EX-10.1



 Exhibit 10.1 

OPERATING AGREEMENT 
 of

 Perimeter Road Surgical Hospital, LLC 

(an Arizona limited liability company) 
  

 
  

THE MEMBERSHIP INTERESTS CREATED BY THIS AGREEMENT HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR THE SECURITIES LAWS OF ANY
JURISDICTION. NO MEMBERSHIP INTEREST MAY BE SOLD OR OFFERED FOR SALE (WITHIN THE MEANING OF ANY SECURITIES LAWS) UNLESS A REGISTRATION STATEMENT UNDER ALL APPLICABLE SECURITIES LAWS WITH RESPECT TO THE INTEREST IS THEN IN EFFECT OR AN EXEMPTION FROM
THE REGISTRATION REQUIREMENTS OF THOSE LAWS IS THEN APPLICABLE TO THE INTEREST. A MEMBERSHIP INTEREST ALSO MAY NOT BE TRANSFERRED OR ENCUMBERED UNLESS THE PROVISIONS OF THIS AGREEMENT ARE SATISFIED. 

 
  

 
 Dated as of October 31, 2015








 OPERATING AGREEMENT 

of 
 Perimeter Road
Surgical Hospital, LLC 
 (an Arizona limited liability company) 

This Operating Agreement (this “Agreement”) is made and entered into and shall be effective as of the 31st day of October, 2015 (the
“Effective Date”), by and among Perimeter Road Surgical Hospital, LLC, an Arizona limited liability company (the “Company”), and each other Person whose name is set forth on Exhibit A attached to this Agreement and
has signed this Agreement, as the Members. 
 W I T N E S S E T H: 

WHEREAS, the Company was formed under the laws of the State of Arizona by filing an Articles of Organization on September 2, 2015 (the
“Articles of Organization”); 
 WHEREAS, the Members (as hereinafter defined) wish to enter into this Agreement setting forth the
terms and conditions governing the operation and management of the Company. 
 NOW, THEREFORE, in consideration of the premises and the
agreements contained herein and for other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto do hereby agree as follows: 

ARTICLE I. 

DEFINITIONS 
 1.1
Certain Definitions. The capitalized terms defined on the attached Schedule 1.1 shall, for all purposes of this Agreement, have the meanings specified therein. 

1.2 Other Definitions. In addition to the terms defined in Schedule 1.1, certain other terms are defined elsewhere in this
Agreement, and whenever such terms are used in this Agreement, they shall have their respective defined meanings, unless the context expressly or by necessary implication otherwise requires. 

ARTICLE II. 

FORMATION AND CONTINUATION OF THE COMPANY 

2.1 Formation and Continuation. The Articles of Organization of the Company were filed in the office of the Arizona Corporation
Commission on September 2, 2015, as required by the Law, under the name “Perimeter Road Surgical Hospital, LLC.” The Members hereby continue the existence of the Company. Except as stated in this Agreement, the Law shall govern the
rights and liabilities of the Members. 







 2.2 Certificates. The Members agree to execute from time to time all such certificates and
other documents as may be appropriate to comply with the requirements for the transaction of business or ownership or leasing of property in all jurisdictions where the Company may from time to time desire to conduct business or own or lease
property. The Board of Managers shall effect all such filing, recording, publishing, and perform such other acts as may be appropriate to comply with all requirements for the operation of the Company. 

2.3 Company Name. The business of the Company shall be conducted under the name “Perimeter Road Surgical Hospital” or under
such other name or names as the Board of Managers may determine. The Board of Managers or the officers of the Company shall promptly execute and file with the proper offices in each county in each jurisdiction in which the Company conducts business
one or more certificates as required by the fictitious name act, assumed name act, or similar statute in effect as to each such jurisdiction. 

2.4 Principal Office. The principal office of the Company shall be located at 17500 N. Perimeter Drive, Scottsdale, Arizona 85255 or at
such other place or places as the Board of Managers may from time to time determine. 
 2.5 Term. The Company shall continue in
existence until the Company is dissolved pursuant to Article XVI. 
 2.6 Statutory Agent and Known Place of Business. The statutory
agent of the Company shall be CT Corporation System, whose address is 3800 N. Central Avenue, Suite 460, Phoenix, Arizona 85012 and the known place of business of the Company shall be located at 17500 N. Perimeter Drive, Scottsdale, Arizona 85255.
The known place of business or the statutory agent, or both, may be changed by the Board of Managers from time to time by filing the statement required by the Law. The Company shall maintain at its registered office such records as may be specified
by the Law. 
 2.7 Characterization. For federal income tax purposes, the Company shall be characterized as a partnership. However,
for state law purposes, the Company shall not be characterized as, nor treated as, a partnership, nor shall any Member be characterized as, nor treated as, a partner. The Board of Managers shall operate the Company in a manner consistent with such
characterizations and neither the Board of Managers nor any Member shall take any act, or fail to take any act, which is not consistent with such characterizations. 

ARTICLE III. 

BUSINESS OF THE COMPANY 

3.1 Business. The business of the Company is (a) to own, manage and operate the Hospital and provide certain medical and ancillary
health care services at the Hospital; (b) to enter into, from time to time, such financial arrangements as the Board of Managers may determine to be necessary, appropriate or advisable (including, without limitation, borrowing money and issuing
evidences of indebtedness and securing the same by mortgage, deed of trust, 

  
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security interest or other encumbrance upon one or more or all of the Company assets), whether with a Member or an Affiliate or with a third party; (c) to sell, assign, lease, exchange or
otherwise dispose of, or refinance or additionally finance, any or all of the Company assets; and (d) generally to engage in such other businesses and activities and to do any and all other acts and things that the Board of Managers deem
necessary, appropriate or advisable from time to time in furtherance of the purposes of the Company as set forth in this Section 3.1. 

3.2 Powers. Subject to the limitations contained in this Agreement and in the Law, the Company’s purposes may be accomplished by
the Board of Managers taking any action permitted under this Agreement that, in the good faith judgment of the Board of Managers, is customary or reasonably related to accomplishing such purposes. 

ARTICLE IV. 

CONTRIBUTIONS OF CAPITAL 

4.1 Initial Capital Contributions and Interests. The initial Capital Contributions of the Members will be the amount set forth opposite
each Member’s name on Exhibit A, which is attached hereto and incorporated by reference herein. The initial Interest of each Member is set forth opposite each Member’s name on Exhibit A. Each Member shall contribute the
initial Capital Contribution set forth opposite such Member’s name on Exhibit A at such time as the Board of Managers shall determine, in return for such Member’s initial Interest. Interests may be changed from time to time in
accordance with this Agreement. 
 4.2 Future Capital Contributions. 

(a) If the Company is, or anticipates that it will be, unable to meet its obligations as they become due, or to fund its anticipated capital
requirements pursuant to an approved budget, the Board of Managers shall use its commercially reasonable efforts to obtain and will have authority to cause the Company to incur indebtedness in order to fund the obligations. If the Company is unable
to obtain third party financing, the Company may negotiate with Members and with Affiliates of Members in an effort to fund the obligations or capital requirements through indebtedness to any of these Persons. Any indebtedness of the Company to a
Member or an Affiliate of a Member will be subject to the provisions of Section 4.4 concerning loan transactions with related parties. 

(b) If the Company’s current and anticipated obligations and/or capital requirements cannot be satisfied as provided in
Section 4.2(a), the Board of Managers may give to all Members notice of a capital call pursuant to this Section in an aggregate amount reasonably determined by the Board of Managers to enable the Company to satisfy those obligations described
in the preceding paragraph (the “Capital Call”), which notice must specify in reasonable detail the amount, purpose and date of any additional Capital Contribution, which date will be no earlier than fifteen (15) days following the
notice. 
 (c) Following a Capital Call, each Member shall contribute cash to the Company when due in an amount equal to the additional
Capital Contribution specified in the Capital Call 

  
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multiplied by the Percentage Interest, except that no Member will have any personal liability for failing to fund its share of a Capital Call beyond such Member’s initial Capital
Contribution, but a Member’s Percentage Interest may be reduced as provided below if the Member fails to make its share of the Capital Call. 

(d) If any Member fails to make when due all or any portion of any additional Capital Contribution pursuant to this Section, the Board of
Managers shall give prompt notice of this failure to the contributing Members, who, based on their relative Percentage Interests, will have the right to advance directly to the Company their pro rata shares of the additional Capital Contribution
that was not made by the noncontributing Member (the “Excess Contribution”), which right will expire with respect to each contributing Member five (5) days after notice of the failure of the noncontributing Member to make its
additional Capital Contribution. If any contributing Member elects to exercise this right, it shall serve notice of the election upon the Company prior to the expiration of the five (5) day period. If any contributing Member does not elect
within the time provided to make its pro rata share of an Excess Contribution, the Board of Managers shall give prompt notice of this failure to all contributing Members who have made the election, and each of these Members will have five
(5) days following the notice to elect to make its pro rata share of the remaining Excess Contribution, based upon the relative Percentage Interests of all contributing Members electing to make a pro rata portion of the remaining Excess
Contribution. 
 (e) Unless each Member funds the Member’s respective share of a Capital Call, then any provision of this Agreement to
the contrary notwithstanding, the Percentage Interests of all Members will be adjusted based on their relative cumulative Capital Contributions immediately after the Capital Contributions have been made relating to the Capital Call in question. 

(f) Without limiting the foregoing provisions of this Section 4.2, if a Member fails to fund its respective share of a Capital Call, the
Board of Managers may, in the alternative, permit the other Members, on a pro rata basis based on Percentage Interest, to make a loan to the Company to the same extent as the Capital Call, with such loan to be at prevailing market interest and to
include a right for the Board of Managers to call the loan prior to the end of its term (a “Capital Loan”). Unless otherwise agreed to by the Board of Managers, no distribution (other than a tax distribution) shall be made to any Member
unless and until any and all Capital Loans have been repaid in full. 
 (g) Notwithstanding any provision in this Section 4.2 to the
contrary, in no event shall any adjustment of Percentage Interests pursuant to this Section 4.2 or otherwise dilute, or have the effect of diluting, the Class C Percentage Interests to less than fifty-one percent (51%) of the total
Percentage Interests (the “Class C Dilution Floor”). 
 (h) Notwithstanding any provision in this Section 4.2 to the
contrary, in no event shall any adjustment of Percentage Interests pursuant to Section 4.2 or otherwise dilute, or have the effect of diluting, the Class A and Class B Percentage Interests to less than ten percent (10%) each of the
total Percentage Interests for each of the initial holders of the Class A and Class B Units (the “Class A and Class B Dilution Floor”). 

  
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 4.3 Liability of Members. After the initial Capital Contributions, the Members will not
otherwise have any liability with respect to the debts and obligations of the Company and will not otherwise be obligated to make additional contributions to the Company. No Member will be required to make any contribution to the Company beyond that
required under this Article IV. In accordance with the Law, a Member of a limited liability company may, under certain circumstances, be required to return to the limited liability company, for the benefit of creditors, amounts previously
distributed to that Member as a return of capital. It is the intent of the Members that no distribution of cash to any Member will be deemed a return or withdrawal of capital (even if that distribution is treated, in whole or in part, for any
purpose as a distribution out of a reserve for depreciation or other reserve which is attributable to depreciation or any other non-cash item accounted for as a loss or deduction from or offset to the Company’s income), and that no Member will
be obligated to pay any such amount to or for the account of the Company or any creditor of the Company. However, if any court of competent jurisdiction holds that, notwithstanding the provisions of this Agreement, a Member is obligated to make any
such payment, that obligation will be the obligation of that Member. 
 4.4 Loans. Any Member, or an Affiliate, with the consent of
the Board of Managers, may lend money to the Company. If any Member or Affiliate makes any loan or loans to the Company, the amount of any such loan shall not be treated as a contribution to the capital of the Company, but shall be a debt due from
the Company. Any Member’s or Affiliate’s loan to the Company shall be repayable out of the Company’s cash and shall bear interest at such rate as may be mutually agreed upon by the Company and the Member or Affiliate loaning funds to
the Company. None of the Members, or any of their Affiliates, shall be obligated to loan money to the Company. 
 ARTICLE V. 

CAPITAL ACCOUNTS 

5.1 No Interest on Capital Contributions. No Member will be paid interest on any Capital Contribution. 

5.2 Treatment of Capital Contributions and Restrictions on the Right to Withdraw or to be Redeemed from the Company. Except as
specifically provided in Article XV, the Company will not be required to redeem or repurchase any Interest, and no Member will have the right or power to withdraw, or receive any return of such Member’s Capital Contribution. 

5.3 Capital Accounts. A Capital Account will be established for each Member on the books and records of the Company and will be
maintained for each Member in accordance with the Code and the Treasury Regulations. 
 5.4 Capital Accounts Upon Transfer. In the
event any Interest is transferred in accordance with the terms of this Agreement, the transferee will succeed to the Capital Account of the transferor to the extent it relates to the transferred Interest, except as provided in the Treasury
Regulations. 
 5.5 Adjustment of Capital Accounts. In the event the Gross Asset Values of Company assets are adjusted
pursuant to this Agreement, the Capital Accounts of all Members will be adjusted simultaneously to reflect the aggregate net adjustment as if the Company recognized gain or loss equal to the amount of such aggregate net adjustment. The foregoing
provisions and the other provisions of this Agreement relating to the maintenance of Capital Accounts are intended to comply with Section 1.704-1(b) of the Treasury Regulations, and will be interpreted and applied in a manner consistent with
such Treasury Regulations. 

  
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 ARTICLE VI. 

ALLOCATIONS 
 6.1
Profits and Losses. After giving effect to the special allocations set forth in Sections 6.2, 6.3 and 6.5, Profits and Losses for any fiscal year of the Company or other period shall be allocated to the Members in accordance with their
respective Percentage Interests. 
 6.2 Special Allocations. 

(a) Company Minimum Gain Chargeback. Notwithstanding any other provision of this Article VI, if there is a net decrease
in Company Minimum Gain during any Company fiscal year or other period for which allocations are made, prior to any other allocation under this Agreement, each Member shall be specially allocated items of Company income and gain for that period
(and, if necessary, subsequent periods) in proportion to, and to the extent of an amount equal to such Member’s share of the net decrease in Company Minimum Gain during such year, determined in accordance with Regulations section 1.704-2(g)(2). Allocations pursuant to the previous sentence shall be made in proportion to the respective amounts required to be allocated to each Member pursuant thereto. The items to be so allocated shall be
determined in accordance with Regulations section 1.704-2(g)(2). This Section 6.2(a) is intended to comply with the minimum gain chargeback requirement in Regulations section 1.704-2(f) and shall be interpreted consistently therewith. To the extent permitted by such section of the Regulations and for purposes of this Section 6.2(a) only, each Member’s Adjusted Capital Account
Deficit shall be determined prior to any other allocations pursuant to this Article VI with respect to such fiscal year and without regard to any net decrease in Member Loan Minimum Gain during such fiscal year. 

(b) Member Loan Minimum Gain Chargeback. Notwithstanding any other provision of this Article VI except
Section 6.2(a) hereof, if there is a net decrease in Member Loan Minimum Gain attributable to a Member Loan Nonrecourse Debt during any Company fiscal year, each Member who has a share of the Member Loan Minimum Gain attributable to such Member
Loan Nonrecourse Debt, determined in accordance with Regulations section 1.704-2(i)(5), shall be specially allocated items of Company income and gain for such year (and, if necessary, subsequent years) in an
amount equal to such Member’s share of the net decrease in Member Loan Minimum Gain attributable to such Member Loan Nonrecourse Debt that is allocable to the disposition of Company property subject to such Member Loan Nonrecourse Debt,
determined in accordance with 

  
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Regulations section 1.704-2(i)(4). Allocations pursuant to the previous sentence shall be made in proportion to the respective amounts required to be
allocated to each Member pursuant thereto. The items to be so allocated shall be determined in accordance with Regulations section 1.7042(j)(2). This Section 6.2(b) is intended to comply with the minimum gain chargeback requirement in
Regulations section 1.704-2(i)(4) and shall be interpreted consistently therewith. Solely for purposes of this Section 6.2(b), each Member’s Adjusted Capital Account Deficit shall be determined prior
to any other allocations pursuant to this Article VI with respect to such fiscal year, other than allocations pursuant to Section 6.2(a) hereof. 

