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SETTLEMENT AGREEMENT, GENERAL RELEASE AND COVENANT NOT TO SUE

Settlement Agreement

SETTLEMENT AGREEMENT, GENERAL RELEASE AND COVENANT NOT TO SUE | Document Parties: Ganesha Realty, LLC | Integrated Healthcare Holdings, Inc | Medical Capital Corporation | Medical Provider Financial Corporation | Orange County Physicians Investment Network, LLC | Pacific Coast Holdings Investment, LLC You are currently viewing:
This Settlement Agreement involves

Ganesha Realty, LLC | Integrated Healthcare Holdings, Inc | Medical Capital Corporation | Medical Provider Financial Corporation | Orange County Physicians Investment Network, LLC | Pacific Coast Holdings Investment, LLC

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Title: SETTLEMENT AGREEMENT, GENERAL RELEASE AND COVENANT NOT TO SUE
Date: 4/7/2009
Industry: Healthcare Facilities     Law Firm: Reed Smith;Sedgwick Detert;O'Melveny Myers     Sector: Healthcare

SETTLEMENT AGREEMENT, GENERAL RELEASE AND COVENANT NOT TO SUE, Parties: ganesha realty  llc , integrated healthcare holdings  inc , medical capital corporation , medical provider financial corporation , orange county physicians investment network  llc , pacific coast holdings investment  llc
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EXHIBIT 10.1

          SETTLEMENT AGREEMENT, GENERAL RELEASE AND COVENANT NOT TO SUE

         This Settlement Agreement, General Release and Covenant Not to Sue
("Settlement Agreement") is made this 25th day of March, 2009 by and among
Integrated Healthcare Holdings, Inc. ("IHHI"), Anil V. Shah, M.D. ("Dr. Shah"),
Orange County Physicians Investment Network, LLC ("OC-PIN"), Bruce Mogel
("Mogel"), Pacific Coast Holdings Investment, LLC ("PCHI"), West Coast Holdings,
LLC, ("WCH"), Dr. Kali P. Chaudhuri ("Dr. Chaudhuri"), Ganesha Realty, LLC
("Ganesha"), William E. Thomas ("Thomas"), Medical Capital Corporation ("MCC"),
Medical Provider Financial Corporation I ("MPFCI"), Medical Provider Financial
Corporation II ("MPFCII") and Medical Provider Financial Corporation III
("MPFCIII")(MCC, MPFCI, MPFCII and MPFCIII are sometimes hereinafter
collectively referred to as "MedCap"). All the above entities and individuals
are sometimes hereinafter collectively referred to as "Parties" or individually
as a "Party."

                                    RECITALS

         A. Certain of the Parties are currently engaged in litigation,
appellate, arbitration and/or court proceedings and/or have certain legal
disputes and issues with each other as more particularly set forth herein below.

         B. Specifically:

               a. IHHI is now suing Dr. Shah in Orange County Superior Court
               ("OCSC") Case No. 07CC05895 (consolidated with OCSC Case No.
               07CC06017) and OCSC Case No. 30-2008-106637;

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               b. Dr. Shah has filed a cross-complaint against IHHI in OCSC Case
               No. 07CC05895;

               c. OC-PIN (previously dismissed as a named defendant in OCSC Case
               No. 07CC05895) is now suing Mogel in OCSC Case No.
               30-2008-00109286 (a derivative action purportedly filed on behalf
               of IHHI);

               d. OC-PIN is also suing IHHI in OCSC Case Nos. 30-2008-00106805,
               30-2008-00108983; 30-2008-00109959 and 30-2008-00112102;

               e. Dr. Chaudhuri is now suing OC-PIN in OCSC Case No.
               30-2008-0011293;

               f. Dr. Shah presently seeks to perfect an arbitration award in
               his favor against PCHI (JAMS Case No. 1200040611) in OCSC Case
               No. 30-2008-00114434; and

               g. PCHI is suing OC-PIN et al. in OCSC Case No. 30-2008-00112088.

         C. The foregoing litigation has spawned various related appellate
proceedings including, but not limited to, California Fourth Appellate District
Case Nos. G041208, G041181, G041491 and California Supreme Court Case No.
S168604.

         D. Some of the foregoing litigation has been stayed, while other
aspects of the litigation are now scheduled to be tried on July 27, 2009.

