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AMENDED AND RESTATED LIMITED PARTNERSHIP AGREEMENT OF HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP

Limited Partnership Agreement

AMENDED AND RESTATED
LIMITED PARTNERSHIP AGREEMENT
OF
HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP | Document Parties: MEDCATH CORP | HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP | HARLINGEN PARTNERSHIP HOLDINGS, INC | HMC MANAGEMENT COMPANY, LLC | SECTION 121 Revocable Limited | VALLEY BAPTIST MANAGEMENT SERVICES CORPORATION You are currently viewing:
This Limited Partnership Agreement involves

MEDCATH CORP | HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP | HARLINGEN PARTNERSHIP HOLDINGS, INC | HMC MANAGEMENT COMPANY, LLC | SECTION 121 Revocable Limited | VALLEY BAPTIST MANAGEMENT SERVICES CORPORATION

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Title: AMENDED AND RESTATED LIMITED PARTNERSHIP AGREEMENT OF HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP
Governing Law: North Carolina     Date: 12/14/2007
Industry: Healthcare Facilities     Law Firm: Moore Van     Sector: Healthcare

AMENDED AND RESTATED
LIMITED PARTNERSHIP AGREEMENT
OF
HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP, Parties: medcath corp , harlingen medical center  limited partnership , harlingen partnership holdings  inc , hmc management company  llc , section 121 revocable limited , valley baptist management services corporation
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Exhibit 10.69
AMENDED AND RESTATED
LIMITED PARTNERSHIP AGREEMENT
OF
HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP
A North Carolina Limited Partnership

 


 
TABLE OF CONTENTS
TO THE
AMENDED AND RESTATED
LIMITED PARTNERSHIP AGREEMENT
OF
HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP
A North Carolina Limited Partnership
         
ARTICLE I DEFINITIONS
    2  
ARTICLE II FORMATION AND AGREEMENT OF LIMITED PARTNERSHIP
    2  
SECTION 2.1 Partnership Formation; Effective Date
    2  
SECTION 2.2 Name of Partnership
    2  
SECTION 2.3 Purposes and Investment Objectives
    2  
SECTION 2.4 Registered Agent and Office; Principal Place of Business
    3  
SECTION 2.5 Commencement and Term
    3  
ARTICLE III PARTNERS AND CAPITAL CONTRIBUTIONS
    3  
SECTION 3.1 Capital Contributions of Partners
    3  
SECTION 3.2 Liability of Partners-For Capital
    4  
SECTION 3.3 Maintenance of Capital Accounts; Withdrawals of Capital; Withdrawals from the Partnership
    4  
SECTION 3.4 Interest on Capital Contributions or Capital Accounts
    5  
SECTION 3.5 Additional Funding
    5  
SECTION 3.6 Enforcement of Commitments
    6  
SECTION 3.7 Tax Treatment of Conversion
    6  
ARTICLE IV NAMES AND ADDRESSES OF PARTNERS
    7  
ARTICLE V MANAGEMENT OF THE PARTNERSHIP
    7  
SECTION 5.1 General Authority and Powers of the General Partner
    7  
SECTION 5.2 Restrictions on Authority of the General Partner
    10  
SECTION 5.3 Duties of the General Partner
    10  
SECTION 5.4 Delegation by the General Partner
    11  
SECTION 5.5 Right to Rely Upon the Authority of the General Partner
    11  
SECTION 5.6 Partnership Expenses
    11  
SECTION 5.7 No Management by Limited Partners
    13  
SECTION 5.8 Consent by Limited Partners to Exercise of Certain Rights and Powers by the General Partner
    14  
SECTION 5.9 Other Business of Partners
    14  
SECTION 5.10 General Partner’s Standard of Care
    15  
SECTION 5.11 Limitation of Liability
    15  
SECTION 5.12 Indemnification of the General Partner
    16  
SECTION 5.13 Election and Replacement of Investor Representatives; Appointment of Hospital Representative
    16  
SECTION 5.14 Role of and Decisions by Investor Representatives
    16  
SECTION 5.15 Purchase of Goods and Services from the General Partner
    17  
SECTION 5.16 Decisions by the General Partner
    17  
ARTICLE VI DISTRIBUTIONS AND ALLOCATIONS
    17  
SECTION 6.3 Losses
    19  
SECTION 6.4 Code Section 704(c) Tax Allocations
    19  
SECTION 6.5 Miscellaneous
    20  
ARTICLE VII DISSOLUTION, WINDING UP AND LIQUIDATING DISTRIBUTIONS
    21  
SECTION 7.1 No Termination by Certain Acts of Partner
    21  
SECTION 7.2 Dissolution
    21  

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SECTION 7.3 Dissolution and Final Liquidation
    21  
SECTION 7.4 Termination
    23  
SECTION 7.5 Payment in Cash
    23  
SECTION 7.6 Goodwill and Trade Name
    23  
SECTION 7.7 Termination of Noncompetition Covenants
    23  
ARTICLE VIII REMOVAL OR WITHDRAWAL OF GENERAL PARTNER AND PARTNERS AND TRANSFER OF PARTNERS’ PARTNERSHIP AND/OR ECONOMIC INTERESTS
    23  
SECTION 8.1 General Partner-Transfers
    23  
SECTION 8.2 Partners’ Right to Continue When Partnership has no General Partner
    24  
SECTION 8.3 Relationship with Substitute General Partner
    24  
SECTION 8.4 Investor Limited Partners-Restriction on Transfer
    24  
SECTION 8.5 Hospital Limited Partne- Restriction on Transfer
    25  
SECTION 8.6 Condition Precedent to Transfer of Economic Interest and/or Partnership Interest
    27  
SECTION 8.7 Substitute Partner Conditions to Fulfill
    27  
SECTION 8.8 Allocations Between Transferor and Transferee
    27  
SECTION 8.9 Rights, Liabilities of, and Restrictions on Assignee
    28  
SECTION 8.10 Death of a Partner
    28  
SECTION 8.11 Repurchase of Interests in Certain Event
    29  
SECTION 8.12 Permissible Transfers by Limited Partners
    29  
SECTION 8.13 Sale of Partnership
    29  
ARTICLE IX RECORDS, ACCOUNTINGS AND REPORTS
    29  
SECTION 9.1 Books of Account
    29  
SECTION 9.2 Access to Records
    30  
SECTION 9.3 Bank Accounts and Investment of Funds
    30  
SECTION 9.4 Fiscal Year
    30  
SECTION 9.5 Accounting Reports
    31  
SECTION 9.6 Tax Returns
    31  
ARTICLE X MEETINGS AND VOTING RIGHTS OF PARTNERS
    31  
SECTION 10.1 Meetings
    31  
SECTION 10.2 Voting Rights of Partners
    32  
ARTICLE XI AMENDMENTS
    32  
SECTION 11.1 Authority to Amend by General Partner
    32  
SECTION 11.2 Restrictions on General Partner’s Amendments: Amendments by Limited Partners
    33  
SECTION 11.3 Amendments to Certificate
    33  
ARTICLE XII MISCELLANEOUS
    34  
SECTION 12.1 Revocable Limited Power of Attorney
    34  
SECTION 12.2 Waiver of Provisions
    34  
SECTION 12.3 Interpretation and Construction
    34  
SECTION 12.4 Governing Law
    34  
SECTION 12.5 Partial Invalidity
    34  
SECTION 12.6 Binding on Successors
    34  
SECTION 12.7 Notices and Delivery
    34  
SECTION 12.8 Counterpart Execution; Facsimile Execution
    35  
SECTION 12.9 Statutory Provisions
    35  
SECTION 12.10 Waiver of Partition
    35  
SECTION 12.11 Change In Law
    35  
SECTION 12.12 Investment Representations of the Partners
    36  
SECTION 12.13 Authorization and Release of Investor Representatives
    37  
SECTION 12.14 Referrals to Hospital and Ownership of Shares of Common Stock of MedCath Holdings, Inc. and/or MedCath Incorporated
    37  

