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8142328v2
EXIIIBIT "A"
l\ovant Letter
(Seeattached)
8142328v2
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April12;?016:
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Hapl"/,t{bslam
Chair
Health"Inc.
Mennsrial
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47CI0Waters
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wit&{he,tr+l sacliolr,NovantHealthhas
lil;itlt;t*, andMelr,oriall{oam In.sorrnegtion
ldbffiorial'a*dtheChathamCoqnfyHospital
to theLeaseiberweon
sev amer,tdrnent$
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ag-reed
.OrVitkre$pectt$ thBpfopon+d
tentativo,ly
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of y urorganizatiQn'regarding
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ttr'theKey Ternrs,ontilned
wlth.r,es,peot
teealiybCIund
Lease
Amendftont'
anddulysignedthe
$sbotieted
provi<iing
lvith Memarialartclrto
to lookfofwardtothepartnershijl
NovailtFleaithcontinu$s
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Ser$to th* patiepts*f,h{emorialandtheresidents'sf
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SCHEI}ULE A
SeeondAmendmentto Arnendedand RestatedLease
BetrvcenChatham County Hospital Authority and
MemorialHealth, In+..
Kev Terrns
1. Term - Resettermto 40 yearsat closing. Term automaticatlyresetsto 40 years.on l0'h
anniversaryof closingandevery5tl'yearthereafterunlesseitherpartyprovidesnoticeof
nonrenewal.Novanthasrieht to unwindMSA with Mernorialif leaseterm falls below
20 years.
2. Continudtionof Seruices
will rtotreducdlevet
3 NICUto Level
NICU andTraumaServims- Memorial
2 or rednceLevelI Traumato Level2 withoutapprovalfromCCHA. CCI-IA
in light of
will notwithholdapproval
reasonable
if reduotion
is commercially
healthcarernarketconditionn.ln theeventof dispute,cominercial
reasonableness
is subjectto bindingarbitration.
of reduction
b. Indigent Care --Menroriaito continuetc prnvideindigentcareto in cornpliance
with IntergovenmentalContract.
o. Graduate Medical Education- Memorialto continueto participatein CME to
ilre extentfundedby third parties.
+
FundFlow- Subject
to reserve
andliquidityreguirements
ilr the20124MTI,
contained
therewill beno restriction
onMemorial'sabilitvto ffan$fsrcashto NovantHealthor its
affiliates.
Major Constr*ction-- Memcrialwill prqvide60daynoticeof newmaterial
construction/improvements.
Memorialwill obtainCCFIA'spl'iorwitten consent,
notto
beunreasonably
witlrlield,for anydemolition
ofbuildingsor otherrnaterial
or destruction
rnajorassets.
SesnandAgreed:
CHATHAM COTINTYHOSPITALAUTFIORITY
ur,-/ku-,"l+funDonWaters,
Chair
Date:4'l{,/b
MEMORIALFIEALTH.INC.
By:
I{amyHaslam,Chair
EXHIBIT "B"
Transmittal Letter
(Seeattached)
8142328v2
CHATHAMCOLINTYHOSPITALAUTHORITY
4700WatersAvenue
Savannah.
GA 31404
April15,2016
PeterS. Brunstetter
ExecutiveVice Presidentand
ChiefLegalOfficer
NovantHealth
2085FrontisPlazaBoulevard
Salem,NC 27103
DearMr. Brunstetter:
this week,whicll'I havesignedon behalfof
Enclosedis the letterof intentwe discussed
the Authority. The final leasemust providethat any of the referencedchangesto the NICU and
trauma serviceswill also require Authority consent,with the only limitation being that such
consentshallnot be unreasonably
withheld.
We look forwardto concludinstheleaseon this basis.
Sincerely,
CHATHA]\4COI.INTYHOSPITALAUTHORITY
l\'*'
knfr:LM-
Don Waters,Chairman
cc:
Carl S. Armato
R. JonathanHart
Art Dana
8742471v2