         E. All of the above described litigation, arbitration, appellate and
other legal proceedings are hereinafter collectively referred to as the
"Actions."


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         F. In addition to the foregoing, periodic threats have been made by Dr.
Shah, OC-PIN and/or their legal counsel to hereinafter sue Dr. Chaudhuri, MedCap
and/or IHHI's individual directors, executives and attorneys on a variety of
theories, either directly or derivatively purportedly on behalf of IHHI.
Periodic allegations have also been made against Dr. Chaudhuri and others
alleging that Dr. Chaudhuri is not properly managing PCHI and that PCHI is not
acting properly defending claims brought against it by Dr. Shah. Certain members
of OC-PIN have also made threats and allegations against one another and some
members of OC-PIN have assigned certain threatened claims to IHHI. Dr. Chaudhuri
and PCHI have challenged the confirmation of the Arbitration Award in favor of
Dr. Shah and have indicated that they will pursue all appellate avenues.

         G. For reasons of their own and without admission of wrongdoing or
liability of any sort, the signatories to this Settlement Agreement wish to
fully and finally resolve the foregoing pending Actions and threatened
litigation, arbitration and discovery disputes, together with any and all
possible claims, disputes or disagreements among certain of the Parties relating
to any past fact, act or occurrence (except as expressly reserved herein)
("Settlement").

         H. Certain of the Parties have entered into a separate settlement
agreement ("Second Settlement Agreement") concurrently herewith. No term or
provision of the Second Settlement Agreement contradicts or is inconsistent with
any term or provision of this Settlement Agreement nor does any term or
provision of the Second Settlement Agreement decrease, diminish or reduce any of
the agreements, covenants, waivers, or releases made by or granted to any of the
Parties to this Settlement Agreement.

         NOW, THEREFORE, in consideration of the mutual covenants, promises and
undertakings set forth below, the adequacy and sufficiency of which are hereby
expressly acknowledged by each of the Parties hereto, the Parties agree as
follows:

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                                    COVENANTS

         1. The foregoing Recitals are incorporated by reference as if fully set
forth herein.

         2. The Closing of the Settlement ("Closing") shall occur on or before
March 27, 2009 at Callahan & Blaine, 3 Hutton Centre Drive, Ninth Floor, Santa
Ana, California.

         3. The Closing shall be contingent upon, subject to and concurrent with
the Closing of the Second Settlement Agreement.

         MONETARY.
         ---------

         4. IHHI shall pay the Callahan & Blaine Trust Account as the jointly
designated representative of OC-PIN and Dr. Shah the total sum of One Million
Five Hundred Thousand Dollars ($1,500,000) in two installments as follows: Seven
Hundred Fifty Thousand Dollars ($750,000) payable at the Closing; and Seven
Hundred Fifty Thousand Dollars ($750,000) and interest thereon payable at eight
percent (8%) payable on September 25, 2009. Payment of the second installment is
hereby guaranteed by PCHI, who shall make such payment by September 28, 2009, if
not timely paid by IHHI.

         5. At the Closing, PCHI will separately pay to the Callahan & Blaine
Trust Account, as the designated representative of Dr. Shah, Eight Hundred Fifty
Thousand Dollars ($850,000).

         6. At the Closing, MedCap will separately pay to the Callahan & Blaine
Trust Account, as the jointly designated representative of OC-PIN and Dr. Shah,
Three Hundred Fifty Thousand Dollars ($350,000).

         7. At the Closing, IHHI shall pay to the Callahan & Blaine Trust
Account, as the designated representative of Dr. Shah, the sum of Fifteen
Thousand Dollars ($15,000) in satisfaction of all Shah's individual claims
including, but not limited to, his claims for past due director's fees and other
compensation.

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         8. [Intentionally Omitted.]

         9. At the Closing, IHHI and Mogel shall agree and stipulate to the
release and return of the $50,000 bond which was posted in connection with the
shareholder derivative action filed by OC-PIN against Mogel and IHHI in OCSC
Case No. 30-2008-00109286.

         STOCK PURCHASE AGREEMENTS.
         --------------------------

         10. At the Closing, IHHI, Dr. Shah, Dr. Chaudhuri and OC-PIN agree to
execute and deliver their respective Stock Purchase Agreements in the forms
attached hereto as Exhibits A, B and C ("Stock Purchase Agreements"). The shares
purchased under the Stock Purchase Agreements shall be referred to as the "Stock
Purchase Shares." The Stock Purchase Agreements are an integral part of this
First Settlement Agreement, the terms of which Stock Purchase Agreements are
incorporated by reference as though fully set forth herein.

