AGREEMENT OF LIMITED PARTNERSHIP

                                            OF

                         WESTERN KENTUCKY LITHOTRIPTERS

                               LIMITED PARTNERSHIP

























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                                       iii

W##864200 V2 - WESTERN KY LITHO-LTD PARTNERSH.DOC

                                    AGREEMENT

                             OF LIMITED PARTNERSHIP

                                       OF

               WESTERN KENTUCKY LITHOTRIPTERS LIMITED PARTNERSHIP

                                TABLE OF CONTENTS

                                                                        Page

1.       FORMATION........................................................1
         ---------


2.       NAME.............................................................1
         ----


3.       OFFICES..........................................................1
         -------


4.       PURPOSE..........................................................2
         -------


5.       TERM.............................................................2
         ----


6.       CERTAIN DEFINED TERMS............................................2
         ---------------------


7.       CAPITAL CONTRIBUTIONS AND DILUTION OFFERINGS.....................6
         --------------------------------------------


8.       GUARANTIES.......................................................7
         ----------


9.       CONDITIONS TO THE CAPITAL CONTRIBUTIONS OF CERTAIN
                 LIMITED PARTNERS.........................................7



10.      REPRESENTATIONS, WARRANTIES AND COVENANTS OF THE GENERAL
                 PARTNER..................................................7



11.      ADMISSION OF LIMITED PARTNERS....................................8
         -----------------------------


12.      CAPITAL ACCOUNTS.................................................9
         ----------------


13.      ALLOCATIONS.....................................................10
         -----------


14.      DISTRIBUTIONS...................................................14
         -------------


l5.      RIGHTS AND OBLIGATIONS OF LIMITED PARTNERS......................14
         ------------------------------------------


15.      LIMITED LIABILITY...............................................16
         -----------------


16.      TRANSFER OF INTERESTS AND ADMISSION OF PARTNERS.................16
         -----------------------------------------------


17.      OPTIONAL PURCHASE OF LIMITED PARTNERSHIP INTERESTS ON
                        CERTAIN EVENTS...................................20


18.      SALE, ASSIGNMENT OR OTHER TRANSFER OF THE GENERAL PARTNER'S
                         INTEREST........................................26


19.      TERMINATION OF THE SERVICES OF THE GENERAL PARTNER..............27
         --------------------------------------------------


20.      MANAGEMENT AND OPERATION OF BUSINESS............................28
         ------------------------------------


21.      RESERVES.........................................................31
         --------


22.      INDEMNIFICATION AND EXCULPATION OF THE GENERAL PARTNER...........31
         ------------------------------------------------------


23.      DISSOLUTION OF THE PARTNERSHIP...................................31
         ------------------------------


24.      DISTRIBUTION UPON DISSOLUTION....................................33
         -----------------------------


25.      BOOKS OF ACCOUNT, RECORDS AND REPORTS............................33
         -------------------------------------


26.      NOTICES..........................................................35
         -------


27.      AMENDMENTS.......................................................35
         ----------


28.      LIMITATIONS ON AMENDMENTS........................................35
         -------------------------


29.      MEETINGS, CONSENTS AND VOTING....................................36
         -----------------------------


30.      SUBMISSIONS TO THE LIMITED PARTNERS..............................36
         -----------------------------------


31.      ADDITIONAL DOCUMENTS.............................................36
         --------------------


32.      SURVIVAL OF RIGHTS...............................................36
         ------------------


33.      INTERPRETATION AND GOVERNING LAW.................................37
         --------------------------------


34.      SEVERABILITY.....................................................37
         ------------


35.      AGREEMENT IN COUNTERPARTS........................................37
         -------------------------


36.      THIRD PARTIES....................................................37
         -------------


37.      POWER OF ATTORNEY................................................37
         -----------------


38.      ARBITRATION......................................................38
         -----------


39.      CREDITORS........................................................38
         ---------



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                                    SCHEDULES

Schedule A  -  Schedule of Partnership Interests


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W##864200 V2 - WESTERN KY LITHO-LTD PARTNERSH.DOC

THE  LIMITED  PARTNERSHIP  INTERESTS  REPRESENTED  BY THIS  LIMITED  PARTNERSHIP
AGREEMENT HAVE NOT BEEN REGISTERED  WITH THE SECURITIES AND EXCHANGE  COMMISSION
UNDER  THE  SECURITIES  ACT OF 1933,  AS  AMENDED,  UNDER THE  KENTUCKY  REVISED
STATUTES,  AS AMENDED,  OR REGISTERED UNDER SIMILAR LAWS OR ACTS OF OTHER STATES
IN RELIANCE  UPON  EXEMPTIONS  UNDER SUCH LAWS.  IN  ADDITION,  NO  TRANSFERS OF
LIMITED   PARTNERSHIP   INTERESTS  MAY  BE  MADE  WITHOUT  COMPLIANCE  WITH  THE
RESTRICTIONS SET FORTH IN ARTICLE 17 BELOW.

                                    AGREEMENT

                             OF LIMITED PARTNERSHIP

                                       OF

                         WESTERN KENTUCKY LITHOTRIPTERS

                               LIMITED PARTNERSHIP

                  THIS AGREEMENT OF LIMITED  PARTNERSHIP  (the  "Agreement")  is
made as of April 7, 2000, by and among PRIME  LITHOTRIPTER  OPERATIONS,  INC., a
New York  corporation and a wholly-owned  subsidiary of Prime Medical  Services,
Inc., a Delaware  corporation  (the "General  Partner"),  and persons  listed on
Schedule A attached hereto as the Limited Partners.

1.       FORMATION.
         ---------

                  The  Partnership  was  formed  pursuant  to the  filing in the
Office of the Secretary of State of Kentucky on or about  November 24, 1999 of a
Certificate of Limited Partnership in accordance with the provisions of the Act.

2.       NAME.
         ----

     2.1 The name of the Partnership is "Western Kentucky  Lithotripters Limited
Partnership."

                  2.2 The  Partnership  business  shall be conducted  under such
names as the General  Partner may from time to time deem necessary or advisable,
provided that appropriate amendments to this Agreement and all necessary filings
under  applicable  assumed  or  fictitious  name  statutes  or the Act are first
obtained.

3.       OFFICES.
         -------

                  3.1 The initial  principal office of the Partnership  shall be
at 1301 Capital of Texas Highway,  Suite C-300,  Austin, Texas 78746, or at such
other place as the General  Partner may, from time to time,  designate by notice
to the Limited Partners (the "Records Office").


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                                        3

W##864200 V2 - WESTERN KY LITHO-LTD PARTNERSH.DOC
                  3.2 The Partnership  may have such  additional  offices as the
General Partner may, from time to time, deem necessary or advisable.

4.       PURPOSE.
         -------

                  The purpose and business of the  Partnership  shall be: (i) to
acquire and operate two or more extracorporeal  shock-wave lithotripters (or any
other  renal  stone  treatment  equipment)  for the  treatment  of renal  stones
primarily in Kentucky in the counties of Christian, Daviess, Henderson, Hopkins,
McCracken  and Warren or in such other  location(s)  as the General  Partner may
determine,  in  its  sole  discretion,  to be  in  the  best  interests  of  the
Partnership;  (ii) to acquire  and  operate  in the future any other  urological
device or equipment; provided, that such equipment as of the date of acquisition
by the  Partnership  has received FDA  premarket  approval;  (iii) to acquire an
interest  in any  business  entity,  including,  without  limitation,  a limited
partnership,  limited  liability  company or  corporation,  that  engages in any
business activity described in this Article 4; and (iv) to engage in any and all
activities incidental or related to the foregoing, upon and subject to the terms
and conditions of this Agreement.

5.       TERM.
         ----

                  The Partnership  shall terminate on December 31, 2049,  unless
sooner terminated as herein provided.

6.       CERTAIN DEFINED TERMS.
         ---------------------

                  Certain terms used in this Agreement  shall have the following
meanings:

     Act. The Act means the Kentucky Revised Uniform Limited Partnership Act, as
then in effect.

                  Affiliate.  An  Affiliate  is  (i)  any  person,  partnership,
corporation, association or other legal entity ("person") directly or indirectly
controlling, controlled by or under common control with another person; (ii) any
person owning or controlling 10% or more of the  outstanding  voting interest of
such other person;  (iii) any officer,  director or partner of such person;  and
(iv) if such other  person is an officer,  director  or partner,  any entity for
which such person acts in such capacity.

     Agreement.  This  Agreement  of  Limited  Partnership,  as the  same may be
amended from time to time.

     Bank.  First Citizens Bank & Trust Company,  its successor in interest,  or
any  other  commercial   financial   institution   providing  financing  to  the
Partnership.

     Capital Account.  The Partnership  capital account of a Partner as computed
pursuant to Article 12 of this Agreement.

                  Capital  Contributions.  All capital  contributions  made by a
Partner or his predecessor in interest which shall include,  without limitation,
contributions made pursuant to Article 7 of this Agreement.

     Capital  Transaction.  Any transaction which, were it to generate proceeds,
would produce Partnership Sales Proceeds or Partnership Refinancing Proceeds.

     Code.  The Internal  Revenue  Code of 1986,  as amended,  or  corresponding
provisions of subsequent, superseding revenue laws.

                  Dilution  Offering.   As  provided  in  Article  7.4  of  this
Agreement,  the future offering of additional limited  partnership  interests in
the  Partnership  as  determined  by the General  Partner.  Except as  otherwise
provided in Article 7.4, any successful  Dilution Offering will  proportionately
reduce the Percentage Interests of the then current Partners in the Partnership.

     Domestic Proceeding. Any divorce, annulment, separation or similar domestic
proceeding between a married couple.

                  Equipment.   The  equipment  used  in  the  operation  of  the
Lithotripter Systems, including the mobile transport vehicles, the lithotripters
and  miscellaneous  medical equipment and supplies,  and any similar  additional
equipment acquired by the Partnership in the future.

                  FDA.  The United States Food and Drug Administration.
                  ---

     General Partner. The general partner of the Partnership, Prime Lithotripter
Operations,  Inc., a New York corporation and a wholly-owned subsidiary of Prime
Medical Services, Inc., a Delaware corporation.

                  Guaranty.  The  Guaranty  Agreement  pursuant  to  which  each
Limited Partner will guarantee a portion of the Partnership's obligations to the
Bank under the Loan.  The form of the  Guaranty  Agreement  is  included  in the
Subscription Packet accompanying the Memorandum.

     Initial Limited Partner. Joseph Jenkins, M.D., a resident of North Carolina
and an Affiliate of the General  Partner.  The Initial  Limited Partner is to be
the only limited partner of the  Partnership  until such time as the new Limited
Partners  are  admitted to the  Partnership,  at which time the Initial  Limited
Partner shall withdraw from the Partnership.

                  Limited Partners.  The Limited Partners are those investors in
the Units  admitted  to the  Partnership  and any person  admitted  as a Limited
Partner in accordance with the provisions of this Agreement.

     Lithotripters.  The extracorporeal  shock-wave lithotripters to be acquired
by the Partnership and any replacements therefor or additional  lithotripters to
be purchased by the Partnership.

     Lithotripter   Systems.  The  mobile  transport  vehicles  and  operational
Lithotripters.

                  Loan.  The  loan  of up to  $597,840  from  the  Bank  to  the
Partnership.  Loan proceeds will be used by the  Partnership  to (i) acquire one
new transportable extracorporeal shock-wave lithotripter with options (estimated
at  $400,000),  (ii)  acquire one new  transport  vehicle to  transport  the new
Lithotripter  from site to site  (estimated at $70,000),  (iii) acquire one used
Dornier HM-3 model lithotripter  housed in a mobile trailer,  and a used tractor
truck  (estimated  in the  aggregate at $94,000) and (iv) pay sales taxes on the
purchase of the Lithotripter Systems (estimated at $33,840).

     Losses.  The net loss (including Net Losses from Capital  Transactions)  of
the  Partnership  for each Year of the  Partnership  as  determined  for federal
income tax purposes.

                  Majority  in Interest  of the  Limited  Partners.  The Limited
Partners who hold more than 50% of the Percentage  Interests in the  Partnership
held by the Limited Partners.

     Memorandum.   The  Confidential   Private   Placement   Memorandum  of  the
Partnership dated December 15, 1999, as amended or as supplemented.

                  Net Gains from Capital Transactions. The gains realized by the
Partnership  as a result of or upon any sale,  exchange,  condemnation  or other
disposition of the capital assets of the Partnership (which assets shall include
Code Section 1231 assets) or as a result of or upon the damage or destruction of
such capital assets.

                  Net Losses from Capital  Transactions.  The losses realized by
the Partnership as a result of or upon any sale, exchange, condemnation or other
disposition of the capital assets of the  Partnership  (which shall include Code
Section 1231 assets) or as a result of or upon the damage or destruction of such
capital assets.

     Offering.  The offer to  potential  investors  of 80 Units  pursuant to the
Memorandum.

     Partners. The General Partner and the Limited Partners, collectively, where
no distinction is required by the context in which the term is used herein.

     Partnership. Western Kentucky Lithotripters Limited Partnership, a Kentucky
limited partnership.

