Common use of BORROWERS Clause in Contracts

BORROWERS. INTEGRATED HEALTHCARE HOLDINGS, INC., a Nevada corporation By: /s/ ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SA, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutions.

BORROWERS. INTEGRATED HEALTHCARE HOLDINGSGULF STATES STEEL, INC., a Nevada corporation . OF ALABAMA By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------------- --------------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SA, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇, Vice-President and Assistant Secretary Address: ▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇ Attention: President Telecopier No.: (▇▇▇) ▇▇▇-▇▇▇▇ -------------- ALABAMA STRUCTURAL BEAM CORP. By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------------------- ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇, Vice-President and Assistant Secretary Address: ▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇ Attention: President Telecopier No.: (▇▇▇) ▇▇▇-▇▇▇▇ --------------- (Signatures continued on following page) LENDERS: ------- FLEET CAPITAL CORPORATION Revolver Commitment: $35,000,000 By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, ▇ Equipment Loan Commitment: $5,000,000 --------------------------------- Total Commitment: $40,000,000 Title: Senior Vice President WMC-A, INC., a California corporation By------------------------------ LIBOR Lending Office: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- Attention: Office Head Telecopier No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER -------------- CONGRESS FINANCIAL CORPORATION II, a Nevada corporation, Revolver Commitment: $35,000,000 By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Equipment Loan Commitment: $5,000,000 --------------------------------- Total Commitment: $40,000,000 Title: Senior Vice President ------------------------------ LIBOR Lending Office: ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Attention: ▇▇. ▇▇▇▇ ▇▇▇▇▇▇ Telecopier No.: (▇▇▇) ▇▇▇-▇▇▇▇ -------------- AGENT: ----- FLEET CAPITAL CORPORATION, as Agent By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, ▇ --------------------------------- Title: Senior Vice President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, By------------------------------ Address: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ Attention: Office Head Telecopier No.: (▇▇▇) ▇▇▇-▇▇▇▇ -------------- APPENDIX A GENERAL DEFINITIONS When used in the Loan and Security Agreement dated November 13, 1997 (as at any time amended, the "Loan Agreement"), by and among GULF STATES STEEL, INC. OF ALABAMA ("GSS"), an Alabama corporation with its chief executive office and principal place of business at ▇▇▇ ▇▇▇▇▇ ▇. ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇, President and COO EXHIBIT ▇▇▇▇▇▇▇ ▇▇▇▇▇; ALABAMA STRUCTURAL BEAM CORP. ("A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "CorporationASB"), does hereby consent an Alabama corporation with its chief executive office and principal place of business at ▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇; (GSS and ASB being referred to collectively as "Borrowers," and adopt individually as a "Borrower"); the various financial institutions listed on the signature pages thereto and their respective successors and assigns which become "Lenders" as provided therein (such financial institutions and their respective successors and assigns referred to collectively herein as "Lenders," and individually as a "Lender"), and FLEET CAPITAL CORPORATION, in all respects its capacity as Agent for itself and the Lenders (in such capacity, "Agent"), the following resolutionsterms shall have the following meanings (terms defined in the singular to have the same meaning when used in the plural and vice versa): Account - shall have the meaning given to "account" in the ------- UCC. Account Debtor - any Person who is or may become obligated -------------- under or on account of an Account.

BORROWERS. INTEGRATED HEALTHCARE HOLDINGS, INC., a Nevada corporation SUNTERRA CORPORATION By: /s/ ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SA, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, ▇ Vice President and COO MEDICAL PROVIDER FINANCIAL CORPORATION IIIChief Financial Officer AKGI LAKE TAHOE INVESTMENTS, a Nevada corporation, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇▇ Vice President AKGI ST. MAARTEN, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, N.V. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ALL SEASONS PROPERTIES, INC. By: /s/ ▇▇▇▇▇▇▇, ▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGSALL SEASONS REALTY, INC. June __By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ALL SEASONS RESORTS, 2007 Pursuant to N.R.S. Section 78.315INC. (AZ) By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ALL SEASONS RESORTS, as amendedINC. (TX) By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ARGOSY GRAND BEACH, the undersignedINC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ARGOSY HILTON HEAD, being the entire Board of Directors (the "Board") of Integrated Healthcare HoldingsINC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ARGOSY PARTNERS, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ARGOSY/KGI GRAND BEACH INVESTMENT PARTNERSHIP By: Argosy Grand Beach, Inc., a Nevada corporation (its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Argosy Partners, Inc., its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: KGI Grand Beach, Inc., its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ARGOSY/KGI PORT ROYAL PARTNERS By: Argosy Hilton Head, Inc. its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: KGI Port Royal, Inc., its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President AVCOM INTERNATIONAL, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President DESIGN INTERNATIONALE-RMI, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President GRAND BEACH PARTNERS, LP By: Argosy/KGI Grand Beach Investment Partnership, its General Partner By: Argosy Partners, Inc., its General partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Argosy Grand Beach, Inc., its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: KGI Grand Beach Investments, its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President GRAND BEACH RESORT, LIMITED PARTNERSHIP By: Grand Beach Partners, LP, its General Partner By: Argosy/KGI Grand Beach Investment Partnership, its General Partner By: KGI Grand Beach Investments, Inc., its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Argosy Partners, Inc., Its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Argosy Grand Beach, Inc., its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President