(c) Qualified Income Offset. In the event any Member unexpectedly receives any adjustments, allocations, or
distributions described in Regulations section 1.704-1(b)(2)(ii)(d)(4), 1.704-1(b)(2)(ii)(d)(5), or 1.704-1(b)(2)(ii)(d)(6) which
results in an Adjusted Capital Account Deficit of a Member, items of Company income and gain shall be specially allocated to each such Member in an amount and manner sufficient to eliminate, to the extent required by the Regulations, the Adjusted
Capital Account Deficit of such Member as quickly as possible, provided that an allocation pursuant to this Section 6.2(c) shall be made if and only to the extent that such Member would have an Adjusted Capital Account Deficit
after all other allocations provided for in this Article VI have been tentatively made as if this Section 6.2(c) were not in this Agreement. 

(d) Gross Income Allocation. In the event any Member has a deficit Capital Account at the end of any Company fiscal year
that is in excess of the sum of (i) the amount such Member is obligated to restore (pursuant to such Member’s obligation to make a special contribution or otherwise), and (ii) the amount such Member is deemed to be obligated to
restore pursuant to the penultimate sentences of Regulations section 1.704-2(g)(1) and 1.704-2(i)(5), each such Member shall be specially allocated items of Company
income and gain in the amount of such excess as quickly as possible; provided, that, an allocation pursuant to this Section 6.2(d) shall be made if and only to the extent that such Member would have a deficit Capital Account in
excess of such sum after all other allocations provided for in this Article VI have been tentatively made as if Section 6.2(c) hereof and this Section 6.2(d) were not in this Agreement. 

(e) Member Loan Nonrecourse Deductions. Any Member Loan Nonrecourse Deductions for any fiscal year or other period shall
be specially allocated to the Member who bears the economic risk of loss with respect to the Member Loan Nonrecourse Debt to which such Member Loan Nonrecourse Deductions are attributable in accordance with Regulations section 1.704-2(i)(2). 
 (f) Section 754 Adjustment. To the extent an adjustment to
the adjusted tax basis of any Company asset pursuant to Code section 734(b) or Code section 743(b) is required, pursuant to Regulations section 1.704-1(b)(2)(iv)(m), to be taken into account in determining
Capital Accounts, the amount of such adjustment to the Capital Accounts shall be treated as an item of gain (if the adjustment increases the basis of the asset) or loss (if the adjustment decreases such basis) and such gain or loss shall be
specially allocated to the Members in a manner consistent with the manner in which their Capital Accounts are required to be adjusted pursuant to such section of the Regulations. 

  
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 6.3 Curative Allocations. Any allocations of items of income, gain or loss pursuant to
Sections 6.2(a)-(e) shall be taken into account in computing subsequent allocations pursuant to this Article VI, so that the net amount of any items so allocated and the income, losses and other items allocated to each Member pursuant to this
Article VI shall, to the extent possible, be equal to the net amount that would have been allocated to each Member had no allocations ever been made pursuant to Sections 6.2(a)-(e). 

6.4 Other Allocation Rules. 

(a) Except as otherwise provided in this Agreement, all items of Company income, gain, loss, deduction, and any other
allocations not otherwise provided for shall be divided among the Members in the same proportions as such Members share Profits or Losses pursuant to Sections 6.1 for the fiscal year. 

(b) The Members are aware of the income tax consequences of the allocations made by this Article VI and hereby agree to be
bound by the provisions of this Article VI in reporting their share of Company income and loss for income tax purposes. 

(c) Solely for purposes of determining a Member’s proportionate share of the “excess nonrecourse liabilities” of
the Company within the meaning of Regulations section 1.752-3(a)(3), the Members’ interests in Company profits are in the same proportions as they share Profits pursuant to Section 6.1 for the fiscal
year. 
 (d) To the extent permitted by sections 1.704-2(h) and 1.704-2(i)(6) of the
Regulations, the Board of Managers shall endeavor to treat distributions of Available Cash as having been made from the proceeds of a Nonrecourse Liability or a Member Loan Nonrecourse Debt, only to the extent that such distributions would cause or
increase an Adjusted Capital Account Deficit for any Member. 
 (e) Notwithstanding anything to the contrary contained
herein, items of income, gain, loss and deduction with respect to property, other than cash, contributed to the Company by a Member shall be allocated among the Members so as to take into account the variation between the basis of the property to
the Company and its fair market value at the time of contribution as provided in Section 704(c) of the Code and Treasury Regulations section 1.704-1(b)(2)(iv)(g). In the event the Gross Asset Value of any Company property is adjusted in
accordance with the definition thereof in Article I hereof, subsequent allocations of income, gain, loss, and deduction with respect to such asset shall take account of any variation between the adjusted basis of such asset for Federal income tax
purposes and its Gross Asset Value in the same manner as under Code section 704(c) and the Regulations thereunder. 
 Any
elections or other decisions relating to such allocations shall be made by the Board of Managers in any manner that reasonably reflects the purpose and intention of this Agreement. Allocations pursuant to this Section 6.4(e) are solely for
purposes of 

  
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Federal, state, and local taxes and shall not affect, or in any way be taken into account in computing, any Member’s Capital Account or share of Profits, Losses, or other items or
distributions pursuant to any provision of this Agreement. 
 (f) As long as consistent with the other provisions of this
Article VI, to the extent that gain from the disposition of any Company property is, for Federal income tax purposes, taxable as ordinary income by reason of recapture of depreciation or cost recovery deductions taken with respect to such property,
such depreciation recapture shall be allocated among the Members in proportion to the depreciation or cost recovery deductions previously allocated among them with respect to such property; provided, however, that in the event the
depreciation recapture is less than the aggregate amount of depreciation or cost recovery deductions giving rise to the depreciation recapture allocated among such Members with respect to such property, the depreciation recapture will be allocated
among such Members based on the order in time the Members have been allocated such deductions with respect to such property. 
 6.5
Assignment During Fiscal Year. If a Member’s Interest is transferred at any time other than the end of a fiscal year of the Company, the allocable share of the various items of Company Profit, Loss and credit will be allocated between
the transferor and the transferee in the same ratio as the number of days in the fiscal year, respectively, before and after the transfer is recognized by the Company, as such number of days bears to the number of days in the entire year or will be
allocated as if the books of the Company closed on the day of the transfer. Such method of allocation will be determined by the transferor and transferee of such Interest. 

ARTICLE VII. 

DISTRIBUTIONS 
 7.1
Distributions of Available Cash. Except as otherwise provided in this Article VII, Available Cash shall be distributed to the Members in accordance with their respective Percentage Interests. No cash distributions will be made that will
impair the ability of the Company to pay its just debts as they mature. Except as otherwise provided herein, there will be no obligation by the Company to return to the Members, or to any one of them, any part of their Capital Contributions to the
Company, for so long as the Company continues in existence. 
 7.2 Distribution for Taxes. To the extent the Members determine the
Company has Available Cash in any period with respect to which taxes or estimated taxes are due, the Company shall promptly declare and make cash distributions pursuant hereto to the Members to allow the federal income tax (including, without
limitation, estimated tax payments) attributable to the Company’s taxable income allocable to the Members to be paid by such Members when due (each, a “Due Date”). To satisfy this requirement, the Company shall pay on or before thirty
(30) days prior to each Due Date (any such payment a “Tax Distribution”), an amount equal to the product of (i) the Company’s positive taxable income attributed to its Members during the relevant period multiplied by
(ii) the highest applicable federal income tax rate for individuals for the fiscal year in which the relevant period falls. Tax Distributions shall be made to the Members in proportion to the taxable income allocated to them in the relevant
period. Any distribution made pursuant to this Section 7.2 shall be treated as an advance on any distributions made pursuant to Section 7.1 and Section 16.2(b). 

  
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 ARTICLE VIII. 

BANK ACCOUNTS, BOOKS OF ACCOUNT 

AND TAX COMPLIANCE 

8.1 Bank Accounts; Investments. The Board of Managers or officers of the Company shall establish one or more bank accounts into which
all Company funds shall be deposited. Funds deposited in the Company’s bank accounts may be withdrawn only to pay Company debts or obligations or to be distributed to the Members under this Agreement. Company funds, however, may be invested in
such securities and investments as the Board of Managers or officers of the Company may select, until withdrawn for Company purposes. The funds of the Company may not be commingled with the assets of any other Person. 

8.2 Books and Records. The officers of the Company, subject to the oversight of the Board of Managers, shall keep books of account and
records relative to the Company’s business. The books shall be prepared in accordance with generally accepted accounting principles consistently applied. The accrual method of accounting shall be used by the Company for income tax purposes. The
Company’s books and records shall at all times be maintained at the principal business office of the Company or its accountants (and to the extent required by the Law, at the registered office of the Company) and such books and records (or
copies thereof) shall be available for inspection at the principal office of the Company (or such other location as shall be determined by the Board of Managers) by the Members or their duly authorized representatives during reasonable business
hours. The books and records shall be preserved for at least four (4) years after the term of the Company ends. 
 8.3 Determination
of Profit and Loss; Financial Statements. All items of Company income, expense, gain, loss, deduction and credit shall be determined with respect to, and allocated in accordance with, this Agreement for each Member for each Company fiscal year.
Within ninety (90) days after the end of each Company fiscal year, the Board of Managers shall cause to be prepared and furnished to each Member of record as of the last day of such fiscal year, at the Company’s expense, unaudited
financial statements of the Company for the preceding fiscal year, including, without limitation, a balance sheet, profit and loss statement, statement of cash flows and statement of the balances in the Members’ Capital Accounts, prepared in
accordance with the terms of this Agreement and generally accepted accounting principles consistently applied. These financial statements shall be available for inspection and copying during ordinary business hours at the reasonable request of any
Member, and will be furnished to any Member upon written request therefor. In addition, as soon as practicable, but in no event later than forty-five (45) days after the close of each fiscal quarter, except the last fiscal quarter of each
fiscal year, the Board of Managers shall furnish to each Member of record on the closing date of that fiscal quarter a quarterly report for the fiscal quarter containing such financial and other information with respect to the Company as the Board
of Managers deems appropriate. In addition, as soon as practicable, but in no event later than thirty (30) days after the end of each calendar month, except the last calendar month of each year, the Board of


  
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Managers shall furnish to each Member of record on the last day of that calendar month, a monthly report for the month containing such financial and other information with respect to the Company
as the Members and the Board of Managers mutually agree to be appropriate. 
 8.4 Tax Returns and Information. The Members intend for
the Company to be treated as a partnership, rather than as an association taxable as a corporation, for federal income tax purposes. The officers of the Company, subject to the oversight of the Board of Managers, shall prepare or cause to be
prepared all Federal, state and local income and other tax returns which the Company is required to file and shall furnish such returns to the Members, together with any other information which any Member may reasonably request relating to such
returns, after the end of each Company fiscal year. 
 8.5 Tax Audits; Tax Matters Member. Northstar Healthcare Subco, LLC shall be
the tax matters partner (the “TMP”) of the Company under section 6231(a)(7) of the Code. The TMP shall inform the Members of all matters which may come to its attention in its capacity as tax matters partner by giving the Members notice
thereof within ten (10) days after becoming so informed. The TMP shall not take any action contemplated by sections 6222 through 6232 of the Code unless the TMP has first given the Members notice of the contemplated action and received the
approval of all of the Members to the contemplated action. This provision is not intended to authorize the TMP to take any action that is left to the determination of the individual Member under sections 6222 through 6232 of the Code. 

8.6 Fiscal Year. The Company fiscal year shall be the calendar year. 

ARTICLE IX. 
 BOARD
OF MANAGERS 
 9.1 Management by the Board of Managers. Subject to the consent of the Members where required by this
Agreement or by the Law, the Company will be managed by the Board of Managers. Unless otherwise set forth herein, all decisions relating to the business and affairs of the Company shall be made by Board of Managers. Except as otherwise expressly
provided in this Agreement, all decisions required or permitted to be made by the Board of Managers under this Agreement may be made and any necessary action taken upon the majority vote of the Board of Managers. In making such decisions, the Board
of Managers will exercise ordinary, prudent business judgment. When acting in the course and scope of a Manager, each member of the Board of Managers shall comply with all obligations of the duty of loyalty to the Company and shall observe all
requirements of the corporate opportunity doctrine under Arizona law. All such decisions by the Board of Managers hereunder will be binding upon all of the Members. All approvals, consents, etc. required herein may be prospective or retroactive,
unless otherwise specifically required by this Agreement or the Law. 
 In performing their respective duties hereunder, the officers of the
Company and the Board of Managers shall be entitled to rely on information, opinions, reports or statements, including financial statements and other financial data, of attorneys, accountants and other employees or agents of the Company who the
officer or the Board of Managers member, as appropriate, reasonably believe to be reliable and competent in the matters presented. 

  
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 9.2 No Control By Members. No Member (except a Member who may also be a Manager or
officer, and then only in such capacity within the scope of his, her or its authority hereunder) will participate in or have any control over the Company business or will have any authority or right to act for or bind the Company, except as
otherwise provided herein. All Members hereby consent to the exercise by the Board of Managers of the powers conferred on the Board of Managers by this Agreement. 

9.3 Number; Election. There shall be five (5) Managers of the Company who need not be Members or residents of the State of
Arizona. The number of Managers may be increased or decreased from time to time by amendment to this Agreement, except that the Class C Member always shall have authority to appoint at least sixty percent (60%) of the Managers; for example,
with five (5) Managers, the Class C Member shall be entitled to appoint three (3) of them. 
 9.4 Appointment. The
Class A Member, the Class B Member and the Class C Member shall be entitled to appoint at each annual meeting of the Members, Managers as follows: 

(a) The Class A Member shall be entitled to appoint one (1) Manager (the “Class A Manager”). In appointing such Manager,
the Class A Member will vote its shares in accordance with Section 9.9, and the Manager will be appointed based on a plurality vote of the Class A Member(s) voting. 

(b) The Class B Member(s) shall be entitled to appoint one (1) Manager (the “Class B Manager”). In appointing such Manager, the
Class B Member will vote its shares in accordance with Section 9.9. 
 (c) The Class C Member shall be entitled to appoint three
(3) Managers (the “Class C Managers”). In appointing such Managers, the Class C Member) will vote its shares in accordance with Section 9.9. 

9.5 Board of Managers. The Board of Managers of the Company effective as of the date of this Agreement shall consist of the following
Persons: 
  

			
	 Name of Manager
	  	 Type of Appointee

	Steven M. Siwek, M.D.	  	Class A Appointee
	Richard W. Johns	  	Class B Appointee
	Andy Chen	  	Class C Appointee
	Michael Nelson	  	Class C Appointee
	Matthew K. Maruca	  	Class C Appointee

 Each of such individuals shall hold his or her office until his or her death, resignation or removal or until
his successor shall thereafter have been duly elected and qualified. Each of the parties by signing this Agreement consents to the appointment of the initial Board of Managers as listed above, effective immediately as of the date of this Agreement.