         If either OC-PIN or Dr. Shah choose not to purchase all of the
respective Stock Purchase Shares, then those Stock Purchase Shares which either
party elects not to purchase may be purchased by the other party. Either party
who elects not to purchase all or part of their Stock Purchase Shares shall give
appropriate notice to the other party no later than 20 days after Closing.
Within 30 days after Closing, OC-PIN and Dr. Shah shall jointly notify IHHI and
Dr. Chaudhuri in writing ("SPA Notice") of their final determination of the
number of Stock Purchase Shares subject to their respective Stock Purchase


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<PAGE>

Agreements whereupon such Stock Purchase Agreements shall be deemed so amended
to reflect the final number of Stock Purchase Shares being purchased. In the
event IHHI and Dr. Chaudhuri do not receive a SPA Notice duly executed by OC-PIN
and Dr. Shah within 30 days of Closing there shall be no adjustment in the
number of shares subject to any of the Stock Purchase Agreements.

         In the event that OC-PIN and Dr. Shah purchase, in the aggregate, fewer
Stock Purchase Shares than the maximum they were entitled to purchase under the
terms of their Stock Purchase Agreements then Dr. Chaudhuri agrees that the
number of Stock Purchase Shares he is entitled to purchase under his Stock
Purchase Agreement shall be automatically reduced to an amount which is 51% of
the aggregate number of Stock Purchase Shares which Dr. Chaudhuri, OC-PIN and
Dr. Shah actually purchase under their Stock Purchase Agreements. By way of
illustration, if OC-PIN and Dr. Shah actually purchase an aggregate of 15
million shares, then Dr. Chaudhuri is entitled to purchase 15,612,245 shares
which is 51% of the aggregate number of shares being sold under all Stock
Purchase Agreements.

         At the same time, as part of the SPA Notice, OC-PIN and Dr. Shah must
elect whether they intend to use as a credit all or a portion of the second
Seven Hundred Fifty Thousand Dollars ($750,000) payment (as specified in
Paragraph 4 above and hereinafter referred to as the "Second Payment"), and any
accrued interest thereon, toward OC-PIN and Dr. Shah's payment to IHHI for their
respective Stock Purchase Shares. In the SPA Notice, OC-PIN and Shah will
provide an agreed allocation of the Second Payment signed by each of them.
Neither OC-PIN nor Dr. Shah are entitled to use as a credit all or a portion of
the Second Payment unless such a fully signed allocation is so provided. If
OC-PIN and Dr. Shah properly provide a SPA Notice with a fully signed


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<PAGE>

allocation, they can use so much of the amount allocated as a credit applicable
to their respective obligations under their respective Stock Purchase
Agreements. If the credit is more than what is owed to IHHI, then IHHI will
continue to owe the balance under the terms of Section 4. If the credit is less
than what is owed to IHHI, OC-PIN and Dr. Shah will need to furnish the
additional funds at the Closing of their respective Stock Purchase Agreements.
If OC-PIN and Dr. Shah fail to timely give the SPA Notice with fully signed
allocation, then no credit shall be given but IHHI shall continue to owe the
Second Payment under the terms of Section 4.

         11. IHHI agrees (and MedCap concurs) that IHHI will use the net
proceeds of the sale of the Stock Purchase Shares to pay down the principal
balance of IHHI's $10,700,000 Convertible Term Note, dated October 9, 2007, held
by MPFCIII, and MedCap agrees to promptly advance (or cause its subsidiaries to
promptly advance) to IHHI additional funds equal to such amount by which the
$10,700,000 Convertible Term Note is paid down ("Additional Loaned Funds"). IHHI
agrees (and MedCap concurs) that the source of the Additional Loaned Funds will
be further borrowing on and against IHHI's existing lines of credit with MedCap.
If necessary, IHHI then agrees to use the Additional Loaned Funds to bring
current the Chapman Lease and the PCHI Lease, including all late fees,
penalties, etc., associated with IHHI's failure to timely pay such rent and
other payments required under the leases.