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SECTION 12.15 Acknowledgments Regarding Legal Representation
    37  
SECTION 12.16 Exhibits
    37  

iii


 
AMENDED AND RESTATED
LIMITED PARTNERSHIP AGREEMENT
OF
HARLINGEN MEDICAL CENTER, LIMITED PARTNERSHIP
A North Carolina Limited Partnership
     THESE SECURITIES ARE BEING ISSUED PURSUANT TO AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT OF 1933 AND THE TEXAS SECURITIES ACT IN RELIANCE UPON THE REPRESENTATION OF EACH PURCHASER OF THE SECURITIES THAT THE SAME ARE BEING ACQUIRED FOR INVESTMENT PURPOSES. THESE SECURITIES MAY ACCORDINGLY NOT BE RESOLD OR OTHERWISE TRANSFERRED OR CONVEYED IN THE ABSENCE OF REGISTRATION OF THE SAME PURSUANT TO THE APPLICABLE SECURITIES LAWS UNLESS AN OPINION OF COUNSEL SATISFACTORY TO THE PARTNERSHIP IS FIRST OBTAINED THAT SUCH REGISTRATION IS NOT THEN NECESSARY. ANY TRANSFER CONTRARY HERETO SHALL BE VOID.
     THIS AMENDED AND RESTATED LIMITED PARTNERSHIP AGREEMENT of Harlingen Medical Center, Limited Partnership, a North Carolina Limited Partnership is made and entered into on the                      day of July, 2007 (the “Effective Date”) by and among the Persons whose names, addresses and taxpayer identification numbers are listed on the Information Exhibit .
RECITALS
     A. The Partnership was formed in accordance with the original Limited Partnership Agreement of the Partnership by and among the General Partner and the original Investor Limited Partners (as amended by an Amendment to Limited Partnership Agreement dated July 3, 2001 and a Second Amendment to Limited Partnership Agreement dated September 26, 2001, the “Original Limited Partnership Agreement”);
     B. The Partnership owns and operates a general acute care hospital which is located in Harlingen, Texas and provides medical care and surgery services agreed upon by the General Partner and the Investor Representatives;
     C. It is intended that the hospital will continue to be a low-cost, high quality provider of medical services within the Harlingen, Texas area in a manner which is consistent with the national health care policy of lowering the costs of health care;
     D. In lieu of the procedures set forth in that certain Convertible Note Purchase Agreement (the “Convertible Note Purchase Agreement”) dated December 27, 2005 by and between the Partnership and the Hospital Limited Partner, the Hospital Limited Partner has agreed to convert certain loans made to the Partnership (the “Convertible Loans”) into the percentage Partnership Interest reflected on the Information Exhibit for the Hospital Limited Partner and to be admitted as a Limited Partner of the Partnership;
     E. The Capital Contributions, Convertible Loans and involvement of the Limited Partners are necessary to enable the Partnership to achieve its objectives; and
     F. The Partners desire to amend and restate the Original Limited Partnership Agreement to reflect the new percentage Partnership Interests set forth on the Information Exhibit , to reflect the

 


 
assignment of the general partner interest to a new General Partner, and to set forth the respective rights and obligations of the parties hereto.
     NOW THEREFORE, in consideration of the foregoing, the parties hereby amend in its entirety and restate the Original Limited Partnership Agreement to read as follows:
ARTICLE I
DEFINITIONS
     Unless otherwise indicated, capitalized words and phrases in this Limited Partnership Agreement shall have the meanings set forth in the attached Glossary of Terms .
ARTICLE II
FORMATION AND AGREEMENT OF LIMITED PARTNERSHIP
      SECTION 2.1 Partnership Formation; Effective Date .
     The Partnership was formed on June 1, 1999 upon the filing of the Certificate of Limited Partnership with the Secretary of State of North Carolina in accordance with the provisions of the Act. The General Partner shall execute or cause to be executed all other such certificates or documents, and shall do or cause to be done all such filing, recording, or other acts, as may be necessary or appropriate from time to time to comply with the requirements of law for the continuation and/or operation of a limited partnership in the State of North Carolina, and other documents to reflect the admission of additional Partners to the Partnership. Any costs incurred by the General Partner in connection with the foregoing shall be reimbursed promptly upon the completion of such action. This Agreement shall be effective as of the date set forth in the introductory paragraph hereof.
      SECTION 2.2 Name of Partnership .
     The name of the Partnership is Harlingen Medical Center, Limited Partnership.
      SECTION 2.3 Purposes and Investment Objectives.
     The principal purposes of the Partnership are as follows:
     (a) To develop, own and operate the Hospital and related facilities and provide related services, including, but not limited to, the following:
     (i) Services and facilities to meet all requirements of the State of Texas, Medicare, JCAHO and other credentialing or licensing bodies or agencies in order to have the Hospital licensed as a general acute care hospital and to perform medical and surgical services and to be eligible to obtain appropriate reimbursements therefore;
     (ii) All appropriate support services and systems; and
     (iii) Appropriate Equipment and services with respect to the facilities described above and as otherwise reasonably necessary or appropriate.

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     (b) Any other purpose reasonably related to (a) above.
      SECTION 2.4 Registered Agent and Office; Principal Place of Business.
     The registered agent and office of the Partnership shall be as indicated in the Certificate of Limited Partnership, as amended from time to time. The principal place of business of the Partnership shall be at such location in Harlingen, Texas as selected by the General Partner from time to time. The General Partner shall promptly notify the Partners of any changes in the Partnership’s registered agent, registered office, or principal place of business.
      SECTION 2.5 Commencement and Term .
     The Partnership commenced on the filing of the Certificate of Limited Partnership in the Office of the Secretary of State of North Carolina, as required by Section 2.1 hereof, and shall continue until December 31, 2060, unless sooner terminated or dissolved as provided herein; provided, however, that the termination date may be extended for up to an additional forty (40) years in five (5) year increments upon the election of the General Partner. In the event the General Partner does not elect to extend the term hereof, the Investor Representatives may instead elect to extend the term hereof, subject to the General Partner’s consent which shall not be unreasonably withheld or delayed.
ARTICLE III
PARTNERS AND CAPITAL CONTRIBUTIONS
      SECTION 3.1 Capital Contributions of Partners .
  (a)   The initial Capital Contributions of HHM, HPHI and the Investor Limited Partners equaled the greater of:
      (i) $8,000,000.00; or
 
      (ii) 10% of Project Costs.
  (b)   Such initial Capital Contribution were made as follows:
  (i)   HHM owns a 1% General Partnership Interest in the Partnership and contributed to the Partnership for its General Partnership Interest at least 1% of the aggregate amount of such initial Capital Contributions.
 
