SECTION 12. AFFIRMATIVE COVENANTS

      The Company, and for the purpose of subsections 12.6 and 12.8, HoldCo
hereby agrees that, so long as the Commitments remain in effect, any Loan, Note
or Revolving L/C Obligation remains outstanding and unpaid, any amount remains
available to be drawn under any Letter of Credit or any other amount is owing to
any Lender, any Co-Agent, any Issuing Lender or the Administrative Agent
hereunder, it shall, and, in the case of the agreements contained in subsections
12.3, 12.4, 12.5, 12.6, 12.7 and 12.8 cause each of its Subsidiaries to:

      12.1 Financial Statements. Furnish to the Administrative Agent (with
sufficient copies for each Lender):

            (a) as soon as available, but in any event within 90 days after the
      end of each fiscal year of the Company, a copy of the consolidated balance
      sheet of the Company and its consolidated Subsidiaries as at the end of
      such year and the related consolidated statements of operations,
      stockholders' equity and cash flows for such year, setting forth in each
      case in comparative form the figures for the previous year, reported on
      without a "going concern" or like qualification or exception, or
      qualification arising out of the scope of the audit, by Deloitte & Touche
      LLP or other independent certified public accountants of nationally
      recognized standing not unacceptable to the Required Lenders;

            (b) as soon as available, but in any event not later than 60 days
      after the end of each of the first three quarterly periods of each fiscal
      year of the Company, commencing with the quarterly period ending March 31,
      1999 the unaudited consolidated balance sheet of the Company and its
      consolidated Subsidiaries as at the end of such quarter and the related
      unaudited consolidated statements of operations, stockholders' equity and
      cash flows of the Company and its consolidated Subsidiaries for such
      quarter and the portion of the fiscal year through the end of such
      quarter, setting forth in each case in comparative form the figures for
      the previous year, certified by a Responsible Officer as being fairly
      stated in all material respects (subject to normal year-end audit
      adjustments);

            (c) as soon as available, but in any event not later than 45 days
      after the end of each fiscal month of each fiscal year or, in the case of
      December together with the financial statements required under subsection
      12.1(a) of the Company, the unaudited consolidated balance sheet of the
      Company and its consolidated Subsidiaries as at the end
<PAGE>

      of such month and the related unaudited consolidated statements of
      operations, stockholders' equity and cash flows of the Company and its
      consolidated Subsidiaries for such month and the portion of the fiscal
      year through the end of such month, in the form and detail similar to
      those customarily prepared by the Company's management for internal use
      and reasonably satisfactory to the Administrative Agent, setting forth in
      each case in comparative form the consolidated figures for the
      corresponding fiscal month of the previous year, certified by the chief
      financial officer, controller or treasurer of the Company as being fairly
      stated in all material respects (subject to normal year-end audit
      adjustments); and

            (d) as soon as available, but in any event within 60 days after the
      beginning of each fiscal year of the Company to which such budget relates,
      an annual operating budget of the Company and its Subsidiaries, on a
      consolidated basis, as adopted by the Board of Directors of the Company;

all financial statements shall be prepared in reasonable detail (except in the
case of the statements referred to in subsection 12.1(c)) in accordance with
GAAP applied consistently throughout the periods reflected therein and with
prior periods (except as concurred in by such accountants or officer, as the
case may be, and disclosed therein and except that interim financial statements
need not be restated for changes in accounting principles which require
retroactive application, and operations which have been discontinued (as defined
in Accounting Principles Board Opinion No. 30) during the current year need not
be shown in interim financial statements as such either for the current period
or comparable prior period). In the event the Company changes its accounting
methods because of changes in GAAP, or any change in GAAP occurs which increases
or diminishes the protection and coverage afforded to the Lenders under current
GAAP accounting methods, the Company or the Administrative Agent, as the case
may be, may request of the other parties to this Agreement an amendment of the
financial covenants contained in this Agreement to reflect such changes in GAAP
and to provide the Lenders with protection and coverage equivalent to that
existing prior to such changes in accounting methods or GAAP, and each of the
Company, the Administrative Agent, the Co-Agents and the Lenders agree to
consider such request in good faith.

12.2 Certificates; Other Information. Furnish to the Administrative Agent (with
sufficient copies for each Lender):

            (a) concurrently with the delivery of the consolidated financial
      statements referred to in subsection 12.1(a), a letter from the
      independent certified public accountants reporting on such financial
      statements stating that in making the examination necessary to express
      their opinion on such financial statements no knowledge was obtained of
      any Default or Event of Default, except as specified in such letter;

            (b) concurrently with the delivery of the financial statements
      referred to in subsections 12.1(a) and (b), a certificate of the chief
      financial officer of the Company (i) stating that, to the best of such
      officer's knowledge, each of HoldCo, the Company and their respective
<PAGE>

      Subsidiaries has observed or performed all of its covenants and other
      agreements, and satisfied every applicable condition, contained in this
      Agreement, the Notes and the other Credit Documents and the Subordinated
      Note to be observed, performed or satisfied by it, and that such officer
      has obtained no knowledge of any Default or Event of Default except as
      specified in such certificate, (ii) showing in detail as of the end of the
      related fiscal period the figures and calculations supporting such
      statement in respect of subsection 13.1, clauses (h) and (l) of subsection
      13.2, clauses (l), (m) and (n) of subsection 13.7, subsection 13.8,
      clauses (b) and (c) of subsection 13.9 and subsection 13.13, (iii) showing
      in detail as of the end of the related fiscal period for purposes of
      calculating the Applicable Level the ratio of Total Senior Indebtedness to
      Annualized Consolidated EBITDA and the calculations supporting such
      statement and if applicable, stating the Applicable Margin and commitment
      fee payable as a result of such ratios, (iv) if not specified in the
      financial statements delivered pursuant to subsection 12.1, specifying on
      a consolidated basis the aggregate amount of interest paid or accrued by
      the Company and its Subsidiaries, and the aggregate amount of
      depreciation, depletion and amortization charged on the books of the
      Company and its Subsidiaries, during such accounting period and (v)
      listing all Indebtedness (other than Indebtedness hereunder) in each case
      incurred since the date of the previous consolidated balance sheet of the
      Company delivered pursuant to subsection 12.1(a) or (b);

            (c) promptly upon receipt thereof, copies of all final reports
      submitted to the Company by independent certified public accountants in
      connection with each annual, interim or special audit of the books of the
      Company made by such accountants, including, without limitation, any final
      comment letter submitted by such accountants to management in connection
      with their annual audit;

            (d) promptly upon their becoming available, copies of all financial
      statements, reports, notices and proxy statements sent or made available
      generally by HoldCo, the Company or any of their respective Subsidiaries
      and all regular and periodic reports and all final registration statements
      and final prospectuses, if any, filed by HoldCo, the Company or any of
      their respective Subsidiaries with any securities exchange or with the
      Securities and Exchange Commission or any Governmental Authority
      succeeding to any of its functions;

            (e) concurrently with the delivery of the financial statements
      referred to in subsections 12.1(a) and (b), a management summary
      describing and analyzing the performance of the Company and its
      Subsidiaries during the periods covered by such financial statements; and

            (f) promptly, such additional financial and other information
      (including, without limitation, hospital operating statistics on a
      consolidated basis) as any Lender may from time to time reasonably
      request.

      12.3 Payment of Obligations. Pay, discharge or otherwise satisfy at or
before maturity or before they become delinquent, as the case may be,
<PAGE>

all of its obligations and liabilities of whatever nature, except (a) when the
amount or validity thereof is currently being contested in good faith by
appropriate proceedings and reserves in conformity with GAAP with respect
thereto have been provided on the books of the Company or any of its
Subsidiaries, as the case may be, (b) for delinquent obligations which do not
have a Material Adverse Effect and (c) for trade and other accounts payable in
the ordinary course of business in accordance with customary trade terms and
which are not overdue for a period of more than 90 days (or any longer period if
longer payment terms are accepted in the ordinary course of business) or, if
overdue for more than 90 days (or such longer period), as to which a dispute
exists and adequate reserves in conformity with GAAP have been established on
the books of the Company and its Subsidiaries, as the case may be.

      12.4 Conduct of Business and Maintenance of Existence. Continue to engage
in business of the same general type as now conducted by it, and preserve, renew
and keep in full force and effect its corporate existence and take all
reasonable action to maintain all rights, privileges, franchises, accreditations
of Hospitals, certifications, authorizations, licenses, permits, approvals and
registrations, necessary or desirable in the normal conduct of its business
except for rights, privileges, franchises, accreditations of Hospitals,
certifications, authorizations, licenses, permits, approvals and registrations
the loss of which would not in the aggregate have a Material Adverse Effect, and
except as otherwise permitted by subsections 13.5, 13.6 and 13.7; and comply
with all applicable Requirements of Law and Contractual Obligations except to
the extent that the failure to comply therewith would not, in the aggregate,
have a Material Adverse Effect.

      12.5 Maintenance of Property; Insurance. (a) Keep all property useful and
necessary in its business in good working order and condition (ordinary wear and
tear excepted); and

      (b) Maintain with financially sound and reputable insurance companies
insurance on all its property in at least such amounts and with only such
deductibles as are usually maintained by, and against at least such risks as are
usually insured against in the same general area by, companies engaged in the
same or a similar business (in any event including hospital liability (general
liability, medical professional liability, contractual liability, druggists'
liability and personal injury), workers' compensation, employers' liability,
automobile liability and physical damage coverage, environmental impairment
liability, all risk property, business interruption, fidelity and crime
insurance); provided that the Company may implement programs of self insurance
in the ordinary course of business and in accordance with industry standards for
a company of similar size so long as reserves are maintained in accordance with
GAAP for the liabilities associated therewith.

      12.6 Inspection of Property; Books and Records; Discussions. Keep proper
books of record and account in which full, true and correct entries are made of
all dealings and transactions in relation to its business and activities which
permit financial statements to be prepared in conformity with GAAP and all
Requirements of Law; and permit representatives of any Lender upon reasonable
notice to visit and inspect any of its properties
<PAGE>

and examine and make abstracts from any of its books and records at any
reasonable time and as often as may reasonably be desired upon reasonable
notice, and to discuss the business, operations, properties and financial and
other condition of the Company and its Subsidiaries with officers and employees
thereof and with their independent certified public accountants.

      12.7 Notices. Promptly give notice to the Administrative Agent and each
Lender:

            (a) of the occurrence of any Default or Event of Default;

            (b) of any (i) default or event of default under any instrument or
      other agreement, guarantee or collateral document of the Company or any of
      its Subsidiaries which default or event of default has not been waived and
      would have a Material Adverse Effect, or any other default or event of
      default under any such instrument, agreement, guarantee or other
      collateral document which, but for the proviso to clause (e) of Section
      14, would have constituted a Default or Event of Default under this
      Agreement, or (ii) litigation, investigation or proceeding which may exist
      at any time between HoldCo, the Company or any of their respective
      Subsidiaries and any Governmental Authority, or receipt of any notice of
      any environmental claim or assessment against HoldCo, the Company or any
      of their respective Subsidiaries by any Governmental Authority, which in
      any such case would have a Material Adverse Effect;

            (c) of any litigation or proceeding affecting the Company or any of
      its Subsidiaries (i) in which more than $15,000,000 of the amount claimed
      is not covered by insurance or (ii) in which injunctive or similar relief
      is sought which if obtained would have a Material Adverse Effect;

            (d) of the following events, as soon as practicable after, and in
      any event within 30 days after, the Company knows thereof: (i) the
      occurrence of any Reportable Event with respect to any Single Employer
      Plan which Reportable Event is reasonably likely to have a Material
      Adverse Effect, or (ii) the institution of proceedings or the taking of
      any other action by PBGC, the Company or any Commonly Controlled Entity to
      terminate, withdraw from or partially withdraw from any Plan and, with
      respect to a Multiemployer Plan, the Reorganization or Insolvency of such
      Plan, in each of the foregoing cases which is reasonably likely to have a
      Material Adverse Effect, and in addition to such notice, deliver to the
      Administrative Agent and each Lender whichever of the following may be
      applicable: (A) a certificate of the chief financial officer of the
      Company setting forth details as to such Reportable Event and the action
      that the Company or such Commonly Controlled Entity proposes to take with
      respect thereto, together with a copy of any notice of such Reportable
      Event that may be required to be filed with PBGC, or (B) any notice
      delivered by PBGC evidencing its intent to institute such proceedings or
      any notice to PBGC that such Plan is to be terminated, as the case may be;

            (e) of a failure or anticipated failure by the Company or HoldCo to
      make payment when due and payable on the Subordinated Note or the
<PAGE>

      Subordinated HoldCo Debentures.

            (f) of a material adverse change known to the Company or any of its
      Subsidiaries in the business, financial condition, assets, liabilities,
      net assets, properties, results of operations, value or prospects of
      HoldCo, the Company and their respective Subsidiaries taken as a whole.

Each notice pursuant to this subsection 12.7 shall be accompanied by a statement
of the chief executive officer or the chief financial officer of the Company
setting forth details of the occurrence referred to therein and (in the cases of
clauses (a) through (e)) stating what action the Company proposes to take with
respect thereto.

      12.8 Additional Subsidiary Guarantors; Pledge of Stock of Additional
Subsidiaries. (a) If any Subsidiary of the Company (whether presently existing
or hereafter created or acquired) is or shall become a Material Subsidiary
(including as a result of the consummation of any Permitted Acquisition), cause
such Material Subsidiary, no later than the end of the fiscal quarter in which
such Subsidiary became a Material Subsidiary, to execute and deliver a Guarantee
in favor of the Administrative Agent in substantially the form of Exhibit B-4,
each of which Guarantees shall be accompanied by such resolutions, incumbency
certificates and legal opinions as are reasonably requested by the
Administrative Agent and its counsel.

      (b) In the event that there shall be a change in law which eliminates the
adverse tax consequences to the Company, or any of its Subsidiaries which would
have resulted on the date hereof from the guarantee by a Subsidiary, which would
be a Material Subsidiary but for the exception contained in clauses (ii) or
(iii) of the definition thereof, of the Loans and the other obligations of the
Company hereunder, promptly thereafter cause any such Subsidiary that has not
previously executed and delivered a Guarantee because of such adverse tax
consequences to deliver a Guarantee to the Administrative Agent to the extent
any such Guarantee can be so executed and delivered without any adverse tax
consequences to the Company, or any of their Subsidiaries.

      (c) Pledge the capital stock, or other equity interests and intercompany
indebtedness, owned by the Company or any of its Material Subsidiaries that is
hereafter created or acquired pursuant to the Pledge Agreements (it being
understood and agreed that, notwithstanding anything that may be to the contrary
herein, this subsection 12.8(c) shall not require the Company or any Material
Subsidiary thereof to pledge (x) more than 65% of the outstanding capital stock
of, or other equity interests in, (i) any Foreign Subsidiary thereof, or (ii)
any other Subsidiary thereof if more than 65% of the assets of such other
Subsidiary are securities of foreign Persons (such determination to be made on
the basis of fair market value) or (y) any capital stock or other equity
interests of a Foreign Subsidiary thereof which (I) is owned by a Foreign
Subsidiary thereof or (II) does not have in excess of $1,000,000 in total
assets) or (z) any Non-Significant Subsidiary).
<PAGE>

      12.9 Operation of the Hospitals. Use best efforts to operate, and cause
its Subsidiaries to operate, the Hospitals owned, leased or operated by the
Company or any of its Subsidiaries now or in the future in a manner believed by
the Company to be consistent with prevailing health care industry standards in
the locations where the Hospitals exist from time to time, except to the extent
failure to do so would not have a Material Adverse Effect.

      SECTION 13. NEGATIVE COVENANTS

      The Company hereby agrees that it shall not, and shall not permit any of
its Subsidiaries to, and with respect to subsections 13.2 and 13.12 HoldCo
agrees that it shall not, directly or indirectly so long as the Commitments
remain in effect or any Loan, Note or Revolving L/C Obligation remains
outstanding and unpaid, any amount remains available to be drawn under any
Letter of Credit or any other amount is owing to any Lender, the Co-Agents, the
Issuing Lenders or the Administrative Agent hereunder:

      13.1 Financial Condition Covenants.

            (a) Total Senior Indebtedness to Annualized Consolidated EBITDA.
      Permit for any period of four consecutive fiscal quarters ending during
      any Test Period listed below, commencing with the fiscal quarter ending
      December 31, 1998 the ratio of Total Senior Indebtedness as of the end of
      such period to Annualized Consolidated EBITDA for such period to be more
      than the ratio set forth opposite the Test Period below:

                  Test Period                                   Ratio
                  -----------                                  --------

         December 31, 1998 - December 30, 1999                4.75 to 1
         December 31, 1999 - December 30, 2000                4.75 to 1
         December 31, 2000 - December 30, 2001                4.50 to 1
         December 31, 2001 - December 30, 2002                4.00 to 1
         December 31, 2002 - December 30, 2003                3.50 to 1
         December 31, 2003 - December 30, 2004                3.00 to 1
         December 31, 2004 - December 30, 2005                3.00 to 1
         December 31, 2005                                    3.00 to 1

            (b) Senior Interest Coverage Ratio. Permit for any period of four
      consecutive fiscal quarters ending during any Test Period listed below,
      commencing with the fiscal quarter ending December 31, 1998 the ratio of
      (i) Annualized Consolidated EBITDA for such period minus Capital
      Expenditures made during such period to (ii) Senior Interest Expense to be
      less than the ratio set forth opposite the Test Period below:

                  Test Period                                   Ratio
                  -----------                                  --------

         December 31, 1998 - December 30, 1999                1.60 to 1
<PAGE>

         December 31, 1999 - December 30, 2000                1.60 to 1
         December 31, 2000 - December 30, 2001                1.70 to 1
         December 31, 2001 - December 30, 2002                1.80 to 1
         December 31, 2002 - December 30, 2003                2.00 to 1
         December 31, 2003 - December 30, 2004                2.50 to 1
         December 31, 2004 - December 30, 2005                3.50 to 1
         December 31, 2005                                    4.00 to 1

            (c) Fixed Charge Coverage Ratio. Permit for any period of four
      consecutive fiscal quarters ending during any Test Period listed below,
      commencing with the fiscal quarter ending December 31, 1998, the ratio of
      (i) Annualized Consolidated EBITDA for such period minus Principal Debt
      Payments minus Capital Expenditures made during such period to (ii)
      Consolidated Cash Interest Expense (such ratio for any such period, the
      "Fixed Charge Coverage Ratio") to be less than the ratio set forth
      opposite the Test Period below:

                  Test Period                                   Ratio
                  -----------                                  --------

         December 31, 1998 - December 30, 1999                1.00 to 1
         December 31, 1999 - December 30, 2000                1.00 to 1
         December 31, 2000 - December 30, 2001                1.00 to 1
         December 31, 2001 - December 30, 2002                1.00 to 1
         December 31, 2002 - December 30, 2003                1.00 to 1
         December 31, 2003 - December 30, 2004                1.00 to 1
         December 31, 2004 - December 31, 2005                1.00 to 1

      13.2 Indebtedness. Create, incur, assume or suffer to exist any
Indebtedness, except:

            (a) Indebtedness of the Company evidenced by the Notes and in
      connection with the Letters of Credit and this Agreement;

            (b) (i) Indebtedness of (i) the Company to any Subsidiary and (ii)
      any Subsidiary to the Company or any other Subsidiary to the extent the
      Indebtedness referred to in this clause 13.2(b)(ii) evidences a loan or
      advance permitted under subsection 13.7;

            (c) Indebtedness of the Company evidenced by the Subordinated Note;

            (d) Indebtedness in respect of foreign currency exchange contracts
      permitted by subsection 13.11;

            (e) Indebtedness consisting of reimbursement obligations under
      surety, indemnity, performance, release and appeal bonds and guarantees
      thereof and letters of credit required in the ordinary course of business
      or in connection with the enforcement of rights or claims of the Company
      or its Subsidiaries, in each case to the extent a Letter of Credit
      supports in whole or in part the obligations of the Company and its
      Subsidiaries with respect to such bonds, guarantees and letters of credit;
<PAGE>

            (f) Indebtedness owed to a seller in a Permitted Acquisition or a
      Permitted Joint Venture or to a buyer in a disposition permitted under
      clauses (e), (f) or (h) of subsection 13.6 that (i) relates to customary
      post-closing adjustments with respect to accounts receivable, accounts
      payable, net worth and/or similar items typically subject to post-closing
      adjustments in similar transactions, and are outstanding for a period of
      two (2) years or less following the creation thereof or (ii) relates to
      indemnities granted to the seller or buyer in the transaction.

            (g) other Indebtedness of the Company or any of its Subsidiaries
      incurred in the ordinary course of their respective businesses in an
      aggregate principal amount not to exceed $40,000,000 at any time;

            (h) Indebtedness of HoldCo evidenced by the Subordinated HoldCo
      Debentures;

            (i) from and after the Revolving Credit Termination Date,
      Indebtedness to finance the general needs of the Company and its
      Subsidiaries incurred after the Revolving Credit Termination Date in an
      aggregate principal amount not to exceed $200,000,000, provided that the
      Company shall have repaid all Revolving Credit Loans and Revolving L/C
      Obligations in accordance with the terms of this Agreement and that there
      are no Letters of Credit outstanding at such time;

            (j) Indebtedness of the Company or any of its Subsidiaries listed on
      Schedule 13.2 hereto as of the Closing Date including any extension or
      renewals or refinancing thereof, provided the principal amount thereof is
      not increased; and

            (k) Indebtedness on any date of the Company or any of its
      Subsidiaries assumed or issued in connection with a Permitted Acquisition
      (or, in the case of any Permitted Acquisition involving the purchase of
      capital stock or other equity interests in any Person, Indebtedness of
      such Person remaining outstanding after such Permitted Acquisition) and
      any extension or renewal thereof, provided that the aggregate principal
      amount of such Indebtedness, together with the aggregate amount of net
      investments made in Permitted Acquisitions pursuant to subsection 13.7(l)
      (and calculated as at such date as provided herein), shall not exceed
      $750,000,000.

      13.3 Limitation on Liens. Create, incur, assume or suffer to exist any
Lien upon any of its property, assets, income or profits, whether now owned or
hereafter acquired, except:

            (a) Liens for taxes, assessments or other governmental charges not
      yet due and payable or which are being contested in good faith and by
      appropriate proceedings if adequate reserves with respect thereto are
      maintained on the books of the Company or such Subsidiary, as the case may
      be, in accordance with GAAP;

            (b) carriers', warehousemen's, mechanics', landlords',
      materialmen's, repairmen's or other like Liens arising in the ordinary
<PAGE>

      course of business in respect of obligations which are not yet due and
      payable or which are being contested in good faith and by appropriate
      proceedings if adequate reserves with respect thereto are maintained on
      the books of the Company or such Subsidiary, as the case may be, in
      accordance with GAAP;

            (c) pledges or deposits in connection with workmen's compensation,
      unemployment insurance and other social security legislation;

            (d) easements, right-of-way, zoning and similar restrictions and
      other similar encumbrances or title defects incurred, or leases or
      subleases granted to others, in the ordinary course of business, which, in
      the aggregate, are not substantial in amount, and which do not in any case
      materially detract from the value of the property subject thereto or do
      not interfere with or adversely affect in any material respect the
      ordinary conduct of the business of the Company and its Subsidiaries taken
      as a whole;

            (e) Liens in favor of the Lenders pursuant to the Credit Documents
      (which Liens shall, at the request of the Company, be shared by the
      Lenders with the lenders providing any Indebtedness incurred under
      subsection 13.2(i) on a pari passu basis) and bankers' liens arising by
      operation of law;

            (f) Liens on assets of entities or Persons which become Subsidiaries
      of the Company after the date hereof; provided that such Liens exist at
      the time such entities or Persons become Subsidiaries and are not created
      in anticipation thereof;

            (g) Liens on documents of title and the property covered thereby
      securing Indebtedness in respect of the Letters of Credit which are
      Commercial L/Cs;

            (h) Liens securing any Indebtedness permitted under subsection
      13.2(g); provided that (i) the aggregate principal amount of Indebtedness
      secured by such Liens shall at no time exceed $40,000,000, and (ii) no
      such Liens shall encumber the Subordinated Note, any capital stock or
      other equity interests of HoldCo, the Company or any of their
      Subsidiaries;

            (i) Liens in existence on the Original Closing Date and described in
      Schedule 13.3 as on the Closing Date and renewals thereof in amounts not
      to exceed the amounts listed on such Schedule 13.3;

            (j) Liens to secure Indebtedness permitted pursuant to subsection
      13.2(i), provided that the Obligations are, and the Obligations shall be,
      secured on a pari passu basis with such Indebtedness;

            (k) Liens to secure Indebtedness permitted pursuant to subsection
      13.2(k) or Liens on assets acquired in connection with a Permitted
      Acquisition; provided that such Liens exist at the time of the Permitted
      Acquisition in question and are not created in anticipation thereof;
<PAGE>

            (l) Liens securing arrangements permitted by the proviso contained
      in subsection 13.13;

            (m) deposits to secure the performance of bids, trade contracts
      (other than for borrowed money), leases, licenses, statutory obligations,
      surety and appeal bonds, performance bonds and other obligations of a like
      nature incurred in the ordinary course of business;

            (n) Liens pursuant to the Bond Pledge Agreements; and

            (o) Liens securing Indebtedness owing to the Company or any
      Subsidiary Guarantor under subsection 13.2(b)(ii).

      13.4 Limitation on Contingent Obligations. Create, incur, assume or suffer
to exist any Contingent Obligation except:

            (a) guarantees of obligations to third parties made in the ordinary
      course of business in connection with relocation of employees or agents of
      Health Care Associates of the Company or any of its Subsidiaries;

            (b) guarantees by the Company and its Subsidiaries incurred in the
      ordinary course of business for an aggregate amount not to exceed
      $40,000,000 at any one time;

            (c) Contingent Obligations existing on the Original Closing Date and
      described in Schedule 13.4 as on the Original Closing Date including any
      extensions or renewals thereof;

            (d) Contingent Obligations in respect of foreign currency exchange
      contracts permitted by subsection 13.11;

            (e) Contingent Obligations pursuant to the Subsidiary Guarantees
      (which Subsidiary Guarantees shall, at the request of the Company, be
      shared on a pari passu basis with the lenders providing any Indebtedness
      under subsection 13.2(i)); and

            (f) guarantees by the Company of (i) Indebtedness of its
      Subsidiaries permitted under subsection 13.2(g) and (ii) other obligations
      of Subsidiaries not prohibited hereunder.

      13.5 Prohibition of Fundamental Changes. Enter into any transaction of
acquisition of, or merger or consolidation or amalgamation with, any other
Person (including any Subsidiary or Affiliate of the Company or any of its
Subsidiaries), or transfer all or substantially all of its assets to any Foreign
Subsidiary, or liquidate, wind up or dissolve itself (or suffer any liquidation
or dissolution), or make any material change in the present method of conducting
business or engage in any type of business other than of the same general type
now conducted by it, except for the Merger and the transactions otherwise
permitted pursuant to subsections 13.6 and 13.7.
<PAGE>

      13.6 Prohibition on Sale of Assets. Convey, sell, lease, assign, transfer
or otherwise dispose of any of its property, business or assets (including,
without limitation, tax benefits, receivables and leasehold interests), whether
now owned or hereafter acquired except:

            (a) for the sale or other disposition of any tangible personal
      property that, in the reasonable judgment of the Company, has become
      uneconomic, obsolete or worn out, and which is disposed of in the ordinary
      course of business;

            (b) for sales of inventory made in the ordinary course of business;

            (c) that any Subsidiary of the Company may sell, lease, transfer or
      otherwise dispose of any or all of its assets (upon voluntary liquidation
      or otherwise) to the Company or a wholly-owned Domestic Subsidiary of the
      Company or make any investment permitted by subsection 13.7, and any
      Subsidiary of the Company may sell or otherwise dispose of, or part with
      control of any or all of, the stock of any Subsidiary to a wholly-owned
      Domestic Subsidiary of the Company or to any other Subsidiary to the
      extent such transfer constitutes an investment permitted by subsection
      13.7; provided that in either case such transfer shall not cause such
      wholly-owned Domestic Subsidiary to become a Foreign Subsidiary and
      provided further that no such transaction may be effected if it would
      result in the transfer of any assets of, or any stock of, a Subsidiary to
      another Subsidiary whose capital stock has not been pledged to the
      Administrative Agent or which has pledged a lesser percentage of its
      capital stock to the Administrative Agent than was pledged by the
      transferor Subsidiary unless, in any such case, after giving effect to
      such transaction, the stock of such other Subsidiary is not required to be
      pledged under the definition of Company Pledge Agreement or Subsidiary
      Pledge Agreement or under subsection 12.8(c);

            (d) that any Foreign Subsidiary of the Company may sell, lease,
      transfer or otherwise dispose of any or all of its assets (upon voluntary
      liquidation or by merger, consolidation, transfer of assets, or otherwise)
      to the Company or a wholly-owned Subsidiary of the Company and any Foreign
      Subsidiary of the Company may sell or otherwise dispose of, or part
      control of any or all of, the capital stock of, or other equity interests
      in, any Foreign Subsidiary of the Company to a wholly-owned Subsidiary of
      the Company; provided that in either case such transfer shall not cause a
      Domestic Subsidiary to become a Foreign Subsidiary;

            (e) for the sale or other disposition by the Company or any of its
      Subsidiaries of any assets described on Schedule 13.6 consummated after
      the Original Closing Date, provided that (i) such sale or other
      disposition shall be made for fair value on an arm's-length basis, and
      (ii) the Net Proceeds from such sale or other disposition shall be applied
      in accordance with the provisions of subsection 8.6; and

            (f) for the sale or other disposition by the Company or any of its
      Subsidiaries of other assets consummated after the Original
<PAGE>

      Closing Date, provided that (i) such sale or other disposition shall be
      made for fair value on an arm's-length basis, (ii) the aggregate fair
      market value of all such assets sold or disposed of under this clause
      after the Original Closing Date shall not exceed $90,000,000 and (iii) the
      Net Proceeds from such sale or other disposition shall be applied in
      accordance with the provisions of subsection 8.6.

            (g) any Permitted Minority Interest Transfers;

            (h) for the sale or other disposition consummated by the Company or
      any of its Subsidiaries after the Closing Date of assets constituting a
      Subsidiary or business unit or units of the Company or its Subsidiaries or
      the interest of the Company or its Subsidiaries therein, provided that (i)
      such sale or other disposition shall be made for fair value on an
      arm's-length basis and (ii) the consideration received for such sale or
      other disposition constitutes or would constitute a Permitted Acquisition
      or Permitted Joint Venture in accordance with the definition thereof (such
      sale or other disposition, an "Asset Exchange").

      13.7 Limitation on Investments, Loans and Advances. Make any advance,
loan, extension of credit or capital contribution to, or purchase any stock,
bonds, notes, debentures or other securities of, or any assets constituting a
business unit of, or make or maintain any other investment in, any Person,
except:

            (a) (i) loans or advances in respect of intercompany accounts
      attributable to the operation of the Company's cash management system and
      (ii) loans or advances by the Company or any of its Subsidiaries to a
      Subsidiary Guarantor (or a Subsidiary that would be a Subsidiary Guarantor
      but for the lapse of time until such Subsidiary is required to be a
      Subsidiary Guarantor), or to a First-Tier Permitted Minority-Interest
      Hospital Subsidiary for working capital needs evidenced by a Pledged Note
      so long as such loans or advances constitute Indebtedness of the primary
      obligor that is not subordinate to any other Indebtedness of such obligor;

            (b) Investments in Permitted Minority-Interest Subsidiaries
      described in clauses (a) and (b) of the definition of "Permitted
      Minority-Interest Subsidiary";

            (c) Investments in Subsidiaries of the Company (including Permitted
      Minority-Interest Subsidiaries) that are not Subsidiary Guarantors (or a
      Subsidiary that would be a Subsidiary Guarantor but for the lapse of time
      until such Subsidiary is required to be a Subsidiary Guarantor) and that
      do not directly or indirectly own any interest in, or operate or manage, a
      Hospital; provided that at all times the aggregate amount of all such
      Investments shall not exceed five percent (5%) of the total assets of the
      Company and its Subsidiaries on a consolidated basis; and

            (d) Investments, not otherwise described in this subsection 13.7, in
      Subsidiary Guarantors (or a Subsidiary that would be a Subsidiary
      Guarantor but for the lapse of time until such Subsidiary is required
<PAGE>

      to be a Subsidiary Guarantor) that otherwise are not prohibited under the
      terms of this Agreement.