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<PAGE>

         12. IHHI shall use its reasonable best efforts to ensure that it has
enough authorized capital stock to issue the Stock Purchase Shares, after
consideration of all previously granted warrants, conversion rights and stock
purchase agreements. The IHHI Board has authorized, and the majority-in-interest
of IHHI's shareholders have consented to an increase in authorized capital stock
to accommodate the Stock Purchase Agreements. IHHI has filed an information
statement on Schedule 14C with the Securities and Exchange Commission ("SEC").
IHHI covenants to promptly (1) seek to have such information statement declared
effective by the SEC, (2) respond to any comments by the SEC, (3) mail the
information statement to the shareholders, and (4) file restated articles of
incorporation with the Nevada Secretary of State. The increase in authorized
capital stock shall be completed within 45 days subject to reasonable extension
if IHHI must respond to SEC comments. Notwithstanding the foregoing, in no event
shall IHHI be required to perform under the Stock Purchase Agreements if the
effect would be to require IHHI to issue shares, including outstanding warrants,
conversion rights and stock purchase options, in excess of its authorized and
unreserved capital stock.

         13. OC-PIN expressly acknowledges the validity and enforceability of
the preemptive rights granted by IHHI to Dr. Chaudhuri. OC-PIN recognizes that
in connection with this Settlement Agreement, OC-PIN is releasing its claim that
IHHI granted or should have granted OC-PIN competing or superior preemptive
rights and acknowledges that as of the Closing, it does not have any preemptive
rights with respect to securities of IHHI; provided, however, nothing herein is
intended to affect the Stock Purchase Agreements described in Section 10 of this
Settlement Agreement or the OC-PIN members' Tag Along Right described in the
Shareholder's Agreement referenced in the Second Settlement Agreement.

                                       8
<PAGE>

         LOAN INTEREST AND RENT REDUCTION.
         ---------------------------------

         14. MPFCII agrees, effective as of the Closing, to reduce the interest
rate on the $45,000,000 Term Note dated October 9, 2007 ("Term Note") to simple
interest of 10.25% and to maintain such interest rate up to and including the
Maturity date of such Term Note, or any extension thereof, as defined in the
$80,000,000 Credit Agreement dated October 9, 2007 ("Credit Agreement"), under
which Credit Agreement the Term Note was issued ("MedCap Debt Service
Reduction"). Provided, however, the MedCap Debt Service Reduction shall have no
force or effect, and shall be suspended, at any time an Event of Default shall
have occurred and continues under the Credit Agreement. PCHI agrees that during
the period of the MedCap Debt Service Reduction it will reduce the rent payable
by IHHI to PCHI in an amount equal to the MedCap Debt Service Reduction (I.E.,
the difference between 14% and 10.25%). At Closing, all parties to the Credit
Agreement will execute and deliver to MPFCII a written amendment to the Credit
Agreement memorializing the MedCap Debt Service Reduction set forth immediately
above.

PCHI RENT.
----------

         15. IHHI agrees to bring the PCHI lease and the Chapman leases current
and pay all arrearages due under the PCHI Lease and the Chapman leases within
forty-five (45) days after the Closing.

IHHI BY-LAWS AND BOARD CHANGES.
-------------------------------

         16. OC-PIN's obligation to fulfill its agreements at the Closing shall
be subject to the following actions by IHHI's Board of Directors:

                                       9
<PAGE>

         i.    Approve an amendment to IHHI's Bylaws to provide that the number
               of members serving on IHHI's Board of Directors shall be fixed at
               seven. This amendment shall be made not later than Closing.

         ii.   Approve an amendment to Section 4 of Article III of IHHI's Bylaws
               to provide that, effective immediately after IHHI's 2009 Annual
               Meeting of Shareholders, a Shareholder who owns fifteen percent
               (15%) or more of the voting stock of IHHI is entitled to call one
               special shareholders meeting per year. This amendment shall be
               made not later than Closing; and

         iii.  Appoint an OC-PIN representative selected by a
               majority-in-interest of OC-PIN to fill the seat to be vacated by
               Ken Westbrook at Closing until the September 2009 annual meeting
               of shareholders.

         17. In connection with the provisions set forth in Paragraph 16
immediately above, MedCap (and all related and affiliated persons and entities)
makes no representation or takes any position other than as set forth in the $80
Million Loan Documents and the Other Loan Documents (as said terms are defined
in Paragraph 23(x) below.)

