Delaware
(State or other jurisdiction of
incorporation or organization)
|
CHS/COMMUNITY HEALTH SYSTEMS, INC.
(Exact name of registrant as specified in its charter)
|
13-3893191
(I.R.S. Employer
Identification Number)
|
Delaware
(State or other jurisdiction of
incorporation or organization)
|
4000 Meridian Boulevard
Franklin, TN 37067
(Address of principal executive offices)
|
76-0137985
(I.R.S. Employer
Identification Number)
|
Title of Securities
to be Registered
|
Amount to be Registered
|
Proposed Maximum Offering Price Per Share
|
Proposed Maximum Aggregate
Offering Price (1)
|
Amount of
Registration Fee
|
||||||||||||
Deferred Compensation Obligations (2)
|
$ | 10,000,000 | 100 | % | $ | 10,000,000 | $ | 558 | ||||||||
Deferred Compensation Obligations (3)
|
$ | 50,000,000 | 100 | % | $ | 50,000,000 | $ | 2,790 | ||||||||
Deferred Compensation Obligations (Total)
|
$ | 60,000,000 | 100 | % | $ | 60,000,000 | $ | 3,348 |
(1)
|
Estimated solely for the purpose of determining the registration fee pursuant to Rule 457 (h) of the Securities Act.
|
(2)
|
Deferred compensation obligations under the CHS/Community Health Systems, Inc.
Deferred Compensation Plan (the “
Deferred Compensation Plan
”) to pay deferred compensation in the future in accordance
with the terms of such plan.
|
(3)
|
Deferred compensation obligations under the CHS NQDCP (the “
NQDCP
”
) to pay deferred compensation in the future in accordance with
the terms of such plan.
|
Item 3.
|
Incorporation of Documents by Reference
|
(a)
|
Our Annual Report filed on Form 10-K for the year ended December 31, 2008, filed on February 27, 2009, which contains the Registrant’s audited consolidated financial statements for the fiscal year ended December 31, 2008;
|
(b)
|
Our Quarterly Reports on Form 10-Q filed on April 29, 2009, July 31, 2009 and October 30, 2009 for the periods ended March 31, 2009, June 30, 2009 and September 30, 2009, respectively; and
|
(c)
|
Our Current Reports on Form 8-K filed on February 27, 2009, May 11, 2009 and May 21, 2009.
|
December 31,
|
||||||||
Consolidated Balance Sheets
|
2008
|
2007
|
||||||
Equity, as previously reported
|
$
|
1,672,865
|
$
|
1,710,804
|
||||
AAdjustments to noncontrolling interests for adoption of accounting standards
|
28,266
|
39,513
|
||||||
Equity, as adjusted
|
$
|
1,701,131
|
$
|
1,750,317
|
B.
|
Obligations under the NQDCP
|
Exhibit No.
|
Description of Exhibit
|
4.1*
|
CHS/Community Health Systems, Inc. Deferred Compensation Plan, effective as of January 1, 2008.
|
4.2*
|
CHS NQDCP, effective as of September 1, 2009.
|
4.3*
|
CHS NQDCP Adoption Agreement, executed as of August 11, 2009.
|
4.4*
|
Guarantee, dated December 9, 2009, made by Community Health in favor of CHS with respect to CHS’ payment obligations under the Deferred Compensation Plan and the NQDCP.
|
5.1*
|
Opinion of Rachel A. Seifert.
|
23.1
|
Consent of Rachel A. Seifert (included in Exhibit 5.1).
|
23.2*
|
Consent of Deloitte & Touche LLP.
|
|
* filed herewith
|
Item 9.
|
Undertakings
|
|||
(a)
|
The undersigned Registrants hereby undertake:
|
|||
(1)
To file, during any period in which offers or sales are being made, a post-effective amendment to this Registration Statement:
|
||||
(i)
|
To include any prospectus required by Section 10(a)(3) of the Securities Act;
|
|||
(ii)
|
To reflect in the prospectus any facts or events arising after the effective date of the Registration Statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in the Registration Statement; and
|
|||
(iii)
|
To include any material information with respect to the plan of distribution not previously disclosed in the Registration Statement or any material change to such information in the Registration Statement;
|
|||
provided, however,
that the undertakings set forth in paragraphs (a)(1)(i) and (a)(1)(ii) of this section do not apply if the information required to be included in a post-effective amendment by those paragraphs is contained in periodic reports filed with or furnished to the SEC by the
Registrants pursuant to Section 13 or Section 15(d) of the Exchange Act that are incorporated by reference in the Registration Statement.
