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SETTLEMENT AGREEMENT

Settlement Agreement

SETTLEMENT AGREEMENT | Document Parties: INTEGRATED HEALTHCARE HOLDINGS INC | Ganesha Realty, LLC | West Coast Holdings, LLC You are currently viewing:
This Settlement Agreement involves

INTEGRATED HEALTHCARE HOLDINGS INC | Ganesha Realty, LLC | West Coast Holdings, LLC

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Title: SETTLEMENT AGREEMENT
Governing Law: California     Date: 10/15/2007
Industry: Healthcare Facilities     Sector: Healthcare

SETTLEMENT AGREEMENT, Parties: integrated healthcare holdings inc , ganesha realty  llc , west coast holdings  llc
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EXHIBIT 99.11

                              SETTLEMENT AGREEMENT
                              --------------------
                               AND MUTUAL RELEASE
                               ------------------

     This Settlement Agreement and Mutual Release (the "Agreement"), effective
as of October 1, 2007, by and between Pacific Coast Holdings Investment, LLC, a
California limited liability company ("PCHI"), Integrated Healthcare Holdings,
Inc., a Nevada corporation ("IHHI"), Ganesha Realty, LLC, a California limited
liability company ("Ganesha"), and West Coast Holdings, LLC, a California
limited liability company ("West Coast") is based upon the following recitals of
facts:

     A. PCHI and IHHI are parties to a Triple Net Hospital and Medical Office
Building Lease dated March 3, 2005, as amended by Amendment No. 1 of the same
date (together "Lease"). The parties agree PCHI purchased the property
encumbered by the Lease ("Property") from IHHI for a payment to IHHI of $5
million cash plus PCHI's assumption of $50 million of IHHI's debt (now reduced
to $45 million) associated with the Property.

     B. PCHI and IHHI have engaged in discussions concerning the respective
rights and duties under the Lease, which included the execution of an Interim
Agreement Regarding Lease Performance dated August 30, 2006 (the "Interim
Agreement"). The Interim Agreement was terminated by its terms on December 31,
2006.

     C. PCHI and IHHI have discussed the amount and payment of rent due under
the Lease from February 1, 2006 through September 1, 2007, including rent paid
by the tenants of a medical office building located at 1901/1905 N. College
Ave., Santa Ana, California, and commonly referred to as the "Kindred Property."
Solely for the purposes of this Agreement, all unpaid rent due under the Lease
through September 30, 2007 shall be referred to as "Unpaid Rent."

     D. Pursuant to the Interim Agreement, the parties retained legal counsel
who engaged a valuation consultant to evaluate the Lease. The parties met and
conferred concerning the findings and reports resulting from the engagement,
including recommendations to address any potential compliance issues.

     E. PCHI, IHHI, Ganesha and West Coast entered into an Agreement For
Compensation Related to the Medical Office Building related to a building
located at 999 N. Tustin Ave., Santa Ana, California (the "999 Agreement").
Pursuant to the 999 Agreement, compensation was payable to West Coast and
Ganesha in the event certain conditions occurred ("999 Agreement Compensation").

     F. West Coast and Ganesha assert that conditions have occurred that require
the payment of the 999 Agreement Compensation by IHHI to Ganesha and West Coast.

     G. It is the mutual wish and desire of all of the parties hereto that a
lull and final settlement of all their rights, duties. interests and claims, if
any, regarding acquisition of the Property, formation of the Lease, the Unpaid
Rent and the 999 Agreement Compensation, which may exist now or in the future,
he had on the terms and conditions set forth herein.




<PAGE>

     NOW, THEREFORE, IN CONSIDERATION OF THE PROMISES AND COVENANTS SET FORTH
HEREIN BELOW, THE PARTIES HERETO MUTUALLY AGREE AS FOLLOWS:

1. Incorporation of Recitals: The foregoing recitals are incorporated by
reference herein, and by this reference expressly made a part of this Agreement.

2. Amended and Restated Lease. Concurrently herewith, the parties agree to
execute and deliver the Amended and Restated Triple Net Hospital Lease ("Amended
Lease") attached hereto as Exhibit "A." Among other things, the parties have
agreed that the Kindred Property shall not be included in the Amended Lease but
rather shall be the sole property of PCHI uencumbered by any claims by or
tenancy of IHHI. IHHI agrees to cooperate in all respects in providing proper
notice to the tenants of Kindred Property. All rental receipts derived from the
Kindred Property commencing October 1, 2007, shall be directed to and be the
sole property of PCHI. IHHI further assigns and quitclaims to PCHI any and all
rights it may have, if any, to claims against any and all subtenants of the
Kindred Property. The Amended Lease further provides for an adjustment of rental
rates and periodic review of the base rental rate to insure conformance with
fair market value. The parties acknowledge that they have reviewed the Amended
Lease and this Settlement Agreement with regulatory counsel and acknowledge that
to the best of their knowledge, these arrangements are in compliance with law.
All parties stipulate that the Amended Lease is fully enforceble in accordance
with its terms.

3. Unpaid Rent: In full and final settlement of the Unpaid Rent and the 999
Agreement Compensation, IHHI will pay PCHI the sum of Two Million Five Hundred
Thousand Dollars ($2,500,000.00) (the "Settlement Payment"). The Settlement
Payment shall be made in two installments: (a) One Million Five Hundred Thousand
Dollars ($1,500,000.00) ("First Installment") upon the execution of the Amended
Restated Lease by all parties ("Lease Closing") and (b) On  


 
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