                  Partnership Cash Flow. For the applicable  period, the excess,
if any,  of (A) the sum of (i) all  gross  receipts  from  any  source  for such
period,  other than from  Partnership  loans,  Capital  Transactions and Capital
Contributions,  and (ii) any funds released by the  Partnership  from previously
established  reserves,  over  (B) the sum of (i) all cash  expenses  paid by the
Partnership  for such  period;  (ii) the amount of all  payments of principal on
loans to the Partnership;  (iii) capital  expenditures of the  Partnership;  and
(iv) such  reasonable  reserves as the General  Partner shall deem  necessary or
prudent to set aside for future repairs,  improvements or equipment  replacement
or additions,  or to meet working capital requirements or foreseen or unforeseen
future liabilities and contingencies of the Partnership; provided, however, that
the  amounts  referred  to in (B)(i),  (ii) and (iii)  above shall be taken into
account  only to the extent not funded by Capital  Contributions,  loans or paid
out of previously  established reserves.  Such term shall also include all other
funds deemed  available for  distribution  and designated as  "Partnership  Cash
Flow" by the General Partner.

     Partnership  Interest.  The  interest  of a Partner in the  Partnership  as
defined by the Act and this Agreement.

                  Partnership  Refinancing Proceeds.  The cash realized from the
refinancing of Partnership assets after retirement of any secured loans and less
(i) payment of all expenses  relating to the transaction and (ii)  establishment
of such  reasonable  reserves as the General  Partner  shall deem  necessary  or
prudent to set aside for future repairs,  improvements, or equipment replacement
or additions,  or to meet working capital requirements or foreseen or unforeseen
future liabilities or contingencies of the Partnership.

                  Partnership  Sales Proceeds.  The cash realized from the sale,
exchange,  casualty  or other  disposition  of all or a portion  of  Partnership
assets after the retirement of all secured loans and less (i) the payment of all
expenses  related to the transaction and (ii)  establishment  of such reasonable
reserves as the General Partner shall deem necessary or prudent to set aside for
future repairs,  improvements, or equipment replacement or additions, or to meet
working  capital  requirements or foreseen or unforeseen  future  liabilities or
contingencies of the Partnership.

                  Percentage  Interest.  The  interest  of each  Partner  in the
Partnership,  to be  determined  initially  in the case of a Limited  Partner by
reference  to his Unit  ownership  based upon the  Limited  Partners  holding an
aggregate 80%  Percentage  Interest in the  Partnership,  with each initial Unit
sold representing an initial 1% interest. The General Partner will initially own
a 20% Percentage  Interest in the Partnership.  A Partner's  Percentage Interest
may be reduced by a future Dilution Offering. The Partners' Percentage Interests
in the Partnership as of the date hereof are as set forth in Schedule A attached
hereto. Any future  adjustments in the Partners'  Percentage  Interests,  due to
future Dilution Offerings or otherwise,  will also be reflected by amendments to
Schedule A.

     Profit. The net income of the Partnership (including Net Gains from Capital
Transactions)  for each Year of the Partnership as determined for federal income
tax purposes.

                  Pro  Rata  Basis.   In   connection   with  an  allocation  or
distribution,  an allocation  or  distribution  in proportion to the  respective
Percentage Interests of the class of Partners to which reference is made.

     Sales Agency  Agreement.  The sales agency agreement  through which MedTech
Investments,  Inc.,  an  Affiliate  of the General  Partner and a  broker-dealer
company  registered with the Securities and Exchange  commission and a member of
the National  Association of Securities  Dealers,  Inc. shall offer and sell the
limited partnership interest of the Partnership pursuant to the Memorandum.

     Sales  Commission.  The $250 sales commission paid to MedTech  Investments,
Inc. for each Unit sold.

                  Service.  The Internal Revenue Service.


                  Units.   The  80  equal  limited  partner   interests  in  the
Partnership offered pursuant to the Memorandum for a price per Unit of $2,500 in
cash, plus a personal guaranty of 1% of the Partnership's  obligations under the
Loan (up to a $5,978.40 principal guaranty obligation).

     Year. An annual accounting period ending on December 31 of each year during
the term of the Partnership.

7.       CAPITAL CONTRIBUTIONS AND DILUTION OFFERINGS.
         --------------------------------------------

                  7.1  General  Partner  Contribution.  On or before the date of
this  Agreement,  the  General  Partner  will  contribute  to the capital of the
Partnership  cash in the amount  equal to 20% (up to  $50,000) of the total cash
contributed to the  Partnership by the Partners in the Offering made pursuant to
the Memorandum.

                  7.2 Limited Partner Contribution.  Each Limited Partner hereby
agrees to contribute and shall  contribute to the capital of the  Partnership on
the date of his admission to the  Partnership the cash amount set forth opposite
his name on Schedule A attached hereto.

     7.3 No Interest.  Except as otherwise provided herein, no interest shall be
paid on any contribution to the capital of the Partnership.

                  7.4 Dilution Offerings.  If the General Partner and a Majority
in Interest of the Limited Partners determine that it is in the best interest of
the  Partnership,  the General Partner may, from time to time,  offer,  sell and
issue,  for and on behalf of the  Partnership,  additional  limited  partnership
interests in the  Partnership  (a "Dilution  Offering") to investors who are not
already Limited  Partners  ("Qualified  Investors").  The primary purpose of any
Dilution  Offering  would  be to raise  additional  capital  for any  legitimate
Partnership purpose as set forth in Article 4. Any limited partnership interests
offered by the  Partnership  in a Dilution  Offering shall be sold in the manner
and  according to the terms  prescribed  in the sole  discretion  of the General
Partner;  provided,  however,  that any additional limited partnership interests
offered  in a  Dilution  Offering  will be sold for a price  no  lower  than the
highest cash price for which proportionate  limited partnership interests in the
Partnership  have  been  previously  sold by the  Partnership  unless  otherwise
determined  by a vote of the  General  Partner and a Majority in Interest of the
Limited  Partners.  Any sale of additional  limited  partnership  interests will
result in the proportionate dilution of the Percentage Interests of the existing
Partners.  Notwithstanding  the above, in the event of a Dilution Offering,  the
General Partner may elect, in its sole  discretion,  to prevent  dilution of its
Percentage Interest by either contributing additional capital to the Partnership
or purchasing additional limited partnership interests in any Dilution Offering.
Limited  Partners  shall have no right to purchase  additional  limited  partner
interests in any Dilution Offering or to make additional  capital  contributions
or take any other action to prevent dilution of their Percentage Interests.  Any
investor acquiring a limited  partnership  interest in a Dilution Offering shall
agree to be bound by the terms of this  Agreement,  and  shall be  automatically
admitted  as a  Limited  Partner  of  the  Partnership.  Any  adjustment  in the
Partners'  Percentage  Interests resulting from a Dilution Offering shall be set
forth on an amended Schedule A to be attached hereto.

8.       GUARANTIES.
         ----------

                  Each Partner agrees to execute and deliver to the  Partnership
on the date of his  admission  to the  Partnership  a Guaranty in the amount set
forth opposite his name on Schedule A attached hereto.

9.       CONDITIONS TO THE CAPITAL CONTRIBUTIONS OF CERTAIN LIMITED PARTNERS.
         -------------------------------------------------------------------

                  The  obligations  of  any  Limited  Partners  acquiring  their
Partnership  Interests  in the  Offering  or a  Dilution  Offering  to make cash
Capital   Contributions   hereunder  are  subject  to  the  condition  that  the
representations, warranties, agreements and covenants of the General Partner set
forth in Article 10 of this  Agreement are and shall be true and correct or have
been and will have been complied with in all material  respects on the date such
Capital  Contributions  are  required to be made,  except to the extent that any
such representation or warranty expressly pertains to an earlier date.

10.      REPRESENTATIONS, WARRANTIES AND COVENANTS OF THE GENERAL PARTNER.
         ----------------------------------------------------------------

     10.1 The General  Partner  hereby  represents  and  warrants to the Limited
Partners that:

     (a) The Partnership is a limited  partnership formed in accordance with and
validly  existing  under the Act and the other  applicable  laws of the State of
Kentucky;

                  (b) The interests in the  Partnership of the Limited  Partners
         will have been duly  authorized  or created and validly  issued and the
         Limited  Partners shall have no personal  liability to contribute money
         to the  Partnership  other than the amounts agreed to be contributed by
         them in the  manner  and on the  terms  set  forth  in this  Agreement,
         subject, however, to such limitations as may be imposed under the Act;

                  (c) Except as disclosed  in the  Memorandum  or  documentation
         prepared in connection with a Dilution Offering,  no material breach or
         default adverse to the Partnership  exists under the terms of any other
         material agreement affecting the Partnership; and

                  (d) The General Partner is a New York  corporation  formed and
         existing under the laws of the State of New York.

10.2 The General Partner hereby covenants to the Limited Partners that:

     (a) It will at all times act in a  fiduciary  manner  with  respect  to the
Partnership and the Limited Partners;

     (b) Except as provided in Article 19, it will serve as the General  Partner
of the Partnership until the Partnership is terminated  without  reconstitution;
and
                  (c) It will cause the  Partnership  to carry  adequate  public
         liability,  property  damage and other insurance as is customary in the
         business to be engaged in by the Partnership.

11.      ADMISSION OF LIMITED PARTNERS.
         -----------------------------

                  The  General  Partner may permit the offer and sale of limited
partnership  interests on the terms and conditions provided in the Memorandum or
future  Dilution  Offerings and may admit persons  subscribing  for interests as
Limited  Partners in the  Partnership  on the terms and  conditions set forth in
this Article 11.

                  (a) The General  Partner  shall have approved of the admission
         of said person in writing on such terms and  conditions  as the General
         Partner shall determine;

                  (b)  Said  person  shall  have  executed  such   documents  or
         instruments  as the General  Partner may deem necessary or desirable to
         effect his admission as a Limited Partner;

     (c) Said  person  shall  have  accepted  and  adopted  all of the terms and
provisions of this Agreement, as then amended;

                  (d)  Said  person  (if a  corporation)  shall  deliver  to the
         General  Partner  a  certified  copy of a  resolution  of its  Board of
         Directors  authorizing  it to become a Limited  Partner under the terms
         and conditions of this Agreement; and

                  (e) Said person,  upon request by the General  Partner,  shall
         pay such reasonable  expenses as may be incurred in connection with its
         admission as a Limited Partner.

12.      CAPITAL ACCOUNTS.
         ----------------

                  A Capital  Account shall be  established  for each Partner and
shall at all times be determined  and  maintained  in accordance  with the Final
Treasury  Regulations  under  Section  704(b)  of the  Code,  as the same may be
amended.  A Partner  shall not be entitled  to withdraw  any part of his Capital
Account or to receive any distribution from the Partnership,  except as provided
in Articles 14 and 25.

                  (a)      Each Partners' Capital Account shall be increased by:

     (i) The amount of his Capital Contribution pursuant to Article 7; and

     (ii) The amount of Profits allocated to him pursuant to Article 13; and

                           (iii) The Partner's pro rata share (determined in the
                  same  manner as such  Partner's  share of  Profits  and Losses
                  allocated pursuant to Article 13 hereof) of any income or gain
                  exempt from tax.

                  (b)      Each Partner's Capital Account shall be decreased by:

     (i) The amount of Losses allocated to him pursuant to Article 13; and

     (ii) The amount of Partnership  Cash Flow,  Partnership  Sales Proceeds and
Partnership Refinancing Proceeds distributed to him pursuant to Article 14; and

                           (iii)  The  Partner's  pro rata  share  of any  other
                  expenditures  of the  Partnership  which are not deductible in
                  computing  Partnership  Profits  or  Losses  and which are not
                  added to the tax basis of any Partnership property, including,
                  without   limitation,   expenditures   described   in  Section
                  705(a)(2)(B) of the Code. The Partner's pro rata share of such
                  expenditures  shall be  determined  in the same manner as such
                  Partner's  share of Profits and Losses  allocated  pursuant to
                  Article 13.

13.      ALLOCATIONS

     (a) Nonrecourse Deductions. Nonrecourse Deductions shall be allocated among
the Partners in accordance with their respective Percentage Interests.

                  (b) Partner  Nonrecourse  Deductions.  Any Partner Nonrecourse
         Deductions  shall be  specially  allocated to the Partner who bears the
         economic risk of loss with respect to the Partner  Nonrecourse  Debt to
         which  such  Partner   Nonrecourse   Deductions  are   attributable  in
         accordance with Treasury Regulations Section 1.704-2(i).

                  (c)      Profits and Losses.
                           ------------------

                           (i) The Profits and Losses of the  Partnership  shall
                  be  allocated  among the  Partners  in  accordance  with their
                  respective  Percentage  Interests.  In allocating  Profits and
                  Losses, Net Gains and Losses from Capital Transactions (a part
                  of Profits and Losses), if any, shall be allocated first.

                           (ii) In no event shall Losses be allocated under this
                  Article  13(c) to a Limited  Partner if and to the extent that
                  such  allocation  would cause,  as of the end of the Year, the
                  negative balance in such Limited  Partner's Capital Account to
                  exceed such Limited  Partner's  share of  Partnership  Minimum
                  Gain plus such  Limited  Partner's  share,  if any, of Partner
                  Minimum  Gain.  Any  Losses  which  are not  allocated  to the
                  Limited  Partner by virtue of the application of the preceding
                  sentence  shall  be  allocated  to the  General  Partner.  For
                  purposes of this Article  13(c), a Partner's  Capital  Account
                  shall be treated as reduced by Qualified  Income  Offset Items
                  as provided in Article 13(d)(iii).  All items of income, gain,
                  loss,  deduction,  or  credit  shall be  allocated  among  the
                  Partners   proportionately.   Further,   notwithstanding   the
                  foregoing,  after giving effect to the special  allocations in
                  Article 13(d), the General Partner shall be allocated at least
                  1% of all items of income, gain, loss, deduction or credit.