|
||||
(2)
|
That, for the purpose of determining any liability under the Securities Act, each such post-effective amendment 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.
|
|||
(3)
|
To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
|
|||
(b)
|
The undersigned Registrants hereby undertake that, for purposes of determining any liability under the Securities Act, each filing of our annual report pursuant to Section 13(a) or Section 15(d) of the Exchange Act (and, where applicable, each filing of an employee benefit plan’s annual report pursuant to Section 15(d) of the Exchange
Act) that is incorporated by reference in this Registration Statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of those securities at that time will be deemed to be the initial bona fide offering.
|
|||
(c)
|
Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of the Registrants pursuant to the provisions described in Item 6 of this Registration Statement, or otherwise, the Registrants have been advised that in the opinion of the SEC 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 Registrants of expenses incurred or paid a director, officer or controlling person of the Registrants 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 Registrants 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 indemnification is against public policy as expressed in the Act and will be governed by the final adjudication of the issue.
|
Community Health Systems, Inc. (Registrant)
|
|||
By:
|
/s/ Wayne T. Smith
|
||
Name:
|
Wayne T. Smith
|
||
Title:
|
Chairman of the Board, President and Chief Executive Officer
|
Signature
|
Title
|
Date
|
/s/ Wayne T. Smith
|
Chairman of the Board, President and
Chief Executive Officer (principal executive officer)
|
December 11, 2009
|
Wayne T. Smith
|
||
/s/ W. Larry Cash
|
Executive Vice President,
Chief Financial Officer and
Director (principal financial officer)
|
December 11, 2009
|
W. Larry Cash
|
||
/s/ T. Mark Buford
|
Vice President and Chief Accounting Officer (principal accounting officer)
|
December 11, 2009
|
T. Mark Buford
|
||
/s/ John A. Clerico
|
Director
|
December 11, 2009
|
John A. Clerico
|
||
/s/ John A. Fry
|
Director
|
December 11, 2009
|
John A. Fry
|
||
/s/ Harvey Klein, M.D.
|
Director
|
December 11, 2009
|
Harvey Klein, M.D.
|
||
/s/ Julia B. North
|
Director
|
December 11, 2009
|
Julia B. North
|
||
/s/ H. Mitchell Watson, Jr.
|
Director
|
December 11, 2009
|
H. Mitchell Watson, Jr.
|
Exhibit No.
|
Description of Exhibit
|
4.1*
|
CHS/Community Health Systems, Inc. Deferred Compensation Plan, effective as of January 1, 2008.
|
4.2*
|
CHS NQDCP, effective as of September 1, 2009.
|
4.3*
|
CHS NQDCP Adoption Agreement, executed as of August 11, 2009.
|
4.4*
|
Guarantee, dated December 9, 2009, made by Community Health in favor of CHS with respect to CHS’ payment obligations under the Deferred Compensation Plan and the NQDCP.
|
5.1*
|
Opinion of Rachel A. Seifert.
|
23.1
|
Consent of Rachel A. Seifert (included in Exhibit 5.1).
|
23.2*
|
Consent of Deloitte & Touche LLP.
