0001193125-07-168470 Sample Contracts

AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF GRAND STRAND REGIONAL MEDICAL CENTER, LLC
Limited Liability Company Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

The undersigned hereby executes this Amended and Restated Limited Liability Company Agreement (“LLC Agreement”) as the sole member (“Member”) of Grand Strand Regional Medical Center, LLC (the “Company”), a Delaware limited liability company formed on January 29, 1999, pursuant to the provisions of the Delaware Limited Liability Company Act (“Act”).

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OPERATING AGREEMENT OF INTEGRATED REGIONAL LAB, LLC
Operating Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

The undersigned hereby executes this Operating Agreement (“Operating Agreement”) as the sole member (“Member”) of Integrated Regional Lab, LLC (the “Company”), a Florida limited liability company formed on June 27, 2005, pursuant to the provisions of the Florida Limited Liability Company Act (“Act”). The Member hereby agrees that the ownership interests in the Company and initial capital contribution of the Member is as follows:

AMENDED AND RESTATED AGREEMENT OF LIMITED PARTNERSHIP OF COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY, L.P. (the “Limited Partnership”), a Texas limited partnership, hereby continue the Limited Partnership pursuant to the provisions of the Texas Revised Limited Partnership Act (the “Act”), hereby amend and restate the partnership agreement of the Limited Partnership and hereby agree that the ownership interests in the Limited Partnership are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF CHCA BAYSHORE, L.P.
Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • Delaware

Pasadena Bayshore Hospital, Inc., a Texas corporation, with its principal place of business located at One Park Plaza, Nashville, Tennessee 37203 (the “General Partner”), and Bayshore Partner, LLC, a Delaware limited liability company, with its principal place of business located at One Park Plaza, Nashville, Tennessee 37203 (the “Limited Partner”), do hereby certify that a Certificate of Limited Partnership was filed with the Secretary of State of Delaware on November 15, 1999, and this Agreement of Limited Partnership has been executed and a limited partnership has been formed under the “Act” (as defined below) on the terms set forth herein.

AGREEMENT OF LIMITED PARTNERSHIP OF CHCA MAINLAND, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec • Delaware

Danforth Hospital, Inc., a Delaware corporation, with its principal place of business located at One Park Plaza, Nashville, Tennessee 37203 (the “General Partner”), and Mainland Partner, LLC, a Delaware limited liability company, with its principal place of business located at One Park Plaza, Nashville, Tennessee 37203 (the “Limited Partner”), do hereby certify that a Certificate of Limited Partnership was filed with the Secretary of State of Delaware on November 15, 1999, and this Agreement of Limited Partnership has been executed and a limited partnership has been formed under the “Act” (as defined below) on the terms set forth herein.

GENERAL INTERCREDITOR AGREEMENT
General Intercreditor Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • New York

Reference is made to the General Intercreditor Agreement dated as of November 17, 2006 hereof between Bank of America, N.A., as First Lien Collateral Agent, and The Bank of New York, as Junior Lien Collateral Agent, as the same may be amended, restated, supplemented, waived, or otherwise modified from time to time (the “Intercreditor Agreement”). Capitalized terms used but not defined herein shall have the meanings assigned to such terms in the Intercreditor Agreement.

AMENDED AND RESTATED LIMITED PARTNERSHIP AGREEMENT OF COLUMBIA VALLEY HEALTHCARE SYSTEM, L.P. (a Delaware Limited Partnership)
Limited Partnership Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • Delaware

This Amended and Restated Limited Partnership Agreement is entered into and shall be effective as of the 1st day of May, 1997 by and between Brownsville-Valley Regional Medical Center, Inc. (“General Partner”), as the General Partner, Columbia-SDH Holdings, Inc., as the Original Limited Partner, and each other Person whose name is set forth on Exhibit B attached to this Amended and Restated Limited Partnership Agreement as the limited partners.

RECEIVABLES INTERCREDITOR AGREEMENT by and among BANK OF AMERICA, N.A., as ABL Collateral Agent, BANK OF AMERICA, N.A., as CF Collateral Agent, and THE BANK OF NEW YORK, as Bonds Collateral Agent Dated as of November 17, 2006
Receivables Intercreditor Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • New York

THIS RECEIVABLES INTERCREDITOR AGREEMENT (as amended, supplemented, restated or otherwise modified from time to time pursuant to the terms hereof, this “Agreement”) is entered into as of November 17, 2006 among BANK OF AMERICA, N.A. (“Bank of America”), in its capacity as collateral agent for the ABL Obligations (as defined below), Bank of America, in its capacity as and collateral agent for the CF Obligations (as defined below), and THE BANK OF NEW YORK (“Bank of New York”), in its capacity as collateral agent for the Bonds Obligations (as defined below).