  (ii)   HPHI owns a 50% Limited Partnership Interest in the Partnership and contributed to the Partnership for its Limited Partnership Interest at least 50% of the aggregate amount of such initial Capital Contributions.
 
  (iii)   The Investor Limited Partners own in the aggregate up to a 49% Limited Partnership Interest and contributed to the Partnership for their Limited Partnership Interest an amount equal in the aggregate to at least 49% of such initial Capital Contributions.
      The specific amounts of initial Capital Contributions actually made were finally reflected in the books and records of the Partnership.

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  (c)   As of the date that each original Limited Partner subscribed for a Partnership Interest, such Limited Partner made an initial Capital Contribution to the Partnership assuming that total initial Capital Contributions equaled $8,000,000.00. Once the General Partner finally determined the amount of Project Costs, if 10% of such Project Costs exceeded $8,000,000.00, then the General Partner provided written notice to all Partners thereof and informed all original Partners of any additional Capital Contribution which they were required to make to the Partnership. Upon such written request, all original Limited Partners made such additional Capital Contributions to the Partnership no later than 15 days after the date of such written notice from the General Partner.
 
  (d)   The Hospital Limited Partner has made a capital contribution to the Partnership by conversion of a portion of the Convertible Loans as described on the Information Exhibit, in lieu of the procedures described in the Convertible Note Purchase Agreement and the Convertible Notes issued in connection therewith.
 
  (e)   HMC Management has made a capital contribution to the Partnership by assigning to the Partnership a portion of a loan owed by HMC Realty, LLC (by assumption and assignment from the Partnership) to MedCath Finance Co., LLC, an affiliate of HMC Management, as described on the Information Exhibit. HMC Management has made a further capital contribution to the Partnership by conversion of the unassigned portion of such loan as described on the Information Exhibit.
 
  (f)   The Partners may be liable to the Partnership for amounts distributed to them as a return of capital as provided by the Act. Partners shall not be required to contribute any additional capital to the Partnership except as provided in Section 3.5.
 
  (g)   The Capital Contributions shall also include any additional Capital Contributions made by the Partners prior to the Effective Date.
      SECTION 3.2 Liability of Partners — For Capital .
     The liability of each Partner for capital shall be limited to the amount of its agreed Capital Contribution as a Partner as provided in Section 3.1 and Section 3.5, except that the Partners may be liable to the Partnership for amounts distributed to them as a return of capital as provided by the Act. The Partners shall not be required to contribute any additional capital to the Partnership except as provided in Section 3.5.
      SECTION 3.3 Maintenance of Capital Accounts; Withdrawals of Capital; Withdrawals from the Partnership .
     An individual Capital Account shall be maintained for each Partner in accordance with requirements of the Code and the Regulations promulgated thereunder. No Partner shall be entitled to withdraw or to make demand for withdrawal of any part of its Capital Account or to receive any distribution except as provided herein. Except as otherwise provided in this Agreement, each Partner shall look solely to the assets of the Partnership for the return of its Capital Contributions and shall have no right or power to demand or receive property other than cash from the Partnership. No Partner shall have priority over any other Partner as to the return of its Capital Contributions, distributions or allocations, except as provided in this Agreement.

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     Except as otherwise provided herein, a Partner may not withdraw from the Partnership without the written consent of the General Partner and the Majority Vote of the Investor Limited Partners and in no case shall a Partner have the right to have its Interest redeemed by the Partnership unless approved by the General Partner and by the Majority Vote of the Investor Limited Partners.
      SECTION 3.4 Interest on Capital Contributions or Capital Accounts .
     No interest shall be paid to any Partner based solely on its Capital Contributions or Capital Account. The preceding sentence shall not prevent the Partnership from earning interest on its bank accounts and investments and distributing such earnings to the Partner in accordance with Articles VI and VII.
      SECTION 3.5 Additional Funding .
     If from time to time, the General Partner reasonably determines that funds in addition to that contemplated by Sections 3.1 and 3.2 are necessary or appropriate for the development or operation of the Hospital, then:
     (a) First, the General Partner shall use commercially reasonable efforts to borrow such funds from a bank or other lender on terms and conditions reasonably acceptable to the General Partner. All loans obtained hereunder shall be subject to the approval of the Investor Representatives, which approval shall not be unreasonably withheld or delayed;
     (b) Second, if loans as provided in (a) above are not available, the General Partner may through written notice require that the Partners contribute additional capital to the Partnership pro rata according to their respective Partnership Interests, provided however, the maximum obligation for such additional Capital Contributions for HMC Management, HPHI and the Investor Limited Partners shall be limited to an additional amount equal to such Partners’ initial Capital Contribution pursuant to Section 3.1; provided further that the Hospital Limited Partner may elect whether or not to contribute its pro rata portion of such additional capital requirements but shall be diluted in the manner described in Section 3.5(c) if it elects not to contribute its pro rata portion of such additional capital requirements.
     (c) Third, if additional funds are thereafter needed by the Partnership, the General Partner shall request additional Capital Contributions from the Partners and each Partner may elect whether or not to contribute its pro rata portion of such additional capital requirements as optional Capital Contributions. The other Partners may elect to contribute optional Capital Contributions not contributed by any Partner hereunder. Thereafter, the General Partner shall reasonably adjust the percentage Partnership Interest of each Partner (based on the aggregate of all Capital Contributions made by all of the Partners in accordance with this Agreement) in the event any Partner (including the Hospital Limited Partner) elected not to make optional Capital Contributions pursuant to this Section 3.5(c) or in the event the Hospital Limited Partner elected not to make Capital Contributions pursuant to Section 3.5(b);
     (d) At any stage of the process under this Section 3.5, if additional funds are needed by the Partnership, the General Partner or one of its Affiliates may, but shall not be required to, loan all or any portion of such funds to the Partnership at the Prime Rate plus one percent (1%) per annum which loan shall be secured by the Partnership’s assets. Interest shall be paid monthly in arrears and principal shall be repaid according to a schedule to be agreed upon by the Investor Representatives and the General Partner or its Affiliate; and