|
|
______________________
|
|
* filed herewith
|
DEFINITIONS
AND CONSTRUCTION
|
1
|
ARTICLE II
|
ADMINISTRATION
|
5
|
ARTICLE III
|
PARTICIPATION
|
6
|
ARTICLE IV
|
BENEFITS
|
7
|
ARTICLE V
|
VESTING
|
8
|
ARTICLE VI
|
TRUST
|
8
|
ARTICLE VII
|
PAYMENT
OF BENEFITS
|
8
|
ARTICLE VIII
|
HARDSHIP
DISTRIBUTIONS
|
10
|
ARTICLE IX
|
CHANGE
IN CONTROL
|
10
|
ARTICLE X
|
NATURE
OF THE PLAN
|
11
|
ARTICLE XI
|
EMPLOYMENT
RELATIONSHIP
|
11
|
ARTICLE XII
|
AMENDMENT
AND TERMINATION
|
11
|
ARTICLE XIII
|
CLAIMS
PROCEDURE
|
12
|
ARTICLE XIV
|
MISCELLANEOUS
|
13
|
EXHIBIT
A
|
PRE-2005
PLAN DOCUMENT
|
14
|
|
||
By:
|
/s/
Rachel A. Seifert
|
|
Title:
|
Senior
Vice President
|
ARTICLE I
|
DEFINITIONS
AND CONSTRUCTION
|
14
|
ARTICLE II
|
ADMINISTRATION
|
|
17
|
ARTICLE III
|
PARTICIPATION
|
|
17
|
ARTICLE IV
|
BENEFITS
|
|
18
|
ARTICLE V
|
VESTING
|
|
20
|
ARTICLE VI
|
TRUST
|
|
21
|
ARTICLE VII
|
PAYMENT
OF BENEFITS
|
21
|
ARTICLE VIII
|
HARDSHIP
DISTRIBUTIONS
|
22
|
ARTICLE IX
|
SALE
OF THE COMPANY
|
23
|
ARTICLE X
|
NATURE
OF THE PLAN
|
23
|
ARTICLE XI
|
EMPLOYMENT
RELATIONSHIP
|
23
|
ARTICLE XII
|
AMENDMENT
AND TERMINATION
|
24
|
ARTICLE XIII
|
CLAIMS
PROCEDURE
|
24
|
ARTICLE XIV
|
MISCELLANEOUS
|
25
|
(1) all unpaid 2001 and 2002 variable life insurance policy premium payments required under the terms of the Split Dollar Agreement; | |
(2) an amount equal to 100% of the net cash surrender value of such variable life insurance policy on the date such policy is surrendered by the Company; and | |
(3) if required by the Member’s Benefit Exchange Agreement, annual amounts equal to the premium payments to such variable life insurance policy that would have been required under the Split Dollar Agreement for years after 2002, reduced each year by the actual cost of providing supplemental life insurance coverage to the Member pursuant to the terms of the Benefit Exchange Agreement. | |
|
(a)
|
If
a Member has requested in accordance with Section 3.5 of the Plan that all
or a portion of his Account be invested in any particular Investment(s),
the Account of such Member shall be credited with the Investment Gains or
Losses since the preceding Determination
Date.
|
|
(b)
|
Any
portion of a Member’s Account, the investment of which has not been
requested by the Member, shall be credited with the Earnings Credit for
such Determination Date.
|
|
(c)
|
A
Member’s Account shall not be credited with any Investment Credit under
this Section 4.2 on the Company Matching Contributions portion
credited to his Account as of the last day of each Plan Year pursuant to
Section 4.1 of the Plan until the Company actually makes the cash
deposit of such Matching Contributions with the
Trustee.
|
|
(i)
|
To
amend the Plan;
|
|
(ii)
|
To
appoint and remove members of the Committee;
and
|
|
(iii)
|
To
terminate the Plan as permitted in Section
14.
|
|
(i)
|
To
designate Participants;
|
|
(ii)
|
To
interpret the provisions of the Plan and to determine the rights of the
Participants under the Plan, except to the extent otherwise provided in
Section 16 relating to claims
procedure;
|
|
(iii)
|
To
administer the Plan in accordance with its terms, except to the extent
powers to administer the Plan are specifically delegated to another person
or persons as provided in the Plan;
|
|
(iv)
|
To
account for the amount credited to the Deferred Compensation Account of a
Participant;
|
|
(v)
|
To
direct the Employer in the payment of
benefits;
|
|
(vi)
|
To
file such reports as may be required with the United States Department of
Labor, the Internal Revenue Service and any other government agency to
which reports may be required to be submitted from time to time;
and
|
|
(vii)
|
To
administer the claims procedure to the extent provided in Section
16.