            (e) any Subsidiary of the Company may make investments in the
      Company (by way of capital contribution or otherwise);

            (f) HoldCo and its Subsidiaries may invest in, acquire and hold Cash
      Equivalents or the Bonds;

            (g) the Company or any of its Subsidiaries may make travel and
      entertainment advances and relocation loans in the ordinary course of
      business to officers, employees and agents of the Company or any such
      Subsidiary (or to any physician or other health care professionals
      associated with or agreeing to become associated with the Company or any
      Subsidiary or any Hospital owned or leased or operated by the Company or
      any Subsidiary ("Health Care Associates"));

            (h) the Company or any of its Subsidiaries may make payroll advances
      in the ordinary course of business;

            (i) the Company or any of its Subsidiaries may acquire and hold
      receivables owing to it, if created or acquired in the ordinary course of
      business and payable or dischargeable in accordance with customary trade
      terms (provided that nothing in this clause (i) shall prevent the Company
      or any Subsidiary from offering such concessionary trade terms, or from
      receiving such investments in connection with the bankruptcy or
      reorganization of their respective suppliers or customers or the
      settlement of disputes with such customers or suppliers arising in the
      ordinary course of business, as management deems reasonable in the
      circumstances);

            (j) the Company and its Subsidiaries may make investments in
      connection with asset sales permitted by subsection 13.6 or to which the
      Required Lenders consent;

            (k) investments of the Company existing on the Original Closing Date
      and described in Schedule 13.7;

            (l) the Company and its Subsidiaries may make Permitted Acquisitions
      and may make loans or advances to, or acquisitions or investments in,
      other Persons in connection with or pursuant to the terms of Permitted
      Acquisitions, provided that the consideration paid by the Company or any
      of its Subsidiaries in all such transactions after the Original Closing
      Date (net, in the case of loans, advances, investments and other transfers
      of any repayments or return of capital in respect thereof actually
      received in cash by the Company or its Subsidiaries (net of applicable
      taxes) after the Original Closing Date and excluding consideration
      delivered by the Company or its Subsidiaries in any Asset Exchange
      permitted under Section 13.6(h)) does not exceed in the aggregate, when
      added to the principal amount of Indebtedness outstanding as permitted
      pursuant to subsection 13.2(l) does not exceed $750,000,000;

            (m) the Company and its Subsidiaries may make loans or advances
<PAGE>

      to, or acquisitions or investments in, other Persons (exclusive of Persons
      which are, or become, Foreign Subsidiaries) that constitute or are in
      connection with Permitted Joint Ventures, provided the consideration paid
      by the Company or any of its Subsidiaries in all such transactions after
      the Original Closing Date (net, in the case of loans, advances,
      investments and other transfers, of any repayments or return of capital in
      respect thereof actually received in cash by the Company or its
      Subsidiaries (net of applicable taxes) after the Original Closing Date)
      does not exceed in the aggregate $50,000,000; and

            (n) the Company and its Subsidiaries may make loans or advances to,
      or investments in, or otherwise transfer funds (including without
      limitation by way of repayment of loans or advances) to, Foreign
      Subsidiaries (including new Foreign Subsidiaries); provided that the
      consideration paid by the Company or any of its Subsidiaries in all
      transactions after the Original Closing Date (net, in the case of loans,
      advances, investments and other transfers, of any repayments or return of
      capital in respect thereof actually received in cash by the Company or its
      Subsidiaries (net of applicable taxes) after the Original Closing Date)
      does not exceed in the aggregate $25,000,000.

      13.8 Capital Expenditures. Make or commit to make Capital Expenditures in
any fiscal year exceeding (i) $60,000,000 during fiscal year 1999 of the
Company, (ii) $75,000,000 during fiscal years of the Company from and including
2000 to and including 2001, (iii) $80,000,000 during each of the fiscal years of
the Company from and including 2002 to and including 2003, (iv) $85,000,000
during fiscal year 2004 of the Company and (v) $90,000,000 during fiscal year
2005 of the Company, provided that, in addition to the foregoing, the Company
and its Subsidiaries may during any fiscal year make additional Capital
Expenditures in an aggregate amount not to exceed 4% of the revenues generated
during the immediately preceding fiscal year by any business or assets acquired
after the Closing Date pursuant to any Permitted Acquisition. Up to $3,000,000
of Capital Expenditures permitted to be made during a fiscal year pursuant to
the terms hereof, if not expended in the year for which it is permitted, may be
carried over for expenditure in the next following year and any amounts so
carried over shall be deemed to be the last amounts expended in such following
year.

      13.9 Limitation on Dividends. Declare any dividends on any shares of any
class of stock, or make any payment on account of, or set apart assets for a
sinking or other analogous fund for, the purchase, redemption, retirement or
other acquisition of any shares of any class of stock (including, without
limitation, the outstanding capital stock of HoldCo), whether now or hereafter
outstanding, or make any other distribution in respect thereof, either directly
or indirectly, whether in cash or property or in obligations of the Company or
any of its Subsidiaries (all of the foregoing being referred to herein as
"Restricted Payments"); except that:

            (a) Subsidiaries may pay dividends directly or indirectly to the
      Company or to Domestic Subsidiaries which are directly or indirectly
      wholly-owned by the Company, and Foreign Subsidiaries may pay dividends
      directly or indirectly to Foreign Subsidiaries which are
<PAGE>

      directly or indirectly wholly-owned by the Company;

            (b) the Company may pay dividends to HoldCo in an amount equal to
      the amount required for HoldCo to pay franchise taxes, fees and expenses
      necessary to maintain its status as a corporation and other fees required
      to maintain its corporate existence, provided that HoldCo shall promptly
      pay such taxes, fees and expenses;

            (c) so long as no Default or Event of Default has occurred or would
      occur after giving effect to such declaration or payment, the Company may,
      from time to time, declare and pay cash dividends to HoldCo on the common
      stock of the Company in an aggregate amount not to exceed $10,000,000 (the
      "HoldCo Dividend Limit") from the Original Closing Date; provided that the
      proceeds of such dividends shall be used within 30 days of the receipt of
      such dividends by HoldCo to repurchase HoldCo stock from management
      employees of HoldCo or any of its Subsidiaries and, provided further, the
      HoldCo Dividend Limit shall be increased by the proceeds of any additional
      HoldCo capital stock which is issued to any management employees of HoldCo
      or any of its Subsidiaries so long as such proceeds are contributed by
      HoldCo to the capital of the Company; and

            (d) any Permitted Minority-Interest Subsidiary may declare and pay
      dividends and make other Restricted Payments with respect to the Capital
      Stock of such Subsidiary now or hereafter outstanding; provided, in the
      case of a dividend, each stockholder of such Subsidiary receives its
      ratable share thereof.

      13.10 Transactions with Affiliates. Enter into after the date hereof any
transaction, including, without limitation, any purchase, sale, lease or
exchange of property or the rendering of any service, with any Affiliate except
(a) for transactions which are otherwise permitted under this Agreement and
which are in the ordinary course of the Company's or a Subsidiary's business and
which are upon fair and reasonable terms no less favorable to the Company or
such Subsidiary than it would obtain in a hypothetical comparable arm's length
transaction with a Person not an Affiliate, or (b) as permitted under
subsections 13.2(b), (c) and (i), subsection 13.3(o), subsections 13.4(a) and
(f), subsections 13.6(c), (d) and (g), subsection 13.7 and subsection 13.9 or
(c) as set forth on Schedule 13.10.

      13.11 Derivative Contracts. Enter into any foreign currency exchange
contracts, interest rate swap arrangements or other derivative contracts or
transactions, other than such contracts, arrangements or transactions entered
into in the ordinary course of business for the purpose of hedging (a) any asset
or obligation of the Company or any of its Subsidiaries with respect to their
operations outside of the United States, (b) the interest rate exposure of the
Company or any of its Subsidiaries, and (c) the purchase requirements of the
Company or any of its Subsidiaries with respect to raw materials and inventory.

      13.12 Subordinated Note; Subordinated HoldCo Debentures. (a) (i) Make any
payment in violation of any of the subordination provisions of the Subordinated
Note; or (ii) waive or otherwise relinquish any of its rights
<PAGE>

or causes of action arising under or arising out of the terms of the
Subordinated Note or consent to any amendment, modification or supplement to the
terms of the Subordinated Note in each case under this clause (ii) in any
material respect or in any respect adverse to the Lenders, except (x) with the
consent of the Required Lenders and (y) HoldCo may contribute all or any portion
of the principal amount of the Subordinated Note to the capital of the Company;
provided that promptly following any contribution of all or any portion of the
principal amount of the Subordinated Note, all or such portion, as the case may
be, of the Subordinated Note is cancelled; or (iii) make any optional payment or
prepayment on or redeem or otherwise acquire, purchase or defease the
Subordinated Note.

      (b) (i) Make any payment in violation of any of the subordination
provisions of the Subordinated HoldCo Debentures; or (ii) waive or otherwise
relinquish any of its rights or causes of action arising under or arising out of
the terms of the Subordinated HoldCo Debentures or consent to any amendment,
modification or supplement to the terms of the Subordinated HoldCo Debentures
except with the consent of the Required Lenders; or (iii) make any optional
payment or prepayment on or redeem or otherwise acquire, purchase or defease the
Subordinated HoldCo Debentures.

      13.13 Limitation on Sales and Leasebacks. Enter into any arrangement with
any Person providing for the leasing by the Company or any Subsidiary of real or
personal property which has been or is to be sold or transferred by the Company
or such Subsidiary to such Person or to any other Person to whom funds have been
or are to be advanced by such Person on the security of such property or rental
obligations of the Company or such Subsidiary, provided that the Company or any
of its Subsidiaries may enter into such arrangements covering property with an
aggregate fair market value not exceeding $75,000,000 from the Original Closing
Date; provided, further that the net proceeds from sales in excess of
$30,000,000 in the aggregate shall be applied in accordance with subsection 8.6.

      13.14 Fiscal Year. Permit the fiscal year of the Company to end on a day
other than December 31, unless the Company shall have given at least 45 days
prior written notice to the Administrative Agent.

      13.15 Practice Guarantees. Enter into any Practice Guarantees with a
duration of 18 months or longer in an aggregate amount in excess of $15,000,000
from the Original Closing Date with respect to all such Practice Guarantees.

      SECTION 14. EVENTS OF DEFAULT.

      Upon the occurrence of any of the following events:

            (a) The Company shall fail to (i) pay any principal of any Loan or
      Note when due in accordance with the terms hereof or thereof or to
      reimburse the Issuing Lender in accordance with subsection 6.6 or (ii) pay
      any interest on any Loan or any other amount payable hereunder within five
      days after any such interest or other amount becomes due in accordance
      with the terms thereof or hereof; or
<PAGE>

            (b) Any representation or warranty made or deemed made by any Credit
      Party in any Credit Document or which is contained in any certificate,
      guarantee, document or financial or other statement furnished under or in
      connection with this Agreement shall prove to have been incorrect in any
      material respect on or as of the date made or deemed made; or

            (c) The Company shall default in the observance or performance of
      any agreement contained in subsection 12.7(a) of this Agreement, HoldCo or
      the Company shall default in the observance or performance of any
      agreement contained in Section 13 of this Agreement or any Credit Party
      shall default in the observance or performance of any agreement contained
      in Section 2 of the Guarantee to which it is a party; or HoldCo shall
      default in the performance or observance of Section 10 of the HoldCo
      Guarantee or Section 5 of the HoldCo Pledge Agreement; or

            (d) The Company or any other Credit Party shall default in the
      observance or performance of any other agreement contained in any Credit
      Document, and such default shall continue unremedied for a period of 30
      days; or

            (e) The Company or any of its Subsidiaries shall (A) default in any
      payment of principal of or interest on any Indebtedness (other than the
      Loans, the Revolving L/C Obligations and any intercompany debt) or in the
      payment of any Contingent Obligation, beyond the period of grace, if any,
      provided in the instrument or agreement under which such Indebtedness or
      Contingent Obligation was created; or (B) default in the observance or
      performance of any other agreement or condition relating to any such
      Indebtedness or Contingent Obligation or contained in any instrument or
      agreement evidencing, securing or relating thereto, or any other event
      shall occur or condition exist, the effect of which default or other event
      or condition is to cause, or to permit the holder or holders of such
      Indebtedness or beneficiary or beneficiaries of such Contingent Obligation
      (or a trustee or agent on behalf of such holder or holders or beneficiary
      or beneficiaries) to cause, with the giving of notice if required, such
      Indebtedness to become due prior to its stated maturity, any applicable
      grace period having expired, or such Contingent Obligation to become
      payable, any applicable grace period having expired, provided that the
      aggregate principal amount of all such Indebtedness and Contingent
      Obligations which would then become due or payable as described in this
      Section 14(e) would equal or exceed $15,000,000; provided, however, that
      the failure of HoldCo to pay interest on the Subordinated HoldCo
      Debentures or the failure of the Company to pay interest on the
      Subordinated Note beyond the period of grace provided therein shall not
      constitute an Event of Default under this Section 14(e) unless the holders
      of the Subordinated HoldCo Debentures or the Subordinated Note have
      declared that such failure to pay interest constitutes an event of default
      in accordance with the Section 4(a) of the Subordinated HoldCo Debentures
      or Section 4(a) of the Subordinated Note, as the case may be; or
<PAGE>

            (f) (i) HoldCo, the Company or any of their respective Subsidiaries
      (other than any Subsidiary which is a Non-Significant Subsidiary within
      the meaning of clause (i) of the definition thereof) shall commence any
      case, proceeding or other action (A) under any existing or future law of
      any jurisdiction, domestic or foreign, relating to bankruptcy, insolvency,
      reorganization or relief of debtors, seeking to have an order for relief
      entered with respect to it, or seeking to adjudicate it a bankrupt or
      insolvent, or seeking reorganization, arrangement, adjustment, winding-up,
      liquidation, dissolution, composition or other relief with respect to it
      or its debts, or (B) seeking appointment of a receiver, trustee, custodian
      or other similar official for it or for all or any substantial part of its
      assets, or HoldCo, the Company or any such Subsidiary shall make a general
      assignment for the benefit of its creditors; or (ii) there shall be
      commenced against HoldCo, the Company or any such Subsidiary any case,
      proceeding or other action of a nature referred to in clause (i) above
      which (A) results in the entry of an order for relief or any such
      adjudication or appointment or (B) remains undismissed, undischarged or
      unbonded for a period of 60 days; or (iii) there shall be commenced
      against HoldCo, the Company or any such Subsidiary any case, proceeding or
      other action seeking issuance of a warrant of attachment, execution,
      distraint or similar process against all or any substantial part of its
      assets which results in the entry of an order for any such relief which
      shall not have been vacated, discharged, or stayed or bonded pending
      appeal within 60 days from the entry thereof; or (iv) HoldCo, the Company
      or any such Subsidiary shall take any action in furtherance of, or
      indicating its consent to, approval of, or acquiescence in, any of the
      acts set forth in clause (i), (ii), or (iii) above; or (v) HoldCo, the
      Company or any such Subsidiary shall generally not, or shall be unable to,
      or shall admit in writing its inability to, pay its debts as they become
      due; or

            (g) (i) Any Person shall engage in any "prohibited transaction" (as
      defined in Section 406 of ERISA or Section 4975 of the Code) involving any
      Plan, (ii) any "accumulated funding deficiency" (as defined in Section 302
      of ERISA), whether or not waived, shall exist with respect to any Plan,
      (iii) a Reportable Event (other than a Reportable Event with respect to
      which the 30-day notice requirement under Section 4043 of ERISA has been
      waived) shall occur with respect to, or proceedings to have a trustee
      appointed shall commence with respect to, or a trustee shall be appointed
      to administer or to terminate, any Single Employer Plan, which Reportable
      Event or institution of proceedings or appointment of a trustee is, in the
      reasonable opinion of the Required Lenders, likely to result in the
      termination of such Plan for purposes of Title IV of ERISA, and, in the
      case of a Reportable Event, such Reportable Event shall continue
      unremedied for ten days after notice of such Reportable Event pursuant to
      Section 4043(a), (c) or (d) of ERISA is given and, in the case of the
      institution of proceedings, such proceedings shall continue for ten days
      after commencement thereof or (iv) any Single Employer Plan shall
      terminate for purposes of Title IV of ERISA; and in each case in clauses
      (i) through (iv) above, such event or condition, together with all other
      such events or conditions relating to such Plans, if any, could subject
      the Company or any of its Subsidiaries to any tax,
<PAGE>

      penalty or other liabilities which in the aggregate would have a Material
      Adverse Effect; or

            (h) One or more judgments or decrees shall be entered against the
      Company or any of its Subsidiaries involving in the aggregate a liability
      (not paid or fully covered by insurance or not subject to indemnification
      from the sellers under the Purchase Agreements or any of their respective
      Affiliates) of $15,000,000 or more to the extent that all such judgments
      or decrees shall not have been vacated, discharged, stayed or bonded
      pending appeal within the time required by the terms of such judgment; or

            (i) Except as provided in subsection 16.1, any Guarantee hereof
      shall cease, for any reason, to be in full force and effect or any Credit
      Party shall so assert in writing; or

            (j) Except as provided in subsection 16.1, any Pledgor (as defined
      in the relevant Pledge Agreement) shall breach any covenant or agreement
      contained in such Pledge Agreement with the effect that such Pledge
      Agreement shall cease to be in full force and effect or the Lien granted
      thereby shall cease to be a first priority Lien or any Credit Party shall
      assert in writing that any Pledge Agreement is no longer in full force and
      or effect or the Lien granted thereby is no longer a first priority Lien;
      or

            (k) HoldCo shall cease to own, directly or indirectly, 100% of the
      issued and outstanding capital stock of the Company, free and clear of all
      Liens (other than the Lien granted pursuant to the HoldCo Pledge
      Agreement), or HoldCo shall conduct, transact or otherwise engage in any
      business or operations, incur, create, assume or suffer to exist any
      Indebtedness, Contingent Obligations or other liabilities or obligations
      or Liens (other than pursuant to any of the Credit Documents), or own,
      lease, manage or otherwise operate any properties or assets, other than
      (1) incident to the ownership of the Pledged Stock and the Pledged Note
      (as such terms are defined in the HoldCo Pledge Agreement), (2) as
      permitted by this Agreement, (3) incident to the ownership of capital
      stock or other equity interests in any person to the extent (i) the
      acquisition thereof by the Company would constitute a Permitted
      Acquisition and (ii) such capital stock or equity interests are
      contributed to the Company promptly following HoldCo's acquisition thereof
      and (4) the making of the Subordinated Loan or the issuance of the
      Subordinated HoldCo Debentures; or

            (l) FL Affiliates shall cease to own at least 51% of the outstanding
      capital stock of HoldCo, free and clear of all Liens;

then, and in any such event, (a) if such event is an Event of Default with
respect to the Company specified in clause (i) or (ii) of paragraph (f) above,
automatically (i) the Commitments and the Issuing Lender's obligation to issue
Letters of Credit shall immediately terminate and the Loans hereunder (with
accrued interest thereon) and all other amounts owing under this Agreement and
the Loans shall immediately become due and payable, and (ii) all obligations of
the Company in respect of the Letters of Credit, although contingent and
unmatured, shall become immediately due
<PAGE>

and payable and the Issuing Lender's obligation to issue Letters of Credit shall
immediately terminate and (b) if such event is any other Event of Default, so
long as any such Event of Default shall be continuing, either or both of the
following actions may be taken: (i) with the consent of the Required Lenders,
the Administrative Agent may, or upon the request of the Required Lenders, the
Administrative Agent shall, by notice to the Company declare the Commitments and
the Issuing Lender's obligation to issue Letters of Credit to be terminated
forthwith, whereupon the Commitments and such obligation shall immediately
terminate; and (ii) with the consent of the Required Lenders, the Administrative
Agent may, or upon the request of the Required Lenders, the Administrative Agent
shall, by notice of default to the Company (A) declare all or a portion of the
Loans hereunder (with accrued interest thereon) and all other amounts owing
under this Agreement and the Loans to be due and payable forthwith, whereupon
the same shall immediately become due and payable, and (B) declare all or a
portion of the obligations of the Company in respect of the Letters of Credit,
although contingent and unmatured, to be due and payable forthwith, whereupon
the same shall immediately become due and payable and/or demand that the Company
discharge any or all of the obligations supported by the Letters of Credit by
paying or prepaying any amount due or to become due in respect of such
obligations. All payments under this Section 14 on account of undrawn Letters of
Credit shall be made by the Company directly to a cash collateral account
established by the Administrative Agent for such purpose for application to the
Company's reimbursement obligations under subsection 6.6 as drafts are presented
under the Letters of Credit, with the balance, if any, to be applied to the
Company's obligations under this Agreement and the Loans as the Administrative
Agent shall determine with the approval of the Required Lenders. Except as
expressly provided above in this Section 14, presentment, demand, protest and
all other notices of any kind are hereby expressly waived.

      SECTION 15. THE CO-AGENTS, THE ADMINISTRATIVE AGENT; THE ISSUING LENDER

      15.1 Appointment. Each Lender which has a Tranche A Term Loan Commitment
or a Revolving Credit Commitment hereby irrevocably designates and appoints
Nationsbank, N.A. and The Bank of Nova Scotia as the Co-Agents of such Lender
under this Agreement and acknowledges that the Co-Agents, in their respective
capacity as such, shall have no duties under the Credit Documents. Each Lender
hereby irrevocably designates and appoints Chase as the Administrative Agent
under this Agreement and irrevocably authorizes Chase as Administrative Agent
for such Lender to take such action on its behalf under the provisions of the
Credit Documents and to exercise such powers and perform such duties as are
expressly delegated to the Administrative Agent by the terms of the Credit
Documents, together with such other powers as are reasonably incidental thereto.
Notwithstanding any provision to the contrary elsewhere in this Agreement,
neither any Co-Agent nor the Administrative Agent shall have any duties or
responsibilities, except those expressly set forth herein, or any fiduciary
relationship with any Lender, and no implied covenants, functions,
responsibilities, duties, obligations or liabilities shall be read into the
Credit Documents or otherwise exist against any Co-Agent or the Administrative
Agent.
<PAGE>

      15.2 Delegation of Duties. The Administrative Agent may execute any of its
duties under this Agreement and each of the other Credit Documents by or through
agents or attorneys-in-fact and shall be entitled to advice of counsel
concerning all matters pertaining to such duties. Without limiting the
foregoing, the Administrative Agent may appoint Chemical Bank Agency Services
Corporation as its agent to perform the functions of the Administrative Agent
hereunder relating to the advancing of funds to the Company and distribution of
funds to the Lenders and to perform such other related functions of the
Administrative Agent hereunder as are reasonably incidental to such functions.
Neither the Co-Agents nor the Administrative Agent shall be responsible for the
negligence or misconduct of any agents or attorneys-in-fact selected by it with
reasonable care, except as otherwise provided in subsection 15.3.

      15.3 Exculpatory Provisions. Neither any Co-Agent nor the Administrative
Agent nor any of its officers, directors, employees, agents, attorneys-in-fact,
Affiliates or Subsidiaries shall be (i) liable for any action lawfully taken or
omitted to be taken by it or such Person under or in connection with the Credit
Documents (except for its or such Person's own gross negligence or willful
misconduct), or (ii) responsible in any manner to any of the Lenders for any
recitals, statements, representations or warranties made by any Credit Party or
any officer thereof contained in the Credit Documents or in any certificate,
report, statement or other document referred to or provided for in, or received
by the Co-Agents or the Administrative Agent under or in connection with, the
Credit Documents or for the value, validity, effectiveness, genuineness,
enforceability or sufficiency of the Credit Documents or for any failure of any
Credit Party to perform its obligations thereunder. Neither any Co-Agent nor the
Administrative Agent shall be under any obligation to any Lender to ascertain or
to inquire as to the observance or performance of any of the agreements
contained in, or conditions of, any Credit Document, or to inspect the
properties, books or records of any Credit Party.

      15.4 Reliance by Co-Agents or the Administrative Agent. Any Co-Agent and
the Administrative Agent shall be entitled to rely, and shall be fully protected
in relying, upon any Note, writing, resolution, notice, consent, certificate,
affidavit, letter, cablegram, telegram, telecopy, telex or teletype message,
statement, order or other document or conversation believed by it to be genuine
and correct and to have been signed, sent or made by the proper Person or
Persons and upon advice and statements of legal counsel (including, without
limitation, counsel to the Company), independent accountants and other experts
selected by any Co-Agent or the Administrative Agent. The Co-Agents and the
Administrative Agent may deem and treat the payee of any Note as the owner
thereof for all purposes unless a written notice of assignment, negotiation or
transfer thereof shall have been filed with the Co-Agents or the Administrative
Agent. The Co-Agents or the Administrative Agent shall be fully justified in
failing or refusing to take any action under any Credit Document unless it shall
first receive such advice or concurrence of the Required Lenders (or, where
unanimous consent of the Lenders is expressly required hereunder, such Lenders)
as it deems appropriate or it shall first be indemnified to its satisfaction by
the Lenders against any and all liability and expense which may be incurred by
it by reason of taking or
<PAGE>

continuing to take any such action. The Co-Agents or the Administrative Agent
shall in all cases be fully protected in acting, or in refraining from acting,
under any Credit Document in accordance with a request of the Required Lenders,
and such request and any action taken or failure to act pursuant thereto shall
be binding upon all the Lenders and all future holders of the Notes.

      15.5 Notice of Default. Neither any Co-Agent nor the Administrative Agent
shall be deemed to have knowledge or notice of the occurrence of any Default or
Event of Default hereunder unless such Co-Agent or the Administrative Agent has
received written notice from a Lender or the Company referring to this
Agreement, describing such Default or Event of Default and stating that such
notice is a "notice of default". In the event that any Co-Agent or the
Administrative Agent receives such a notice, such Co-Agent or Administrative
Agent shall promptly give notice thereof to the Lenders. The Administrative
Agent shall take such action with respect to such Default or Event of Default as
shall be directed by the Required Lenders; provided that (i) the Administrative
Agent shall not be required to take any action that exposes the Administrative
Agent to liability or that is contrary to this Agreement or applicable law and
(ii) unless and until the Administrative Agent shall have received such
directions, the Administrative Agent may (but shall not be obligated to) take
such action, or refrain from taking such action, with respect to such Default or
Event of Default as it shall deem advisable in the best interests of the
Lenders.

      15.6 Non-Reliance on Co-Agents, Administrative Agent and Other Lenders.
Each Lender expressly acknowledges that neither any Co-Agent or the
Administrative Agent nor any of their respective officers, directors, employees,
agents, attorneys-in-fact, Subsidiaries or Affiliates has made any
representations or warranties to it and that no act by any Co-Agent or the
Administrative Agent hereafter taken, including any review of the affairs of the
Credit Parties, shall be deemed to constitute any representation or warranty by
such Co-Agent or the Administrative Agent to any Lender. Each Lender represents
to each Co-Agent and the Administrative Agent that it has, independently and
without reliance upon any Co-Agent or the Administrative Agent or any other
Lender, and based on such documents and information as it has deemed
appropriate, made its own appraisal of and investigation into the business,
operations, property, financial and other condition and creditworthiness of the
Credit Parties and made its own decision to make its Loans hereunder, issue and
participate in the Letters of Credit and enter into this Agreement. Each Lender
also represents that it will, independently and without reliance upon the
Administrative Agent or any Co-Agent or any other Lender, and based on such
documents and information as it shall deem appropriate at the time, continue to
make its own credit analysis, appraisals and decisions in taking or not taking
action under the Credit Documents, and to make such investigation as it deems
necessary to inform itself as to the business, operations, property, financial
and other condition and creditworthiness of the Credit Parties. Except for
notices, reports and other documents expressly required to be furnished to the
Lenders by the Administrative Agent hereunder, neither any Co-Agent nor the
Administrative Agent shall have any duty or responsibility to provide any Lender
with any credit or other information concerning the business, financial
condition, assets, liabilities, net assets, properties,
<PAGE>

results of operations, value, prospects and other condition or creditworthiness
of the Credit Parties which may come into the possession of any Co-Agent or the
Administrative Agent or any of its officers, directors, employees, agents,
attorneys-in-fact, Affiliates or Subsidiaries.

      15.7 Indemnification. The Lenders severally agree to indemnify each of the
several Co-Agents and the Administrative Agent in its capacity as such (to the
extent not reimbursed by the Credit Parties and without limiting the obligation
of the Credit Parties to do so), ratably according to the respective amounts of
their respective Commitments (or, to the extent such Commitments have been
terminated, according to the respective outstanding principal amounts of the
Loans and obligations, whether as Issuing Lender or a Participating Lender, with
respect to Letters of Credit), from and against any and all liabilities,
obligations, losses, damages, penalties, actions, judgments, suits, costs,
expenses or disbursements of any kind whatsoever which may at any time
(including without limitation at any time following the payment of the Loans) be
imposed on, incurred by or asserted against any Co-Agent or the Administrative
Agent in any way relating to or arising out of the Credit Documents or any
documents contemplated by or referred to herein or the transactions contemplated
hereby or any action taken or omitted by any Co-Agent or the Administrative
Agent under or in connection with any of the foregoing; provided that no Lender
shall be liable for the payment of any portion of such liabilities, obligations,
losses, damages, penalties, actions, judgments, suits, costs, expenses or
disbursements resulting solely from any Co-Agent's or the Administrative Agent's
gross negligence or willful misconduct. The agreements contained in this
subsection 15.7 shall survive the payment of the Notes and all other amounts
payable hereunder.

      15.8 Co-Agent or Administrative Agent in its Individual Capacity. The
Co-Agents and Administrative Agent and their Affiliates and Subsidiaries may
make loans to, accept deposits from and generally engage in any kind of business
with the Credit Parties as though each Co-Agent or the Administrative Agent were
not each Co-Agent or the Administrative Agent hereunder. With respect to its
Loans made or renewed by it, any Note issued to it and any Letter of Credit
issued by or participated in by it, each of the several Co-Agents and the
Administrative Agent shall have the same rights and powers, duties and
liabilities under the Credit Documents as any Lender and may exercise the same
as though it were not Co-Agent or the Administrative Agent and the terms
"Lender" and "Lenders" shall include each Co-Agent and the Administrative Agent
in its individual capacities.

      15.9 Successor Co-Agent or Administrative Agent. Any Co-Agent and the
Administrative Agent may resign as Co-Agent or Administrative Agent upon 30
days' notice to the Lenders. The resignation of any Co-Agent shall be effective
without any further act or deed on the part of the former Co-Agent. If the
Administrative Agent shall resign as Administrative Agent under the Credit
Documents, then the Required Lenders shall appoint from among the Lenders a
successor agent for the Lenders which successor agent shall be approved by the
Company (which approval shall not be unreasonably withheld) whereupon such
successor agent shall succeed to the rights, powers and duties of the
Administrative Agent and the term "Administrative
<PAGE>

Agent" shall mean such successor agent effective upon its appointment, and the
former Administrative Agent's rights, powers and duties as Administrative Agent
shall be terminated, without any other or further act or deed on the part of
such former Administrative Agent or any of the parties to this Agreement or any
holders of the Notes. After any retiring Co-Agent's or Administrative Agent's
resignation hereunder as Co-Agent or Administrative Agent, the provisions of
this Section 15 shall inure to its benefit as to any actions taken or omitted to
be taken by it while it was Co-Agent or Administrative Agent under the Credit
Documents.

      15.10 Issuing Lender as Issuer of Letters of Credit. Each Lender and each
Co-Agent hereby acknowledges that the provisions of this Section 15 shall apply
to the Issuing Lender, in its capacity as issuer of any Letter of Credit, in the
same manner as such provisions are expressly stated to apply to the
Administrative Agent.

      SECTION 16. MISCELLANEOUS.

      16.1 Amendments and Waivers. No Credit Document nor any terms thereof may
be amended, supplemented, waived or modified except in accordance with the
provisions of this subsection 16.1. With the written consent of the Required
Lenders, the Administrative Agent and the respective Credit Parties may, from
time to time, enter into written amendments, supplements or modifications to any
Credit Document for the purpose of adding any provisions to such Credit Document
to which they are parties or changing in any manner the rights of the Lenders or
of any such Credit Party or any other Person thereunder or waiving, on such
terms and conditions as the Administrative Agent may specify in such instrument,
any of the requirements of any such Credit Document or any Default or Event of
Default and its consequences; provided, however, that:

            (a) no such waiver and no such amendment, supplement or modification
      shall directly or indirectly release (i) any Subsidiary Guarantor from its
      obligations under its Subsidiary Guarantee, without the written consent of
      the Required Application Lenders or (ii) release the HoldCo Guarantee or
      all or substantially all of the Subsidiary Guarantees, without the written
      consent of the Release Lenders, except in either case as otherwise
      provided herein or in any other Credit Document;

            (b) no such waiver and no such amendment, supplement or modification
      shall directly or indirectly release (i) any Subsidiary Guarantor from its
      obligations under the Subsidiary Pledge Agreement, without the consent of
      the Required Application Lenders, or (ii) HoldCo, the Company or all or
      substantially all the Subsidiaries from their obligations under the HoldCo
      Pledge Agreement, the Company Pledge Agreement or the Subsidiary Pledge
      Agreement, respectively, without the written consent of the Release
      Lenders, except in either case as otherwise provided herein or in any
      other Credit Document;

            (c) no such waiver and no such amendment, supplement or modification
      shall change the order of application of any optional or
<PAGE>

      mandatory prepayment of Loans or reduction of Commitments pursuant to
      subsection 8.5 and 8.6 without the written consent of the Required
      Application Lenders;

            (d) no such waiver and no such amendment, supplement or modification
      shall (i) extend the scheduled maturity of any Loan, scheduled installment
      of any Loan or scheduled reduction of any Loan or extend the expiry date
      of any Letter of Credit beyond the Revolving Credit Termination Date, or
      reduce the rate or extend the time of payment of interest thereon, or
      change the method of calculating interest thereon, or reduce the amount or
      extend the time of payment of any fee payable to the Lenders hereunder, or
      reduce the principal amount thereof, or increase the amount of any
      Commitment of any Lender without the consent of each Lender directly
      affected thereby, or (ii) amend, modify or waive any provision of this
      subsection 16.1 or the definitions of Required Lenders, Release Lenders or
      Required Application Lenders, or change the percentage of the Lenders
      required to waive a condition precedent under Section 11 or consent to the
      assignment or transfer by any Credit Party of any of its rights and
      obligations under any Credit Document, in each case, without the written
      consent of each Lender; and

            (e) no such waiver and no such amendment, supplement or modification
      shall amend, modify or waive any provision of Section 15 without the
      written consent of the then Co-Agents, Issuing Lender and the
      Administrative Agent.