     (d) Special Allocations. The following special allocations shall be made:

                           (i) Partnership Minimum Gain Chargeback.  If there is
                  a net  decrease in  Partnership  Minimum Gain during any Year,
                  each Partner shall be specially allocated items of Partnership
                  income and gain for such Year (and, if  necessary,  subsequent
                  Years) in an amount equal to such  Partner's  share of the net
                  decrease in Partnership Minimum Gain, determined in accordance
                  with Treasury Regulations Section  1.704-2(g)(2).  Allocations
                  pursuant to the previous  sentence shall be made in proportion
                  to the  respective  amounts  required to be  allocated to each
                  Partner.  The items to be so allocated  shall be determined in
                  accordance with Treasury Regulations Section 1.704-2(f).  This
                  Article  13(d)(i) is intended to comply with the minimum  gain
                  chargeback  requirement in such Section of the Regulations and
                  shall be interpreted consistently therewith.

                           (ii) Partner Minimum Gain Chargeback. Notwithstanding
                  any  other   provision  of  this  Article  13  except  Article
                  13(d)(i),  if there is a net decrease in Partner  Minimum Gain
                  attributable  to a Partner  Nonrecourse  Debt during any Year,
                  each  Partner  who has a share  of the  Partner  Minimum  Gain
                  attributable to such Partner  Nonrecourse Debt,  determined in
                  accordance with Treasury Regulations Section 1.704-2(f), shall
                  be specially  allocated  items of Partnership  income and gain
                  for such Year  (and,  if  necessary,  subsequent  Years) in an
                  amount  equal to such  Partner's  share of the net decrease in
                  Partner Minimum Gain attributable to such Partner  Nonrecourse
                  Debt, to the extent  required by and  determined in accordance
                  with Treasury Regulations Section  1.704-2(i)(4).  Allocations
                  pursuant to the previous  sentence shall be made in proportion
                  to the  respective  amounts  required to be  allocated to each
                  Partner pursuant  thereto.  The items to be so allocated shall
                  be determined in accordance with Treasury  Regulations Section
                  1.704-2(i)(4).  This  Article  13(d)(ii) is intended to comply
                  with the minimum gain  chargeback  requirement in such Section
                  of the  Regulations  and  shall  be  interpreted  consistently
                  therewith.

                           (iii)  Qualified   Income  Offset.   If  any  Partner
                  unexpectedly   receives   any   adjustment,    allocation   or
                  distribution   described  in  Treasury   Regulations   Section
                  1.704-1(b)(2)(ii)(d)(4)  through (6) which causes or increases
                  a deficit balance in such Partner's  Capital Account (adjusted
                  for  this   purpose  in  the  manner   provided   in  Treasury
                  Regulations    Section    1.704-1(b)(2)(ii)(d)),    items   of
                  Partnership  income and gain shall be  specially  allocated to
                  each  such  Partner  in an amount  and  manner  sufficient  to
                  eliminate,  to the extent  required  by the  Regulations,  the
                  deficit   Capital  Account  of  such  Partner  as  quickly  as
                  possible, provided that an allocation pursuant to this Article
                  13(d)(iii)  shall be made if and only to the extent  that such
                  Partner would have a deficit  Capital  Account after all other
                  allocations   provided  for  in  this  Article  13  have  been
                  tentatively made as if this Article 13(d)(iii) were not in the
                  Agreement.  This  provision  is  intended  to be a  "qualified
                  income  offset,"  as defined in Treasury  Regulations  Section
                  1.704-1(b)(2)(ii)(d),   such  Regulation  being   specifically
                  incorporated herein by reference.

                           (iv) Sales Commission.  The Sales Commission shall be
                  allocated  to the  Units  which  are not  held by the  General
                  Partner and its Affiliates and are acquired in the Offering in
                  proportion to the respective capital contributions represented
                  by such Units (i.e.,  $250 in Sales  Commissions per each such
                  Unit).  The purpose of this  Article  13(d)(iv) is to allocate
                  the Sales  Commission to those  Partners who actually bore the
                  burden of paying the Sales Commission.

     (e) Ordering  Provision.  In applying the  provisions of Articles 13 and 14
with  respect to  distributions  and  allocations,  the  following  ordering  of
priorities shall apply:

     (i)  Capital  Accounts  shall be deemed to be reduced by  Qualified  Income
Offset Items.

     (ii) Capital Accounts shall be reduced by Distributions of Partnership Cash
Flow under Article 14(a).

     (iii) Capital  Accounts  shall be reduced by  Distributions  of Partnership
Sales Proceeds and Partnership Refinancing Proceeds under Article 14(b).

     (iv) Capital  Accounts  shall be  increased by any Minimum Gain  Chargeback
under Articles 13(d)(i) and (ii).

     (v) Capital  Accounts  shall be increased by any  Qualified  Income  Offset
under Article 13(d)(iii).

     (vi)  Capital  Accounts  shall be reduced  by  allocations  of  Nonrecourse
Deductions under Article 13(a).

                           (vii)   Capital   Accounts   shall  be   reduced   by
                  allocations of Partner  Nonrecourse  Deductions  under Article
                  13(b).

                           (viii)   Capital   Accounts  shall  be  increased  by
                  allocations of Profits under Article 13(c).

     (ix)  Capital  Accounts  shall be reduced by  allocations  of Losses  under
Article 13(c).

                  To the maximum extent permitted under the Code, allocations of
         Profits  and Losses  shall be modified  so that the  Partners'  Capital
         Accounts  reflect the amount they would have  reflected if  adjustments
         required by Articles 13(d)(i), (ii) and (iii) had not occurred.

                  (f)  Allocations  Between  Transferor and  Transferee.  In the
         event of the transfer (other than the pledges of the General  Partner's
         interest  permitted  by Article 19 or  Permitted  Pledges  described in
         Article  17.2(b))  of all or  any  part  of a  Partner's  interest  (in
         accordance with the provisions of this Agreement) in the Partnership at
         any time other  than at the end of a Year,  or the  admission  of a new
         Partner  (in  accordance  with  the  terms  of  this  Agreement),   the
         transferring  Partner  or new  Partner's  share  of  the  Partnership's
         income,  gain,  loss,  deductions  and  credits,  as computed  both for
         accounting  purposes  and for  federal  income tax  purposes,  shall be
         allocated between the transferor Partner and the transferee Partner (or
         Partners),  or the new Partner and the other Partners,  as the case may
         be, in the same  ratio as the  number of days in such Year  before  and
         after the date of the transfer or admission; provided, however, that if
         there  has  been a sale  or  other  disposition  of the  assets  of the
         Partnership  (or any part thereof)  during such Year,  then the General
         Partner may elect, in its sole discretion,  to treat the periods before
         and after the date of the transfer or  admission as separate  Years and
         allocate the Partnership's net income,  gain, net loss,  deductions and
         credits for each of such deemed  separate  Years.  Notwithstanding  the
         foregoing, the Partnership's "allocable cash basis items," as that term
         is used in Section  706(d)(2)(B)  of the Code,  shall be  allocated  as
         required  by  Section   706(d)(2)  of  the  Code  and  the  regulations
         thereunder.

                  (g) Tax  Withholding.  The Partnership  shall be authorized to
         pay, on behalf of any  Partner,  any amounts to any  federal,  state or
         local taxing  authority,  as may be necessary  for the  Partnership  to
         comply with tax withholding  provisions of the Code or the other income
         tax or  revenue  laws  of any  taxing  authority.  To  the  extent  the
         Partnership  pays any such  amounts  that it may be  required to pay on
         behalf  of  a  Partner,  such  amounts  shall  be  treated  as  a  cash
         distribution  to such  Partner  and shall  reduce the amount  otherwise
         distributable to such Partner.

14.      DISTRIBUTIONS.
         -------------

                  (a)  Distribution of Partnership  Cash Flow.  Partnership Cash
         Flow shall be distributed to the Partners  within 60 days after the end
         of each Year, or earlier in the discretion of the General  Partner,  in
         proportion  to their  respective  Percentage  Interests  at the time of
         distribution.

                  (b)  Distribution  of  Partnership  Refinancing  Proceeds  and
         Partnership  Sales  Proceeds.   Partnership  Refinancing  Proceeds  and
         Partnership  Sales Proceeds shall be distributed to the Partners within
         60 days of the Capital  Transaction  giving rise to such  proceeds,  or
         earlier in the  discretion  of the General  Partner,  in  proportion to
         their respective Percentage Interests at the time of distribution.

                  (c)  Distribution  in  Liquidation.  Upon  liquidation  of the
         Partnership,  all of the  Partnership's  property  shall  be  sold  and
         Profits and Losses allocated accordingly. Proceeds from the liquidation
         of the Partnership shall be distributed in accordance with Article 25.

                  l5.      RIGHTS AND OBLIGATIONS OF LIMITED PARTNERS.
                           ------------------------------------------

                  15.1  Management.  The Limited Partners shall not take part in
the management of the business,  nor transact any business for the  Partnership,
nor  shall  they  have  power  to  sign  for or to  bind  the  Partnership.  The
Partnership may,  however,  contract with one or more Limited Partners to act as
the local medical  director(s) of the Lithotripter  Systems.  No Limited Partner
may withdraw from the Partnership except as expressly permitted herein.

                  15.2 Operation of Lithotripter  Systems.  The Limited Partners
shall not  operate  or utilize  the  Partnership  Lithotripter  Systems or other
Partnership  equipment except pursuant to (i) an agreement with the Partnership;
or (ii) any other arrangement specifically approved by the General Partner.

                  15.3 Outside Activities.  The Limited Partners agree that they
owe fiduciary  duties to the  Partnership  and, as a  consequence,  each Limited
Partner (that is not the General Partner or an Affiliate of the General Partner)
agrees that he shall not engage in "Outside  Activities"  (as defined  below) in
the  "Market  Area" (as  defined  below)  while he is a Limited  Partner  in the
Partnership  and shall  otherwise be subject to the  provisions  of this Article
15.3.  The phrase  "Outside  Activities"  means  directly or indirectly  owning,
leasing or  subleasing  a  lithotripter  (or any similar  equipment or competing
devices  used  for  treating  renal  or  biliary  stone  disease)  or any  other
therapeutic equipment acquired by the Partnership. Prohibited indirect ownership
shall  include  without  limitation  the  direct or  indirect  ownership  of any
interest in a business venture (through stock  ownership,  partnership  interest
ownership,  ownership  by or  through a close  family  member,  or as  otherwise
determined  in good  faith by the  General  Partner)  involving  the  ownership,
purchase, lease, sublease, promotion,  management or operation of a lithotripter
(or similar  equipment or competing  devices used for treating  renal or biliary
stone  disease)  or other  competing  device or  equipment,  unless the  General
Partner determines that such activity by the Limited Partners is not detrimental
to the best interests of the  Partnership.  Notwithstanding  the above,  Outside
Activities  shall not include (i) ownership of less than 1% of the capital stock
(calculated on a fully diluted  basis) of a corporation  whose stock is publicly
owned or regularly traded on any public exchange, (ii) any ownership interest in
an entity  engaging  in an Outside  Activity  acquired  before the date  hereof;
provided,  that  the  Limited  Partner  may not  increase  or  enhance  any such
previously held  investment  during the term of the  Partnership,  and (iii) any
other activity determined by the General Partner, in its sole discretion, not to
be detrimental to the best interests of the Partnership.

                  Upon  the  termination  or  transfer  of a  Limited  Partner's
interest in the  Partnership  for any reason,  including a transfer  pursuant to
Article 18.3 hereof, the withdrawing  Limited Partner shall not, for a period of
two (2) years following the date of withdrawal, engage in any Outside Activities
in any "Market Area" in which the Partnership is transacting  business or within
the prior twelve months has transacted  business (the "Restricted  Facilities").
For the purposes of this Article 15.3, the term "Market Area" shall mean (i) the
area within a fifty (50) mile  radius of any  Restricted  Facility,  but if such
area is determined by a court of competent jurisdiction to be too broad, then it
shall  mean (ii) the area  within a thirty  (30) mile  radius of any  Restricted
Facility, but if such area is determined by a court of competent jurisdiction to
be too broad then it shall mean (iii) the area within a fifteen (15) mile radius
of any Restricted Facility.

                  In the event a Limited Partner wishes and intends to engage in
an Outside  Activity in a Market Area,  he must provide  written  notice of such
intent to the General  Partner  prior to engaging in the Outside  Activity.  The
written  notice  shall be deemed an election by the Limited  Partner to withdraw
from the Partnership  (the "Notice of  Withdrawal"),  and shall give the General
Partner the purchase rights as provided in Article 18.3 hereof. After the Notice
of Withdrawal,  the former Limited Partner may engage in an Outside  Activity in
the Market  Area only after  waiting the period of two years  specified  in this
Article  15.3.  In the event of breach of the waiting  period,  the  Partnership
shall be entitled to any remedy at law or equity  with  respect to such  breach,
including without limitation an injunction or suit for damages.