|
|
(i)
|
the
specific reason or reasons for the adverse
determination;
|
|
(ii)
|
specific
reference to pertinent Plan provisions on which the adverse determination
is based;
|
|
(iii)
|
a
statement that the claimant is entitled to receive, upon request and free
of charge, reasonable access to, and copies of, all documents, records,
and other information relevant to the claimant's claim for benefits;
and
|
|
(iv)
|
a
statement describing any voluntary appeal procedures offered by the Plan
and the claimant's right to obtain the information about such procedures,
as well as a statement of the claimant's right to bring an action under
ERISA section 502(a).
|
CHS/COMMUNITY
HEALTH SYSTEMS, INC.
|
|||
By:
|
/s/
Rachel A. Seifert
|
||
Title:
|
Senior
Vice
President
|
2.6
|
Committee:
|
The
duties of the Committee set forth in the Plan shall be satisfied
by:
|
___ |
(a)
|
Company
|
|
___ |
(b)
|
The
administrative committee appointed by the Board to serve at the pleasure
of the Board.
|
|
___ |
(c)
|
Board.
|
|
XX
|
(d)
|
Other
(specify):
CHS/Community
Health Systems, Inc. Retirement
Committee
.
|
2.8
|
Compensation:
|
The
"Compensation" of a Participant shall mean all of a
Participant's:
|
XX
|
(a)
|
Base
salary.
|
|
___ |
(b)
|
Service
Bonus.
|
|
___ |
(c)
|
Performance-Based
Compensation earned in a period of 12 months or more.
|
|
___ |
(d)
|
Commissions.
|
|
___ |
(e)
|
Compensation
received as an Independent Contractor reportable on Form
1099.
|
|
XX
|
(f)
|
Other:
Bonus
|
|
2.9
|
Crediting
Date:
|
The
Deferred Compensation Account of a Participant shall be credited with the
amount of any Participant Deferral to such account at the time
designated
below:
|
___ |
(a)
|
The
last business day of each Plan Year.
|
|
___ |
(b)
|
The
last business day of each calendar quarter during the Plan
Year.
|
|
___ |
(c)
|
The
last business day of each month during the Plan Year.
|
|
___ |
(d)
|
The
last business day of each payroll period during the Plan
Year.
|
|
___ |
(e)
|
Each
pay day as reported by the Employer.
|
|
XX
|
(f)
|
Any
business day on which Participant Deferrals are received by the
administrative recordkeeper.
|
|
___ |
(g)
|
Other:
___________________________________________.
|
2.13
|
Effective
Date:
|
___ |
(a)
|
This
is a newly-established Plan, and the Effective Date of the Plan is
_______________.
|
|
XX
|
(b)
|
This
is an amendment and restatement of a plan named
Triad
Hospitals, Inc. Deferred Compensation Plan
with an effective date
of
January
1, 2005
, an amendment and restatement of a plan named
Quorum
Nonqualified Retirement Plan
with an effective date of
July
1, 1994
,
an
amendment and restatement of a plan named
River
Region Physicans’ Nonqualified Retirement Plan
with an effective
date of
November 1, 1994
,
an amendment and
restatement of a plan named
Kosciusko
Physicans’ Nonqualified Retirement Plan
with an effective
date of
February 1, 1999
,
an amendment and
restatement of a plan named
Mary
Black Health Systems, LLC Nonqualified Retirement Plan
with an effective
date of
July
1, 1996
and an amendment and restatement of a plan named
CHS NQDCP
with an
effective date of
November
1, 2008
.
