COMMUNITY HEALTH SYSTEMS INC
EXHIBIT 10.24
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<DESCRIPTION>EXHIBIT 10.24
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<p align="right" style="font-weight:bold;margin:0in 0in .25in;page-break-after:avoid;text-align:right;text-transform:uppercase;"><b><font size="2" face="Times New Roman" style="font-size:10.0pt;text-transform:none;">Exhibit 10.24</font></b></p>

<p style="font-weight:bold;margin:0in 0in .25in;page-break-after:avoid;text-align:center;text-transform:uppercase;"><b><font size="2" face="Times New Roman" style="font-size:10.0pt;text-transform:none;">FIRST
AMENDMENT TO THE</font></b></p>

<p style="font-weight:bold;margin:0in 0in .25in;page-break-after:avoid;text-align:center;text-transform:uppercase;"><b><font size="2" face="Times New Roman" style="font-size:10.0pt;text-transform:none;">&#160;CHS 401(K) SUPPLEMENTAL SAVINGS PLAN</font></b></p>

<p align="center" style="margin:0in 0in 12.0pt;text-align:center;"><b><font size="2" face="Times New Roman" style="font-size:10.0pt;font-weight:bold;">January 1, 2003</font></b></p>

<p align="left" style="margin:0in 0in 12.0pt;text-align:left;text-indent:1.0in;"><b><font size="2" face="Times New Roman" style="font-size:10.0pt;font-weight:bold;">WHEREAS</font></b><font size="2" style="font-size:10.0pt;">, CHS/Community Health
Systems, Inc. (the &#147;Company&#148;) has previously established and currently
maintains the CHS 401(k) Supplemental Savings Plan (the &#147;Plan&#148;); and</font></p>

<p align="left" style="margin:0in 0in 12.0pt;text-align:left;text-indent:1.0in;"><b><font size="2" face="Times New Roman" style="font-size:10.0pt;font-weight:bold;">WHEREAS</font></b><font size="2" style="font-size:10.0pt;">, the Company desires to
further amend the Plan to change the definition of Participating Employee and
Participant to exclude employees subject to the terms of a collective
bargaining agreement, effective as of January 1, 2003; and</font></p>

<p align="left" style="margin:0in 0in 12.0pt;text-align:left;text-indent:1.0in;"><b><font size="2" face="Times New Roman" style="font-size:10.0pt;font-weight:bold;">WHEREAS</font></b><font size="2" style="font-size:10.0pt;">, the Board of Directors of
the Company has approved of such amendment;</font></p>

<p align="left" style="margin:0in 0in 12.0pt;text-align:left;text-indent:1.0in;"><font size="2" face="Times New Roman" style="font-size:10.0pt;">NOW, THEREFORE, the Plan is hereby amended as follows:</font></p>

<p align="left" style="margin:0in 0in 12.0pt;text-align:left;text-indent:1.0in;"><font size="2" face="Times New Roman" style="font-size:10.0pt;">1.&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; Section 2(j) of the
Plan is amended to read as follows:</font></p>

<p align="left" style="margin:0in 1.0in 12.0pt;text-align:left;"><font size="2" face="Times New Roman" style="font-size:10.0pt;">&#147;Participating
Employee&#148; and &#147;Participant&#148; shall mean any person employed by the Company or
any affiliate of the Company and designated by the Retirement Committee of the
Company as a highly compensated employee under the Retirement Plan, such as
that term is defined in Code Section 414(q) and as referenced in section 1.30
of the Retirement Plan, other than any person who is included in a unit of
employees covered by a collective bargaining agreement.&#160; Each Participant&#146;s entry date under the
Retirement Plan shall also be the effective date of the Participant&#146;s
participation in this Plan.&#160;&#160;
Notwithstanding the preceding sentence, however, a Participant&#146;s
participation in the Plan shall not commence until the Participant has
completed and returned to the Plan Administrator, and the Plan Administrator
has accepted, any enrollment and beneficiary designation forms as may be
required in the sole discretion of the Plan Administrator.</font></p>

<p align="left" style="margin:0in 0in 12.0pt;text-align:left;text-indent:1.0in;"><font size="2" face="Times New Roman" style="font-size:10.0pt;">2.&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160;&#160; The changes made by
this First Amendment to the Plan shall be effective January 1, 2003.</font></p>

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<p align="left" style="margin:0in 0in 12.0pt;text-align:left;text-indent:1.0in;"><font size="2" face="Times New Roman" style="font-size:10.0pt;">Effective as of January 1, 2003.</font></p>

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  <p style="margin:0in 0in .0001pt;"><font size="2" face="Times New Roman" style="font-size:10.0pt;">CHS/COMMUNITY
  HEALTH SYSTEMS, INC.</font></p>
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