  
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 9.6 Removal of Managers. The Class A Member, and only the Class A Member, shall
at all times have the right to remove, with or without cause, the Class A Manager. The Class B Member, and only the Class B Member, shall at all times have the right to remove, with or without cause, the Class B Manager. The Class C Member, and
only the Class C Member, shall at all times have the right to remove, with or without cause, any of the Class C Managers. 
 9.7
Vacancies. 
 (a) If a vacancy is created on the Board of Managers by reason of the death, disability, removal (in accordance with
Section 9.6) or resignation of any one of the Board of Managers, the party which, under Section 9.4 is entitled to appoint the Manager whose death, disability, removal or resignation resulted in such vacancy shall be entitled to designate
a new Manager in accordance with the procedures set forth in Section 9.4, and the remaining Board of Managers, if any, shall meet within ten (10) days after the date such vacancy occurs for the purpose of electing the designated new
Manager to fill such vacancy. 
 (b) If a party, other than the Class C Member, entitled to appoint a Manager to fill any such vacancy shall
fail to appoint a Manager within ten (10) days after the vacancy is created, such vacancy shall be filled with any individual selected by the vote of a Majority Interest of the Members. If the Class C Member fail to appoint a Manager to fill a
vacancy within the ten (10) day period, then the more senior Manager appointed by the Class C Member shall exercise the vote of the vacant Manager position until a new Manager is appointed. 

9.8 Action by Members to Reconstitute Board of Managers. If at any time and for any reason the Board of Managers shall fail to be
constituted as required by this Article IX, then, at the request of the Members holding at least ten percent (10%) of the Percentage Interests then outstanding, the Company shall cause a special meeting of Members to be held or shall act by
written consent of Members without a meeting for the purpose of taking whatever action may be necessary to assure that the Board of Managers is constituted as set forth in this Article IX as promptly as practicable. 

9.9 Certain Covenants. Each Member agrees to vote, in person or by proxy, all Interests over which he, she or it may exercise voting
power, at any annual meeting of Members of the Company called for the purpose of voting on the election of Managers or to execute written consents of Members without a meeting with respect to the election of Managers to cause the individuals
appointed to the Board of Managers in accordance with the applicable provisions of this Agreement to serve as the members of the Board of Managers. Each Member shall vote all Interests over which he, she or it may exercise voting power and shall
take all other actions necessary and appropriate (including, without limitation, removing any Manager) to ensure that the Company’s Articles of Organization (as amended) do not at any time conflict with the provisions of this Agreement. 

  
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 9.10 Restrictions on Certain Board Actions. The Board of Managers shall not take any
action with respect to any of the following matters except upon the prior approval of all the Members: 
 (a) Amend this Agreement (except
as provided in Section 20.6); 
 (b) Sell, transfer, convey or pledge any assets of the Company, or merge or consolidate the Company
with or into another entity; 
 (c) Dissolve the Company; 

(d) Grant loans to any employee, officer, Affiliate or Member of the Company; 

(e) Amend the Company’s Articles of Organization; 

(f) Sell or issue any additional Interests or Units of any Class; 

(g) Create a lien, security interest, mortgage, encumbrance or other defect of title on any assets of the Company; 

(h) Incur any indebtedness, enter into any loan or lending transaction, borrow funds from any third party or otherwise cause the Company to
become obligated for the repayment of monies in excess of $100,000; 
 (i) Expend funds of the Company or cause the Company to be liable for
expenses in excess of $100,000, in a single transaction or in the aggregate in a series of related transactions; 
 (j) Amend or terminate
that certain Management Services Agreement by and between the Company and Northstar Healthcare Acquisitions, LLC; 
 (k) Change the number
of Managers overall or the number of Managers that may be appointed by any class of Units; 
 (l) Do any act in contravention of this
Agreement; 
 (m) Elect to have the Company participate in Medicare, Medicaid or any other federal or state health care program; or 

(n) Approve the TMP taking any action contemplated by Code Sections 6222 through 6232, as provided in Section 8.5; and 

(o) Any other matter where the Members, by a vote of a Required Interest, have determined that the matter or type of matter shall be reserved
to the Members and not determined by the Board of Managers. 

  
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 The limitations in this Section 9.10 shall not be applicable to the Board of Managers or any Liquidator in
winding up and liquidating the business of the Company under Article XVI. 
 9.11 Meetings of the Board of Managers. Meetings of the
Board of Managers may be called by any Manager or the President. The notice of a meeting shall state the nature of the business to be transacted at such meeting, and actions taken at any such meeting shall be limited to those matters specified in
the notice of the meeting. Notice of any meeting shall be given to all Managers not less than three (3) days prior to the date of the meeting. Except as otherwise expressly provided in this Agreement or required by the express provisions of the
Law, the majority vote of the Managers shall control all decisions for which the vote of the Board of Managers is required hereunder. The attendance by four out of the five Managers then in office at a meeting of the Board of Managers (or if there
are less than five Managers then in office, then a majority of the Managers), in person or represented by proxy, shall constitute a quorum. The presence of any Manager at a meeting shall constitute a waiver of notice of the meeting with respect to
such Manager, unless such Manager is present solely to challenge the validity of the meeting. The Managers may, at their election, participate in any regular or special meeting by means of conference telephone or similar communications equipment by
means of which all Persons participating in the meeting can hear each other. A Manager’s participation in a meeting pursuant to the preceding sentence shall constitute presence in person at such meeting for all purposes of this Agreement. A
Manager also may vote by proxy, but the holder of the proxy must be another Manager. 
 9.12 Action Without a Meeting.
Notwithstanding anything to the contrary in this Agreement, any action that may be taken at a meeting of the Board of Managers may be taken without a meeting if a consent in writing setting forth the action so taken is approved by a majority of the
Managers, which consent may be executed in multiple counterparts, so long as (a) written notice of the proposed action (with sufficient detail so as to describe the proposed action, its cost and terms and conditions) is provided to all the
Managers at least 24 hours prior to the action being taken, and (b) after such action is signed by the requisite number of Managers, a copy of the action is delivered to all of the Managers in writing. In the event any action is taken pursuant
to this Section 9.12, it shall not be necessary to comply with any notice or timing requirements set forth in Section 9.11. 

9.13 Presumption of Assent. A Manager who is present at a meeting of the Board of Managers at which action on any Company matter is
taken shall be presumed to have assented to the action taken unless his dissent shall be entered into the minutes of the meeting or unless he or she shall file his written dissent to such action with the person acting as the secretary of the meeting
before the adjournment thereof or shall forward such dissent by registered mail to the secretary of the Company immediately after the adjournment of the meeting. Such right to dissent shall not apply to a Manager who voted in favor of any such
action. 
 9.14 Liability. The Managers shall perform their duties under this Agreement with ordinary prudence and in a manner
reasonable under the circumstances. A Manager shall not be liable to the Company or the Members for any loss or liability caused by any act, or by the failure to do any act, unless such loss or liability arises from the Manager’s intentional
misconduct, gross negligence or fraud. In no event shall any Manager be liable by reason of a mistake in judgment made in good faith using business judgment. 

  
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 9.15 Compensation. The Managers shall be entitled to receive: (a) reimbursement for
any Company expenses reasonably incurred while acting as a Manager, and (b) such compensation, if any, from the Company for services rendered on behalf of or for the benefit of the Company as unanimously approved by the Board of Managers. 

9.16 Certain Services. The Class C Member shall be responsible for maintaining the Company’s books and records, providing
accounting and financial administrative and management services and legal support. 
 ARTICLE X. 

OFFICERS 
 10.1
Officers. If the Board of Managers determines the Company should have officers, the officers of the Company shall be elected by a majority vote of the Managers; provided, however, that election of the President shall also
require approval by a Required Interest of the Members. An officer of the Company may also be a Manager. The Board of Managers may choose a President, one or more Vice Presidents, a Chief Operating Officer, a Chief Financial Officer, a Secretary,
one or more Assistant Secretaries and such other officers as the Board of Managers may determine. Any two or more offices may be held by the same individual. 

10.2 President. The President shall be the principal executive officer of the Company and, subject to the control of the Board of
Managers, shall in general supervise and control all of the business and affairs of the Company. He or she shall, when present, preside at all meetings of the Members. He or she may sign any contracts or other instruments except those which shall be
required by law, by this Agreement or by the Board of Managers to be otherwise signed or executed; and in general shall perform all duties as may be prescribed by the Board of Managers from time to time. 

10.3 Vice Presidents. Each Vice President shall have such powers and duties as the Board of Managers or the President may prescribe or
delegate to him or her. 
 10.4 Chief Operating Officer. The Chief Operating Officer shall, subject to the control of the Board of
Managers and the President, supervise and control the day-to-day administrative affairs of the Company. He or she may sign any contracts or other instruments except those which shall be required by law, by this Agreement or by the Board of Managers
or the President to be otherwise signed or executed; and in general shall perform all duties as may be prescribed by the Board of Managers and the President from time to time. 

10.5 Chief Financial Officer. The Chief Financial Officer shall, subject to the control of the Board of Managers and the President,
have the custody of the Company’s funds, shall keep full and accurate accounts of receipts and disbursements, and shall deposit all monies in the name and to the credit of the Company in such depositories as may be designated by the Board of
Managers or the President. The Chief Financial Officer shall also have the duties and responsibilities as the treasurer of the Company and shall disburse the funds thereof as may be 

  
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ordered by the Board of Managers or the President. He or she shall render to the Board of Managers at its regular meetings, or at such other times as the Board of Managers so requires, an account
of all his or her transactions as Chief Financial Officer, and of the financial condition of the Company. The Chief Financial Officer shall perform such other duties and have such other powers as the Board of Managers or the President may from time
to time prescribe. 
 10.6 Secretary. The Secretary shall: (a) prepare and keep the minutes of the meetings of the Board of
Managers and the Members and records required to be kept by the Law in one or more books provided for that purpose; (b) see that all notices are duly given in accordance with the provisions of this Agreement or as required by law; (c) be
custodian of the Company records; (d) keep a register of the post office address of each Member; (e) have general charge of the membership books of the Company; (f) authenticate records of the Company; and (vii) in general
perform all duties incident to the office of the Secretary and such other duties as from time to time may be assigned to him or her by the President or by the Board of Managers. In the absence of the Secretary, or in the event of his or inability or
refusal to act, the Assistant Secretary, if any, shall perform all duties incident to the office of the Secretary and such other duties as from time to time may be assigned to him or her by the President or by the Board of Managers. 

10.7 Compensation. The officers of the Company shall be entitled to receive such compensation, if any, from the Company for services
rendered on behalf of or for the benefit of the Company as shall be determined from time to time by the Board of Managers and approved by a Required Interest of the Members. In addition, each officer of the Company shall be reimbursed at any
reasonable time and from time to time for all out-of-pocket costs and expenses that such officer incurs in connection with performing services as an officer of the Company. 

10.8 Removal and Vacancies. Each officer of the Company shall hold office until his or her successor is chosen and qualified in his or
her stead or until his or her death or until his or her resignation or removal from office. Any officer elected by the Board of Managers may be removed either for or without cause by the Board of Managers, but such removal shall be without prejudice
to the contract rights, if any, of the individual so removed. If the office of any officer becomes vacant for any reason, the vacancy may be filled by the Board of Managers. 

ARTICLE XI. 
 RIGHTS,
STATUS AND COVENANTS OF MEMBERS 
 11.1 General. Except to the extent expressly otherwise provided in this Agreement, the
Members shall not take part in the management or control of the Company business, or sign for or bind the Company, such powers being vested exclusively in the officers and the Board of Managers. 

11.2 Voting Rights. The Members shall have the right to vote on all Company matters specified under the Law or this Agreement. Except
as otherwise expressly provided in this Agreement, including in Section 9.10, any matter submitted to a vote of the Members hereunder shall require the approval of a Majority Interest of the Members in order to be properly approved. When
voting, Members shall not vote per capita, but based upon the Percentage Interest held by each Member. 

  
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 11.3 Limitation of Liability/Fiduciary Duties. Except as otherwise specified in Article IV
of this Agreement or the Law, no Member shall have any personal liability whatever, solely by reason of his, her or its status as a Member of the Company, whether to the Company, the Board of Managers or any creditor of the Company, for the debts of
the Company or any of its losses beyond the amount of the Member’s obligation to contribute his, her or its Capital Contribution to the Company. Unless otherwise required by law, no Member shall owe a fiduciary duty to another Member. 

11.4 Bankruptcy; Death; Etc. None of the Bankruptcy, death, disability, declaration of incompetence or incapacity, or dissolution of a
Member shall dissolve the Company, but the rights of a Member to share in the Profits and Losses of the Company and to receive distributions of Company funds shall, on the happening of such an event, devolve upon the Member’s estate, legal
representative or successor in interest, as the case may be, subject to this Agreement, and the Company shall continue as a limited liability company under the Law. The Member’s estate, representative or successor in interest shall be entitled
to receive distributions and allocations with respect to such Member’s interest in the Company and shall be liable for all of the obligations of the Member. Furthermore, the Member’s estate, representative or successor in interest shall
have no right to any information or accounting of the affairs of the Company, shall not be entitled to inspect the books or records of the Company and shall not be entitled to any of the rights of a member under the Law or this Agreement unless such
estate, representative or successor in interest is admitted to the Company as a Substitute Member in accordance with Section 14.2. 

11.5 Other Activities of the Members. 

(a) Rights of Members. Each Member will be free to own or otherwise participate directly or indirectly in the ownership or operation of
any activity of any Person subject to the provisions of Sections 11.5(b) and (c). Neither the Company nor any Member shall have any rights, by virtue of this Agreement, in or to the other business ventures of any other Member (or any officers,
directors, employees or Affiliates of any Member) or to the income or profits derived therefrom by any such Persons. 
 (b) Restrictions
on Member Use of Confidential Information. Each Member acknowledges that such Member may receive information related to the Company, including without limitation, information regarding its employees, operations, financial performance and future
plans, that is not generally known to the public (“Confidential Information”). Each Member understands and agrees that while he, she or it is a Member and, even if no longer a Member, prior to the dissolution or termination of the Company
for any reason, he, she or it will not, directly or indirectly, knowingly use or disclose any Confidential Information (as hereinafter defined) for any reason other than for the advancement of the Company’s business. In consideration for the
commitments made by the Company herein to each Member in this Agreement regarding the Member’s association with the Company and receipt of the Confidential Information, each Member agrees to the restrictions set out in this
Section 11.5(b). 

  
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 (c) Limitations on Restrictions. The obligations set forth in Section 11.5(b) hereof
shall not apply, or shall terminate, with respect to any portion of the Company’s Confidential Information which: (i) was in a Member’s possession, free of any obligation of confidence, prior to the Agreement, as may be proven by
written documentation; (ii) is already in the public domain at such time the Company communicates the Confidential Information to a Member, or becomes available to the public through no breach if this Agreement prior to communication by Member;
(iii) is received independently from a third party who is free to disclose such information to Member; (iv) is disclosed by a Member to a third party with the express prior written permission of the Company; and/or (v) is disclosed by
a Member in order to satisfy any legal requirement of any competent government body; provided, however, when practical such Member shall advise the Company prior to making any disclosure, or if not practical, such Member shall advise the Company
immediately following such disclosure. 
 (d) Additional Restrictions. In addition to the restrictions set forth above with respect
to the use and/or dissemination of Confidential Information, each Physician Class D Member (which, for further clarity, includes any individual who owns or controls a Class A Member which is an entity), recognizes and agrees that certain
additional restrictions are necessary to protect the Company’s patient base, good will, Confidential Information, and other business interests. Each Physician Class D Member expressly agrees that while he, she or it is a Member, and for
twelve (12) months thereafter, neither such Physician Class D Member nor any of his, her or its Affiliates shall, directly or indirectly, have any financial interest in (in any manner, including, but not limited to, equity, debt or bond
financing) or participate in any manner in the ownership, management, operation or control of any Competing Business without the prior written consent of the Board of Managers. Notwithstanding anything to the contrary in this Section 11.5(d),
no Physician Class D Member will be in violation of this Section 11.5(d) if, (i) as to any Member being admitted on the date hereof, such Member or any Affiliate thereof had a financial interest in a Competing Business on or before the
Effective Date, and such Physician Class D Member provided written notice thereof to the Board of Managers prior to his, her or its admission as a Member; (ii) as to any Physician Class D Member admitted after the date hereof, such Physician
Class D Member or any Affiliate thereof had a financial interest in a Competing Business on or before the date such Physician Class D Member is admitted to the Company as a Member and such Physician Class D Member provided written notice thereof to
the Board of Managers prior to his, her or its admission as a Member; and (iii) a Physician Class D Member personally performs minor procedures in his or her office for which no separate facility fee or “payment differential” is
charged and that are the types of procedures that have been performed in such Member’s office during the twelve (12) months prior to such Member’s initial acquisition of an Interest. Nothing in this Section 11.5(d) is intended to
prevent a Physician Class D Member from (i) practicing medicine, (ii) being a member of the medical staff of any hospital or other health care facility, (iii) referring patients to any surgery center, hospital or other health care
facility, or (iv) treating any patient who wishes to be treated by the Physician Class D Member. 
 (e) Injunctive Relief;
Severability. In the event of an actual or threatened breach by any Member of Section 11.5(b) or Section 11.5(d), the Board of Managers shall be entitled to 

  
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seek an injunction in any appropriate court in Maricopa County, Arizona, or elsewhere, restraining the actual or threatened breach by such Member. If a court shall hold that the duration and/or
scope (geographic or otherwise) of any agreement contained in this Section 11.5 is unreasonable, then, to the extent permitted by law, the court may prescribe a duration and/or scope (geographic or otherwise) that is reasonable and judicially
enforceable. The parties agree to accept such determination, subject to their rights of appeal, which the parties hereto agree shall be substituted in place of any and every offensive part of Section 11.5, and as so modified, Section 11.5
of this Agreement shall be as fully enforceable as if set forth herein by the parties in the modified form. Nothing herein stated shall be construed as prohibiting any party hereto from pursuing any other remedies available for such breach or
threatened breach, including the recovery of damages. 
 ARTICLE XII. 