GREENSPRINGS ASSOCIATES By: Plantation Resorts Group, Inc., its Joint Venturer By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Greensprings Plantation Resorts, Inc., its Joint Venturer By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President GREENSPRINGS PLANTATION RESORTS, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ▇▇▇▇▇▇ TAHOE DEVELOPMENT By: Lakewood Development, Inc., its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Ridgewood Development, Inc., its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President KGI GRAND BEACH INVESTMENTS, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President KGI PORT ROYAL, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President KGK LAKE TAHOE DEVELOPMENT, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President LAKE TAHOE RESORT PARTNERS, LLC By: AKGI Lake Tahoe Investments, Inc., its Managing Member By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: KGK Lake Tahoe Development, Inc., its Member By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President LAKEWOOD DEVELOPMENT, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President MMG DEVELOPMENT CORP. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President PLANTATION RESORTS GROUP, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President POINTE PARTNERS, LIMITED PARTNERSHIP By: ▇▇▇▇▇▇ Tahoe Developments, its Managing General Partner By: Lakewood Development, Inc., its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Ridgewood Development, Inc., its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President PORT ROYAL RESORT LP By: Argosy/KGI Port Royal Partners, its General Partner By: KGI Port Royal, Inc., its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Argosy Hilton Head, Inc. its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President POWHATAN ASSOCIATES By: Plantation Resorts Group, Inc., its Joint Venturer By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Williamsburg Vacations, Inc., its Joint Venturer By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President PREMIER VACATIONS, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President RESORT CONNECTIONS, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President RESORT MARKETING INTERNATIONAL, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President RESORTS DEVELOPMENT INTERNATIONAL, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President RIDGE POINTE LIMITED PARTNERSHIP By: Pointe Partners, Limited Partnership, its Managing General Partner By: ▇▇▇▇▇▇ Tahoe Developments, its Managing General Partner By: Lakewood Development, Inc., its Managing General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ---------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President By: Ridgewood Development, Inc., its General Partner By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ---------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President RIDGEWOOD DEVELOPMENT, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President RKG, CORP. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President SUNTERRA FINANCIAL SERVICES, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President SUNTERRA ST. CROIX, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President WILLIAMSBURG VACATIONS, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President GUARANTORS: ---------- CLUB SUNTERRA, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President INTERNATIONAL TIMESHARES, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President SUNTERRA TRAVEL, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President SUNTERRA COMMUNICATIONS CORPORATION By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President KABUSHIKI GAISHA KEI LLC By: KGK INVESTORS, INC, Its: Member By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Its: Vice President By: KGK PARTNERS, INC., Its Member By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Its: Vice President MARC HOTEL AND RESORTS, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President RPM MANAGEMENT, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President SUNTERRA PACIFIC, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President ▇▇▇▇▇▇ ACQUISITION SUBSIDIARY, INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ----------------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President S.V.L.H., INC. By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ----------------------------- ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Vice President AGENT AND LENDER: ---------------- GREENWICH CAPITAL MARKETS, INC. By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ------------------------------ Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ --------------------------- Title: Vice President -------------------------- Exhibit A Purchase and/or Pay-off of Secured Loans Lenders Percentage: 50% Maximum amount for retirement of Finova Loans: $105 million, less the "Corporation"), does hereby consent aggregate of all cash collateral amounts released to Finova. Maximum aggregate fee payable to Lender in connection with purchase or pay-off of Bank of America Loan: $5 million. Maximum aggregate fee payable to Lender in connection with purchase or pay-off of Union Bank of California Loan: $1.25 million. Exhibit B Revised Schedule 1.01(E) - Lender's and adopt in all respects the following resolutions.Lenders' Commitments Revolver:

BORROWERS. INTEGRATED HEALTHCARE HOLDINGS, INC., a Nevada corporation By: /s/ ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SA, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, RIVER COAL COMPANY By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇ ▇▇ --------------------------------- Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇▇, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, ▇ RIVER COAL SERVICE COMPANY By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇ ▇▇ --------------------------------- Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Title: Vice President LEECO, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, INC. By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ --------------------------------- ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President TRIAD MINING, INC. By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President TRIAD UNDERGROUND MINING, LLC By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Member ▇▇▇▇▇▇▇ COAL CORPORATION By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇▇ CREEK ELKHORN COAL CORPORATION By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇ COUNTY COAL CORPORATION By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇▇ RIVER COAL SALES, INC. By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇▇▇▇ COAL LEASING COMPANY By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President BLUE DIAMOND COAL COMPANY By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇▇ ELKHORN COAL CORPORATION By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President GUARANTORS: BDCC HOLDING COMPANY, INC. By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President EOLIA RESOURCES, INC. By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President SHAMROCK COAL COMPANY, INCORPORATED By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇▇ CREEK COAL COMPANY By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President ▇▇▇▇▇ CREEK PROCESSING COMPANY By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇ Title: Vice President LENDER, ADMINISTRATIVE AGENT AND COLLATERAL AGENT: GENERAL ELECTRIC CAPITAL CORPORATION By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Title: Duly Authorized Signatory LENDERS: By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Duly Authorized Signatory By: /s/ ▇▇▇▇ ▇ ▇▇▇▇▇ Name: ▇▇▇▇ ▇. ▇▇▇▇▇ Title: Associate Director By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ Name: ▇▇▇▇ ▇. ▇▇▇▇ Title: Associate Director L/C ISSUER: UBS AG, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INCSTAMFORD BRANCH By: /s/ ▇▇▇▇ ▇ ▇▇▇▇▇ Name: ▇▇▇▇ ▇. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutions.▇▇▇▇▇ Title: Associate Director By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ Name: ▇▇▇▇ ▇. ▇▇▇▇ Title: Associate Director

BORROWERS. INTEGRATED HEALTHCARE HOLDINGS, SOLUTIA INC., as a Nevada corporation By: /s/ ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMCdebtor and a debtor-SA, INC., a California corporation in- possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- -------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A▇ Title: Assistant Treasurer SOLUTIA BUSINESS ENTERPRISES, INC., as a California corporation debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer GUARANTORS: ---------- AXIO RESEARCH CORPORATION, President COASTAL COMMUNITIES HOSPITAL, INC., as a California corporation debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- -------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, ▇ Title: Vice President ▇& Treasurer ▇▇▇▇▇▇ MEDICAL CENTER▇▇▇▇ MANAGEMENT COMPANY, INC., as a California corporation debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer CPFILMS INC., President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, as a California limited liability company, debtor and a debtor- in-possession By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇▇ Title: Vice President & Assistant Treasurer MONCHEM, President INC., as a debtor and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, debtor-in- possession By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer MONCHEM INTERNATIONAL, President INC., as a debtor and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, debtor-in-possession By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇-------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer SOLUTIA GREATER CHINA, INC., as a debtor and a debtor-in-possession By: /s/ ▇▇▇▇, ▇ ▇. ▇▇▇▇▇▇▇▇ -------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS& Treasurer SOLUTIA INTER-AMERICA, INC. June __, 2007 Pursuant to N.R.S. Section 78.315., as amendeda debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer SOLUTIA INTERNATIONAL HOLDING, LLC, as a debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer SOLUTIA INVESTMENTS, LLC, as a debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer SOLUTIA MANAGEMENT COMPANY, INC., as a debtor and a debtor-in-possession \ By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer SOLUTIA OVERSEAS, INC., as a debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ------------------------------------------ Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer SOLUTIA SYSTEMS, INC., as a debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer SOLUTIA TAIWAN, INC., as a debtor and a debtor-in-possession By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ ------------------------------------------- Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Title: Vice President & Treasurer ADMINISTRATIVE AGENT, COLLATERAL AGENT, --------------------------------------- CO-DOCUMENTATION AGENT AND A LENDER: ----------------------------------- CITICORP USA, INC., for itself as the Administrative Agent, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc.Collateral Agent, a Nevada corporation (the "Corporation"), does hereby consent to Co-Documentation Agent and adopt in all respects the following resolutions.a Lender By: /s/ ▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------------------------- Name: ▇▇▇▇▇ ▇▇▇▇▇▇ Title: Director/Vice President

BORROWERS. INTEGRATED HEALTHCARE Signed, sealed and delivered AMERICAN LEISURE HOLDINGS, INC., a Nevada corporation By: /s/ ▇▇▇▇▇ -▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO -------------------------- Signed, CEO WMC-SAsealed and delivered ORLANDO HOLIDAYS, INC., a California Florida corporation By: /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ -------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO -------------------------- Signed, sealed and delivered AMERICAN LEISURE MARKETING & TECHNOLOGY, INC., a Florida corporation /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO ------------------------- Signed, sealed and delivered AMERICAN LEISURE, INC., a Florida corporation /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO ------------------------- Signed, sealed and delivered WELCOME TO ORLANDO, INC., a Florida corporation /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO ------------------------- Signed, sealed and delivered AMERICAN TRAVEL & MARKETING GROUP, INC., a Florida corporation /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO ------------------------- Signed, sealed and delivered HICKORY TRAVEL SYSTEMS, INC. a Delaware corporation /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: PRES./CEO ------------------------- Signed, sealed and delivered CARIBBEAN LEISURE MARKETING LIMITED, an Antiguan limited company /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO ------------------------- Signed, sealed and delivered CHASTLECHART LIMITED, a United Kingdom private limited company /s/ ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------ (Signature of Witness) ▇▇▇▇▇ -▇▇▇▇▇▇ ▇▇▇▇▇▇ By: /s/ ▇ ▇ ▇▇▇▇▇▇ ------------------------ ---------------------------- (Printed Name of Witness) Name: ▇ ▇ ▇▇▇▇▇▇ -------------------------- Title: CEO ------------------------- WARRANT HOLDERS: Signed, sealed and delivered /s/ ▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇Pi ------------------------- ------------------------------- (Signature of Witness) ▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇Pi ------------------------- (Printed Name of Witness) Signed, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, By: sealed and delivered /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ------------------------- ------------------------------- (Signature of Witness) ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇▇ ------------------------- (Printed Name of Witness) Signed, President sealed and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutions.delivered