                  If  a  Limited  Partner  during  his   participation   in  the
Partnership  engages in an  Outside  Activity  in a Market  Area  without  first
notifying  the General  Partner in violation of this Article  15.3,  the Limited
Partner  shall be deemed to have  given a Notice of  Withdrawal  on the date the
General Partner first becomes aware of the Limited Partner's Outside Activity in
the Market Area.  Upon  receiving a Limited  Partner's  Notice of  Withdrawal or
equivalent  thereof,  the Partnership may invoke the purchase rights provided in
Article  18.3  and  shall be  entitled  to any  other  remedy  at law or  equity
including without limitation an injunction or suit for damages.

                  15.4  Disclosure  of  Confidential  Information.  Each Limited
Partner  acknowledges and agrees that his participation in the Partnership under
this Agreement  necessarily  involves his understanding of and access to certain
trade secrets and other confidential  information  pertaining to the business of
the  Partnership.  Accordingly,  each  Limited  Partner  (other than the General
Partner  and its  Affiliates  that may also  hold  Limited  Partner  Partnership
Interests)  agrees that at all times during his participation in the Partnership
as a Limited  Partner  and  thereafter,  he will not,  directly  or  indirectly,
without the express written authority of the Partnership, unless required by law
or directed by a applicable legal authority having jurisdiction over the Limited
Partner,  disclose or use for the benefit of any  person,  corporation  or other
entity  (other than the  Partnership),  or the Limited  Partner,  (i) any trade,
technical,  operational,  management or other  secrets,  any patient or customer
lists  or  other   confidential  or  secret  data,  or  any  other  proprietary,
confidential or secret  information of the Partnership or (ii) any  confidential
information concerning any of the financial  arrangements,  financial condition,
hospital  or  physician  contracts,  third  party  payor  arrangements,  quality
assurance  and  outcome  analysis  programs,  competitive  status,  customer  or
supplier matters, internal organizational matters, technical abilities, or other
business affairs of or relating to the Partnership.  The Limited Partners (other
than the General  Partner and its Affiliates  that may also hold Limited Partner
Partnership  Interests)  acknowledge  that  all  of  the  foregoing  constitutes
proprietary information,  which is the exclusive property of the Partnership. In
the event of breach of this Article 15.4 as determined  by the General  Partner,
the Partnership shall be entitled to any remedy at law or equity with respect to
such breach, including without limitation, an injunction or suit for damages.

15.      LIMITED LIABILITY.
         -----------------

                  No Limited Partner shall be required to make any  contribution
to the  capital of the  Partnership  except as set forth in Article 7, nor shall
any Limited  Partner in his capacity as such, be bound by, or personally  liable
for,  any expense,  liability or  obligation  of the  Partnership  except to the
extent of his (i) interest in the  Partnership;  (ii)  Guaranties of Partnership
obligations;  and (iii)  obligation  to return  distributions  made to him under
certain circumstances as required by the Act.

16.      TRANSFER OF INTERESTS AND ADMISSION OF PARTNERS.
         -----------------------------------------------

                  17.1     Transferability.
                           ---------------

                  (a) The  term  "transfer"  when  used in this  Agreement  with
         respect to a Partnership  Interest includes a sale,  assignment,  gift,
         pledge,  exchange  or any other  disposition  (but does not include the
         issuance of new Partnership Interests pursuant to a Dilution Offering);

                  (b)  Except  as  otherwise  provided  in this  Article  17 and
         Article  19, the  General  Partner  shall not at any time  transfer  or
         assign its interest or obligation as General Partner;

                  (c) The Partnership  Interest of any Limited Partner shall not
         be  transferred,  in whole or in part,  except in  accordance  with the
         conditions and limitations set forth in Articles 17.2 or 18;

                  (d) The  transferee of a Partnership  Interest by  assignment,
         operation of law or otherwise,  shall have only the rights,  powers and
         privileges  enumerated in Article 17.3 or otherwise provided by law and
         may not be admitted to the  Partnership as a Limited  Partner except as
         provided in Article 17.4 or as a General  Partner except as provided in
         Article 17.5;

                  (e) Notwithstanding any provision herein to the contrary,  the
         Partnership  Agreement  shall  in  no  way  restrict  the  issuance  or
         transfers of stock of the General  Partner or the merger of the General
         Partner with another person or entity; and

                  (f) Notwithstanding any provision herein to the contrary,  the
         issuance of Partnership  Interests  pursuant to a Dilution Offering and
         the admission of new Limited Partners  pursuant to a Dilution  Offering
         shall be governed by the provisions of Article 7.4 of this Agreement.

                  17.2     Restrictions on Transfers by Limited Partners.
                           ---------------------------------------------

                  (a) All or part of a Partnership  Interest may be  transferred
         by a  Limited  Partner  only  with the prior  written  approval  of the
         General  Partner,  which  approval may be granted or denied in the sole
         discretion of the General Partner.

                  (b) The General  Partner  shall not approve any  transfer of a
         Partnership  Interest,  except a pledge of any Partnership  Interest by
         the General Partner to any bank,  insurance  company or other financial
         institution to secure payment of indebtedness  (a "Permitted  Pledge"),
         or otherwise  unless the proposed  transferee  shall have furnished the
         General Partner with a sworn statement that:

     (i) The proposed transferee proposes to acquire his Partnership Interest as
a principal, for investment and not with a view to resale or distribution;

                           (ii) The proposed  transferee meets such requirements
                  regarding sophistication,  income and net worth as required by
                  applicable state and federal securities laws;

                           (iii) The proposed  transferee has met such net worth
                  and income  suitability  standards as have been established by
                  the General Partner;

                           (iv)  The   proposed   transferee   recognizes   that
                  investment in the Partnership  involves  certain risks and has
                  taken  full  cognizance  of and  understands  all of the  risk
                  factors related to the purchase of a Partnership Interest; and

     (v) The proposed  transferee has met all other  requirements of the General
Partner for the proposed transfer.

                  (c) Other than in the case of a Permitted  Pledge,  a transfer
         of a  Partnership  Interest  may be made  only  if,  prior  to the date
         thereof,  the Partnership  upon request receives an opinion of counsel,
         satisfactory in form and substance to the General Partner, that neither
         the offering nor the proposed transfer will require  registration under
         federal or applicable state securities laws or regulations.

                  17.3 Rights of Transferee.  Unless admitted to the Partnership
in  accordance  with Article 17.4,  17.5 or 20, the  transferee of a Partnership
Interest or a part thereof or any right,  title or interest therein shall not be
entitled to any of the rights,  powers,  or  privileges  of his  predecessor  in
interest, except that he shall be entitled to receive and be credited or debited
with his proportionate  share of Partnership  income,  gains,  Profits,  Losses,
deductions, credits or distributions.

                  17.4  Admission  of  Limited  Partners.  Except  as  otherwise
provided in Article 18, the General Partner, or the transferee of all or part of
the Partnership  Interest of either a General Partner or a Limited Partner,  may
be admitted to the  Partnership  as a Limited  Partner  upon  furnishing  to the
General Partner all of the following:

                  (a) The  written  approval of a Majority in Interest of all of
         the Limited  Partners  (except the assignor  Partner),  or the assignor
         Partner  alone,  which  approval  may be  granted or denied in the sole
         discretion of such Partners or Partner (as the case may be);

     (b) The written  approval of the General  Partner,  which  approval  may be
granted or denied in the sole discretion of the General Partner;

                  (c) Acceptance, in a form satisfactory to the General Partner,
         of all the  terms  and  conditions  of  this  Agreement  and any  other
         documents  required in connection with the operation of the Partnership
         pursuant to the terms of this Agreement;

     (d) A properly executed power of attorney  substantially  identical to that
contained in Article 38;

     (e) Such other  documents  or  instruments  as may be  required in order to
effect his admission as a Limited Partner; and

     (f) Payment of such  reasonable  expenses as may be incurred in  connection
with his admission as a Limited Partner.

     17.5 Admission of General Partners. A Limited Partner, or the transferee of
all or part of the Partnership  Interest of the General Partner, may be admitted
to the  Partnership as a general  partner upon furnishing to the General Partner
all of the following:

                  (a) The  written  consent of both the  General  Partner  and a
         Majority  in Interest of the  Limited  Partners,  which  consent may be
         granted or denied in the sole discretion of the Partners;

                  (b) Such financial statements,  guarantees or other assurances
         as the General  Partner  may require  with regard to the ability of the
         proposed  general  partner to fulfill the  financial  obligations  of a
         general partner hereunder;

                  (c) Acceptance,  in form  satisfactory to the General Partner,
         of all the  terms  and  provisions  of  this  Agreement  and any  other
         documents  required in connection with the operation of the Partnership
         pursuant to the terms of this Agreement;

     (d) A certified  copy of a resolution of its Board of Directors (if it is a
corporation)  authorizing  it to  become a general  partner  under the terms and
conditions of this Agreement;

     (e) A power  of  attorney  substantially  identical  to that  contained  in
Article 38;

     (f) Such other  documents  or  instruments  as may be  required in order to
effect its admission as a general partner; and

     (g) Payment of such  reasonable  expenses as may be incurred in  connection
with its admission as a general partner.

                  Notwithstanding  the above,  a transferee  that controls or is
controlled by the General Partner or one or more of its Affiliates that receives
all or part of the  Partnership  Interest of the General Partner may be admitted
to the  Partnership as a general  partner upon complying with all the provisions
of Article  17.5 except for  subparagraph  17.5(a).  As long as such  transferee
either  controls or is controlled  by the General  Partner or one or more of its
Affiliates,  no  Limited  Partner  consents  will  be  required  to  admit  such
transferee as a general partner to the Partnership.

                  17.6  Amendment  of  Certificate  of Limited  Partnership  and
Qualification.   The  General   Partner  shall  take  all  steps  necessary  and
appropriate to prepare and record any  amendments to the  Certificate of Limited
Partnership, as may be necessary or appropriate from time to time to comply with
the requirements of the Act, including,  without limitation,  upon the admission
to the Partnership of any general partner  pursuant to the provisions of Article
17.5, and may for this purpose  exercise the power of attorney  delivered to the
General Partner pursuant to Article 17.5 or 38. In addition, the General Partner
shall take all steps necessary and appropriate to prepare and record any and all
documents  necessary to qualify the Partnership to do business in  jurisdictions
where the Partnership is doing business,  and may for this purpose  exercise the
power of attorney  delivered to the General  Partner  pursuant to Articles 17.4,
17.5 or 38.

                  17.7 Fundamental  Changes.  In the event a plan is approved by
the General Partner and a Majority in Interest of the Limited Partners providing
for the  merger or  consolidation  of the  Partnership  with  another  person or
entity,  or the sale of all or substantially  all of the Partnership  Interests,
including  without  limitation the exchange of Partnership  Interests for equity
interests  in  another  person or entity or for cash or other  consideration  or
combination  thereof,  then and in such  event,  the Limited  Partners  shall be
obligated to take or refrain  from  taking,  as the case may be, such actions as
the plan may provide, including, without limitation, executing such instruments,
and providing such information as the General Partner shall reasonably  request.
Any plan  described  in this  Article  17.7 may also effect an  amendment to the
Partnership  Agreement  or  the  adoption  of a  new  partnership  agreement  in
connection with the merger of the  Partnership  with another person or entity as
provided in Section  362.546(5)  of the Act.  The plan may also provide that the
General Partner and its Affiliates  shall receive fees for services  rendered in
connection  with  the  operation  of the  Partnership  or any  successor  entity
following  the  consummation  of the  transactions  described  in the plan,  and
neither the  Partnership nor the Partners shall have any right by virtue of this
Agreement in the income derived therefrom. Any securities or other consideration
to be distributed  to the Partners  pursuant to the plan shall be distributed in
the  manner  set forth in Article  25(c) as though  the  Partnership  were being
liquidated.  For this purpose only,  the fair market value of the  securities or
other  consideration  to be  received  pursuant  to the plan shall be treated as
"Profits"  and the capital  accounts of the  Partners  shall be increased in the
manner  provided  in Article  13(c)(i).  No  Partner  shall be  entitled  to any
dissent,  appraisal or similar rights in connection with a plan  contemplated by
this Article 17.7.

                  17.8 Withdrawal of Initial Limited Partner.  Upon the date the
first Limited  Partner is admitted to the Partnership in accordance with Article
11 of this  Agreement,  the Initial  Limited  Partner  shall  withdraw  from the
Partnership,  and thereupon his Capital  Contribution  shall be returned and his
Partnership Interest canceled and reallocated to the Limited Partners.

17.      OPTIONAL PURCHASE OF LIMITED PARTNERSHIP INTERESTS ON CERTAIN EVENTS.
         --------------------------------------------------------------------

                  18.1 Death. Upon the death of a Limited Partner,  the deceased
Limited  Partner's   executor,   administrator,   or  other  legal  or  personal
representative  shall give written  notice of that fact to the General  Partner.
The General Partner shall have the option to purchase at the Closing (as defined
below) the Partnership Interest of the deceased Limited Partner (whose executor,
administrator  or other  legal or  personal  representative  shall  then  become
obligated  to sell such  Partnership  Interest) at the price  determined  in the
manner  provided  in  Article  18.7  of  this  Agreement  and on the  terms  and
conditions provided in Article 18.8 of this Agreement. The General Partner shall
have a period of thirty (30) days  following  the date of notice of the death of
the Limited Partner (the "Option  Period") within which to notify in writing the
deceased Limited  Partner's  executor,  administrator or other legal or personal
representative,  whether the General Partner wishes to purchase all or a portion
of the  Partnership  Interest of the deceased  Limited  Partner.  If the General
Partner  does not elect to  purchase  the  entire  Partnership  Interest  of the
deceased  Limited  Partner before the expiration of the Option Period and in the
manner provided  herein,  the portion of the Partnership  Interest not purchased
shall be held by the deceased Limited Partner's executor, administrator or other
legal  representative  pursuant  to the  terms of this  Agreement.  The  General
Partner, in its sole discretion,  may elect to assign its rights to purchase the
Partnership  Interest of a deceased  Limited  Partner under this Article 18.1 to
the Partnership and, in such case, the Partnership shall have the same rights as
provided for the General Partner under this Article 18.1.

