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                                                                   Exhibit 10.14

                               OPERATING AGREEMENT
                                       OF
                    ACADIAN HOME HEALTH CARE SERVICES, L.L.C.

      This Operating Agreement is entered into and is effective as of the 1st
day of January, 2004 (the EFFECTIVE DATE), by and among the undersigned Members
who agree as set forth herein regarding the operations of Acadian Home Health
Care Services, L.L.C., a Limited Liability Company, organized under and existing
pursuant to the laws of the State of Louisiana:

                                    ARTICLE I
                                   DEFINITIONS

1.1   DEFINED TERMS

      As used in this Agreement, defined terms have the meanings hereinafter set
forth:

      (a)   "Act" means the Louisiana Limited Liability Company Law, Louisiana
            Revised Statutes 12:1301 et seq., and any successor statute as
            amended.

      (b)   "Affiliate" means (i) any person directly or indirectly controlling,
            controlled by or under common control with a Member; (ii) any person
            owning or controlling 10% or more of the outstanding voting
            securities or membership interest of a Member; (iii) any officer,
            director, member, manager or other partner of a Member; and (iv) if
            a Member is an officer, director, joint venturer, member, manager or
            partner, any business or entity for which the Member acts in any
            such capacity.

      (c)   "Agreement" or "Operating Agreement" means this Operating Agreement
            as originally executed and as amended from time to time.

      (d)   "Articles" means the Articles of Organization of Acadian Home Health
            Care Services, L.L.C., as filed with the Secretary of State of
            Louisiana, as the same may be amended from time to time.

      (e)   "Calendar Quarter" means the three calendar month periods ending on
            March 31st, June 30th, September 30th, and December 31st of each
            year.

      (f)   "Capital Account" means a Capital Account maintained in accordance
            with the rules contained in of the Regulations.

      (g)   "Capital Contribution" means any contribution to the capital of the
            Company in cash, property or future services by a Member whenever
            made.

      (h)   "Closing" means the Effective Date set forth above.

      (i)   "Code" means the Internal Revenue Code of 1986, as amended.

      (j)   "Company" means Acadian Home Health Care Services, L.L.C., a Limited
            Liability Company organized under and existing pursuant to the laws
            of the State of Louisiana.

      (k)   "Distributive Shares" means the share of distributed revenues from
            the Company due to each Member under the Membership Interests
            applicable to such distribution.

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      (l)   "Fiscal Year" means the Company's fiscal year, which shall be the
            calendar year.

      (m)   "Majority Vote" or "Votes" means given to these terms in Section
            4.15.

      (n)   "Member" means any person executing this Agreement as a Member or
            hereafter admitted to the Company as a Member as provided in this
            Agreement, but does not include any person who has ceased to be a
            Member in the Company.

      (o)   "Membership Interest" or "Interest" means a Member's interest in the
            Company in which the Member shares in the income, gains, expenses,
            profits, losses, deductions and credits of the Company, which
            Interest is expressed as the percentage of the Member's holdings of
            Units in the Company in proportion to the total issued and
            outstanding Units of the Company.

      (p)   "Net Profits" and "Net Losses" means the Company's taxable income or
            loss determined in accordance with the Code for each of its Fiscal
            Years.

      (q)   "Net Revenues" means total charges of the Company for services
            provided less contractual adjustments and allowances for bad debt.

      (r)   "Officer" means one or more individuals appointed by the Members to
            whom the Members delegate specified responsibilities. The Members
            may, but shall not be required to, amend this Agreement to create
            such offices as they deem appropriate, including, but not limited
            to, President, Vice Presidents, Secretary and Treasurer. The
            Officers shall have such duties as are assigned to them by the
            Members from time to time, which duties shall be memorialized by
            written amendment to this Operating Agreement. All Officers shall
            serve at the pleasure of the Members and the Members by Majority
            Vote may remove any Officer from office without cause and any
            Officer may resign at any time.

      (s)   "Person" means any individual, corporation, partnership, limited
            liability company or any other entity eligible to be a Member under
            the Act.

      (t)   "Properties" means all of the Company's interests in any movable or
            immovable properties, contracts or other assets owned by the
            Company.

      (u)   "Service Area" means Allen, Beauregard, Calcasieu, Cameron, and
            Jefferson Davis Parishes in the State of Louisiana.

      (v)   "Transferor Member" means any Member who sells or transfers, or
            offers to sell or transfer, or attempts to sell or transfer his
            Units in the Company to another Person; or any Member who is subject
            to a voluntary or involuntary withdrawal.

      (w)   "Treasury Regulations" or "Regulations" means the federal income tax
            regulations, including temporary regulations, promulgated under the
            Code, as such regulations may be amended from time to time
            (including corresponding provisions of succeeding regulations).

      (x)   "Units" means an interest in the Company acquired by a Member in
            exchange for capital contributions to the Company. Units shall
            represent an equity interest in the Company and shall have voting
            rights equal to one vote per Unit as set forth herein. The maximum
            authorized number of Units of the Company is ten million
            (10,000,000).

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                                    ARTICLE 2
                                  ORGANIZATION

2.1   INTENT

      This Agreement constitutes the Operating Agreement of the Company, as
      referred to in the Company's Articles and the Act.

2.2   FORMATION

      The Company has been formed by the Members as a Louisiana limited
      liability company by the filing of Articles pursuant to the Act.

2.3   PURPOSES

      (a)   The Company is formed for the purpose of acquiring and operating a
            Medicare certified home health agency within the Service Area in the
            State of Louisiana, and otherwise engaging in any lawful activity
            for which limited liability companies may be formed under the laws
            of the State of Louisiana as may be approved by the Members. In
            furtherance thereof, the Company may exercise all powers necessary
            to or reasonably connected with the Company's business which may be
            legally exercised by limited liability companies under the Act, and
            may engage in all activities necessary, customary, convenient, or
            incident to any of the foregoing.

      (b)   The parties acknowledge that Louisiana Health Care Group, LLC owns
            and operates several home health agencies in south-central
            Louisiana, including agency offices located in Abbeville, Baton
            Rouge, Bunkie, Clinton, Crowley, Eunice, Ferriday, Franklin,
            Lafayette, New Iberia, Oakdalc, Opelousas, Palmetto, and Ville
            Platte whose service areas may overlap with Company's Service Area.
            The parties further acknowledge that Louisiana Health Care Group,
            LLC is in the process of acquiring or establishing home health
            agency offices in Bunkie and the greater Alexandria area. The
            parties further acknowledge that the Company's home health agency's
            authorized regulatory service area is that area within a fifty (50)
            statute mile radius of Lake Charles, Louisiana, and that this
            regulatory service area may result in the Company competing with
            other home health agency offices owned by subsidiaries or Affiliates
            of Louisiana Health Care Group, LLC. The parties agree that, while
            they intend for the Company to compete vigorously with nonaffiliated
            home health agencies, they do not intend for the Company to compete
            with such other home health agencies owned by Louisiana Health Care
            Group, LLC or its subsidiaries or Affiliates, but rather intend to
            cooperate and act in conjunction with such Affiliated entities in
            order to maximize the quality of care for patients at a minimum cost
            resulting from cost-sharing activities and shared expertise.
            Likewise the parties do not intend for such other home health
            agencies of such Member or its Affiliates to compete with Company.
            Therefore, the parties agree that the Company shall provide home
            health care services to patients who reside closer to Company's home
            health agency office than another home health agency office owned by
            Louisiana Health Care Group, LLC or one of its subsidiaries or
            Affiliates. Manager shall cause its Affiliates to refer patients to
            Company who reside closer to Company's home health agency office
            than to another home health agency office owned by Louisiana Health
            Care Group, LLC or one of its subsidiaries or Affiliates.

      (c)   The parties agree that the foregoing limitations are not in the
            nature of a non-

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            competition agreement, but rather are voluntary, self-imposed
            restrictions on operations of the Company to protect other business
            interests of the Company, the Members and their Affiliates, in the
            absence of which Company would not have transferred the Membership
            Interests to the Members and the Members would not have acquired
            such interest.

      (d)   The parties further agree that these restrictions on the Company's
            operations may only be modified or rescinded upon the unanimous
            consent of the Members of the Company.

      (e)   Notwithstanding the foregoing, the obligations contained herein are
            not intended to induce the referral of patients, items or services
            and the Parties acknowledge that there is no requirement that either
            Member refer patients to Company, except as may be consistent with
            the wishes of the patient and with law.

2.4   REGISTERED OFFICE AND AGENT

      The Company shall maintain a registered office and a registered agent in
      the State of Louisiana, which office and agent may be changed by the
      Members.

2.5   OTHER OFFICES

      In addition to its registered office in Louisiana, the Company may have
      other offices and places of business at such places, both within and
      without the State of Louisiana, as the Members may from time to time
      determine.

2.6   OPERATING AGREEMENT

      The affairs of the Company shall be governed by the Act, its Articles and
      this Operating Agreement. There shall be only one Operating Agreement
      governing the affairs of the Company and the relationships of the Members
      to one another as such relate to the business of the Company. Any oral or
      written agreement between or among the Members relating to the Company and
      the matters governed by this Operating Agreement shall be of no effect
      whatsoever unless and until the Members agree by Majority Vote (or, if
      applicable, by unanimous vote) to incorporate said agreement into this
      Operating Agreement.

                                   ARTICLE 3

                                    MEMBERS

3.1   MEMBERS

      The Members of the Company shall be those Persons who have joined in the
      execution of this Agreement, and any other Persons who may be hereafter
      approved for membership by the unanimous Vote of the Members.

3.2   EXECUTION OF THIS AGREEMENT

      The admission of an additional Member shall not become effective until the
      Person has executed this Agreement, or an appropriate supplement hereto,
      pursuant to which the new Member agrees to be bound by, and subject to,
      all of the terms and provisions hereof and restrictions herein.

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3.3   MEMBERS HAVE NO EXCLUSIVE DUTY TO COMPANY

      (a)   No Member shall be required to perform services for the Company
            solely by virtue of being a Member. Unless approved by the Members,
            no Member shall perform services for the Company or be entitled to
            compensation for services performed for the Company.