Any such waiver and any such amendment, supplement or modification described in
this subsection 16.1 shall apply equally to each of the Lenders and shall be
binding upon each Credit Party, the Lenders, each Co-Agent, the Administrative
Agent and all future holders of the Loans. No waiver, amendment, supplement or
modification of any Letter of Credit shall extend the expiry date thereof
without the written consent of the Participating Lenders. In the case of any
waiver, the Company, the Lenders, each Co-Agent, and the Administrative Agent
shall be restored to their former position and rights hereunder and under the
outstanding Loans, and any Default or Event of Default waived shall be deemed to
be cured and not continuing; but no such waiver shall extend to any subsequent
or other Default or Event of Default, or impair any right consequent thereon.

      16.2 Notices. All notices, requests and demands to or upon the respective
parties hereto to be effective shall be in writing (including by telecopy or
telex), and, unless otherwise expressly provided herein, shall be deemed to have
been duly given or made when delivered by hand, or three Business Days after
being deposited in the mail, postage prepaid, or, in the case of telecopy
notice, when sent, confirmation of receipt received, or, in the case of telex
notice, when sent, answerback received, addressed as follows in the case of each
Credit Party and the Administrative Agent, and as set forth on its signature
page hereto in the case of any Lender, or to such other address as may be
hereafter notified by the respective parties hereto and any future holders of
the Loans:

                HoldCo:                 Community Health Systems Holdings Corp.
<PAGE>

                                        c/o Forstmann Little & Co.
                                        767 Fifth Avenue
                                        44th Floor
                                        New York, New York  10153
                                        Attention: Thomas H. Lister
                                        Telex: 497 23385LCO
                                        Telecopy: (212) 759-9059

                The Company:            Community Health Systems, Inc.
                                        155 Franklin Road
                                        Suite 400
                                        Brentwood, TN 37027
                                        Attention: Barry E. Stewart
                                                   Vice President
                                        Telecopy: (615) 309-5132

                In the case of the Company,
                HoldCo or Acquisition Co,
                with a copy to:         Fried, Frank, Harris,
                                        Shriver & Jacobson
                                        One New York Plaza
                                        New York, New York  10004
                                        Attention:  Robert Schwenkel
                                        Telex:  128173
                                        Telecopy:  (212) 859-4000

                The Administrative
                  Agent:                The Chase Manhattan Bank
                                        270 Park Avenue
                                        New York, New York  10017
                                        Attention:  Dawn Lee Lum
                                        Telecopy:  (212) 270-3279

                With a copy to:         Chase Securities Inc.
                                        270 Park Avenue
                                        New York, New York  10017
                                        Attention:  Allison Conway-Carey
                                        Telecopy:  (212) 270-1848

provided that any notice, request or demand to or upon the Administrative Agent
or the Lenders pursuant to subsections 6.3, 6.7, 8.1, 8.3, 8.4, 8.5, and 8.6
shall not be effective until received and provided, further that the failure to
provide the copies of notices to the Company provided for in this subsection
16.2 shall not result in any liability to the Administrative Agent, any Co-Agent
or any Lender.

      16.3 No Waiver; Cumulative Remedies. No failure to exercise and no delay
in exercising, on the part of the Administrative Agent, any Co-Agent or any
Lender, any right, remedy, power or privilege hereunder, shall operate as a
waiver thereof; nor shall any single or partial exercise of any right, remedy,
power or privilege hereunder preclude any other or
<PAGE>

further exercise thereof or the exercise of any other right, remedy, power or
privilege. The rights, remedies, powers and privileges herein provided are
cumulative and not exclusive of any rights, remedies, powers and privileges
provided by law.

      16.4 Survival of Representations and Warranties. All representations and
warranties made hereunder and in any document, certificate or statement
delivered pursuant hereto or in connection herewith shall survive the execution
and delivery of this Agreement, the Letters of Credit and the Loans.

      16.5 Payment of Expenses and Taxes. The Company agrees:

            (a) to pay or reimburse the Administrative Agent for all of its
      out-of-pocket costs and expenses incurred in connection with the
      development, preparation and execution of, the Credit Documents and any
      other documents prepared in connection herewith, and the consummation of
      the transactions contemplated hereby and thereby, including, without
      limitation, the reasonable fees and disbursements of counsel to the
      Administrative Agent;

            (b) to pay or reimburse each Lender, each Co-Agent and the
      Administrative Agent for all their costs and expenses incurred in
      connection with, and to pay, indemnify, and hold the Administrative Agent,
      each Co-Agent and each Lender harmless from and against any and all other
      liabilities, obligations, losses, damages, penalties, actions, judgments,
      suits, costs, expenses or disbursements of any kind or nature whatsoever
      arising out of or in connection with, the enforcement or preservation of
      any rights under any Credit Document and any such other documents,
      including, without limitation, reasonable fees and disbursements of
      counsel to the Administrative Agent, each Co-Agent and each Lender
      incurred in connection with the foregoing and in connection with advising
      the Administrative Agent with respect to its rights and responsibilities
      under this Agreement and the documentation relating thereto;

            (c) to pay, indemnify, and to hold the Administrative Agent, each
      Co-Agent and each Lender harmless from, any and all recording and filing
      fees and any and all liabilities with respect to, or resulting from any
      delay in paying, stamp, excise and other similar taxes (other than
      withholding taxes), if any, which may be payable or determined to be
      payable in connection with the execution and delivery of, or consummation
      of any of the transactions contemplated by, or any amendment, supplement
      or modification of, or any waiver or consent under or in respect of, any
      Credit Document and any such other documents; and

            (d) to pay, indemnify, and hold the Administrative Agent, each
      Co-Agent and each Lender and their respective officers, directors,
      employees and agents harmless from and against any and all other
      liabilities, obligations, losses, damages (including punitive damages),
      penalties, fines, actions, judgments, suits, costs, expenses or
      disbursements of any kind or nature whatsoever (including, without
      limitation, reasonable experts' and consultants' fees and reasonable
<PAGE>

      fees and disbursements of counsel and third party claims for personal
      injury or real or personal property damage) which may be incurred by or
      asserted against the Administrative Agent, any Co-Agent or the Lenders (x)
      arising out of or in connection with any investigation, litigation or
      proceeding related to this Agreement, the other Credit Documents, the
      proceeds of the Loans, or any of the other transactions contemplated
      hereby or thereby, whether or not the Administrative Agent, any Co-Agent
      or any of the Lenders is a party thereto, (y) with respect to any
      environmental matters, any environmental compliance expenses and
      remediation expenses, to the extent required under Environmental Laws, in
      connection with the presence, suspected presence, release or suspected
      release of any Materials of Environmental Concern in or into the air,
      soil, groundwater, surface water or improvements at, on, about, under, or
      within the Properties, or any portion thereof, or elsewhere in connection
      with the transportation of Materials of Environmental Concern to or from
      the Properties or (z) without limiting the generality of the foregoing, by
      reason of or in connection with the execution and delivery or transfer of,
      or payment or failure to make payments under, Letters of Credit (it being
      agreed that nothing in this subsection 16.5(d)(z) is intended to limit the
      Company's obligations pursuant to subsection 6.6);

(all the foregoing, collectively, the "indemnified liabilities"), provided that
the Company shall have no obligation hereunder with respect to indemnified
liabilities of the Administrative Agent, any Co-Agent or any Lender or any of
their respective officers, directors, employees or agents arising from (i) the
gross negligence or willful misconduct of such Administrative Agent, Co-Agent or
Lender or their respective directors, officers, employees or agents or (ii)
legal proceedings commenced against the Administrative Agent, any Co-Agent or
any Lender by any security holder or creditor thereof arising out of and based
upon rights afforded any such security holder or creditor solely in its capacity
as such or (iii) legal proceedings commenced against the Administrative Agent,
any Co-Agent or any such Lender by any Transferee (as defined in subsection
16.6). The agreements in this subsection 16.5 shall survive repayment of the
Loans and all other amounts payable hereunder.

      16.6 Successors and Assigns; Participations; Purchasing Lenders. (a) This
Agreement shall be binding upon and inure to the benefit of the Company, the
Lenders, the Co-Agents and the Administrative Agent, all future holders of the
Loans, and their respective successors and assigns, except that the Company may
not assign or transfer any of its rights or obligations under this Agreement
without the prior written consent of each Lender.

      (b) Any Lender may, in the ordinary course of its business and in
accordance with applicable law, at any time sell to one or more banks or other
financial institutions ("Participants") participating interests in any Loan
owing to such Lender, any participating interest of such Lender in the Letters
of Credit, any Note held by such Lender, any Commitment of such Lender or any
other interest of such Lender hereunder and under the other Credit Documents,
provided, however, that no Lender shall sell any such participating interest to
any Participant which is a Non-U.S. Lender that
<PAGE>

is unable to deliver to such Lender either an Internal Revenue Service Form 4224
or Form 1001 pursuant to clause (A) of subsection 8.18(e) hereof). In the event
of any such sale by a Lender of participating interests to a Participant, such
Lender's obligations under this Agreement to the other parties to this Agreement
shall remain unchanged, such Lender shall remain solely responsible for the
performance thereof, such Lender shall remain the holder of any such Loan for
all purposes under this Agreement and the other Credit Documents and the Company
and the Administrative Agent shall continue to deal solely and directly with
such Lender in connection with such Lender's rights and obligations under this
Agreement and the other Credit Documents. The Company agrees that if amounts
outstanding under this Agreement and the Loans are due and unpaid, or shall have
been declared or shall have become due and payable upon the occurrence of an
Event of Default, each Participant shall be deemed to have the right of setoff
in respect of its participating interest in amounts owing under this Agreement
and any Loan to the same extent as if the amount of its participating interest
were owing directly to it as a Lender under this Agreement or any Loan; provided
that such Participant shall only be entitled to such right of setoff if it shall
have agreed in the agreement pursuant to which it shall have acquired its
participating interest to share with the Lenders the proceeds thereof, as
provided in subsection 16.7. The Company also agrees that each Participant shall
be entitled to the benefits of subsections 8.12, 8.19, 8.20 and 8.21 with
respect to its participation in the Letters of Credit and in the Commitments and
the Loans outstanding from time to time; provided that no Participant shall be
entitled to receive any greater amount pursuant to such subsections than the
transferor Lender would have been entitled to receive in respect of the amount
of the participation transferred by such transferor Lender to such Participant
had no such transfer occurred and each Participant shall be subject to the
provisions of paragraph (c) of subsection 8.20.

      (c) Any Lender may, in the ordinary course of its business and in
accordance with applicable law, at any time sell to any Lender or any Affiliate
thereof (including any Affiliate or Subsidiary of such transferor Lender) (with
"Affiliate" of any Lender including, for purposes of this subsection 16.6, any
open-end or closed-end mutual fund, or any investment partnership or account or
other investment entity, which is advised by the same or an affiliated
investment advisor, including up to a total of four) and, with the prior written
consent of the Company and the Administrative Agent (which in each case shall
not be unreasonably withheld), sell to one or more additional banks or financial
institutions (an "Assignee"), all or any part of its rights and obligations
under this Agreement, the Notes and the other Credit Documents and, with respect
to the Letters of Credit, such Lender's L/C Participating Interest, pursuant to
an Assignment and Acceptance executed by such Assignee, such assigning Lender
(and, in the case of an Assignee that is not then a Lender or an Affiliate
thereof, by the Company and the Administrative Agent), and delivered to the
Administrative Agent for its acceptance and recording in the Register (as
defined below); provided that (A) each such sale pursuant to this subsection
16.6(c) of less than all of a Lender's rights and Obligations (I) to a Person
which is not then a Lender or an Affiliate of a Lender shall be of Commitments
and/or Loans of $10,000,000 or more (or such lesser amount as otherwise
consented to by the Company in its sole discretion and the Administrative Agent)
and (II) to a Person which is then a Lender or an
<PAGE>

Affiliate of a Lender may be in any amount, (B) in the event of a sale of less
than all of such rights and obligations, such Lender after such sale shall
retain Commitments and/or Loans (without duplication) aggregating at least
$10,000,000 (or such lesser amount as otherwise consented to by the Company in
its sole discretion and the Administrative Agent) and (C) each Assignee which is
a Non-U.S. Lender shall comply with the provisions of clause (A) of subsection
8.18(e) hereof, or, with the prior written consent of the Company which may be
withheld in its sole discretion, with or without cause, the provisions of clause
(B) of subsection 8.18(e) hereof (and, in either case, with all of the other
provisions of subsection 8.18(e) hereof); and provided, further that the
foregoing shall not prohibit a Lender from selling participating interests in
accordance with subsection 16.6(b) in all or any portion of its Commitments
and/or Loans (without duplication). Upon such execution, delivery, acceptance
and recording, from and after the effective date determined pursuant to such
Assignment and Acceptance, (x) the Assignee thereunder shall be a party hereto
and, to the extent provided in such Assignment and Acceptance, have the rights
and obligations of a Lender hereunder with the Commitments and Loans as set
forth therein, and (y) the assigning Lender thereunder shall, to the extent of
the interest transferred, as reflected in such Assignment and Acceptance, be
released from its obligations under this Agreement (and, in the case of an
Assignment and Acceptance covering all or the remaining portion of an assigning
Lender's rights and obligations under this Agreement, such assigning Lender
shall cease to be a party hereto). Such Assignment and Acceptance shall be
deemed to amend this Agreement to the extent, and only to the extent, necessary
to reflect the addition of such Assignee and the resulting adjustment of
Commitment Percentages arising from the purchase by such Assignee of all or a
portion of the rights and obligations of such assigning Lender under this
Agreement and the Notes. As soon as practicable after the effective date
determined pursuant to such Assignment and Acceptance, the Company, at its own
expense, shall, to the extent requested by the Assignee, execute and deliver to
the Administrative Agent, in exchange for any surrendered Notes, new Notes to
the order of such Assignee in amounts equal to the respective Commitments and
Loans assumed by it pursuant to such Assignment and Acceptance and, if the
assigning Lender has retained Commitments hereunder, to the extent requested by
the assigning Lender, new Notes to the order of the assigning Lender in an
amount equal to the Commitments and Loans retained by it hereunder. Such new
Notes shall be dated the Closing Date and shall otherwise be in the form of the
Notes replaced thereby. Any Notes surrendered by the assigning Lender shall be
returned by the Administrative Agent to the Company marked "cancelled".
Notwithstanding anything herein to the contrary (and to the extent permitted by
law), after the occurrence of an Event of Default of the type described in
Section 14(f) with respect to HoldCo or the Company, any Lender may sell all or
any part of its rights and obligations under this Agreement without the consent
of the Company.

      (d) Any Non-U.S. Lender (other than a Participant or an Assignee, with
respect to which the Company has not provided the prior written consent
described in clause (C) of the proviso to the first sentence of subsection
16.6(c), in the case of an Assignee) that could become completely exempt from
withholding of any U.S. Taxes in respect of payment of any interest due to such
Non-U.S. Lender under this Agreement if the Term Note(s) held by such Non-U.S.
Lender were in registered form for U.S.
<PAGE>

federal income tax purposes may request the Company (through the Administrative
Agent), and the Company agrees thereupon, to exchange any Term Note(s) held by
such Non-U.S. Lender, or to issue to such Non-U.S. Lender on the date it becomes
a party to this Agreement, Term Note(s) registered as provided in paragraph (e)
below and substantially in the form of Exhibit I (a "Qualified Non-U.S. Lender
Note"). Qualified Non-U.S. Lender Notes may not be exchanged for promissory
notes that are not Qualified Non-U.S. Lender Notes.

      (e) A Qualified Non-U.S. Lender Note and the Obligation(s) evidenced
thereby may be assigned or otherwise transferred in whole or in part only by
registration of such assignment or transfer of such Qualified Non-U.S. Lender
Note and the Obligation(s) evidenced thereby on the Register (and each Qualified
Non-U.S. Lender Note shall expressly so provide). Any assignment or transfer of
all or part of such Obligation(s) and the Qualified Non-U.S. Lender Note(s)
evidencing the same shall be registered on the Register only upon surrender for
registration of assignment or transfer of the Qualified Non-U.S. Lender Note(s)
evidencing such Obligation(s), duly endorsed by (or accompanied by a written
instrument of assignment or transfer duly executed by) the holder thereof (a
"Qualified Non-U.S. Lender Noteholder"), and thereupon one or more new Qualified
Non-U.S. Lender Note(s) in the same aggregate principal amount shall be issued
to the designated Assignee(s) and the old Qualified Non-U.S. Lender Note shall
be returned to the Company marked "cancelled". No assignment of a Qualified
Non-U.S. Lender Note and the Obligation(s) evidenced thereby shall be effective
unless it shall have been recorded in the Register by the Administrative Agent
as provided in this subsection 16.6(e).

      (f) The Administrative Agent acting on behalf of and as agent for the
Company, shall maintain at the address of the Administrative Agent referred to
in subsection 16.2 a copy of each Assignment and Acceptance delivered to it and
a register (the "Register") for the recordation of the names and addresses of
the Lenders and the registered owners of the Obligations evidenced by the
Qualified Non-U.S. Lender Notes (including Qualified Non-U.S. Lender
Noteholders) and the Commitment of, the principal amount of any Term Loans,
Swing Line Loans, Acquisition Loans and/or Revolving Credit Loans owing to, and
if such Lender has any Revolving Credit Commitment, the L/C Participating
Interests of, each Lender from time to time. The entries in the Register shall
be conclusive, in the absence of manifest error, and the Company, the
Administrative Agent and the Lenders shall treat each Person whose name is
recorded in the Register as the owner of the Loans, Qualified Non-U.S. Lender
Notes or L/C Participating Interests recorded therein for all purposes of this
Agreement, notwithstanding any notice to the contrary. The Register shall be
available for inspection by the Company or any Lender at any reasonable time and
from time to time upon reasonable prior notice.

      (g) Upon its receipt of an Assignment and Acceptance executed by an
assigning Lender and an Assignee (and, in the case of an Assignee that is not
then a Lender or an Affiliate thereof, by the Company and the Administrative
Agent), together with payment to the Administrative Agent of a registration and
processing fee of $4,000 if the Assignee is not a Lender or an Affiliate thereof
prior to the execution of such Assignment and
<PAGE>

Acceptance and $1,000 otherwise, the Administrative Agent shall (i) promptly
accept such Assignment and Acceptance and (ii) on the effective date determined
pursuant thereto, record the information contained therein in the Register and
give notice of such acceptance and recordation to the Lenders and the Company.

      (h) The Company authorizes each Lender to disclose to any Participant or
Assignee (each, a "Transferee") and any prospective Transferee any and all
financial information in such Lender's possession concerning Holdings, the
Company and their respective Subsidiaries which has been delivered to such
Lender by or on behalf of the Company pursuant to this Agreement or which has
been delivered to such Lender by or on behalf of the Company in connection with
such Lender's credit evaluation of Holdings, the Company and their respective
Subsidiaries and Affiliates prior to becoming a party to this Agreement.

      (i) If, pursuant to this subsection 16.6, any interest in this Agreement
or any Loan or Letter of Credit is transferred to any Transferee which would be
a Non-U.S. Lender upon the effectiveness of such transfer, the assigning Lender
shall cause such Transferee, concurrently with the effectiveness of such
transfer, (i) to represent to the assigning Lender (for the benefit of the
assigning Lender, the Administrative Agent and the Company) that under
applicable law and treaties no U.S. Taxes will be required to be withheld by the
Administrative Agent, the Company or the assigning Lender with respect to any
payments to be made to such Transferee in respect of the Loans or L/C
Participating Interests, (ii) to furnish to the assigning Lender (and, in the
case of any Assignee registered in the Register, the Administrative Agent and
the Company) such Internal Revenue Service Forms required to be furnished
pursuant to subsection 8.18(e) and (iii) to agree (for the benefit of the
assigning Lender, the Administrative Agent and the Company) to be bound by the
provisions of subsection 8.18(e).

      (j) For avoidance of doubt, the parties to this Agreement acknowledge that
the provisions of this subsection concerning assignments of Loans and Notes
relate only to absolute assignments and that such provisions do not prohibit
assignments creating security interests, including, without limitation, any
pledge or assignment by a Lender of any Loan or Note to any Federal Reserve Bank
in accordance with applicable law; provided that any transfer of Loans or Notes
upon, or in lieu of, enforcement of or the exercise of remedies under any such
pledge shall be treated as an assignment thereof which shall not be made without
compliance with the requirements of this subsection 16.6.

      16.7 Adjustments; Set-off. (a) If any Lender (a "Benefitted Lender") shall
at any time receive any payment of all or part of any of its Term Loans,
Revolving Credit Loans (other than payment of Swing Line Loans), Acquisition
Loans or L/C Participating Interests, as the case may be, or interest thereon,
or receive any collateral in respect thereof (whether voluntarily or
involuntarily, by set-off, pursuant to events or proceedings of the nature
referred to in clause (f) of Section 14, or otherwise) in a greater proportion
than any such payment to and collateral received by any other Lender, if any, in
respect of such other Lender's Term Loans, Revolving Credit Loans, Acquisition
Loans or L/C Participating Interests, as the case may be, or interest thereon,
such benefitted Lender
<PAGE>

shall purchase for cash from the other Lenders such portion of each such other
Lender's Term Loans, Revolving Credit Loans, Acquisition Loans or L/C
Participating Interests, as the case may be, or shall provide such other Lenders
with the benefits of any such collateral, or the proceeds thereof, as shall be
necessary to cause such benefitted Lender to share the excess payment or
benefits of such collateral or proceeds ratably with each of the Lenders;
provided, however, that if all or any portion of such excess payment or benefits
is thereafter recovered from such benefitted Lender, such purchase shall be
rescinded, and the purchase price and benefits returned, to the extent of such
recovery, but without interest. The Company agrees that each Lender so
purchasing a portion of another Lender's Loans and/or L/C Participating
Interests may exercise all rights of payment (including, without limitation,
rights of set-off) with respect to such portion as fully as if such Lender were
the direct holder of such portion. The Administrative Agent shall promptly give
the Company notice of any set-off, provided that the failure to give such notice
shall not affect the validity of such set-off.

      (b) Upon the occurrence of an Event of Default specified in Section 14(a)
or 14(f), the Administrative Agent, each Co-Agent and each Lender are hereby
irrevocably authorized at any time and from time to time without notice to the
Company, any such notice being hereby waived by the Company, to set off and
appropriate and apply any and all deposits (general or special, time or demand,
provisional or final), in any currency, and any other credits, indebtedness or
claims, in any currency, in each case whether direct or indirect, absolute or
contingent, matured or unmatured, at any time held or owing by the
Administrative Agent, such Co-Agent or such Lender to or for the credit or the
account of the Company or any part thereof in such amounts as the Administrative
Agent, such Co-Agent or such Lender may elect, on account of the liabilities of
the Company hereunder and under the other Credit Documents and claims of every
nature and description of the Administrative Agent, such Co-Agent or such Lender
against the Company in any currency, whether arising hereunder, or otherwise,
under any other Credit Document as the Administrative Agent, such Co-Agent or
such Lender may elect, whether or not the Administrative Agent, such Co-Agent or
such Lender has made any demand for payment and although such liabilities and
claims may be contingent or unmatured. The Administrative Agent, each Co-Agent
and each Lender shall notify the Company promptly of any such setoff made by it
and the application made by it of the proceeds thereof, provided that the
failure to give such notice shall not affect the validity of such setoff and
application. The rights of the Administrative Agent, each Co-Agent and each
Lender under this paragraph are in addition to other rights and remedies
(including, without limitation, other rights of setoff) which the Administrative
Agent, such Co-Agent or such Lender may have.

      16.8 Counterparts. This Agreement may be executed by one or more of the
parties to this Agreement on any number of separate counterparts and all of said
counterparts taken together shall be deemed to constitute one and the same
instrument. A set of the copies of this Agreement signed by all the parties
shall be lodged with the Company and the Administrative Agent. This Agreement
shall become effective with respect to the Company, the Co-Agents, the
Administrative Agent and the Lenders when the Administrative Agent shall have
received copies of this Agreement executed
<PAGE>

by the Company, HoldCo, the Co-Agents and the Lenders, or, in the case of any
Lender, shall have received telephonic confirmation from such Lender stating
that such Lender has executed counterparts of this Agreement or the signature
pages hereto and sent the same to the Administrative Agent.

      16.9 Integration1 This Agreement and the other Credit Documents represent
the entire agreement of the Credit Parties, the Administrative Agent, the
Co-Agents and the Lenders with respect to the subject matter hereof and thereof,
and there are no promises, undertakings, representations or warranties by the
Administrative Agent, any Co-Agent or any Lender relative to the subject matter
hereof or thereof not expressly set forth or referred to herein or in the other
Credit Documents.

      16.10 GOVERNING LAW; NO THIRD PARTY RIGHTS. THIS AGREEMENT AND THE LOANS
AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT AND THE LOANS
SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAWS
OF THE STATE OF NEW YORK. THIS AGREEMENT IS SOLELY FOR THE BENEFIT OF THE
PARTIES HERETO AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS, AND, EXCEPT AS SET
FORTH IN SUBSECTION 16.6, NO OTHER PERSONS SHALL HAVE ANY RIGHT, BENEFIT,
PRIORITY OR INTEREST UNDER, OR BECAUSE OF THE EXISTENCE OF, THIS AGREEMENT.

      16.11 SUBMISSION TO JURISDICTION; WAIVERS. (A) EACH PARTY TO THIS
AGREEMENT HEREBY IRREVOCABLY AND UNCONDITIONALLY:

            (I) SUBMITS FOR ITSELF AND ITS PROPERTY IN ANY LEGAL ACTION OR
      PROCEEDING RELATING TO THIS CREDIT AGREEMENT OR ANY OF THE OTHER CREDIT
      DOCUMENTS, OR FOR RECOGNITION AND ENFORCEMENT OF ANY JUDGMENT IN RESPECT
      THEREOF, TO THE NON-EXCLUSIVE GENERAL JURISDICTION OF THE COURTS OF THE
      STATE OF NEW YORK, THE COURTS OF THE UNITED STATES OF AMERICA FOR THE
      SOUTHERN DISTRICT OF NEW YORK, AND APPELLATE COURTS FROM ANY THEREOF;

            (II) CONSENTS THAT ANY SUCH ACTION OR PROCEEDING MAY BE BROUGHT IN
      SUCH COURTS, AND WAIVES ANY OBJECTION THAT IT MAY NOW OR HEREAFTER HAVE TO
      THE VENUE OF ANY SUCH ACTION OR PROCEEDING IN ANY SUCH COURT OR THAT SUCH
      ACTION OR PROCEEDING WAS BROUGHT IN AN INCONVENIENT COURT AND AGREES NOT
      TO PLEAD OR CLAIM THE SAME;

            (III) AGREES THAT SERVICE OF PROCESS IN ANY SUCH ACTION OR
      PROCEEDING MAY BE EFFECTED BY MAILING A COPY THEREOF BY REGISTERED OR
      CERTIFIED MAIL (OR ANY SUBSTANTIALLY SIMILAR FORM OF MAIL), POSTAGE
      PREPAID, TO SUCH PARTY AT ITS ADDRESS SET FORTH IN SUBSECTION 16.2 OR AT
      SUCH OTHER ADDRESS OF WHICH THE ADMINISTRATIVE AGENT SHALL HAVE BEEN
      NOTIFIED PURSUANT THERETO; AND

            (IV) AGREES THAT NOTHING CONTAINED HEREIN SHALL AFFECT THE RIGHT TO
      EFFECT SERVICE OF PROCESS IN ANY OTHER MANNER PERMITTED BY LAW OR SHALL
      LIMIT THE RIGHT TO SUE IN ANY OTHER JURISDICTION.

      (B) EACH PARTY HERETO UNCONDITIONALLY WAIVES TRIAL BY JURY IN ANY LEGAL
ACTION OR PROCEEDING REFERRED TO IN PARAGRAPH (A) ABOVE.

      16.12 Acknowledgments. HoldCo and the Company each hereby
<PAGE>

acknowledges that:

            (a) none of the Administrative Agent, any Co-Agent or any Lender has
      any fiduciary relationship to any Credit Party, and the relationship
      between the Administrative Agent, the Co-Agents and the Lenders, on the
      one hand, and the Credit Parties, on the other hand, is solely that of
      creditor and debtor; and

            (b) no joint venture exists among the Lenders or among any Credit
      Parties and the Lenders.

            16.13 Restatement. By their execution hereof, each of the parties
      hereto agrees that all indebtedness of the Company under the Existing
      Credit Agreement shall be continued hereunder, that the Existing Credit
      Agreement shall be amended and restated to reflect such continuation and
      to preserve the perfection and priority of all security interests securing
      such indebtedness under the Existing Credit Agreement and that all
      indebtedness and obligations of the Company hereunder shall be secured by
      the Guarantees and Pledge Agreements.

      IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
duly executed and delivered in New York, New York by their proper and duly
authorized officers as of the day and year first above written.

                                        COMMUNITY HEALTH SYSTEMS, INC.

                                        By:
                                           ---------------------------------
                                           Title:


                                        COMMUNITY HEALTH SYSTEMS HOLDINGS CORP.