         18. Dr. Shah and OC-PIN agree to make, within five (5) business days
after the Closing, and keep current on a timely basis, all such filings and
reports that are required to be made by each of them under Section 13(d) of the
Securities Exchange Act of 1934, as amended, including such filings or reports
that are required to publicly disclose or report to the SEC the transactions
contemplated by this Settlement Agreement.

                                       10
<PAGE>

         19. Dr. Shah covenants and agrees that for a period of two (2) years
after the Closing Dr. Shah will not accept any nomination, appointment or serve
in the capacity as a director, officer or employee of IHHI, so long as IHHI
keeps the PCHI and Chapman leases current ("current" means payment is made
within forty-five (45) days of when payment is due).

         DISMISSALS AND RELEASES.
         ------------------------

         20. Dr. Shah and OC-PIN specifically covenant not to sue, and further
covenant not to assist anyone else in suing, directly or derivatively on behalf
of IHHI or any other entity, Dr. Chaudhuri or MedCap (and all related and
affiliated persons and entities). Dr. Chaudhuri and MedCap specifically covenant
not to sue, and further covenant not to assist anyone else in suing, directly or
derivatively on behalf of IHHI or any other entity, Dr. Shah and OC-PIN based on
any act, occurrence or omission which occurred or allegedly occurred prior to
the Closing.

         21. At the Closing, Dr. Shah and OC-PIN shall sign and deliver to IHHI,
PCHI, Chaudhuri and Mogel dismissals with prejudice of all Dr. Shah and OC-PIN's
claims in the Actions described in the Recitals.

         22. At the Closing, IHHI, PCHI and Chaudhuri shall sign and deliver to
Shah and OC-PIN dismissals with prejudice of all IHHI, PCHI and Chaudhuri's
claims against Dr. Shah and/or OC-PIN in the Actions described in the Recitals.

         23. Except as to such rights or claims as may be created by this
Settlement Agreement, the Second Settlement Agreement or expressly reserved in
either of them, the following releases are provided:


                                       11
<PAGE>

         i.    RELEASE OF CLAIMS BY IHHI. IHHI irrevocably, unconditionally and
               fully releases and forever discharges OC-PIN, Dr. Shah, PCHI,
               WCH, MedCap (and all related and affiliated persons and
               entities), Dr. Chaudhuri, Ganesha, Thomas and their respective
               past and present subsidiaries, affiliates, officers, directors,
               partners, agents, employees, members, managers, representatives,
               lawyers and law firms, and all persons acting by, through, under
               or in concert with them, or any of them, from any and all rights,
               suits, claims, actions, accounts, demands, contracts, debts,
               controversies, agreements, promises, liabilities, duties,
               obligations, costs, expenses, damages and causes of action,
               whether presently known or unknown, vested or contingent,
               suspected or unsuspected, accrued or yet to accrue, in law or in
               equity, which IHHI may now or hereafter have, own or claim to
               have arising out of, connected with or otherwise related to or
               concerning the Actions, any facts, circumstances or claims which
               were alleged or which could have been alleged in the pleadings in
               the Actions, or which could have been asserted in any action or
               proceeding in any legal, administrative or other forum whatsoever
               in any jurisdiction, including, but not limited to, any legal
               fees, court costs or expenses relating to the Actions; provided,
               however, nothing in this Settlement Agreement shall constitute or
               include a release or compromise of any claims by IHHI against
               Mogel, either in his individual or representative capacity as an
               agent for any party.

               THIS IS A GENERAL RELEASE.

         ii.   RELEASE OF CLAIMS BY OC-PIN OC-PIN irrevocably, unconditionally
               and fully releases and forever discharges IHHI, Mogel, PCHI, Dr.
               Chaudhuri, Ganesha, Thomas, MedCap (and all related and
               affiliated persons and entities), and their respective past and
               present subsidiaries, affiliates, officers, directors, partners,


                                       12
<PAGE>

               agents, employees, members, managers, insurers, representatives,
               lawyers and law firms, and all persons acting by, through, under
               or in concert with them, or any of them, from any and all rights,
               suits, claims, actions, accounts, demands, contracts, debts,
               controversies, agreements, promises, liabilities, duties,
               obligations, costs, expenses, damages and causes of action,
               whether presently known or unknown, vested or contingent,
               suspected or unsuspected, accrued or yet to accrue, in law or in
               equity, which OC-PIN may now or hereafter have, own or claim to
         &n 


 
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