      (b)   Except as otherwise expressly stated herein, no Member shall be
            required to participate in the Company as such Member's sole and
            exclusive function and any Member shall be entitled to and may have
            other business interests and may engage in other activities in
            addition to those relating to the Company and in addition to those
            permitted Related Party Transactions as described in Section 4.23.
            No Member shall have a business interest or engage in activities
            which are in direct competition with the Company's provision of home
            health care services without the expressed written approval of the
            other Members pursuant to a Majority Vote. Neither the Company nor
            any Member shall have any right, by virtue of this Operating
            Agreement, to share or participate in such other investments or
            activities of the Member or to the income or proceeds derived
            therefrom, and no member shall have any liability or responsibility
            for any losses sustained by a Member in such other investments or
            activities. The Member shall incur no liability to the Company or to
            any of the Members as a result of engaging in any other business or
            venture permitted by this Agreement.

                                    ARTICLE 4

                                   MANAGEMENT

4.1   MANAGERS

      (a)   The business of the Company shall be managed by a Manager, who may,
            but need not, be Member, and who shall be a mandatary of the Company
            for all matters in the ordinary course of its business. LHC GROUP,
            LLC shall be the initial Manager of the Company, and appears herein
            to accept said appointment. To the extent authorized by this
            Agreement, the Manager shall have full, exclusive and complete
            discretion, control, power and authority in the management of the
            Company's affairs. The Manager shall have full power and authority
            to undertake any activity described in this Article and to execute
            and deliver on behalf of the Company such documents or instruments
            which the Manager deems appropriate in the conduct of the Company's
            business. No person, firm or corporation dealing with the Company
            shall be required to inquire into the authority of the Manager to
            take any action or make any decision.

      (b)   The Manager shall be required to devote to the Company's affairs
            only such part of its time as is reasonably required to conduct the
            operations contemplated under this Agreement and shall be free to
            engage in any other business for its own account and/or for the
            account of others, however, no such business interests and
            activities may be in direct competition with the Company. Neither
            the Company nor any of the Members shall have any rights by virtue
            of this Agreement in any independent business ventures of the
            Manager. The Manager shall not take or recommend any action which
            may or will affect the Company's home health agency licensure or
            Medicare certification, or which violates any law or regulation.

      (c)   Subject to the ultimate authority of the Members of the Company, the
            day to day

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            management of the Company's operations within the Service Area shall
            be conducted by the Manager under the oversight and direction of a
            "Management Committee" which is hereby established. The Management
            Committee shall not take or recommend any action which may or will
            affect the Company's home health agency licensure or Medicare
            certification, or which violates any law or regulation. Each
            representative of the Members shall be assigned the following number
            of votes and each Member hereby designates the following
            representatives to exercise such votes on the Management Committee:

<TABLE>
<CAPTION>
      PARTY              REPRESENTATIVE       VOTES
-------------------   ---------------------   ------
<S>                   <C>                     <C>
Company                   Keith G. Myers       62.5
Beta HomeCare, Inc.       Chris Baggett        37.5
</TABLE>

      The votes granted to the representatives are for purposes of the
      management committee only and do not constitute "Votes" as same are
      defined in Section 4.15. Representatives on the Management Committee may
      meet and take action in accordance with the provisions of Sections 4.17
      and 4.18 of this Agreement.

4.2   POWERS OF MANAGER.

      The Manager shall have all necessary powers to carry out the purposes and
      conduct the business of the Company including, without limitation,
      excepting any specific limitations contained in this Agreement or in
      applicable law, the authority, right and power on behalf of the Company
      to:

      (a)   To negotiate all such contracts, agreements, and other undertakings
            without binding the Company until same are approved by Majority Vote
            (or if applicable, unanimous vote) of the Members;

      (b)   Hold, manage and defend the assets of the Company;

      (c)   Open, maintain and close bank accounts, designate and change
            signatories on such accounts and draw checks and other orders for
            the payment of monies;

      (d)   Acquire, buy, lease, sell, convey, assign, trade, exchange,
            quitclaim, surrender, release, abandon or otherwise dispose of any
            movable assets or interest therein or payable therefrom in an amount
            not to exceed $25,000 without any further act or vote or grant of
            authority by any Members and in connection therewith make any such
            distributions as the Manager may deem appropriate from the proceeds
            of such sale to the Members. Any such transaction exceeding $25,000
            shall require the prior approval of 75% of the Votes;

      (e)   To collect and deposit all Company receipts and to disburse all
            Company funds in payment of all ordinary and necessary expenses;

      (f)   Sue and be sued, complain and defend in the name of and on behalf of
            the Company;

      (g)   Execute and deliver all negotiable instruments, checks, drafts or
            other orders for the receipt or payment of funds belonging to the
            Company;

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      (h)   Execute powers of attorney, consents, waivers and such other
            documents as may be necessary or appropriate before any court,
            administrative board or agency of any governmental authority
            affecting Company assets;

      (i)   Purchase insurance, at the Company's expense, to protect Company
            assets against loss and to protect the Manager against liability to
            third parties arising out of the Company's activities, provided that
            any such insurance shall name each Member, individually as an
            additional named insured;

      (j)   Prepare and file all returns for the Company and make all elections
            for the Company with respect to federal and state income or other
            taxes;

      (k)   Recommend employment of such agents, employees, accountants,
            lawyers, clerical help and other assistance and services subject to
            approval by Majority Vote;

      (l)   Grant and perfect security interests in the Company's accounts
            solely for the purposes of obtaining operational financing as
            provided in Section 4.23 and 4,29; and

      (m)   Execute and deliver such other documents and perform such other acts
            as the Manager in his sole discretion may determine to be necessary
            or appropriate to carry out the purposes of the Company

      The foregoing powers of the Manager are subject to the limitation that no
      specific action may be taken by the Manager over the prior objection to
      such specific action by a Member unless and until such specific action is
      approved by Majority Vote (or if applicable, unanimous vote).

4.3   CERTAIN LIMITATIONS ON AUTHORITY OF MANAGER.

      All authority not specifically delegated to the Manager hereinbefore shall
      be reserved to the Members. All decisions of the Members shall be
      determined by Majority Vote; except that, the following matters shall
      require the unanimous approval of the Members:

      (a)   To dissolve, liquidate or wind-up the business of the Company;

      (b)   To sell, exchange, lease, mortgage, pledge, encumber, or grant a
            security interest in, or otherwise transfer assets, other than
            inventory in the ordinary course of business, and other than
            granting and perfecting security interests in the Company's accounts
            as provided in 4.2(1) above;

      (c)   To merge or consolidate the Company with or into any other entity;

      (d)   Except as provided in Section 4.29 in relation to operational
            financing, to incur indebtedness in excess of $25,000 in any one
            transaction, or in excess of $100,000 in the aggregate, which
            aggregate amount shall include any outstanding operational financing
            amounts;

      (e)   To alienate, lease or encumber any immovable property belonging to
            the Company;

      (f)   Confess to judgment against the Company;

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      (g)   To admit new members;

      (h)   To file voluntary bankruptcy proceedings;

      (i)   To amend the Articles or this Agreement; and

      (j)   To make distributions to a Member or Members.

4.4   COMPENSATION AND REIMBURSEMENT OF MANAGER

      Manager shall not receive any compensation for its services rendered in
      its legal capacity as Manager of the limited liability company unless and
      until same be established upon a Unanimous Vote. Manager shall be
      reimbursed on a monthly basis for all direct costs and expenses reasonably
      incurred on behalf of the Company. All compensation to Manager for
      services rendered and all direct costs and expenses incurred by Manager on
      behalf of the Company shall not exceed that which is reasonable and proper
      for comparable services performed in a like manner in accordance with
      industry standards, and shall to the extent applicable, meet the criteria
      of any applicable safe harbor regulation.

4.5   LIABILITY AND INDEMNIFICATION OF MANAGER.

      In addition to any other provision contained herein conferring similar
      rights, the Manager shall not be liable, responsible, or accountable in
      damages or otherwise to the Company or to any Member for any action taken
      or any failure to act on behalf of the Company within the scope of the
      authority conferred on the Manager by this Agreement or by law, unless the
      action was taken or omission was made fraudulently or in bad faith or
      unless the action or omission constituted gross negligence, or conduct
      demonstrating a greater disregard of the duty of care than gross
      negligence, including but not limited to, intentional tortious conduct or
      intentional breach of Manager's duty of loyalty.

4.6   POWER OF ATTORNEY.

      Each Member hereby constitutes and appoints the Manager as the Member's
      true and lawful attorney and agent with full power and authority in the
      Member's name, place, and stead solely for the purpose of executing,
      swearing to, acknowledging, delivering, filing, and recording in the
      appropriate public offices:

      (a)   All such certificates that are necessary or appropriate to qualify
            or continue the Company as a limited liability company or conduct
            the business of the Company in the jurisdictions in which the
            Company may conduct business or own or lease property; and

      (b)   One or more fictitious or trade name certificates

      The power of attorney granted herein shall be considered to be coupled
      with an interest, and, to the extent permitted by applicable law, shall
      survive the death, interdiction, withdrawal, resignation, retirement,
      expulsion, bankruptcy, dissolution, or termination of existence of a
      Member or interest holder. It shall also survive the Transfer of an
      Interest, except that if the Transferee is admitted as a Member, this
      power of attorney shall survive the delivery of the assignment for the
      sole purpose of enabling the Manager, as attorney in fact, to execute,
      acknowledge, and file any documents needed to effectuate the substitution.

<PAGE>

4.7   RESIGNATION OR WITHDRAWAL OF MANAGER.

      The Manager may resign upon giving written notice to the Company at least
      thirty (30) days in advance. Upon the resignation or withdrawal of the
      Manager, a new Manager may be elected by an unanimous vote of the Members.

4.8   OTHER AGENTS

      The Members, on unanimous vote, may appoint other managers, agents, or
      attorneys-in-fact as needed from time to time, whose authority to act for
      the Company shall be stated in the written act or instrument pursuant to
      which said agent or attorney in fact is appointed. Unless expressly
      authorized to do so by the Members, no attorney-in-fact, employee or other
      agent of the Company shall have any power or authority to bind or obligate
      the Company in any way, or to pledge its credit.