MEETINGS AND VOTING 

12.1 Meetings of the Members. Meetings of the Members may be called by the Board of Managers and shall be promptly called upon the
written request of any one or more Members who own in the aggregate ten percent (10%) or more of the aggregate Interests owned by all Members. The notice of a meeting shall state the nature of the business to be transacted at such meeting, and
actions taken at any such meeting shall be limited to those matters specified in the notice of the meeting. Notice of any meeting shall be given to all Members not less than ten (10) and not more than thirty (30) days prior to the date of
the meeting. Members may vote in person or by proxy at such meeting. 
 Except as otherwise expressly provided in this Agreement, including
in Section 9.10, or required by the express provisions of the Law, the vote of a Majority Interest of the Members shall control all decisions for which the vote of the Members is required hereunder. Each Member’s voting power shall be the
same as that Member’s Percentage Interest at the time of the vote. The presence of any Member at a meeting shall constitute a waiver of notice of the meeting with respect to such Member, unless such Member is present solely to challenge the
validity of the meeting. The Members may, at their election, participate in any regular or special meeting by means of conference telephone or similar communications equipment by means of which all Persons participating in the meeting can hear each
other. A Member’s participation in a meeting pursuant to the preceding sentence shall constitute presence in person at such meeting for all purposes of this Agreement. 

12.2 Vote By Proxy. Each Member may authorize any Person to act on the Member’s behalf by proxy on all matters in which a Member
is entitled to participate, whether by waiving notice of any meeting, or voting or participating at a meeting. Every proxy must be signed by the Member authorizing such proxy or such Member’s attorney-in-fact. No proxy shall be valid after the
expiration of eleven (11) months after the date thereof unless otherwise provided in the proxy. Every proxy shall be revocable by the Member executing the same. 

12.3 Conduct of Meeting. Each meeting of Members shall be conducted by the President or any Manager. The meeting shall be conducted
pursuant to such rules as may be adopted by the Board of Managers or the Person conducting the meeting. 

  
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 12.4 Action Without a Meeting. Notwithstanding anything to the contrary in this Agreement,
any action that may be taken at a meeting of the Members may be taken without a meeting if a consent in writing setting forth the action so taken is approved unanimously or by a Majority Interest or a Required Interest, in each case as required
under this Agreement, which consent may be executed in multiple counterparts. In the event any action is taken pursuant to this Section 12.4, it shall not be necessary to comply with any notice or timing requirements set forth in
Section 12.1. Prompt written notice of the taking of any action without a meeting shall be given to the Members who have not consented in writing to such action. 

12.5 Closing of Transfer Record; Record Date. For the purpose of determining the Members entitled to notice of or to vote at any
meeting of Members, any reconvening thereof, or to act by consent, the Board of Managers may provide that the transfer record shall be closed for at least ten (10) days immediately preceding such meeting (or such shorter time as may be
reasonable in light of the period of the notice) or the first solicitation of consents in writing. If the transfer record is not closed and if no record date is fixed for determining the Members entitled to notice of or to vote at a meeting of
Members or by consent, the date on which the notice of the meeting is mailed or the first written consent is received by the Board of Managers shall be the record date for such determination. 

ARTICLE XIII. 

INDEMNIFICATION AND INSURANCE 

13.1 Indemnification. To the fullest extent permitted by law, the Company (but not the Members) will indemnify each Member, its
Affiliates, the directors, officers, employees and agents of each Member or its Affiliates, and each Manager, officer, employee and agent of the Company (each an “Indemnified Party” and collectively the “Indemnified Parties”),
and save and hold each Indemnified Party harmless, from and in respect of (i) all fees, costs and expenses incurred in connection with or resulting from any claim, action or demand against an Indemnified Party (including any claim, action or
demand arising under common law or statute), including reasonable attorneys’ fees and costs, that arise out of or in any way relate to the Company or its subsidiaries, or their respective properties, business or affairs, or that arise by reason
of any of them being a Manager, director, officer, employee or agent of a Member or the Company (provided, that, in such capacity, such Person was performing services on behalf of the Company) or a director, officer, employee or agent
of any Affiliate of a Member (whether or not such Person continues to serve in such capacity at the time such claim, action or demand is brought or threatened; and provided, that, in such capacity, such Person was performing services
on behalf of the Company), and/or (ii) all claims, actions and demands and any resulting losses or damages (including all claims, actions and demands arising under common law or statute), including amounts paid in settlement or compromise of
any claim, action or demand; provided, however, that this indemnity will be available to an Indemnified Party only if such Indemnified Party acted in good faith and in a manner he or she reasonably believed to be in, or not opposed to,
the best interests of the Company and, with respect to any criminal action or proceeding, had no reasonable cause to believe his or her conduct was unlawful. The foregoing is intended to satisfy any requirements of applicable law that
indemnification be authorized prior to 

  
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indemnifying any Person. The foregoing right of indemnification will be in addition to any rights to which the Indemnified Parties may otherwise be entitled under the Law or otherwise and will
inure to the benefit of the executors, administrators, personal representatives, successors or assigns of each Indemnified Party. 
 13.2
Expenses. The Company shall pay the expenses incurred by an Indemnified Party in defending a civil or criminal action, suit or proceeding, other than an action brought by the Company, upon receipt of an undertaking by the Indemnified Party to
repay payments made by the Company if the Indemnified Party is determined not to be entitled to indemnification as provided herein. The Board of Managers will have the power on behalf of the Company to indemnify, on terms generally consistent with
this Article XIII, any other Person who serves at the request of a Member as a director, officer, employee or agent of, an Affiliate of the Company or a Member or Manager, against any liabilities that may be incurred by reason of the Person’s
being an officer, employee or agent of, an Affiliate of the Company or a Member or Manager. Any right of indemnity granted under this Article XIII may be satisfied only out of the assets of the Company and no Member will be personally liable with
respect to any claim for indemnification. 
 13.3 Insurance. The Company shall purchase and maintain insurance in reasonable amounts
on behalf of the Company, as determined by the Board of Managers, and the Indemnified Parties against any liability incurred by them in their capacities as such, whether or not the Company has the power to indemnify them against such liability. The
Company may purchase and maintain insurance for the protection of any Indemnified Party against similar liabilities, whether or not the Company has the power to indemnify such Person against such liabilities. 

13.4 No Third-Party Beneficiaries. The indemnification provided in this Article XIII is for the benefit of the Indemnified Parties and
their respective executors, administrators, personal representatives, successors and assigns, and shall not be deemed to create any right to indemnification for any other Persons. 

13.5 Savings Clause. If all or any portion of this Article XIII shall be invalidated on any ground by a court of competent
jurisdiction, then the Company shall nevertheless indemnify and hold harmless a Person to be indemnified pursuant to this Article XIII as to costs, charges and expenses (including reasonable attorneys’ fees and costs), judgments, fines and
amounts paid in settlement with respect to any action, suit or proceeding, whether civil, criminal, administrative or investigative, to the full extent permitted by any applicable portion of this Article XIII that shall not have been invalidated and
to the fullest extent permitted by applicable law. 

  
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 ARTICLE XIV. 

TRANSFER OF INTERESTS AND SUBSTITUTE/ADDITIONAL MEMBERS 

14.1 Transfers by Members. Except for a transfer to the heirs of a Member upon the death of such Member, and except as otherwise set
forth in this Article XIV and in Article XV, a Member may not Transfer all or any part of his, her or its Interest without the prior written consent of the Board of Managers. The Board of Managers may withhold their consent to any Transfer for which
such consent is required, with or without reasonable cause. If a Member receives the prior consent of the Board of Managers he, she or it may Transfer his, her or its Interest if the following conditions are satisfied or waived: 

(a) The Transfer, when aggregated with any prior Transfers of Interests, would not result in (i) the termination of the
Company pursuant to section 708 of the Code, or (ii) the Company being treated as a “publicly traded partnership” for Federal income tax purposes; 

(b) The Member and his, her or its transferee execute, acknowledge and deliver to the Board of Managers such instruments of
transfer and assignment with respect to such transaction as are in form and substance satisfactory to the Board of Managers; 

(c) Unless waived in writing by the Board of Managers, the Member delivers to the Board of Managers an opinion of counsel
satisfactory to the Board of Managers, covering such securities and tax laws (including the inapplicability of Section 14.1(a)) and other aspects of the proposed Transfer as the Board of Managers may reasonably request; and 

(d) The Member has furnished to the transferee a written statement showing the name and taxpayer identification number of the
Company in such form and together with such other information as may be required under section 6050K of the Code and the Regulations thereunder. 

Any Member who thereafter Transfers all or any portion of his, her or its Interest shall promptly notify the Board of Managers of such
transfer and shall furnish to the Board of Managers the name and address of the transferee and such other information as may be required under section 6050K of the Code and the Regulations thereunder. 

14.2 Substitute Member. No Person taking or acquiring, by whatever means, the Interest of any Member, shall be admitted as a Substitute
Member without the prior approval of the Board of Managers at the time the proposed Transfer is being considered for approval. In addition, no Person shall be admitted as a Substitute Member unless such Person: 

(a) Elects to become a Substitute Member by delivering notice of such election to the Company; and 

(b) Executes, acknowledges and delivers to the Company such other instruments as the Board of Managers may deem necessary or
advisable to effect the admission of such Person as a Substitute Member, including, without limitation, the written acceptance and adoption by such Person of the provisions of this Agreement. 

  
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 14.3 Basis Adjustment. Upon the Transfer of all or part of an Interest, at the request of
the transferee of the Interest, the Board of Managers may, in its sole discretion, cause the Company to elect, pursuant to section 754 of the Code or the corresponding provisions of subsequent law, to adjust the basis of the Company properties as
provided by sections 734 and 743 of the Code. 
 14.4 Admission of Additional Members. The Board of Managers with the approval of all
of the Members is authorized to issue additional Interests in the Company and to admit additional Persons to the Company as Additional Members, which in all instances shall comply with applicable securities laws. The Board of Managers shall have
discretion in determining the consideration (which must be fully paid in cash or property at the time of subscription), and the terms and conditions with respect to the Company for admitting Additional Members. The Board of Managers will not permit
any Person to become an Additional Member unless such Person certifies in writing to the Board of Managers that the Person agrees to be bound by the terms of this Agreement. The Board of Managers shall do all things necessary to comply with the Law
and is authorized to do all things it deems to be necessary or advisable in connection with the Company for admitting any Additional Member, including, but not limited to, complying with any statute, rule, regulation or guideline issued by any
Federal, state or other governmental agency. 
 14.5 Dilution. All Members acknowledge that the admission of additional Members may
result in dilution of a Member’s Percentage Interest. Dilution shall occur on a pari passu basis to all class Members; provided, however, that the aggregate Class C Percentage Interest shall under no circumstance be diluted
to less than the Class C Dilution Floor and the Class A and Class B Percentage Interest shall under no circumstance be diluted to less than the Class A and Class B Dilution Floor. 

14.6 Transfer Procedures. The Board of Managers is authorized to establish a transfer procedure consistent with this Article XIV to
ensure that all conditions precedent to the admission of a Substitute Member or Additional Member have been complied with. 
 14.7
Invalid Transfer. No Transfer of an Interest that is in violation of this Article XIV shall be valid or effective, and the Company shall not recognize any improper Transfer for the purposes of making allocations, payments of profits, return
of Capital Contributions or other distributions with respect to such Interest, or part thereof. The Company may enforce the provisions of this Article XIV either directly or indirectly or through its agents by entering an appropriate stop transfer
order on its books or otherwise refusing to register or transfer or permit the registration or transfer on its books of any proposed Transfers not in accordance with this Article XIV. 

  
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 14.8 Security Interest to Financial Institution. Nothing in the provisions contained in
this Article XIV or elsewhere in this Agreement shall be deemed to restrict or limit Member(s) from granting a lien, security interest or similar encumbrance in all or any part of its Units, or from any Transfer of the ownership interests of a
Member. 
 14.9 Distributions and Allocations in Respect of a Transferred Interest. If any Member Transfers any part of his, her or
its Interest during any accounting period in compliance with the provisions of this Article XIII, Company income, gain, deductions and losses attributable to such Interest for the respective period shall be divided and allocated between the
transferor and the transferee by taking into account their varying interests during the appropriate accounting period in accordance with Code section 706(d), using the daily proration method. All Company distributions on or before the effective date
of such Transfer shall be made to the transferor, and all such Company distributions thereafter shall be made to the transferee. Solely for purposes of making Company tax allocations and distributions, the Company shall recognize a Transfer on the
day following the day of Transfer. Neither the Company nor the Board of Managers shall incur any liability for making Company allocations and distributions in accordance with the provisions of this Section 14.9, whether or not the Board of
Managers or the Company have knowledge of any Transfer of any Interest or part thereof where the transferee is not admitted as a Substitute Member. 

14.10 Additional Requirements of Admission to Company. No Transfer of an Interest shall be effective or valid and no Person shall be
admitted as a Member if such Transfer or admission would have the effect of causing the Company to be re-classified for Federal income tax purposes as an association (taxable as a corporation under the Code),
or would violate any Healthcare Law (or any rule or regulation thereunder), or would not meet applicable exemptions from securities registration and securities disclosure requirements provided under Federal and state securities laws. 

14.11 Amendment to Exhibit A. The Board of Managers shall amend Exhibit A attached to this Agreement from time to time to
reflect the admission of any Substitute Member, or Additional Member, or the increase, reduction or termination of any Member’s Interest, Units and Percentage Interest. 