                                        By:
                                           ---------------------------------
                                           Title:


                                        THE CHASE MANHATTAN BANK, as
                                        Administrative Agent, Issuing Lender
                                        and as a Lender

                                         By:
                                           ---------------------------------
                                           Title:
<PAGE>
                                        NATIONSBANK, N.A., as Co-Agent
                                        and as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        One Nationsbank Plaza, 7th Floor
                                        Nashville, Tennessee 37239-1697
                                        Attention: Kevin Wagley
                                        Telecopy: (615) 749-4640
<PAGE>

                                        BANK OF AMERICA ILLINOIS, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        One Nationsbank Plaza, 7th Floor
                                        Nashville, Tennessee 37239-1697
                                        Attention: Kevin Wagley
                                        Telecopy: (615) 749-4640
<PAGE>

                                        THE BANK OF NOVA SCOTIA, as Co-Agent
                                        and as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        600 Peachtree St. NE, Suite 2700
                                        Atlanta, Georgia  30308
                                        Attention: Carolyn A. Lopez
                                        Telecopy: (404) 888-8998
<PAGE>

                                        MERRILL LYNCH SENIOR FLOATING RATE
                                        FUND, INC., as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        800 Scudders Mill Road
                                        Plainsboro, New Jersey  08536
                                        Attention: Doug Henderson
                                        Telecopy: (609) 282-2756
<PAGE>

                                        SENIOR HIGH INCOME PORTFOLIO, INC.,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        800 Scudders Mill Road
                                        Plainsboro, New Jersey  08536
                                        Attention: Doug Henderson
                                        Telecopy: (609) 282-2756
<PAGE>

                                        MERILL LYNCH PRIME RATE PORTFOLIO,
                                        as a Lender

                                        By:  Merrill Lynch Asset Management,
                                             L.P., as Investment Advisor


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        800 Scudders Mill Road
                                        Plainsboro, New Jersey  08536
                                        Attention: Doug Henderson
                                        Telecopy: (609) 282-2756
<PAGE>

                                        VAN KAMPEN PRIME RATE INCOME TRUST,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        One Parkview Plaza
                                        Oakbrook Terrace, Illinois  60181
                                        Attention: Jeffrey Maillett
                                        Telecopy: (630) 684-6385
<PAGE>

                                        STATE STREET BANK & TRUST, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        Two International Place
                                        Boston, Massachusetts 02110
                                        Attention: Wayne Elpus
                                        Telecopy: (617) 664-5366
<PAGE>

                                        SENIOR DEBT PORTFOLIO, as a Lender
                                        by:  Boston Management and Research,
                                        as Investment Advisor


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        c/o Eaton Vance Management Inc.
                                        24 Federal Street, 6th Floor
                                        Boston, Massachusetts  02110
                                        Attention: Payson Swaffield
                                        Telecopy: (617) 695-9594
<PAGE>

                                        MARINE MIDLAND BANK, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        140 Broadway, 4th Floor
                                        New York, New York  10005-1185
                                        Attention: Christopher French
                                        Telecopy: (212) 658-2586
<PAGE>

                                        CREDIT LYONNAIS NEW YORK BRANCH,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        1301 Avenue of the Americas
                                        New York, New York  10019
                                        Attention: Farbroud Tavangar
                                        Telecopy: (212) 261-3440
<PAGE>

                                        PARIBAS, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        1200 Smith Street, Suite 3100
                                        Houston, Texas  77002
                                        Attention: Glenn Mealey
                                        Telecopy: (713) 659-5234
<PAGE>

                                        BANK AUSTRIA CREDITANSTALT CORPORATE
                                        FINANCE, INC., as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        Two Greenwich Plaza
                                        Greenwich, Connecticut  06830
                                        Attention: Ridge Cromwell
                                        Telecopy: (203) 861-1475
<PAGE>

                                        FIRST UNION NATIONAL BANK, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        150 Fourth Avenue North, 2nd Floor
                                        Nashville, Tennessee  37219
                                        Attention: Carolyn Hannon
                                        Telecopy: (615) 251-9247
<PAGE>

                                        THE LONG-TERM CREDIT BANK OF JAPAN,
                                        LTD., as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        245 Peachtree Center Avenue, N.E.
                                        Suite 2801
                                        Atlanta, Georgia 30303
                                        Attention: Rebecca Silbert
                                        Telecopy: (404) 658-9751
<PAGE>

                                        THE MITSUBISHI TRUST AND BANKING
                                        CORPORATION, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        520 Madison Avenue, 25th Floor
                                        New York, New York  10022
                                        Attention: Eric Mann
                                        Telecopy: (212) 644-6825
<PAGE>

                                        SRF TRADING, INC., as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        c/o NationsBank, N.A.
                                        101 N. Tryon Street, NC 1-001-15-01
                                        Charlotte, North Carolina 28273
                                        Attention: Ryan S. Barclay
                                        Telecopy: (704) 386-6391
<PAGE>

                                        KEYPORT LIFE INSURANCE COMPANY,
                                        as a Lender

                                        By:  Stein Roe & Farnham Incorporated,
                                             as Agent


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        Stein Roe & Farnham Incorporated
                                        One Wacker Drive, 33rd Floor
                                        Chicago, Illinois 60606
                                        Attention: Brian W. Good
                                        Telecopy: (312) 368-7857
<PAGE>

                                        PRIME INCOME TRUST, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        Two World Trade Center
                                        72nd Floor
                                        New York, New York  10048
                                        Attention: Sheila Finnerty
                                        Telecopy: (212) 392-5345
<PAGE>

                                        PILGRIM PRIME RATE TRUST, as a Lender

                                        By:  Pilgrim Investments, Inc., as its
                                             Investment Manager


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        Two Renaissance Square
                                        40 North Central Avenue
                                        Phoenix, Arizona  85004-4424
                                        Attention: Michel Prince
                                        Telecopy: (602) 417-8327
<PAGE>

                                        MASSACHUSETTS MUTUAL LIFE INSURANCE
                                        COMPANY, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        1295 State Street
                                        Springfield, Massachusetts  01111-0111
                                        Attention: Lisa Yoerg
                                        Telecopy: (413) 744-2022
<PAGE>

                                        MASSMUTUAL HIGH YIELD PARTNERS II, LLC,
                                        as a Lender

                                        By:  HYP Management Inc., as Managing
                                             Member


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        1295 State Street
                                        Springfield, Massachusetts  01111-0111
                                        Attention: Lisa Yoerg
                                        Telecopy: (413) 744-2022
<PAGE>

                                        NEW YORK LIFE INSURANCE COMPANY,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        51 Madison Avenue
                                        New York, New York  10010
                                        Attention: Steven Benevento
                                        Telecopy: (212) 447-4122
<PAGE>

                                        NEW YORK LIFE INSURANCE AND ANNUITY
                                        CORPORATION, as a Lender

                                        By:  New York Life Insurance Company


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        51 Madison Avenue
                                        New York, New York  10010
                                        Attention: Steven Benevento
                                        Telecopy: (212) 447-4122
<PAGE>

                                        AMSOUTH BANK, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        333 Union Street, Suite 200
                                        Nashville, Tennessee 37201
                                        Attention: Kathy Wind
                                        Telecopy: (615) 291-5257
<PAGE>

                                        ING CAPITAL ADVISORS, INC., as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        333 S. Grand Avenue
                                        Suite 4250
                                        Los Angeles, California  90071
                                        Attention: Helen Rhee
                                        Telecopy: (213) 346-3995
<PAGE>

                                        LEHMAN COMMERCIAL PAPER INC.,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        3 World Financial Center, 11th Floor
                                        New York, New York  10285
                                        Attention: Michele Swanson
                                        Telecopy: (212) 526-0242
<PAGE>

                                        AERIES FINANCE LTD., as a Lender

                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        c/o Moore Management Services Limited
                                        Elizabeth House, Castle Street
                                        St. Helier, Jersey
                                        Channel Islands, Great Britain
                                        Attention: Director
                                        Telecopy: 011-441-534-616900

                                        with a copy to:
                                        Aeries Finance Ltd.
                                        c/o Stanfield Capital Partners LLC
                                        330 Madison Avenue
                                        New York, New York 10017
                                        Attention: Christopher E. Jansen
                                        Telecopy: (212) 284-4320

<PAGE>

                                        CAPTIVA FINANCE LTD., as a Lender

                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        c/o Deutsche Bank (Cayman) Limited
                                        P.O. Box 1984 GT, Elizabeth Square
                                        Grand Cayman, Cayman Islands
                                        Attention: Director
                                        Telecopy: (345) 949-5223

                                        with a copy to:
                                        Captiva Finance Ltd.
                                        330 Madison Avenue, 27th Floor
                                        New York, New York 10017
                                        Attention: Christopher E. Jansen
                                        Telecopy: (212) 284-4320
<PAGE>

                                        BANKBOSTON, N.A., as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        100 Federal Street
                                        Boston, Massachusetts  02110
                                        Attention: Greg Clark
                                        Telecopy: (617) 434-4929
<PAGE>

                                        THE BANK OF NEW YORK, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        One Wall Street, 22nd Floor
                                        New York, New York  10286
                                        Attention: Anne Marie Hughes
                                        Telecopy: (212) 635-6434
<PAGE>

                                        BHF-BANK AKTIENGESELLSCHAFT, as a
                                         Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        590 Madison Avenue
                                        New York, New York  10022
                                        Attention: Patrick Marsh
                                        Telecopy: (212) 756-5536
<PAGE>

                                        FIRST NATIONAL BANK OF CHICAGO, as a
                                         Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        One First National Plaza
                                        Mail Suite 0091
                                        Chicago, Illinois 60670
                                        Attention: Tom Harkless
                                        Telecopy: (312) 732-2016
<PAGE>

                                        PAMCO CAYMAN LTD., as a Lender

                                        By:  Highland Capital Management LP,
                                             as Collateral Manager


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        1150 Two Galleria Tower
                                        13455 Noel Rd. LB #45
                                        Dallas, Texas 75240
                                        Attention: Mark Okada
                                        Telecopy: (972) 233-4343
<PAGE>

                                        FIRST AMERICAN NATIONAL BANK,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        327 Union Street, 2nd Floor
                                        Nashville, Tennessee 37237-0203
                                        Attention: Sandy Hamrick
                                        Telecopy: (615) 748-8480
<PAGE>

                                        PNC BANK N.A., as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        500 West Jefferson Street, 2nd Floor
                                        Louisville, Kentucky 40202
                                        Attention: Benjamin Willingham
                                        Telecopy: (502) 581-2302
<PAGE>

                                        NATIONAL CITY BANK OF KENTUCKY,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        101 South Fifth Street
                                        Louisville, Kentucky 40202
                                        Attention: Roderic Brown
                                        Telecopy: (502) 581-4424
<PAGE>

                                        THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        1251 Avenue of the Americas, 32nd Floor
                                        New York, New York  10020-1104
                                        Attention: Jennifer McNamara
                                        Telecopy: (212) 282-4490
<PAGE>

                                        SKANDINVISKA ENSKLIDA BANKEN, as a
                                        Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        245 Park Avenue
                                        New York, New York  10167
                                        Attention: Sverker Johansson
                                        Telecopy: (212) 697-5188
<PAGE>

                                        OCTAGON LOAN TRUST, as a Lender

                                        By: Octagon Credit Investors,
                                             as Manager,


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        380 Madison Avenue, 12th Floor
                                        New York, New York  10017
                                        Attention: James Ferguson
                                        Telecopy: (212) 622-3070
<PAGE>

                                        INSTITUTIONAL DEBT MANAGEMENT,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices:
                                        410 Park Avenue, 14th Floor
                                        New York, New York 10022
                                        Attention: Tom Ewald
                                        Telecopy: 212-891-5075
<PAGE>

                                        FLOATING RATE PORTFOLIO, as a Lender

                                        By:  INVESCO Senior Secured Management,
                                             Inc.,  as attorney in fact


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices:
                                        1166 Avenue of the Americas, 27th Floor
                                        New York, New York 10036-2789
                                        Attention: Peter Wollman
                                        Telecopy: 212-278-9847

                                        with a copy to:
                                        AIM Floating Rate Portfolio
                                        11 Greenway Plaza, 16th Floor
                                        Houston, Texas 77046
                                        Attn: Stacy Franks
                                        Telecopy: (713) 214-4481
<PAGE>

                                        KZH STERLING LLC, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices:
                                        c/o KZH Sterling LLC.
                                        The Chase Manhattan Bank
                                        450 West 33rd Street, 15th Floor
                                        New York, New York 10001
                                        Attention: Virginia Conway
                                        Telecopy: 212-946-7776

                                        with a copy to:

                                        Shan McSweeney
                                        c/o Gibson, Dunn & Crutcher LLP
                                        200 Park Avenue, 47th Floor
                                        New York, New Yotk 10166
                                        Telecopy: (212) 351-5330
<PAGE>
                                        KZH IV LLC, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices:
                                        c/o KZH IV LLC
                                        The Chase Manhattan Bank
                                        450 West 33rd Street, 15th Floor
                                        New York, New York 10001
                                        Attention: Virginia Conway
                                        Telecopy: 212-946-7776

                                        with a copy to:
                                        Shan McSweeney
                                        c/o Gibson, Dunn & Crutcher LLP
                                        200 Park Avenue, 47th Floor
                                        New York, New York 10166
                                        Telecopy: (212) 351-5330
<PAGE>

                                        ALLSTATE LIFE INSURANCE COMPANY,
                                        as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices:
                                        3075 Sanders Road, Suite G3A
                                        Northbrook, Illinois 60062-7127
                                        Attention: Jerry Zinkula
                                        Telecopy: 847-402-3092
<PAGE>

                                        ALLSTATE INSURANCE COMPANY, as a Lender


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices:
                                        3075 Sanders Road, Suite G3A
                                        Northbrook, Illinois 60062-7127
                                        Attention: Jerry Zinkula
                                        Telecopy: 847-402-3092
<PAGE>

                                        EATON VANCE SENIOR INCOME TRUST,
                                        as a Lender

                                        By:  Boston Management and Research,
                                             as Investment Advisor


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices
                                        c/o Eaton Vance Management Inc.
                                        24 Federal Street, 6th Floor
                                        Boston, Massachusetts 02110
                                        Attention: Payson Swaffield
                                        Telecopy: (617) 695-9594
<PAGE>

                                        JACKSON NATIONAL LIFE INSURANCE
                                        COMPANY, as a Lender

                                        By:  PPM America, Inc., as attorney
                                             in fact, on behalf of Jackson
                                             National Life Insurance Company


                                        By:
                                           ---------------------------------
                                           Name:
                                           Title:

                                        Address for Notices:
                                        225 West Wacker Drive, Suite 1200
                                        Chicago, IL 60606
                                        Attention:  Mike DiRie, or Mike King
                                                    and Dave Brinkley
                                        Telecopy: 312-634-0054 and 312-634-0906



<PAGE>

                                                                  Exhibit 10.12

              Form of 7-1/2% SERIES A DEBENTURES DUE JUNE 30, 2007

THIS DEBENTURE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED, AND MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF UNLESS
REGISTERED UNDER SAID ACT OR AN EXEMPTION FROM REGISTRATION IS AVAILABLE AND
EXCEPT IN COMPLIANCE WITH THE PROVISIONS OF SECTION 17 HEREOF.

                               FLCH HOLDINGS CORP.

                       7-1/2% SERIES A DEBENTURES DUE JUNE 30, 2007

No.:  R-                                                    New York, New York


            FLCH HOLDINGS CORP., a Delaware corporation (hereinafter called
"HoldCo"), for value received, hereby promises to pay to:

or its registered assigns, the principal amount of $ (or so much thereof as
shall not have been prepaid), payable on June 30, 2007, and to pay interest
(computed on the basis of a 360-day year of twelve 30-day months) on the unpaid
principal amount hereof, from the date hereof, at the rate of 7-1/2% per annum
semi-annually on the 31st day of January and the 31st day of July in each year,
commencing on January 31, 1997, until said principal amount shall have become
due and payable and (to the extent permitted by applicable law) to pay interest
at the rate of 10-1/2% per annum on any overdue principal and interest, from the
date such amount was due and payable until the obligation of HoldCo with respect
to the payment thereof shall be fully discharged. Payments of principal and
interest on this 7-1/2% Series A Debenture (this "Debenture") shall be made in
such coin or currency of the United States of America as at the time of payment
shall be legal tender for the payment of public and private debts. If the date
on which any such payment is required to be made pursuant to the provisions of
this Debenture occurs on a day other than a Business Day (as hereinafter
defined), such payment shall be due and payable on the next succeeding Business
Day.

            This Debenture together with any debenture or debentures hereafter
issued in accordance with the provisions hereof which represent part of the
principal amount of this Debenture and any replacement hereof or thereof
constitute HoldCo's 7-1/2% Series A Debentures due June 30, 2007 (hereinafter
collectively called the "7-1/2% Series A Debentures"). The 7-1/2% Series A
Debentures, together with HoldCo's 7-1/2% Series B Debentures due June 30, 2008
and HoldCo's 7-1/2% Series C Debentures due


<PAGE>

June 30, 2009, and any debenture or debentures issued in accordance with the
provisions hereof or thereof which represent part of the principal amount hereof
or thereof and any replacement of any of the foregoing, aggregating $500,000,000
in original principal amount, are hereinafter collectively called "7-1/2%
Debentures".

            1.    DEFINED TERMS

            As used herein the following terms shall have the following
meanings:

            "Administrative Agent" shall mean The Chase Manhattan Bank, N.A., in
its capacity as administrative agent under the Senior Credit Agreements.

            "Affiliate" shall mean any person or entity that directly, or
indirectly through one or more intermediaries, controls, is controlled by, or is
under common control with, another specified person or entity.

            "Borrower" shall mean FLCH Acquisition Corp., a Delaware corporation
and a direct wholly-owned subsidiary of HoldCo, which corporation is to be
merged with CHS pursuant to the Merger, and from and after the Merger said term
shall refer to the Surviving Corporation.

            "Business Day" shall mean a day other than Saturday, Sunday or other
day on which commercial banks in New York City are authorized or required by law
to close.

            "CHS" shall mean Community Health Systems, Inc., a Delaware
corporation.

            "Co-Agents" shall mean, collectively, Bank of America N.A.,
NationsBank, and The Bank of Nova Scotia, in their capacities as co-agents with
respect to the Senior Credit Agreements.

            "Merger Credit Agreement" shall mean the $900,000,000 Credit
Agreement dated as of July 9, 1996, among the Borrower, HoldCo, the Merger
Lenders parties thereto, the Co-Agents and the Administrative Agent, and shall
include any replacements or refinancings by the Lenders, renewals, and
amendments thereto with the consent of the Borrower, the Lenders, the Co-Agents
and the Administrative Agent, as required thereunder, and including those
amendments that would increase the amounts outstanding thereunder to the extent
permitted by the provisions of Section 16.

            "Event(s) of Default" shall have the meaning assigned to it in
Section 4.

            "Holder" shall mean the person or entity in whose name this
Debenture is registered on the register maintained by HoldCo pursuant to Section
6; and "Holders" shall be the collective reference to all such holders of 7-1/2%
Debentures.


                                      -2-
<PAGE>

            "L/C Application" shall be any L/C Application under the Merger
Credit Agreement.

            "Lenders" shall mean, prior to the Merger, the Tender Lenders, and
from and after the Merger, the Merger Lenders.

            "Letters of Credit" shall be the collective reference to Letters of
Credit issued under the Merger Credit Agreement.

            "MBO-VI" shall mean Forstmann Little & Co. Subordinated Debt and
Equity Management Buyout Partnership-VI, a Delaware limited partnership.

            "Merger" shall mean the merger of FLCH Acquisition Corp. with CHS
pursuant to the Agreement and Plan of Merger, dated June 9, 1996, as amended,
between CHS, HoldCo and the Borrower.

            "Merger Lenders" shall mean the Lenders from time to time parties to
the Merger Credit Agreement.

            "Notice of Designation" shall mean a notice delivered by HoldCo to
the Holders designating Senior Obligations, which notice shall be substantially
in the form of Annex 1 hereto.

            "Partnership Agreement" shall have the meaning assigned to it in
Section 4.

            "Purchase Notice" shall have the meaning assigned to it in
subsection 17.2.

            "Senior Credit Agreements" shall have the collective reference to
the Tender Credit Agreement and the Merger Credit Agreement.

            "Senior Creditors" shall mean the Administrative Agent, the
Co-Agents and the Lenders.

            "Senior Default" shall have the meaning assigned to the term
"Default" in the Senior Credit Agreements or a failure to pay obligations under
the Tender Credit Agreement following a demand therefor.

            "Senior Event of Default" shall have the meaning assigned to the
term "Event of Default" in the Senior Credit Agreements or a failure to pay
obligations under the Tender Credit Agreement following a demand therefor.

            "Senior Extensions of Credit" shall mean all loans and other
extensions of credit obtained by the Borrower under the Senior Credit
Agreements.

            "Senior Loans" shall mean Loans outstanding under the Senior Credit
Agreements.


                                      -3-
<PAGE>

            "Senior Notes" shall mean the promissory notes that may be issued by
the Borrower under the Senior Credit Agreements to evidence indebtedness to the
Lenders outstanding from time to time under the Senior Credit Agreements.

            "Senior Obligations" shall mean, to the extent that HoldCo
guarantees the obligations of the Borrower incurred pursuant to the Senior
Credit Agreements, (a) the principal amount of, and accrued interest on
(including, without limitation, any interest which accrues after the
commencement of any case, proceeding or other action relating to the bankruptcy,
insolvency or reorganization of HoldCo or the Borrower, whether or not allowed),
the Senior Extensions of Credit, the Senior Notes, all other indebtedness,
liabilities and obligations of the Borrower under the Senior Credit Agreements
and any refinancing thereof, and all indebtedness, liabilities and obligations
of HoldCo under guarantees made by HoldCo in respect thereof, and (b) all other
indebtedness, obligations and liabilities of the Borrower to the Lenders now
existing or hereafter incurred or created under or with respect to the Senior
Extensions of Credit, the Senior Notes and the Senior Credit Agreements and with
respect to the Letters of Credit and the L/C Applications, and with respect to
any refinancing thereof, and all indebtedness, liabilities and obligations of
HoldCo under guarantees made by HoldCo in respect of the foregoing (including,
without limitation, any interest which accrues after the commencement of any
case, proceeding or other action relating to the bankruptcy, insolvency or
reorganization of HoldCo or the Borrower, whether or not allowed), and (c) the
principal amount of, and accrued interest (including without limitation, any
interest which accrues after the commencement of any case, proceeding or other
action relating to the bankruptcy, insolvency or reorganization of HoldCo or the
Borrower, whether or not allowed) and commissions on, additional indebtedness,
obligations and/or liabilities of the Borrower under the Senior Credit
Agreements and all refinancings thereof and all indebtedness, liabilities and
obligations of HoldCo under guarantees made by HoldCo in respect thereof, not
otherwise specified in clause (a) or (b) above in principal amounts in the
aggregate, at any one time outstanding, not to exceed $100,000,000, which
indebtedness, obligations and/or liabilities are designated as Senior
Obligations in a Notice of Designation from HoldCo to each of the Holders which
has become effective in accordance with the provisions of Section 16, and (d)
all indebtedness, obligations and liabilities of the Borrower arising under any
agreements between the Borrower and one or more Senior Creditors relating to
interest rate, currency or similar swap and hedging arrangements and under any
other agreements made, delivered or given in connection therewith and all
indebtedness, liabilities and obligations of HoldCo under guarantees made by
HoldCo in respect thereof (including, without limitation, any interest which
accrues after the commencement of any case, proceeding or other action relating
to the bankruptcy, insolvency or reorganization of HoldCo or the Borrower,
whether or not allowed).


                                      -4-
<PAGE>

            "Subordinated Obligations" shall mean (a) the principal amount of,
and accrued interest on (including, without limitation, any interest which
accrues after the commencement of any case, proceeding or other action relating
to the bankruptcy, insolvency or reorganization of HoldCo, whether or not
allowed), the 7-1/2% Debentures, and (b) all other indebtedness, obligations and
liabilities of HoldCo to the Holders (including those arising under Section 11
and Section 16), now existing or hereafter incurred or created under the 7-1/2%
Debentures.

            "Surviving Corporation" shall mean the corporation which survives
the Merger.

            "Tender Credit Agreement" shall mean the Tender Credit Agreement,
dated as of July 9, 1996, among the Borrower, HoldCo, the banks and other
financial institutions (the "Tender Lenders") which are from time to time
parties thereto, the Co-Agents, and the Administrative Agent, and shall include
any replacements or refinancings by the Tender Lenders, renewals and amendments
thereto with the consent of the Administrative Agent or the Required Lenders,
and including those amendments that would increase the amounts outstanding
thereunder to the extent permitted by the provisions of Section 16.

            "Transfer", "Transferee," "Transfer Notice" and "Transfer Price"
shall have the respective meanings assigned to such terms in Section 17.

            2.    REPRESENTATIONS AND WARRANTIES

            HoldCo hereby represents and warrants to the Holder that the
following are true on and as of the date of issue of this Debenture:

            2.1 Corporate Existence; Corporate Power; Authorization. HoldCo (a)
is duly organized, validly existing and in good standing under the laws of the
State of Delaware, (b) has the corporate power and authority and the legal right
to make and deliver, and to perform its obligations under, the 7-1/2% Debentures
and to make the borrowing evidenced thereby, and (c) has taken all necessary
corporate action to authorize such borrowing on the terms and conditions of the
7-1/2% Debentures and to authorize the execution and delivery of, and
performance by it of its obligations under, the 7-1/2% Debentures.

            2.2 No Legal Bar. No consent or authorization of, filing with, or
other act by or in respect of, any other person or entity is required in
connection with the borrowing evidenced by the 7-1/2% Debentures or with the
execution and delivery by HoldCo of, or performance by HoldCo of its


                                      -5-
<PAGE>

obligations under, or the validity or enforceability against HoldCo of, the
7-1/2% Debentures. The execution and delivery of, and performance by HoldCo of
its obligations under, the 7-1/2% Debentures will not violate or conflict with
or constitute a default under its Certificate of Incorporation or By-Laws, or
any law, rule or regulation, or determination of an arbitrator, or of a
government or court or other governmental agency, instrumentality or authority
applicable to or binding upon it or any of its property or to which it or any of
its property is subject or any provision of any security issued by HoldCo or of
any agreement, instrument or undertaking to which HoldCo is a party or by which
it or any of its property is bound, except violations which will not have a
Material Adverse Effect (as defined in the Senior Credit Agreements) of HoldCo
and its subsidiaries taken as a whole.

            2.3 Enforceable Obligations. This Debenture has been, and each other
7-1/2% Debenture will be, duly authorized, executed and delivered on behalf of
HoldCo and constitutes or will constitute, as the case may be, a legal, valid
and binding obligation of HoldCo enforceable against HoldCo in accordance with
its terms, except as may be limited by applicable bankruptcy, insolvency,
moratorium or other similar laws affecting creditors' rights generally and by
applicable principles of equity (whether considered in a suit at law or in
equity).

            3.    COVENANTS

            3.1. Dividends. HoldCo hereby agrees with the Holder that, so long
as this Debenture remains outstanding and unpaid or any other amount is owing
hereunder or with respect hereto, HoldCo shall not pay any dividends on, or make
any distributions with respect to, any shares of the common stock or preferred
stock of HoldCo, if and so long as any semi-annual interest payment theretofore
due on any of the 7-1/2% Debentures remains unpaid.

            3.2. Supplemental Interest. HoldCo shall pay to the Holder of this
Debenture, as supplemental interest, an amount equal to the product of (a)
1-1/2% of $233,464,288, multiplied by (b) a fraction, the numerator of which is
the original principal amount of this Debenture and the denominator of which is
$166,666,667, such amount to be payable within 30 days after the date of this
Debenture.

            4.    EVENTS OF DEFAULT

            Upon the occurrence of any of the following events (each,
individually, an "Event of Default" and collectively, "Events of Default"):

                  (a) HoldCo shall fail to pay any part of the principal amount
            of any of the 7-1/2% Debentures when due in accordance with the
            terms hereof, or fail to pay any installment of interest on any of
            the 7-1/2% Debentures or any other amount payable hereunder or
            thereunder, and (i) in


                                      -6-
<PAGE>

            each such event such default shall not have been remedied within 120
            days after it has occurred and (ii) so long as any Senior
            Obligations are outstanding and unpaid, in the case of any failure
            to pay any installment of interest on any of the 7-1/2% Debentures
            beyond such 120-day grace period such failure shall constitute an
            Event of Default hereunder only upon declaration thereof, by written
            notice or notices to HoldCo, by the Holders of at least a majority
            of the then outstanding aggregate principal amount of the 7-1/2%
            Debentures; or

                  (b) any representation or warranty made by HoldCo herein shall
            prove to have been incorrect in any material respect on or as of the
            date made; or

                  (c) HoldCo shall default in the observance or performance of
            the covenant contained in Section 3.1; or

                  (d) (i) HoldCo shall commence any case, proceeding or other
            action (A) under any existing or future law of any jurisdiction,
            domestic or foreign, relating to bankruptcy, insolvency,
            reorganization or relief of debtors, seeking to have an order for
            relief entered with respect to it, or seeking to adjudicate it a
            bankrupt or insolvent, or seeking reorganization, arrangement,
            adjustment, winding-up, liquidation, dissolution, composition or
            other relief with respect to it or its debts, or (B) seeking
            appointment of a receiver, trustee, custodian or other similar
            official for it or for all or any substantial part of its assets, or
            HoldCo shall make a general assignment for the benefit of its
            creditors; or (ii) there shall be commenced against HoldCo any case,
            proceeding or other action of a nature referred to in clause (i)
            above which (A) results in the entry of an order for relief or any
            such adjudication or appointment, or (B) remains undismissed,
            undischarged or unbonded for a period of 60 days; or (iii) there
            shall be commenced against HoldCo any case, proceeding or other
            action seeking issuance of a warrant of attachment, execution,
            distraint or similar process against all or any substantial part of
            its assets, which results in the entry of any order for any such
            relief which shall not have been vacated, discharged, or stayed on
            bond pending appeal within 60 days from the entry thereof; or (iv)
            HoldCo shall take any corporate action in furtherance of, or
            indicating its consent to, approval of, or acquiescence in, any of
            the acts set forth in clause (i), (ii) or (iii) above; or (v) HoldCo
            shall generally not, or shall be unable to, or shall admit in
            writing its inability to, pay its debts as they become due; or

                  (e) the General Partner (as defined in the Agreement and
            Articles of Limited Partnership of Forstmann Little & Co.
            Subordinated Debt and


                                      -7-
<PAGE>

            Equity Management Buyout Partnership-VI dated as of June 20,
            1995, as amended from time to time, relating to MBO-VI (the
            "Partnership Agreement")) shall have taken action with respect to
            the securities of HoldCo which results in the relinquishment of
            "control" (as such term is defined in the Investment Company Act of
            1940, as amended) of HoldCo by the persons or group of persons
            having such control prior thereto;

then, and in any such event, but subject to Sections 13 and 14, (x) upon the
occurrence of any Event of Default described in subclause (i) or (ii) of clause
(d) of this Section 4 or in clause (e) of this Section 4, the unpaid principal
amount of and accrued interest on and all other amounts owing under this
Debenture shall automatically, without any further action of any person or
entity, mature and become due and payable, and (y) upon the occurrence and
during the continuation of any other Event of Default, the Holders of a majority
of the aggregate principal amount of the 7-1/2% Debentures then outstanding may
at any time (unless all Events of Default shall theretofore have been remedied)
at their option, by written notice or notices to HoldCo, declare the 7-1/2%
Debentures to be due and payable, whereupon the unpaid principal amount of and
accrued interest on and all other amounts owing under the 7-1/2% Debentures
shall forthwith mature and become due and payable, all without presentment,
demand, protest or other notice, all of which are hereby expressly waived except
as expressly provided above in this Section 4.

            At any time after this Debenture is declared due and payable, as
provided in clause (y) above, the Holders of a majority of the aggregate
principal amount of the 7-1/2% Debentures then outstanding, by written notice to
HoldCo, may rescind and annul any such declaration in respect of the 7-1/2%
Debentures and its consequences if (x) HoldCo has paid all overdue interest on
the 7-1/2% Debentures, (y) all Events of Default, other than non-payment of
amounts which have become due solely by reason of such declaration, have been
cured or waived by the Holder in accordance with Section 18, and (z) no judgment
or decree has been entered for the payment of any monies due pursuant to this
Debenture; but no such rescission and annulment shall extend to or affect any
subsequent Event of Default or impair any right consequent thereon.

            5.    REMEDIES ON DEFAULT; NO WAIVER; ETC.

            Subject to the provisions of Sections 13 and 14, in case any one or
more Events of Default shall occur and be continuing, the Holder may proceed to
protect and enforce its rights by an action at law, suit in equity or other
appropriate proceeding, whether for the specific performance of any agreement
contained herein, or for an injunction against a violation of any of the terms
hereof, or in aid of the exercise of any power granted hereby or by law or
otherwise. No course of dealing and no failure to exercise or delay in
exercising any right, power or


                                      -8-
<PAGE>

remedy by or on the part of any Holder shall operate as a waiver thereof or
otherwise prejudice any Holder's rights, powers or remedies nor shall any single
or partial exercise of any such right, power or remedy preclude any other or
further exercise thereof or the exercise of any other right, power or remedy. No
right, power or remedy conferred by this Debenture upon any Holder shall be
exclusive of any other right, power or remedy referred to herein or now or
hereafter available by law, in equity or otherwise.

            6.    DEBENTURE REGISTER

            HoldCo will keep at its principal office a register in which HoldCo
will provide for the registration of the 7-1/2% Debentures. HoldCo may treat the
person or entity in whose name this Debenture is registered on such register as
the owner hereof for the purpose of receiving payment of the principal hereof
and interest hereon and for all other purposes (subject to the rights of prior
Holders under Section 11), whether or not this Debenture shall be overdue, and
HoldCo shall not be affected by any notice to the contrary. All references in
this Debenture to a "Holder" shall mean the person or entity in whose name any
of the 7-1/2% Debentures are at the time registered on such register (except as
otherwise contemplated with respect to prior Holders under this Section 6 and
Section 11).

            7.    TRANSFER AND EXCHANGE

            Subject to the provisions of Section 17, upon surrender of this
Debenture for registration of transfer or for exchange to HoldCo at its
principal office, HoldCo at its expense (except as provided below) will execute
and deliver in exchange therefor one or more new 7-1/2% Debentures in
denominations of at least $100,000 (except one such 7-1/2% Debenture issued in
connection with each such transfer or exchange may be issued in a lesser
principal amount if the unpaid principal amount of the surrendered 7-1/2%
Debenture is not evenly divisible by, or is less than, $100,000), as requested
by the Holder or transferee, which equal in the aggregate the unpaid principal
amount of this Debenture, registered as such Holder or transferee may request,
dated so that there will be no loss of interest by reason of such surrender, and
otherwise of like tenor and form. HoldCo may require payment by the Holder of a
sum sufficient to cover any stamp tax or governmental charge imposed in respect
of any such transfer or exchange.

            8.    REPLACEMENT

            Upon receipt of evidence reasonably satisfactory to HoldCo of the
ownership of, and the loss, theft, destruction or mutilation of, this Debenture
and, in the case of any such loss, theft or destruction, an indemnity bond in
such reasonable amount as HoldCo may determine (or, if the Holder is any
financial institution or any nominee of the foregoing, of an unsecured indemnity
agreement from such Holder reasonably satisfactory to HoldCo), or, in the case
of any such mutilation, upon the surrender of this Debenture for cancellation to
HoldCo at its principal office, HoldCo at its expense


                                      -9-
<PAGE>

(except as provided below) will execute and deliver, in lieu hereof, a new
7-1/2% Debenture of like tenor and form, dated so that there will be no loss of
interest by reason of the loss, theft, destruction or mutilation of this
Debenture. HoldCo may require payment by the Holder of a sum sufficient to cover
any stamp tax or governmental charge imposed in respect of any such replacement.
If any such replacement Debenture has been so executed and delivered by HoldCo,
this Debenture shall not be deemed to be outstanding for any purpose.