4.9   REMOVAL OF MANAGER.

      The Members, at any time and with or without cause, may remove a Manager
      and elect a new Manager, upon unanimous Vote of the Members .

4.10  LIMITATION ON AUTHORITY OF MEMBERS.

      No Member is an agent of the Company solely by virtue of being a Member,
      and no Member has authority to act for the Company solely by virtue of
      being a Member. This Section 4.10 supersedes any authority granted to the
      Members by the Act. Any Member who takes any action or binds the Company
      in violation of this Operating Agreement shall be solely responsible for
      any loss and expense incurred by the Company as a result of the
      unauthorized action and shall indemnify and hold the Company harmless with
      respect to the loss or expense.

4.11  BUSINESS JUDGMENT.

      The Managers and the Members shall be entitled to rely on information,
      opinions, reports or statements, including but not limited to financial
      statements or other financial data prepared or presented by: (i) any one
      or more Members, Officers or employees of the Company whom the Member
      reasonably believes to be reliable and competent in the matter presented,
      (ii) legal counsel, public accountants, or other persons as to matters the
      Member reasonably believes are within the person's professional or expert
      competence, or (iii) a committee of Members on which he or she does not
      vote if the Member reasonably believes the committee merits confidence.

4.12  MEETINGS OF THE MEMBERS

      Subject to the notice requirement of Section 4.13, meetings of the Members
      may be called at any time by a Manager, or by Members holding in the
      aggregate thirty percent (30%) of the Units. If the meeting is called by
      less than a majority in interest of the Members, it shall be held at the
      registered office of the Company, unless all Members agree to an alternate
      location. Subject to the foregoing, meetings of the Members may be held at
      the office of the Company, or at such other place, either within or
      without the State of Louisiana, at a time and date as designed in the
      notice. Failure to hold an annual meeting shall not affect or vitiate the
      Company's existence.

4.13  NOTICE OF MEETINGS

<PAGE>

      Written notice of the time and place of a meeting of Members shall be
      given by the Person calling the meeting to all Members at least two (2)
      days and not more than sixty (60) days prior to the date fixed for the
      meeting. Notice of any Members' meeting may be waived in writing by any
      Member at any time. Attendance at any meeting by a Member shall be deemed
      a waiver of notice of such meeting unless such attendance is solely for
      the purpose of objecting to the legality of the meeting on grounds of
      inadequate or improper notice.

4.14  QUORUM

      Except as may be otherwise required by the Act, the Articles or this
      Agreement, the presence in person or by proxy of persons holding fifty-one
      percent (51%) of the Votes shall be necessary to constitute a quorum at
      any meeting of the Members.

4.15  VOTING

      At any meeting of the Members, every Member having the right to vote shall
      be entitled to vote in person, or by proxy. There shall be one vote
      allotted for each Unit held by the Members (the "Votes"). Fractional Units
      shall not be entitled to vote except in the event of a tie vote. Except
      for actions requiring the unanimous or a supermajority consent or approval
      of the Members as required by the Act, the Articles, or this Agreement, a
      fifty-one percent (51%) majority of the Votes present and voting
      ("Majority Vote") shall decide any matter brought before the Members. On
      demand of any Member, the vote on any question shall be by written ballot.

4.16  PROXIES

      At any meeting of the Members, every Member shall be entitled to vote in
      person or by proxy appointed by an instrument in writing subscribed by
      such Member and bearing a date not more than eleven months prior to the
      meeting, unless the instrument provides for a longer period. Any Member
      may issue an irrevocable proxy to any other Member. A copy of such
      instrument shall be filed prior to or at the meeting. The person granted a
      Member's proxy has full authority to act as and on behalf of the Member
      granting such authority, with all powers and rights incident thereto,
      unless otherwise limited in such instrument.

4.17  WRITTEN CONSENT

      Any action may be taken without a meeting of the Members if a consent in
      writing, setting forth the action so taken, shall be signed by those
      Members having sufficient votes to authorize the action. Such consent
      shall have the same force and effect as a vote of the Members. A
      photostatic, email, facsimile transmission, or similar reproduction of a
      writing, signed by a Member, shall be regarded as an original for all
      purposes. A copy of the written consent shall be distributed to each
      non-consenting Member within fifteen (15) days of the date of such
      consent. The failure to distribute such copies shall not vitiate or effect
      the consent in any manner.

4.18  TELEPHONE CONFERENCE CALLS; EMAIL

      Members may participate in meetings by means of a telephone conference
      call or similar communication equipment provided that all Persons
      participating in the meeting can hear and communicate with each other.
      Participation in such a meeting shall constitute presence at the meeting,
      except where a Person participates in the meeting for the express purpose
      of objecting to the transaction of any business on the ground that the
      meeting is

<PAGE>

      not lawfully called or convened. The Manager may poll the Members by
      telephone and the results of such poll may constitute action by the
      Members so long as no Member who has been polled objects to such action
      prior to its adoption, and provided that any action taken by poll is
      properly reduced to writing and a copy of the same provided to the Members
      within ten (10) days following the poll. Members may take action by way of
      serial email transmissions so long as each Member contemporaneously
      receives a copy of the emails proposing and discussing such action and no
      Member objects to such action prior to its adoption.

4.19  TAX RETURNS AND ELECTIONS

      The Manager shall cause the preparation and timely filing of the Company's
      tax returns, shall make such tax elections and determinations as appear to
      be appropriate, and shall timely file all other writings required by any
      governmental authority having jurisdiction to require such filing. Upon
      the transfer of all of the Member's interest in the Company or upon the
      death of a Member, or upon the distribution of any property of the Company
      to a Member, the Company may (but shall not be required to) file an
      election in accordance with the applicable Treasury Regulations to cause
      the basis of such property to be adjusted for federal income tax purposes
      as provided by the Code.

4.20  REIMBURSEMENT OF COSTS AND EXPENSES

      Any Member acting for and on behalf of the Company shall be entitled to
      reimbursement for all reasonable expenses, costs and other liabilities
      reasonably incurred on behalf of the Company, except to the extent that
      such expenses, costs and other liabilities are incurred in connection with
      services that the Member has agreed to perform for the Company as a
      contribution to its capital.

4.21  LIMITATION OF LIABILITY

      Except as otherwise provided by the laws of the State of Louisiana, the
      personal liability of each Member, if any, shall be limited to his capital
      contribution to the Company as set forth herein. No Member has guaranteed
      or shall have any obligation with respect to the return of a Member's
      Capital Contributions or profits from the operation of the Company. No
      Member shall be liable for any debt or liability of the Company unless
      same shall be separately guaranteed or endorsed by a Member in that
      Member's personal capacity. No Member shall be liable, responsible or
      accountable in damages or otherwise to the Company or any other Member for
      any loss or damage incurred by the Company or the Member by reason of any
      act or omission performed or omitted by the Member on behalf of the
      Company, provided that the Member acted (i) in good faith, and (ii) in a
      manner reasonably believed by the Member to be within the scope of the
      authority granted to him by this Agreement and in the best interest of the
      Company. The foregoing limitation of liability shall not apply to such
      losses to, or damages incurred by, the Company or the Members that result
      from the Member's gross negligence, intentional misconduct or breach of a
      fiduciary duty owed to the Company or the Members.

4.22  INDEMNITY

      Except as otherwise provided for herein, to the fullest extent permitted
      by law the Company shall indemnify, defend and hold harmless each Member
      and make advances for expenses to each Member arising from any loss, cost,
      expense, damage, claim or demand, in connection with the Company, the
      Member's status as a Member of the Company, the Member's participation in
      the management, business and affairs of the Company or such Member's
      activities on behalf of the Company. The Company shall

<PAGE>

      also indemnify, defend and hold harmless its Officers, employees and
      Managers from any loss, cost, expense, damage, claim or demand in
      connection with the Company, any such Person's participation in the
      business and affairs of the Company, or such Person's activities on behalf
      of the Company. Each Member shall be named as an additional insured in any
      liability insurance policy secured or obtained by or on behalf of the
      Company. Upon request of any Member, each Member agrees to notify its
      present or future insurer or insurers that it desires to waive subrogation
      against the other parties to this Agreement and to verify that such waiver
      has been made part of the policy. Each of the parties hereby agree to
      indemnify, and hold the other harmless for any loss sustained because of
      the other's failure to carry out the obligation provided in this agreement
      relating to the waiver of subrogation.

4.23  RELATED PARTY TRANSACTIONS

      (a)   Anything in this Agreement to the contrary notwithstanding (other
            than as provided in Section 4.23(b) and (c)), it is agreed by and
            among the Company and its Members that the Company shall not enter
            into any contract, agreement or transaction with any Member or
            Affiliate of the Company; or with any individual family member
            (spouse, child, sibling or parent) of any Member of the Company; or
            with any Affiliate, corporation, partnership or legal entity owned
            (10% or more) or controlled by any Member or Affiliate of the
            Company, or an immediate family member thereof; or any individual
            which is a shareholder or other equity interest owner in a
            corporation, partnership or limited liability company which is a
            Member or Affiliate, without the unanimous consent of the remaining
            disinterested Members which shall be calculated by omitting the
            votes attributable to the interested Member. The following are
            non-exclusive examples of transactions covered by this section and
            requiring consent of a majority of the disinterested Members:

            (i)   sale of the Company's real estate or movable property or
                  assets to the Members, their immediate family members or
                  related entities or Affiliates;

            (ii)  leasing of the Company's real estate or movable property or
                  assets, or any portion thereof to or from the Members, their
                  immediate family members or related entities or Affiliates;

            (iii) entering into contracts for the management, servicing, repair
                  or improvement of the Company's business, real estate, movable
                  property or other assets, or any portion thereof, with the
                  Members, or their immediate family members or related entities
                  or Affiliates.

            (iv)  employment or professional services agreements.