                  18.2  Bankruptcy,  Insolvency  or  Assignment  for  Benefit of
Creditors of a Limited  Partner.  In the event that an  involuntary or voluntary
proceeding  under the  Federal  Bankruptcy  Code,  as  amended,  is filed for or
against any Limited Partner,  or if any Limited Partner shall make an assignment
for the benefit of his  creditors,  or if any Limited  Partner has a receiver or
custodian  appointed for his assets,  or any Limited Partner  generally fails to
pay his debts when due, the insolvent  Limited Partner shall give written notice
(the "Notice of Insolvency")  to the General Partner of the  commencement of any
such  proceeding  or the  occurrence of such event within five days of the first
notice to him of such  commencement  or  occurrence  of such event.  The General
Partner shall have the option to purchase at the Closing (as defined  below) the
Partnership  Interest of the  insolvent  Limited  Partner  (which the  insolvent
Limited Partner or his trustee,  custodian,  receiver or other personal or legal
representative,  as the case may be, shall then become obligated to sell) at the
price determined in the manner provided in Article 18.7 of this Agreement and on
the terms and conditions provided in Article 18.8 of this Agreement. The General
Partner shall have a period of thirty (30) days following the date of the Notice
of  Insolvency  (the  "Option  Period")  within  which to notify in writing  the
insolvent Limited Partner or his trustee, custodian, receiver, or other legal or
personal representative, whether the General Partner wishes to purchase all or a
portion of the Partnership  Interest of the insolvent  Limited  Partner.  If the
General  Partner does not elect to purchase the entire  Partnership  Interest of
the insolvent  Limited Partner before the expiration of the Option Period and in
the  manner  provided  herein,  the  portion  of the  Partnership  Interest  not
purchased  shall  be held by the  insolvent  Partner,  his  trustee,  custodian,
receiver or other legal or personal representative pursuant to the terms of this
Agreement. The General Partner, in its sole discretion,  may elect to assign its
rights to purchase  the  Partnership  Interest of an insolvent  Limited  Partner
under this Article 18.2 to the  Partnership  and, in such case, the  Partnership
shall  have the same  rights as  provided  for the  General  Partner  under this
Article 18.2.

                  18.3 Breach of Article 15.3. In the event the General  Partner
either  receives a Notice of  Withdrawal as provided in Article 15.3 or receives
notice of a breach of Article 15.3 by or with respect to a Limited  Partner (the
"Competing  Limited  Partner"),  the  General  Partner  may  elect,  in its sole
discretion,  to treat such event as a default  under this  Agreement and enforce
the  provisions of this Article 18.3. If the General  Partner  elects to enforce
the  provisions  of this Article  18.3,  the General  Partner shall give written
notice of such  election  (the  "Notice of Default")  to the  Competing  Limited
Partner.  The General  Partner  shall have the option to purchase at the Closing
(as defined below) the  Partnership  Interest of the Competing  Limited  Partner
(which the Competing Limited Partner shall then become obligated to sell) at the
price determined in the manner provided in Article 18.7 of this Agreement and on
the terms and conditions provided in Article 18.8 of this Agreement. The General
Partner shall have a period of thirty (30) days  following the date it sends the
Notice of Default  (the "Option  Period")  within which to notify in writing the
Competing Limited Partner, whether the General Partner wishes to purchase all or
a portion of the Partnership  Interest of the Competing Limited Partner.  If the
General  Partner does not elect to purchase the entire  Partnership  Interest of
the Competing  Limited Partner before the expiration of the Option Period and in
the  manner  provided  herein,  the  portion  of the  Partnership  Interest  not
purchased shall be held by the Competing  Limited Partner  pursuant to the terms
of this Agreement.  The General Partner,  in its sole  discretion,  may elect to
assign its rights to purchase the  Partnership  Interest of a Competing  Limited
Partner  under this  Article  18.3 to the  Partnership  and,  in such case,  the
Partnership shall have the same rights as provided for the General Partner under
this Article 18.3.

                  18.4  Domestic  Proceeding.  In the  event  that a spouse of a
Limited Partner  commences  against a Limited  Partner,  or a Limited Partner is
named in, a Domestic  Proceeding,  the Limited Partner shall give written notice
(the "Notice of Domestic Proceeding") to the General Partner of the commencement
of any such  proceeding  within  five  days of the  first  notice to him of such
commencement.  The  General  Partner  shall have the option to  purchase  at the
Closing  (as defined  below) the  Partnership  Interest  of the Limited  Partner
involved in the Domestic Proceeding (which the Limited Partner shall then become
obligated to sell),  at the price  determined in the manner  provided in Article
18.7 of this Agreement and on the terms and conditions  provided in Article 18.8
of this  Agreement.  The General Partner shall have a period of thirty (30) days
following the date of the Notice of Domestic  Proceeding  (the "Option  Period")
within which to notify in writing the Limited  Partner  involved in the Domestic
Proceeding,  whether the General  Partner wishes to purchase all or a portion of
the Partnership  Interest of such Limited  Partner.  If the General Partner does
not elect to purchase the Partnership  Interest of the Limited Partner  involved
in the Domestic Proceeding before the expiration of the Option Period and in the
manner provided  herein,  the portion of the Partnership  Interest not purchased
shall be held by such Limited  Partner  pursuant to the terms of this Agreement.
The General Partner,  in its sole discretion,  may elect to assign its rights to
purchase  the  Partnership  Interest  of the  Limited  Partner  involved  in the
Domestic  Proceeding  under this  Article 18.4 to the  Partnership  and, in such
case,  the  Partnership  shall have the same rights as provided  for the General
Partner under this Article 18.4.

                  18.5 Divestiture  Option.  If state or federal  regulations or
laws are enacted or applied, or if any other legal developments occur, which, in
the opinion of the General Partner  adversely  affect (or potentially  adversely
affect) the operation of the Partnership  (e.g., the enactment or application of
prohibitory physician  self-referral  legislation against the Partnership or its
Partners),  the General Partner shall promptly  either,  in its sole discretion,
(i) take the steps outlined in this Article 18.5 to divest the Limited  Partners
of their Partnership Interests,  or (ii) dissolve the Partnership as provided in
Article  24.1(e).  If the General Partner chooses option (i), it shall deliver a
written  notice to all of the Limited  Partners (the "Notice of  Election")  and
purchase such Partnership  Interests for its own account.  The purchase price to
be paid for each  Partnership  Interest  shall be  determined  in the  manner as
provided in Article 18.7 and shall be on the terms and conditions as provided in
Article  18.8.  The transfer of the  Partnership  Interests,  the payment of the
purchase price and the  assumption of the Limited  Partners'  obligations  under
their respective  Guaranties (as provided in Article 18.7) shall be made at such
time as  determined  by the General  Partner to be in the best  interests of the
Partnership  and its  Limited  Partners.  Each  Limited  Partner  hereby  makes,
constitutes and appoints the General  Partner,  with full power of substitution,
his true and lawful  attorney-in-fact,  to take such  actions and  execute  such
documents  on his behalf to effect the transfer of his  Partnership  Interest as
provided in this Article  18.5.  The  foregoing  power of attorney  shall not be
affected by the  subsequent  incapacity,  mental  incompetence,  dissolution  or
bankruptcy of any Limited Partner.

                  18.6  Default  under  Guaranties.  Notwithstanding  any  other
provision in this Article 18 to the contrary,  if any of the events  outlined in
Articles  18.1 or 18.2 or any other  defaulting  event  outlined in the Guaranty
(the  "Defaulting  Events")  should occur with respect to a Limited Partner (the
"Defaulting  Limited Partner"),  and the General Partner determines (in its sole
discretion)  that  such  event may  result in  default  and  acceleration  of an
obligation  secured by the Guaranty unless another  guarantor  acceptable to the
Lender can be substituted in the place of the Defaulting  Limited Partner,  then
the  General  Partner  shall  have the  right to  immediately  take the steps as
outlined in this Article 18.6 to prevent such default.  Upon the General Partner
receiving  notice of a Defaulting  Event as provided above, the General Partner,
in its sole discretion,  shall immediately have the right to either (i) sell the
entire  Partnership  Interest of the Defaulting  Limited  Partner to an investor
approved of by the General Partner, (ii) purchase for its own account the entire
Partnership Interest of the Defaulting Limited Partner, or (iii) sell the entire
Partnership  Interest of the  Defaulting  Limited  Partner to one or more of the
other  Limited  Partners.   The  Defaulting   Limited  Partner  shall  sell  his
Partnership  Interest to the purchaser at the purchase  price  determined in the
manner as provided in Article 18.7 and on the terms and  conditions  as provided
in Article 18.8. The transfer of the  Partnership  Interest,  the payment of the
purchase  price,  and  the  assumption  of  the  Defaulting   Limited  Partner's
obligations  under his Guaranty (as provided in Article 18.7),  shall be made at
such time as determined by the General Partner in order to avoid the default and
acceleration  of the obligation  secured by the Guaranty.  Each Limited  Partner
hereby makes,  constitutes and appoints the General Partner,  with full power of
substitution,  his true and lawful  attorney-in-fact,  to take such  actions and
execute such  documents on his behalf to effect the transfer of his  Partnership
Interest as provided in this Article  18.6,  in the event such  Limited  Partner
becomes a Defaulting Limited Partner.

                  18.7  Purchase  Price.  The purchase  price to be paid for the
Partnership  Interest of any Limited  Partner whose interest is being  purchased
pursuant to the provisions of Articles 18.1, 18.2, 18.3, 18.4, 18.5 or 18.6 (the
"Selling  Limited  Partner")  shall be determined in the manner provided in this
Article 18.7. The purchase price for a Partnership  Interest  purchased pursuant
to the provisions of Article 18.1 shall be an amount equal to the greater of (i)
two (2) times the aggregate  distributions made with respect to such Partnership
Interest pursuant to Article 14(a) during the twelve-month  period ending on the
Valuation Date (as defined below),  or (ii) the Selling Limited  Partner's share
of the  Partnership's  book  value  determined  in the manner  described  below;
provided, however, that the purchase price under either method (i) or (ii) shall
not exceed the fair market value of the Partnership Interest. The purchase price
for a  Partnership  Interest  purchased  pursuant to the  provisions of Articles
18.2, 18.3, 18.4, 18.5 or 18.6 shall be an amount equal to the lesser of (a) the
fair market value of the Selling Limited Partner's  Partnership  Interest on the
Valuation  Date  (prorated  in  the  event  that  only a  portion  of his or her
Partnership  Interest is being  purchased)  as  determined  by an Appraiser  (as
defined  below)  selected by the  General  Partner,  or (b) the Selling  Limited
Partner's share of the  Partnership's  book value, if any (prorated in the event
that only a portion of his or her  Partnership  Interest is being  purchased) as
reflected by the Capital Account of the Selling Limited Partner  (unadjusted for
any  appreciation  in  Partnership  assets or  amounts  due and  payable  to the
Partnership as account  receivables,  and as reduced by depreciation  deductions
claimed  by the  Partnership  for tax  purposes)  as of the  Valuation  Date (as
defined below), and if as of the date of the Closing the Selling Limited Partner
still  has  an  outstanding   personal   obligation   under  the  Guaranty  (the
"Obligation"),  the  assumption of the portion of the  Obligation as is equal to
the portion of the Partnership Interest being purchased. The General Partner, in
its sole discretion,  may pursue both of the above valuation  methods and choose
the lesser value of the two as indicated above, or may designate and follow only
one of the methods in  calculating  the  purchase  price.  For  purposes of this
Article 18.7, the term  "Appraiser"  shall mean an independent  appraiser who is
qualified in appraising limited partnership  interests and who has at least five
years  experience.  In determining  fair market value,  the Appraiser shall take
into  consideration  any  outstanding  indebtedness,   liabilities,   liens  and
obligations  of the  Partnership  and the  relative  Partnership  Interests  and
capital  accounts of all Partners,  as well as applying any customary  discounts
for  lack of  liquidity  and  control.  Such  appraisal  shall be  conducted  in
accordance with professional appraisal standards. The valuation of the Appraiser
shall be  conclusive  and binding upon the  Partnership,  the  purchaser and the
Selling  Limited  Partner  and his  representatives.  The  determination  of the
Selling Limited Partner's Capital Account or aggregate  distributable  amount on
the  Valuation  Date  (as  defined  below)  shall  be made by the  Partnership's
internal  accountant  (the  "Partnership  Accountant")  upon  a  review  of  the
Partnership books of account,  and a formal audit is expressly waived.  Although
the Partnership shall use the accrual method of accounting,  for the purposes of
this Section 18.7, the cash method of accounting  shall be used for  determining
the  Capital  Account of the  Selling  Limited  Partner.  The  statement  of the
Partnership  Accountant  with  respect  to  the  Capital  Account  or  aggregate
distributable  amount of the Selling Limited Partner on the Valuation Date shall
be binding and conclusive  upon the  Partnership,  the purchaser and the Selling
Limited Partner and his  representatives.  The Valuation Date means the last day
of the month immediately preceding the month in which occurs: (i) the death of a
Selling Limited Partner,  in the case of a purchase by reason of death; (ii) the
bankruptcy or insolvency of a Selling Limited Partner, in the case of a purchase
by reason of such  bankruptcy or  insolvency;  (iii) the Notice of Withdrawal or
breach of Article  15.3 as provided in Article 18.3 in the case of a purchase by
reason thereof; (iv) the commencement of the Domestic Proceeding, in the case of
a purchase by reason thereof;  (v) the Notice of Election as provided in Article
18.5,  in the case of a  purchase  by  reason  thereof;  or (vi) the  notice  of
Defaulting  Event  as  provided  in  Article  18.6,  in the  case of a  purchase
occurring by reason of one of such events. Any Limited Partner whose Partnership
Interest is purchased  pursuant to the provisions of Article 18.1,  18.2,  18.3,
18.4,  18.5 or 18.6 shall be entitled only to the purchase  price which shall be
paid at the Closing in cash (or by certified  or cashier's  check) and shall not
be entitled to any Partnership  distributions  made after the Valuation Date. In
the event the  purchase  price for the  Selling  Limited  Partner's  Partnership
Interest  includes the assumption of a portion of the Obligation,  the purchaser
shall indemnify the Selling Limited Partner from such portion of the Obligation,
and take such steps deemed necessary by the General Partner to formally evidence
the assumption of such portion of the Obligation,  including without limitation,
executing such  documents and providing  such financial  information to the Bank
(as  the  case  may be) to  evidence  the  assumption  of  such  portion  of the
Obligation,  and obtain if possible,  the release of the Selling Limited Partner
from such portion of the Obligation.  Notwithstanding the above, in the event of
a purchase of a Partnership  Interest by the Partnership,  the Partnership shall
not be obligated to assume the Obligation of the Selling  Limited  Partner.  The
transfer of a Partnership  Interest of a Selling Limited Partner shall be deemed
to occur as of the Valuation Date and the Selling  Limited Partner shall have no
voting or other rights as a Limited Partner after such date. The purchaser shall
be entitled to any distributions  attributable to the transferred interest after
the Valuation Date and the Partnership shall have the right to deduct the amount
of any  such  distributions  made  to the  Selling  Limited  Partner  after  the
Valuation Date from the purchase price.