BORROWERS. INTEGRATED HEALTHCARE HOLDINGSCOHO RESOURCES, INC., a Nevada corporation . By: /s/ ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I President FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 80 87 COHO LOUISIANA PRODUCTION COMPANY By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer COHO EXPLORATION, INC. By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 81 88 COHO ACQUISITIONS COMPANY By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President HOLDINGS: -------- COHO ENERGY, INC. By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 82 89 ADMINISTRATIVE AGENT, ---------------------- CO-DOCUMENTATION AGENTS AND LENDERS: ------------------------------------ Commitment: BANQUE PARIBAS, Houston Agency ---------- $40,000,000.00 as Administrative Agent for Lenders and as a Lender By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices: ------------------- 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 3100 Houston, Texas 77002 Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ With a copy to: -------------- 2121 ▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Lending Office for Prime Rate Advances -------------------------------------- 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 3100 Houston, Texas 77002 Lending Office for Eurodollar Advances -------------------------------------- 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 3100 Houston, Texas 77002 FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 83 90 Commitment: MEESPIERSON CAPITAL CORP., as ---------- $40,000,000.00 Co-Documentation Agent for the Lenders and as a Lender By: ---------------------------------------------- By: ---------------------------------------------- Address for Operational Notices: ------------------------------- MeesPierson Capital Corp. 300 ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, CEO WMC▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-SA▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Yola▇▇▇ ▇▇▇▇▇▇ Address for Other Notices: ------------------------- MeesPierson N.V. 300 ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, INC▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Kare▇ ▇▇▇▇▇▇ Vice President & Manager Lending Office for Prime Rate Advances -------------------------------------- 445 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances -------------------------------------- 445 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 84 91 Commitment: BANK ONE, TEXAS, N.A., as ---------- $40,000,000.00 Co-Documentation Agent for the Lenders and as a California corporation Lender By: /s/ ---------------------------------------------- John ▇. ▇▇▇▇▇ Assistant Vice President Address for Notices: ------------------- 1717 ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-290-2332 Attention: John ▇. ▇▇▇▇▇ Assistant Vice President Lending Office for Prime Rate Advance: ------------------------------------- 1717 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances: -------------------------------------- 1717 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 85 92 Commitment: BANK OF SCOTLAND ---------- $37,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices for operational matters: ------------------------------------------- Bank of Scotland, Grand Cayman c/o 565 ▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Telephone No.: 212-▇▇▇-▇▇▇▇ Telecopy No.: 212-▇▇▇-▇▇▇▇ Attention: Jane▇ ▇▇▇▇▇ Assistant Vice President Addresses for Notices for credit matters: ---------------------------------------- Bank of Scotland Two Alle▇ ▇▇▇ter 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 1750 Houston, Texas 77002 Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ Attention: Rex ▇▇▇▇▇▇▇ Vice President Lending Office for Prime Rate Advances -------------------------------------- 565 ▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances -------------------------------------- 565 ▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 86 93 Commitment: CREDIT LYONNAIS NEW YORK BRANCH ---------- $37,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices for operational matters: ------------------------------------------- c/o Credit Lyonnais Houston Representative Offi▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ Attention: Bern▇▇▇▇▇▇ ▇▇▇▇▇▇ Addresses for Notices for credit matters: ---------------------------------------- c/o Credit Lyonnais Houston Representative Offi▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ Attention: Mr. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Lending Office for Prime Rate Advances -------------------------------------- 1301 ▇▇▇▇▇▇ ▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances -------------------------------------- 1301 Avenue of the Americas New ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 87 94 Commitment: CHRISTIANIA BANK OG KREDITKASSE, ASA ---------- $27,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices: ------------------- Christiania Bank OG Kreditkasse 11 W▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Telephone No.: 212-▇▇▇-▇▇▇▇ Telecopy No.: 212-▇▇▇-▇▇▇▇ Attention: Mr. ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- Lending Office for Prime Rate Advances -------------------------------------- 11 W▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances -------------------------------------- 11 W▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 88 95 Commitment: DEN NORSKE BANK ASA ---------- $37,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices: ------------------- Den norske Bank ASA 200 ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Telephone No.: 212-▇▇▇-▇▇▇▇ Telecopy No.: 212-▇▇▇-▇▇▇▇ Attention: Customer Service With a copy to: -------------- Den norske Bank ASA Three Alle▇ ▇▇▇ter 333 ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- Telephone No.: 713-▇▇▇-▇▇▇▇ ▇. Telecopy No.: 713-▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇-▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation ByAttention: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutions.Mr.