ARTICLE XV. 
 LIQUIDATION
OF INTERESTS 
 15.1 Right of First Refusal. Subject to the restrictions on transfer set forth in Article XIV, if any Member receives
or obtains an offer from a Person to acquire in any manner all or any part of his, her or its Interest, which offer the Member intends to accept, the Member shall promptly notify the Board of Managers in writing of the offer received, including the
name of the offeror, the Interest offered to be purchased, the proposed purchase price and the other terms and conditions of the offer. The Company shall have the option for a period of sixty (60) days from the day the Board of Managers receive
notice of such offer to exercise its right to purchase such Member’s Interest on the same terms and conditions contained in the offer. The Company may exercise its option by notifying the Member proposing to sell prior to the end of such sixty
(60) day period of its exercise of the option and shall thereafter purchase such Member’s Interest 

  
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within five (5) days following the expiration of such sixty (60) day period (unless such exercise is subsequently revoked). If the Company fails to, or indicates in writing that it will
not, exercise the option within the period provided, or if the Company exercises the option but fail to effect the purchase within the prescribed five (5) day period, the Class A, Class B and Class C Members will each have the right to
purchase such Member’s Interest on a pro rata basis on the same terms as the Company for a period of thirty (30) days. If a Class A, Class B or Class C Member fails to, or indicates in writing that it will not, exercise the options
within the periods provided, then the other Members may purchase the additional portion of the Member’s Interest on a pro rata basis. If neither the Company nor any of the Class A, Class B or Class C Members exercise the options provided
above, then the Member in accordance with and subject to the provisions of Article XIV, may convey or dispose of the part of the Member’s Interest that was the subject of the offer but only at the price, terms and conditions, and to the party
specified in the offer notice to the Board of Managers. If terms and conditions more favorable to the proposed purchaser than, or in any material manner different from, those offered to Company and the Class A, Class B and Class C Members
should be agreed to by the Member, the Company and the Class A, Class B and Class C Members shall again have the option to purchase the selling Member’s Interest that is subject to the more favorable or different purchase terms in
accordance with this Section 15.1. The Board of Managers, the Company, and the Members shall have no liability or accountability to any Member that attempts to transfer his, her or its Interest for any loss, damage, expense, cost, or liability
resulting from the Company or a Class A, Class B or Class C Member’s exercise or failure to exercise the purchase option under this Section 15.1, delay in notifying the Member of the Company’s or any Class A, Class B or
Class C Member’s intention not to exercise the purchase option, or its enforcement of the requirements of this Section 15.1 in the event that it elects not to exercise the purchase option. The Company’s or the Class A, Class B or
Class C Member’s failure to exercise the purchase option or to indicate in writing that it is (or they are) electing not to exercise the option shall not be deemed a consent to allow any third party transferee to become a Substitute Member,
such consent being controlled by the provisions of Section 14.2. 
 15.2 Occurrence of Terminating Event or Adverse Terminating
Event. 
 (a) In the event a Terminating Event shall occur with respect to any Physician Class D Member (which, for
purposes of this Article XV, includes any Physician who owns or controls a Class A Member which is an entity), such Physician Class D Member or the Member’s successor or other legal representative shall give written notice thereof to the
Company within thirty (30) days of the occurrence of such Terminating Event. Except as otherwise provided herein, upon the receipt of such notice, the Company shall have the right, but not the obligation, for the ensuing sixty (60) days to
exercise its right to purchase such Physician Class D Member’s Interest and Units. If the Company has not received written notice of a Terminating Event with respect to any Member as required under this Section 15.2(a), the Company will
have the right to exercise its right to purchase such Physician Class D Member’s Interest and Units for sixty (60) days after the Board of Managers has actual knowledge of the occurrence of any such event and gives written notice thereof
to the Physician Class D Member or Member’s successor or other legal representative. Notwithstanding anything to the contrary in this Agreement, the failure of a Physician Class D Member to notify the Company of the occurrence of a Terminating
Event as required under this Section 15.2(a) 

  
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shall not constitute the occurrence of an Adverse Terminating Event. In the event the Company elects to purchase the Units of a Physician Class D Member pursuant to this Section 15.2(a), the
Company shall consummate such purchase within the five (5) day period following the expiration of the sixty (60) day exercise period (unless such exercise is subsequently revoked) pursuant to the terms set forth in Sections 15.3(a) and
(c). 
 (b) In the event the Board of Managers and a Required Interest of Members determines that an Adverse Terminating
Event has occurred with respect to any Physician Class D Member (which, for purposes of this Article XV, includes any Physician who owns or controls a Class A Member which is an entity), (i) the Company shall give written notice thereof to
such Physician Class D Member, and (ii) such Physician Class D Member shall cease to be a Member and shall be deemed to have immediately withdrawn from the Company as of the date that the Board of Managers and a Required Interest of Members
determined that such Adverse Terminating Event had occurred with respect to such Physician Class A Member. Within sixty (60) days after the date of such Adverse Terminating Event, the Company shall purchase such former Physician Class D
Member’s Interest and Units pursuant to the terms set forth in Sections 15.3(b) and (c). 
 15.3 Payment for Interest. 

(a) If any Physician Class D Member’s Interest and Units is purchased because of the occurrence of a Terminating Event,
the amount the Company will pay for the Interest and Units owned by such Member shall be equal to the Fair Market Value Price as of the day on which the sixty (60) day exercise period began to run. 

(b) If the Company purchases any former Physician Class D Member’s Interest and Units as a result of an Adverse
Terminating Event, the amount to be paid by the Company to such former Physician Class D Member shall be equal to the greater of (i) the Investment Price or (ii) $100.00 per Class A Unit, as applicable. 

(c) If the Company purchases any Physician Class D Member’s Interest and Units as provided in this Section 15.3, the
Company shall pay any such amounts owed therefor to such Member or his, her or its successor in interest in a lump sum or, at the discretion of the Board of Managers, in up to twenty-four (24) equal monthly payments, with interest accruing at
the Prime Rate on the unpaid principal balance. If the Board of Managers exercises its discretion to pay for Interest and Units in monthly installments, the first such installment will be paid to the Physician Class D Member, or his, her or its
successor in interest on the first day of the month after thirty (30) days have expired since the Physician Class D Member’s Interest and Units have been purchased. Each subsequent installment shall be paid on the first day of each
successive month until the full amount owed to the Physician Class D Member, or his, her or its successor in interest has been paid. The Company’s obligation to pay the Physician Class D Member in monthly installments under this
Section 15.3 will be evidenced by a nonrecourse unsecured promissory note executed by the Company. 

  
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 15.4 Subsequent Legislation. If the Board of Managers in its reasonable discretion
determines that any Member is prohibited from owning an interest in the Company as a result of the enactment of any statute, regulation or other law or the judicial or administrative interpretation of any existing or future statute, regulation or
other law, the Board of Managers shall attempt to restructure the Company in order to comply with such enactment or interpretation. If the Company cannot be so restructured, the Board of Managers will dissolve the Company and liquidate all the
Member’s Interests as provided in Article XVI. 
 15.5 Involuntary Transfers. In the case of any Transfer of title or beneficial
ownership of all or any part of an Interest upon default, foreclosure, forfeit, court order, or otherwise than by a voluntary decision on the part of a Class D Member (an “Involuntary Transfer”), the Company shall have the right to
purchase such Interest pursuant to this Section 15.5. Upon the Involuntary Transfer of all or any part of an Interest of any Class D Member, such Class D Member shall promptly (but in no event later than five (5) days after such
Involuntary Transfer) furnish written notice to the Company indicating that the Involuntary Transfer has occurred, specifying the name of the Person to whom such Interest (or portion thereof) has been transferred (the “Involuntary
Transferee”), giving a detailed description of the circumstances giving rise to, and stating the legal basis for, the Involuntary Transfer. Upon the receipt of such notice the Company shall have the exclusive right, but not the obligation,
within sixty (60) days to elect to purchase, and the Involuntary Transferee shall have the obligation to sell, all (but not less than all) of the Interest acquired by the Involuntary Transferee to the Company. If an Interest (or any portion
thereof) is purchased pursuant to this Section 15.5, the purchase price shall be fifty percent (50%) of the Fair Market Value Price as of the date on which the Involuntary Transfer of such Interest became effective. The purchase price
shall be payable in forty-eight (48) equal monthly installments of principal plus accrued interest at the Prime Rate, which installments shall be evidenced by an unsecured, nonrecourse promissory note executed by the Company.  

15.7 Limitation on Repurchase Payments. Notwithstanding anything contained in this Article XV to the contrary, in no event shall the
Company be obligated to pay in any calendar quarter an aggregate amount which exceeds twenty percent (20%) of the Company’s EBITDA during such calendar quarter (the “Repurchase Cap”) to former Physician Class D Members,
Involuntary Transferees of Members and/or their respective legal representatives or successors in interest in connection with the repurchase of their Interests and Units. If in any calendar quarter the Company is scheduled to make payments to former
Physician Class D Members, Involuntary Transferees of Members, and/or their respective legal representatives or successors in interest that would in the aggregate exceed the Repurchase Cap, then the Company shall pay the maximum amount possible
without exceeding the Repurchase Cap in the following order of priority: 
 (a) First, among the former Physician
Class D Members, Involuntary Transferees of Member and their respective legal representatives or successors in interest who are entitled to payments as a result of (i) the occurrence of a Terminating Event, (ii) the redemption of Units
under Section 15.4, or (iii) the exercise of the “put” right set forth in Section 15.6; 

  
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 (b) Second, among Involuntary Transferees of Members who are entitled to
payments as a result of the purchase of Units under Section 15.5; and 
 (c) Third, proportionately among the
former Physician Class D Members, Involuntary Transferees of Members and their respective legal representatives or successors in interest who are entitled to payments as a result of the occurrence of an Adverse Terminating Event. 

If the Company is unable in any calendar quarter to pay the full amount due to former Members, Involuntary Transferees of Members and/or their
respective legal representatives or successors in interest as a result of the Repurchase Cap, then the Board of Managers, in its sole discretion, may cause the Company to pay any past-due amounts in one or more subsequent calendar quarters;
provided, that, the payment of such additional amounts would not cause the Repurchase Cap for any subsequent calendar quarter to be exceeded; and provided further, that, all such unpaid amounts shall bear interest
at the Prime Rate. 
 15.8 Federal Income Tax Treatment. In the event the Company exercises the right to purchase any Member’s
or former Member’s Interest and Units under this Article XV, one hundred percent (100%) of all payments made by the Company to such Person hereunder in consideration for such Person’s Interest and Units will, for Federal income tax
purposes, be classified as a Code section 736(b) payment except for such Person’s share of the Company’s “unrealized receivables,” as defined in Code section 751(c) which will be classified as a Code section 736(a)(1) payment.
The Board of Managers in consultation with the Company’s accountants shall conclusively determine or cause to be determined any such Person’s share of “unrealized receivables.” The Company shall be liable to any Person for any
inaccuracy in determining any Person’s share of the Company’s “unrealized receivables.” 
 15.9 Waiver of Rights to
Object. All Members acknowledge that the methods provided for in this Article XV and Schedule 1.1 for determining the Fair Market Value Price, Investment Price, or other price of an Interest to be purchased hereunder are fair as to dates used,
notices, terms and in all other respects, and are administratively and in substance superior to other methods. Each Member waives any right that he, she or it may have to use any other method to determine the value of any interest in the Company in
connection with the application of this Article XV. 
 ARTICLE XVI. 

LIQUIDATION AND DISSOLUTION OF THE COMPANY 

16.1 Dissolution Events. The Company will be dissolved upon the happening of any of the following events: 

(a) All or substantially all of the assets of the Company are sold or distributed to the Members; 

  
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 (b) A document is signed by all the Members that states their election to
dissolve the Company; 
 (c) The Board of Managers determines to dissolve the Company in accordance with
Section 17.3(b); or 
 (d) The entry of a final judgment, order or decree of a court of competent jurisdiction
adjudicating the Company to be bankrupt and the expiration without appeal of the period, if any, allowed by applicable law in which to appeal. 

16.2 Method of Liquidation. 

(a) Generally. Upon the happening of any of the events specified in Section 16.1 hereof, the Board of Managers or
any liquidating trustee elected by the Members holding at least a Required Interest, will commence as promptly as practicable, wind up the Company’s affairs as promptly as practicable, unless the Board of Managers or the liquidating trustee
(either, the “Liquidator”) determines that an immediate liquidation of Company assets would cause undue loss to the Company, in which event the liquidation may be deferred for a time determined by the Liquidator to be appropriate. Assets
of the Company may be liquidated or distributed in kind, as the Liquidator determines to be appropriate. The Members will continue to share Profits and Losses and Available Cash during the period of liquidation in the manner set forth in Article VI
and Article VII of this Agreement. 
 (b) Distribution of Liquidation Proceeds. The proceeds from liquidation of the
Company, including repayment of any debts of Members to the Company, and any Company assets that are not sold in connection with the liquidation will be applied in the following order of priority: 

(i) First, to payment of the debts and satisfaction of the other obligations of the Company, including without limitation debts
and obligations to Members; 
 (ii) Second, to the establishment of any reserves deemed appropriate by the Liquidator for any
liabilities or obligations of the Company, which reserves will be held for the purpose of paying liabilities or obligations and, after the expiration of a period the Liquidator deems appropriate, will be distributed to the Members in proportion to
their respective Percentage Interests; and 
 (iii) Third, to the Members in proportion to their respective positive Capital
Account balances. 
 Upon liquidation, prior to making any liquidating distributions hereunder, the Liquidator is hereby authorized and
directed to make any and all special allocations of Profits, Losses and items of Company gain and deduction in a manner which results in the Members’ respective Capital Accounts having balances equal to (or as close thereto as possible) the
aggregate liquidating distribution that each such Member shall receive hereunder. 

  
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 If the Company makes distributions in kind of Company property which secures indebtedness, each
of the Members receiving the distribution of property subject to the indebtedness will be severally liable (as among each other, not for the benefit of others) for his, her or its Proportionate Share of the indebtedness, provided, that
no Member will be deemed to have assumed any liability on any indebtedness secured by property distributed to any Member for which the Member is not liable under the terms of the instrument creating the indebtedness, and provided that
the liability of each Member to other Members for indebtedness secured by property distributed to him, her or it will be limited to the value of his, her or its interest in the property. Indebtedness secured by property distributed to Members in
kind need not be discharged out of the proceeds of liquidation of the Company. 
 (c) Compliance with Timing Requirements
of Treasury Regulations. If the Company is “liquidated” within the meaning of Treasury Regulations Section 1.704-1(b)(2)(ii)(g), and a Member is indebted to the Company, that Member will pay
the indebtedness in accordance with the provisions of this Agreement. In the discretion of the Board of Managers, a pro rata portion of the distributions that would otherwise be made to the Members under the preceding sentence may be applied as
follows: 
 (i) The distributions may be distributed to a trust established for the benefit of the Members for the purposes
of liquidating Company assets, collecting amounts owed to the Company, and paying any contingent or unforeseen liabilities or obligations of the Company arising out of or in connection with the Company. The assets of any trust established under this
Section 16.2(c)(i) will be distributed to the Members from time to time, in the reasonable discretion of the Board of Managers, in the same proportions as the amount distributed to the trust by the Company would otherwise have been distributed
to the Members under this Agreement; or 
 (ii) Withheld to provide a reasonable reserve for Company liabilities (contingent
or otherwise) and to reflect the unrealized portion of any installment obligations owed to the Company. The withheld amounts will be distributed to the Members as soon as practicable. 

16.3 Member’s Deficit Capital Account. If any Member has a deficit balance in his, her or its Capital Account (after giving effect
to all contributions, distributions, and allocations for all taxable years, including the year during which such liquidation occurs), such Member will have no obligation to make any contribution to the capital of the Company with respect to such
deficit, and such deficit will not be considered a debt owed to the Company or any other Person for any purpose whatsoever. 
 16.4
Liquidator Appointed by Court. If within thirty (30) days following the date of dissolution, or other time period provided in Section 16.2, a Liquidator has not been appointed in the manner provided therein, any Member shall have
the right to make application to the appropriate court in the jurisdiction in which the Company is located for appointment of such Liquidator, and the said court shall be fully authorized to appoint and designate such Liquidator who shall have all
the powers, duties, rights and authorities of the Liquidator herein provided. 

  
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 16.5 Date of Termination. The Company will terminate when all of the cash and property
available for application under Section 16.2 have been applied in accordance with Section 16.2. The establishment of any reserves in accordance with the provisions of Section 16.2(c)(ii) will not extend the term of the Company, but
any reserve will be distributed in the manner provided in Section 16.2(b) upon expiration of the period established for the reserve. 