            9.    PAYMENTS

            9.1 Place of Payment. Payments of principal and interest becoming
due and payable on the 7-1/2% Debentures shall be made at the principal office
of The Chase Manhattan Bank, N.A. in the Borough of Manhattan, the City and
State of New York, unless HoldCo, by notice to the Holder, shall designate the
principal office of another commercial bank or trust company in such Borough as
such place of payment, in which case the principal office of such other bank or
trust company shall thereafter be such place of payment.

            9.2 Home Office Payment. Notwithstanding anything contained in
Section 9.1 to the contrary, if the Holder of this Debenture is an institutional
holder, HoldCo will pay all sums becoming due hereon at the address specified
for such purpose in a notice from such Holder to HoldCo, or by such other method
or at such other address as such Holder shall have specified by notice from time
to time to HoldCo for such purpose, without the presentation or surrender of
this Debenture or the making of any notation hereon, except that upon repayment
in full hereof, this Debenture shall be surrendered to HoldCo at its principal
office or at the place of payment maintained by HoldCo pursuant to Section 9.1
for cancellation. Prior to any sale or other disposition of this Debenture by
such Holder or its nominee, such Holder will, at its election, either endorse
hereon the amount of principal paid hereon and the last date to which interest
has been paid hereon or surrender this Debenture to HoldCo in exchange for a new
7-1/2% Debenture or Debentures pursuant to Section 7.

            10.   PREPAYMENT

            Subject to the provisions of Sections 13 and 14, HoldCo may from
time to time prepay all or any part of the unpaid principal amount hereunder,
together with accrued interest, at any time after the date hereof without
premium, penalty or other charge.

            11.   PAYMENT OF EXPENSES

            In case of a default in the payment of any principal or of interest
on or other


                                      -10-
<PAGE>

amount owing under the 7-1/2% Debentures, HoldCo will pay (a) to the Holder
promptly upon demand from time to time such further amounts as shall be
sufficient to cover the costs and expenses of collection and the enforcement and
preservation of the Holder's rights, powers and remedies hereunder, including,
without limitation, attorneys' fees and expenses, and (b) the costs and expenses
of any trustee appointed pursuant to Section 3.3 of the Partnership Agreement,
including, without limitation, fees and expenses of the attorneys for such
trustee. Except as otherwise provided in Sections 7 and 8, HoldCo shall pay any
and all stamp and other taxes payable or determined to be payable in connection
with the execution and delivery of the 7-1/2% Debentures and agrees to save the
Holder harmless from and against any and all liabilities with respect to or
resulting from any delay in paying or omission to pay such taxes. The rights of
each Holder under this Section 11 shall survive any transfer of this Debenture
to another Holder and any exchange under Section 7 or replacement under Section
8 with respect hereto.

            12.   UNSECURED OBLIGATION

            In order to ensure that the borrowing evidenced hereby is not
"indirectly secured" within the meaning of Regulation G, T, U or X of the Board
of Governors of the Federal Reserve System and the interpretations of such Board
and its staff thereunder, notwithstanding the provisions contained herein,
HoldCo and its subsidiaries shall retain the full right and ability to sell,
pledge or otherwise dispose of "margin stock" and "margin securities" (as such
terms are defined in Regulation G, T, U or X of the Board of Governors of the
Federal Reserve System and the interpretations of such Board and its staff
thereunder); and, to the extent that, pursuant to the terms hereof, such
borrowing is considered to be "indirectly secured," such terms (other than those
terms relating to the obligations to make payments of principal, premium and
interest) shall be deemed modified to the extent necessary to prevent such
borrowing from being considered to be "indirectly secured".

            13.   SUBORDINATION

            By acceptance of this Debenture, the Holder hereby agrees as
follows:

            13.1 Express Subordination. The Subordinated Obligations are
expressly subordinated and junior in right of payment (as defined in subsection
13.2) to all Senior Obligations. Nothing contained herein shall be deemed to
make the Subordinated Obligations subordinate and junior in right of payment to
any obligation of HoldCo other than the Senior Obligations.

            13.2 Subordination Defined. "Subordinate and junior in right of
payment" shall mean that:

                  (a) If and to the extent that any Senior Obligations have been


                                      -11-
<PAGE>

            created, then, so long as any such Senior Obligations are
            outstanding and unpaid, at any time prior to December 31, 2006,
            without the express written consent of the Senior Creditors, no
            direct or indirect payment on account of the Subordinated
            Obligations shall be made, nor shall any property or assets of
            HoldCo or any of its subsidiaries be directly or indirectly applied
            to the purchase or other acquisition or retirement of the 7-1/2%
            Debentures, nor shall the Holder take, demand, receive or institute
            legal proceedings to recover, and neither HoldCo nor any of its
            subsidiaries will make, give or permit, directly or indirectly, by
            set-off, redemption, purchase or in any other manner, any payment or
            security for the whole or any part of the Subordinated Obligations,
            nor (except as permitted by subsection 13.3) shall the Holder
            accelerate the scheduled maturities of any amount owing under the
            7-1/2% Debentures (all of the foregoing actions being hereinafter
            referred to as "Restricted Actions"), if at the time of or
            immediately after giving effect to such Restricted Action a Senior
            Default or Senior Event of Default exists or would exist and is or
            would be continuing; provided that this subsection 13.2(a) shall not
            prevent any Restricted Action for a period (a "Postponement Period")
            longer than the period ending on the earliest of (i) the first day
            after the proposed taking of such Restricted Action on which no
            Senior Default or Senior Event of Default is then continuing, (ii)
            120 days after the date such Restricted Action would otherwise have
            been taken if there has been delivered to the Administrative Agent
            by the Holder a notice stating that such Senior Default or Senior
            Event of Default exists, (iii) 120 days after the date such
            Restricted Action would otherwise have been taken if there has been
            delivered to the Administrative Agent by HoldCo a certificate from
            an officer of HoldCo or a letter from HoldCo's certified public
            accountants stating that such Senior Default or Senior Event of
            Default exists, (iv) the date on which the existence of such
            Postponement Period has been waived by the Senior Creditors, and (v)
            December 31, 2006; provided, further, that if any Restricted Action
            shall have been prevented or postponed by reason of any Senior
            Default and the condition or event giving rise to such Senior
            Default gives rise to a Senior Event of Default, no subsequent
            Restricted Action may be prevented or postponed by reason of the
            occurrence of such Senior Event of Default, and provided, further,
            that if any Restricted Action shall have been prevented or postponed
            by reason of any Senior Default or Senior Event of Default, and
            after the occurrence of such Senior Default or Senior Event of
            Default and during the Postponement Period in respect thereof
            another Senior Default or Senior Event of Default shall have
            occurred, no such Restricted Action shall be prevented or postponed
            for any additional period by reason of such other Senior Default or
            Senior Event of Default (provided that, upon the


                                      -12-
<PAGE>

            occurrence of such additional Senior Default or Senior Event of
            Default, such first Postponement Period shall not be deemed to have
            ended upon the occurrence of any of the events specified in clause
            (i) through (iv) above).

                  (b) (i) So long as any Senior Obligations are outstanding and
            unpaid, in the event of any distribution, division or application,
            partial or complete, voluntary or involuntary, by operation of law
            or otherwise, of all or any substantial part of the property, assets
            or business of HoldCo or the Borrower, or the proceeds thereof, to
            any creditor or creditors of HoldCo or the Borrower other than in
            the ordinary course of business or as permitted in the Senior Credit
            Agreements then in effect, or (ii) upon any indebtedness of HoldCo
            or the Borrower becoming due and payable (or a proof of claim in
            respect thereof being filed in any applicable proceeding) by reason
            of any liquidation, dissolution or other winding up of HoldCo or the
            Borrower or its business or upon the occurrence of any sale,
            receivership, insolvency, reorganization or bankruptcy proceedings,
            assignment for the benefit of creditors, arrangement or any
            proceeding by or against HoldCo or the Borrower for any relief under
            any bankruptcy, reorganization or insolvency law or laws, Federal or
            state, or any law, Federal or state, relating to the relief of
            debtors, readjustment of indebtedness, reorganization, composition,
            or extension, or (iii) if all amounts owing under the Senior Loans,
            or the Borrower's obligations with respect to the Letters of Credit
            and the L/C Applications or owing under guarantees made by HoldCo in
            respect thereof have become, or have been declared to be, due and
            payable (and have not been paid in accordance with their terms),
            then and in any such event, any payment or distribution of any kind
            or character, whether in cash, property or securities (other than
            any securities of HoldCo which are received by the Holder in any
            proceeding of the type referred to in clause (i) or (ii) above and
            which are subordinated to (A) the Senior Obligations and (B) any
            securities of HoldCo distributed to the holders of Senior
            Obligations, in a manner not less favorable to the Senior Creditors
            than the subordination of the Subordinated Obligations provided for
            in Sections 13 and 14 ("Subordinated Securities")), which, but for
            the subordination provisions contained herein, would otherwise be
            payable or deliverable to the Holder upon or in respect of the
            Subordinated Obligations, shall instead be paid over or delivered to
            the Senior Creditors which have Senior Obligations which are then
            due and payable (or in respect of which a proof of claim has been
            filed in any applicable proceeding) and promptly be applied (subject
            to applicable law) as a payment or prepayment on account of the
            Senior Obligations (or, in the case of non-cash property and cash
            received in respect of obligations under outstanding Letters of
            Credit which may be drawn upon, held as collateral


                                      -13-
<PAGE>

            to secure payment of the Senior Obligations) which are then due and
            payable pro rata in accordance with the amounts thereof then due and
            payable (or in respect of which a proof of claim has been filed in
            any applicable proceeding), and the Holder shall not receive any
            such payment or distribution or any benefit therefrom unless and
            until the Senior Obligations which are then due and payable (or in
            respect of which a proof of claim has been filed in any applicable
            proceeding) shall have been fully paid and satisfied in cash.

            13.3 Bankruptcy Petition.
            Notwithstanding anything to the contrary contained herein, so long
as the Senior Obligations are outstanding and unpaid, the Holder may declare the
unpaid principal amount of, and accrued interest on, the Subordinated
Obligations to be immediately due and payable and may file or join in the filing
of a bankruptcy petition against HoldCo or take any action to commence a
bankruptcy proceeding against HoldCo only upon the occurrence and during the
continuance of any of the following events:

                  (a) the Senior Loans or the guarantees made by HoldCo in
            respect thereof shall have been declared to be, or shall have
            become, due and payable prior to the stated maturity thereof in
            accordance with the provisions of Section 9 of the Tender Credit
            Agreement or Section 14 of the Merger Credit Agreement; or

                  (b) HoldCo shall have failed to make any payment of principal
            of, or accrued interest on, the 7-1/2% Debentures, which payment is
            then due and payable, within five days after the later of the end of
            the applicable Postponement Period and 120 days after the date on
            which such payment is due and payable; or

                  (c) after the earlier of the date on which all of the Senior
            Obligations have been paid in full in accordance with the Senior
            Credit Agreements and December 31, 2006, an Event of Default shall
            have occurred and then be continuing under the 7-1/2% Debentures.

If the 7-1/2% Debentures shall have been declared to be due and payable in
accordance with the provisions of this subsection 13.3 (under circumstances when
the provisions of subsection 13.2(b) are not applicable), any payment or
distribution of any kind or character, whether in cash, property or securities,
which are received by the Holder in respect of or after such acceleration or any
legal proceedings brought in connection therewith shall forthwith be paid over
or delivered to the Senior Creditors which have Senior Obligations which are
then due and payable (or in respect of which a proof of claim has been filed in
any applicable proceeding) and promptly be applied (subject to


                                      -14-
<PAGE>

applicable law) as a payment or prepayment on account of the Senior Obligations
(or, in the case of non-cash property and cash received in respect of
obligations under outstanding Letters of Credit which may be drawn upon, held as
collateral to secure payment of the Senior Obligations) which are then due and
payable (or in respect of which a proof of claim has been filed in any
applicable proceeding) pro rata in accordance with the amounts thereof then due
and payable, and the Holder shall not retain any such payment or distribution or
any benefit therefrom unless and until the Senior Obligations which are then due
and payable (or in respect of which a proof of claim has been filed in any
applicable proceeding) shall have been fully paid and satisfied.

            14.   LIMITED POWER OF ATTORNEY; TRUST; SUBROGATION

            By acceptance of this Debenture, the Holder hereby agrees as
follows:

            14.1 Limited Power of Attorney. The Holder irrevocably authorizes
and empowers the Senior Creditors under the circumstances set forth in clause
(i) or (ii) of subsection 13.2(b), to demand, sue for, collect and receive every
such payment or distribution referred to in such subsection and give acquittance
thereof, and take such other proceedings, in the name of the Senior Creditors or
in the name of the Holders or otherwise, as the Senior Creditors may deem
reasonably necessary or advisable for the enforcement of the subordination
provisions contained in Section 13. The Holder shall, under the circumstances
set forth in clause (i) or (ii) of subsection 13.2(b), duly and promptly take
such action as may be reasonably requested at any time and from time to time by
the Senior Creditors to file appropriate proofs of claim in respect of the
Subordinated Obligations, and to execute and deliver such powers of attorney,
assignments or other instruments as may be reasonably requested by the Senior
Creditors in order to enable the Senior Creditors to enforce any and all claims
upon or in respect of the Subordinated Obligations and to collect and receive
any and all payments or distributions which may be payable or deliverable at any
time upon or in respect of the Subordinated Obligations. Any such amounts
received by the Senior Creditors shall be applied (subject to applicable law) to
the payment of the Senior Obligations then payable (or in respect of which
proofs of claim have been filed in any applicable proceeding) in accordance with
the terms of the Senior Credit Agreements.

            14.2 Monies Held in Trust. Should any payment or distribution or
security, or the proceeds of any thereof, be collected or received by the Holder
in respect of the Subordinated Obligations (other than Subordinated Securities)
and such collection or receipt is at the time prohibited by Section 13, the
Holder will forthwith turn over the same to the Senior Creditors, in the form
received (except for the endorsement or the assignment of the Holder when
necessary) and, until so turned over, the same shall be held in trust by the
Holder as the property of the Senior Creditors. Any such amounts received by the
Senior

                                      -15-
<PAGE>

Creditors shall be applied (subject to applicable law) to the payment of
the Senior Obligations then payable (or in respect of which proofs of claim have
been filed in any applicable proceeding) in accordance with the terms of the
Senior Credit Agreements.

            14.3 Subrogation.
            Following payment in full in cash of the Senior Obligations, the
Holder shall be subrogated to the rights of the Senior Creditors to receive
payments or distributions of cash, property or securities made on the Senior
Obligations until the Subordinated Obligations shall be paid in full; and, for
the purpose of such subrogation, payments or distributions to the Senior
Creditors of any cash, property or securities to which the Holder would be
entitled except for the provisions of Section 13 shall, as between HoldCo and
its creditors (other than the Senior Creditors and the Holders), be deemed to be
a payment by HoldCo to or on account of Subordinated Obligations, it being
understood that the provisions hereof are and are intended solely for the
purpose of defining the relative rights of the Holders of the 7-1/2% Debentures,
on the one hand, and the Senior Creditors, on the other hand. The purpose of
this subsection 14.3 is to grant to the Holders the same rights against HoldCo
with respect to the aggregate amount of such payments or distributions as the
Senior Creditors would have against HoldCo if such aggregate amount were
considered overdue Senior Obligations.

            15.   WAIVER BY SENIOR CREDITORS, ETC.

            By acceptance of this Debenture the Holder hereby consents that,
without the necessity of any reservation of rights against the Holder, and
without notice to or further assent by the Holder, (a) any demand for payment of
any Senior Obligation made by any Senior Creditor may be rescinded in whole or
in part by such Senior Creditor (whereupon HoldCo shall give prompt notice
thereof to the Holders) and any Senior Obligation may be continued, and the
Senior Obligations, or the liability of HoldCo, the Borrower or any other party
upon or for any part thereof, or any collateral security or guaranty therefor or
right or offset with respect thereto, or any obligation or liability of HoldCo,
the Borrower or any other party under the Senior Credit Agreements and any
collateral security documents or guarantees or documents in connection therewith
may, from time to time, in whole or in part, be renewed, extended, modified,
accelerated, compromised, waived, surrendered, or released by the Senior
Creditors, and (b) the Senior Credit Agreements, the Senior Loans, the Letters
of Credit, the L/C Applications and any guarantees made by HoldCo or any other
person in respect thereof and any document or instrument evidencing or governing
the terms of any other Senior Obligations or any collateral security documents
or guarantees or documents in connection therewith may be amended, modified,
supplemented or terminated, in whole or in part, as the Senior Creditors with
respect to such Senior Obligations may deem advisable from time to time, and any
collateral security or guarantee at any time held by any of the Senior Creditors
for the payment of any of the Senior Obligations may be sold,


                                      -16-
<PAGE>

exchanged, waived, surrendered or released, in each case all without notice to
or further assent by the Holders who will remain bound by the terms hereof, and
all without impairing, abridging, releasing or affecting the subordination
provided for herein, notwithstanding any such renewal, extension, modification,
acceleration, compromise, amendment, supplement, termination, sale, exchange,
waiver, surrender or release; provided that so long as any Senior Obligations
are outstanding and unpaid the Administrative Agent, the Co-Agents and the
Lenders will not amend the Senior Credit Agreements to increase the interest
rates applicable to the Loans (as defined on the Senior Credit Agreements) or to
increase commissions or other fees payable with respect to the Letters of Credit
or to increase the maximum principal amount of the Senior Loans which may be
outstanding at any one time or the maximum amount of reimbursement obligations
in respect of Letters of Credit that may be outstanding at any one time, in each
case as set forth in the Merger Credit Agreement, without the written consent of
the Holders of a majority of the aggregate principal amount of the 7-1/2%
Debentures then outstanding, provided that without the consent of any Holder,
but in accordance with Section 16, the maximum principal amount of the Senior
Loans which may be outstanding at any one time and the maximum amount of
reimbursement obligations in respect of Letters of Credit that may be
outstanding at any one time may be increased up to $100,000,000 in the
aggregate, together with accrued interest thereon and commissions with respect
thereto. By acceptance of this Debenture the Holder waives any and all notice of
the creation, renewal, extension or accrual of any of the Senior Obligations and
notice of or proof of reliance by any Senior Creditor upon the terms and
provisions hereof, and the Senior Obligations, and any of them, shall
conclusively be deemed to have been created, contracted or incurred in reliance
upon the terms and provisions hereof, and all dealings between HoldCo and the
Senior Creditors shall be deemed to have been consummated in reliance upon the
terms and provisions hereof. By acceptance of this Debenture the Holder
acknowledges and agrees that the Lenders have relied upon the subordination
provided for herein in entering into the Senior Credit Agreements and in making
funds available to the Borrower thereunder, and that other Senior Creditors will
rely upon the subordination provided for herein in extending credit to, or
accepting the obligations or liabilities of, the Borrower and its subsidiaries.
By acceptance of this Debenture the Holder waives notice of or proof of reliance
on this Debenture and protest, demand for payment and notice of default by the
Senior Creditors.

            16.   INCREASE IN AMOUNT OF SENIOR OBLIGATIONS

            At any time and from time to time HoldCo may designate any of the
Borrower's indebtedness, obligations and/or liabilities and guarantees made by
HoldCo in respect thereof as Senior Obligations, in accordance with clause (c)
of the definition of Senior Obligations, by delivering to each Holder of the
7-1/2% Debentures a Notice of Designation which shall have attached to it a list
of all outstanding Senior Obligations which HoldCo has heretofore, and which
remain, designated as Senior Obligations


                                      -17-
<PAGE>

pursuant to this Section 16 (which attached list may not be relied upon by the
Holder for purposes of preventing any Senior Obligations from being considered
as such if no notice pursuant to the next sentence has been sent by such Holder
prior to the end of the eleven day period referred to in such sentence, but
shall be deemed to have been relied upon by such Holder for purposes of
determining damages payable by HoldCo suffered or incurred by such Holder as a
result of such list not being true and correct). Each such Notice of Designation
shall be effective with respect to the indebtedness, obligations and/or
liabilities described therein on the 11th day following actual receipt thereof
by the Holder unless prior to such 11th day, the Holder has given notice to the
proposed Senior Creditor (at its address specified in such Notice of
Designation) and HoldCo that the principal amount of the indebtedness,
obligations and/or liabilities described in such Notice of Designation together
with the aggregate principal amount of indebtedness, obligations and liabilities
previously designated as Senior Obligations under this Section 16, after taking
into account all notices theretofore received by the Holder terminating or
reducing the amount of indebtedness, obligations and liabilities theretofore
included in the Senior Obligations, exceeds $100,000,000 in the aggregate. By
acceptance of this Debenture the Holder hereby agrees that it shall not give,
and shall be responsible for all direct and consequential damages resulting
from, any such notice which such Holder knows is not true and correct. Upon the
effectiveness of a Notice of Designation, the indebtedness, obligations and/or
liabilities specified therein shall automatically become Senior Obligations and
the holder or holders thereof or obligee or obligees with respect thereto shall
automatically become Senior Creditors, in each case for all purposes of this
Debenture, whether or not the Holder shall have acknowledged receipt of the
Notice of Designation. Senior Obligations shall cease to be such, or the
principal amount thereof designated as such shall be reduced, only (i) upon
actual receipt by the Holders of a notice from the holder or holders of such
Senior Obligations or obligee or obligees with respect thereto terminating the
designation of such indebtedness, obligations and/or liabilities as Senior
Obligations or reducing the amount of such indebtedness, obligations and/or
liabilities so designated, or (ii) when the Senior Obligations have in fact been
paid in full or reduced and the Holders shall have received notice from HoldCo
of such fact together with evidence satisfactory to it that the Senior
Obligations have been so paid or reduced. At the request of HoldCo, the Holder
will confirm in writing to any Senior Creditor that the indebtedness,
obligations and/or liabilities held by such Senior Creditor and designated to be
Senior Obligations are Senior Obligations. However, the failure or refusal of
any Holder to issue any such confirmation shall not affect the status as Senior
Obligations of any indebtedness, obligations and/or liabilities properly
designated by HoldCo to be Senior Obligations in accordance with the provisions
of this Debenture.

            17.   RESTRICTIONS ON TRANSFER; RIGHT OF FIRST REFUSAL

            By acceptance of this Debenture, the Holder hereby agrees as
follows:


                                      -18-
<PAGE>

            17.1 Restrictions on Transfer. The Holder shall not, directly or
indirectly, sell, assign, exchange, dispose of or otherwise transfer the 7-1/2%
Debentures (any one or more of such acts being a "Transfer") unless:

                  (a) such Transfer is of the whole, and not merely a part, of
            the Holder's direct or beneficial interest in the 7-1/2% Debentures
            and is for cash consideration only; and

                  (b) such Transfer is made pursuant to an effective
            registration statement under the Securities Act of 1933, as amended,
            or the Holder delivers to HoldCo an opinion of counsel of recognized
            standing in securities law (including in-house or special counsel),
            which opinion and counsel shall be reasonably satisfactory to
            HoldCo, retained at the Holder's expense, to the effect that the
            proposed Transfer is exempt from registration under applicable
            Federal and state securities laws; and

                  (c) such Transfer does not otherwise violate any law, statute,
            rule, regulation, order or decree of the United States of America or
            any state thereof or any governmental authority of any of the
            foregoing; and

                  (d) such Transfer is to a third-party transferee (the
            "Transferee") which Transferee does not, directly or indirectly,
            beneficially own, either alone or together with its Affiliates,
            immediately prior to such Transfer in excess of 5% of the aggregate
            principal amount of the 7-1/2% Debentures then outstanding; and

                  (e) such Transfer is made in a cash transaction but only after
            the Holder complies with the provisions of subsection 17.2.

            17.2  Right of First Refusal.

                  (a) If, at any time, the Holder proposes to Transfer for cash
            its entire interest in the 7-1/2% Debentures, the Holder shall give
            a written notice (a "Transfer Notice") to HoldCo (i) specifying (w)
            that the proposed Transfer will be in compliance with all of the
            provisions of Section 17.1, (x) the identity of the proposed
            third-party transferee (the "Transferee") who has made a bona fide
            offer to purchase the Holder's entire interest in the 7-1/2%
            Debentures, (y) the proposed cash consideration to be received by
            the Holder for such interest (the "Transfer Price"), and (z) any
            other terms and conditions of the proposed Transfer, and (ii)
            offering to sell the Holder's entire interest in the 7-1/2%
            Debentures at the Transfer Price to HoldCo. The Transfer Notice
            shall constitute an irrevocable offer by the Holder to
                                      -19-
<PAGE>

            sell the Holder's entire interest in the 7-1/2% Debentures to HoldCo
            upon the terms contained in the Transfer Notice.

                  (b) HoldCo shall have the right, exercisable for 15 Business
            Days following the date of such receipt of the Transfer Notice, to
            purchase for cash the Holder's entire interest in the 7-1/2%
            Debentures at the Transfer Price by delivering a written notice (the
            "Purchase Notice") to the Holder of its election within such 15
            Business Day period. If HoldCo elects to so purchase the Holder's
            interest, the Holder shall execute such documents and instruments
            reasonably required by HoldCo to consummate the contemplated
            transaction. The closing of such purchase shall take place as soon
            as practicable after the date of the Purchase Notice, but in any
            case within 15 Business Days following HoldCo's initial receipt of
            the Transfer Notice. At such closing, the Holder shall, and hereby
            covenants to, Transfer its entire interest in the 7-1/2% Debentures
            to HoldCo free and clear of any and all liens, mortgages, pledges,
            security interests or other encumbrances against receipt of payment
            thereof.

                  (c) If HoldCo does not deliver a Purchase Notice within 15
            Business Days following its receipt of a Transfer Notice, then the
            Holder (i) shall be under no obligation to sell any portion of its
            interest in the 7-1/2% Debentures to HoldCo, and (ii) may, within
            the period commencing on the 16th Business Day and ending on the
            30th Business Day following HoldCo's receipt of the Transfer Notice,
            Transfer its entire (but not less than its entire) interest in the
            7-1/2% Debentures to the Transferee specified in the Transfer Notice
            at the Transfer Price and on the terms and conditions set forth in
            the Transfer Notice. If, upon the expiration of the 30th Business
            Day following receipt by HoldCo of the Transfer Notice, such
            Transfer shall not have occurred, then the provisions of this
            Section 17.2 shall apply again and the Holder shall comply with the
            terms hereof in connection with any subsequent proposed Transfer.

            17.3 Transfer Otherwise Void. Any purported Transfer of the Holder's
interest in the 7-1/2% Debentures made other than in accordance with this
Section 17 shall be void and HoldCo shall not be required to recognize any
equitable or other claims to such interest on the part of any purported
transferee. Notwithstanding anything to the contrary herein, the provisions of
this Section 17 shall not apply to Transfers by MBO-VI acting in a manner
contemplated by Section 3.2 (a) (i) of the Partnership Agreement.

            18.   NOTICES, ETC.


                                      -20-
<PAGE>

            All notices, waivers and other communications provided for hereunder
shall be in writing (including telex, telecopier and other readable
communication) and mailed, telexed, telecopied or otherwise transmitted or
delivered, if to HoldCo, c/o Forstmann Little & Co., 767 Fifth Avenue, New York,
New York 10153, Attention: Mr. Thomas H. Lister, with a copy to Fried, Frank,
Harris, Shriver & Jacobson, One New York Plaza, New York, New York 10004,
Attention: F. William Reindel, Esq., and if to the Holder at its address
specified on the register referred to in Section 6, or, in each case, to such
other addresses as shall be specified by like notice. All such notices, waivers
and communications shall, if mailed, telexed, telecopied or otherwise
transmitted, be effective when deposited in the mails or telexed, telecopied or
otherwise transmitted.

            19.   GOVERNING LAW

            THIS DEBENTURE SHALL BE GOVERNED BY AND CONSTRUED AND ENFORCED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK (WITHOUT REGARD TO THE
PRINCIPLES OF CONFLICT OF LAWS).

            20.   MISCELLANEOUS

            The provisions of this Debenture shall inure to the benefit of and
shall be binding upon HoldCo and the Holder of this Debenture and all future
Holders, and their respective heirs, legal representatives, successors and
assigns.

Dated:  July 10, 1996

                                       FLCH HOLDINGS CORP.

                                       By:
                                          Thomas H. Lister
                                          Vice President


                                      -21-
<PAGE>

                                                                        ANNEX 1

                                     FORM OF
                             "NOTICE OF DESIGNATION"

                                                      [Date]
TO:   THE HOLDER OF FLCH HOLDINGS CORP.
      7-1/2% SERIES A DEBENTURES DUE JUNE 30, 2007

Ladies and Gentlemen:

            Reference is made to the 7-1/2% Series A Debentures due June 30,
2007 (the "Debentures") of FLCH HoldCo Corp., a Delaware corporation. Unless
otherwise defined herein, terms defined in the Debentures are used herein with
their defined meanings.

            Pursuant to the provisions of the Debentures, HoldCo hereby
designates the following as Senior Obligations:

            1. Name of holder, lender or other obligee to be designated a Senior
Creditor:

            2. Description of indebtedness, obligations or liabilities to be
designated as Senior Obligations (including maximum principal amount and, if the
Senior Obligation is revolving in nature, a statement to such effect):

            3. Address for notices (include telex and telecopy number if
available):

            Please acknowledge receipt of this notice by signing the enclosed
counterpart hereof in the space provided below and returning it to the
undersigned.

                                       FLCH HOLDINGS CORP.

                                       By:
                                          Name:
                                          Title:

We hereby acknowledge receipt of
this notice on              ,
               -------------  ----

[NAME OF HOLDER]

By:
       Authorized Signatory

                                  - 6 -                         336794_1


<PAGE>

                                                                  Exhibit 10.13

                   Form of 7-1/2% SERIES B DEBENTURES DUE JUNE 30, 2007

THIS DEBENTURE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED, AND MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF UNLESS
REGISTERED UNDER SAID ACT OR AN EXEMPTION FROM REGISTRATION IS AVAILABLE AND
EXCEPT IN COMPLIANCE WITH THE PROVISIONS OF SECTION 17 HEREOF.

                               FLCH HOLDINGS CORP.

                  7-1/2% SERIES B DEBENTURES DUE JUNE 30, 2008

No.:  R-                                                    New York, New York

            FLCH HOLDINGS CORP., a Delaware corporation (hereinafter called
"HoldCo"), for value received, hereby promises to pay to:

or its registered assigns, the principal amount of (or so much thereof as shall
not have been prepaid), payable on June 30, 2008, and to pay interest (computed
on the basis of a 360-day year of twelve 30-day months) on the unpaid principal
amount hereof, from the date hereof, at the rate of 7-1/2% per annum
semi-annually on the 31st day of January and the 31st day of July in each year,
commencing on January 31, 1997, until said principal amount shall have become
due and payable and (to the extent permitted by applicable law) to pay interest
at the rate of 10-1/2% per annum on any overdue principal and interest, from the
date such amount was due and payable until the obligation of HoldCo with respect
to the payment thereof shall be fully discharged. Payments of principal and
interest on this 7-1/2% Series B Debenture (this "Debenture") shall be made in
such coin or currency of the United States of America as at the time of payment
shall be legal tender for the payment of public and private debts. If the date
on which any such payment is required to be made pursuant to the provisions of
this Debenture occurs on a day other than a Business Day (as hereinafter
defined), such payment shall be due and payable on the next succeeding Business
Day.

            This Debenture together with any debenture or debentures hereafter
issued in accordance with the provisions hereof which represent part of the
principal amount of this Debenture and any replacement hereof or thereof
constitute HoldCo's 7-1/2% Series B Debentures due June 30, 2008 (hereinafter
collectively called the "7-1/2% Series B Debentures"). The 7-1/2% Series B
Debentures, together with HoldCo's 7-1/2% Series A Debentures due June 30, 2007
and HoldCo's 7-1/2% Series C Debentures due


<PAGE>

June 30, 2009, and any debenture or debentures issued in accordance with the
provisions hereof or thereof which represent part of the principal amount hereof
or thereof and any replacement of any of the foregoing, aggregating $500,000,000
in original principal amount, are hereinafter collectively called "7-1/2%
Debentures".

            1.    DEFINED TERMS

            As used herein the following terms shall have the following
meanings:

            "Administrative Agent" shall mean The Chase Manhattan Bank, N.A., in
its capacity as administrative agent under the Senior Credit Agreements.

            "Affiliate" shall mean any person or entity that directly, or
indirectly through one or more intermediaries, controls, is controlled by, or is
under common control with, another specified person or entity.

            "Borrower" shall mean FLCH Acquisition Corp., a Delaware corporation
and a direct wholly-owned subsidiary of HoldCo, which corporation is to be
merged with CHS pursuant to the Merger, and from and after the Merger said term
shall refer to the Surviving Corporation.

            "Business Day" shall mean a day other than Saturday, Sunday or other
day on which commercial banks in New York City are authorized or required by law
to close.

            "CHS" shall mean Community Health Systems, Inc., a Delaware
corporation.

            "Co-Agents" shall mean, collectively, Bank of America N.A.,
NationsBank, and The Bank of Nova Scotia, in their capacities as co-agents with
respect to the Senior Credit Agreements.