The Effective Date of this amended and
restated Plan is
September
1, 2009
.
|
XX
|
(i)
|
All
amounts in Deferred Compensation Accounts shall be subject to the
provisions of this amended and restated Plan.
|
|
___ |
(ii)
|
Any
Grandfathered Amounts shall be subject to the Plan rules in effect on
October 3, 2004.
|
2.20
|
Normal
Retirement
Age:
|
The
Normal Retirement Age of a Participant shall
be:
|
___ |
(a)
|
Age
___.
|
|
___ |
(b)
|
The
later of age ___ or the _______ anniversary of the participation
commencement date. The participation commencement date is the first day of
the first Plan Year in which the Participant commenced participation in
the Plan.
|
|
XX
|
(c)
|
Other:
The later of age 65 or
age 55 and 10 Years of Service based on Section
6(f)(1).
|
2.23
|
Participating
Employer(s):
|
As
of the Effective Date, the following Participating Employer(s) are parties
to the Plan:
|
Name of Employer
|
Address
|
Telephone No.
|
EIN
|
|||
CHS/Community
Health Systems, Inc.
|
4000
Meridian Blvd.
|
615-465-7000
|
76-0137985
|
|||
Franklin,
TN 37067
|
||||||
2.26
|
Plan:
|
The
name of the Plan is
|
CHS NQDCP. |
2.28
|
Plan
Year:
|
The
Plan Year shall end each year on the last day of the month of
December
.
|
2.30
|
Seniority
Date:
|
The
date on which a Participant has:
|
___ |
(a)
|
Attained
age ___.
|
|
___ |
(b)
|
Completed
__ Years of Service from First Date of Service.
|
|
___ |
(c)
|
Attained
age __ and completed __ Years of Service from First Date of
Service.
|
|
___ |
(d)
|
Attained
an age as elected by the Participant.
|
|
XX
|
(e)
|
Attained
age
65
or attained age
55
and completed
10
Years of Service from based on Section 6(f)(1).
|
|
___ |
(f)
|
Not
applicable – distribution elections for Separation from Service are not
based on Seniority Date
|
4.1
|
Participant
Deferral Credits:
|
Subject
to the limitations in Section 4.1 of the Plan, a Participant may elect to
have his
Compensation
(as selected in Section 2.8 of this Adoption Agreement) deferred within
the annual limits below by the following percentage or amount as
designated in writing to the
Committee:
|
XX
|
(a)
|
Base
salary:
|
minimum
deferral: __________%
|
maximum
deferral : $__________ or ____
75
______%
|
___ |
(b)
|
Service
Bonus:
|
minimum
deferral: __________%
|
maximum
deferral : $__________ or
__________%
|
___ |
(c)
|
Performance-Based
Compensation:
|
minimum
deferral: __________%
|
maximum
deferral : $__________ or
__________%
|
___ |
(d)
|
Commissions:
|
minimum
deferral: __________%
|
maximum
deferral : $__________ or
__________%
|
___ |
(e)
|
Form
1099 Compensation:
|
minimum
deferral: __________%
|
maximum
deferral : $__________ or
__________%
|
XX
|
(f)
|
Other:
Bonus
|
minimum
deferral: __________%
|
maximum
deferral : $__________ or ____
100
______%
|
___ |
(g)
|
Participant
deferrals not allowed.
|
4.2
|
Employer
Credits:
|
Employer
Credits will be made in the following
manner:
|
XX
|
(a)
|
Employer Discretionary
Credits
: The Employer may make discretionary credits to the
Deferred Compensation Account of each Active Participant in an amount
determined as follows:
|
XX
|
(i)
|
An
amount determined each Plan Year by the Employer.
|
|
___ |
(ii)
|
Other:
_______________________________________.
|
XX
|
(b)
|
Other Employer Credits
:
The Employer may make other credits to the Deferred Compensation Account
of each Active Participant in an amount determined as
follows:
|
XX
|
(i)
|
An
amount determined each Plan Year by the Employer.
|
|
___ |
(ii)
|
Other:
_______________________________________.
|
___ |
(c)
|
Employer
Credits not allowed.
|
5.2
|
Disability
of a Participant:
|
___ |
(a)
|
A
Participant's becoming Disabled shall be a Qualifying Distribution Event
and the Deferred Compensation Account shall be paid by the Employer as
provided in Section 7.1.
|
|
XX
|
(b)
|
A
Participant becoming Disabled shall
not
be a
Qualifying Distribution Event.