AGREEMENT OF LIMITED PARTNERSHIP OF COLUMBIA/JFK MEDICAL CENTER LIMITED PARTNERSHIP
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of COLUMBIA/JFK MEDICAL CENTER LIMITED PARTNERSHIP (the “Limited Partnership”), a Delaware limited partnership, hereby form the Limited Partnership pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Limited Partnership and the capital contributions of the Partners are as follows:

AGREEMENT
Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • Delaware

This Agreement, made and entered into this day of , 19 (‘Agreement’), by and between Galen Health Care, Inc., a Delaware corporation (‘Company’), and (‘Indemnitee’):

Contract
Civil and Administrative Settlement Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

This Civil and Administrative Settlement Agreement (Agreement) is entered into between the following (hereinafter “the Parties”) through their authorized representatives: the United States of America, acting through the United States Department of Justice and on behalf of the Office of Inspector General (OIG-HHS) of the Department of Health and Human Services (HHS); the TRICARE Management Activity (TMA) (formerly the Office of Civilian Health and Medical Program of the Uniformed Services (OCHAMPUS), through its General Counsel; the Office of Personnel Management (OPM), which administers the Federal Employees Health Benefits Program (FEHBP), through the United States Attorney’s Office for the District of Columbia; (collectively the “United States”); and HCA - The Healthcare Company, formerly known as Columbia/HCA Healthcare Corporation, on behalf of its predecessors and current and former affiliates, divisions and subsidiaries (collectively “HCA”).

REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • New York

REGISTRATION RIGHTS AGREEMENT (this “Agreement”), dated as of November 17, 2006, is by and among HCA Inc., a Delaware corporation (the “Company”), Hercules Holding II, LLC, a Delaware limited liability company (“Holdings”) and each of the other parties hereto. Each of the Persons listed on the signature pages hereto (other than the Company and Holdings), each Senior Manager and any Person who becomes a party hereto pursuant to Section 12(c) are referred to individually as an “Investor” and together as the “Investors”.

AGREEMENT OF LIMITED PARTNERSHIP OF RIVERSIDE HEALTHCARE SYSTEM, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of RIVERSIDE HEALTHCARE SYSTEM, L.P. (the “Limited Partnership”), a California limited partnership, hereby form the Limited Partnership pursuant to the provisions of the California Revised Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Limited Partnership and the capital contributions of the Partners are as follows:

Contract
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec • New York

AMENDMENT No. 1, dated as of February 16, 2007 (this “Amendment”), to the Credit Agreement, dated as of November 17, 2006 (as amended, restated, supplemented or otherwise modified, refinanced or replaced from time to time, the “Credit Agreement”), among HCA Inc. (the “Company” or the “Parent Borrower”), HCA UK Capital Limited (the “European Subsidiary Borrower” and, collectively with the Parent Borrower, the “Borrowers”), the lending institutions from time to time parties thereto (each a “Lender” and, collectively, the “Lenders”), Bank of America, N.A., as Administrative Agent, Swingline Lender and Letter of Credit Issuer, JPMorgan Chase Bank, N.A. and Citicorp North America, Inc., as Co-Syndication Agents, Banc of America Securities LLC, J.P. Morgan Securities Inc., Citigroup Global Markets Inc. and Merrill Lynch, Pierce, Fenner & Smith Incorporated, as Joint Lead Arrangers and Bookrunners, Deutsche Bank Securities Inc. and Wachovia Capital Markets LLC, as Joint Bookrunners, and Merri

ASSIGNMENT AND ASSUMPTION AGREEMENT
Assignment and Assumption Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

This Assignment and Assumption Agreement is dated as of February 10, 1994, by and between HCA-Hospital Corporation of America (“HCA”) and Columbia Healthcare Corporation (“Columbia”).