16.6 Death, Dissolution, Legal Incompetency or Bankruptcy of a Member. The death, dissolution, declaration of legal incompetence or
Bankruptcy of a Member will not terminate or dissolve the Company. The deceased, dissolved, incompetent or Bankrupt Member’s Interest will pass to a successor in interest of the Member, who will succeed to the deceased, dissolved, incompetent
or Bankrupt Member’s entire interest in the Company and, subject to the applicable provisions of Article XIV of this Agreement, and the Company’s purchase rights under Article XV of this Agreement, will become a Member of the Company with
the same Percentage Interest, the same rights to distributions made by the Company, the same obligations and the same share of the Company’s Profits and Losses as the deceased, dissolved, incompetent or Bankrupt Member. 

16.7 Liquidator’s Powers. The Liquidator appointed in the manner provided herein shall have without further authorization or
consent of any of the parties hereto or their legal successors in interest, all of the powers conferred upon the Board of Managers under the terms of this Agreement (but subject to all of the applicable limitations, contractual and otherwise, upon
the exercise of such powers to the extent necessary or desirable in the good faith judgment of the Liquidator) to carry out the duties and functions of the Liquidator hereunder for and during such period of time, not to exceed two (2) years
after the date of dissolution of the Company, as shall be reasonably required in the good faith judgment of the Liquidator to complete the liquidation and dissolution of the Company as provided for herein including, without limitation, the following
specific powers: 
 (a) The power to continue to manage and operate any business of the Company during the period of such
liquidation or dissolution proceedings, excluding however, the power to make and enter into contracts which may extend beyond the period of liquidation; 

(b) The power to make sales and incident thereto to make deeds, bills of sale, assignments and transfers of assets and
properties of the Company; provided, that the Liquidator may not impose personal liability upon any of the Members under any such instrument; 

(c) The power to borrow funds as may, in the good faith judgment of the Liquidator, be reasonably required to pay debts and
obligations of the Company or operating expenses, and to execute and/or grant deeds of trust, mortgages, security agreements, pledges and collateral assignments upon and encumbering any of the Company properties as security for repayment of such
loans or as security for payment of any other indebtedness of the Company; provided, however, that the Liquidator shall not have the power to create any personal obligation on any of the Members to repay such loans or indebtedness
other than out of available proceeds of foreclosure or sale of the properties or assets as to which a lien or liens are granted as security for payment thereof; and 

(d) The power to settle, release, compromise or adjust any claims asserted to be owing by or to the Company, and the right to
file, prosecute or defend lawsuits and legal proceedings in connection with any such matter. 

  
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 ARTICLE XVII. 

COMPLIANCE WITH LEGAL REQUIREMENTS 

17.1 General Compliance. The Members enter into this Agreement with the intent of conducting their relationship in full compliance with
applicable state, local and Federal law, including but not limited to the Healthcare Laws. Notwithstanding any unanticipated effect of any of the provisions of this Agreement, no Member or any other Person acting on behalf of the Company will
intentionally conduct himself, herself or itself under the terms of this Agreement in a manner that would constitute a violation of the Healthcare Laws. Nothing contained in this Agreement shall require (directly or indirectly, explicitly or
implicitly) any Member to refer or direct any patients or other business to the Company, the Hospital, or any Member or direct or indirect owner of a Member, or to use the Hospital or the facilities of any Member or direct or indirect owner of a
Member as a precondition to receiving the benefits set forth in this Agreement or distributions under this Agreement. The Members will perform their obligations under this Agreement in accordance with the terms hereof. Any agreements between the
Company and any Member or direct or indirect owner of a Member will be in writing, and the parties to any such agreement will perform their obligations under such agreement only in accordance with the terms thereof. 

17.2 Corporate Practice of Medicine. Nothing contained in this Agreement is intended to (i) constitute the use of a medical
license for the practice of medicine by anyone other than a licensed physician; or (ii) aid the Company or any other entity in the practice of medicine when in fact the entity is not authorized to practice medicine. 

17.3 Reformation upon Change in or Violation of Laws. 

(a) Reformation. In the event that subsequent to the date of this Agreement (i) the contents or validity of this Agreement or the
operations of the Company or the Hospital are challenged by any Governmental Authority under applicable law, particularly a Healthcare Law or Federal tax law, or (ii) the Board of Managers determines, based upon advice received from legal
counsel, that a violation of a law, particularly a Healthcare Law or Federal tax law, has occurred as a result of this Agreement or the operations of the Company or the Hospital, or that a violation of a law, particularly a Healthcare Law or Federal
tax law, will occur as a result of this Agreement or the operations of the Company or the Hospital, which violation would result in material adverse consequences to the Members or the Company, then the Board of Managers shall promptly notify all of
the Members with respect thereto. The Board of Managers shall promptly use reasonable efforts to analyze, revise, reform and, to the extent necessary, restructure this Agreement, the relationship among the Members and/or the operations of the


  
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Company and/or the Hospital in order to fully comply with applicable law in a manner that is equitable to all Members in light of the intent of the Members regarding the operations of the Company
and the Hospital as contemplated by this Agreement. The Board of Managers shall recommend its reformation plan for accomplishing the desired results to the Members for approval. Any reformation plan proposed by the Board of Managers must be approved
by the affirmative vote of a Required Interest of the Members. 
 (b) Failure to Reform. In the event the Board of
Managers is unable to formulate a plan to revise, reform and restructure this Agreement and the operations of the Company and/or the Hospital in order to fully comply with all applicable laws or the reformation plan fails to receive the necessary
affirmative vote of the Members, the Board of Managers shall, at its sole discretion, either carry out its rights and obligations under Section 15.4 of this Agreement or cause the Company to dissolve under Article XVI of this Agreement. 

ARTICLE XVIII. 

POWER OF ATTORNEY 

18.1 President as Attorney-in-Fact. Except as set forth below, each Member hereby makes, constitutes, and appoints the President of the
Company, with full power of substitution and resubstitution, his, her or its true and lawful attorney-in-fact and in his, her or its name, place, and stead and for his,
her or its use and benefit to sign, execute, certify, acknowledge, swear to, file, and record (a) this Agreement and all agreements, certificates, instruments, and other documents amending or changing this Agreement, as now or hereafter
amended, which the President may deem necessary, desirable, or appropriate including, without limitation, to reflect (i) the valid exercise by the Board of Managers of any power granted to them under this Agreement; (ii) any amendments
adopted by the Members in accordance with the terms of this Agreement; (iii) the valid admission of any Substitute Member or Additional Member to the Company; or (iv) the valid disposition by any Member of his, her or its Interest; and
(b) any certificates, instruments, or documents as may be required by, or may be appropriate under, the laws of the State of Arizona including, but not limited to, the Law. 

18.2 Nature of Special Power. The power of attorney granted pursuant to this Article XVIII: 

(a) is a special power of attorney coupled with an interest and is irrevocable; 

(b) may be exercised by any such attorney-in-fact by listing the Members executing any agreement, certificate, instrument, or
other document with the single signature of any such attorney-in-fact acting as attorney-in-fact for such Members; and 
 (c)
shall survive the death, disability, legal incapacity, bankruptcy, insolvency, dissolution, or cessation of existence of a Member and shall survive the delivery of an assignment by a Member of the whole or a portion of his, her or its Interest,
except that where the assignment is of such Member’s entire Interest and the 

  
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assignee, with the consent of the Managers, is admitted as a Substitute Member, the power of attorney shall survive the delivery of such assignment for the sole purpose of enabling any such
attorney-in-fact to effect such substitution. 
 ARTICLE XIX. 

DISPUTES 
 19.1
Agreement to Use Mediation. The Members have entered into this Agreement in good faith and in the belief that it is mutually advantageous to them. It is with that same spirit of cooperation that they pledge to attempt to resolve any dispute
amicably without the necessity of litigation if possible. Subject to the right of the Company to seek injunctive relief for any breach or threatened breach of this Agreement by a Member, the Members agree if any dispute, claim, or controversy arises
between or among them, including any dispute between a Member(s) and the Company, relating to the affairs of the Company or the application of this Agreement whether in contract, tort, equity, or otherwise (the “Dispute”), the parties
first shall use the mediation procedures specified in this Article to try to resolve such Dispute prior to any resort to litigation. 
 19.2
Initiation of Mediation. The Person seeking to initiate mediation (the “Initiating Person”) must give written notice to the other Person(s) involved in the Dispute. The notice must describe in general terms the nature of the
Dispute, the Initiating Person’s claim for relief and identify one (1) or more individual(s) with authority to settle the Dispute on such Initiating Person’s behalf. The Person(s) receiving such notice (the “Responding
Person,” whether one (1) or more) will have fifteen (15) days within which to designate by written notice to the Initiating Person, one (1) or more individual(s) with authority to settle the Dispute on the Responding
Person’s behalf. The individual(s) so designated, whether by the Initiating Person or the Responding Person, will be known as the “Authorized Individuals,” whether one (1) or more. The Initiating Person and the Responding Person
will collectively be referred to as the “Disputing Persons” or individually as the “Disputing Person.” If either the Initiating Person or the Responding Person fails to name an Authorized Individual as set forth above, then such
Person will serve as its own Authorized Individual, unless otherwise agreed by the Disputing Persons in writing; provided that if such Person is not an individual, then the individual with decision-making authority over the Person will
serve as the Person’s Authorized Individual. 
 19.3 Direct Negotiations. The Authorized Individuals may investigate the Dispute
as they deem appropriate; however, they must agree to promptly, and in no event later than thirty (30) days from the date of the Initiating Person’s written notice, meet to discuss the resolution of the Dispute. The Authorized Individuals
will meet at such times and places and with such frequency as they may agree. If the Dispute has not been resolved within thirty (30) days from the date of their initial meeting, then any Disputing Person may take such further action or actions
as it or they may deem appropriate. 
 19.4 Governing Law and Venue. Any and all legal proceedings arising out of this Agreement will
be governed by the laws of the State of Arizona, excluding any conflicts-of-law rule or principle that might refer the governance or the construction of this Agreement to the law of another jurisdiction. Venue of any proceedings hereunder will be in
Maricopa County, Arizona, unless another location is mutually agreed on by the Disputing Persons in writing. 

  
 35 








 19.5 Statute of Limitations. Any Dispute shall be time-barred unless the Initiating Person
commences mediation under this Article XIX with respect to such Dispute within one (1) year after the Dispute arose. This time limit shall be tolled for the time period beginning with the receipt of written notice to initiate mediation under
Section 19.2 and ending five (5) days following termination of mediation under the terms of this Article XIX; provided, that, during such period the Disputing Persons were engaged in the mediation procedure pursuant to the
provisions of this Article XIX. 
 19.6 Confidentiality. The Members agree that any mediation procedure under this Article XIX is
confidential. No stenographic, visual or audio record may be made without the written consent of the Disputing Persons. All conduct, statements, promises, offers, views and opinions, whether oral or written, made in the course of the mediation by
any Disputing Persons, their agents, employees, representatives or other invitees and by the mediator are confidential and will, in addition and where appropriate, be deemed privileged. Such conduct, statements, promises, offers, views and opinions
will not be discoverable or admissible for any purpose, including impeachment, in any litigation or other proceeding involving the Disputing Persons and will not be disclosed to anyone not an agent, employee, expert, witness, or representative of
any of the Disputing Persons; provided, however, evidence otherwise discoverable or admissible is not excluded from discovery or admission as a result of its use in the ADR procedure. 

19.7 Waiver of Jury Trial. The Members do hereby waive, to the extent permitted by law, their right to trial by jury with respect to
any dispute, and they agree that the state and federal courts sitting in Maricopa County, Arizona, will be the venue for any litigation arising under this Agreement. 

19.8 Survival. This Article XIX will survive the termination of this Agreement. 

19.9 Additional Persons. The Members agree that any mediation procedure arising out of or relating to this Agreement will include any
additional Person not a Member if: (i) a Member requests the addition of such Person; and (ii) the requesting Member reasonably believes the addition of such Person to be necessary to the resolution of the Dispute; and (iii) the
additional Person is a party to a contract with the requesting Member, which contract contains the agreement of such additional Person to be bound by the mediation procedures set forth in this Agreement. 

19.10 Damages. In no event will a Member or the Company be liable for punitive, incidental, or consequential damages of another Member,
the Company, or any third Person. 

  
 36 








 ARTICLE XX. 

MISCELLANEOUS 

20.1 Notices. All notices given pursuant to this Agreement shall be in writing and shall be given by personal or overnight delivery,
registered or certified United States mail (with return receipt requested) or by facsimile transmission and addressed as set forth in this Section 20.1. Notices shall be deemed delivered upon actual receipt, as evidenced by the delivery receipt
signed on behalf of the recipient, return receipt or facsimile confirmation. For purposes of notice, the addresses of the Members shall be as stated under their names on the attached Exhibit A; provided, however, that each
Member shall have the right to change his, her or its address to any other location by giving notice to the Company in the manner set forth above. 

20.2 Successors and Assigns. This Agreement shall be binding upon and shall inure to the benefit of the Members, and their respective
heirs, legal representatives, successors and permitted assigns; provided, however, that nothing contained herein shall negate or diminish the rights and obligations set forth in Articles XIV or XV. 

20.3 Construction. Every covenant, term, and provision of this Agreement shall be construed simply according to its fair meaning and
not strictly for or against any Member. The failure by any party to specifically enforce any term or provision hereof or any rights of such party hereunder shall not be construed as the waiver by that party of its rights hereunder. The waiver by any
party of a breach or violation of any provision of this Agreement shall not operate as, or be construed to be, a waiver of any subsequent breach of the same or other provision hereof. 

20.4 Waiver of Partition and Certain Other Rights. Each of the Members irrevocably waives any right or power that he, she or it might
have: 
 (a) To cause the Company or any of its assets to be partitioned; 

(b) To cause the appointment of a receiver for all or any portion of the assets of the Company; 

(c) To compel any sale of all or any portion of the assets of the Company; and 

(d) To file a complaint, or to institute proceeding at law or in equity, to cause the dissolution or liquidation of the
Company. Each of the Members has been induced to enter into this Agreement in reliance upon the waivers set forth in this Section 20.4 and without those waivers no Member would have entered into this Agreement. No Member has any interest in
specific Company property. The interests of all Members in the Company are personal property. 
 20.5 Entire Agreement. This
Agreement, including the Exhibits hereto, contains the entire agreement among the Members relating to the subject matter hereof, and all prior agreements relative hereto which are not contained herein are terminated. 

  
 37 








 20.6 Amendments. Except as otherwise expressly provided in this Section 20.6,
amendments or modifications may be made to this Agreement only by setting forth such amendments or modifications in a document approved by all the Class A, Class B and Class C Members and a majority of the Class D Members and any alleged
amendment or modification herein that is not so documented and approved shall not be effective as to any Member. The Board of Managers may amend any provision of this Agreement and execute, swear to, acknowledge, deliver, file and record whatever
documents may be required in connection therewith to reflect: 
 (a) A change in the location of the principal place of
business of the Company not inconsistent with the provisions of Section 2.4, or a change in the known place of business or the statutory agent of the Company; 

(b) Admission of a Member into the Company or any increase, decrease or termination of any Member’s Interest in accordance
with this Agreement; or 
 (c) A change (i) that is of an inconsequential nature and does not adversely affect the
Members in any material respect; (ii) that is necessary or desirable to satisfy any requirements, conditions or guidelines contained in any opinion, directive, order, ruling or regulation of any Federal or state agency or contained in any
Federal or state statute, compliance with any of which the Board of Managers deems to be in the best interest of the Company and the Members; or (iii) that is required or contemplated by this Agreement. 

However, no amendment or modification which disproportionately affects the interest of any Member in the capital, Profits or Losses of, or
distributions or allocations with respect to the Company shall be effective as to any Member unless the same has been set forth in a document duly executed by such Member. 