      (b)   Notwithstanding the foregoing, the Members agree that LHC Group,
            LLC, the Company's Manager, may provide operating capital to the
            Company at its cost as provided in Section 4.29, and in conjunction
            therewith shall be authorized to grant a security interest in the
            Company's accounts receivables to any lender of such funds. Further,
            the Members agree that LHC Group, LLC shall provide management
            services to include payroll, billing, purchasing, accounts payable
            processing, accounting, and similar services to the Company and
            shall be entitled to reimbursement for its Direct Costs of
            furnishing same. The term "Direct Costs " as used in this Section
            4.23 (b) shall mean all reasonable expenses incurred by Manager on
            behalf of the Company, including Manager's reasonable actual costs
            of personnel, equipment, supplies and other expenses incurred in

<PAGE>

            providing the management services, including Manager's functional
            allocation of home office costs according to Medicare principles of
            cost allocation for payroll, salaries and benefits administration,
            accounts payable, billing direction of home health operations, and
            quality assurance and performance improvement, and provided that
            such Direct Costs shall not exceed such charges as are reasonable
            and necessary in accordance with industry standards and shall, to
            the extent applicable, meet the criteria of any applicable safe
            harbors

      (c)   Notwithstanding the foregoing, the Members agree that the Company
            may enter into the following transactions with shareholders of Beta
            HomeCare, Inc. (hereinafter "Beta"), or its affiliates as deemed
            necessary for the continued operations of the home health agency:

            (i)   Lease of available office space for the home health agency at
                  fair market value for operations of the Company, provided the
                  parties intend that the lease shall meet the criteria of the
                  lease-rental safe harbor to the federal laws prohibiting
                  payments for referrals; and

            (ii)  Employment Agreements with John Rudd and Christopher Baggett
                  for the provision of services necessary for the operations of
                  the Company.

      (d)   In no event may the services provided or the expenses, rents or
            other charges incurred under the foregoing provisions in any related
            party transactions or any other transactions in which the Company is
            involved, violate any criteria of any applicable safe harbor
            provisions relating to federal laws prohibiting payments for
            referrals or other regulations prohibiting payments in excess of
            fair market value, to the end that all transactions in which the
            Company is involved may comply with and not be in violation of any
            applicable regulations.

4.24  CONTRACTS IN VIOLATION

      Any contract, agreement, or transaction entered into without the unanimous
      consent of the disinterested Members as required in Section 4.23 above or
      as otherwise permitted herein, shall be absolutely null and void and of no
      force and effect as concerns the Company and the disinterested Members.

4.25  NO INDEMNIFICATION

      The limitation of liability and indemnification provisions of Sections
      4.21 and 4.22 of this Agreement shall not apply to any transaction entered
      into in violation of Sections 3.3 and 4.23 above. Furthermore, the
      limitation of liability and indemnification provisions of Sections 4.21
      and 4.22 of this Agreement shall not apply to any Member if that Member is
      determined to have breached any fiduciary duty to the Company. In such
      event, the Member shall promptly reimburse to the Company any sums
      advanced under Sections 4.21 or 4.22.

4.26  MEMBERS' AND OFFICERS' COMPENSATION

      Any salaries and other compensation of the Members or Officers shall be
      fixed by the unanimous vote of disinterested Members , and no Member shall
      be prevented from receiving such salary by reason of the fact that he is
      also a Member of the Company. The salary fixed by the Members shall not
      exceed reasonable compensation for the services rendered in accordance
      with industry standards and any applicable regulations.

<PAGE>

4.27  TAX ELECTIONS; TAX MATTERS PARTNER.

      All elections required or permitted to be made by the Company under the
      Code shall be made by a Majority Vote of the Members. For all purposes
      permitted or required by the Code, the Members constitute and appoint its
      initial Manager as Tax Matters Partner or, if he is no longer the Manager,
      then such other Member or Manager as shall be elected by the Members by
      Majority Vote. The provisions on limitations of liability and
      indemnification of the Members set forth in Article 4 hereof shall be
      fully applicable to the Tax Matters Partner in his or her capacity as
      such. The Tax Matters Partner may resign at anytime by giving written
      notice to the Company and each of the other Members. Upon the resignation
      of the Tax Matters Partner, a new Tax Matters Partner may be elected by
      Majority Vote of the Members.

4.28  INSURANCE.

      The Company, for itself and its Members as additional insureds, shall
      maintain in force and effect general commercial liability insurance
      coverage of no less than $1,000,000 per incident and $3,000,000 in the
      aggregate; professional liability insurance of no less than: (i)
      $1,000,000 per incident and $3,000,000 in the aggregate, or (ii) $ 100,000
      per incident and $300,000 in the aggregate, subject to and including
      participation as a Qualified Healthcare Provider in the Louisiana
      Patients' Compensation Fund; and workers' compensation insurance in the
      minimum statutory amount for so long as this Agreement is in effect and
      for a term of three (3) years thereafter.

4.29  FINANCING.

      For the Company's benefit, LHC GROUP, LLC, as Manager, is hereby
      authorized to obtain operational financing from its credit facility,
      GMAC-RFC Health Capital or its successor, and is authorized to grant a
      security interest of up to one hundred percent (100%) of Company's
      accounts receivables to secure same, provided, however, that such
      operational financing in the aggregate shall not exceed the greater of:
      (i) $200,000 or (ii) one hundred twenty (120) days trailing net revenues
      without the unanimous vote of the Members. For the purposes of this
      section the trailing net revenues shall equal the sum of the net revenues
      generated by the Company during the one hundred twenty (120) days
      preceding the date of the determination of same.

                                    ARTICLE 5

           CAPITAL CONTRIBUTIONS AND ACCOUNTS, AND ACCOUNT ALLOCATIONS

5.1   CAPITAL CONTRIBUTIONS

      (a)   Initial Capital. The Members have this date terminated or caused the
            termination of a joint venture between Beta HomeCare, Inc. and
            Acadian Home Health Care Services, LLC, and the Members have caused
            the joint venture to transfer all prior contributions to the Company
            for the credit of each Member. In conjunction therewith, Louisiana
            Health Care Group, LLC acquired twelve and one-half percent (12.5%)
            Beta's interest in the venture and is therefore holding sixty-two
            and one-half Units in the Company. Beta has been issued thirty-seven
            and one- half Units of the Company.

      (b)   Allocation of Profits and Losses:
            ___________________________________Notwithstanding any provision of
            this Agreement to the contrary, the parties agree

<PAGE>


                  that the Members' Interests in income and losses of the
                  business activities conducted by the Company shall be equal to
                  the percentages calculated as of the time of the allocation by
                  dividing the Units held by each Member by the aggregate Units
                  held by all Members.

      (c)   Special Capital Contributions. It is anticipated that the Company
            will from time to time require additional capital to purchase or
            acquire additional assets or entities, or interests therein, and to
            fund the future operations of the Company. The Members will
            contribute to the capital of the Company, according to their
            respective Membership Interests, as set forth in Sections 5. l(b)
            above, cash sums equal to the sums necessary to defray the costs of
            such operations not covered by Company revenues in such amounts as
            are approved by an unanimous vote of the Members. Following
            approval, should a Member fail to pay its share of authorized
            additional capital within ten (10) days of written notice from any
            Member or Manager to do so, it shall be liable to the other Member
            or Members therefor, as provided in Section 5.1(d) below; provided,
            however, that in lieu of the penalty set forth in Section 5.1(d),
            upon a Majority Vote of the non-defaulting Members, the defaulting
            Member shall be deemed to have forfeited its interest in the Company
            to the non-defaulting Member or Members who choose to advance the
            defaulting Member's unpaid capital contribution. Written notice of
            forfeiture shall be delivered to the defaulting Member within sixty
            (60) days of the default in capital contribution. The provisions of
            this Section 5.1 (c) shall not apply to capital calls unless such
            call has been approved by a unanimous vote prior to a default.

      (d)   Penalty for Failure to Make Capital Contributions. Upon failure of
            any Member to promptly remit to the Company any sum due by it under
            the terms of this Section 5.1, and if no non-defaulting Member
            chooses to declare a forfeiture of interest under Section 5,1 (c)
            above, then another Member may, but shall not be required to,
            advance such sum or sums. Any Member making such an advance shall be
            entitled to recover 300% of the amount of such advance from the
            first Distributive Shares to which the other Member would have
            otherwise been entitled as a Member of the Company in the absence of
            its default hereunder. The provisions of this Section 5.1(d) shall
            not apply to capital calls unless such call has been approved by the
            unanimous consent of the Members prior to a default.

      (e)   Interest on and Return of Capital Contributions. No Member shall be
            entitled to interest on such Member's Capital Contribution or to a
            return of its Capital Contribution, except as otherwise specifically
            provided for herein.

      (f)   Contributions for Losses. Absent the unanimous consent of the
            Members to the contrary, the Parties agree that in the event any Net
            Losses arise out of or result from the Company's operations, each
            Party shall assume and pay the share of the Losses for that year
            that is equal to its Interests.

5.2   CAPITAL ACCOUNTS

      A Capital Account shall be maintained on the books of the Company for each
      Member which shall be begun, determined and maintained through the full
      term of the Company in accordance with the Capital Accounting rules of
      Treasury Regulations, and otherwise in accordance with generally accepted
      accounting principles consistently followed. A Member's Capital Account
      shall consist of his capital contributions to the Company:

            (1)   Increased by his share of Company profits; and

<PAGE>

            (2)   Decreased by his share of Company losses and by cash
                  distributions to him.

      No Member shall withdraw any part of its Capital Account, except upon the
      approval of the Members.

5.3   ALLOCATION OF PROFITS, GAINS AND LOSSES

      (a)   General Allocation. The Members will share in the income, gains,
            profits, expenses, losses, deductions and credits of the Company in
            accordance with the allocations set forth in Section 5.1. Each
            Member's share of the Net Profits and Net Losses shall be allocated
            for each Fiscal Year to the Members' Capital Accounts.

      (b)   Depletion Allocation. Depletion will be allocated to the Members in
            the same proportions as they share in the income and profits of the
            Company; provided, however, that depletion will not be allocated to
            a Member to the extent that it causes or increases a negative
            balance in his Capital Account.