BORROWERS. INTEGRATED HEALTHCARE HOLDINGSSKATEBOARD WORLD INDUSTRIES, INC., a Nevada corporation By: . By /s/ ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SA, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: _________________________________________ Name:Title CEO ______________________________________ Title: EL SEGUNDO HAT, INC. By /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ _________________________________________ [SIGNATURE PAGE CONTINUES] LENDERSTitle CEO ______________________________________ RED LANTERN DISTRIBUTION, LTD. By /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ _________________________________________ Title V.P. ______________________________________ DIAXIS, LLC By /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ _________________________________________ Title CEO ______________________________________ DWINDLE INC. By /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ _________________________________________ Title CEO ______________________________________ PHASE THREE, INC. formerly known as Central Coast Surfboards, Inc. By /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ _________________________________________ Title V.P. ______________________________________ GUARANTORS: -------- MEDICAL PROVIDER FINANCIAL ▇▇▇▇▇ MARKETING, INC. By /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ _________________________________________ Title CEO ______________________________________ ▇▇▇▇▇▇▇ PACE CAPITAL FUND, L.P. By /s/ ▇▇▇▇▇ ▇▇▇▇▇ _________________________________________ Title Managing Director ______________________________________ AGENT: FLEET CAPITAL CORPORATION II, a Nevada corporation, By: By /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ _________________________________________ Title Sr. Vice President ______________________________________ CO-AGENT: FIRST SOURCE FINANCIAL LLP, an Illinois registered limited liability partnership By: First Source Financial, Inc., its agent/manager By /s/ ▇▇▇▇▇▇▇ --------------------------------- ▇. ▇▇▇▇▇ _________________________________________ Title Vice President ______________________________________ LENDERS: ------- FLEET CAPITAL CORPORATION By /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇▇ _________________________________________ Title Sr. Vice President ______________________________________ FIRST SOURCE FINANCIAL LLP, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, an Illinois registered limited liability partnership By: First Source Financial, Inc., its agent/manager By /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutions._______________________________________ Title Vice President ______________________________________

BORROWERS. INTEGRATED HEALTHCARE HOLDINGSCOHO RESOURCES, INC., a Nevada corporation . By: /s/ ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I President FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 80 87 COHO LOUISIANA PRODUCTION COMPANY By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer COHO EXPLORATION, INC. By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 81 88 COHO ACQUISITIONS COMPANY By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President HOLDINGS: -------- COHO ENERGY, INC. By: ---------------------------------------------- Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President and Chief Financial Officer Address for Notices: ------------------- 1478▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Eddi▇ ▇. ▇▇▇▇▇▇▇, ▇▇I Senior Vice President FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 82 89 ADMINISTRATIVE AGENT, ---------------------- CO-DOCUMENTATION AGENTS AND LENDERS: ------------------------------------ Commitment: BANQUE PARIBAS, Houston Agency ---------- $40,000,000.00 as Administrative Agent for Lenders and as a Lender By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices: ------------------- 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 3100 Houston, Texas 77002 Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ With a copy to: -------------- 2121 ▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Lending Office for Prime Rate Advances -------------------------------------- 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 3100 Houston, Texas 77002 Lending Office for Eurodollar Advances -------------------------------------- 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 3100 Houston, Texas 77002 FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 83 90 Commitment: MEESPIERSON CAPITAL CORP., as ---------- $40,000,000.00 Co-Documentation Agent for the Lenders and as a Lender By: ---------------------------------------------- By: ---------------------------------------------- Address for Operational Notices: ------------------------------- MeesPierson Capital Corp. 300 ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, CEO WMC▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-SA▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Yola▇▇▇ ▇▇▇▇▇▇ Address for Other Notices: ------------------------- MeesPierson N.V. 300 ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, INC▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-▇▇▇-▇▇▇▇ Attention: Kare▇ ▇▇▇▇▇▇ Vice President & Manager Lending Office for Prime Rate Advances -------------------------------------- 445 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances -------------------------------------- 445 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 84 91 Commitment: BANK ONE, TEXAS, N.A., as ---------- $40,000,000.00 Co-Documentation Agent for the Lenders and as a California corporation Lender By: /s/ ---------------------------------------------- John ▇. ▇▇▇▇▇ Assistant Vice President Address for Notices: ------------------- 1717 ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 214-▇▇▇-▇▇▇▇ Telecopy No.: 214-290-2332 Attention: John ▇. ▇▇▇▇▇ Assistant Vice President Lending Office for Prime Rate Advance: ------------------------------------- 1717 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances: -------------------------------------- 1717 ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 85 92 Commitment: BANK OF SCOTLAND ---------- $37,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices for operational matters: ------------------------------------------- Bank of Scotland, Grand Cayman c/o 565 ▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Telephone No.: 212-▇▇▇-▇▇▇▇ Telecopy No.: 212-▇▇▇-▇▇▇▇ Attention: Jane▇ ▇▇▇▇▇ Assistant Vice President Addresses for Notices for credit matters: ---------------------------------------- Bank of Scotland Two Alle▇ ▇▇▇ter 1200 ▇▇▇▇▇ ▇▇▇▇▇▇, Suite 1750 Houston, Texas 77002 Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ Attention: Rex ▇▇▇▇▇▇▇ Vice President Lending Office for Prime Rate Advances -------------------------------------- 565 ▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances -------------------------------------- 565 ▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 86 93 Commitment: CREDIT LYONNAIS NEW YORK BRANCH ---------- $37,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices for operational matters: ------------------------------------------- c/o Credit Lyonnais Houston Representative Offi▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ Attention: Bern▇▇▇▇▇▇ ▇▇▇▇▇▇ Addresses for Notices for credit matters: ---------------------------------------- c/o Credit Lyonnais Houston Representative Offi▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇ Telephone No.: 713-▇▇▇-▇▇▇▇ Telecopy No.: 713-▇▇▇-▇▇▇▇ Attention: Mr. ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Lending Office for Prime Rate Advances -------------------------------------- 1301 ▇▇▇▇▇▇ ▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Lending Office for Eurodollar Advances -------------------------------------- 1301 Avenue of the Americas New ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 87 94 Commitment: CHRISTIANIA BANK OG KREDITKASSE, ASA ---------- $27,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices: ------------------- Christiania Bank OG Kreditkasse 11 W▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ Telephone No.: 212-▇▇▇-▇▇▇▇ Telecopy No.: 212-▇▇▇-▇▇▇▇ Attention: Mr. ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- Lending Office for Prime Rate Advances -------------------------------------- 11 W▇▇▇ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇ ▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ --------------------------------- Lending Office for Eurodollar Advances -------------------------------------- 11 W▇▇▇ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇ ▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇FOURTH AMENDED AND RESTATED CREDIT AGREEMENT, PAGE 88 95 Commitment: DEN NORSKE BANK ASA ---------- $37,500,000.00 By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- By: ---------------------------------------------- Name: -------------------------------------------- Title: ------------------------------------------- Address for Notices: ------------------- Den norske Bank ASA 200 ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ --------------------------------- Telephone No.: 212-▇▇▇-▇▇▇▇ ▇. Telecopy No.: 212-▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ -▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager ByAttention: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutions.Customer Service

BORROWERS. INTEGRATED HEALTHCARE HOLDINGS[CORPORATE SEAL] URBAN OUTFITTERS, INC., as a Nevada corporation Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------------- Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇, CEO WMC-SA▇ Title: President [CORPORATE SEAL] UO FENWICK, INC., as a California corporation Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, ▇ Title: President WMC[CORPORATE SEAL] INTER-AURBAN, INC., as a California corporation Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, ▇ Title: President COASTAL COMMUNITIES HOSPITAL[CORPORATE SEAL] URBAN OUTFITTERS (DELAWARE), INC., as a California corporation Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇ Title: Treasurer [CORPORATE SEAL] ANTHROPOLOGIE (DELAWARE), INC., as a Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇ Title: Treasurer [Executions Continued] [CORPORATE SEAL] URBAN OUTFITTERS UK LIMITED, as a Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------ Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Title: Director [CORPORATE SEAL] URBAN OUTFITTERS UK LIMITED, as a Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ------------------------------------ Name: ▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ Title: Director [CORPORATE SEAL] URBAN OUTFITTERS IRELAND LIMITED, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., as a California corporation Borrower By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ------------------------------------ Name: ▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ Title: Director [CORPORATE SEAL] URBAN OUTFITTERS IRELAND LIMITED, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, as a California limited liability company, Borrower By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇ --------------------------------- ------------------------------------ Name: ▇▇▇▇ ▇. ▇▇▇▇▇ Title: Director LENDERS: FIRST UNION NATIONAL BANK, M.D., Manager as a Lender and as Administrative Agent By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ------------------------------------ Name: ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By▇ Title: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: Vice President EXHIBITS -------- Exhibit A - Form of Note Exhibit B - Form of Notice of Borrowing Exhibit C - Form of Notice of Account Designation Exhibit D - Form of Notice of Conversion/Continuation Exhibit E - Form of Officer's Compliance Certificate Exhibit F - Form of Termination Date Extension Request Exhibit G - Form of Assignment Agreement Exhibit H - MLA Costs Exhibit I - Form of Continuing Letter of Credit Agreement EXHIBIT A --------- FORM OF NOTE ------------ $___________ September __, 2001 FOR VALUE RECEIVED, the undersigned, URBAN OUTFITTERS, INC., a corporation organized under the laws of Pennsylvania ("Urban"), and each Subsidiary of Urban listed on Schedule 1 to the Credit Agreement referred to below (Urban and each such Subsidiary, each a "Borrower" and collectively, the "Borrowers"), jointly and severally, promise to pay to the order of ________________________ Name:_________(the "Lender"), at the office of the Administrative Agent and times provided in the Credit Agreement referred to below, the principal sum of______________________ Title: ($_____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II) or, if less, the principal amount of all Loans made by the Lender from time to time pursuant to that certain Credit Agreement dated of even date herewith (as may be amended, restated or otherwise modified from time to time, the "Credit Agreement") by and among the Borrowers, the Lender, the other lenders referred to therein, and First Union National Bank, as Administrative Agent. Capitalized terms used herein and not defined herein shall have the meanings assigned thereto in the Credit Agreement. The unpaid principal amount of this Note from time to time outstanding is subject to repayment from time to time as provided in the Credit Agreement and shall bear interest as provided in Section 4.1 of the Credit Agreement. All payments of principal and interest on this Note shall be payable in lawful currency of the United States of America in immediately available funds to the account designated in the Credit Agreement. This Note is entitled to the benefits of, and evidences Obligations incurred under, the Credit Agreement, to which reference is made for a Nevada corporationdescription of the collateral for this Note, By: /s/ ▇▇▇▇▇▇ ▇if any, and for a statement of the terms and conditions on which the Borrowers are permitted and required to make prepayments and repayments of principal of the Obligations evidenced by this Note and on which such Obligations may be declared to be immediately due and payable. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇THIS NOTE SHALL BE GOVERNED, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT CONSTRUED AND ENFORCED IN ACCORDANCE WITH THE LAWS OF THE BOARD COMMONWEALTH OF DIRECTORS PENNSYLVANIA, WITHOUT REFERENCE TO THE CONFLICTS OF INTEGRATED HEALTHCARE HOLDINGSLAW PRINCIPLES THEREOF. The Borrowers hereby waive all requirements as to diligence, INC. June __presentment, 2007 Pursuant demand of payment, protest and (except as required by the Credit Agreement) notice of any kind with respect to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutionsthis Note.