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     (e) Finally, if funds are not available in accordance with (a) through (d) above, then the General Partner may elect to dissolve the Partnership.
      SECTION 3.6 Enforcement of Commitments .
     In the event any Partner (a “Delinquent Partner”) fails to make a mandatory Capital Contribution as provided in Section 3.1 or Section 3.5 or an optional Capital Contribution as agreed to by the Partner under Section 3.5 (the “Commitment”), the General Partner shall give the Delinquent Partner a Notice of the failure to meet the Commitment. If the Delinquent Partner fails to perform the Commitment (including any costs associated with the failure to meet the Commitment and interest on such obligation at the Default Interest Rate) within ten (10) business days of the giving of Notice, the General Partner may take such action, including but not limited to enforcing the Commitment in the court of appropriate jurisdiction in the state in which the principal office of the Partnership is located or the state of the Delinquent Partner’s address as then reflected in the Agreement. Each Partner expressly agrees to the jurisdiction of such courts but only for the enforcement of Commitments. The other Partners may elect to contribute additional amounts equal to any amount of the Commitment not contributed by such Delinquent Partner. The contributing Partner shall be entitled at its election to treat the amounts contributed pursuant to this Section either as a Capital Contribution or as a loan from the contributing Partner bearing interest at the Default Rate secured by the Delinquent Partner’s Interest in the Partnership. If the contributing Partner elects to contribute such amount as a Capital Contribution, the percentage Partnership Interests of the Partners shall be adjusted proportionately. Until the contributing Partner is fully repaid for such loan made as a result of the default by the Delinquent Partner and only if the contributing Partner agrees to accept repayment of such amount, the contributing Partner shall be entitled to all distributions to which the Delinquent Partner would have been entitled had such Commitment been fulfilled thereby. Notwithstanding the foregoing, no Commitment or other obligation to make an additional Capital Contribution may be enforced by a creditor of the Partnership unless the Partner expressly consents to such enforcement or to the assignment of the obligation to such creditor.
      SECTION 3.7 Tax Treatment of Conversion .
     Notwithstanding any provision herein to the contrary, the conversion, if any, of the Convertible Loans shall be treated for US federal income tax purposes in a manner that (i) is consistent with the proposed Regulations pertaining to noncompensatory partnership options published by the Treasury Department and IRS in the Federal Register on January 22, 2003 (REG-103580-02), as amended, or (ii) complies with the requirements of any final Regulations and associated guidance promulgated by the Treasury Department and IRS regarding the tax consequences associated with the Partnership’s issuance of noncompensatory partnership options, including the requirement to make any corrective allocations contemplated by proposed Regulations Section 1.704-1(b)(2)(iv)( s ) (or the corresponding provision of any final Regulations and associated guidance by the Treasury Department and IRS regarding the tax consequences pertaining to noncompensatory partnership options), if and to the extent that any such final Regulations and associated guidance are applicable to any conversion of the Convertible Loans; provided , however , that (i) any elections required to be made by the Partnership or otherwise contemplated in connection with the foregoing shall be made by the Partnership only with the consent of the Hospital Limited Partner, which consent shall not be unreasonably withheld, and (ii) the Partnership and Partners shall use the remedial allocation method provided under Regulation Section 1.704-3(d) in connection with any corrective allocations contemplated by proposed Regulations Section 1.704-1(b)(2)(iv)( s ) (or the corresponding provision of any final Regulations and associated guidance by the Treasury Department and IRS regarding the tax consequences pertaining to noncompensatory partnership options). The Partners acknowledge and agree that Agreed Values and Capital Accounts may be adjusted in connection with the foregoing.

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      SECTION 3.8 Limitation on Hospital Limited Partner’s Contribution Right
     Notwithstanding any provision herein to the contrary, any right herein of the Hospital Limited Partner’s to make a Capital Contribution shall be limited to the extent that a Capital Contribution would result in the Hospital Limited Partner having a percentage Partnership Interest that exceeds forty-nine percent (49%) at any time during the term of this Agreement.
ARTICLE IV
NAMES AND ADDRESSES OF PARTNERS
     The names and addresses of the Partners are as indicated on the Information Exhibit , attached hereto and as amended from time to time.
ARTICLE V
MANAGEMENT OF THE PARTNERSHIP
      SECTION 5.1 General Authority and Powers of the General Partner .
     Except as set forth in those provisions of this Agreement that specifically require the vote, consent, approval or ratification of the Partners, the General Partner shall have complete authority and exclusive control over the management of the business and affairs of the Partnership. Subject to the terms and conditions of this Agreement and except as otherwise provided herein, all Material Agreements and Material Decisions with respect to the business and affairs of the Partnership shall be approved or made by the General Partner with the consent of the Investor Representatives in accordance with Section 5.16 hereof which in all cases shall not be unreasonably withheld or delayed. No Limited Partner has the actual or apparent authority to cause the Partnership to become bound in any contract, agreement or obligation, and no Limited Partner shall take any action purporting to be on behalf of the Partnership. The General Partner shall not cause the Partnership to become bound to any contract, agreement or obligation, and the General Partner shall not take any other action on behalf of the Partnership, unless such matter has received the vote, consent, approval or ratification if, and as, required pursuant to this Agreement with respect to such matter or except as provided below with respect to the authority and actions of the General Partner.
     The day-to-day management of the business and affairs of the Partnership shall be the responsibility of the General Partner, provided, however, decisions relating to medical and clinical practice at the Hospital shall be made exclusively by the qualified medical personnel of the Hospital. Subject in all cases to the foregoing, the General Partner shall have the right and the power, if, as, and when it, from time to time, deems necessary or appropriate on behalf of the Partnership, subject only to the terms and conditions of this Agreement:
     (a) To negotiate and execute on behalf of the Partnership all documents, instruments and agreements reasonably necessary or appropriate to lease, acquire and/or construct the Hospital and/or the real property on which the Hospital is or will be located, and to borrow funds to finance such lease, acquisition and/or construction (it being acknowledged that the Hospital may be an existing building or may be a newly constructed building);
     (b) To prepare a budget for the development of the Hospital and thereafter, annual operating budgets;

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     (c) To acquire the Equipment and enter into loans or other financing arrangements therefor;
     (d) To handle the negotiation and execution of all other agreements regarding the purchase of goods or services for the Hospital;
     (e) To establish and maintain procedures for quality assurance, peer review and granting privileges to physicians with other specialties at the Hospital, subject to the terms of the Hospital and medical staff bylaws adopted for the Hospital;
     (f) To expend all or portions of the Partnership’s capital and income in furtherance of or relating to the Partnership’s business and purposes, including, but not limited to, payment of all ongoing operational expenses, payment of commissions, organization expenses, professional fees, rental fees, and management fees, and to invest in short-term debt obligations (including, but not limited to, obligations of federal and state governments and their agencies, commercial paper, and certificates of deposit of commercial banks, or savings banks or savings and loan associations) such of the Partnership’s funds as are temporarily not required for the development or operation of the Partnership and the payment of Partnership obligations; provided, that the General Partner shall establish cash management guidelines;
     (g) To employ or retain on such terms and for such compensation as the General Partner may reasonably determine, such persons, firms, or corporations as the General Partner may deem advisable, including without limitation qualified medical and other employees necessary or appropriate to operate the Hospital, attorneys, accountants, financial and technical consultants, supervisory managing agents, insurance brokers, brokers and loan brokers, appraisers, architects and engineers, who may also provide such services to the General Partner, provided that the selection of the senior administrator of the Hospital shall be a Material Decision;
     (h) To execute leases, deeds, contracts, rental agreements, construction contracts, sales agreements, and management contracts;
     (i) To exercise all rights, powers, and privileges of the Partnership as lessee with respect to the Hospital or rights held by the Partnership;
     (j) To consent to the modification, renewal, or extension of any obligations to the Partnership of any Person or of any agreement to which the Partnership is a party or of which it is a beneficiary;
     (k) To execute in furtherance of any or all of the purposes of the Partnership, any deed, lease, deed of trust, security interest, mortgage, promissory note, bill of sale, assignment, contract, or other instrument purporting to purchase or convey or encumber in whole or in part the Equipment or the Hospital or other real or personal property of the Partnership;
     (l) To prepay in whole or in part, refinance, recast, increase, modify, or extend any security interest, deed of trust, or mortgage affecting the Hospital and in connection therewith to execute any extensions or renewals thereof on the Hospital and to grant security interests in any of the Equipment or the Hospital;
     (m) To adjust, compromise, settle, or refer to arbitration any claim against or in favor of the Partnership, and to institute, prosecute, and defend any actions or proceedings relating to the Partnership, its business, and properties;