      (c)   Qualified Income Offset. Notwithstanding the allocation rules set
            forth in this Agreement, the Members agree to a "qualified income
            offset" as defined in Treasury Regulations to allocate items of
            income and gain in an amount and manner sufficient to eliminate as
            quickly as possible any unexpected Capital Account deficit balance.

5.4   DISTRIBUTIONS

      The Company's pre-tax Net Profits which arc in excess of the current or
      projected needs of the Company maybe distributed on an interim basis each
      Calendar Quarter to the Members in accordance with the allocations set
      forth in Section 5.1 (b). Such payments are referred to herein as
      "Distributive Shares." However, no distribution shall be made to Members
      if prohibited by the Act. Such distributions shall be made no later than
      60 days following the end of each Calendar Quarter. All interim quarterly
      distributions shall be reconciled annually and corrective distributions
      shall be made no later than March 31st of each year for the prior fiscal
      year. Amounts calculated for any partial quarter or annual periods shall
      be determined proportionately, but shall be subject to the annual
      reconciliation.

5.5   LOANS TO COMPANY

      To the extent unanimously approved by the Members, any Member may make a
      secured or unsecured loan to the Company.

5.6   PRIORITY AND RETURN OF CAPITAL.

      No Member shall have priority over any other Member, either as to the
      return of Capital Contributions or as to Net Profits, Net Losses or
      Distributions. This Section shall not apply to loans (as distinguished
      from Capital Contributions) which a Member has made to the Company.

5.7   MEMBERS' RIGHTS OF CONTRIBUTION.

      If for any reason, a Member sustains any liabilities or is required to pay
      any losses arising out of, or directly connected with, the Company, or the
      execution of any agreements or

<PAGE>

      guarantees in connection with the Company's operations, which are in
      excess of his, her or its proportionate Membership Interest in the
      Company, the other Members shall promptly reimburse such Member this
      excess, so that each and every Member of the Company will then have paid
      his, her or its proportionate share of such losses to the full extent of
      his, her or its Membership Interest in the Company.

5.8   OPTION.

      In the event that LHC Group, LLC (the "Manager") is sold, merged or
      otherwise acquired, or if it undertakes an initial public offering
      (collectively referred to herein as "Sale Event"), Beta HomeCare, Inc.
      shall have the option to: (i) exchange its holdings of Units in the
      Company to Units of Manager in accordance with the following terms; or
      (ii) to sell its holdings of Units in the Company to the other Members in
      proportion to their holdings of Units for a price determined in accordance
      with Section 6.5, provided, however, that for the calculation of the
      PURCHASE price, the Manager's cost allocation to the Company for the
      fiscal year shall be the lesser of its actual costs or 17% of the Net
      Revenues of the Company, AND PROVIDED FURTHER THAT THE PURCHASE PRICE
      SHALL BE PAID IN 4 EQUAL QUARTERLY INSTALLMENTS COMMENCING NINETY DAYS
      AFTER THE EFFECTIVE DATE OF THE TRANSFER.

      (a)   Manager shall provide thirty (30) days written notice to Beta of the
            scheduled occurrence of a Sale Event, and that it is eligible to
            exercise the option provided herein. Beta shall then have ten (10)
            days to notify Manager of its intention to exercise the option.

      (b)   In the event that Beta exercises the option, Beta shall have the
            right to exchange the Units held by it in the Company for Manager
            Units in accordance with the following formula:

                  37.5% of the product of (i) the total issued and outstanding
                  Units of Manager as of the date of the notice and (ii) a
                  fraction, the numerator of which is the Company's EBITDA and
                  denominator of which is Manager's EBITDA.

            The Company's and Manager's EBITDA shall be determined as the
            Earnings Before Interest Taxes and Depreciation from the Company's
            financial statements and Manager's consolidated financial statements
            FOR THE TWELVE CALENDAR MONTH PERIOD ENDING ON THE LAST DAY OF THE
            LAST CALENDAR MONTH PRIOR TO THE EVENT GIVING RISE TO THE VALUATION.

            For the purposes of illustration, the following example of how the
            number of Units to be converted will be calculated is provided:

<TABLE>
<CAPTION>
                     EBITDA                    OUTST.      BETA         CONV.
                    9-30-2003    PROPOR.       SHARES      HOLD.       SHARES
                   -----------   -------     ---------    ------     ----------
<S>                <C>           <C>         <C>          <C>        <C>
AHHCS              $   478,694    = 8.67% X  8,056,767    X 37.5% =   261,799
                   -----------
LHC GROUP          $ 5,524,372
</TABLE>

            The parties understand that the foregoing example is for purposes of
            illustration
<PAGE>

            only and is not indicative of current or future operations or
            performance.

      (c)   Manager shall then issue the Units in Manager to Beta within ten
            (10) days prior to the Sale Event. As a conditions precedent to the
            issuance of the Units by Manager, Beta will: (i) execute a written
            consent to the Sale Event; and (ii) execute a counterpart to
            Manager's Operating Agreement. The Manager Units issued to Beta
            shall be subject to all terms, conditions and restrictions contained
            in Manager's Operating Agreement.

      (d)   Beta shall be bound by the terms and conditions of the Sale Event in
            respect to the Units issued to it by Manager.

      (e)   The parties acknowledge and agree that it is their intention for
            this Option to exchange to operate only so long as the Sale Event
            actually occurs and closes. In the event that the Sale Event does
            not occur as scheduled, the exchange performed under the option
            shall automatically and immediately be rescinded, without any
            requirement of notice by either party, and Beta shall surrender any
            Units in Manager received by it, and shall receive the Company's
            Units it tendered for exchange.

                                    ARTICLE 6

                      TRANSFER OF INTERESTS AND WITHDRAWAL

6.1   RESTRICTIONS ON TRANSFER.

      A Member may not sell or otherwise transfer the Member's Units in the
      Company except as provided in this Article. In the event that a Member
      sells or transfers, or purports or attempts to sell or otherwise transfer,
      his, her or its Units except as provided in this Article, that Member
      shall be deemed to have involuntarily withdrawn from the Company effective
      on the date of the sale or transfer, or the purported or attempted sale or
      transfer. Any such sale or transfer, or purported or attempted transfer
      shall not have effect with respect to the Company and its Members, and any
      such transferee shall be entitled only to receive the value of the Units
      transferred in accordance with the provisions of Section 6.3. The transfer
      restrictions of this Article shall be binding on the Members, the Company,
      their heirs, legatees, legal representatives, successors, assigns, and
      transferees.

6.2   BUY-SELL OFFERS

      (a)   At any time, either Member ("Transferor Member") may offer to
            purchase all Units of the other Member (the "Remaining Member"). The
            Transferor Member's offer shall: (i) be in writing; (ii) comply with
            the notice requirements herein; and (iii) specify the purchase price
            as the value for the Remaining Member's Interest in an amount not
            less than that set forth in Section 6.5 for the Remaining Member's
            Interest. The Transferor Member's offer to purchase shall also
            contain an offer by the Transferor Member to sell all of the
            Transferor Member's Units to the Remaining Member on the same terms
            and conditions contained in the offer except that the purchase price
            of the Member's Units shall be the value set forth in Section 6.5
            for the Transferor Member's Units.

      (b)   Within thirty (30) days of the date of the notice of the Transferor
            Member's offer, the Remaining Member shall provide notice to the
            Transferor Member of its agreement to either (i) purchase the
            Transferor Member's Units or (ii) sell its

<PAGE>

            Units to the Transferor Member in accordance with the terms of the
            offer. Regardless of which offer is accepted by the Remaining
            Member, the transfer of Units shall be completed within ninety (90)
            days of the date of the notice of the Transferor Member's offer.
            Transfer shall be effected by amendment to this Agreement, payment
            of the purchase price and execution of other documents reasonably
            necessary to complete the transfer. Payment of the purchase price
            shall be as set forth in Section 6.5.

      (c)   If the Remaining Member accepts the Transferor Member's offer to
            purchase its Units, the Transferor Member may assign all or part of
            the right to purchase the Remaining Member's Units to others,
            however, the Transferor Member shall remain liable to the Remaining
            Member, jointly and severally with all such assignees, for timely
            completion of the transfer and payment of the purchase price.

      (d)   If the Remaining Member fails to provide notice to the Transferor
            Member as provided in Section 6.2(b), the Transferor Member's offer
            to purchase the Membership Interest of the Remaining Member shall be
            deemed accepted.

      (e)   In the event the transfer is not completed within ninety (90) days
            of the date of notice of the Transferor Member's offer, the Company
            and the non-defaulting Member may institute legal proceedings to
            enforce the obligations of the defaulting Member and, if successful,
            the defaulting Member shall be liable for all attorneys' fees and
            costs incurred by the Company and the non-defaulting Member.

6.3   TRANSFER OF MEMBER'S INTEREST TO THIRD PARTIES.

      (a)   Notwithstanding any other provision of this Agreement to the
            contrary, no Member may sell, assign, give, devise, pledge,
            hypothecate, mortgage, or in any other manner transfer any portion
            of his Units, without the prior written consent of all of the other
            Members, and any such transfer shall be subject to the provisions of
            this Section 6.3, provided, however, that this Section shall not
            apply to a transfer under Section 6.2.

      (b)   If a Member desires to effect any such transfer to a third party,
            such Member or his legal representative (the "Transferor Member")
            shall first give written notice (the "Offer Notice") to the Company
            and the other Members (the "Remaining Members") which shall state:

            (i)   The extent of the Units to be conveyed;

            (ii)  The complete terms upon which the Transferor Member seeks to
                  convey the Units (such terms to be limited to consideration
                  for the Units in the form of cash and/or notes receivable);
                  and

            (iii) The name and address of any transferee relating to such
                  conveyance.