BORROWERS. INTEGRATED HEALTHCARE HOLDINGS, INC., a Nevada corporation By: /s/ ▇▇▇▇-▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SASTORES, INC., as the Administrative Borrower and a California corporation Borrower By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ -------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ SAVE RITE GROCERY WAREHOUSE, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION IIIINC., as a Nevada corporation, Borrower By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ -------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, President and COO MCC: ---- MEDICAL CAPITAL CORPORATIONINC., as a Nevada corporation, Borrower By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ -------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ Amended and Restated Credit Agreement ▇▇▇▇-▇▇▇▇▇ SUPERMARKETS, INC., as a Borrower By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ -------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ LOUISIANA, INC. June __, 2007 Pursuant to N.R.S. Section 78.315., as amendeda Borrower By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ -------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇, INC., as a Borrower By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ -------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ Amended and Restated Credit Agreement ▇▇▇▇-▇▇▇▇▇ PROCUREMENT, INC., as a Borrower By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ------------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ ▇▇▇▇▇▇▇, INC., as a Borrower By: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ -------------------------------- Title: VICE PRESIDENT, FINANCE & TREASURER Address: ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ Amended and Restated Credit Agreement AGENTS AND LENDERS: WACHOVIA BANK, NATIONAL ASSOCIATION, as the undersignedAdministrative Agent, being Issuer and SwingLine Lender By: ▇▇▇ ▇▇▇▇▇ ------------------------- Title: DIRECTOR Address: One Wachovia Bank Center ▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇-▇ ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇ ▇▇▇▇▇ WACHOVIA CAPITAL MARKETS, LLC, as the entire Board of Directors Arranger By: ▇▇▇ ▇▇▇▇▇ ------------------------- Title: DIRECTOR Address: One Wachovia Bank Center ▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇-▇ ▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇ Facsimile No: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: ▇▇▇ ▇▇▇▇▇ GMAC COMMERCIAL FINANCE LLC, as the "Board") of Integrated Healthcare HoldingsSyndication Agent By: ▇▇▇▇▇ ▇▇▇▇▇▇ ------------------------- Title: VICE PRESIDENT Address: ▇▇▇ ▇/▇▇/. ▇▇▇▇▇▇, Inc.▇▇/▇▇/. ▇▇▇▇▇ ▇▇▇ ▇▇▇▇, a Nevada corporation ▇▇ ▇▇▇▇▇ Facsimile No.: ▇▇▇-▇▇▇-▇▇▇▇ Attention: ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ TRUST AND SAVINGS BANK, as the Documentation Agent By: ▇. ▇▇▇▇▇ PLACE ------------------------- Title: VICE PRESIDENT Address: ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇.▇. ▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇-▇▇▇▇ Facsimile No.: ▇▇▇-▇▇▇-▇▇▇▇ Attention: ▇. ▇▇▇▇▇ Place ▇▇▇▇-▇▇▇▇▇ Amended and Restated Credit Agreement CONGRESS FINANCIAL CORPORATION (the "Corporation"FLORIDA), does hereby consent to as the Inventory Agent By: ▇▇▇ COTT ------------------------------ Title: SENIOR VICE PRESIDENT Address: ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇ Facsimile No.: (▇▇▇) ▇▇▇-▇▇▇▇ Attention: Portfolio Manager - ▇▇▇▇-▇▇▇▇▇ ▇▇▇▇-▇▇▇▇▇ Amended and adopt in all respects the following resolutionsRestated Credit Agreement SCHEDULE I DISCLOSURE SCHEDULE TO CREDIT AGREEMENT ITEM 5.1.15. Properties. ITEM 6.6. Material Adverse Changes.