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     (n) To acquire and enter into any contract of insurance which the General Partner deems necessary or appropriate for the protection of the Partnership and the General Partner, for the conservation of the Partnership or its assets, or for any purpose beneficial to the Partnership; however, neither the General Partner nor its Affiliates shall be compensated for providing insurance brokerage services relating to obtaining such insurance;
     (o) To prepare or cause to be prepared reports, statements, and other relevant information for distribution to the Partners, including annual reports;
     (p) To open accounts and deposit and maintain funds in the name of the Partnership in banks or savings and loan associations; provided, however, that the Partnership’s funds shall not be commingled with the funds of any other Person;
     (q) To cause the Partnership to make or revoke any of the elections referred to in Section 754 of the Internal Revenue Code of 1986 as amended or any similar provisions enacted in lieu thereof;
     (r) To make all decisions related to generally accepted principles of accounting to be applied on a consistent basis and federal income tax elections;
     (s) To possess and exercise, subject to the restrictions contained in this Agreement, any and all of the rights, powers and privileges of a general partner under the Act;
     (t) To execute, acknowledge, and deliver any and all documents or instruments in connection with any or all of the foregoing;
     (u) To modify or otherwise improve the Hospital, subject to the restrictions contained in this Agreement;
     (v) To manage, direct, and guide the operation of the Hospital including all necessary acts relating thereto, other than medical or clinical matters which shall be under the direction of the Investor Representatives and other agreed upon qualified medical personnel;
     (w) To establish minimum insurance requirements for all physicians practicing at the Hospital;
     (x) To admit as Partners additional investors who have been proposed for Partner status by the General Partner and approved by the Investor Representatives, which approval shall be given or withheld in the sole and absolute discretion of the Investor Representatives;
     (y) To sell assets of the Partnership, subject to the restrictions contained in this Agreement; and
     (z) To prepare Medical Staff Bylaws (the approval of which shall constitute a Material Decision) which shall provide that the medical staff of the Hospital will be open to qualified physicians who meet the Hospital’s credentialing criteria, it being acknowledged that exclusive contracts may be entered into upon the approval of the General Partner and the Investor Representatives.

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      SECTION 5.2 Restrictions on Authority of the General Partner.
     The General Partner shall not do any of the following:
     (a) Act in contravention of this Agreement;
     (b) Act in any manner which would make it impossible to carry on the express business purposes of the Partnership;
     (c) Commingle the Partnership funds with those of any other Person;
     (d) Admit an additional General Partner, except as provided in this Agreement;
     (e) Admit an additional Partner, except as provided in this Agreement;
     (f) Alter the primary purposes of the Partnership as set forth in Section 2.3;
     (g) Possess any property or assign the rights of the Partnership in specific property for other than a Partnership purpose;
     (h) Employ, or permit the employ of, the funds or assets of the Partnership in any manner except for the exclusive benefit of the Partnership;
     (i) Make any payments of any type, directly or indirectly, to anyone for the referral of patients to the Hospital in order to use the Hospital or to provide other services; or
     (j) Sell all or substantially all of the assets of the Partnership or merge the Partnership with or into any other Entity without (i) the approval of a Majority Vote of the Investor Limited Partners and (ii) complying with the requirements of the Right of First Offer set forth on the Information Exhibit which incorporates the provisions of Article XVI of the Convertible Note Purchase Agreement, if applicable.
      SECTION 5.3 Duties of the General Partner.
     The General Partner shall do the following:
     (a) Diligently and faithfully devote such of its time to the business of the Partnership as may be necessary to properly conduct the affairs of the Partnership and, perform the duties for which it will receive a Management Fee as provided in Section 5.6(b), or otherwise, however, the General Partner shall not be required to devote its full time to such duties;
     (b) Use its best efforts to cause the Partnership to comply with such conditions as may be required from time to time to permit the Partnership to be classified for federal income tax purposes as a partnership and not as an association taxable as a corporation;
     (c) File and publish all certificates, statements, or other instruments required by law for the formation and operation of the Partnership as a limited partnership in all appropriate jurisdictions;
     (d) Cause the Partnership to obtain and keep in force during the term of the Partnership fire and extended coverage and public liability and professional liability insurance with such issuers and in such amounts as the General Partner shall deem advisable, but in

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amounts not less (and deductible amounts not greater) than those customarily maintained with respect to the business equipment and property comparable to the Partnership’s;
     (e) Have a fiduciary duty to conduct the affairs of the Partnership in the best interests of the Partnership and of the Partners, including the safekeeping and use of all funds and assets, whether or not in its immediate possession and control, and it shall not employ or permit others besides the General Partner to employ such funds or assets in any manner except for the benefit of the Partnership; and
     (f) Deliver to the Secretary of State of North Carolina for filing an annual statement in accordance with the Act and make any similar filings required under Texas law.
      SECTION 5.4 Delegation by the General Partner .
     Subject to restrictions otherwise provided herein, the General Partner may at any time employ any other Person, including Persons and Entities employed by, affiliated with, or related to the General Partner to perform services for the Partnership and its business, and may delegate all or part of their authority or control to any such other Persons, provided that such employment or delegation shall not relieve the General Partner of its responsibilities and obligations under this Agreement or under the laws of the State of North Carolina nor will it make any such Person a Partner or General Partner of the Partnership.
      SECTION 5.5 Right to Rely Upon the Authority of the General Partner .
     Persons dealing with the Partnership may rely upon the representation of the General Partner that such General Partner is a general partner of the Partnership and that such General Partner has the authority to make any commitment or undertaking on behalf of the Partnership. No Person dealing with the General Partner shall be required to determine its authority to make any such commitment or undertaking. In addition, no purchaser from the Partnership shall be required to determine the sole and exclusive authority of the General Partner to sign and deliver on behalf of the Partnership any instruments of transfer with respect thereto or to see to the application or distribution of revenues or proceeds paid or credited in connection therewith, unless such purchaser shall have received written notice from the Partnership affecting the same.
      SECTION 5.6 Partnership Expenses .
     (a) In general, the Partnership’s expenses shall be billed directly to and paid by the Partnership. The Partnership shall reimburse the General Partner or its Affiliates for: (i) all Organization Expenses incurred by the General Partner or its Affiliates in connection with the formation of the Partnership; (ii) following consultation with the Investor Representatives, the costs to the General Partner or its Affiliates of goods, services, and materials used for and by the Partnership; and (iii) all reasonable travel and other out-of-pocket expenses incurred by the General Partner in the development and management of the Partnership and its business provided that after the opening of the Hospital (i.e. the date upon which it receives preliminary Medicare and Medicaid certification) employees of the General Partner and MedCath Incorporated who are not employed full-time for the benefit of the Hospital shall not be reimbursed for their travel and other similar expenses. The parties specifically recognize that the General Partner and its Affiliates have incurred legal fees, filing fees, and other out-of-pocket costs for the benefit of the Partnership, including costs connected with the preparation of securities law and health care law compliance documentation and filings, real estate acquisition matters and formation and registration of the Partnership, and agree that the General Partner shall be reimbursed for these amounts. The reimbursement for expenses provided for in this Section 5.6(a) shall be made to the