            "Merger Credit Agreement" shall mean the $900,000,000 Credit
Agreement dated as of July 9, 1996, among the Borrower, HoldCo, the Merger
Lenders parties thereto, the Co-Agents and the Administrative Agent, and shall
include any replacements or refinancings by the Lenders, renewals, and
amendments thereto with the consent of the Borrower, the Lenders, the Co-Agents
and the Administrative Agent, as required thereunder, and including those
amendments that would increase the amounts outstanding thereunder to the extent
permitted by the provisions of Section 16.

            "Event(s) of Default" shall have the meaning assigned to it in
Section 4.

            "Holder" shall mean the person or entity in whose name this
Debenture is registered on the register maintained by HoldCo pursuant to Section
6; and "Holders" shall be the collective reference to all such holders of 7-1/2%
Debentures.


                                      -2-
<PAGE>

            "L/C Application" shall be any L/C Application under the Merger
Credit Agreement.

            "Lenders" shall mean, prior to the Merger, the Tender Lenders, and
from and after the Merger, the Merger Lenders.

            "Letters of Credit" shall be the collective reference to Letters of
Credit issued under the Merger Credit Agreement.

            "MBO-VI" shall mean Forstmann Little & Co. Subordinated Debt and
Equity Management Buyout Partnership-VI, a Delaware limited partnership.

            "Merger" shall mean the merger of FLCH Acquisition Corp. with CHS
pursuant to the Agreement and Plan of Merger, dated June 9, 1996, as amended,
between CHS, HoldCo and the Borrower.

            "Merger Lenders" shall mean the Lenders from time to time parties to
the Merger Credit Agreement.

            "Notice of Designation" shall mean a notice delivered by HoldCo to
the Holders designating Senior Obligations, which notice shall be substantially
in the form of Annex 1 hereto.

            "Partnership Agreement" shall have the meaning assigned to it in
Section 4.

            "Purchase Notice" shall have the meaning assigned to it in
subsection 17.2.

            "Senior Credit Agreements" shall have the collective reference to
the Tender Credit Agreement and the Merger Credit Agreement.

            "Senior Creditors" shall mean the Administrative Agent, the
Co-Agents and the Lenders.

            "Senior Default" shall have the meaning assigned to the term
"Default" in the Senior Credit Agreements or a failure to pay obligations under
the Tender Credit Agreement following a demand therefor.

            "Senior Event of Default" shall have the meaning assigned to the
term "Event of Default" in the Senior Credit Agreements or a failure to pay
obligations under the Tender Credit Agreement following a demand therefor.

            "Senior Extensions of Credit" shall mean all loans and other
extensions of credit obtained by the Borrower under the Senior Credit
Agreements.

            "Senior Loans" shall mean Loans outstanding under the Senior Credit
Agreements.


                                      -3-
<PAGE>

            "Senior Notes" shall mean the promissory notes that may be issued by
the Borrower under the Senior Credit Agreements to evidence indebtedness to the
Lenders outstanding from time to time under the Senior Credit Agreements.

            "Senior Obligations" shall mean, to the extent that HoldCo
guarantees the obligations of the Borrower incurred pursuant to the Senior
Credit Agreements, (a) the principal amount of, and accrued interest on
(including, without limitation, any interest which accrues after the
commencement of any case, proceeding or other action relating to the bankruptcy,
insolvency or reorganization of HoldCo or the Borrower, whether or not allowed),
the Senior Extensions of Credit, the Senior Notes, all other indebtedness,
liabilities and obligations of the Borrower under the Senior Credit Agreements
and any refinancing thereof, and all indebtedness, liabilities and obligations
of HoldCo under guarantees made by HoldCo in respect thereof, and (b) all other
indebtedness, obligations and liabilities of the Borrower to the Lenders now
existing or hereafter incurred or created under or with respect to the Senior
Extensions of Credit, the Senior Notes and the Senior Credit Agreements and with
respect to the Letters of Credit and the L/C Applications, and with respect to
any refinancing thereof, and all indebtedness, liabilities and obligations of
HoldCo under guarantees made by HoldCo in respect of the foregoing (including,
without limitation, any interest which accrues after the commencement of any
case, proceeding or other action relating to the bankruptcy, insolvency or
reorganization of HoldCo or the Borrower, whether or not allowed), and (c) the
principal amount of, and accrued interest (including without limitation, any
interest which accrues after the commencement of any case, proceeding or other
action relating to the bankruptcy, insolvency or reorganization of HoldCo or the
Borrower, whether or not allowed) and commissions on, additional indebtedness,
obligations and/or liabilities of the Borrower under the Senior Credit
Agreements and all refinancings thereof and all indebtedness, liabilities and
obligations of HoldCo under guarantees made by HoldCo in respect thereof, not
otherwise specified in clause (a) or (b) above in principal amounts in the
aggregate, at any one time outstanding, not to exceed $100,000,000, which
indebtedness, obligations and/or liabilities are designated as Senior
Obligations in a Notice of Designation from HoldCo to each of the Holders which
has become effective in accordance with the provisions of Section 16, and (d)
all indebtedness, obligations and liabilities of the Borrower arising under any
agreements between the Borrower and one or more Senior Creditors relating to
interest rate, currency or similar swap and hedging arrangements and under any
other agreements made, delivered or given in connection therewith and all
indebtedness, liabilities and obligations of HoldCo under guarantees made by
HoldCo in respect thereof (including, without limitation, any interest which
accrues after the commencement of any case, proceeding or other action relating
to the bankruptcy, insolvency or reorganization of HoldCo or the Borrower,
whether or not allowed).


                                      -4-
<PAGE>

            "Subordinated Obligations" shall mean (a) the principal amount of,
and accrued interest on (including, without limitation, any interest which
accrues after the commencement of any case, proceeding or other action relating
to the bankruptcy, insolvency or reorganization of HoldCo, whether or not
allowed), the 7-1/2% Debentures, and (b) all other indebtedness, obligations and
liabilities of HoldCo to the Holders (including those arising under Section 11
and Section 16), now existing or hereafter incurred or created under the 7-1/2%
Debentures.

            "Surviving Corporation" shall mean the corporation which survives
the Merger.

            "Tender Credit Agreement" shall mean the Tender Credit Agreement,
dated as of July 9, 1996, among the Borrower, HoldCo, the banks and other
financial institutions (the "Tender Lenders") which are from time to time
parties thereto, the Co-Agents, and the Administrative Agent, and shall include
any replacements or refinancings by the Tender Lenders, renewals and amendments
thereto with the consent of the Administrative Agent or the Required Lenders,
and including those amendments that would increase the amounts outstanding
thereunder to the extent permitted by the provisions of Section 16.

            "Transfer", "Transferee," "Transfer Notice" and "Transfer Price"
shall have the respective meanings assigned to such terms in Section 17.

            2.    REPRESENTATIONS AND WARRANTIES

            HoldCo hereby represents and warrants to the Holder that the
following are true on and as of the date of issue of this Debenture:

            2.1 Corporate Existence; Corporate Power; Authorization.
            HoldCo (a) is duly organized, validly existing and in good standing
under the laws of the State of Delaware, (b) has the corporate power and
authority and the legal right to make and deliver, and to perform its
obligations under, the 7-1/2% Debentures and to make the borrowing evidenced
thereby, and (c) has taken all necessary corporate action to authorize such
borrowing on the terms and conditions of the 7-1/2% Debentures and to authorize
the execution and delivery of, and performance by it of its obligations under,
the 7-1/2% Debentures.

            2.2 No Legal Bar.
            No consent or authorization of, filing with, or other act by or in
respect of, any other person or entity is required in connection with the
borrowing evidenced by the 7-1/2% Debentures or with the execution and delivery
by HoldCo of, or performance by HoldCo of its


                                      -5-
<PAGE>

obligations under, or the validity or enforceability against HoldCo of, the
7-1/2% Debentures. The execution and delivery of, and performance by HoldCo of
its obligations under, the 7-1/2% Debentures will not violate or conflict with
or constitute a default under its Certificate of Incorporation or By-Laws, or
any law, rule or regulation, or determination of an arbitrator, or of a
government or court or other governmental agency, instrumentality or authority
applicable to or binding upon it or any of its property or to which it or any of
its property is subject or any provision of any security issued by HoldCo or of
any agreement, instrument or undertaking to which HoldCo is a party or by which
it or any of its property is bound, except violations which will not have a
Material Adverse Effect (as defined in the Senior Credit Agreements) of HoldCo
and its subsidiaries taken as a whole.

            2.3 Enforceable Obligations.
            This Debenture has been, and each other 7-1/2% Debenture will be,
duly authorized, executed and delivered on behalf of HoldCo and constitutes or
will constitute, as the case may be, a legal, valid and binding obligation of
HoldCo enforceable against HoldCo in accordance with its terms, except as may be
limited by applicable bankruptcy, insolvency, moratorium or other similar laws
affecting creditors' rights generally and by applicable principles of equity
(whether considered in a suit at law or in equity).

            3.    COVENANTS

            3.1. Dividends. HoldCo hereby agrees with the Holder that, so long
as this Debenture remains outstanding and unpaid or any other amount is owing
hereunder or with respect hereto, HoldCo shall not pay any dividends on, or make
any distributions with respect to, any shares of the common stock or preferred
stock of HoldCo, if and so long as any semi-annual interest payment theretofore
due on any of the 7-1/2% Debentures remains unpaid.

            3.2. Supplemental Interest. HoldCo shall pay to the Holder of this
Debenture, as supplemental interest, an amount equal to the product of (a)
1-1/2% of $233,464,288, multiplied by (b) a fraction, the numerator of which is
the original principal amount of this Debenture and the denominator of which is
$166,666,667, such amount to be payable within 30 days after the date of this
Debenture.

            4.    EVENTS OF DEFAULT

            Upon the occurrence of any of the following events (each,
individually, an "Event of Default" and collectively, "Events of Default"):

                  (a) HoldCo shall fail to pay any part of the principal amount
            of any of the 7-1/2% Debentures when due in accordance with the
            terms hereof, or fail to pay any installment of interest on any of
            the 7-1/2% Debentures or any other amount payable hereunder or
            thereunder, and (i) in each such event such default shall not have
            been remedied within 120 days


                                      -6-
<PAGE>

            after it has occurred and (ii) so long as any Senior Obligations are
            outstanding and unpaid, in the case of any failure to pay any
            installment of interest on any of the 7-1/2% Debentures beyond such
            120-day grace period such failure shall constitute an Event of
            Default hereunder only upon declaration thereof, by written notice
            or notices to HoldCo, by the Holders of at least a majority of the
            then outstanding aggregate principal amount of the 7-1/2%
            Debentures; or

                  (b) any representation or warranty made by HoldCo herein shall
            prove to have been incorrect in any material respect on or as of the
            date made; or

                  (c) HoldCo shall default in the observance or performance of
            the covenant contained in Section 3.1; or

                  (d) (i) HoldCo shall commence any case, proceeding or other
            action (A) under any existing or future law of any jurisdiction,
            domestic or foreign, relating to bankruptcy, insolvency,
            reorganization or relief of debtors, seeking to have an order for
            relief entered with respect to it, or seeking to adjudicate it a
            bankrupt or insolvent, or seeking reorganization, arrangement,
            adjustment, winding-up, liquidation, dissolution, composition or
            other relief with respect to it or its debts, or (B) seeking
            appointment of a receiver, trustee, custodian or other similar
            official for it or for all or any substantial part of its assets, or
            HoldCo shall make a general assignment for the benefit of its
            creditors; or (ii) there shall be commenced against HoldCo any case,
            proceeding or other action of a nature referred to in clause (i)
            above which (A) results in the entry of an order for relief or any
            such adjudication or appointment, or (B) remains undismissed,
            undischarged or unbonded for a period of 60 days; or (iii) there
            shall be commenced against HoldCo any case, proceeding or other
            action seeking issuance of a warrant of attachment, execution,
            distraint or similar process against all or any substantial part of
            its assets, which results in the entry of any order for any such
            relief which shall not have been vacated, discharged, or stayed on
            bond pending appeal within 60 days from the entry thereof; or (iv)
            HoldCo shall take any corporate action in furtherance of, or
            indicating its consent to, approval of, or acquiescence in, any of
            the acts set forth in clause (i), (ii) or (iii) above; or (v) HoldCo
            shall generally not, or shall be unable to, or shall admit in
            writing its inability to, pay its debts as they become due; or

                  (e) the General Partner (as defined in the Agreement and
            Articles of Limited Partnership of Forstmann Little & Co.
            Subordinated Debt and Equity Management Buyout Partnership-VI dated
            as of June 20, 1995, as

                                      -7-
<PAGE>

            amended from time to time, relating to MBO-VI (the "Partnership
            Agreement")) shall have taken action with respect to the securities
            of HoldCo which results in the relinquishment of "control" (as such
            term is defined in the Investment Company Act of 1940, as amended)
            of HoldCo by the persons or group of persons having such control
            prior thereto;

then, and in any such event, but subject to Sections 13 and 14, (x) upon the
occurrence of any Event of Default described in subclause (i) or (ii) of clause
(d) of this Section 4 or in clause (e) of this Section 4, the unpaid principal
amount of and accrued interest on and all other amounts owing under this
Debenture shall automatically, without any further action of any person or
entity, mature and become due and payable, and (y) upon the occurrence and
during the continuation of any other Event of Default, the Holders of a majority
of the aggregate principal amount of the 7-1/2% Debentures then outstanding may
at any time (unless all Events of Default shall theretofore have been remedied)
at their option, by written notice or notices to HoldCo, declare the 7-1/2%
Debentures to be due and payable, whereupon the unpaid principal amount of and
accrued interest on and all other amounts owing under the 7-1/2% Debentures
shall forthwith mature and become due and payable, all without presentment,
demand, protest or other notice, all of which are hereby expressly waived except
as expressly provided above in this Section 4.

            At any time after this Debenture is declared due and payable, as
provided in clause (y) above, the Holders of a majority of the aggregate
principal amount of the 7-1/2% Debentures then outstanding, by written notice to
HoldCo, may rescind and annul any such declaration in respect of the 7-1/2%
Debentures and its consequences if (x) HoldCo has paid all overdue interest on
the 7-1/2% Debentures, (y) all Events of Default, other than non-payment of
amounts which have become due solely by reason of such declaration, have been
cured or waived by the Holder in accordance with Section 18, and (z) no judgment
or decree has been entered for the payment of any monies due pursuant to this
Debenture; but no such rescission and annulment shall extend to or affect any
subsequent Event of Default or impair any right consequent thereon.

            5.    REMEDIES ON DEFAULT; NO WAIVER; ETC.

            Subject to the provisions of Sections 13 and 14, in case any one or
more Events of Default shall occur and be continuing, the Holder may proceed to
protect and enforce its rights by an action at law, suit in equity or other
appropriate proceeding, whether for the specific performance of any agreement
contained herein, or for an injunction against a violation of any of the terms
hereof, or in aid of the exercise of any power granted hereby or by law or
otherwise. No course of dealing and no failure to exercise or delay in
exercising any right, power or remedy by or on the part of any Holder shall
operate as a waiver thereof or otherwise prejudice any Holder's rights, powers
or remedies nor shall any single or partial exercise of any such right, power or
remedy


                                      -8-
<PAGE>

preclude any other or further exercise thereof or the exercise of any other
right, power or remedy. No right, power or remedy conferred by this Debenture
upon any Holder shall be exclusive of any other right, power or remedy referred
to herein or now or hereafter available by law, in equity or otherwise.

            6.    DEBENTURE REGISTER

            HoldCo will keep at its principal office a register in which HoldCo
will provide for the registration of the 7-1/2% Debentures. HoldCo may treat the
person or entity in whose name this Debenture is registered on such register as
the owner hereof for the purpose of receiving payment of the principal hereof
and interest hereon and for all other purposes (subject to the rights of prior
Holders under Section 11), whether or not this Debenture shall be overdue, and
HoldCo shall not be affected by any notice to the contrary. All references in
this Debenture to a "Holder" shall mean the person or entity in whose name any
of the 7-1/2% Debentures are at the time registered on such register (except as
otherwise contemplated with respect to prior Holders under this Section 6 and
Section 11).

            7.    TRANSFER AND EXCHANGE

            Subject to the provisions of Section 17, upon surrender of this
Debenture for registration of transfer or for exchange to HoldCo at its
principal office, HoldCo at its expense (except as provided below) will execute
and deliver in exchange therefor one or more new 7-1/2% Debentures in
denominations of at least $100,000 (except one such 7-1/2% Debenture issued in
connection with each such transfer or exchange may be issued in a lesser
principal amount if the unpaid principal amount of the surrendered 7-1/2%
Debenture is not evenly divisible by, or is less than, $100,000), as requested
by the Holder or transferee, which equal in the aggregate the unpaid principal
amount of this Debenture, registered as such Holder or transferee may request,
dated so that there will be no loss of interest by reason of such surrender, and
otherwise of like tenor and form. HoldCo may require payment by the Holder of a
sum sufficient to cover any stamp tax or governmental charge imposed in respect
of any such transfer or exchange.

            8.    REPLACEMENT

            Upon receipt of evidence reasonably satisfactory to HoldCo of the
ownership of, and the loss, theft, destruction or mutilation of, this Debenture
and, in the case of any such loss, theft or destruction, an indemnity bond in
such reasonable amount as HoldCo may determine (or, if the Holder is any
financial institution or any nominee of the foregoing, of an unsecured indemnity
agreement from such Holder reasonably satisfactory to HoldCo), or, in the case
of any such mutilation, upon the surrender of this Debenture for cancellation to
HoldCo at its principal office, HoldCo at its expense (except as provided below)
will execute and deliver, in lieu hereof, a new 7-1/2%


                                      -9-
<PAGE>

Debenture of like tenor and form, dated so that there will be no loss of
interest by reason of the loss, theft, destruction or mutilation of this
Debenture. HoldCo may require payment by the Holder of a sum sufficient to cover
any stamp tax or governmental charge imposed in respect of any such replacement.
If any such replacement Debenture has been so executed and delivered by HoldCo,
this Debenture shall not be deemed to be outstanding for any purpose.

            9.    PAYMENTS

            9.1 Place of Payment.
            Payments of principal and interest becoming due and payable on the
7-1/2% Debentures shall be made at the principal office of The Chase Manhattan
Bank, N.A. in the Borough of Manhattan, the City and State of New York, unless
HoldCo, by notice to the Holder, shall designate the principal office of another
commercial bank or trust company in such Borough as such place of payment, in
which case the principal office of such other bank or trust company shall
thereafter be such place of payment.

            9.2 Home Office Payment.
            Notwithstanding anything contained in Section 9.1 to the contrary,
if the Holder of this Debenture is an institutional holder, HoldCo will pay all
sums becoming due hereon at the address specified for such purpose in a notice
from such Holder to HoldCo, or by such other method or at such other address as
such Holder shall have specified by notice from time to time to HoldCo for such
purpose, without the presentation or surrender of this Debenture or the making
of any notation hereon, except that upon repayment in full hereof, this
Debenture shall be surrendered to HoldCo at its principal office or at the place
of payment maintained by HoldCo pursuant to Section 9.1 for cancellation. Prior
to any sale or other disposition of this Debenture by such Holder or its
nominee, such Holder will, at its election, either endorse hereon the amount of
principal paid hereon and the last date to which interest has been paid hereon
or surrender this Debenture to HoldCo in exchange for a new 7-1/2% Debenture or
Debentures pursuant to Section 7.

            10.   PREPAYMENT

            Subject to the provisions of Sections 13 and 14, HoldCo may from
time to time prepay all or any part of the unpaid principal amount hereunder,
together with accrued interest, at any time after the date hereof without
premium, penalty or other charge.

            11.   PAYMENT OF EXPENSES

            In case of a default in the payment of any principal or of interest
on or other amount owing under the 7-1/2% Debentures, HoldCo will pay (a) to the
Holder promptly


                                      -10-
<PAGE>

upon demand from time to time such further amounts as shall be
sufficient to cover the costs and expenses of collection and the enforcement and
preservation of the Holder's rights, powers and remedies hereunder, including,
without limitation, attorneys' fees and expenses, and (b) the costs and expenses
of any trustee appointed pursuant to Section 3.3 of the Partnership Agreement,
including, without limitation, fees and expenses of the attorneys for such
trustee. Except as otherwise provided in Sections 7 and 8, HoldCo shall pay any
and all stamp and other taxes payable or determined to be payable in connection
with the execution and delivery of the 7-1/2% Debentures and agrees to save the
Holder harmless from and against any and all liabilities with respect to or
resulting from any delay in paying or omission to pay such taxes. The rights of
each Holder under this Section 11 shall survive any transfer of this Debenture
to another Holder and any exchange under Section 7 or replacement under Section
8 with respect hereto.

            12.   UNSECURED OBLIGATION

            In order to ensure that the borrowing evidenced hereby is not
"indirectly secured" within the meaning of Regulation G, T, U or X of the Board
of Governors of the Federal Reserve System and the interpretations of such Board
and its staff thereunder, notwithstanding the provisions contained herein,
HoldCo and its subsidiaries shall retain the full right and ability to sell,
pledge or otherwise dispose of "margin stock" and "margin securities" (as such
terms are defined in Regulation G, T, U or X of the Board of Governors of the
Federal Reserve System and the interpretations of such Board and its staff
thereunder); and, to the extent that, pursuant to the terms hereof, such
borrowing is considered to be "indirectly secured," such terms (other than those
terms relating to the obligations to make payments of principal, premium and
interest) shall be deemed modified to the extent necessary to prevent such
borrowing from being considered to be "indirectly secured".

            13.   SUBORDINATION

            By acceptance of this Debenture, the Holder hereby agrees as
follows:

            13.1 Express Subordination. The Subordinated Obligations are
expressly subordinated and junior in right of payment (as defined in subsection
13.2) to all Senior Obligations. Nothing contained herein shall be deemed to
make the Subordinated Obligations subordinate and junior in right of payment to
any obligation of HoldCo other than the Senior Obligations.

            13.2 Subordination Defined. "Subordinate and junior in right of
payment" shall mean that:

                  (a) If and to the extent that any Senior Obligations have been
            created, then, so long as any such Senior Obligations are
            outstanding and


                                      -11-
<PAGE>

            unpaid, at any time prior to December 31, 2006, without the express
            written consent of the Senior Creditors, no direct or indirect
            payment on account of the Subordinated Obligations shall be made,
            nor shall any property or assets of HoldCo or any of its
            subsidiaries be directly or indirectly applied to the purchase or
            other acquisition or retirement of the 7-1/2% Debentures, nor shall
            the Holder take, demand, receive or institute legal proceedings to
            recover, and neither HoldCo nor any of its subsidiaries will make,
            give or permit, directly or indirectly, by set-off, redemption,
            purchase or in any other manner, any payment or security for the
            whole or any part of the Subordinated Obligations, nor (except as
            permitted by subsection 13.3) shall the Holder accelerate the
            scheduled maturities of any amount owing under the 7-1/2% Debentures
            (all of the foregoing actions being hereinafter referred to as
            "Restricted Actions"), if at the time of or immediately after giving
            effect to such Restricted Action a Senior Default or Senior Event of
            Default exists or would exist and is or would be continuing;
            provided that this subsection 13.2(a) shall not prevent any
            Restricted Action for a period (a "Postponement Period") longer than
            the period ending on the earliest of (i) the first day after the
            proposed taking of such Restricted Action on which no Senior Default
            or Senior Event of Default is then continuing, (ii) 120 days after
            the date such Restricted Action would otherwise have been taken if
            there has been delivered to the Administrative Agent by the Holder a
            notice stating that such Senior Default or Senior Event of Default
            exists, (iii) 120 days after the date such Restricted Action would
            otherwise have been taken if there has been delivered to the
            Administrative Agent by HoldCo a certificate from an officer of
            HoldCo or a letter from HoldCo's certified public accountants
            stating that such Senior Default or Senior Event of Default exists,
            (iv) the date on which the existence of such Postponement Period has
            been waived by the Senior Creditors, and (v) December 31, 2006;
            provided, further, that if any Restricted Action shall have been
            prevented or postponed by reason of any Senior Default and the
            condition or event giving rise to such Senior Default gives rise to
            a Senior Event of Default, no subsequent Restricted Action may be
            prevented or postponed by reason of the occurrence of such Senior
            Event of Default, and provided, further, that if any Restricted
            Action shall have been prevented or postponed by reason of any
            Senior Default or Senior Event of Default, and after the occurrence
            of such Senior Default or Senior Event of Default and during the
            Postponement Period in respect thereof another Senior Default or
            Senior Event of Default shall have occurred, no such Restricted
            Action shall be prevented or postponed for any additional period by
            reason of such other Senior Default or Senior Event of Default
            (provided that, upon the occurrence of such additional Senior
            Default or Senior Event of Default,


                                      -12-
<PAGE>

            such first Postponement Period shall not be deemed to have ended
            upon the occurrence of any of the events specified in clause (i)
            through (iv) above).

                  (b) (i) So long as any Senior Obligations are outstanding and
            unpaid, in the event of any distribution, division or application,
            partial or complete, voluntary or involuntary, by operation of law
            or otherwise, of all or any substantial part of the property, assets
            or business of HoldCo or the Borrower, or the proceeds thereof, to
            any creditor or creditors of HoldCo or the Borrower other than in
            the ordinary course of business or as permitted in the Senior Credit
            Agreements then in effect, or (ii) upon any indebtedness of HoldCo
            or the Borrower becoming due and payable (or a proof of claim in
            respect thereof being filed in any applicable proceeding) by reason
            of any liquidation, dissolution or other winding up of HoldCo or the
            Borrower or its business or upon the occurrence of any sale,
            receivership, insolvency, reorganization or bankruptcy proceedings,
            assignment for the benefit of creditors, arrangement or any
            proceeding by or against HoldCo or the Borrower for any relief under
            any bankruptcy, reorganization or insolvency law or laws, Federal or
            state, or any law, Federal or state, relating to the relief of
            debtors, readjustment of indebtedness, reorganization, composition,
            or extension, or (iii) if all amounts owing under the Senior Loans,
            or the Borrower's obligations with respect to the Letters of Credit
            and the L/C Applications or owing under guarantees made by HoldCo in
            respect thereof have become, or have been declared to be, due and
            payable (and have not been paid in accordance with their terms),
            then and in any such event, any payment or distribution of any kind
            or character, whether in cash, property or securities (other than
            any securities of HoldCo which are received by the Holder in any
            proceeding of the type referred to in clause (i) or (ii) above and
            which are subordinated to (A) the Senior Obligations and (B) any
            securities of HoldCo distributed to the holders of Senior
            Obligations, in a manner not less favorable to the Senior Creditors
            than the subordination of the Subordinated Obligations provided for
            in Sections 13 and 14 ("Subordinated Securities")), which, but for
            the subordination provisions contained herein, would otherwise be
            payable or deliverable to the Holder upon or in respect of the
            Subordinated Obligations, shall instead be paid over or delivered to
            the Senior Creditors which have Senior Obligations which are then
            due and payable (or in respect of which a proof of claim has been
            filed in any applicable proceeding) and promptly be applied (subject
            to applicable law) as a payment or prepayment on account of the
            Senior Obligations (or, in the case of non-cash property and cash
            received in respect of obligations under outstanding Letters of
            Credit which may be drawn upon, held as collateral to secure payment
            of the Senior Obligations) which are then due and


                                      -13-
<PAGE>

            payable pro rata in accordance with the amounts thereof then due and
            payable (or in respect of which a proof of claim has been filed in
            any applicable proceeding), and the Holder shall not receive any
            such payment or distribution or any benefit therefrom unless and
            until the Senior Obligations which are then due and payable (or in
            respect of which a proof of claim has been filed in any applicable
            proceeding) shall have been fully paid and satisfied in cash.

            13.3 Bankruptcy Petition.
            Notwithstanding anything to the contrary contained herein, so long
as the Senior Obligations are outstanding and unpaid, the Holder may declare the
unpaid principal amount of, and accrued interest on, the Subordinated
Obligations to be immediately due and payable and may file or join in the filing
of a bankruptcy petition against HoldCo or take any action to commence a
bankruptcy proceeding against HoldCo only upon the occurrence and during the
continuance of any of the following events:

                  (a) the Senior Loans or the guarantees made by HoldCo in
            respect thereof shall have been declared to be, or shall have
            become, due and payable prior to the stated maturity thereof in
            accordance with the provisions of Section 9 of the Tender Credit
            Agreement or Section 14 of the Merger Credit Agreement; or

                  (b) HoldCo shall have failed to make any payment of principal
            of, or accrued interest on, the 7-1/2% Debentures, which payment is
            then due and payable, within five days after the later of the end of
            the applicable Postponement Period and 120 days after the date on
            which such payment is due and payable; or

                  (c) after the earlier of the date on which all of the Senior
            Obligations have been paid in full in accordance with the Senior
            Credit Agreements and December 31, 2006, an Event of Default shall
            have occurred and then be continuing under the 7-1/2% Debentures.

If the 7-1/2% Debentures shall have been declared to be due and payable in
accordance with the provisions of this subsection 13.3 (under circumstances when
the provisions of subsection 13.2(b) are not applicable), any payment or
distribution of any kind or character, whether in cash, property or securities,
which are received by the Holder in respect of or after such acceleration or any
legal proceedings brought in connection therewith shall forthwith be paid over
or delivered to the Senior Creditors which have Senior Obligations which are
then due and payable (or in respect of which a proof of claim has been filed in
any applicable proceeding) and promptly be applied (subject to applicable law)
as a payment or prepayment on account of the Senior Obligations (or,

                                      -14-
<PAGE>

in the case of non-cash property and cash received in respect of obligations
under outstanding Letters of Credit which may be drawn upon, held as collateral
to secure payment of the Senior Obligations) which are then due and payable (or
in respect of which a proof of claim has been filed in any applicable
proceeding) pro rata in accordance with the amounts thereof then due and
payable, and the Holder shall not retain any such payment or distribution or any
benefit therefrom unless and until the Senior Obligations which are then due and
payable (or in respect of which a proof of claim has been filed in any
applicable proceeding) shall have been fully paid and satisfied.

            14.   LIMITED POWER OF ATTORNEY; TRUST; SUBROGATION

            By acceptance of this Debenture, the Holder hereby agrees as
follows:

            14.1 Limited Power of Attorney.
            The Holder irrevocably authorizes and empowers the Senior Creditors
under the circumstances set forth in clause (i) or (ii) of subsection 13.2(b),
to demand, sue for, collect and receive every such payment or distribution
referred to in such subsection and give acquittance thereof, and take such other
proceedings, in the name of the Senior Creditors or in the name of the Holders
or otherwise, as the Senior Creditors may deem reasonably necessary or advisable
for the enforcement of the subordination provisions contained in Section 13. The
Holder shall, under the circumstances set forth in clause (i) or (ii) of
subsection 13.2(b), duly and promptly take such action as may be reasonably
requested at any time and from time to time by the Senior Creditors to file
appropriate proofs of claim in respect of the Subordinated Obligations, and to
execute and deliver such powers of attorney, assignments or other instruments as
may be reasonably requested by the Senior Creditors in order to enable the
Senior Creditors to enforce any and all claims upon or in respect of the
Subordinated Obligations and to collect and receive any and all payments or
distributions which may be payable or deliverable at any time upon or in respect
of the Subordinated Obligations. Any such amounts received by the Senior
Creditors shall be applied (subject to applicable law) to the payment of the
Senior Obligations then payable (or in respect of which proofs of claim have
been filed in any applicable proceeding) in accordance with the terms of the
Senior Credit Agreements.

            14.2 Monies Held in Trust.
            Should any payment or distribution or security, or the proceeds of
any thereof, be collected or received by the Holder in respect of the
Subordinated Obligations (other than Subordinated Securities) and such
collection or receipt is at the time prohibited by Section 13, the Holder will
forthwith turn over the same to the Senior Creditors, in the form received
(except for the endorsement or the assignment of the Holder when necessary) and,
until so turned over, the same shall be held in trust by the Holder as the
property of the Senior Creditors. Any such amounts received by the Senior
Creditors shall be applied (subject to applicable law) to the payment of the
Senior


                                      -15-
<PAGE>

Obligations then payable (or in respect of which proofs of claim have been filed
in any applicable proceeding) in accordance with the terms of the Senior Credit
Agreements.

            14.3 Subrogation.
            Following payment in full in cash of the Senior Obligations, the
Holder shall be subrogated to the rights of the Senior Creditors to receive
payments or distributions of cash, property or securities made on the Senior
Obligations until the Subordinated Obligations shall be paid in full; and, for
the purpose of such subrogation, payments or distributions to the Senior
Creditors of any cash, property or securities to which the Holder would be
entitled except for the provisions of Section 13 shall, as between HoldCo and
its creditors (other than the Senior Creditors and the Holders), be deemed to be
a payment by HoldCo to or on account of Subordinated Obligations, it being
understood that the provisions hereof are and are intended solely for the
purpose of defining the relative rights of the Holders of the 7-1/2% Debentures,
on the one hand, and the Senior Creditors, on the other hand. The purpose of
this subsection 14.3 is to grant to the Holders the same rights against HoldCo
with respect to the aggregate amount of such payments or distributions as the
Senior Creditors would have against HoldCo if such aggregate amount were
considered overdue Senior Obligations.