20.7 Severability. This Agreement is intended to be performed in accordance with, and only to the extent permitted by, all applicable
laws, ordinances, rules and regulations. If any provision of this Agreement or the application thereof to any Person or circumstance shall, for any reason and to any extent, be invalid or unenforceable, but the extent of such invalidity or
unenforceability does not destroy the basis of the bargain among the Members as expressed herein, then the remainder of this Agreement and the application of such provision to other Persons or circumstances shall not be affected thereby, but rather
shall be enforced to the greatest extent permitted by law. 
 20.8 Further Assurances. Each Member, upon the request of the Board of
Managers, agrees to perform all further acts and execute, acknowledge and deliver any documents that may be reasonably necessary, appropriate or desirable to carry out the provisions of this Agreement. 

20.9 Informed Consent. The parties hereto, consisting of the Company and the Members whose names appear on the execution pages hereof,
each acknowledge that this Agreement has been prepared by legal counsel retained by the Company, and that, in certain instances, circumstances might exist or may later occur which could result in actual or perceived


  
 38 








 
conflicts of interest between one or more of the Members. Accordingly, each Member has been encouraged to seek the counsel of his or her own attorneys or other advisors. In addition to the
foregoing acknowledgements, each Member consents to the preparation of this Agreement by the legal counsel to the Company, and hereby jointly waive (i) to the extent such right has not been exercised, the right to retain separate legal counsel
in connection with the negotiation, preparation, review and execution of this Agreement, and (ii) the right to later assert any such conflict of interest against Company or the legal counsel which prepared this Agreement, in the prosecution or
defense of any action. Each Member also acknowledges and agrees that the legal counsel representing the Company has not represented any Member’s individual interests and such legal counsel has provided no advice to any specific Member. 

20.10 Gender and Number. Whenever required by the context, as used in this Agreement, the singular number shall include the plural and
the neuter shall include the masculine or feminine gender, and vice versa. 
 20.11 Exhibits. Each exhibit to this Agreement is
incorporated herein for all purposes. 
 20.12 Section Headings. The section headings appearing in this Agreement are for convenience
of reference only and are not intended, to any extent or for any purpose, to limit or define the text of any section. 
 20.13
Counterparts. This Agreement may be executed in counterparts, each of which shall be an original but all of which shall constitute but one document. 

[Remainder of page intentionally left blank] 

  
 39 








 IN WITNESS WHEREOF, the Company and the Members have executed this Agreement as of the date first
referenced above. 
  

							
	COMPANY:	 		 	Perimeter Road Surgical Hospital, LLC
				
		 		 	By:	 	 /s/    Andy
Chen        

		 		 	Name:	 	Andy Chen
		 		 	Title:	 	Manager

 [Class Signature Pages to Follow] 

[Signature Page to Operating Agreement] 







 Class A Signature Page 

 

							
	CLASS A MEMBER:	 		 	SH OPERATING, LLC,
		 		 	an Arizona limited liability company
				
		 		 	By:	 	SMS Properties, LLC
		 		 	Its:	 	Manager
				
		 		 	By:	 	 /s/ Steven M. Siwek, M.D.

		 		 	Steven M. Siwek, M.D.
		 		 	Member

 [Signature Page to Operating Agreement] 







 Class B Signature Page 

 

							
	CLASS B MEMBER:	 		 	THE PAIN CENTER ALLIANCE, LLC,
		 		 	a Delaware limited liability company
				
		 		 	By:	 	ALLIANCE HEALTHCARE SERVICES, INC.
		 		 	Its:	 	Managing Member
				
		 		 	By:	 	 /s/ Richard W. Johns

		 		 		 	Richard W. Johns
		 		 		 	Executive Vice President, General Counsel & Secretary

 [Signature Page to Operating Agreement] 







 Class C Signature Page 

 

							
	CLASS C MEMBER:	 		 	
		 		 	NORTHSTAR HEALTHCARE SUBCO, LLC,
		 		 	a Texas limited liability company
				
		 		 	By:	 	Northstar Healthcare Acquisitions, LLC
		 		 	Its:	 	Manager
				
		 		 	By:	 	 /s/ Andy Chen

		 		 	Name:	 	Andy Chen
		 		 	Title:	 	Executive Vice President

 [Signature Page to Operating Agreement] 







 Schedule 1.1 

Definitions 

“Additional Member” means a Person who is admitted into the Company as a Member pursuant to the terms of Section 14.4.

 “Adjusted Capital Account Deficit” means the deficit balance, if any, in a Member’s Capital Account as of the end
of the relevant fiscal year or other period, after giving consideration to the following adjustments: 
 (a) There shall be
credited to such Capital Account any amounts which the Member is obligated to restore to the Company or is deemed obligated to restore pursuant to Treasury Regulations Section 1.704-1(b)(2)(ii)(c) or pursuant to the penultimate sentences of
Treasury Regulations Sections 1.704-2(g)(1) or 1.704-2(i)(5); and 
 (b) There shall be debited to such Capital Account the
items described in Treasury Regulations Sections 1.704-1(b)(2)(ii)(d)(4), 1.704-1(b)(2)(ii)(d)(5) and 1.704-1(b)(2)(ii)(d)(6). 

“Adverse Terminating Event” means, with respect to any Class D Member, any of the following: 

(a) The Member (which, for purposes of this definition, includes any Physician who owns or controls any Member which is an
entity), has breached the terms and conditions of this Agreement, including without limitation, (i) violating the restrictions with respect to the ownership of a financial interest in a Competing Business as set forth in Section 11.5, or
(ii) violating the Transfer restrictions set forth in Article XIV and Article XV, each as determined in the sole discretion of the Board of Managers and by a Required Interest of the Members; or 

(b) The Member (which, for purposes of this definition, includes any Physician who owns or controls any Member which is an
entity) has disrupted the affairs of the Company, has acted adversely to the best interests of the Company, or has been deemed to be unsuitable to remain a Member for any reason, or no reason, including, without limitation, (i) the Member loses
his or her license to practice medicine in the State of Arizona, is otherwise unable to practice medicine in the State of Arizona, or has disciplinary proceedings initiated against such Member by the regulatory agency having jurisdiction over such
license and there is a reasonable possibility that such Member could have his or her license suspended or terminated as a result of such proceedings, (ii) the Member is convicted of any felony or any criminal charge relating to the practice of
medicine, (iii) the Member commits any act or omits to take any act which poses an immediate, significant and unreasonable threat to any patient, (iv) the Member violates any material provisions of any applicable medical practice act or
code of 







 
medical ethics, as determined by the applicable licensing and/or regulating authority, or (v) the Member loses DEA prescribing privileges or is abusing any chemical substance that adversely
affects such Member’s ability to practice medicine, all as determined in the sole discretion of the Board of Managers and a Required Interest of the Members. 

“Affiliate” means, with respect to any Member, (a) any Person that directly or indirectly, through one or more
intermediaries, controls, is controlled by, or is under common control with a Member; (b) any entity of which a Member owns ten percent (10%) or more of the outstanding voting securities; (c) any Person who owns ten percent
(10%) or more of the outstanding voting securities of a Member; (d) any entity of which a Member is an officer, director, general partner or trustee, or serves in a similar capacity; (e) any Person who is an officer, director, general
Member or trustee, or serves in a similar capacity, of a Member; or (f) any child, grandchild (whether through marriage, adoption or otherwise), sibling (whether through adoption or otherwise), parent, or spouse of a Member. As used in this
definition of “Affiliate,” the term “control” means possession, directly or indirectly, of the power to direct or cause the direction of the management and policies of a Person whether through ownership of voting securities, by
contract or otherwise. 
 “Agreement” means this Company Agreement, as it may be amended, modified, supplemented or
restated from time to time in accordance with the provisions of the Law and this Agreement. 
 “Articles of Organization”
is defined in the first Recital. 
 “Authorized Individuals” is defined in Section 19.2. 

“Available Cash” means all cash, demand deposits and short term marketable securities received from the conduct of Company
operations or capital transactions (but not from Capital Contributions), less the portion thereof used to pay, or establish reserves or cash set asides for, all Company expenses, debt payments (including debt payments to the Member and other
Persons with regard to loans made pursuant to Section 4.2 of this Agreement), capital improvements, replacements and contingencies, all as determined by the Board of Managers in their sole discretion. “Available Cash” shall not be
reduced by depreciation, amortization, cost recovery deductions or similar allowances, but shall be increased by any reductions of reserves previously established. 

“Bankruptcy” means, as to any Member, the Member’s taking, or acquiescing to the taking, of any action seeking relief
under, or advantage of, any applicable debtor relief, liquidation, receivership, conservatorship, bankruptcy, moratorium, rearrangement, insolvency, reorganization or similar law affecting the rights or remedies of creditors generally, as in effect
from time to time. For the purpose of this definition, the term “acquiescing” shall include, without limitation, the failure to file within the time specified by law, an answer or opposition to any proceeding commenced against such Member
under any such law and a failure to file, within thirty (30) days after its entry, a petition, answer or motion to vacate or to discharge any order, judgment or decree providing for any relief under any such law. 







 “Board of Managers” means the governing body of the Company, having all of the
rights, duties and powers of the managing members of a limited liability company under the Law, subject to the terms of this Agreement. 

“Capital Account” means that separate Capital Account maintained by the Company for each Member and the amount of each such
Member’s Capital Account, as of any given date, which shall be computed as follows: 
 (a) the Capital Account balance
of each Member shall be credited (increased) by (i) the amount of cash contributed by such Member to the capital of the Company, (ii) the fair market value of property contributed by such Member to the capital of the Company (net of
liabilities secured by such property that the Company assumes or takes subject to under Code Section 752), and (iii) such Member’s allocable share of Company income and gain (or items thereof) including income and gain exempt from
federal taxation and income and gain attributable to adjustments to reflect book value pursuant to Treasury Regulations Section 1.704-1(b)(2)(iv)(g), but excluding income and gain attributable to tax items which differ as a result of the
revaluation of Company property as described in Treasury Regulations Section 1.704-1(b)(4), and Section 1.704-1(b)(4)(i); and 

(b) the Capital Account balance of each Member shall be debited (decreased) by (i) the amount of cash distributed to such
Member, (ii) the fair market value of property distributed to such Member (net of liabilities secured by such property which the Member assumes or takes subject to under Code Section 752), (iii) such Member’s allocable share of
expenditures of the Company described in Code Section 705(a)(2)(B), and (iv) such Member’s allocable share of Company losses, depreciation and other deductions (or items thereof) including loss and deduction attributable to
adjustments to reflect book value pursuant to Treasury Regulations Section 1.704-1(b)(2)(iv)(g) but excluding expenditures described in (iii) above and loss or deduction attributable to tax items which differ as a result of the revaluation
of Company property or excess percentage depletion as described in the Treasury Regulations. 
 The Board of Managers (acting in good faith
and in accordance with customary valuation methods) shall determine the fair market value of any property contributed to the Company. 
 In
the event any Interest is transferred in accordance with the terms of this Agreement, the transferee shall succeed to the Capital Account of the transferor to the extent it relates to the transferred Interest. 

In determining the amount of any liability for purposes of subparagraphs (a) and (b) above, there shall be taken into account Code
section 752(c) and any other applicable provisions of the Code and Treasury Regulations. 







 Notwithstanding the foregoing, a Member’s Capital Account shall not be adjusted to reflect
gain or loss attributable to the disposition of property contributed by such Member to the extent such Member’s Capital Account reflected such inherent gain or loss in the property on the date of its contribution to the Company. 

The foregoing provisions and the other provisions of this Agreement relating to the maintenance of Capital Accounts are intended to comply
with Treasury Regulations sections 1.704-1(b) and 1.704-2, and shall be interpreted and applied in a manner consistent with such Treasury Regulations. In the event the
Board of Managers determines that it is prudent to modify the manner in which the Capital Accounts, or any debits or credits thereto, are computed in order to comply with such Treasury Regulations, the Board of Managers may make such modification;
provided, that, it is not likely to have a material effect on the amounts distributable to any Member upon the termination or dissolution of the Company. The Board of Managers also shall (a) make any adjustments that are necessary
or appropriate to maintain equality between the Capital Accounts of the Members and the amount of Company capital reflected on the Company’s balance sheet, as computed for book purposes in accordance with Treasury Regulations section 1.704-1(b)(2)(iv)(g), and (b) make any appropriate modifications in the event unanticipated events might otherwise cause this Agreement not to comply with Treasury Regulations sections 1.704-1(b) and 1.704-2. 
 “Capital Call” is
defined in Section 4.2(b). 
 “Capital Contribution” means, with respect to any Member, the amount of cash and/or the
initial Gross Asset Value of property contributed to the capital of the Company, with respect to the Interest held by such Member. In the event such term is used in this Agreement and such Capital Contribution amount has not been adjusted in the
applicable provision to reduce the Capital Contribution amount by the liabilities which the Company assumes or takes the property subject to with respect to property contributed by a Member, such Member’s Capital Contribution will be reduced by
such liabilities where applicable for Federal income tax or state law purposes. 
 “Capital Loan” is defined in
Section 4.2(f). 
 “Class A and Class B Dilution Floor” is defined in Section 4.2(h). 

“Class A Member” means a Person identified on Exhibit A hereto as a Class A Member and who has signed this
Agreement, and such other Persons to whom the Company may issue Class A Membership Interests, but excluding any Person who ceases to be a Class A Member pursuant to this Agreement. 

“Class A Membership Interest” means an Interest owned by a Class A Member. 

“Class A Unit” means a unit of Class A Membership Interest. 







 “Class B Member” means a Person identified on Exhibit A hereto as a Class
B Member, and such other Persons to whom the Membership may issue Class B Membership Interests, but excluding any Person who ceases to be a Class B Member pursuant to this Agreement. 

“Class B Membership Interest” means an Interest owned by a Class B Member. 

“Class B Unit” means a unit of Class B Membership Interest. 

“Class C Member” means a Person identified on Exhibit A hereto as a Class C Member, and such other Persons to whom the
Company may issue Class C Membership Interests, but excluding any Person who ceases to be a Class C Member pursuant to this Agreement. 

“Class C Membership Interest” means an Interest owned by a Class C Member. 

“Class C Dilution Floor” is defined in Section 4.2(g). 

“Class C Unit” means a unit of Class C Membership Interest. 

“Class D Member” means a Person identified on Exhibit A hereto as a Class D Member and who has signed this Agreement,
and such other Persons to whom the Company may issue Class D Membership Interests, but excluding any Person who ceases to be a Class D Member pursuant to this Agreement. 

“Class D Membership Interest” means an Interest owned by a Class D Member. 

“Class D Unit” means a unit of Class D Membership Interest. 

“Code” means the Internal Revenue Code of 1986, as amended from time to time. All references herein to sections of the Code
shall include any provision or corresponding provisions of succeeding law. 
 “Company” means Perimeter Road Surgical
Hospital, LLC, an Arizona limited liability company, and its successors and assigns. 
 “Company Minimum Gain” shall have
the meaning assigned to “partnership minimum gain” in Treasury Regulations section 1.704-2(b)(2) and shall mean the amount determined under Treasury Regulations section
1.704-2(d)(1) by (i) computing for each Nonrecourse Liability of the Company any gain the Company would realize if it disposed of the property subject to that liability for no consideration other than
full satisfaction of the liability and (ii) aggregating the separately computed gains. If, pursuant to Treasury Regulations sections 1.704-1(b)(2)(iv)(d) or 1.704-1(b)(2)(iv)(f), Company property is
properly reflected on the books of the Company at a book value that differs from the adjusted tax basis of such property, the calculation of Company Minimum Gain pursuant to the preceding sentence shall be made by reference to such book value. For
purposes 







 
hereof, a liability of the Company is a Nonrecourse Liability to the extent that no Member or related Person bears the economic risk of loss for that liability within the meaning of Treasury
Regulations section 1.752-2. 
 “Competing Business” means any business that offers or provides medical or other health
care services which are the same as or substantially similar to those medical/health care services which are then provided at the Hospital, including but not limited to surgical services provided at a licensed ambulatory surgery center, a hospital,
a hospital out-patient department, and that is located within ten (10) miles of the Hospital. 
 “Confidential
Information” is defined in Section 11.5(b). 
 “Depreciation” means, for each taxable year or other period,
an amount equal to the depreciation, amortization, or other cost recovery deduction allowable with respect to an asset for such taxable year or other period, except that if the Gross Asset Value of an asset differs from its adjusted basis for
Federal income tax purposes at the beginning of the year or other period, Depreciation shall be an amount which bears the same ratio to such beginning Gross Asset Value as the Federal income tax depreciation, amortization, or other cost recovery
deduction for such fiscal year or other period bears to such beginning adjusted tax basis. If the Federal income tax depreciation, amortization or other cost recovery deduction for the year or other period is zero, Depreciation will be determined
using any reasonable method selected by the Board of Managers. 
 “Dispute” is defined in Section 19.1. 