                  18.8     Closing.
                           -------

                  18.8.1  Closing  of  Purchase  and Sale.  The  Closing  of any
         purchase and sale of a Partnership  Interest  pursuant to Article 18.1,
         18.2,  18.3,  18.4,  18.5 or 18.6 of this Agreement shall take place at
         the principal office of the Partnership, or such other place designated
         by the  General  Partner,  on  the  date  determined  as  follows  (the
         "Closing"):

                  (a) In the case of a purchase and sale  occurring by reason of
         the death of a Limited  Partner as  provided  in  Article  18.1 of this
         Agreement,  the Closing  shall be held on the thirtieth day (or if such
         thirtieth  day is not a business  day, the next  business day following
         the thirtieth day) next following the last to occur of:

     (i) Qualification of the executor or personal administrator of the deceased
Limited Partner's estate;

     (ii) The date on which any necessary determination of the purchase price of
the Partnership Interest to be purchased has been made; or

     (iii) The date that coincides with the close of the Option Period.

                  (b) In the case of a purchase and sale  occurring by reason of
         the occurrence of one of the events described in Articles 18.2, 18.3 or
         18.4 of this Agreement,  the Closing shall be held on the thirtieth day
         (or if such  thirtieth day is not a business day, the next business day
         following the thirtieth day) next following the later to occur of:

     (i) The date on which any necessary  determination of the purchase price of
the Partnership Interest to be purchased has been made; or

     (ii) The date that coincides with the close of the Option Period.

                  (c) In the case of a purchase and sale  occurring by reason of
         the occurrence of one of the events described in either Article 18.5 or
         18.6,  the  Closing  shall be held as soon as  possible  following  the
         determination of the purchase price.

         At the Closing,  although not  necessary  to effect the  transfer,  the
         Selling Limited Partner shall  concurrently  with tender and receipt of
         the applicable  purchase price,  deliver to the purchaser duly executed
         instruments of transfer and  assignment,  assigning good and marketable
         title to the  portion or  portions  of the  Selling  Limited  Partner's
         entire  Partnership  Interest thus  purchased,  free and clear from any
         liens  or  encumbrances  or  rights  of  others  therein.  The  parties
         acknowledge  that occurrence of any of the triggering  events described
         in Article 18.1, 18.2, 18.3, 18.4, 18.5 or 18.6 and compliance with all
         the Articles of this  Agreement,  except the  execution of the transfer
         documents  by the Selling  Limited  Partner as  provided  above in this
         Article 18.8.1,  are sufficient to effect the complete  transfer of the
         Selling Limited Partner's  Partnership Interest and the Selling Limited
         Partner shall be deemed to consent to admission of the  transferee as a
         substitute Limited Partner.  Notwithstanding the date of the Closing or
         whether a Closing is  successfully  held, the transfer of a Partnership
         Interest of a Selling  Limited  Partner  shall be deemed to occur as of
         the Valuation Date as defined in Article 18.7.  The deemed  transfer is
         effective  regardless of whether the Selling Limited  Partner  performs
         the duties set forth in this Article 18.8.1.

                  18.8.2  Terms and  Conditions  of  Purchase.  The  Partnership
         Interest of a Limited  Partner shall not be  transferred to any Partner
         unless the  requirements  of Articles 17.2 and 17.4 (b) through (f) are
         satisfied  with  respect to it. The  purchaser  shall be liable for all
         obligations  and  liabilities   connected  with  that  portion  of  the
         Partnership  Interest  transferred  to it  unless  otherwise  agreed in
         writing.

18.      SALE, ASSIGNMENT OR OTHER TRANSFER OF THE GENERAL PARTNER'S INTEREST.
         --------------------------------------------------------------------

                  19.1  The   General   Partner   may  not   mortgage,   pledge,
hypothecate,  transfer,  sell, assign or otherwise dispose of all or any part of
its interest in the  Partnership,  whether  voluntarily,  by operation of law or
otherwise (the foregoing  actions being  hereafter  collectively  referred to as
"Transfers" or singularly as a "Transfer") except as permitted by this Article.

                  19.2 If the  General  Partner  makes a Transfer  (other than a
mortgage,  pledge or  hypothecation)  of its  general  partner  interest  in the
Partnership pursuant to this Article, it shall be liable for all obligations and
liabilities  incurred  by it as the  general  partner of the  Partnership  on or
before  the  effective  date of such  Transfer,  but shall not be liable for any
obligations or liabilities of the  Partnership  arising after the effective date
of the Transfer.

     19.3 No Transfer by the General Partner shall be permitted unless:

                  (a) Counsel for the Partnership shall have rendered an opinion
         that none of the actions  taken in  connection  with such Transfer will
         cause the Partnership to be classified  other than as a partnership for
         federal   income  tax  purposes  or  will  cause  the   termination  or
         dissolution of the Partnership under state law; and

                  (b) Such  documents  or  instruments,  in form  and  substance
         satisfactory to counsel for the  Partnership,  shall have been executed
         and  delivered  as may be  required  in the  opinion of counsel for the
         Partnership to effect fully any such Transfer.

                  Notwithstanding the foregoing provisions of this Article 19.3,
the General  Partner may pledge its  interest  in the  Partnership  to any bank,
insurance   company  or  other  financial   institution  to  secure  payment  of
indebtedness.

19.      TERMINATION OF THE SERVICES OF THE GENERAL PARTNER.
         --------------------------------------------------

                  If the General Partner shall be finally adjudged by a court of
competent  jurisdiction to be liable to the Limited  Partners or the Partnership
for any act of gross negligence or willful  misconduct in the performance of its
duties under the terms of this Agreement, the General Partner may be removed and
another  substituted  with the  consent  of all of the  Limited  Partners.  Such
consent  shall be evidenced  by a  certificate  of removal  signed by all of the
Limited Partners. In the event of removal, the new general partner shall succeed
to all of the powers, privileges and obligations of the General Partner, and the
General  Partner's  interest in the  Partnership  shall become that of a Limited
Partner,  and the General Partner shall maintain its same Percentage Interest in
the Partnership  notwithstanding  anything contained in the Act to the contrary.
In addition,  in the event of removal,  the new general  partner  shall take all
steps  necessary  and  appropriate  to prepare  and record an  amendment  to the
Certificate of Limited Partnership to reflect the removal of the General Partner
and the admission of such new general partner.

20.      MANAGEMENT AND OPERATION OF BUSINESS.
         ------------------------------------

                  21.1 All  decisions  with  respect  to the  management  of the
business and affairs of the Partnership shall be made by the General Partner.

                  21.2 The General  Partner shall be under no duty to devote all
of its time to the business of the Partnership,  but shall devote only such time
as it deems  necessary  to conduct the  Partnership  business and to operate and
manage the Partnership in an efficient manner.

                  21.3 The  General  Partner may charge to the  Partnership  all
ordinary and necessary costs and expenses, direct and indirect,  attributable to
the activities,  conduct and management of the business of the Partnership.  The
costs and expenses to be borne by the  Partnership  shall  include,  but are not
limited to, all  expenditures  incurred in acquiring and financing the Equipment
or other Partnership property, legal and accounting fees and expenses,  salaries
of employees of the Partnership,  consulting and quality  assurance fees paid to
independent contractors, insurance premiums and interest.

                  21.4 In addition to, and not in limitation  of, any rights and
powers  covenanted by law or other  provisions of this Agreement,  and except as
limited,  restricted or prohibited by the express  provisions of this Agreement,
the General Partner shall have and may exercise on behalf of the Partnership all
powers and rights necessary,  proper,  convenient or advisable to effectuate and
carry out the purposes, business and objectives of the Partnership.  Such powers
shall include, without limitation, the following:

     (a) Subject to the applicable  limitations set forth in Article 21.5(a), to
conduct the Offering and any Dilution Offering on behalf of the Partnership;

                  (b) Subject to the limitations  set forth in Article  21.5(c),
         to acquire on behalf of the  Partnership  (i) two or more fixed base or
         mobile lithotripsy systems,  including the Lithotripter  Systems,  (ii)
         any other assets related to the provision of lithotripsy  services,  or
         (iii) any other assets or  equipment  or an interest in another  entity
         consistent  with the purposes of the Partnership as provided in Article
         4 (collectively,  the "Additional  Assets"),  at such times and at such
         price and upon such terms,  as the General  Partner  deems to be in the
         best interest of the Partnership;

                  (c) To purchase,  hold, manage,  lease, license and dispose of
         Partnership assets, including the purchase,  exchange, trade or sale of
         the Partnership's assets at such price, or amount, for cash, securities
         or other property and upon such terms,  as the General Partner deems to
         be in the best interest of the Partnership;  provided,  that should the
         Partnership  assets be  exchanged  or traded  for  securities  or other
         property (the  "Replacement  Property") the General  Partner shall have
         the same  powers  with  regard to the  Replacement  Property as it does
         towards the traded property;

     (d) To exercise  the option of the General  Partner or the  Partnership  to
purchase a Limited Partner's Partnership Interest pursuant to Article 18;

     (e)  To  determine  the  travel   itinerary  and  site  locations  for  the
Lithotripter Systems or other Partnership technology;

                  (f) Subject to the limitations  set forth in Article  21.5(c),
         to borrow money for any Partnership  purpose (including the acquisition
         of the  Additional  Assets) and, if security is required  therefor,  to
         subject to any  security  device any  portion of the  property  for the
         Partnership,  to obtain  replacements of any other security device,  to
         prepay, in whole or in part, refinance,  increase,  modify, consolidate
         or extend any encumbrance or other security device;

                  (g) To deposit,  withdraw,  invest, pay, retain (including the
         establishment  of reserves in order to acquire the  Additional  Assets)
         and distribute the  Partnership's  funds in any manner  consistent with
         the provisions of this Agreement;

                  (h)      To institute and defend actions at law or in equity;

                  (i) To enter into and carry out contracts and  agreements  and
         any or all documents and  instruments  and to do any and all such other
         things as may be in furtherance of Partnership purposes or necessary or
         appropriate to the conduct of the Partnership activities;

     (j) To execute,  acknowledge and deliver any and all instruments  which may
be deemed necessary or convenient to effect the foregoing;

                  (k) To engage or retain one or more persons to perform acts or
         provide  materials  as  may be  required  by  the  Partnership,  at the
         Partnership's  expense,  and to compensate  such person or persons at a
         rate to be set by the General  Partner,  provided that the compensation
         is at the then  prevailing  rate for the type of services and materials
         provided,  or both.  Any person,  whether a Partner,  an Affiliate of a
         Partner or otherwise, including without limitation the General Partner,
         may be employed or engaged by the  Partnership  to render  services and
         provide materials,  including, but not limited to, management services,
         professional   services,   accounting   services,   quality  assessment
         services, legal services,  marketing services,  maintenance services or
         provide materials; and if such person is a Partner or an Affiliate of a
         Partner,  he shall be entitled to, and shall be paid  compensation  for
         said services or materials,  anything in this Agreement to the contrary
         notwithstanding, provided that the compensation to be received for such
         services  or  materials  is  competitive  in price and terms  with then
         prevailing rate for the type of services and/or materials provided. The
         Partnership,  pursuant  to the terms of a  Management  Agreement,  will
         contract with Lithotripters,  Inc., a North Carolina Corporation and an
         Affiliate of the General Partner (the "Management Agent"), with respect
         to  the   supervision   and   coordination   of  the   management   and
         administration  of  the  day-to-day  operations  of  the  Partnership's
         business  for a  monthly  fee  equal  to  the  greater  of  7%  of  net
         Partnership  Cash  Flow per  month,  or  $5,000  per  month.  All costs
         incurred by the Management  Agent under the Management  Agreement shall
         be paid or reimbursed by the Partnership directly.  The Partnership may
         also contract with healthcare  facilities  and/or qualified  physicians
         desiring to use its Lithotripter Systems for the treatment of patients.
         Owning an interest in the Partnership shall not be a condition to using
         the  Lithotripter  Systems.  The  General  Partner  and its  Affiliates
         (including the  Management  Agent) may engage in or possess an interest
         in other business ventures of any nature and description  independently
         or with  others,  including,  but not  limited to, the  operation  of a
         fixed-base  or mobile  lithotripsy  unit,  whether or not such business
         ventures are in direct or indirect  competition  with the  Partnership,
         and neither the  Partnership  nor the Partners  shall have any right by
         virtue of this Agreement in and to said independent  ventures or to the
         income or profits derived therefrom.