            15.   WAIVER BY SENIOR CREDITORS, ETC.

            By acceptance of this Debenture the Holder hereby consents that,
without the necessity of any reservation of rights against the Holder, and
without notice to or further assent by the Holder, (a) any demand for payment of
any Senior Obligation made by any Senior Creditor may be rescinded in whole or
in part by such Senior Creditor (whereupon HoldCo shall give prompt notice
thereof to the Holders) and any Senior Obligation may be continued, and the
Senior Obligations, or the liability of HoldCo, the Borrower or any other party
upon or for any part thereof, or any collateral security or guaranty therefor or
right or offset with respect thereto, or any obligation or liability of HoldCo,
the Borrower or any other party under the Senior Credit Agreements and any
collateral security documents or guarantees or documents in connection therewith
may, from time to time, in whole or in part, be renewed, extended, modified,
accelerated, compromised, waived, surrendered, or released by the Senior
Creditors, and (b) the Senior Credit Agreements, the Senior Loans, the Letters
of Credit, the L/C Applications and any guarantees made by HoldCo or any other
person in respect thereof and any document or instrument evidencing or governing
the terms of any other Senior Obligations or any collateral security documents
or guarantees or documents in connection therewith may be amended, modified,
supplemented or terminated, in whole or in part, as the Senior Creditors with
respect to such Senior Obligations may deem advisable from time to time, and any
collateral security or guarantee at any time held by any of the Senior Creditors
for the payment of any of the Senior Obligations may be sold, exchanged, waived,
surrendered or released, in each case all without notice to or further


                                      -16-
<PAGE>

assent by the Holders who will remain bound by the terms hereof, and all without
impairing, abridging, releasing or affecting the subordination provided for
herein, notwithstanding any such renewal, extension, modification, acceleration,
compromise, amendment, supplement, termination, sale, exchange, waiver,
surrender or release; provided that so long as any Senior Obligations are
outstanding and unpaid the Administrative Agent, the Co-Agents and the Lenders
will not amend the Senior Credit Agreements to increase the interest rates
applicable to the Loans (as defined on the Senior Credit Agreements) or to
increase commissions or other fees payable with respect to the Letters of Credit
or to increase the maximum principal amount of the Senior Loans which may be
outstanding at any one time or the maximum amount of reimbursement obligations
in respect of Letters of Credit that may be outstanding at any one time, in each
case as set forth in the Merger Credit Agreement, without the written consent of
the Holders of a majority of the aggregate principal amount of the 7-1/2%
Debentures then outstanding, provided that without the consent of any Holder,
but in accordance with Section 16, the maximum principal amount of the Senior
Loans which may be outstanding at any one time and the maximum amount of
reimbursement obligations in respect of Letters of Credit that may be
outstanding at any one time may be increased up to $100,000,000 in the
aggregate, together with accrued interest thereon and commissions with respect
thereto. By acceptance of this Debenture the Holder waives any and all notice of
the creation, renewal, extension or accrual of any of the Senior Obligations and
notice of or proof of reliance by any Senior Creditor upon the terms and
provisions hereof, and the Senior Obligations, and any of them, shall
conclusively be deemed to have been created, contracted or incurred in reliance
upon the terms and provisions hereof, and all dealings between HoldCo and the
Senior Creditors shall be deemed to have been consummated in reliance upon the
terms and provisions hereof. By acceptance of this Debenture the Holder
acknowledges and agrees that the Lenders have relied upon the subordination
provided for herein in entering into the Senior Credit Agreements and in making
funds available to the Borrower thereunder, and that other Senior Creditors will
rely upon the subordination provided for herein in extending credit to, or
accepting the obligations or liabilities of, the Borrower and its subsidiaries.
By acceptance of this Debenture the Holder waives notice of or proof of reliance
on this Debenture and protest, demand for payment and notice of default by the
Senior Creditors.

            16.   INCREASE IN AMOUNT OF SENIOR OBLIGATIONS

            At any time and from time to time HoldCo may designate any of the
Borrower's indebtedness, obligations and/or liabilities and guarantees made by
HoldCo in respect thereof as Senior Obligations, in accordance with clause (c)
of the definition of Senior Obligations, by delivering to each Holder of the
7-1/2% Debentures a Notice of Designation which shall have attached to it a list
of all outstanding Senior Obligations which HoldCo has heretofore, and which
remain, designated as Senior Obligations pursuant to this Section 16 (which
attached list may not be relied upon by the Holder for


                                      -17-
<PAGE>

purposes of preventing any Senior Obligations from being considered as such if
no notice pursuant to the next sentence has been sent by such Holder prior to
the end of the eleven day period referred to in such sentence, but shall be
deemed to have been relied upon by such Holder for purposes of determining
damages payable by HoldCo suffered or incurred by such Holder as a result of
such list not being true and correct). Each such Notice of Designation shall be
effective with respect to the indebtedness, obligations and/or liabilities
described therein on the 11th day following actual receipt thereof by the Holder
unless prior to such 11th day, the Holder has given notice to the proposed
Senior Creditor (at its address specified in such Notice of Designation) and
HoldCo that the principal amount of the indebtedness, obligations and/or
liabilities described in such Notice of Designation together with the aggregate
principal amount of indebtedness, obligations and liabilities previously
designated as Senior Obligations under this Section 16, after taking into
account all notices theretofore received by the Holder terminating or reducing
the amount of indebtedness, obligations and liabilities theretofore included in
the Senior Obligations, exceeds $100,000,000 in the aggregate. By acceptance of
this Debenture the Holder hereby agrees that it shall not give, and shall be
responsible for all direct and consequential damages resulting from, any such
notice which such Holder knows is not true and correct. Upon the effectiveness
of a Notice of Designation, the indebtedness, obligations and/or liabilities
specified therein shall automatically become Senior Obligations and the holder
or holders thereof or obligee or obligees with respect thereto shall
automatically become Senior Creditors, in each case for all purposes of this
Debenture, whether or not the Holder shall have acknowledged receipt of the
Notice of Designation. Senior Obligations shall cease to be such, or the
principal amount thereof designated as such shall be reduced, only (i) upon
actual receipt by the Holders of a notice from the holder or holders of such
Senior Obligations or obligee or obligees with respect thereto terminating the
designation of such indebtedness, obligations and/or liabilities as Senior
Obligations or reducing the amount of such indebtedness, obligations and/or
liabilities so designated, or (ii) when the Senior Obligations have in fact been
paid in full or reduced and the Holders shall have received notice from HoldCo
of such fact together with evidence satisfactory to it that the Senior
Obligations have been so paid or reduced. At the request of HoldCo, the Holder
will confirm in writing to any Senior Creditor that the indebtedness,
obligations and/or liabilities held by such Senior Creditor and designated to be
Senior Obligations are Senior Obligations. However, the failure or refusal of
any Holder to issue any such confirmation shall not affect the status as Senior
Obligations of any indebtedness, obligations and/or liabilities properly
designated by HoldCo to be Senior Obligations in accordance with the provisions
of this Debenture.

            17.   RESTRICTIONS ON TRANSFER; RIGHT OF FIRST REFUSAL

            By acceptance of this Debenture, the Holder hereby agrees as
follows:

            17.1 Restrictions on Transfer.


                                      -18-
<PAGE>

            The Holder shall not, directly or indirectly, sell, assign,
exchange, dispose of or otherwise transfer the 7-1/2% Debentures (any one or
more of such acts being a "Transfer") unless:

                  (a) such Transfer is of the whole, and not merely a part, of
            the Holder's direct or beneficial interest in the 7-1/2% Debentures
            and is for cash consideration only; and

                  (b) such Transfer is made pursuant to an effective
            registration statement under the Securities Act of 1933, as amended,
            or the Holder delivers to HoldCo an opinion of counsel of recognized
            standing in securities law (including in-house or special counsel),
            which opinion and counsel shall be reasonably satisfactory to
            HoldCo, retained at the Holder's expense, to the effect that the
            proposed Transfer is exempt from registration under applicable
            Federal and state securities laws; and

                  (c) such Transfer does not otherwise violate any law, statute,
            rule, regulation, order or decree of the United States of America or
            any state thereof or any governmental authority of any of the
            foregoing; and

                  (d) such Transfer is to a third-party transferee (the
            "Transferee") which Transferee does not, directly or indirectly,
            beneficially own, either alone or together with its Affiliates,
            immediately prior to such Transfer in excess of 5% of the aggregate
            principal amount of the 7-1/2% Debentures then outstanding; and

                  (e) such Transfer is made in a cash transaction but only after
            the Holder complies with the provisions of subsection 17.2.

            17.2  Right of First Refusal.

                  (a) If, at any time, the Holder proposes to Transfer for cash
            its entire interest in the 7-1/2% Debentures, the Holder shall give
            a written notice (a "Transfer Notice") to HoldCo (i) specifying (w)
            that the proposed Transfer will be in compliance with all of the
            provisions of Section 17.1, (x) the identity of the proposed
            third-party transferee (the "Transferee") who has made a bona fide
            offer to purchase the Holder's entire interest in the 7-1/2%
            Debentures, (y) the proposed cash consideration to be received by
            the Holder for such interest (the "Transfer Price"), and (z) any
            other terms and conditions of the proposed Transfer, and (ii)
            offering to sell the Holder's entire interest in the 7-1/2%
            Debentures at the Transfer Price to HoldCo. The Transfer Notice
            shall constitute an irrevocable offer by the Holder to sell the
            Holder's entire interest in the 7-1/2% Debentures to HoldCo upon


                                      -19-
<PAGE>

the
            terms contained in the Transfer Notice.

                  (b) HoldCo shall have the right, exercisable for 15 Business
            Days following the date of such receipt of the Transfer Notice, to
            purchase for cash the Holder's entire interest in the 7-1/2%
            Debentures at the Transfer Price by delivering a written notice (the
            "Purchase Notice") to the Holder of its election within such 15
            Business Day period. If HoldCo elects to so purchase the Holder's
            interest, the Holder shall execute such documents and instruments
            reasonably required by HoldCo to consummate the contemplated
            transaction. The closing of such purchase shall take place as soon
            as practicable after the date of the Purchase Notice, but in any
            case within 15 Business Days following HoldCo's initial receipt of
            the Transfer Notice. At such closing, the Holder shall, and hereby
            covenants to, Transfer its entire interest in the 7-1/2% Debentures
            to HoldCo free and clear of any and all liens, mortgages, pledges,
            security interests or other encumbrances against receipt of payment
            thereof.

                  (c) If HoldCo does not deliver a Purchase Notice within 15
            Business Days following its receipt of a Transfer Notice, then the
            Holder (i) shall be under no obligation to sell any portion of its
            interest in the 7-1/2% Debentures to HoldCo, and (ii) may, within
            the period commencing on the 16th Business Day and ending on the
            30th Business Day following HoldCo's receipt of the Transfer Notice,
            Transfer its entire (but not less than its entire) interest in the
            7-1/2% Debentures to the Transferee specified in the Transfer Notice
            at the Transfer Price and on the terms and conditions set forth in
            the Transfer Notice. If, upon the expiration of the 30th Business
            Day following receipt by HoldCo of the Transfer Notice, such
            Transfer shall not have occurred, then the provisions of this
            Section 17.2 shall apply again and the Holder shall comply with the
            terms hereof in connection with any subsequent proposed Transfer.

            17.3 Transfer Otherwise Void.
            Any purported Transfer of the Holder's interest in the 7-1/2%
Debentures made other than in accordance with this Section 17 shall be void and
HoldCo shall not be required to recognize any equitable or other claims to such
interest on the part of any purported transferee. Notwithstanding anything to
the contrary herein, the provisions of this Section 17 shall not apply to
Transfers by MBO-VI acting in a manner contemplated by Section 3.2 (a) (i) of
the Partnership Agreement.

            18.   NOTICES, ETC.

            All notices, waivers and other communications provided for hereunder
shall


                                      -20-
<PAGE>

be in writing (including telex, telecopier and other readable communication) and
mailed, telexed, telecopied or otherwise transmitted or delivered, if to HoldCo,
c/o Forstmann Little & Co., 767 Fifth Avenue, New York, New York 10153,
Attention: Mr. Thomas H. Lister, with a copy to Fried, Frank, Harris, Shriver &
Jacobson, One New York Plaza, New York, New York 10004, Attention: F. William
Reindel, Esq., and if to the Holder at its address specified on the register
referred to in Section 6, or, in each case, to such other addresses as shall be
specified by like notice. All such notices, waivers and communications shall, if
mailed, telexed, telecopied or otherwise transmitted, be effective when
deposited in the mails or telexed, telecopied or otherwise transmitted.

            19.   GOVERNING LAW

            THIS DEBENTURE SHALL BE GOVERNED BY AND CONSTRUED AND ENFORCED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK (WITHOUT REGARD TO THE
PRINCIPLES OF CONFLICT OF LAWS).


                                      -21-
<PAGE>

            20.   MISCELLANEOUS

            The provisions of this Debenture shall inure to the benefit of and
shall be binding upon HoldCo and the Holder of this Debenture and all future
Holders, and their respective heirs, legal representatives, successors and
assigns.

Dated:  July 10, 1996

                                       FLCH HOLDINGS CORP.

                                       By:
                                          Thomas H. Lister
                                          Vice President


                                      -22-
<PAGE>

                                                                         ANNEX 1

                                     FORM OF
                             "NOTICE OF DESIGNATION"

                                                      [Date]

TO:   THE HOLDER OF FLCH HOLDINGS CORP.
      7-1/2% SERIES B DEBENTURES DUE JUNE 30, 2008

Ladies and Gentlemen:

            Reference is made to the 7-1/2% Series B Debentures due June 30,
2008 (the "Debentures") of FLCH HoldCo Corp., a Delaware corporation. Unless
otherwise defined herein, terms defined in the Debentures are used herein with
their defined meanings.

            Pursuant to the provisions of the Debentures, HoldCo hereby
designates the following as Senior Obligations:

            1. Name of holder, lender or other obligee to be designated a Senior
Creditor:

            2. Description of indebtedness, obligations or liabilities to be
designated as Senior Obligations (including maximum principal amount and, if the
Senior Obligation is revolving in nature, a statement to such effect):

            3. Address for notices (include telex and telecopy number if
available):

            Please acknowledge receipt of this notice by signing the enclosed
counterpart hereof in the space provided below and returning it to the
undersigned.

                                       FLCH HOLDINGS CORP.


                                       By:
                                          Name:
                                          Title:

We hereby acknowledge receipt of
this notice on              ,
               -------------  ----

[NAME OF HOLDER]

By:
       Authorized Signatory



<PAGE>

                                                                   Exhibit 10.14

              Form of 7-1/2% SERIES C DEBENTURES DUE JUNE 30, 2007

THIS DEBENTURE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED, AND MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF UNLESS
REGISTERED UNDER SAID ACT OR AN EXEMPTION FROM REGISTRATION IS AVAILABLE AND
EXCEPT IN COMPLIANCE WITH THE PROVISIONS OF SECTION 17 HEREOF.

                               FLCH HOLDINGS CORP.

                  7-1/2% SERIES C DEBENTURES DUE JUNE 30, 2009

No.:  R-                                                    New York, New York

            FLCH HOLDINGS CORP., a Delaware corporation (hereinafter called
"HoldCo"), for value received, hereby promises to pay to:

or its registered assigns, the principal amount of $29,335,226 (or so much
thereof as shall not have been prepaid), payable on June 30, 2009, and to pay
interest (computed on the basis of a 360-day year of twelve 30-day months) on
the unpaid principal amount hereof, from the date hereof, at the rate of 7-1/2%
per annum semi-annually on the 31st day of January and the 31st day of July in
each year, commencing on January 31, 1997, until said principal amount shall
have become due and payable and (to the extent permitted by applicable law) to
pay interest at the rate of 10-1/2% per annum on any overdue principal and
interest, from the date such amount was due and payable until the obligation of
HoldCo with respect to the payment thereof shall be fully discharged. Payments
of principal and interest on this 7-1/2% Series C Debenture (this "Debenture")
shall be made in such coin or currency of the United States of America as at the
time of payment shall be legal tender for the payment of public and private
debts. If the date on which any such payment is required to be made pursuant to
the provisions of this Debenture occurs on a day other than a Business Day (as
hereinafter defined), such payment shall be due and payable on the next
succeeding Business Day.

            This Debenture together with any debenture or debentures hereafter
issued in accordance with the provisions hereof which represent part of the
principal amount of this Debenture and any replacement hereof or thereof
constitute HoldCo's 7-1/2% Series C Debentures due June 30, 2009 (hereinafter
collectively called the "7-1/2% Series C Debentures"). The 7-1/2% Series C
Debentures, together with HoldCo's 7-1/2% Series A Debentures due June 30, 2007
and HoldCo's 7-1/2% Series B Debentures due


<PAGE>

June 30, 2008, and any debenture or debentures issued in accordance with the
provisions hereof or thereof which represent part of the principal amount hereof
or thereof and any replacement of any of the foregoing, aggregating $500,000,000
in original principal amount, are hereinafter collectively called "7-1/2%
Debentures".

            1.    DEFINED TERMS

            As used herein the following terms shall have the following
meanings:

            "Administrative Agent" shall mean The Chase Manhattan Bank, N.A., in
its capacity as administrative agent under the Senior Credit Agreements.

            "Affiliate" shall mean any person or entity that directly, or
indirectly through one or more intermediaries, controls, is controlled by, or is
under common control with, another specified person or entity.

            "Borrower" shall mean FLCH Acquisition Corp., a Delaware corporation
and a direct wholly-owned subsidiary of HoldCo, which corporation is to be
merged with CHS pursuant to the Merger, and from and after the Merger said term
shall refer to the Surviving Corporation.

            "Business Day" shall mean a day other than Saturday, Sunday or other
day on which commercial banks in New York City are authorized or required by law
to close.

            "CHS" shall mean Community Health Systems, Inc., a Delaware
corporation.

            "Co-Agents" shall mean, collectively, Bank of America N.A.,
NationsBank, and The Bank of Nova Scotia, in their capacities as co-agents with
respect to the Senior Credit Agreements.

            "Merger Credit Agreement" shall mean the $900,000,000 Credit
Agreement dated as of July 9, 1996, among the Borrower, HoldCo, the Merger
Lenders parties thereto, the Co-Agents and the Administrative Agent, and shall
include any replacements or refinancings by the Lenders, renewals, and
amendments thereto with the consent of the Borrower, the Lenders, the Co-Agents
and the Administrative Agent, as required thereunder, and including those
amendments that would increase the amounts outstanding thereunder to the extent
permitted by the provisions of Section 16.

            "Event(s) of Default" shall have the meaning assigned to it in
Section 4.

            "Holder" shall mean the person or entity in whose name this
Debenture is registered on the register maintained by HoldCo pursuant to Section
6; and "Holders" shall be the collective reference to all such holders of 7-1/2%
Debentures.


                                      -2-
<PAGE>

            "L/C Application" shall be any L/C Application under the Merger
Credit Agreement.

            "Lenders" shall mean, prior to the Merger, the Tender Lenders, and
from and after the Merger, the Merger Lenders.

            "Letters of Credit" shall be the collective reference to Letters of
Credit issued under the Merger Credit Agreement.

            "MBO-VI" shall mean Forstmann Little & Co. Subordinated Debt and
Equity Management Buyout Partnership-VI, a Delaware limited partnership.

            "Merger" shall mean the merger of FLCH Acquisition Corp. with CHS
pursuant to the Agreement and Plan of Merger, dated June 9, 1996, as amended,
between CHS, HoldCo and the Borrower.

            "Merger Lenders" shall mean the Lenders from time to time parties to
the Merger Credit Agreement.

            "Notice of Designation" shall mean a notice delivered by HoldCo to
the Holders designating Senior Obligations, which notice shall be substantially
in the form of Annex 1 hereto.

            "Partnership Agreement" shall have the meaning assigned to it in
Section 4.

            "Purchase Notice" shall have the meaning assigned to it in
subsection 17.2.

            "Senior Credit Agreements" shall have the collective reference to
the Tender Credit Agreement and the Merger Credit Agreement.

            "Senior Creditors" shall mean the Administrative Agent, the
Co-Agents and the Lenders.

            "Senior Default" shall have the meaning assigned to the term
"Default" in the Senior Credit Agreements or a failure to pay obligations under
the Tender Credit Agreement following a demand therefor.

            "Senior Event of Default" shall have the meaning assigned to the
term "Event of Default" in the Senior Credit Agreements or a failure to pay
obligations under the Tender Credit Agreement following a demand therefor.

            "Senior Extensions of Credit" shall mean all loans and other
extensions of credit obtained by the Borrower under the Senior Credit
Agreements.

            "Senior Loans" shall mean Loans outstanding under the Senior Credit
Agreements.


                                      -3-
<PAGE>

            "Senior Notes" shall mean the promissory notes that may be issued by
the Borrower under the Senior Credit Agreements to evidence indebtedness to the
Lenders outstanding from time to time under the Senior Credit Agreements.

            "Senior Obligations" shall mean, to the extent that HoldCo
guarantees the obligations of the Borrower incurred pursuant to the Senior
Credit Agreements, (a) the principal amount of, and accrued interest on
(including, without limitation, any interest which accrues after the
commencement of any case, proceeding or other action relating to the bankruptcy,
insolvency or reorganization of HoldCo or the Borrower, whether or not allowed),
the Senior Extensions of Credit, the Senior Notes, all other indebtedness,
liabilities and obligations of the Borrower under the Senior Credit Agreements
and any refinancing thereof, and all indebtedness, liabilities and obligations
of HoldCo under guarantees made by HoldCo in respect thereof, and (b) all other
indebtedness, obligations and liabilities of the Borrower to the Lenders now
existing or hereafter incurred or created under or with respect to the Senior
Extensions of Credit, the Senior Notes and the Senior Credit Agreements and with
respect to the Letters of Credit and the L/C Applications, and with respect to
any refinancing thereof, and all indebtedness, liabilities and obligations of
HoldCo under guarantees made by HoldCo in respect of the foregoing (including,
without limitation, any interest which accrues after the commencement of any
case, proceeding or other action relating to the bankruptcy, insolvency or
reorganization of HoldCo or the Borrower, whether or not allowed), and (c) the
principal amount of, and accrued interest (including without limitation, any
interest which accrues after the commencement of any case, proceeding or other
action relating to the bankruptcy, insolvency or reorganization of HoldCo or the
Borrower, whether or not allowed) and commissions on, additional indebtedness,
obligations and/or liabilities of the Borrower under the Senior Credit
Agreements and all refinancings thereof and all indebtedness, liabilities and
obligations of HoldCo under guarantees made by HoldCo in respect thereof, not
otherwise specified in clause (a) or (b) above in principal amounts in the
aggregate, at any one time outstanding, not to exceed $100,000,000, which
indebtedness, obligations and/or liabilities are designated as Senior
Obligations in a Notice of Designation from HoldCo to each of the Holders which
has become effective in accordance with the provisions of Section 16, and (d)
all indebtedness, obligations and liabilities of the Borrower arising under any
agreements between the Borrower and one or more Senior Creditors relating to
interest rate, currency or similar swap and hedging arrangements and under any
other agreements made, delivered or given in connection therewith and all
indebtedness, liabilities and obligations of HoldCo under guarantees made by
HoldCo in respect thereof (including, without limitation, any interest which
accrues after the commencement of any case, proceeding or other action relating
to the bankruptcy, insolvency or reorganization of HoldCo or the Borrower,
whether or not allowed).


                                      -4-
<PAGE>

            "Subordinated Obligations" shall mean (a) the principal amount of,
and accrued interest on (including, without limitation, any interest which
accrues after the commencement of any case, proceeding or other action relating
to the bankruptcy, insolvency or reorganization of HoldCo, whether or not
allowed), the 7-1/2% Debentures, and (b) all other indebtedness, obligations and
liabilities of HoldCo to the Holders (including those arising under Section 11
and Section 16), now existing or hereafter incurred or created under the 7-1/2%
Debentures.

            "Surviving Corporation" shall mean the corporation which survives
the Merger.

            "Tender Credit Agreement" shall mean the Tender Credit Agreement,
dated as of July 9, 1996, among the Borrower, HoldCo, the banks and other
financial institutions (the "Tender Lenders") which are from time to time
parties thereto, the Co-Agents, and the Administrative Agent, and shall include
any replacements or refinancings by the Tender Lenders, renewals and amendments
thereto with the consent of the Administrative Agent or the Required Lenders,
and including those amendments that would increase the amounts outstanding
thereunder to the extent permitted by the provisions of Section 16.

            "Transfer", "Transferee," "Transfer Notice" and "Transfer Price"
shall have the respective meanings assigned to such terms in Section 17.

            2.    REPRESENTATIONS AND WARRANTIES

            HoldCo hereby represents and warrants to the Holder that the
following are true on and as of the date of issue of this Debenture:

            2.1 Corporate Existence; Corporate Power; Authorization.
            HoldCo (a) is duly organized, validly existing and in good standing
under the laws of the State of Delaware, (b) has the corporate power and
authority and the legal right to make and deliver, and to perform its
obligations under, the 7-1/2% Debentures and to make the borrowing evidenced
thereby, and (c) has taken all necessary corporate action to authorize such
borrowing on the terms and conditions of the 7-1/2% Debentures and to authorize
the execution and delivery of, and performance by it of its obligations under,
the 7-1/2% Debentures.

            2.2 No Legal Bar.
            No consent or authorization of, filing with, or other act by or in
respect of, any other person or entity is required in connection with the
borrowing evidenced by the 7-1/2% Debentures or with the execution and delivery
by HoldCo of, or performance by HoldCo of its obligations under, or the validity
or enforceability against HoldCo of, the 7-1/2% Debentures. The execution and
delivery of, and performance by HoldCo of its


                                      -5-
<PAGE>

obligations under, the 7-1/2% Debentures will not violate or conflict with or
constitute a default under its Certificate of Incorporation or By-Laws, or any
law, rule or regulation, or determination of an arbitrator, or of a government
or court or other governmental agency, instrumentality or authority applicable
to or binding upon it or any of its property or to which it or any of its
property is subject or any provision of any security issued by HoldCo or of any
agreement, instrument or undertaking to which HoldCo is a party or by which it
or any of its property is bound, except violations which will not have a
Material Adverse Effect (as defined in the Senior Credit Agreements) of HoldCo
and its subsidiaries taken as a whole.

            2.3 Enforceable Obligations.
            This Debenture has been, and each other 7-1/2% Debenture will be,
duly authorized, executed and delivered on behalf of HoldCo and constitutes or
will constitute, as the case may be, a legal, valid and binding obligation of
HoldCo enforceable against HoldCo in accordance with its terms, except as may be
limited by applicable bankruptcy, insolvency, moratorium or other similar laws
affecting creditors' rights generally and by applicable principles of equity
(whether considered in a suit at law or in equity).

            3.    COVENANTS

            3.1. Dividends. HoldCo hereby agrees with the Holder that, so long
as this Debenture remains outstanding and unpaid or any other amount is owing
hereunder or with respect hereto, HoldCo shall not pay any dividends on, or make
any distributions with respect to, any shares of the common stock or preferred
stock of HoldCo, if and so long as any semi-annual interest payment theretofore
due on any of the 7-1/2% Debentures remains unpaid.

            3.2. Supplemental Interest. HoldCo shall pay to the Holder of this
Debenture, as supplemental interest, an amount equal to the product of (a)
1-1/2% of $233,464,288, multiplied by (b) a fraction, the numerator of which is
the original principal amount of this Debenture and the denominator of which is
$166,666,667, such amount to be payable within 30 days after the date of this
Debenture.

            4.    EVENTS OF DEFAULT

            Upon the occurrence of any of the following events (each,
individually, an "Event of Default" and collectively, "Events of Default"):

                  (a) HoldCo shall fail to pay any part of the principal amount
            of any of the 7-1/2% Debentures when due in accordance with the
            terms hereof, or fail to pay any installment of interest on any of
            the 7-1/2%


                                      -6-
<PAGE>

            Debentures or any other amount payable hereunder or thereunder, and
            (i) in each such event such default shall not have been remedied
            within 120 days after it has occurred and (ii) so long as any Senior
            Obligations are outstanding and unpaid, in the case of any failure
            to pay any installment of interest on any of the 7-1/2% Debentures
            beyond such 120-day grace period such failure shall constitute an
            Event of Default hereunder only upon declaration thereof, by written
            notice or notices to HoldCo, by the Holders of at least a majority
            of the then outstanding aggregate principal amount of the 7-1/2%
            Debentures; or

                  (b) any representation or warranty made by HoldCo herein shall
            prove to have been incorrect in any material respect on or as of the
            date made; or

                  (c) HoldCo shall default in the observance or performance of
            the covenant contained in Section 3.1; or

                  (d) (i) HoldCo shall commence any case, proceeding or other
            action (A) under any existing or future law of any jurisdiction,
            domestic or foreign, relating to bankruptcy, insolvency,
            reorganization or relief of debtors, seeking to have an order for
            relief entered with respect to it, or seeking to adjudicate it a
            bankrupt or insolvent, or seeking reorganization, arrangement,
            adjustment, winding-up, liquidation, dissolution, composition or
            other relief with respect to it or its debts, or (B) seeking
            appointment of a receiver, trustee, custodian or other similar
            official for it or for all or any substantial part of its assets, or
            HoldCo shall make a general assignment for the benefit of its
            creditors; or (ii) there shall be commenced against HoldCo any case,
            proceeding or other action of a nature referred to in clause (i)
            above which (A) results in the entry of an order for relief or any
            such adjudication or appointment, or (B) remains undismissed,
            undischarged or unbonded for a period of 60 days; or (iii) there
            shall be commenced against HoldCo any case, proceeding or other
            action seeking issuance of a warrant of attachment, execution,
            distraint or similar process against all or any substantial part of
            its assets, which results in the entry of any order for any such
            relief which shall not have been vacated, discharged, or stayed on
            bond pending appeal within 60 days from the entry thereof; or (iv)
            HoldCo shall take any corporate action in furtherance of, or
            indicating its consent to, approval of, or acquiescence in, any of
            the acts set forth in clause (i), (ii) or (iii) above; or (v) HoldCo
            shall generally not, or shall be unable to, or shall admit in
            writing its inability to, pay its debts as they become due; or

                  (e) the General Partner (as defined in the Agreement and
            Articles


                                      -7-
<PAGE>

            of Limited Partnership of Forstmann Little & Co. Subordinated Debt
            and Equity Management Buyout Partnership-VI dated as of June 20,
            1995, as amended from time to time, relating to MBO-VI (the
            "Partnership Agreement")) shall have taken action with respect to
            the securities of HoldCo which results in the relinquishment of
            "control" (as such term is defined in the Investment Company Act of
            1940, as amended) of HoldCo by the persons or group of persons
            having such control prior thereto;

then, and in any such event, but subject to Sections 13 and 14, (x) upon the
occurrence of any Event of Default described in subclause (i) or (ii) of clause
(d) of this Section 4 or in clause (e) of this Section 4, the unpaid principal
amount of and accrued interest on and all other amounts owing under this
Debenture shall automatically, without any further action of any person or
entity, mature and become due and payable, and (y) upon the occurrence and
during the continuation of any other Event of Default, the Holders of a majority
of the aggregate principal amount of the 7-1/2% Debentures then outstanding may
at any time (unless all Events of Default shall theretofore have been remedied)
at their option, by written notice or notices to HoldCo, declare the 7-1/2%
Debentures to be due and payable, whereupon the unpaid principal amount of and
accrued interest on and all other amounts owing under the 7-1/2% Debentures
shall forthwith mature and become due and payable, all without presentment,
demand, protest or other notice, all of which are hereby expressly waived except
as expressly provided above in this Section 4.

            At any time after this Debenture is declared due and payable, as
provided in clause (y) above, the Holders of a majority of the aggregate
principal amount of the 7-1/2% Debentures then outstanding, by written notice to
HoldCo, may rescind and annul any such declaration in respect of the 7-1/2%
Debentures and its consequences if (x) HoldCo has paid all overdue interest on
the 7-1/2% Debentures, (y) all Events of Default, other than non-payment of
amounts which have become due solely by reason of such declaration, have been
cured or waived by the Holder in accordance with Section 18, and (z) no judgment
or decree has been entered for the payment of any monies due pursuant to this
Debenture; but no such rescission and annulment shall extend to or affect any
subsequent Event of Default or impair any right consequent thereon.

            5.    REMEDIES ON DEFAULT; NO WAIVER; ETC.

            Subject to the provisions of Sections 13 and 14, in case any one or
more Events of Default shall occur and be continuing, the Holder may proceed to
protect and enforce its rights by an action at law, suit in equity or other
appropriate proceeding, whether for the specific performance of any agreement
contained herein, or for an injunction against a violation of any of the terms
hereof, or in aid of the exercise of any power granted hereby or by law or
otherwise. No course of dealing and no failure to exercise or delay in
exercising any right, power or remedy by or on the part of any Holder


                                      -8-
<PAGE>

shall operate as a waiver thereof or otherwise prejudice any Holder's rights,
powers or remedies nor shall any single or partial exercise of any such right,
power or remedy preclude any other or further exercise thereof or the exercise
of any other right, power or remedy. No right, power or remedy conferred by this
Debenture upon any Holder shall be exclusive of any other right, power or remedy
referred to herein or now or hereafter available by law, in equity or otherwise.