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General Partner or their Affiliates regardless of whether any distributions are made to the Partners under Article VI and Article VII.
     (b) The Partnership shall also pay the following expenses of the Partnership:
     (i) All development and operational expenses of the Partnership, which may include, but are not limited to: the salary and related expenses of employees and staff of the Hospital, all costs of borrowed money, taxes, and assessments on the Hospital, and other taxes applicable to the Partnership; expenses in connection with the acquisition, maintenance, leasing, refinancing, operation, and disposition of the Equipment, furniture and fixtures of the Hospital (including legal, accounting, audit, commissions, engineering, appraisal, and the other fees); and the maintenance of the Hospital and its Equipment, which may be performed by the General Partner or one of its Affiliates as long as the charges to the Partnership for such service are no greater than the charges for such service from a third party service provider;
     (ii) In addition to reimbursements and other amounts due hereunder, a Management Fee shall be paid to the General Partner, which for periods prior to the opening of the Hospital for business shall equal One Hundred Twenty Thousand Dollars ($120,000.00), which amount shall be paid in full on the date the Hospital is opened, and for periods after the opening of the Hospital for business shall equal one and one-half percent (1 1 / 2 %) of the Hospital’s Net Revenues (defined below) for a month and shall be payable monthly on or before the tenth (10th) day following the end of each month. For purposes of this Agreement, “Net Revenues” shall mean all revenues of the Hospital net of contract allowances and bad debt adjustments, all determined on a monthly basis in accordance with GAAP on an accrual basis;
     (iii) A medical director’s fee in an amount approved by the General Partner and the Investor Representatives to be paid to the medical director of the Hospital which fee shall first accrue commencing as of the date on which the Hospital is first ready to receive patients and shall be payable monthly on the last day of each month based on actual time worked at an agreed upon rate and for an agreed upon number of hours each month; and
     (iv) All fees and expenses paid to third parties for accounting, legal, documentation, professional, and reporting services to the Partnership, which may include, but are not limited to: preparation and documentation of Partnership bookkeeping, accounting and audits; preparation and documentation of budgets, cash flow projections, and working capital requirements; preparation and documentation of Partnership state and federal tax returns; and taxes incurred in connection with the issuance, distribution, transfer, registration, and recordation of documents evidencing ownership of a Partnership Interest or Economic Interest in the Partnership or in connection with the business of the Partnership; expenses in connection with preparing and mailing reports required to be furnished to the Partners or Economic Interest Owners for tax reporting or other purposes, including reports, if any, that may be required to be filed with any federal or state regulatory agencies, or expenses associated with furnishing reports to Partners which the General Partner deems to be in the best interest of the Partnership; expenses of revising, amending, converting, modifying, or terminating the Partnership or this Agreement; costs incurred in connection with any litigation in which the Partnership is involved as well as any examination, investigation, or other proceedings conducted by any regulatory agency involving the Partnership; costs of any computer equipment or services used for or by the Partnership; and the costs of preparing

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and disseminating informational material and documentation relating to a potential sale, refinancing, or other disposition of the Hospital or the Equipment.
     (c) Guarantee Fee . In the event that any Partner of the Partnership or its Affiliates provide a guarantee of any indebtedness of the Partnership which is acceptable to and required by the Partnership’s lenders (“Guarantor Partners”) and such guarantees are not provided on a pro rata basis by all other Partners of the Partnership (the “Nonguarantor Partners”), then the Guarantor Partners shall be paid an annual guarantee fee equal to (a) the amount of such indebtedness which is guaranteed by the Guarantor Partners or its Affiliates, multiplied by (b) .0075, multiplied by (c) the percentage Partnership Interest in the Partnership owned by the Nonguarantor Partners (the “Guarantee Fee”). The Guarantee Fee shall be paid quarterly and the expense thereof shall be allocated to the Nonguarantor Partners as follows:
     (i) The Guarantee Fee shall be deducted from the Cash Distributions otherwise distributable to the Nonguarantor Partners and shall be paid to the Guarantor Partners;
     (ii) To the extent that at the time such Guarantee Fee is due to be paid hereunder there are no anticipated Cash Distributions, then the Partnership shall pay such Guarantee Fee to the Guarantor Partners and the amount of such payments shall be charged to the Capital Accounts of the Nonguarantor Partners;
     (iii) When Cash Distributions (or, if necessary, liquidating distributions) become available for distribution to the Partners in the future, the Cash Distributions (or liquidating distributions) otherwise distributable to the Nonguarantor Partners shall first be retained by the Partnership to the extent that amounts were previously charged to the Capital Accounts of the Nonguarantor Partners in accordance with (ii) above and any remaining Cash Distributions (or liquidating distributions) shall be distributed to the Partners in accordance with Section 6.1 or 7.3, as appropriate.
     Loans made by MedCath Finance Company or its Affiliates to the Partnership shall be considered the provision of a guarantee of indebtedness for purposes of calculating the Guarantee Fee.
      SECTION 5.7 No Management by Limited Partners .
     The Limited Partners shall take no part in, or at any time interfere in any manner with, the management, conduct, or control of the Partnership’s business and operations and shall have no right or authority to act for or bind the Partnership except as set forth in this Agreement. The rights and powers of such Limited Partners shall not extend beyond those set forth in this Agreement and those granted under the Certificate of Limited Partnership and any attempt to participate in the control of the Partnership in a manner contrary to the rights and powers granted herein and under the Certificate of Limited Partnership shall be null and void and without force and effect. Subject to the decisions and judgment with respect to all professional medical or clinical matters of qualified medical personnel, the General Partner, in conjunction with the Investor Representatives when applicable, shall have the right to determine when and how the operations of the Partnership shall be conducted. The exercise by any Limited Partner of any of the rights granted to the Limited Partner hereunder shall not be deemed to be taking part in the control of the business of the Partnership and shall not constitute a violation of this Section.

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      SECTION 5.8 Consent by Limited Partners to Exercise of Certain Rights and Powers by the General Partner .
     By its execution hereof, each Limited Partner expressly consents to the exercise by the General Partner of the rights, powers, and authority conferred on the General Partner by this Agreement.
      SECTION 5.9 Other Business of Partners .
     (a) Subject to (b) below, any Partner, including the General Partner, may engage independently or with others in other business ventures of every nature and description, including without limitation the purchase of medical equipment, the rendering of medical services of any kind, and the making or management of other investments and neither the Partnership nor any Partner shall have any right by virtue of this Agreement or the relationship created hereby in or to such other ventures or activities or to the income or proceeds derived therefrom, and the pursuit of such ventures.
     (b) As long as any Partner owns a Partnership Interest in the Partnership, and for a period of five (5) years after a Partner ceases for any reason to own a Partnership Interest in the Partnership, other than with respect to investments made, equipment owned or services provided on or prior to March 1, 1999, all of which the Partners will disclose in writing to the General Partner upon request (a Partner may replace any such existing equipment after March 1, 1999 as long as it does not constitute a new service or facility which is otherwise restricted hereunder), neither a Partner nor any of its respective Affiliates, shall hold, directly or indirectly, an investment, ownership or other beneficial interest in (i) any hospital (ii) other Person (including a sole proprietorship) which provides any of the services or facilities to be provided by the Hospital or (iii) any outpatient surgery center, in any case within Cameron County, Texas (the “Territory”), provided that (i) no Partner who is a physician shall be prohibited from maintaining his or her staff privileges at any other hospital and (ii) nothing herein shall prohibit a Partner from owning up to three percent (3%) of the outstanding capital stock of a company whose stock is publicly traded and listed on a nationally recognized securities exchange or from investing in a publicly traded mutual fund. In addition, the General Partner or its Affiliates may separately operate a mobile catheterization laboratory within the Territory, but only if either the General Partner or an Affiliate thereof is providing such service pursuant to a lease of six (6) months or less to a provider who is already providing cath lab services or if the Investor Representatives have elected not to have such service provided by the Partnership.
     Notwithstanding the foregoing, the restrictions of this Section 5.9(b) shall not apply to the Hospital Limited Partner.
     (c) In order to ensure that the Hospital has available to it at all times leading and qualified physicians, the Partnership has entered into the Hospital Professional Services Agreements (the “Professional Services Agreements”) with the Investor Limited Partners or their medical practices (the “Practices”), which Agreements includes in paragraph 7 thereof certain covenants by the Practices and its physicians which are designed to ensure that such physicians will be available to the Hospital from time to time in order to enable it to meet its objectives of being a quality provider of medical services on a cost efficient basis. The parties acknowledge and agree that the Practices’ execution of the Professional Services Agreements is further consideration for the execution by all of the Partners of this Agreement.
     (d) The Partners, including the General Partner, have reviewed the terms, conditions and geographical restrictions included in Sections 5.9(b) and (c) and in light of the interests of the parties hereto, agree that such restrictions are fair and reasonable.