                  21.5 Notwithstanding the provisions of Article 21.4 above, the
General  Partner shall have the authority to take the following  actions only if
it first  receives  the prior  written  consent of a Majority in Interest of the
Limited Partners:

     (a)  Offer  and  sell  additional  limited  partnership  interests  in  the
Partnership pursuant to a Dilution Offering as described in Article 7.4 hereof;

     (b)   Institute   and  carry  out  any  plan   providing  for  the  merger,
consolidation or sale of Partnership  Interests or any other actions outlined in
Article 17.7 hereof; or

                  (c) Incurring any single  capital  expenditure,  any long-term
         debt or any single borrowing of the Partnership during any twelve month
         period in excess of $100,000.

                  21.6 Notwithstanding the provisions of Articles 21.4 and 22.5,
and in  addition  to other  acts  expressly  prohibited  or  restricted  by this
Agreement,  the Act or by other  applicable laws, the General Partner shall have
no authority to act on behalf of the Partnership in:

     (a) Doing any act in contravention of this Agreement or the Partnership's
         Certificate of Limited Partnership;

     (b) Doing any act which would make it  impossible  to carry on the ordinary
business of the Partnership;

     (c) Possessing or in any manner dealing with the Partnership's  property or
assigning the rights of the Partnership in the Partnership's  property for other
than Partnership purposes;

     (d) Admitting a person as a Limited  Partner or a General Partner except as
provided in this Agreement; or

                  (e)  Performing  any act (other  than an act  required by this
         Agreement  or any act  taken  in good  faith  reliance  upon  counsel's
         opinion)  which  would,  at the time  such act  occurred,  subject  any
         Limited Partner to liability as a general partner in any jurisdiction.

21.      RESERVES.
         --------

                  The  General  Partner  may cause the  Partnership  to create a
reserve account to be used exclusively for repairs and acquisition of Additional
Assets and for any other valid Partnership  purpose.  The General Partner shall,
in its sole discretion, determine the amount of payments to such reserve.

22.      INDEMNIFICATION AND EXCULPATION OF THE GENERAL PARTNER.
         ------------------------------------------------------

                  23.1 The General  Partner is accountable to the Partnership as
a fiduciary and consequently  must exercise good faith and integrity in handling
Partnership  affairs.  The  General  Partner  and its  Affiliates  shall have no
liability to the  Partnership  which arises out of any action or inaction of the
General Partner or its Affiliates if the General  Partner or its Affiliates,  in
good faith,  determined  that such course of conduct was in the best interest of
the Partnership and such course of conduct did not constitute  gross  negligence
or willful  misconduct  of the General  Partner or its  Affiliates.  The General
Partner and its Affiliates  shall be indemnified by the Partnership  against any
losses, judgments,  liabilities,  expenses and amounts paid in settlement of any
claims sustained by them in connection with the  Partnership,  provided that the
same were not the result of gross  negligence or willful  misconduct on the part
of the General Partner or its Affiliates.

                  23.2 The General Partner shall not be liable for the return of
the Capital Contributions of the Limited Partners, and upon dissolution, Limited
Partners shall look solely to the assets of the Partnership.

23.      DISSOLUTION OF THE PARTNERSHIP.
         ------------------------------

     24.1 The  Partnership  shall be dissolved and  terminated  and its business
wound up upon the occurrence of any one of the following events:

                  (a)      The expiration of its term on December 31, 2049;

                  (b) The  filing  by, on  behalf  of, or  against  the  General
         Partner of any  petition or  pleading,  voluntary  or  involuntary,  to
         declare the General  Partner  bankrupt under any bankruptcy law or act,
         or the  commencement  in any  court  of any  proceeding,  voluntary  or
         involuntary,  to declare the General Partner insolvent or unable to pay
         its debts, or the appointment by any court or supervisory  authority of
         a  receiver,  trustee or other  custodian  of the  property,  assets or
         business of the General  Partner or the  assignment by it of all or any
         part of its  property or assets for the benefit of  creditors,  if said
         action,  proceeding  or  appointment  is  not  dismissed,   vacated  or
         otherwise terminated within ninety (90) days of its commencement;

     (c) The  determination of the General Partner and a Majority in Interest of
the Limited Partners that the Partnership should be dissolved;

                  (d) The occurrence of an event described in a plan approved by
         the General Partner and a Majority in Interest of the Limited  Partners
         pursuant  to  Article  17.7   resulting  in  the   dissolution  of  the
         Partnership;

     (e) The  election  of the  General  Partner  to  dissolve  the  Partnership
following the occurrence of an event described in Article 18.5;

                  (f) Except as otherwise  provided in any plan  approved by the
         General  Partner and a Majority  in  Interest  of the Limited  Partners
         pursuant to Article 17.7,  the sale,  exchange or other  disposition of
         all or  substantially  all of the property of the  Partnership  without
         making provision for the replacement thereof; and

                  (g)   The   dissolution,   retirement,   resignation,   death,
         disability  or legal  incapacity  of a general  partner,  and any other
         event  resulting in the  dissolution or termination of the  Partnership
         under the laws of the State of Kentucky.

                  24.2  Notwithstanding  the  provisions  of Article  24.1,  the
Partnership   shall  not  be  dissolved  and  terminated  upon  the  retirement,
resignation,  bankruptcy,  assignment for the benefit of creditors, dissolution,
death,  disability or legal  incapacity of a general  partner,  and its business
shall continue  pursuant to the terms and conditions of this  Agreement,  if any
general partner or general partners remain  following such event;  provided that
such  remaining  general  partner or general  partners  are hereby  obligated to
continue the business of the  Partnership.  If no general  partner remains after
the  occurrence of such event,  the business of the  Partnership  shall continue
pursuant to the terms and conditions of this  Agreement,  if, within ninety (90)
days after the  occurrence of such event,  a Majority in Interest of the Limited
Partners agree in writing to continue the business of the  Partnership,  and, if
necessary,  to  the  appointment  of one  or  more  persons  or  entities  to be
substituted as the general  partner.  In the event the Limited Partners agree as
provided  above to continue  the  business of the  Partnership,  the new general
partner or general  partners shall succeed to all of the powers,  privileges and
obligations of the General Partner,  and the General  Partner's  interest in the
Partnership shall become a Limited Partner's interest hereunder. Furthermore, in
the event a remaining general partner or the Limited  Partners,  as the case may
be, agree to continue the business of the  Partnership as provided  herein,  the
remaining  general  partner or the newly  appointed  general  partner or general
partners,  as the case may be, shall take all steps necessary and appropriate to
prepare and record an amendment to the  Certificate  of Limited  Partnership  to
reflect the continuation of the business of the Partnership and the admission of
a new general partner or general partners, if any.

24.      DISTRIBUTION UPON DISSOLUTION.
         -----------------------------

                  Upon the dissolution and termination of the  Partnership,  the
General Partner or, if there is none, a representative  of the Limited Partners,
shall  cause  the  cancellation  of the  Partnership's  Certificate  of  Limited
Partnership,  shall liquidate the assets of the Partnership, and shall apply and
distribute the proceeds of such liquidation in the following order of priority:

     (a) First, to the payment of the debts and liabilities of the  Partnership,
and the expenses of liquidation;

                  (b) Second,  to the creation of any reserves which the General
         Partner  (or such  representatives  of the Limited  Partners)  may deem
         reasonably  necessary  for the payment of any  contingent or unforeseen
         liabilities or obligations of the Partnership or of the General Partner
         arising out of or in connection  with the business and operation of the
         Partnership; and

                  (c) Third,  the balance,  if any,  shall be distributed to the
         Partners in accordance  with the  Partners'  positive  Capital  Account
         balances  after such  Capital  Accounts  are  adjusted  as  provided by
         Article 13, and any other  adjustments  required by the Final  Treasury
         Regulations  under Section 704(b) of the Code. Any general partner with
         a negative  Capital Account  following the  distribution of liquidation
         proceeds or the  liquidation  of its interest  must  contribute  to the
         Partnership  an amount  equal to such  negative  Capital  Account on or
         before the end of the Partnership's  taxable year (or, if later, within
         ninety days after the date of liquidation).  Any capital so contributed
         shall  be (i)  distributed  to those  Partners  with  positive  Capital
         Accounts until such Capital  Accounts are reduced to zero,  and/or (ii)
         used to discharge recourse liabilities.

25.      BOOKS OF ACCOUNT, RECORDS AND REPORTS.
         -------------------------------------

                  26.1 Proper and complete records and books of account shall be
kept by the General  Partner in which shall be entered fully and  accurately all
transactions  and such other matters relating to the  Partnership's  business as
are usually  entered  into  records and books of account  maintained  by persons
engaged  in  businesses  of a like  character.  The  books  and  records  of the
Partnership  shall be prepared  according to the accounting method determined by
the General Partner.  The Partnership's  fiscal year shall be the calendar year.
The books and  records  shall at all times be  maintained  at the  Partnership's
Records Office and shall be open to the reasonable inspection and examination of
the Partners or their duly authorized representatives during reasonable business
hours.

                  26.2 Within  ninety (90) days after the end of each Year,  the
General  Partner shall send to each person who was a Limited Partner at any time
during such year such tax information,  including,  without limitation,  federal
tax Schedule K-1, as shall be reasonably  necessary for the  preparation by such
person of his federal  income tax return.  The  General  Partner  will also make
available to the Limited Partners any other information required by the Act.

                  26.3 The General  Partner shall maintain at the  Partnership's
Records  Office  copies of the  Partnership's  original  Certificate  of Limited
Partnership   and  any  certificate  of  amendment,   restated   certificate  or
certificate of cancellation with respect thereto and such other documents as the
Act shall require.  The General Partner will furnish to any Limited Partner upon
request or as  otherwise  required by law a copy of the  Partnership's  original
Certificate of Limited  Partnership and any  certificate of amendment,  restated
certificate, or certificate of cancellation, if any.

                  26.4 The General Partner shall, in its sole  discretion,  make
for the  Partnership  any and all  elections  for  federal,  state and local tax
purposes including, without limitation, any election, if permitted by applicable
law, to adjust the basis of the Partnership's property pursuant to Code Sections
754,  734(b) and  743(b),  or  comparable  provisions  of state or local law, in
connection  with  transfers  of  interests in the  Partnership  and  Partnership
Distributions.

                  26.5 The  General  Partner is  designated  as the Tax  Matters
Partner  (as  defined  in  Section  6231 of the Code) and to act in any  similar
capacity  under  state or local law,  and is  authorized  (at the  Partnership's
expense):   (i)  to  represent  the   Partnership  and  Partners  before  taxing
authorities  or courts of competent  jurisdiction  in tax matters  affecting the
Partnership  or  Partners  in their  capacity  as  Partners;  (ii) to extend the
statute of limitations for assessment of tax deficiencies  against Partners with
respect to adjustments to the Partnership's federal, state or local tax returns;
(iii) to execute any agreements or other documents relating to or affecting such
tax matters, including agreements or other documents that bind the Partners with
respect to such tax matters or  otherwise  affect the rights of the  Partnership
and Partners; and (iv) to expend Partnership funds for professional services and
costs  associated  therewith.  The General Partner is authorized and required to
notify the federal,  state or local tax  authorities of the appointment of a Tax
Matters  Partner  in  the  manner  provided  in  Treasury   Regulations  Section
301.6231(a)(7)-1,  as modified from time to time. In its capacity as Tax Matters
Partner,  the General Partner shall oversee the Partnership's tax affairs in the
manner which, in its best judgment, is in the interests of the Partners.