BORROWERS. INTEGRATED HEALTHCARE HOLDINGSALERIS INTERNATIONAL, INC., as a Nevada corporation By: /s/ ▇▇▇▇▇ ▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SA, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President WMC-A, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITAL, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President ▇▇▇▇▇▇▇ MEDICAL CENTER, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager WEST COAST HOLDINGS, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager Domestic Borrower By: ____________________________________ ___Name:: ____________________________________Title: _____________________________________ ALERIS ROLLED PRODUCTS, INC., as a Domestic Borrower By: ______________________________________Name: ____________________________________Title: _____________________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION IIALERIS ROLLED PRODUCTS, LLC, as a Nevada corporation, Domestic Borrower By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇______________________________________Name: ____________________________________Title: _____________________________________ ALERIS ROLLED PRODUCTS SALES CORPORATION, as a Domestic Borrower By: ______________________________________Name: ____________________________________Title: _____________________________________ IMCO RECYCLING OF OHIO, LLC, as a Domestic Borrower By: ______________________________________Name: ____________________________________Title: _____________________________________ ALERIS OHIO MANAGEMENT, INC., as a Domestic Borrower By: ______________________________________Name: ____________________________________Title: _____________________________________ ▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ALUMINUM LLC, President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III, as a Nevada corporation, Domestic Borrower By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇______________________________________Name: ____________________________________Title: _____________________________________ ALERIS ALUMINUM DUFFEL BVBA, President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, as the Belgian Borrower By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June ______________________________________Name: ____________________________________Title: _____________________________________ ALERIS ROLLED PRODUCTS GERMANY, 2007 Pursuant to N.R.S. Section 78.315GMBHas a German Borrower By: ______________________________________Name: ____________________________________Title: _____________________________________ ALERIS CASTHOUSE GERMANY GMBH, as amendeda German Borrower By: ______________________________________Name: ____________________________________Title: _____________________________________ ALERIS SWITZERLAND GMBH, as the undersignedSwiss Borrower By: ______________________________________Name: ____________________________________Title: _____________________________________ JPMORGAN CHASE BANK, being the entire Board of Directors (the "Board") of Integrated Healthcare HoldingsN.A., Inc., as a Nevada corporation (the "Corporation"), does hereby consent to Lender and adopt in all respects the following resolutions.as Administrative Agent By: ______________________________________Name: ____________________________________Title: _____________________________________

BORROWERS. INTEGRATED HEALTHCARE HOLDINGSNOBEL LEARNING COMMUNITIES, INC., a Nevada corporation . By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ --------------------------------- ------------------------------------- ▇▇▇▇▇ ▇▇▇▇▇, CEO WMC-SA, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Executive Vice President MERRYHILL SCHOOLS, INC. By: /s/ ▇▇▇▇▇▇▇ --------------------------------- ▇. ▇▇▇▇▇▇ ------------------------------------- ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Executive Vice President NEDI, INC. By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇ ------------------------------------- ▇▇▇▇▇▇▇ ▇▇▇▇▇, Vice President WMC-A------------------------------------- MERRYHILL SCHOOLS NEVADA, INC. By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇, Treasurer HOUSTON LEARNING ACADEMY, INC. By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇, Vice President (SIGNATURES CONTINUED ON FOLLOWING PAGE) PALADIN ACADEMY, L.L.C. By: NOBEL LEARNING COMMUNITIES, INC., a California corporation its sole member' By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇ ------------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇, Executive Vice President ------------------------------------- NOBEL SCHOOL MANAGEMENT SERVICES, INC. By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ------------------------------------- ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇, Treasurer NOBEL LEARNING TECHNOLOGIES, INC. By: /s/ ▇▇▇▇▇▇▇ --------------------------------- ▇. ▇▇▇▇▇▇ ------------------------------------- ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President COASTAL COMMUNITIES HOSPITALTreasurer NOBEL EDUCATION DYNAMICS FLORIDA, INC., a California corporation . By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ------------------------------------- ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, Vice President ▇▇▇▇▇▇▇ MEDICAL CENTERTHE ACTIVITIES CLUB, INC., a California corporation By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, President [SIGNATURE PAGE CONTINUES] CREDIT PARTIES: --------------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ------------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D.President (SIGNATURES CONTINUED ON FOLLOWING PAGE) AGENT: ----- FLEET NATIONAL BANK, Manager WEST COAST HOLDINGSas successor by merger to Summit Bank, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager GANESHA REALTY, LLC, a California limited liability company By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager GUARANTORS: ----------- PACIFIC COAST HOLDINGS INVESTMENT, LLC, a California limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, M.D., Manager ORANGE COUNTY PHYSICIANS INVESTMENT NETWORK, LLC, a Nevada limited liability company, By: /s/ ▇▇▇▇ ▇. ▇▇▇▇ --------------------------------- ▇▇▇▇ ▇. ▇▇▇▇, M.D., Manager By: ____________________________________ Name:_______________________________ Title: _____________________________ [SIGNATURE PAGE CONTINUES] LENDERS: -------- MEDICAL PROVIDER FINANCIAL CORPORATION II, a Nevada corporation, as Agent By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ------------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, Vice President and COO MEDICAL PROVIDER FINANCIAL CORPORATION III----------------------------- LENDERS: ------- FLEET NATIONAL BANK, a Nevada corporation, as successor by merger to Summit Bank By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ------------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, Vice President and COO MCC: ---- MEDICAL CAPITAL CORPORATION, a Nevada corporation, By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ --------------------------------- ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇, President and COO EXHIBIT "A" ----------- UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF INTEGRATED HEALTHCARE HOLDINGS, INC. June __, 2007 Pursuant to N.R.S. Section 78.315, as amended, the undersigned, being the entire Board of Directors (the "Board") of Integrated Healthcare Holdings, Inc., a Nevada corporation (the "Corporation"), does hereby consent to and adopt in all respects the following resolutions.-----------------------------