      (c)   Upon receipt of the Offer Notice, the Remaining Members shall have
            the unrestricted right to (i) consent to such transfer; or (ii)
            refuse to consent to such transfer, in which case such refusal shall
            cause the following rights and obligations to arise in the following
            order of priority, provided, however, that this Section shall not
            apply to a transfer under Section 6.2:

      (d)   The Remaining Members shall have the option for a period of thirty
            (30) days from receipt of the Offer Notice within which to purchase
            the offered portion of

<PAGE>

            the Transferor Member's Units on the same terms and conditions set
            forth in the Offer Notice. For the first fifteen (15) days of the
            thirty (30) day period, each Remaining Member electing to purchase
            part of the Transferor Member's Units shall have the primary right
            to purchase a proportion of the Transferor Member's Units calculated
            as the product of: the Units of the Transferor Member described in
            the Offer Notice multiplied by a fraction, the numerator of which
            shall consist of the purchasing Remaining Member's Units and the
            denominator of which shall be the aggregate Units of the Remaining
            Members electing to exercise their primary right to purchase the
            Transferor Member's Units.

      (e)   In the event that any portion of the Transferor Member's Units
            described in the Offer Notice has not been purchased by the
            Remaining Members at the end of the initial fifteen (15) day period,
            the remainder shall be available for purchase by these Remaining
            Members in the exercise of their secondary right. Each Remaining
            Member electing to exercise his secondary right shall have the
            option for a period of fifteen (15) days to purchase, on a pro-rata
            basis, such part of the Transferor Member's Units as was not elected
            for purchase by the Remaining Members in the exercise of their
            primary right.

      (f)   In the event that any portion of the Transferor Member's Units
            described in the Offer Notice has not been purchased by the
            Remaining Members at the end of the thirty (30) day period, the
            Company shall have the option for a period of fifteen (15) days to
            purchase any remaining portion of the Transferor Members' Units that
            was not purchased by the Remaining Members in the exercise of either
            their primary or their secondary rights.

      (g)   In the event that any portion of the Transferor Member's Units
            described in the Offer Notice has not been purchased by the Company
            at the end of the fifteen (15) day period, the Transferor Member may
            transfer the Units on the terms contained in the Offer Notice, and
            the consent of the Company and its Members if not expressly granted
            shall be implied. The Transferor Member shall complete the transfer
            within ninety (90) days (or such later date as may be specified in
            the Offer Notice) after receipt of the Offer Notice by the Remaining
            Members, but only with such transferee and only on such terms as
            were specified in the Offer Notice.

6.4   INVOLUNTARY TRANSFERS OF UNITS.

      (a)   Any Member shall give written notice to the Company, if such Member
            (the "Transferor Member"): (i) is deemed to have involuntarily
            withdrawn from the Company under the terms of Section 6.12 of this
            Agreement; (ii) becomes the subject of a proceeding under the U.S.
            Bankruptcy Code, or if a trustee, receiver, liquidator, or other
            representative of the Member's personal or business assets is or may
            be appointed; or (iii) becomes insolvent or makes an assignment for
            the benefit of the Member's creditors; or (iv) becomes involved in
            any other proceeding or commits any other act by which such Member,
            or a trustee, receiver, liquidator, or other representative of such
            Member, is or may be permitted or required to acquire or convey all
            or any portion of such Member's Units.

      (b)   The Company shall be obligated to purchase the entirety of the
            Transferor Member's Units, which purchase shall be consummated in
            the manner specified in this Section. The purchase price of any
            Units purchased pursuant to this Section

<PAGE>

            shall be equal to the book value of the Units as of the close of the
            Company's fiscal year immediately preceding the event resulting in
            the involuntary transfer, less any negative Capital Account balance
            of the Member. In the event the involuntary transfer is occasioned
            prior to the end of the Company's first fiscal year, the purchase
            price of any Units purchased pursuant to this Section shall be equal
            to the book value of the Units as of the close of business on the
            day on which the event causing the involuntary transfer occurred,
            less any negative Capital Account balance of the Member. The book
            value of the Units shall be determined by the Company's public
            accountant, and the accountant's determination when rendered shall
            be conclusive among the Members, unless a Member disputes such
            determination by written notice within ten (10) business days of
            notice to such Member of such book value. In the event of such
            dispute, the disputing Member shall have the right to engage
            independent public accountants to make such determination and the
            average of the two accountants' determinations shall be conclusive.

      (c)   If the Company is obligated to purchase the interest of a Transferor
            Member in the Company pursuant to the provisions of this Section,
            the Company shall do so by giving written notice to the Transferor
            Member, or the Transferor Member's trustee, receiver, or other
            representative, or the appropriate court, all as the case may be.
            Upon the giving of such notice, the Company, as purchaser, and the
            Transferor Member, as seller, shall be obligated to consummate the
            sale and purchase of the Units, or portion thereof, at the Company
            offices within sixty (60) days after the date of the Company's
            notice.

      (d)   The purchase price shall be paid by the Company with a
            non-negotiable promissory note payable in twenty equal quarterly
            installments, commencing ninety days after the effective date of the
            transfer, with interest at the prime rate published in the Wall
            Street Journal on the date of the transfer without prepayment
            penalties. The note shall contain a subordination clause
            subordinating the note to all other debts of the Company. The note
            shall be unsecured, except that the Company may grant a security
            interest securing payment of the promissory note in the Units
            transferred if the cause of the involuntary withdrawal is specified
            in Section 6.12 (c) (ii), only. At its sole option the Company may
            pay all or part of the purchase price in cash at the time of the
            transfer.

6.5   VALUATION FOR PURPOSES OF SECTIONS 6.2 & 6.12 (e). The Members agree that
      the value of the Company for the purposes of valuing the Units described
      in this Sections 6.2 & 6.12 (e) herein shall be equal to FIVE HUNDRED
      PERCENT (500%) of the Company's Earnings Before Interest, Taxes,
      Depreciation and Amortization (EBITDA) for the twelve calendar month
      period ending on the last day of the last calendar month prior to the
      event giving rise to the valuation. The value of a Member's interest under
      Sections 6.2 & 6.12 (e) shall be the product of the Transferor Member's
      percentage holdings of Units and the value of the Company, The purchase
      price shall be paid by the transferee with an unsecured, non-negotiable
      promissory note payable in twenty equal quarterly installments, commencing
      ninety days after the effective date of the transfer, with interest at the
      prime rate published in the Wall Street Journal on the date of the
      transfer without prepayment penalties. If the Company is the transferee,
      the note shall contain a subordination clause subordinating the note to
      all other debts of the Company. At his, her or its sole option the
      transferee may pay all or part of the purchase price in cash at the time
      of the transfer. NOTWITHSTANDING THE FOREGOING, IN THE EVENT THAT A MEMBER
      SELLS ITS UNITS PURSUANT TO SECTION 6.2 AFTER THE SECOND ANNUAL
      ANNIVERSARY OF THE EFFECTIVE DATE, THE PURCHASE PRICE FOR THE UNITS SHALL
      BE PAID BY THE TRANSFEREE IN FOUR EQUAL

<PAGE>

      QUARTERLY INSTALLMENTS COMMENCING NINETY DAYS AFTER THE EFFECTIVE DATE OF
      THE TRANSFER. Notwithstanding, the foregoing, in the event that there is a
      Sale Event (as defined in.Section 5.8 above), and any Member shall not
      exercise the option provided in Section 5.8, then for purposes of the
      valuation contained in this Section 6.5, the cost allocation for
      management services provided to the Company shall be the lesser of the
      actual costs or 15% of the Net Revenues of the Company following the
      effective date of the Sale Event.

6.6   SURVIVAL OF LIABILITIES. No sale or other transfer of an Units, even if it
      results in the substitution of the transferee or assignee as a Member
      herein, shall release the Transferor or assignor from those liabilities to
      the Company or the other Members which arose prior to such sale or
      assignment or which otherwise survive such sale or assignment as a matter
      of law.

6.7   NEGATIVE CAPITAL ACCOUNTS. If a Transferor Member has a negative Capital
      Account balance, the Transferor Member shall pay the Company the amount of
      the negative Capital Account balance as of the transfer date. If the
      Transferor Member shall fail to pay the negative Capital Account balance,
      the Company shall have the right to set-off or recoup any such amounts
      from any distributions due to, or from any amounts owed by the Company to,
      the Transferor Member, the transferee Member or the assignee.

6.8   LOANS AND PERSONAL GUARANTEES. Any loans owed by the Company to a
      Transferor Member shall be paid in full at closing. On or before closing
      of any transaction pursuant to this Article 6, the transferee Member shall
      also be obligated to obtain a full release of the Transferor Member (and
      the individual shareholder(s) or members of such Member) from all personal
      guarantees granted on behalf of the Company.

6.9   RIGHTS OF PERMITTED TRANSFEREES OR ASSIGNEES. A permitted transferee or
      assignee of a Member's Interest shall not become a Member without the
      unanimous Vote of the Members and compliance with the provisions of
      Section 3.2 of this Agreement. Any transferee or assignee of Units in the
      Company who is not admitted to membership in the Company shall not be
      entitled to vote, and shall not be entitled to participate in the
      management of the Company, or to have access to any records or
      communications of the Company or its Members, or to participate in any
      manner in the operation of the Company. He, she or it will, however, be
      bound by and subject to this Agreement and the terms and conditions of any
      other agreement pertaining to the restrictions on the transfer of an
      Interest in the Company.

6.10  SEVERABILITY. The parties agree that each term and condition contained in
      this Article 6 shall be liberally construed to give effect to the parties'
      intent and shall be considered severable; and if, for any reason, any
      provision or provisions, or portions thereof, herein contained are
      determined to be invalid, overbroad, or unenforceable for any reason, such
      provision shall be deemed modified to the extent required to render it
      valid, enforceable and binding, and such determination shall not affect
      the validity or enforceability of any other provision of this Agreement.
      In the event any provision of this Article 6 is held to be unenforceable
      or void for any reason, the remainder of the provisions of this Article
      shall be unaffected and shall remain in full force and effect in
      accordance with its terms.

6.11  SPECIFIC PERFORMANCE; ENFORCEMENT.

      (a)   In addition to any other remedies provided for herein, in the event
            any transfer required under this Article 6 is not timely completed
            in accordance with the terms hereof, the Company and/or each
            non-defaulting Member may seek specific

<PAGE>

            performance of the obligations of the defaulting party and may
            institute legal proceedings to enforce the obligations of the
            defaulting party and, if successful, the defaulting party shall be
            liable for all reasonable attorneys' fees and costs incurred by the
            non-defaulting party.