26.      NOTICES.
         -------

                  All notices under this Agreement shall be in writing and shall
be deemed to have been given when delivered  personally,  or mailed by certified
or registered mail, postage prepaid,  return receipt  requested.  Notices to the
General  Partner  shall be  delivered  at, or mailed to, its  principal  office.
Notices to the  Partnership  shall be delivered  at, or mailed to, its principal
office with a copy to each of its business offices.  Notice to a Limited Partner
shall be  delivered  to such  Limited  Partner,  or mailed  to the last  address
furnished  by him for such  purposes to the General  Partner.  Limited  Partners
shall give  notice of a change of address to the  General  Partner in the manner
provided in this Article.

27.      AMENDMENTS.
         ----------

                  Subject to the  provisions  of Article 28, this  Agreement  is
subject to  amendment  only by  written  consent of the  General  Partner  and a
Majority in Interest of the Limited Partners;  provided, however, the consent of
the Limited Partners shall not be required if such amendments are ministerial in
nature and do not contravene the provisions of Article 29.  Further,  no Limited
Partner  consent shall be required to amend  Schedule A to reflect the admission
of  Partners  as  contemplated  by the  Offering,  any  Dilution  Offering or as
otherwise herein permitted.

28.      LIMITATIONS ON AMENDMENTS.
         -------------------------

                  Notwithstanding  the provisions of Article 28, no amendment to
this Agreement shall:

                  (a)  Enlarge  the   obligations  of  any  Partner  under  this
         Agreement  or convert the  interest in the  Partnership  of any Limited
         Partner  into the  interest of a general  partner or modify the limited
         liability of any Limited Partner, without the consent of such Partner;

                  (b) Amend the  provisions  of Article 13, 14, 16 or 25 without
         the  approval of the General  Partner and a Majority in Interest of the
         Limited Partners;  provided,  however,  that the General Partner may at
         any time  amend  such  Articles  without  the  consent  of the  Limited
         Partners in order to permit the Partnership allocations to be sustained
         for federal  income tax  purposes,  but only if such  amendments do not
         materially  affect  adversely the rights and obligations of the Limited
         Partners, in which case such amendments may only be made as provided in
         this Article 29(b); or

     (c) Amend this Article 29 without the consent of all Partners.

29.      MEETINGS, CONSENTS AND VOTING.
         -----------------------------

                  30.1 A meeting of the  Partnership to consider any matter with
respect to which the  Partners  may vote as set forth in this  Agreement  may be
called  by the  General  Partner  or by  Limited  Partners  who hold  more  than
twenty-five  percent (25%) of the aggregate interests in the Partnership held by
all the Limited Partners.  Upon receipt of a notice requesting a meeting by such
Partner or Partners and stating the purpose of the meeting,  the General Partner
shall, within ten (10) days thereafter, give notice to the Partners of a meeting
of the  Partnership to be held at a time and place  generally  convenient to the
Limited  Partners on a date not earlier than fifteen (15) days after  receipt by
the  General  Partner of the  notice  requesting  a  meeting.  The notice of the
meeting shall set forth the time, date, location and purpose of the meeting.

     30.2 Any consent of a Partner  required by this  Agreement  may be given as
follows:

     (a) By a written  consent given by the  consenting  Partner and received by
the  General  Partner at or prior to the doing of the act or thing for which the
consent is solicited, or

                  (b) By the affirmative  vote by the consenting  Partner to the
         doing of the act or thing for which the  consent  is  solicited  at any
         meeting  called  pursuant to this Article to consider the doing of such
         act or thing.

                  30.3 When exercising voting rights expressly granted under the
Articles of this  Agreement,  each Partner shall have that number of votes as is
equal to the  Percentage  Interest  of such  Partner  at the  time of the  vote,
multiplied by 100.

30.      SUBMISSIONS TO THE LIMITED PARTNERS.
         -----------------------------------

                  The General Partner shall give the Limited  Partners notice of
any proposal or other matter  required by any provision of this  Agreement or by
law to be submitted for consideration and approval of the Limited Partners. Such
notice shall include any  information  required by the relevant  provision or by
law.

31.      ADDITIONAL DOCUMENTS.
         --------------------

                  Each  party  hereto  agrees to  execute  and  acknowledge  all
documents and writings which the General Partner may deem necessary or expedient
in the creation of this Partnership and the achievement of its purpose.

32.      SURVIVAL OF RIGHTS.
         ------------------

                  Except as herein  otherwise  provided  to the  contrary,  this
Agreement  shall be binding upon and inure to the benefit of the parties hereto,
their successor and assigns.

33.      INTERPRETATION AND GOVERNING LAW.
         --------------------------------

                  When the  context  in which  words are used in this  Agreement
indicates  that such is the intent,  words in the singular  number shall include
the plural and vise versa; in addition,  the masculine  gender shall include the
feminine and neuter  counterparts.  The Article headings or titles and the table
of  contents  shall not define,  limit,  extend or  interpret  the scope of this
Agreement  or any  particular  Article.  This  Agreement  shall be governed  and
construed in accordance  with the laws of the State of Kentucky  without  giving
effect to the conflicts of laws provisions thereof.

34.      SEVERABILITY.
         ------------

                  If any provision,  sentence,  phrase or word of this Agreement
or the application  thereof to any person or circumstance shall be held invalid,
the remainder of this Agreement, or the application of such provision, sentence,
phrase, or word to persons or circumstances,  other than those as to which it is
held invalid, shall not be affected thereby.

35.      AGREEMENT IN COUNTERPARTS.
         -------------------------

                  This Agreement may be executed in several  counterparts,  each
of which shall be deemed an original,  but all of which shall constitute one and
the same  instrument.  In  addition,  this  Agreement  may contain more than one
counterpart  of the  signature  page and this  Agreement  may be executed by the
affixing of the  signatures  of each of the Partners to one of such  counterpart
signature  pages;  all of such signature  pages shall be read as though one, and
they  shall have the same  force and  effect as though  all of the  signers  had
signed a single signature page.

36.      THIRD PARTIES.
         -------------

                  The agreements, covenants and representations contained herein
are for the benefit of the parties  hereto  inter se and are not for the benefit
of any  third  parties  including,  without  limitation,  any  creditors  of the
Partnership.

37.      POWER OF ATTORNEY.
         -----------------

                  Each Limited  Partner hereby makes,  constitutes  and appoints
Joseph  Jenkins,  M.D.  and  Cheryl  Williams,  severally,  with  full  power of
substitution,  his true and lawful  attorneys-in-fact,  for him and in his name,
place and stead and for his use and  benefit to sign and  acknowledge,  file and
record,  any  amendments  hereto among the  Partners for the further  purpose of
executing and filing on behalf of each Limited Partner, any and all certificates
of  limited   partnership  or  other  documents   necessary  to  constitute  the
Partnership or to effect the continuation of the  Partnership,  the admission or
withdrawal of a general partner or a limited partner,  the  qualification of the
Partnership in a foreign jurisdiction (or amendment to such qualification),  the
admission of substitute  Limited  Partners or the  dissolution or termination of
the   Partnership,   provided   such   continuation,    admission,   withdrawal,
qualification,  or dissolution  and termination are in accordance with the terms
of this Agreement.

                  The foregoing power of attorney is a special power of attorney
coupled with an interest,  is  irrevocable  and shall  survive the death,  legal
incapacity,  dissolution  or  bankruptcy  of  each  Limited  Partner.  It may be
exercised by any one of said  attorneys  by listing all of the Limited  Partners
executing any instrument over the signature of the  attorney-in-fact  acting for
all of them.  The power of attorney  shall survive the delivery of an assignment
by a Limited  Partner of the whole or any portion of his Unit. In those cases in
which the assignee of, or the successor to, a Limited  Partner owning a Unit has
been approved by the Partners for admission to the  Partnership  as a substitute
Limited  Partner,  the power of attorney  shall  survive for the sole purpose of
enabling the General  Partner to execute,  acknowledge  and file any  instrument
necessary to effect such substitution.

                  This power of attorney shall not be affected by the subsequent
bankruptcy,  dissolution,  incapacity  or  mental  incompetence  of any  Limited
Partner.

38.      ARBITRATION.
         -----------

                  Except  as  provided  in  Articles   15.3  and  15.4  of  this
Agreement,  any dispute  arising out of or in connection  with this Agreement or
the breach thereof shall be decided by  arbitration  in Louisville,  Kentucky in
accordance with the then effective commercial  arbitration rules of the American
Arbitration Association, and judgment thereof may be entered in any court having
jurisdiction thereof.

39.      CREDITORS.
         ---------

                  None of the  provisions  of this  Agreement  shall  be for the
benefit of or enforceable by any creditors of the Partnership.

                            [Signature Page Follows]


<PAGE>


                  IN WITNESS  WHEREOF,  the parties have executed this Agreement
of Limited Partnership as of the day and year first above written.

                              GENERAL PARTNER:

                              PRIME LITHOTRIPTER OPERATIONS, INC.,
                                 a New York corporation



                                By:      __________________________________
                                         Joseph Jenkins, M.D., President


ATTEST:

_________________________                      [CORPORATE SEAL]
Secretary

                                          INITIAL LIMITED PARTNER:
                                          -----------------------


                                         ---------------------------------------
                                         Joseph Jenkins, M.D.



<PAGE>


STATE OF ____________________)
                                            )
COUNTY OF __________________        )

                  On this  _______  day of  ___________,  ____,  before  me, the
undersigned  Notary Public in and for the County of _______________ in the State
of  ___________,  personally  came Joseph  Jenkins,  M.D., who, being by me duly
sworn,  said that he is President of Prime  Lithotripter  Operations,  Inc., the
sole general partner of Western Kentucky Lithotripters Limited Partnership, that
the seal affixed to the foregoing instrument in writing is the corporate seal of
the corporation,  and that said writing was signed,  sworn to, and sealed by him
in behalf of said  corporation by its authority duly given.  And the said Joseph
Jenkins,  M.D.,  further  certified that the facts set forth in said writing are
true and correct,  and  acknowledged  said  instrument to be the act and deed of
said corporation.

                  WITNESS my hand and notarial seal.

                                    Notary Public

My commission expires:

---------------------------

[SEAL]



STATE OF ________________  )
                                            )
COUNTY OF ______________   )


                  I, _______________________________, a notary public in and for
the State and County set forth above,  do hereby  certify  that Joseph  Jenkins,
M.D.  personally  appeared  before  me this  _____  day of  _________,  ____ and
acknowledged and swore to the due execution of the foregoing Limited Partnership
Agreement in his capacity as the initial limited partner.

                                    Notary Public

My commission expires:

---------------------------

[SEAL]
                           COUNTERPART SIGNATURE PAGE

                  By signing this  Counterpart  Signature  Page, the undersigned
acknowledges  his or  her  acceptance  of  that  certain  Agreement  of  Limited
Partnership of Western Kentucky  Lithotripters  Limited Partnership,  and his or
her intention to be legally bound thereby.

                  Dated this _________ day of ___________________, ____.




                                    Signature

                                    Printed Name

STATE OF _______________   )
                                            )
COUNTY OF _____________    )


                  BEFORE ME, the undersigned  Notary Public in and for the State
and County set forth  above,  on the  _______ day of  __________________,  ____,
personally appeared  ________________________________________,  and, being by me
first duly sworn,  stated that (s)he signed this Counterpart  Signature Page for
the purpose set forth above and that the statements contained therein are true.

                                    Signature of Notary Public

                                    Printed Name of Notary

My Commission Expires:

---------------------------

[SEAL]


<PAGE>




                                   SCHEDULE A

                        Schedule of Partnership Interests

               WESTERN KENTUCKY LITHOTRIPTERS LIMITED PARTNERSHIP

           CONTRIBUTIONS OF CAPITAL TO THE PARTNERSHIP AND PERCENTAGE

                                    INTERESTS

                                Cash                               Percentage

General Partner            Contribution           Guaranty(1)     _Interest_
---------------            ------------           --------         --------

Prime Lithotripter
 Operations, Inc.              $ 49,000              $119,568         20%
1301 Capital of Texas Highway
Suite C-300
Austin, Texas 78746

Limited Partners

William H. Brigance      $ 15,000              $ 35,870.40                  6%
Mukesh B. Desai            10,000                23,913.60                 4%
Hugh Kendrick Dougherty    17,500                41,848.80                 7%
Lyndon S. Goode            25,000                59,784.00                10%
J. Roger Goodwin           10,000                23,913.60                  4%
William H. Klompus          5,000                11,956.80                  2%
Ronald M. Kupper           12,500                29,892.00                  5%
Robert G. Kupper            7,500                17,935.20                  3%
Charles H. McKelvey        20,000                47,827.20                  8%
Prime Lithotripter
 Operations, Inc.          36,000                95,654.40                16%
Charles W. Ransler         10,000                23,913.60                  4%
Jay R. Ross                10,000                23,913.60                  4%
David P. Russell           10,000                23,913.60                  4%
Donald L. Spicer            7,500                17,935.20                  3%

       TOTAL:           $ 245,000              $597,840                  100%
                          ==========            ============              ====

(1)    Represents the principal portion of each Partner's  guaranty  obligation,
       as each  Partner's  obligation  under  the  Guaranty  includes  not  only
       principal,  but also (as  provided  in the  Guaranty)  accrued and unpaid
       interest,  late payment  penalties and all costs  incurred by the Bank in
       collecting any defaulted obligations. The principal amount of the Loan is
       $597,840.