            6.    DEBENTURE REGISTER

            HoldCo will keep at its principal office a register in which HoldCo
will provide for the registration of the 7-1/2% Debentures. HoldCo may treat the
person or entity in whose name this Debenture is registered on such register as
the owner hereof for the purpose of receiving payment of the principal hereof
and interest hereon and for all other purposes (subject to the rights of prior
Holders under Section 11), whether or not this Debenture shall be overdue, and
HoldCo shall not be affected by any notice to the contrary. All references in
this Debenture to a "Holder" shall mean the person or entity in whose name any
of the 7-1/2% Debentures are at the time registered on such register (except as
otherwise contemplated with respect to prior Holders under this Section 6 and
Section 11).

            7.    TRANSFER AND EXCHANGE

            Subject to the provisions of Section 17, upon surrender of this
Debenture for registration of transfer or for exchange to HoldCo at its
principal office, HoldCo at its expense (except as provided below) will execute
and deliver in exchange therefor one or more new 7-1/2% Debentures in
denominations of at least $100,000 (except one such 7-1/2% Debenture issued in
connection with each such transfer or exchange may be issued in a lesser
principal amount if the unpaid principal amount of the surrendered 7-1/2%
Debenture is not evenly divisible by, or is less than, $100,000), as requested
by the Holder or transferee, which equal in the aggregate the unpaid principal
amount of this Debenture, registered as such Holder or transferee may request,
dated so that there will be no loss of interest by reason of such surrender, and
otherwise of like tenor and form. HoldCo may require payment by the Holder of a
sum sufficient to cover any stamp tax or governmental charge imposed in respect
of any such transfer or exchange.

            8.    REPLACEMENT

            Upon receipt of evidence reasonably satisfactory to HoldCo of the
ownership of, and the loss, theft, destruction or mutilation of, this Debenture
and, in the case of any such loss, theft or destruction, an indemnity bond in
such reasonable amount as HoldCo may determine (or, if the Holder is any
financial institution or any nominee of the foregoing, of an unsecured indemnity
agreement from such Holder reasonably satisfactory to HoldCo), or, in the case
of any such mutilation, upon the surrender of this


                                      -9-
<PAGE>

Debenture for cancellation to HoldCo at its principal office, HoldCo at its
expense (except as provided below) will execute and deliver, in lieu hereof, a
new 7-1/2% Debenture of like tenor and form, dated so that there will be no loss
of interest by reason of the loss, theft, destruction or mutilation of this
Debenture. HoldCo may require payment by the Holder of a sum sufficient to cover
any stamp tax or governmental charge imposed in respect of any such replacement.
If any such replacement Debenture has been so executed and delivered by HoldCo,
this Debenture shall not be deemed to be outstanding for any purpose.

            9.    PAYMENTS

            9.1 Place of Payment. Payments of principal and interest becoming
due and payable on the 7-1/2% Debentures shall be made at the principal office
of The Chase Manhattan Bank, N.A. in the Borough of Manhattan, the City and
State of New York, unless HoldCo, by notice to the Holder, shall designate the
principal office of another commercial bank or trust company in such Borough as
such place of payment, in which case the principal office of such other bank or
trust company shall thereafter be such place of payment.

            9.2 Home Office Payment. Notwithstanding anything contained in
Section 9.1 to the contrary, if the Holder of this Debenture is an institutional
holder, HoldCo will pay all sums becoming due hereon at the address specified
for such purpose in a notice from such Holder to HoldCo, or by such other method
or at such other address as such Holder shall have specified by notice from time
to time to HoldCo for such purpose, without the presentation or surrender of
this Debenture or the making of any notation hereon, except that upon repayment
in full hereof, this Debenture shall be surrendered to HoldCo at its principal
office or at the place of payment maintained by HoldCo pursuant to Section 9.1
for cancellation. Prior to any sale or other disposition of this Debenture by
such Holder or its nominee, such Holder will, at its election, either endorse
hereon the amount of principal paid hereon and the last date to which interest
has been paid hereon or surrender this Debenture to HoldCo in exchange for a new
7-1/2% Debenture or Debentures pursuant to Section 7.

            10.   PREPAYMENT

            Subject to the provisions of Sections 13 and 14, HoldCo may from
time to time prepay all or any part of the unpaid principal amount hereunder,
together with accrued interest, at any time after the date hereof without
premium, penalty or other charge.

            11.   PAYMENT OF EXPENSES


                                      -10-
<PAGE>

            In case of a default in the payment of any principal or of interest
on or other amount owing under the 7-1/2% Debentures, HoldCo will pay (a) to the
Holder promptly upon demand from time to time such further amounts as shall be
sufficient to cover the costs and expenses of collection and the enforcement and
preservation of the Holder's rights, powers and remedies hereunder, including,
without limitation, attorneys' fees and expenses, and (b) the costs and expenses
of any trustee appointed pursuant to Section 3.3 of the Partnership Agreement,
including, without limitation, fees and expenses of the attorneys for such
trustee. Except as otherwise provided in Sections 7 and 8, HoldCo shall pay any
and all stamp and other taxes payable or determined to be payable in connection
with the execution and delivery of the 7-1/2% Debentures and agrees to save the
Holder harmless from and against any and all liabilities with respect to or
resulting from any delay in paying or omission to pay such taxes. The rights of
each Holder under this Section 11 shall survive any transfer of this Debenture
to another Holder and any exchange under Section 7 or replacement under Section
8 with respect hereto.

            12.   UNSECURED OBLIGATION

            In order to ensure that the borrowing evidenced hereby is not
"indirectly secured" within the meaning of Regulation G, T, U or X of the Board
of Governors of the Federal Reserve System and the interpretations of such Board
and its staff thereunder, notwithstanding the provisions contained herein,
HoldCo and its subsidiaries shall retain the full right and ability to sell,
pledge or otherwise dispose of "margin stock" and "margin securities" (as such
terms are defined in Regulation G, T, U or X of the Board of Governors of the
Federal Reserve System and the interpretations of such Board and its staff
thereunder); and, to the extent that, pursuant to the terms hereof, such
borrowing is considered to be "indirectly secured," such terms (other than those
terms relating to the obligations to make payments of principal, premium and
interest) shall be deemed modified to the extent necessary to prevent such
borrowing from being considered to be "indirectly secured".

            13.   SUBORDINATION

            By acceptance of this Debenture, the Holder hereby agrees as
follows:

            13.1 Express Subordination.
            The Subordinated Obligations are expressly subordinated and junior
in right of payment (as defined in subsection 13.2) to all Senior Obligations.
Nothing contained herein shall be deemed to make the Subordinated Obligations
subordinate and junior in right of payment to any obligation of HoldCo other
than the Senior Obligations.

            13.2  Subordination Defined.
            "Subordinate and junior in right of payment"shall mean that:


                                      -11-
<PAGE>

                  (a) If and to the extent that any Senior Obligations have been
            created, then, so long as any such Senior Obligations are
            outstanding and unpaid, at any time prior to December 31, 2006,
            without the express written consent of the Senior Creditors, no
            direct or indirect payment on account of the Subordinated
            Obligations shall be made, nor shall any property or assets of
            HoldCo or any of its subsidiaries be directly or indirectly applied
            to the purchase or other acquisition or retirement of the 7-1/2%
            Debentures, nor shall the Holder take, demand, receive or institute
            legal proceedings to recover, and neither HoldCo nor any of its
            subsidiaries will make, give or permit, directly or indirectly, by
            set-off, redemption, purchase or in any other manner, any payment or
            security for the whole or any part of the Subordinated Obligations,
            nor (except as permitted by subsection 13.3) shall the Holder
            accelerate the scheduled maturities of any amount owing under the
            7-1/2% Debentures (all of the foregoing actions being hereinafter
            referred to as "Restricted Actions"), if at the time of or
            immediately after giving effect to such Restricted Action a Senior
            Default or Senior Event of Default exists or would exist and is or
            would be continuing; provided that this subsection 13.2(a) shall not
            prevent any Restricted Action for a period (a "Postponement Period")
            longer than the period ending on the earliest of (i) the first day
            after the proposed taking of such Restricted Action on which no
            Senior Default or Senior Event of Default is then continuing, (ii)
            120 days after the date such Restricted Action would otherwise have
            been taken if there has been delivered to the Administrative Agent
            by the Holder a notice stating that such Senior Default or Senior
            Event of Default exists, (iii) 120 days after the date such
            Restricted Action would otherwise have been taken if there has been
            delivered to the Administrative Agent by HoldCo a certificate from
            an officer of HoldCo or a letter from HoldCo's certified public
            accountants stating that such Senior Default or Senior Event of
            Default exists, (iv) the date on which the existence of such
            Postponement Period has been waived by the Senior Creditors, and (v)
            December 31, 2006; provided, further, that if any Restricted Action
            shall have been prevented or postponed by reason of any Senior
            Default and the condition or event giving rise to such Senior
            Default gives rise to a Senior Event of Default, no subsequent
            Restricted Action may be prevented or postponed by reason of the
            occurrence of such Senior Event of Default, and provided, further,
            that if any Restricted Action shall have been prevented or postponed
            by reason of any Senior Default or Senior Event of Default, and
            after the occurrence of such Senior Default or Senior Event of
            Default and during the Postponement Period in respect thereof
            another Senior Default or Senior Event of Default shall have
            occurred, no such Restricted Action shall be prevented or postponed
            for any additional period by reason of such other


                                      -12-
<PAGE>

            Senior Default or Senior Event of Default (provided that, upon the
            occurrence of such additional Senior Default or Senior Event of
            Default, such first Postponement Period shall not be deemed to have
            ended upon the occurrence of any of the events specified in clause
            (i) through (iv) above).

                  (b) (i) So long as any Senior Obligations are outstanding and
            unpaid, in the event of any distribution, division or application,
            partial or complete, voluntary or involuntary, by operation of law
            or otherwise, of all or any substantial part of the property, assets
            or business of HoldCo or the Borrower, or the proceeds thereof, to
            any creditor or creditors of HoldCo or the Borrower other than in
            the ordinary course of business or as permitted in the Senior Credit
            Agreements then in effect, or (ii) upon any indebtedness of HoldCo
            or the Borrower becoming due and payable (or a proof of claim in
            respect thereof being filed in any applicable proceeding) by reason
            of any liquidation, dissolution or other winding up of HoldCo or the
            Borrower or its business or upon the occurrence of any sale,
            receivership, insolvency, reorganization or bankruptcy proceedings,
            assignment for the benefit of creditors, arrangement or any
            proceeding by or against HoldCo or the Borrower for any relief under
            any bankruptcy, reorganization or insolvency law or laws, Federal or
            state, or any law, Federal or state, relating to the relief of
            debtors, readjustment of indebtedness, reorganization, composition,
            or extension, or (iii) if all amounts owing under the Senior Loans,
            or the Borrower's obligations with respect to the Letters of Credit
            and the L/C Applications or owing under guarantees made by HoldCo in
            respect thereof have become, or have been declared to be, due and
            payable (and have not been paid in accordance with their terms),
            then and in any such event, any payment or distribution of any kind
            or character, whether in cash, property or securities (other than
            any securities of HoldCo which are received by the Holder in any
            proceeding of the type referred to in clause (i) or (ii) above and
            which are subordinated to (A) the Senior Obligations and (B) any
            securities of HoldCo distributed to the holders of Senior
            Obligations, in a manner not less favorable to the Senior Creditors
            than the subordination of the Subordinated Obligations provided for
            in Sections 13 and 14 ("Subordinated Securities")), which, but for
            the subordination provisions contained herein, would otherwise be
            payable or deliverable to the Holder upon or in respect of the
            Subordinated Obligations, shall instead be paid over or delivered to
            the Senior Creditors which have Senior Obligations which are then
            due and payable (or in respect of which a proof of claim has been
            filed in any applicable proceeding) and promptly be applied (subject
            to applicable law) as a payment or prepayment on account of the
            Senior Obligations (or, in the case of non-cash property and cash
            received in respect of obligations under


                                      -13-
<PAGE>

            outstanding Letters of Credit which may be drawn upon, held as
            collateral to secure payment of the Senior Obligations) which are
            then due and payable pro rata in accordance with the amounts thereof
            then due and payable (or in respect of which a proof of claim has
            been filed in any applicable proceeding), and the Holder shall not
            receive any such payment or distribution or any benefit therefrom
            unless and until the Senior Obligations which are then due and
            payable (or in respect of which a proof of claim has been filed in
            any applicable proceeding) shall have been fully paid and satisfied
            in cash.

            13.3 Bankruptcy Petition.
            Notwithstanding anything to the contrary contained herein, so long
as the Senior Obligations are outstanding and unpaid, the Holder may declare the
unpaid principal amount of, and accrued interest on, the Subordinated
Obligations to be immediately due and payable and may file or join in the filing
of a bankruptcy petition against HoldCo or take any action to commence a
bankruptcy proceeding against HoldCo only upon the occurrence and during the
continuance of any of the following events:

                  (a) the Senior Loans or the guarantees made by HoldCo in
            respect thereof shall have been declared to be, or shall have
            become, due and payable prior to the stated maturity thereof in
            accordance with the provisions of Section 9 of the Tender Credit
            Agreement or Section 14 of the Merger Credit Agreement; or

                  (b) HoldCo shall have failed to make any payment of principal
            of, or accrued interest on, the 7-1/2% Debentures, which payment is
            then due and payable, within five days after the later of the end of
            the applicable Postponement Period and 120 days after the date on
            which such payment is due and payable; or

                  (c) after the earlier of the date on which all of the Senior
            Obligations have been paid in full in accordance with the Senior
            Credit Agreements and December 31, 2006, an Event of Default shall
            have occurred and then be continuing under the 7-1/2% Debentures.

If the 7-1/2% Debentures shall have been declared to be due and payable in
accordance with the provisions of this subsection 13.3 (under circumstances when
the provisions of subsection 13.2(b) are not applicable), any payment or
distribution of any kind or character, whether in cash, property or securities,
which are received by the Holder in respect of or after such acceleration or any
legal proceedings brought in connection therewith shall forthwith be paid over
or delivered to the Senior Creditors which have Senior Obligations which are
then due and payable (or in respect of which a proof of


                                      -14-
<PAGE>

claim has been filed in any applicable proceeding) and promptly be applied
(subject to applicable law) as a payment or prepayment on account of the Senior
Obligations (or, in the case of non-cash property and cash received in respect
of obligations under outstanding Letters of Credit which may be drawn upon, held
as collateral to secure payment of the Senior Obligations) which are then due
and payable (or in respect of which a proof of claim has been filed in any
applicable proceeding) pro rata in accordance with the amounts thereof then due
and payable, and the Holder shall not retain any such payment or distribution or
any benefit therefrom unless and until the Senior Obligations which are then due
and payable (or in respect of which a proof of claim has been filed in any
applicable proceeding) shall have been fully paid and satisfied.

            14.   LIMITED POWER OF ATTORNEY; TRUST; SUBROGATION

            By acceptance of this Debenture, the Holder hereby agrees as
follows:

            14.1 Limited Power of Attorney.
            The Holder irrevocably authorizes and empowers the Senior Creditors
under the circumstances set forth in clause (i) or (ii) of subsection 13.2(b),
to demand, sue for, collect and receive every such payment or distribution
referred to in such subsection and give acquittance thereof, and take such other
proceedings, in the name of the Senior Creditors or in the name of the Holders
or otherwise, as the Senior Creditors may deem reasonably necessary or advisable
for the enforcement of the subordination provisions contained in Section 13. The
Holder shall, under the circumstances set forth in clause (i) or (ii) of
subsection 13.2(b), duly and promptly take such action as may be reasonably
requested at any time and from time to time by the Senior Creditors to file
appropriate proofs of claim in respect of the Subordinated Obligations, and to
execute and deliver such powers of attorney, assignments or other instruments as
may be reasonably requested by the Senior Creditors in order to enable the
Senior Creditors to enforce any and all claims upon or in respect of the
Subordinated Obligations and to collect and receive any and all payments or
distributions which may be payable or deliverable at any time upon or in respect
of the Subordinated Obligations. Any such amounts received by the Senior
Creditors shall be applied (subject to applicable law) to the payment of the
Senior Obligations then payable (or in respect of which proofs of claim have
been filed in any applicable proceeding) in accordance with the terms of the
Senior Credit Agreements.

            14.2 Monies Held in Trust.
            Should any payment or distribution or security, or the proceeds of
any thereof, be collected or received by the Holder in respect of the
Subordinated Obligations (other than Subordinated Securities) and such
collection or receipt is at the time prohibited by Section 13, the Holder will
forthwith turn over the same to the Senior Creditors, in the form received
(except for the endorsement or the assignment of the Holder when necessary) and,
until so turned over, the same shall be held in trust by the


                                      -15-
<PAGE>

Holder as the property of the Senior Creditors. Any such amounts received by the
Senior Creditors shall be applied (subject to applicable law) to the payment of
the Senior Obligations then payable (or in respect of which proofs of claim have
been filed in any applicable proceeding) in accordance with the terms of the
Senior Credit Agreements.

            14.3 Subrogation.
            Following payment in full in cash of the Senior Obligations, the
Holder shall be subrogated to the rights of the Senior Creditors to receive
payments or distributions of cash, property or securities made on the Senior
Obligations until the Subordinated Obligations shall be paid in full; and, for
the purpose of such subrogation, payments or distributions to the Senior
Creditors of any cash, property or securities to which the Holder would be
entitled except for the provisions of Section 13 shall, as between HoldCo and
its creditors (other than the Senior Creditors and the Holders), be deemed to be
a payment by HoldCo to or on account of Subordinated Obligations, it being
understood that the provisions hereof are and are intended solely for the
purpose of defining the relative rights of the Holders of the 7-1/2% Debentures,
on the one hand, and the Senior Creditors, on the other hand. The purpose of
this subsection 14.3 is to grant to the Holders the same rights against HoldCo
with respect to the aggregate amount of such payments or distributions as the
Senior Creditors would have against HoldCo if such aggregate amount were
considered overdue Senior Obligations.

            15.   WAIVER BY SENIOR CREDITORS, ETC.

            By acceptance of this Debenture the Holder hereby consents that,
without the necessity of any reservation of rights against the Holder, and
without notice to or further assent by the Holder, (a) any demand for payment of
any Senior Obligation made by any Senior Creditor may be rescinded in whole or
in part by such Senior Creditor (whereupon HoldCo shall give prompt notice
thereof to the Holders) and any Senior Obligation may be continued, and the
Senior Obligations, or the liability of HoldCo, the Borrower or any other party
upon or for any part thereof, or any collateral security or guaranty therefor or
right or offset with respect thereto, or any obligation or liability of HoldCo,
the Borrower or any other party under the Senior Credit Agreements and any
collateral security documents or guarantees or documents in connection therewith
may, from time to time, in whole or in part, be renewed, extended, modified,
accelerated, compromised, waived, surrendered, or released by the Senior
Creditors, and (b) the Senior Credit Agreements, the Senior Loans, the Letters
of Credit, the L/C Applications and any guarantees made by HoldCo or any other
person in respect thereof and any document or instrument evidencing or governing
the terms of any other Senior Obligations or any collateral security documents
or guarantees or documents in connection therewith may be amended, modified,
supplemented or terminated, in whole or in part, as the Senior Creditors with
respect to such Senior Obligations may deem advisable from time to time, and any
collateral security or guarantee at any time held by


                                      -16-
<PAGE>

any of the Senior Creditors for the payment of any of the Senior Obligations may
be sold, exchanged, waived, surrendered or released, in each case all without
notice to or further assent by the Holders who will remain bound by the terms
hereof, and all without impairing, abridging, releasing or affecting the
subordination provided for herein, notwithstanding any such renewal, extension,
modification, acceleration, compromise, amendment, supplement, termination,
sale, exchange, waiver, surrender or release; provided that so long as any
Senior Obligations are outstanding and unpaid the Administrative Agent, the
Co-Agents and the Lenders will not amend the Senior Credit Agreements to
increase the interest rates applicable to the Loans (as defined on the Senior
Credit Agreements) or to increase commissions or other fees payable with respect
to the Letters of Credit or to increase the maximum principal amount of the
Senior Loans which may be outstanding at any one time or the maximum amount of
reimbursement obligations in respect of Letters of Credit that may be
outstanding at any one time, in each case as set forth in the Merger Credit
Agreement, without the written consent of the Holders of a majority of the
aggregate principal amount of the 7-1/2% Debentures then outstanding, provided
that without the consent of any Holder, but in accordance with Section 16, the
maximum principal amount of the Senior Loans which may be outstanding at any one
time and the maximum amount of reimbursement obligations in respect of Letters
of Credit that may be outstanding at any one time may be increased up to
$100,000,000 in the aggregate, together with accrued interest thereon and
commissions with respect thereto. By acceptance of this Debenture the Holder
waives any and all notice of the creation, renewal, extension or accrual of any
of the Senior Obligations and notice of or proof of reliance by any Senior
Creditor upon the terms and provisions hereof, and the Senior Obligations, and
any of them, shall conclusively be deemed to have been created, contracted or
incurred in reliance upon the terms and provisions hereof, and all dealings
between HoldCo and the Senior Creditors shall be deemed to have been consummated
in reliance upon the terms and provisions hereof. By acceptance of this
Debenture the Holder acknowledges and agrees that the Lenders have relied upon
the subordination provided for herein in entering into the Senior Credit
Agreements and in making funds available to the Borrower thereunder, and that
other Senior Creditors will rely upon the subordination provided for herein in
extending credit to, or accepting the obligations or liabilities of, the
Borrower and its subsidiaries. By acceptance of this Debenture the Holder waives
notice of or proof of reliance on this Debenture and protest, demand for payment
and notice of default by the Senior Creditors.

            16.   INCREASE IN AMOUNT OF SENIOR OBLIGATIONS

            At any time and from time to time HoldCo may designate any of the
Borrower's indebtedness, obligations and/or liabilities and guarantees made by
HoldCo in respect thereof as Senior Obligations, in accordance with clause (c)
of the definition of Senior Obligations, by delivering to each Holder of the
7-1/2% Debentures a Notice of Designation which shall have attached to it a list
of all outstanding Senior Obligations


                                      -17-
<PAGE>

which HoldCo has heretofore, and which remain, designated as Senior Obligations
pursuant to this Section 16 (which attached list may not be relied upon by the
Holder for purposes of preventing any Senior Obligations from being considered
as such if no notice pursuant to the next sentence has been sent by such Holder
prior to the end of the eleven day period referred to in such sentence, but
shall be deemed to have been relied upon by such Holder for purposes of
determining damages payable by HoldCo suffered or incurred by such Holder as a
result of such list not being true and correct). Each such Notice of Designation
shall be effective with respect to the indebtedness, obligations and/or
liabilities described therein on the 11th day following actual receipt thereof
by the Holder unless prior to such 11th day, the Holder has given notice to the
proposed Senior Creditor (at its address specified in such Notice of
Designation) and HoldCo that the principal amount of the indebtedness,
obligations and/or liabilities described in such Notice of Designation together
with the aggregate principal amount of indebtedness, obligations and liabilities
previously designated as Senior Obligations under this Section 16, after taking
into account all notices theretofore received by the Holder terminating or
reducing the amount of indebtedness, obligations and liabilities theretofore
included in the Senior Obligations, exceeds $100,000,000 in the aggregate. By
acceptance of this Debenture the Holder hereby agrees that it shall not give,
and shall be responsible for all direct and consequential damages resulting
from, any such notice which such Holder knows is not true and correct. Upon the
effectiveness of a Notice of Designation, the indebtedness, obligations and/or
liabilities specified therein shall automatically become Senior Obligations and
the holder or holders thereof or obligee or obligees with respect thereto shall
automatically become Senior Creditors, in each case for all purposes of this
Debenture, whether or not the Holder shall have acknowledged receipt of the
Notice of Designation. Senior Obligations shall cease to be such, or the
principal amount thereof designated as such shall be reduced, only (i) upon
actual receipt by the Holders of a notice from the holder or holders of such
Senior Obligations or obligee or obligees with respect thereto terminating the
designation of such indebtedness, obligations and/or liabilities as Senior
Obligations or reducing the amount of such indebtedness, obligations and/or
liabilities so designated, or (ii) when the Senior Obligations have in fact been
paid in full or reduced and the Holders shall have received notice from HoldCo
of such fact together with evidence satisfactory to it that the Senior
Obligations have been so paid or reduced. At the request of HoldCo, the Holder
will confirm in writing to any Senior Creditor that the indebtedness,
obligations and/or liabilities held by such Senior Creditor and designated to be
Senior Obligations are Senior Obligations. However, the failure or refusal of
any Holder to issue any such confirmation shall not affect the status as Senior
Obligations of any indebtedness, obligations and/or liabilities properly
designated by HoldCo to be Senior Obligations in accordance with the provisions
of this Debenture.

            17.   RESTRICTIONS ON TRANSFER; RIGHT OF FIRST REFUSAL

            By acceptance of this Debenture, the Holder hereby agrees as
follows:


                                      -18-
<PAGE>

            17.1 Restrictions on Transfer.
            The Holder shall not, directly or indirectly, sell, assign,
exchange, dispose of or otherwise transfer the 7-1/2% Debentures (any one or
more of such acts being a "Transfer") unless:

                  (a) such Transfer is of the whole, and not merely a part, of
            the Holder's direct or beneficial interest in the 7-1/2% Debentures
            and is for cash consideration only; and

                  (b) such Transfer is made pursuant to an effective
            registration statement under the Securities Act of 1933, as amended,
            or the Holder delivers to HoldCo an opinion of counsel of recognized
            standing in securities law (including in-house or special counsel),
            which opinion and counsel shall be reasonably satisfactory to
            HoldCo, retained at the Holder's expense, to the effect that the
            proposed Transfer is exempt from registration under applicable
            Federal and state securities laws; and

                  (c) such Transfer does not otherwise violate any law, statute,
            rule, regulation, order or decree of the United States of America or
            any state thereof or any governmental authority of any of the
            foregoing; and

                  (d) such Transfer is to a third-party transferee (the
            "Transferee") which Transferee does not, directly or indirectly,
            beneficially own, either alone or together with its Affiliates,
            immediately prior to such Transfer in excess of 5% of the aggregate
            principal amount of the 7-1/2% Debentures then outstanding; and

                  (e) such Transfer is made in a cash transaction but only after
            the Holder complies with the provisions of subsection 17.2.

            17.2  Right of First Refusal.

                  (a) If, at any time, the Holder proposes to Transfer for cash
            its entire interest in the 7-1/2% Debentures, the Holder shall give
            a written notice (a "Transfer Notice") to HoldCo (i) specifying (w)
            that the proposed Transfer will be in compliance with all of the
            provisions of Section 17.1, (x) the identity of the proposed
            third-party transferee (the "Transferee") who has made a bona fide
            offer to purchase the Holder's entire interest in the 7-1/2%
            Debentures, (y) the proposed cash consideration to be received by
            the Holder for such interest (the "Transfer Price"), and (z) any
            other terms and conditions of the proposed Transfer, and (ii)
            offering to sell the Holder's entire interest in the 7-1/2%
            Debentures at the Transfer Price to HoldCo. The Transfer Notice
            shall constitute an irrevocable offer by the Holder to


                                      -19-
<PAGE>

            sell the Holder's entire interest in the 7-1/2% Debentures to HoldCo
            upon the terms contained in the Transfer Notice.

                  (b) HoldCo shall have the right, exercisable for 15 Business
            Days following the date of such receipt of the Transfer Notice, to
            purchase for cash the Holder's entire interest in the 7-1/2%
            Debentures at the Transfer Price by delivering a written notice (the
            "Purchase Notice") to the Holder of its election within such 15
            Business Day period. If HoldCo elects to so purchase the Holder's
            interest, the Holder shall execute such documents and instruments
            reasonably required by HoldCo to consummate the contemplated
            transaction. The closing of such purchase shall take place as soon
            as practicable after the date of the Purchase Notice, but in any
            case within 15 Business Days following HoldCo's initial receipt of
            the Transfer Notice. At such closing, the Holder shall, and hereby
            covenants to, Transfer its entire interest in the 7-1/2% Debentures
            to HoldCo free and clear of any and all liens, mortgages, pledges,
            security interests or other encumbrances against receipt of payment
            thereof.

                  (c) If HoldCo does not deliver a Purchase Notice within 15
            Business Days following its receipt of a Transfer Notice, then the
            Holder (i) shall be under no obligation to sell any portion of its
            interest in the 7-1/2% Debentures to HoldCo, and (ii) may, within
            the period commencing on the 16th Business Day and ending on the
            30th Business Day following HoldCo's receipt of the Transfer Notice,
            Transfer its entire (but not less than its entire) interest in the
            7-1/2% Debentures to the Transferee specified in the Transfer Notice
            at the Transfer Price and on the terms and conditions set forth in
            the Transfer Notice. If, upon the expiration of the 30th Business
            Day following receipt by HoldCo of the Transfer Notice, such
            Transfer shall not have occurred, then the provisions of this
            Section 17.2 shall apply again and the Holder shall comply with the
            terms hereof in connection with any subsequent proposed Transfer.

            17.3 Transfer Otherwise Void.
            Any purported Transfer of the Holder's interest in the 7-1/2%
Debentures made other than in accordance with this Section 17 shall be void and
HoldCo shall not be required to recognize any equitable or other claims to such
interest on the part of any purported transferee. Notwithstanding anything to
the contrary herein, the provisions of this Section 17 shall not apply to
Transfers by MBO-VI acting in a manner contemplated by Section 3.2 (a) (i) of
the Partnership Agreement.

            18.   NOTICES, ETC.


                                      -20-
<PAGE>

            All notices, waivers and other communications provided for hereunder
shall be in writing (including telex, telecopier and other readable
communication) and mailed, telexed, telecopied or otherwise transmitted or
delivered, if to HoldCo, c/o Forstmann Little & Co., 767 Fifth Avenue, New York,
New York 10153, Attention: Mr. Thomas H. Lister, with a copy to Fried, Frank,
Harris, Shriver & Jacobson, One New York Plaza, New York, New York 10004,
Attention: F. William Reindel, Esq., and if to the Holder at its address
specified on the register referred to in Section 6, or, in each case, to such
other addresses as shall be specified by like notice. All such notices, waivers
and communications shall, if mailed, telexed, telecopied or otherwise
transmitted, be effective when deposited in the mails or telexed, telecopied or
otherwise transmitted.

            19.   GOVERNING LAW

            THIS DEBENTURE SHALL BE GOVERNED BY AND CONSTRUED AND ENFORCED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK (WITHOUT REGARD TO THE
PRINCIPLES OF CONFLICT OF LAWS).

            20.   MISCELLANEOUS

            The provisions of this Debenture shall inure to the benefit of and
shall be binding upon HoldCo and the Holder of this Debenture and all future
Holders, and their respective heirs, legal representatives, successors and
assigns.

Dated:  July 10, 1996

                                       FLCH HOLDINGS CORP.

                                       By:
                                          Thomas H. Lister
                                          Vice President


                                      -21-
<PAGE>

                                                                        ANNEX 1

                                     FORM OF
                             "NOTICE OF DESIGNATION"

                                                          [Date]
TO:   THE HOLDER OF FLCH HOLDINGS CORP.
      7-1/2% SERIES C DEBENTURES DUE JUNE 30, 2009

Ladies and Gentlemen:

            Reference is made to the 7-1/2% Series C Debentures due June 30,
2009 (the "Debentures") of FLCH HoldCo Corp., a Delaware corporation. Unless
otherwise defined herein, terms defined in the Debentures are used herein with
their defined meanings.

            Pursuant to the provisions of the Debentures, HoldCo hereby
designates the following as Senior Obligations:

            1. Name of holder, lender or other obligee to be designated a Senior
Creditor:

            2. Description of indebtedness, obligations or liabilities to be
designated as Senior Obligations (including maximum principal amount and, if the
Senior Obligation is revolving in nature, a statement to such effect):

            3. Address for notices (include telex and telecopy number if
available):

            Please acknowledge receipt of this notice by signing the enclosed
counterpart hereof in the space provided below and returning it to the
undersigned.

                                       FLCH HOLDINGS CORP.


                                       By:
                                          Name:
                                          Title:

We hereby acknowledge receipt of
this notice on              ,
               -------------  ----

[NAME OF HOLDER]
By:
       Authorized Signatory


<PAGE>
                                                                    EXHIBIT 23.2

INDEPENDENT AUDITORS' CONSENT

    We consent to the use in this Registration Statement of Community Health
Systems, Inc. on Form S-1 of our report dated February 25, 2000, appearing in
the Prospectus, which is a part of this Registration Statement, and of our
report dated February 25, 2000 relating to the consolidated financial statement
schedule appearing elsewhere in this Registration Statement.

    We also consent to the reference to us under the heading "Experts" in such
Prospectus.

/s/ Deloitte & Touche LLP

Nashville, Tennessee
March 6, 2000

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<PAGE>
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