|
5.3
|
Death
of a Participant:
|
If
the Participant dies while in Service, the Employer shall pay a benefit to
the Beneficiary
in
an amount equal to the vested balance in the Deferred Compensation Account
of the Participant determined as of the date payments to the Beneficiary
commence, plus:
|
___ |
(a)
|
An
amount to be determined by the Committee.
|
|
___ |
(b)
|
Other:
________________________________.
|
|
XX
|
(c)
|
No
additional benefits.
|
5.4
|
In-Service
or Education Distributions:
|
In-Service
and Education Accounts are permitted under the
Plan:
|
XX
|
(a)
|
In-Service
Accounts are allowed with respect
to:
|
XX
|
Participant Deferral Credits
only.
(Effective
1/1/09)
|
|
___ | Employer Credits only. | |
XX
|
Participant
Deferral and Employer Credits.
(Effective
through 12/31/08)
|
|
In-service
distributions may be made in the following manner:
|
||
XX
|
Single
lump sum payment.
|
|
XX
|
Annual
installments over a term certain not to exceed
3
years.
|
|
Education
Accounts are allowed with respect to:
|
||
___ |
Participant
Deferral Credits only.
|
|
___ |
Employer
Credits only.
|
|
___ |
Participant
Deferral and Employer Credits.
|
|
Education
Accounts distributions may be made in the following
manner:
|
||
___ |
Single
lump sum payment.
|
|
___ |
Annual
installments over a term certain not to exceed __
years.
|
|
If
applicable, amounts not vested at the time payments due under this Section
cease will be:
|
||
___ |
Forfeited
|
|
___ |
Distributed
at Separation from Service if vested at that
time
|
(b)
|
No
In-Service or Education Distributions
permitted.
|
5.5
|
Change
in Control Event:
|
___ |
(a)
|
Participants
may elect upon initial enrollment to have accounts distributed upon a
Change in Control Event.
|
|
XX
|
(b)
|
A
Change in Control shall
not
be a
Qualifying Distribution Event.
|
5.6
|
Unforeseeable
Emergency Event:
|
|
XX
|
(a)
|
Participants
may apply to have accounts distributed upon an Unforeseeable Emergency
event.
|
|
___ |
(b)
|
An
Unforeseeable Emergency shall
not
be
a Qualifying Distribution Event
|
6.
|
Vesting:
|
An
Active Participant shall be fully vested in the Employer Credits
made
to the Deferred Compensation Account upon the first to occur of the
following events:
|
XX
|
(a)
|
Normal
Retirement Age.
|
|
XX
|
(b)
|
Death.
|
|
___ |
(c)
|
Disability.
|
|
___ |
(d)
|
Change
in Control Event
|
|
___ |
(e)
|
Other:
________________________________.
|
|
XX
|
(f)
|
Satisfaction
of the vesting requirement as specified below:
|
|
XX
|
Employer
Discretionary Credits:
|
___ |
(i)
|
Immediate
100% vesting.
|
|
XX
|
(ii)
|
100%
vesting after
3
Years of Service.
|
|
___ |
(iii)
|
100%
vesting at age __.
|
|
___ |
(iv)
|
Number
of
Years
Vested
of
Service
Percentage
|
Less
than
|
1
|
__%
|
||
1
|
__%
|
|||
2
|
__%
|
|||
3
|
__%
|
|||
4
|
__%
|
|||
5
|
__%
|
|||
6
|
__%
|
|||
7
|
__%
|
|||
8
|
__%
|
|||
9
|
__% | |||
10
or more
|
__%
|
For
this purpose, Years of Service of a Participant shall be calculated from
the date designated below:
|
XX
|
(1)
|
First
Day of Service.
|
|
___ |
(2)
|
Effective
Date of Plan Participation.
|
|
___ |
(3)
|
Each
Crediting Date. Under this option (3), each Employer Credit shall vest
based on the Years of Service of a Participant from the Crediting Date on
which each Employer Discretionary Credit is made to his or her Deferred
Compensation Account.
