X0306 4 2018-08-20 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001665775 Smith Patton Paul 4000 MERIDIAN BOULEVARD FRANKLIN TN 37067 0 1 0 0 Division President Common Stock 2018-08-20 4 P 0 10000 3.513 A 103417 D Stock Options (Right to Buy) 30.32 2011-02-24 2020-02-23 Common Stock 1000 1000 D Stock Options (Right to Buy) 34.38 2012-02-23 2021-02-22 Common Stock 1000 1000 D Stock Options (Right to Buy) 17.49 2013-02-16 2022-02-15 Common Stock 1000 1000 D Performance Based Restricted 0.00 2020-03-01 2027-02-28 Common Stock 20000 20000 D Performance Based Restricted 0.00 2021-03-01 2028-02-28 Common Stock 30000 30000 D These shares were purchased in a series of transactions at a weighted average purchase price of approximately $3.513 per share. The vesting of these performance-based restricted shares is subject to the attainment of certain performance objectives between January 1, 2017 and December 31, 2019 (the "2017-2019 Performance Period"). The target number (100%) of the total performance-based restricted shares is reported in the table set forth above. Between 0% and 200% of the target number of performance-based restricted shares subject to the attainment of the applicable performance objectives will ultimately vest on the third anniversary of the date of grant, with the vesting percentage to be determined based upon achievement with respect to the applicable criteria during the 2017-2019 Performance Period. The vesting of these performance-based restricted shares is subject to the attainment of certain performance objectives between January 1, 2018 and December 31, 2020 (the "2018-2020 Performance Period"). The target number (100%) of the total performance-based restricted shares is reported in the table set forth above. Between 0% and 200% of the target number of performance-based restricted shares subject to the attainment of the applicable performance measures will ultimately vest on the third anniversary of the date of grant, with the vesting percentage to be determined based upon achievement with respect to the applicable criteria during the 2018-2020 Performance Period. Christopher G. Cobb, Attorney in Fact for Patton Paul Smith 2018-08-20