COLUMBIA/HCA HEALTHCARE CORPORATION No. 8.36% DEBENTURE DUE APRIL 15, 2024 Cusip No. 197677AC1 Registered Owner:
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

COLUMBIA/HCA HEALTHCARE CORPORATION, a Delaware corporation (hereinafter called the “Company”, which term includes any successor thereto under the Indenture hereinafter referred to) for value received, hereby promises to pay to the registered owner identified above or registered assigns, the principal sum specified above, on April 15, 2024, and to pay interest on said principal sum, semi-annually on April 15 and October 15 of each year, commencing October 15, 1994, at the rate of 8.36% per annum from the April 15 or October 15, as the case may be, next preceding the date of this Debenture to which interest has been paid or duly provided for, unless the date hereof is a date to which interest has been paid or duly provided for, in which case from the date of this Debenture, or unless no interest has been paid or duly provided for on the Debentures, in which case from April 15, 1994, until the principal thereof becomes due and payable, and at such rate on any overdue principal and (to th

PARTNERSHIP AGREEMENT OF INTEGRATED REGIONAL LABORATORIES, LLP
Partnership Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS PARTNERSHIP AGREEMENT (the “Agreement”) of Integrated Regional Laboratories, LLP, a Delaware limited liability partnership (the “Partnership”), is made and entered effective as of the 8th day of December, 2005, by and between Integrated Regional Lab, LLC, a Florida limited liability company (“IRL”), and Health Services (Delaware), Inc., a Delaware corporation (“HSD”).

GENERAL PARTNERSHIP AGREEMENT OF NASHVILLE SHARED SERVICES GENERAL PARTNERSHIP
General Partnership Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

The undersigned parties being all of the partners (the “Partners”) of NASHVILLE SHARED SERVICES GENERAL PARTNERSHIP (the “Partnership”), a Delaware general partnership, hereby agree to form the Partnership and hereby agree that the ownership interests in the Partnership and the capital contributions of the Partners are as follows:

CORPORATE INTEGRITY AGREEMENT BETWEEN THE OFFICE OF INSPECTOR GENERAL OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND HCA-THE HEALTHCARE COMPANY
Corporate Integrity Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec
AMENDED AND RESTATED AGREEMENT OF LIMITED PARTNERSHIP OF COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY, L.P. (the “Limited Partnership”), a Texas limited partnership, hereby continue the Limited Partnership pursuant to the provisions of the Texas Revised Limited Partnership Act (the “Act”), hereby amend and restate the partnership agreement of the Limited Partnership and hereby agree that the ownership interests in the Limited Partnership are as follows:

GENERAL PARTNERSHIP AGREEMENT OF NASHVILLE SHARED SERVICES GENERAL PARTNERSHIP
General Partnership Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

The undersigned parties being all of the partners (the “Partners”) of NASHVILLE SHARED SERVICES GENERAL PARTNERSHIP (the “Partnership”), a Delaware general partnership, hereby agree to form the Partnership and hereby agree that the ownership interests in the Partnership and the capital contributions of the Partners are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF CHCA WEST HOUSTON, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec • Delaware

WHMC, Inc., a Texas corporation, with its principal place of business located at One Park Plaza, Nashville, Tennessee 37203 (the “General Partner”), and West Houston, LLC, a Delaware limited liability company, with its principal place of business located at One Park Plaza, Nashville, Tennessee 37203 (the “Limited Partner”), do hereby certify that a Certificate of Limited Partnership was filed with the Secretary of State of Delaware on November 15, 1999, and this Agreement of Limited Partnership has been executed and a limited partnership has been formed under the “Act” (as defined below) on the terms set forth herein.

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AGREEMENT OF LIMITED PARTNERSHIP OF CHCA MANAGEMENT SERVICES, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of CHCA Management Services, L.P. (the “Partnership”), a Delaware limited partnership, hereby form the Partnership pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Partnership (“Percentage Ownership”) and the capital contributions of the Partners are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF GOOD SAMARITAN HOSPITAL, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of Good Samaritan Hospital, L.P. (the “Partnership”), a Delaware limited partnership, hereby form the Partnership pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Partnership (“Percentage Ownership”) and the capital contributions of the Partners are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF SAN JOSE HEALTHCARE SYSTEM, LP
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of San Jose Healthcare System, LP (the “Limited Partnership”), a Delaware limited partnership, hereby form the Limited Partnership pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Limited Partnership and the capital contributions of the Partners are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF TERRE HAUTE REGIONAL HOSPITAL, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