“Disputing Person(s)” is defined in Section 19.2. 

“Due Date” is defined in Section 7.2. 

“EBITDA” means net income of the Company for a period, plus interest expense, income tax expense, depreciation expense
and amortization expense for such period, each as calculated in accordance with generally accepted accounting principles consistently applied. 

“Effective Date” is defined in the introduction. 

“Excess Contribution” is defined in Section 4.2(d). 

“Fair Market Value Price” means, at any time, the price determined by multiplying the Net Worth by the appropriate
Member’s Percentage Interest. 
 “Governmental Authority” means any and all Federal, state or local governments,
governmental institutions, public authorities and any other governmental entities of any nature whatsoever, and any subdivisions or instrumentalities thereof, including but not limited to departments, boards, bureaus and panels, and any divisions or
instrumentalities thereof, whether permanent or ad hoc and whether now or hereafter constituted or existing. 







 “Gross Asset Value” means with respect to any asset, the adjusted basis for
Federal income tax purposes of such asset, except as follows: 
 (a) The initial Gross Asset Value of any asset contributed
by a Member to the Company shall be the gross fair market value of such asset on the date of contribution, as determined by the Board of Managers; 

(b) The Gross Asset Values of all Company assets shall be adjusted to equal their respective gross fair market values, as
determined by the Board of Managers, as of the following times: (i) the acquisition of an additional Interest in the Company by any new or existing Member in exchange for more than a de minimis Capital Contribution; (ii) the distribution
by the Company to a Member of more than a de minimis amount of Company property as consideration for an Interest in the Company, if the Board of Managers reasonably determines that, with respect to adjustments pursuant to subsections (i) and
(ii) above, such adjustments are necessary or appropriate to reflect the relative economic interests of the Members in the Company; (iii) the liquidation of the Company within the meaning of Treasury Regulations section 1.704-1(b)(2)(ii)(g); and (iv) the acquisition of an additional Interest in the Company by any new or existing Member as consideration for the provision of services to or for the benefit of the Company; 

(c) The Gross Asset Value of any Company asset distributed to any Member shall be the gross fair market value of such asset on
the date of distribution; and 
 (d) The Gross Asset Values of Company assets shall be increased (or decreased) to reflect
any adjustments to the adjusted basis of such assets pursuant to Code sections 734(b) or 743(b), but only to the extent that such adjustments are taken into account in determining Capital Accounts pursuant to Treasury Regulations section 1.704-1(b)(2)(iv)(m) and Section 6.2(f) hereof; provided, however, that Gross Asset Values shall not be adjusted pursuant to this subparagraph (d) to the extent the Board of Managers
determines that an adjustment pursuant to subparagraph (b) hereof is necessary or appropriate in connection with a transaction that would otherwise result in an adjustment pursuant to this subparagraph (d). 

“Healthcare Laws” means all relevant federal and state laws regulating health services or payment applicable to health
services, including, but not limited to, Title XVIII and Title XIX of the Social Security Act, the federal Anti-Kickback Statute (42 U.S.C. Section 1320a-7b(b)), the Stark Law (42 U.S.C. Section 1395nn), the Anti-Inducement Law (42 U.S.C.
Section 1320a-7a(a)(5)), the civil False Claims Act (31 U.S.C. Sections 3729 et seq.), the administrative False Claims Law (42 U.S.C. 1320a-7b(a)), the administrative simplification provisions of the Health Insurance Portability








 
and Accountability Act of 1996 (42 U.S.C. Sections 1320d et seq.), the exclusion laws (42 U.S.C. Section 1320a-7), the Patient Protection and Affordable Care Act (Pub. L. No. 111-148,
124 Stat. 119 (2010)), the Arizona Medical Practice Act, A.R.S. §§32-1401 et seq., each as amended from time to time, the regulations promulgated pursuant to such laws, and any other state or federal law, regulation, guidance
document, manual provision, program memoranda, opinion letter, or other issuance of any Governmental Authority which regulates kickbacks, fee-splitting, patient or program charges, claims submissions, recordkeeping, referrals, the hiring of
employees or acquisition of services or supplies from those who have been excluded from government health care programs, quality, safety, privacy, security, licensure or any other aspect of providing healthcare. 

“Hospital” means that certain specialty hospital located at 17500 N. Perimeter Drive, Scottsdale, Arizona 85255 and any
additional specialty hospital which the Company may own, lease or operate from time to time. 
 “Indemnified Party” is
defined in Section 13.1. 
 “Initiating Person” is defined in Section 19.2. 

“Interest” means the interest of a Member in the Company, including, without limitation, the rights of a Member in
distributions from the Company and allocations of the Profits, Losses, gains, deductions and credits of the Company. 
 “Investment
Price” means the dollar amount paid in cash by a Member for such Member’s Interest or the Gross Asset Value of any asset contributed by a Member for such Member’s Interest. 

“Involuntary Transfer” is defined in Section 15.5. 

“Involuntary Transferee” is defined in Section 15.5. 

“Law” means the Arizona Limited Liability Company Act, Sections 29-601 et seq. of the Arizona Revised Statutes, as
amended to date and as may be amended from time to time hereafter and any successor to such Law. 
 “Majority Interest”
means such of the Members, as shall own, at the time of any determination, more than fifty percent (50%) of all then issued and outstanding Interests. 

“Manager” means each Person who has been elected as and continues to be, a member of the Board of Managers, and the term
“Manager” shall for all purposes have the same connotation as the term “manager” under the Law. 

“Member” means any Person who has been admitted as a Member and whose name is set forth on Exhibit A hereto, and any
other Person admitted to the Company as a Member in accordance with this Agreement, but excluding any Person who ceases to be a Member of the Company pursuant to this Agreement. 







 “Member Loan Minimum Gain” means an amount, with respect to each Member Loan
Nonrecourse Debt, equal to the Company Minimum Gain that would result if such Member Loan Nonrecourse Debt were treated as a Nonrecourse Liability, determined in accordance with Treasury Regulations section
1.704-2(i)(3). 
 “Member Loan Nonrecourse Debt” shall have the meaning assigned to
“partner nonrecourse debt” in Treasury Regulations section 1.704-2(b)(4). 

“Member Loan Nonrecourse Deductions” shall have the meaning assigned to “partner nonrecourse deductions” in
Treasury Regulations section 1.704-2(i)(2). The amount of Member Loan Nonrecourse Deductions with respect to a Member Loan Nonrecourse Debt for a Company fiscal year or other period equals the excess, if any,
of the net increase, if any, in the amount of Member Loan Minimum Gain attributable to such Member Loan Nonrecourse Debt during that fiscal year or other period over the aggregate amount of any distributions during that fiscal year to the Member
that bears the economic risk of loss for such Member Loan Nonrecourse Debt to the extent such distributions are from the proceeds of such Member Loan Nonrecourse Debt and are allocable to an increase in Member Loan Minimum Gain attributable to such
Member Loan Nonrecourse Debt, determined in accordance with Treasury Regulations section 1.704-2(i)(2). 

“Net Worth” means, the greater of (a) three (3) times the average EBITDA per tax year of the Company for the three
(3) fiscal years preceding the date of determination, or such lesser number of years if three (3) fiscal years have not elapsed prior to the determination date, and (b) the excess of the fair market value of all Company property over
the amount of the debts of the Company (whether or not any such debt is secured by a lien, security interest or other encumbrance on the property). The Net Worth shall be calculated on an accrual basis by either the certified public accounting firm
then engaged by the Company or a certified public accountant designated by the Board of Managers, within thirty (30) days after the Board of Managers has requested such calculation. 

“Nonrecourse Deductions” shall have the meaning set forth in Treasury Regulations section
1.704-2(b)(1). The amount of Nonrecourse Deductions for a Company fiscal year or other period equals the excess, if any, of the net increase in the amount of Company Minimum Gain during the fiscal year or
other period, over the aggregate amount of any distributions during such year or other period of proceeds of a Nonrecourse Liability that are allocable to an increase in Company Minimum Gain, determined according to the provisions of Treasury
Regulations section 1.704-2(c). 
 “Nonrecourse Liability” shall have the meaning
set forth in Treasury Regulations section 1.704-2(b)(3). 
 “Percentage Interest”
means, with respect to any Member, the Interest of such Member expressed as a percentage of the Interests of all the Members. 







 “Person” means any individual, company, partnership, corporation, limited
liability company, trust or other entity. 
 “Physician” means an individual who (a) holds one of the following
degrees: M.D., D.O., or D.P.M. or other degrees relating to health care designated by the Board of Managers; (b) is currently duly licensed by and in good standing with the State of Arizona to practice such health care profession for which the
individual was trained; (c) has not been excluded or suspended from participation in Medicare, Medicaid or any other Federal or state health care program, has not been convicted of a criminal offense under any provision of the Federal Social
Security Act or had civil monetary penalties assessed against him or her in relation to a violation of Federal or state health laws or regulations, including those governing false claims and kickbacks, has not been debarred from participation in any
Federal procurement program, and no action relating to such a violation is pending; (d) is in good standing and maintains medical staff privileges at a Joint Commission accredited acute care hospital which is located within twenty
(20) miles of the Hospital; (e) is a resident of the State of Arizona and has no present intention of becoming a resident of any other state or jurisdiction; (f) agrees to inform each patient referred to the Hospital by such
individual of his or her direct or indirect investment interest in the Company; (g) expects to obtain in due course and thereafter continuously maintain membership on the medical staff at the Hospital; and (h) agrees to treat patients
receiving medical benefits or assistance under any governmental health care program in a nondiscriminatory manner. 
 “Physician
Class D Member” means any Person that is (i) a Class A Member who is a Physician or (ii) an owner of a Class A Member who is a Physician. 

“Physician Member” means (i) a Physician Class D Member, (ii) a Class A Member that is an entity wholly-owned
by one or more Physicians, (iii) an Additional Member of any class, including any class or classes that may be later created, who is a Physician, or (iv) an Additional Member of any class, including any class or classes that may be later
created, that is wholly owned by one or more Physicians. Notwithstanding the above, a Physician or an entity owned by one or more Physicians is not eligible to be either a Class B Member or a Class C Member, and any such Physician (or
Physician-owned entity) shall be deemed to be a Physician Class D Member. 
 “Prime Rate” means the rate of interest per
annum stated from time to time in The Wall Street Journal (or any successor publication thereto) as the base rate on corporate loans for at least seventy-five percent (75%) of the thirty (30) largest banks in the United States 

“Profits and Losses” “Profits” means, for each fiscal year of the Company or other period, an amount equal
to the Company’s taxable income for such year or period, and “Losses” means, for each fiscal year of the Company or other period, an amount equal to the Company’s taxable loss for such year or period, in each case
determined in accordance with Code section 703(a) (for this purpose, all items of income, gain, loss, or deduction required to be stated separately pursuant to Code section 703(a)(1) shall be included in taxable income or loss), with the following
adjustments: 
 (a) Any income of the Company that is exempt from Federal income tax and not otherwise taken into account in
computing Profits and Losses for purposes of this definition shall be added to such taxable income or loss; 







 (b) Any expenditures of the Company described in Code section 705(a)(2)
(B) or treated as Code section 705(a)(2)(B) expenditures pursuant to Treasury Regulations section 1.704-1(b)(2)(iv)(i), and not otherwise taken into account in computing Profits or Losses for purposes of this definition shall be subtracted from
such taxable income or loss; 
 (c) In the event the Gross Asset Value of any Company asset is adjusted pursuant to
subparagraphs (b) or (d) of the definition of Gross Asset Value, the amount of such adjustment shall be taken into account as gain or loss from the disposition of such asset for purposes of computing Profits or Losses; 

(d) Gain or loss resulting from any disposition of Company property with respect to which gain or loss is recognized for
Federal income tax purposes shall be computed by reference to the Gross Asset Value of the property disposed of, notwithstanding that the adjusted tax basis of such property differs from its Gross Asset Value; 

(e) In lieu of depreciation, amortization and other cost recovery deductions taken into account in computing such taxable
income or loss, there shall be taken into account Depreciation for such fiscal year or other period, computed in accordance with the definition thereof; and 

(f) Notwithstanding any other provision of this definition, any items of income, gain, loss or deduction that are specially
allocated pursuant to Sections 6.2 or 6.3 hereof shall not be taken into account in computing Profits and Losses. 
 “Proportionate
Share” means a Member’s share of an item, based upon the respective Percentage Interest of that Member as compared to the Percentage Interests of all Members entitled to share in the item. 

“Repurchase Cap” is defined in Section 15.7 hereof. 

“Required Interest” means such of the Members as shall own, at the time of any determination, at least seventy percent
(70%) of all Interests; except that, if the Class C Member owns less than sixty percent (60%) of all Interests, then “Required Interest” shall mean fifty-one percent (51%) of all Interests. 

“Responding Person” is defined in Section 19.2. 







 “Securities Act” shall mean the Securities Act of 1933, as amended (or any
successor federal statute then in effect), and a reference to a particular section thereof shall be deemed to include a reference to the comparable section, if any, of any such successor federal statute. 

“Substitute Member” means any Person admitted to the Company pursuant to Section 14.2. 

“Tax Distributions” is defined in Section 7.2. 

“Terminating Event” means, with respect to any Member, any of the following: 

(a) Such Member has died or become permanently disabled or mentally incompetent, if such Member is an individual living person;
or 
 (b) Such Member is in Bankruptcy; or 

(c) If such Member is an entity, such Member dissolves, liquidates or commences dissolution proceedings or has its charter
revoked by any applicable state authority. 
 “Transfer” means to sell, assign, transfer, pledge, hypothecate or otherwise
dispose of, whether voluntarily or involuntarily, or by operation of law. 
 “Treasury Regulations” or
“Regulations” means the regulations, promulgated by the United States Department of the Treasury pursuant to and in respect of provisions of the Code. All references herein to sections of the Treasury Regulations or the Regulations
shall include any corresponding provision or provisions of succeeding, similar or substitute proposed, temporary or final regulations. 

“Unit” means an Interest acquired and/or held as a Member, designated as a Class A Unit, a Class B Unit, a Class C Unit
or a Class D Unit. 
 “Units” means the Class A Units, the Class B Units, the Class C Units and the Class D
Units collectively. The total number of Units initially authorized is one hundred (100), consisting of (i) twenty (20) Class A Units, (ii) twenty (20) Class B Units and (iii) sixty (60) Class C Units. The number
and type of Units owned by each Member shall be set forth on Exhibit A attached hereto, as such Exhibit may be amended from time to time. 







 EXHIBIT A 
  


													
	 Membership Class
	  	 Member Name
	  	Number of
Units	 	  	Percentage
Interest	 	 	Capital
Contribution
	 Class A
	  	SH Operating, LLC	  	 	20	  	  	 	20	% 	 	$1,060,000
worth of
assets
	 Class B
	  	The Pain Center Alliance, LLC	  	 	20	  	  	 	20	% 	 	$1,060,000
	 Class C
	  	Northstar Healthcare Subco, LLC	  	 	60	  	  	 	60	% 	 	$3,180,000
		  		  	  
	  
	 	  	  
	  
	 	 	  

		  	Total	  	 	100	  	  	 	100	% 	 	$5,300,000