      (b)   The Members hereby declare and agree that it is impossible to
            measure in money damages that which will accrue to the Company and
            its Members by reason of a failure of any Member hereto to perform
            any of the obligations under this Article 6. Therefore, if any party
            hereto or the personal representatives of a decedent shall institute
            any action or proceeding to enforce the provisions of this Article 6
            by injunction (including the granting of a temporary restraining
            order), any Member against whom such action or proceeding is brought
            hereby waives the claim or defense therein that such Member or such
            personal representative has an adequate remedy at law, and such
            Member shall not urge in any such action or proceeding the claim or
            defense that such remedy at law exists.

6.12  WITHDRAWAL OF A MEMBER

      (a)   Voluntary Withdrawal. Any Member may withdraw from the Company at
            any time by notice to all other Members.

      (b)   Involuntary Withdrawal. Any circumstance compelling the involuntary
            transfer of a Member's Interest, including, without limitation,
            service of any writ of seizure applicable to his Interest or
            adjudication of bankruptcy of a Member, shall be deemed a withdrawal
            by the Member affected thereby effective upon the service of the
            writ or notice of the adjudication.

      (c)   Automatic Involuntary Withdrawal. In addition to the other events of
            withdrawal contained herein, a Member shall be deemed to have
            withdrawn from the Company effective on the date on which one of the
            following events occurs:

            (i)   the individual Member, or an officer, director, shareholder or
                  other equity holder of a corporate Member is convicted of a
                  felony (unless such felony is unrelated to the businesses of
                  the Company or the Members);

            (ii)  the individual Member dies, is interdicted or determined to be
                  incompetent; or

            (iii) the Member materially breaches this Agreement and fails to
                  cure such breach within thirty (30) days of receipt of notice
                  of such breach;

            (iv)  the Member, or an officer, director, shareholder or other
                  equity holder of a corporate Member is excluded or debarred
                  from participation in the Medicare or Medicaid programs; or

            (v)   the Member sells or transfers, or attempts to sell or transfer
                  of the Member's interest in the Company without compliance
                  with the provisions of this Article VI.

      (d)   Withdrawal from the Company, in and of itself, shall under no
            circumstances relieve the former Member of his, her or its
            obligations to: (i) make any additional capital contributions
            approved by the Members prior to the effective date of the former
            Member's withdrawal; or (ii) to fulfill his, her or its contractual
            obligations to the Company incurred or accrued prior to the
            effective date of the

<PAGE>

            former Member's withdrawal. In either event, the Company shall have
            a right of set-off against any distribution due to a withdrawing
            former Member.

      (e)   In the event of a voluntary withdrawal of a Member, if the Company
            is continued in accordance with the provisions of Section 7.1, the
            withdrawing Member shall have distributed to him the amount
            specified in Section 6.5 in accordance with the terms therein,
            EXCEPT THAT THE AMOUNT DISTRIBUTED SHALL BE PAID OVER 20 EQUAL
            QUARTERLY INSTALLMENTS WITHOUT REGARD TO THE TIME OF WITHDRAWAL.

      (f)   In the event of a voluntary withdrawal of a Member, if the Company
            is not continued in accordance with the provisions of Section 7.1,
            the Company shall be liquidated and dissolved according to the
            provisions of Article 7.

                                    ARTICLE 7

                           DISSOLUTION AND LIQUIDATION

7.1   DISSOLUTION

      Subject to the remaining terms of this Agreement the Company shall be
      dissolved upon the occurrence of any one of the circumstances hereinafter
      set forth:

      (1)   upon the termination of this Agreement and the failure of the
            Members to agree upon a new Operating Agreement within ninety (90)
            days following the effective date of the termination; or

      (2)   upon approval of the Members by an unanimous vote; or

      (3)   Upon the death, interdiction, withdrawal, bankruptcy, liquidation or
            dissolution of a Member or the occurrence of any other event which
            terminates the continued membership of a Member in the Company,
            however, such event shall not cause a dissolution of the Company if
            within ninety (90) days after such event, the Company is continued
            by the unanimous vote of the remaining Members.

7.2   DISSOLUTION FOR NON-COMPLIANCE WITH LAW.

      The parties hereto acknowledge and agree that the terms and conditions of
      this Agreement and the anticipated conduct of the parties hereunder are
      intended to satisfy all state and federal laws and regulations related to
      healthcare fraud and abuse and self-referral of patients, including,
      without limitation, 42 U.S.C. Section 1320-7b; 42 U.S.C. Section 1395nn,
      and La. R.S. 37:1744 and 1745. All contracts and compensation arrangements
      of the Company shall likewise comply with law. Manager and Company shall
      use their best efforts to comply with all laws and regulations regarding
      billing for services provided by the Company. Should any change in
      Louisiana or federal laws or regulations occur during the term of this
      Agreement rendering any term or provision of this Agreement invalid, or
      should the parties determine that this Agreement or the Members'
      participation in the Company result in a violation of any such laws or
      regulations, the parties agree that this Agreement shall be amended within
      thirty (30) days of such change or determination. If the parties are
      unable to agree to such modification or amendment during the said thirty
      (30) days, the parties hereby agree that the Company shall be dissolved as
      provided hereunder.

<PAGE>

7.3   LIQUIDATION

      Upon dissolution of the Company, if the Company is not continued, the
      Members shall proceed diligently to finalize the affairs of the Company
      and distribute its assets in accordance with the provisions of Section
      7.5. During this period, the Members shall continue to operate and
      otherwise deal with Properties of the Company, consistent with the
      liquidation thereof, but shall have no further power or authority to bind
      the Company except to sell or distribute its assets and wind up its
      affairs in compliance herewith.

7.4   FINAL ACCOUNTING

      Upon dissolution of the Company, the Members shall cause the Company's
      accountant to make, at the Company's expense, a full and proper accounting
      of the assets, liabilities, operations and Capital Accounts of the Company
      as of and through the last day of the month in which the dissolution
      occurs.

7.5   LIQUIDATION DISTRIBUTIONS

      As expeditiously as possible after the dissolution of the Company, the
      Members shall cause the debts and obligations of the Company to be paid
      and discharged, including payment or offset of all obligations owed to
      Members by the Company and all obligations of Members owed to the Company.
      Thereafter, the remaining assets shall be distributed to the Members in
      amounts proportionate to the Members' Units as determined on the date of
      the distribution.

7.6   RETURN OF CONTRIBUTION NONRECOURSE TO OTHER MEMBERS.

      Except as provided by law or as expressly provided in this Operating
      Agreement, upon dissolution, each Member shall look solely to the assets
      of the Company for the return of the Member's Capital Account. If the
      Company property remaining after the payment or discharge of the debts and
      liabilities of the Company is insufficient to return the Capital Account
      of one or more Members, including, without limitation, all or any part of
      that Capital Account attributable to Capital Contributions, then such
      Member or Members shall have no recourse against any other Member.

                                    ARTICLE 8

                                BOOKS AND RECORDS

8.1   ACCOUNTING PERIOD.

      The Company's accounting period shall be the Fiscal Year which shall begin
      on January 1 st of each year.

8.2   RECORDS AND REPORTS.

      At the expense of the Company, the Company shall maintain complete and
      accurate books, records and accounts of all operations and expenditures of
      the Company. The books of the Company shall be kept on the accrual basis.
      The Company shall keep at its principal place of business the books of the
      Company which shall contain a list showing the names and addresses of the
      Members as of a reasonably current date and the extent of

<PAGE>

      their interest in the Company. Each Member, and their duly authorized
      representatives, shall have the right at reasonable times to access and
      examine, and audit at the Member's expense, if desired, the books of the
      Company, including such financial records, and other reasonably available
      records and information concerning the operation of the Company and to
      make copies thereof at the expense of such Members, but only upon such
      Member's written request. Manager agrees that it shall provide to each
      Member reasonable access to its records supporting the Direct Costs and
      other expenses charged or allocated to Company by Manager.

8.3   TAX RETURNS.

      The Company shall prepare and timely file all tax returns required to be
      filed by the Company pursuant to the Code and all other tax returns deemed
      necessary and required in each jurisdiction in which the Company docs
      business. Copies of such returns, or pertinent information therefrom,
      shall be furnished to the Members upon request within a reasonable time
      after the end of the Company's fiscal year.

8.4   AUDIT.

      At the request of any Member, the books of the Company may be audited
      annually at the expense of the Company by an independent public accounting
      firm selected by the Manager.

8.5   ANNUAL REPORTS.

      Within the following time periods after the close of each fiscal year, the
      Company shall deliver to each Member the following:

      (a)   Within one hundred twenty (120) days after the end of such fiscal
            year, financial statements of the Company for such year, including a
            balance sheet, a profit and loss statement, a statement of Members'
            equity and changes in financial position, such statements (i) to be
            prepared in accordance with generally accepted accounting principles
            and (ii) to include a summary itemization, by classification, of the
            compensation and reimbursement paid by the Company, directly or
            indirectly, to all Members.

      (b)   Within sixty (60) days after the close of such fiscal year, a report
            providing such tax information as may be reasonably required by each
            Member for federal and state income tax reporting purposes.

                                    ARTICLE 9

              NON-COMPETITION, NON-SOLICITATION AND NON-DISCLOSURE

9.1   NON-COMPETITION,

      Each Member agrees that for so long as it is a Member of the Company, the
      Member shall not own, control, manage, have a business interest in, or be
      financially interested in a home health agency competing with the Company
      in providing home health services within the Service Area without the
      unanimous expressed written approval of the Members, PROVIDED, HOWEVER,
      that such restriction shall not apply to services provided in the Service
      Area by subsidiaries and Affiliates of Louisiana Health Care Group, LLC in
      accordance with the terms contained in Section 2.3.