|
XX
|
Other
Employer Credits:
|
Less
than
|
1
|
__%
|
||||
1
|
__%
|
|||||
2
|
__%
|
|||||
3
|
__%
|
|||||
4
|
__%
|
|||||
5
|
__%
|
|||||
6
|
__%
|
|||||
7
|
__%
|
|||||
8
|
__%
|
|||||
9
|
__% | |||||
10
or more
|
__%
|
For
this purpose, Years of Service of a Participant shall be calculated from
the date designated below:
|
___ |
(1)
|
First
Day of Service.
|
|
___ |
(2)
|
Effective
Date of Plan Participation.
|
|
___ |
(3)
|
Each
Crediting Date. Under this option (3), each Employer Credit shall vest
based on the Years of Service of a Participant from the Crediting Date on
which each Employer Discretionary Credit is made to his or her Deferred
Compensation Account.
|
7.1
|
Payment
Options:
|
Any
benefit payable under the Plan upon a permitted Qualifying Distribution
Event
may
be made to the Participant or his Beneficiary (as applicable) in any of
the following payment forms, as selected by the Participant in the
Participation Agreement:
|
(a)
|
Separation from Service prior to Seniority Date,
or Separation from Service if Seniority Date is Not
Applicable
|
XX
|
(i)
|
A
lump sum.
|
|
___ |
(ii)
|
Annual
installments over a term certain as elected by the Participant not to
exceed ___ years.
|
|
___ |
(iii)
|
Other:
____________________________.
|
(b)
|
Separation from Service on or After Seniority
Date, If Applicable
|
XX
|
(i)
|
A
lump sum.
|
|
XX
|
(ii)
|
Annual
installments over a term certain as elected by the Participant not to
exceed
15
years.
|
|
___ |
(iii)
|
Other:
_____________________________.
|
(c)
|
Separation from Service Upon a Change in Control
Event
|
___ |
(i)
|
A
lump sum.
|
|
___ |
(ii)
|
Annual
installments over a term certain as elected by the Participant not to
exceed ___ years.
|
|
XX
|
(iii)
|
Other:
Not
Applicable
.
|
(d)
|
Death
|
XX
|
(i)
|
A
lump sum.
|
|
___ |
(ii)
|
Annual
installments over a term certain as elected by the Participant not to
exceed ___ years.
|
|
___ |
(iii)
|
Other:
______________________________.
|
(e)
|
Disability
|
(f)
|
Change in Control
Event
|
7.4
|
De
Minimis Amounts.
|
|
___ |
(a)
|
Notwithstanding
any payment election made by the Participant, the vested balance in the
Deferred Compensation Account of the Participant will be distributed in a
single lump sum payment at the time designated under the Plan if at the
time of a permitted Qualifying Distribution Event that is either a
Separation from Service, death, Disability (if applicable) or Change in
Control Event (if applicable) the vested balance does not exceed
______
. In addition, the
Employer may distribute a Participant's vested balance at any time if the
balance does not exceed the limit in Section 402(g)(1)(B) of the Code and
results in the termination of the Participant's entire interest in the
Plan
|
|
XX
|
(b)
|
There
shall be no pre-determined de minimis amount under the Plan; however, the
Employer may distribute a Participant's vested balance at any time if the
balance does not exceed the limit in Section 402(g)(1)(B) of the Code and
results in the termination of the Participant's entire interest in the
Plan.
|
10.1
|
Contractual
Liability:
|
Liability
for payments under the Plan shall be the responsibility of
the:
|
XX
|
(a)
|
Company.
|
|
___ |
(b)
|
Employer
or Participating Employer who employed the Participant when amounts were
deferred.
|
CHS/Community Health Systems,
Inc.
Name
of Employer
|
|||
By:
|
/s/
James W. Doucette
|
||
Authorized
Person
|
|||
Date:
|
8/11/09
|
COMMUNITY
HEALTH SYSTEMS, INC.
|
|||
By:
|
/s/
Rachel A. Seifert
|
||
Name:
|
Rachel
A. Seifert
|
||
Title:
|
Senior
Vice
President
|
|
Exhibit 5.1
|
Very truly yours,
|
|
/s/ Rachel A. Seifert
|
|
Rachel A. Seifert
|
|
Senior Vice President, General Counsel and Secretary
|