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     (e) If there is a breach or threatened breach of the provisions of this Section 5.9 of this Agreement, in addition to other remedies at law or equity, the non-breaching party shall be entitled to injunctive relief. The parties desire and intend that the provisions of this Section 5.9 shall be enforced to the fullest extent permissible under the law and public policies applied, but the unenforceability or modification of any particular paragraph, subparagraph, sentence, clause, phrase, word, or figure shall not be deemed to render unenforceable the remainder of this Section 5.9. Should any such paragraph, subparagraph, sentence, clause, phrase, word, or figure be adjudicated to be wholly invalid or unenforceable, the balance of this Section 5.9 shall thereupon be modified in order to render the same valid and enforceable and the unenforceable portion of this Section 5.9 shall be deemed to have been deleted from this Agreement.
     (f) The Partnership, the General Partner and the Limited Partners agree that the benefits to any Limited Partner hereunder do not require, are not payment for, and are not in any way contingent upon the referral, admission or any other arrangement for the provision of any item or service offered by the General Partner or the Partnership to patients of such Limited Partner in any facility, laboratory or other health care operation controlled, managed or operated by the General Partner or the Partnership and nothing herein is intended to prohibit any party from practicing medicine at any other facility.
     (g) If a Limited Partner is a legal entity and not an individual, such Limited Partner shall cause each of its existing and future Affiliates to agree in writing to be personally bound by the terms of this Section 5.9.
      SECTION 5.10 General Partner’s Standard of Care .
     The General Partner shall act in a manner it believes in good faith to be in the best interest of the Partnership and with such care as an ordinarily prudent Person in a like position would use under similar circumstances. In discharging its duties, the General Partner shall be fully protected in relying in good faith upon the records required to be maintained under this Agreement and upon such information, opinions, reports and statements by any Partners, or agents, or by any other Person as to matters the General Partner reasonably believes are within such other Person’s professional or expert competence and who has been selected with reasonable care by or on behalf of the Partnership, including information, opinions, reports or statements as to the value and amount of the assets, liabilities, income or losses of the Partnership or any other facts pertinent to the existence and amount of assets from which distributions to Partners might properly be paid.
     Notwithstanding anything herein to the contrary, the General Partner or Partner shall have the right to vote or approve Partnership matters in accordance with the terms of this Agreement regardless of the personal interest of any Partner or the General Partner in the outcome of any vote, decision or matter.
      SECTION 5.11 Limitation of Liability .
     The General Partner shall not be liable to the Partnership, or its Partners, for any action taken in managing the business or affairs of the Partnership if it performs the duty of its office in compliance with the standard contained in Section 5.10. The General Partner has not guaranteed nor shall have any obligation with respect to the return of a Partner’s Capital Contribution or share of income from the operation of the Partnership. Furthermore, the General Partner, its Affiliates or its employees (collectively, its “Agents”) shall not be liable to the Partnership or to any Partner for any loss or damage sustained by the Partnership or any Partner except loss or damage resulting from gross negligence or intentional misconduct or knowing violation of law or a transaction for which such General Partner or Agent received a personal benefit in violation or breach of the provisions of this Agreement.

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      SECTION 5.12 Indemnification of the General Partner .
     (a) The General Partner and its Agents (as defined in Section 5.11) shall be indemnified by the Partnership against any losses, judgments, liabilities, expenses, including attorneys’ fees and amounts paid in settlement of any claims sustained by them arising out of any action or inaction of the Partner or its Agents in its capacity as the General Partner of the Partnership (or, in the case of an Agent, within the scope of the General Partner’s authority) to the fullest extent allowed by law, provided that the same were not the result of gross negligence or willful misconduct on the part of the General Partner or an Agent and provided that the General Partner or an Agent, in good faith, reasonably determined that such course of conduct was in the best interest of the Partnership; provided, however, that such indemnification and agreement to hold harmless shall be recoverable only out of Partnership assets. Subject to applicable law, the Partnership shall advance expenses incurred with respect to matters for which the General Partner may be indemnified hereunder.
     (b) If at any time, the Partnership has insufficient funds to furnish indemnification as herein provided, it shall provide such indemnification if and as it generates sufficient funds and prior to any cash distributions, pursuant to Article VI or Article VII hereof, to the Partners.
      SECTION 5.13 Election and Replacement of Investor Representatives; Appointment of Hospital Representative .
          (a) In accordance with the procedures outlined in Section 10.2 herein, the Investor Limited Partners shall elect five (5) Investor Representatives by Majority Vote of the Investor Limited Partners to serve for one year terms or until a successor is duly elected. At any time, in accordance with Section 10.2, the Investor Limited Partners may replace individual Investor Representatives and elect a new Investor Representative by Majority Vote of Investor Limited Partners to replace such Investor Representative.
          (b) The Hospital Limited Partner shall be entitled to appoint an independent nonvoting representative (the “Hospital Representative”) who shall be permitted to attend all meetings of the General Partner and the Investor Representatives; provided that the Hospital Representative shall not have access to competitive or proprietary information and shall not be permitted to attend any portion of such meetings which relates to competitive or proprietary information, in each case as determined collectively by the General Partner and the Investor Representatives in their reasonable discretion. The Partnership shall reimburse the Hospital Representative for all reasonable travel and other out-of-pocket expenses incurred by the Hospital Representative in attending meetings of the Investor Limited Partners or Investor Representatives.
      SECTION 5.14 Role of and Decisions by Investor Representatives .
     Notwithstanding anything herein to the contrary, the Investor Representatives shall take no action nor make any decision on behalf of the Partnership except to the extent they are expressly authorized to do so under this Agreement in their capacity as Investor Representatives. Except as otherwise expressly provided herein, all references to decisions to be made or objections given by the Investor Representatives shall be deemed to be made upon the affirmative vote, consent, or approval or objection of a majority of the Investor Representatives.