This undersigned parties being all of the partners (the “Partners”) of Terre Haute Regional Hospital, L.P. (the “Limited Partnership”), a Delaware limited partnership formed pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”), hereby agree that the ownership interests in the Limited Partnership are as follows:

AMENDED AND RESTATED AGREEMENT OF LIMITED PARTNERSHIP OF COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of COLUMBIA NORTH HILLS HOSPITAL SUBSIDIARY, L.P. (the “Limited Partnership”), a Texas limited partnership, hereby continue the Limited Partnership pursuant to the provisions of the Texas Revised Limited Partnership Act (the “Act”), hereby amend and restate the partnership agreement of the Limited Partnership and hereby agree that the ownership interests in the Limited Partnership are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF HSS VIRGINIA, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties being all of the partners (the “Partners”) of HSS VIRGINIA, L.P. (the “Limited Partnership”), a Virginia limited partnership, hereby agree that the ownership interests in the Limited Partnership and the capital contribution of the Partners are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF GREEN OAKS HOSPITAL SUBSIDIARY LIMITED PARTNERSHIP
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of GREEN OAKS HOSPITAL SUBSIDIARY, L.P. (the “Limited Partnership”), a Texas limited partnership, hereby form the Limited Partnership pursuant to the provisions of the Texas Revised Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Limited Partnership and the capital contributions of the Partners are as follows:

AGREEMENT OF LIMITED PARTNERSHIP OF TERRE HAUTE MOB, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec • Indiana

This AGREEMENT OF LIMITED PARTNERSHIP (“Agreement”) is entered into and shall be effective as of the 30th day of December, 2004, by and between Terre Haute Regional Hospital, L.P., a Delaware limited partnership, HSS Holdco, LLC, a Delaware limited liability company, and Healthtrust, Inc. - The Hospital Company, a Delaware corporation, pursuant to the provisions of the Indiana Limited Partnership Act (the “Act”), on the following terms and conditions:

REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

REGISTRATION RIGHTS AGREEMENT dated as of March 16, 1989 among HCA — Hospital Corporation of America, a Delaware corporation (the “Company”), and the undersigned parties hereto and persons who become parties to this Agreement pursuant to the Stockholders Agreement (as defined below) (the “Stockholders”).

SECOND AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF HEALTHTRUST MOB, LLC
Limited Liability Company Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec • Delaware

This Second Amended and Restated Limited Liability Company Agreement of Healthtrust MOB, LLC (the “Company”), effective as of September 1, 2003 (this “Agreement”), is entered into by Healthtrust, Inc.-The Hospital Company, as the sole member (the “Member”) of the Company. The Company was formed on July 6, 2000, pursuant to the provisions of the Delaware Limited Liability Company Act (“Act”).

AGREEMENT OF LIMITED PARTNERSHIP OF SAN JOSE HOSPITAL, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of San Jose Hospital, L.P. (the “Partnership”), a Delaware limited partnership, hereby form the Partnership pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Partnership (“Percentage Ownership”) and the capital contributions of the Partners are as follows:

AMENDED AND RESTATED AGREEMENT OF LIMITED PARTNERSHIP OF COLUMBIA ASC MANAGEMENT, L.P.
Agreement • August 2nd, 2007 • Marietta Surgical Center, Inc. • Services-general medical & surgical hospitals, nec

The undersigned parties, being all of the partners (the “Partners”) of Columbia ASC Management, L.P. f/k/a MCA Management Partnership, Ltd. (the “Limited Partnership”), a California limited partnership, hereby form the Limited Partnership pursuant to the provisions of the California Limited Partnership Act (the “Act”), and hereby agree that the ownership interests in the Limited Partnership and the capital contributions of the Partners are as follows:

SECOND AMENDED AND RESTATED AGREEMENT OF LIMITED PARTNERSHIP OF PLANTATION GENERAL HOSPITAL, L.P.
Marietta Surgical Center, Inc. • August 2nd, 2007 • Services-general medical & surgical hospitals, nec

The undersigned parties being all of the partners (the “Partners”) of Plantation General Hospital, L.P. (the “Limited Partnership”), a Delaware limited partnership formed pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”), hereby agree that the agreement of limited partnership of the Limited Partnership is hereby amended and restated in its entirety to read as follows and hereby agree that the ownership interests in the Limited Partnership and the capital contributions of the Partners are as follows:

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