<PAGE>

9.2   NON-SOLICITATION.

      Each Member agrees that for so long as it is a Member of the Company and
      for a period of one year following the transfer of its interests, its
      voluntary or involuntary withdrawal from the Company, or the dissolution
      and liquidation of the Company, the Member shall not, directly or
      indirectly, through a subsidiary or affiliated companies or employee
      leasing or staffing companies or otherwise, without the consent of the
      Members, solicit for employment or hire or employ or contract with any
      person to work for it who is or was employed by Company, Manager, or any
      Member during the term of the Member's membership, whether or not such
      employee is employed by the Company, Manager, or Member at the time of
      such solicitation or hire. In the event a party violates this provision,
      the offending party shall pay the other stipulated damages in an amount
      equal to one year of such employee's most recent salary or wages paid to
      the employee by the other party.

9.3   NON-DISCLOSURE.

      Each Member acknowledges that it will have access to certain confidential
      information, trade secrets and proprietary information which is
      exclusively the property of another Member or the Manager; including,
      without limitation, documents, recordings, photographs, policies,
      procedures, forms, patient/customer/client lists, public relations and
      employee training materials. Each party agrees that Manager's Service
      Value Points (SVP(R)) system and its Lifeline(R) system are proprietary
      trade secrets of Manager and which are subject to this Agreement. Each
      Member agrees that it will not, for so long as it is a Member and for a
      period of two (2) years following its voluntary or involuntary withdrawal,
      disclose to any third party, or appropriate for their own use or for the
      use of any third person, the other Member's or Manager's confidential
      information, trade secrets or proprietary information.

9.4   INJUNCTIVE RELIEF.

      Each Member acknowledges that in the event of any breach of this Article
      4, the other parties remedies at law would be inadequate and therefore any
      affected party shall be entitled to obtain relief by injunction to prevent
      competition, solicitation or disclosure by the Member or Manager without
      the need to prove irreparable harm. The affected Member's or Manager's
      remedies, in any event, shall be cumulative of any and all other remedies
      available pursuant to Louisiana law.

9.5   REASONABLENESS.

      Each Member agrees that the business and time limitations set forth in
      this Agreement are reasonable and properly required for the adequate
      protection of the Company's business. If any provision of this Agreement
      is held to exceed the business or time limitations permitted under
      applicable law, then such provision shall be reformed to the maximum
      business, geographic, or time limitations permitted under such applicable
      law.

                                   Article 10

                            MISCELLANEOUS PROVISIONS

10.1  FISCAL YEAR

      The Fiscal Year of the Company shall begin on January 1st of each year.

<PAGE>

10.2  PARTNERSHIP TAXATION

      Neither the Company nor any Manager or Member may make an election for the
      company to be excluded from the application of the provisions of
      Subchapter K of the Code or any similar provisions of applicable state
      law. The Members intend that the Company not be a partnership or joint
      venture, and that no Member or Manager be a partner of or joint venturer
      with any other Member or Manager, for any purpose other than federal and
      state tax purposes, and this Agreement may not be construed to suggest
      otherwise. The provisions of Section 5.1 (b) herein respecting the
      allocation of Units shall control the allocation of income, loss and tax
      items derived from the Company's operations.

10.3  NO PARTNERSHIP INTENDED FOR NON-TAX PURPOSES.

      The Members have formed the Company under the Act, and expressly disavow
      any intention to form a joint venture, a partnership or a partnership in
      commendam (or limited partnership) under Louisiana law, or laws of any
      other state. The Members do not intend to be partners one to another or
      partners as to any third party. To the extent any Member, by word or
      action, represents to another person that any other Member is a partner or
      that the Company is a partnership, the Member making such wrongful
      representation shall be liable to any other Member who incurs personal
      liability by reason of such wrongful representation.

10.4  NOTICES

      All communication or notices required or permitted to be given under this
      Agreement shall be in writing, and any communication or notice shall be
      deemed to have been duly made upon receipt by mail, or by facsimile
      transmission receipt of which has been duly acknowledged. Any written
      notice sent certified mail to the address of record of the recipient which
      is returned by the post office as unclaimed or undeliverable for any
      reason shall be deemed to have been received. A party may, by written
      notice so delivered to the Company, change the address to which
      communications or written notices shall be made under this Agreement.

10.5  AMENDMENTS

      This Agreement may be amended only in writing approved by an unanimous
      Vote.

10.6  EXECUTION

      This Agreement may be executed in one or more counterparts, each of which
      shall be deemed to constitute an original, and each of which shall become
      effective when one or more counterparts have been executed by each of the
      parties hereto and delivered to the Company. The Members each agree to
      cooperate, and to execute and deliver in a timely fashion any and all
      additional documents necessary to effectuate the purposes of the Company
      and this Operating Agreement.

10.7  APPLICABLE LAW; VENUE

      This Agreement shall be governed by an construed and enforced in
      accordance with the laws of the State of Louisiana.

<PAGE>


10.8  SUCCESSORS OR ASSIGNS

      The obligations herein undertaken and the rights herein conferred shall be
      binding upon and inure to the benefit of the parties, and, where
      applicable, their successors and assigns. None of the provisions of this
      Operating Agreement shall be for the benefit of or enforceable by any
      creditors of the Company or by any Person not a party hereto. This
      Agreement is entered into solely to benefit the Company and its
      subscribing Members, and is not entered into or intended for the benefit
      of any third persons. The Parties agree that this Agreement shall not be
      construed as a stipulation pour autrui or a third party beneficiary
      contract.

10.9  REFERENCES

      (a)   Any reference in this Agreement to an Article, Section, or
            Subsection shall be deemed to refer to the applicable Article,
            Section or Subsection of this Agreement unless otherwise stated
            herein.

      (b)   Common nouns and pronouns shall be deemed to refer to the masculine,
            feminine, neuter, singular, and plural, as the identity of the
            Person may in the context require.

10.10 EFFECTIVE DATE

      This Agreement is entered as of the Effective Date set forth above, but
      shall be deemed effective as of the date of the Company's filing of the
      Articles with the Louisiana Secretary of State.

10.11 CONFLICTS WITH OTHER AGREEMENTS

      (a)   In the event of any conflict between the terms of this Agreement and
            other permitted agreements by and between the parties hereto related
            to the purposes of the Company, this Agreement shall prevail.

      (b)   The Company may acquire or enter into one or more written consulting
            agreements or employment agreements with Members or affiliates of
            Members. To the extent such arrangements are in writing and approved
            or authorized by the Majority Vote of the disinterested Members, and
            subject to Section 4.23 herein, such services may be compensated as
            provided in said agreements and shall be deemed to be separate from
            those services which the Member will provide to the Company as a
            capital contribution pursuant to Section 5.1 (a) herein.

10.12 NO ACTION FOR PARTITION.

      No Member shall have any right to maintain any action for partition with
      respect to the property of the Company.

10.13 INVALIDITY.

      The invalidity or unenforceability of any particular provision of this
      Operating Agreement shall not affect the other provisions hereof, and the
      Operating Agreement shall be construed in all respects as if such invalid
      or unenforceable provision were omitted. If any particular provision
      herein is construed to be in conflict with the provisions of the Act,

<PAGE>

      the provisions of this Operating Agreement shall control to the fullest
      extent permitted by applicable law. Any provision found to be invalid or
      unenforceable shall not affect or invalidate the other provisions hereof,
      and this Operating Agreement shall be construed in all respects as if such
      conflicting provision were omitted.

10.14 DETERMINATION OF MATTERS NOT PROVIDED FOR IN THIS OPERATING AGREEMENT.

      The Members shall decide any questions arising with respect to the Company
      and this Operating Agreement which are not specifically or expressly
      provided for in this Operating Agreement.

10.15 HIPAA

      The HIPAA Business Associate Addendum attached hereto is made a part of
      this agreement as if copied herein in extensio.

10.16 COUNTERPARTS AND FACSIMILE SIGNATURES.

      This Agreement and any amendments or modifications thereto may be executed
      in counterparts, each of which will be deemed to be an original, but all
      of which together will constitute one and the same agreement. Also, the
      Parties acknowledge that a facsimile of this Agreement shall be binding
      and enforceable as an original and original signatures will be delivered
      to replace all facsimile signatures.

10.17 COST OF ENFORCEMENT.

      In the event that either Party shall be required to enforce the terms of
      this Agreement, the prevailing Party shall be entitled to recover the
      costs of such action, including, but not limited to, reasonable attorney's
      fees.

10.18 SEVERABILITY.

      The parties agree that each term and condition of this Agreement,
      including the noncompetition agreement incorporated herein shall be
      considered severable; and if, for any reason, any provision or provisions
      herein are determined to be invalid, overbroad, or unenforceable for any
      reason, such provision shall be deemed modified to the extent required to
      render it valid, enforceable and binding, and such determination shall not
      affect the validity or enforceability of any other provision of this
      Agreement. The parties further agree that if any provision contained in
      this Agreement is found by a court with competent jurisdiction to be
      invalid, excessively broad, or otherwise unenforceable said court shall
      reform such provision to render it enforceable consistent with the intent
      of the parties. In the event that such an invalid, excessively broad, or
      otherwise unenforceable provision cannot be reformed such that it may be
      enforced, then said court shall, only to the extent necessary, strike the
      invalid, excessively broad or unenforceable provision and enforce the
      remaining provisions of this Agreement.

<PAGE>

      THUS DONE AND SIGNED, in multiple originals, in the city of Lafayette,
Lafayette Parish, Louisiana, on the day and in the month and year first above
written.

LHC GROUP, LLC                                BETA HOMECARE, INC.
Manager                                       Member

By: /s/ Keith G. Myers                        By: /s/ Christopher Baggett
    ----------------------------                  ------------------------------
    Keith G. Myers, Manager                       Christopher Baggett, President

                                              LOUISIANA HEALTH CARE GROUP, LLC
                                              Member

                                              BY: LHC GROUP, LLC, Manager

                                              BY: /s/ Keith G. Myers
                                                  ------------------------------
                                                  Keith G. Myers, Manager

<PAGE>

                               MEMBERSHIP SCHEDULE
                    ACADIAN HOME HEALTH CARE SERVICES, L.L.C.
                             AS OF: JANUARY 1, 2004

LOUISIANA HEALTH CARE GROUP, LLC                           62.50 UNITS

BETA HOMECARE, INC.                                        37.50 UNITS