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      SECTION 5.15 Purchase of Goods and Services from the General Partner .
     Goods and services may be purchased from the General Partner or its Affiliates as long as they are of substantially the same quality and price as could be obtained from an unrelated third party.
      SECTION 5.16 Decisions by the General Partner .
     Except as provided in this Agreement, decisions and actions to be taken by the Partnership shall be deemed to have been made only upon the affirmative approval or consent of the General Partner and the Investor Representatives. In the event a decision, approval or consent is requested of the Investor Representatives by the General Partner, it shall be deemed to have been affirmatively made if the Investor Representatives fail to respond to any such written request therefor within five (5) days of notice thereof by the General Partner. Notwithstanding anything in this Agreement to the contrary, all decisions and actions to be made by the General Partner with respect to any loan, lease or other similar financing of the development, construction or operation of the Hospital or the Partnership’s affairs, including without limitation the decisions with respect to incurring any indebtedness or the refinancing thereof, shall be made by the General Partner and shall be subject to the consent of the Investor Representatives, which consent shall not be unreasonably withheld; provided , the application of the Partnership’s funds toward the repayment of all or a portion of any financing of the Partnership in excess of amounts then required to be paid (i.e., voluntary prepayments) shall be made only with the consent of the General Partner and the Investor Representatives. The Investor Representatives shall be deemed to have specifically approved all expenditures proposed by the General Partner that are substantially consistent with the Development Budget Exhibit or an approved operating budget when funded from additional Capital Contributions made to the Partnership by the Partners pursuant to Section 3.5 above.
     The development and annual operating budgets to be proposed by the General Partner shall be approved by the General Partner and the Investor Representatives as provided above subject to the following:
     (a) The Investor Representatives shall be deemed to have approved a development budget which is substantially consistent with the attached Development Budget Exhibit to this Agreement;
     (b) The Investor Representatives shall not unreasonably withhold its approval of budgets which are within the reasonable revenue expectations of the Hospital and which are in compliance (both as to terms and availability of financing) with agreements with the Partnership’s lenders and other parties providing financing to the Partnership; and
     (c) In the event that the General Partner and the Investor Representatives are unable to approve an annual budget, the General Partner shall be authorized to operate the Partnership under the previous year’s budget increased by the greater of 5% or the increase during the previous year in the Consumer Price Index for Medical Items until a new budget is approved.

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ARTICLE VI
DISTRIBUTIONS AND ALLOCATIONS
      SECTION 6.1 Distributions of Cash Flow from Operations and Cash from Sales or Refinancing .
     (a) Prior to the dissolution of the Partnership, Cash Flow from Operations and Cash from Sales or Refinancing, if any, remaining after repayment of any amounts then due on loans made by the Partners to the Partnership and after payment of any Cash Distributions pursuant to Section 6.7, shall be distributed annually by the Partnership as Cash Distributions following the end of such Fiscal Year. Such Cash Distributions shall be made according to the relative percentage Partnership Interests of the Partners and Economic Interest Owners.
     (b) To the extent possible, any Guarantee Fee shall be deducted from the Cash Distributions otherwise distributable to the Nonguarantor Partners pursuant to paragraph (a) of this Section 6.1 and paid to the Guarantor Partners as set forth in Section 5.6(c). Notwithstanding anything herein to the contrary, no distributions shall be made to Partners if prohibited by the Act.
      SECTION 6.2 Profits .
     Except as provided in the Regulatory Allocations Exhibit and subject to Section 6.6, Profits shall be allocated as follows:
     (a) First, to the General Partner to the extent of the amount equal to the remainder, if any, of (i) the cumulative Losses allocated to the General Partner pursuant to Section 6.3(e) for all prior Fiscal Years, less (ii) the cumulative Profits allocated to the General Partner pursuant to this Section 6.2(a) for all prior Fiscal Years;
     (b) Second, to the Limited Partners pro rata in proportion to and to the extent of the amount equal to the remainder, if any, of (i) the cumulative Losses allocated to the Limited Partners pursuant to Section 6.3(e) for all prior Fiscal Years, less (ii) the cumulative Profits allocated to the Limited Partners pursuant to this Section 6.2(b) for all prior Fiscal Years;
     (c) Third, to the Partners pro rata in proportion to and to the extent of the amount equal to the remainder, if any, of (i) the cumulative Losses allocated to the Partners pursuant to Section 6.3(d) for all prior Fiscal Years, less (ii) the cumulative Profits allocated to the Partners pursuant to this Section 6.2(c) for all prior Fiscal Years;
     (d) Fourth, to the Partners pro rata in proportion to and to the extent of the amount equal to the remainder, if any, of (i) the cumulative Losses allocated to the Partners pursuant to Section 6.3(c) for all prior Fiscal Years, less (ii) the cumulative Profits allocated to the Partners pursuant to this Section 6.2(d) for all prior Fiscal Years;
     (e) Fifth, to the Partners until the cumulative Profits allocated pursuant to this Section 6.2(e) (net of Losses allocated pursuant to Section 6.3(b)) equals the aggregate Cash Distributions made for all years with respect to which any Partner’s Cash Distributions were adjusted pursuant to Section 6.1(b), pro rata in accordance with the relative difference, with respect to each Partner, between (i) such aggregate Cash Distributions and (ii) the cumulative Profits previously allocated pursuant to this Section 6.2(e) (net of Losses allocated pursuant to Section 6.3(b)); and
     (f) Finally, all remaining Profits shall be allocated to the Partners in accordance with their percentage Partnership Interests.

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      SECTION 6.3 Losses .
     Except as provided in the Regulatory Allocation Exhibit and subject to Section 6.6, Losses shall be allocated as follows:
     (a) First, to the Partners that have been allocated Profits pursuant to Section 6.2(f) until the cumulative Losses allocated pursuant to this Section 6.3(a) equals the cumulative prior allocations of Profits pursuant to Section 6.2(f);
     (b) Second, to the Partners that have been allocated Profits pursuant to Section 6.2(e) until the cumulative Losses allocated pursuant to this Section 6.3(b) equals the cumulative prior allocations of Profits pursuant to Section 6.2(e);
     (c) Third, Losses shall be allocated to the Partners with positive Adjusted Capital Account balances in proportion to those balances;
     (d) Finally, all remaining Losses shall be allocated to the Partners in accordance with their percentage Partnership Interests.
     (e) Notwithstanding the foregoing, Losses allocated pursuant to this Section 6.3 shall not exceed the maximum amount of Losses that can be so allocated without causing any Limited Partner to have an Adjusted Capital Account deficit at the end of any Fiscal Year. In the event some but not all of the Limited Partners would have Adjusted Capital Account deficits as a consequence of an allocation of Losses pursuant to this Section 6.3, the limitation set forth in this Section 6.3(e) shall be applied on a Limited Partner-by-Limited Partner basis so as to allocate the maximum permissible Losses to each Limited Partner under Regulations Section 1.704-1(b)(2)(ii)(d). All Losses in excess of the limitations set forth in this Section 6.3(e) shall be allocated to the General Partner.
      SECTION 6.4 Code Section 704(c) Tax Allocations .
     Income, gain, loss, and deduction with respect to any property contributed to the capital of the Partnership shall, solely for tax purposes, be allocated among the Partners so as to take account of any variation between the adjusted basis of such property to the Partnership for federal income tax purposes and its initial Agreed Value pursuant to any method allowable under Code Section 704(c) and the Regulations promulgated thereunder.
     In the event the Agreed Value of any Partnership asset is adjusted after its contribution to the Partnership, subsequent allocations of income, gain, loss and deduction with respect to such asset shall take into account any variation between the adjusted basis of such asset for federal income tax purposes and its Agreed

 
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