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                                                                     EXHIBIT 3.3




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THE LIMITED PARTNERSHIP INTERESTS CREATED BY THIS AGREEMENT HAVE NOT BEEN
REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR THE LAW OF THE STATE
OF KANSAS, AND ARE BEING OFFERED AND SOLD IN RELIANCE ON EXEMPTIONS FROM THE
REGISTRATION REQUIREMENTS OF SUCH ACTS. THE INTERESTS MAY NOT BE SOLD,
TRANSFERRED, PLEDGED OR HYPOTHECATED WITHOUT REGISTRATION UNDER SUCH ACTS OR AN
OPINION OF COUNSEL THAT SUCH TRANSFER MAY BE LEGALLY EFFECTED WITHOUT SUCH
REGISTRATION. ADDITIONAL RESTRICTIONS ON TRANSFER AND SALE ARE SET FORTH IN THIS
AGREEMENT.

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                              AMENDED AND RESTATED

                          LIMITED PARTNERSHIP AGREEMENT

                                       OF

                        DODGE CITY HEALTHCARE GROUP, L.P.

                         (a Kansas Limited Partnership)



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                              AMENDED AND RESTATED

                          LIMITED PARTNERSHIP AGREEMENT

                                       OF

                        DODGE CITY HEALTHCARE GROUP, L.P.

                         (a Kansas Limited Partnership)

         This Amended and Restated Limited Partnership Agreement is entered into
and shall be effective as of the first day of March, 1995 by and among
Columbia/HCA of Dodge City, Inc., a Kansas corporation as general partner,
American Medicorp Development Co., a Delaware corporation, as the original
limited partner, Western Plains Regional Hospital, Inc., a Kansas corporation,
as a limited partner, and Dodge City Outpatient Surgical Facility, Inc., a
Kansas corporation as a limited partner.

                                   WITNESSETH:

         WHEREAS, the General Partner and the Original Limited Partner are
parties to that certain Limited Partnership Agreement of Dodge City Healthcare
Group, L.P. (the "Partnership Agreement"); and

         WHEREAS, the General Partner and the Original Limited Partner desire to
amend the Partnership Agreement, and DCSF desires to execute the amended
Partnership Agreement, as provided herein.

         NOW, THEREFORE, the General Partner and the Original Limited Partner
hereby amend the Partnership Agreement, and DCSF hereby executes the Partnership
Agreement, as follows:

ARTICLE 1. DEFINITIONS

         As used herein the following terms have the following meanings:

         1.1 "Act" means the Kansas Limited Partnership Act, KSA 56-1a101 et
seq., as amended from time to time.

         1.2 "Additional Limited Partner" means a Person who is admitted into
the Partnership pursuant to the terms of Article 13 hereof.

         1.3 "Adjusted Capital Account" means the Capital Account maintained for
each Partner as of the end of the relevant Partnership fiscal year increased by:
(a) any amounts which such Person is obligated to restore or is deemed obligated
to



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restore under the standards set by Regulation Section 1.704-l(b)(2)(ii)(c) (or
is deemed obligated to restore under Regulation Section 1.704-2(g) and (i)(5);
and decreased by (b) the items described in Sections 1.704 1(b)(2)(ii)(d)(4),
(5) and (6) of the Regulations.

         The foregoing definition of Adjusted Capital Account is intended to
comply with the provisions of Section 1.704-(b)(2)(ii)(d) of the Regulations and
shall be interpreted consistently therewith.

         1.4 "Adverse Terminating Event" means, with respect to any Class A
Limited Partner, any of the following:

             (a) The Class A Limited Partner has breached the terms and
         conditions of this Agreement, including without limitation, violating
         the transfer restrictions set forth in this Agreement, as determined in
         the sole reasonable discretion of the General Partner; or

             (b) The Class A Limited Partner has materially and maliciously
         either (i) disrupted the affairs of the Partnership, or (ii) acted
         adversely to the best interests of the Partnership, as determined in
         the sole reasonable discretion of the General Partner.

         1.5 "Affiliate" means, with respect to any Class A or Class C Limited
Partner (exclusive of DCSF and DCSF Affiliates and Columbia and Columbia
Affiliates), (i) any person or entity that directly or indirectly controls, is
controlled by, or is under common control with, a Partner, (ii) any entity of
which a Partner owns 10% or more of the outstanding voting securities, (iii) any
entity of which a Partner is an officer, director, or general partner, (iv) any
entity described in clauses (i) through (iii) of this Section of which a Partner
is an officer, director, general partner, trustee, or holder of 10% or more of
the voting securities, or (v) any child, grandchild (whether through marriage,
adoption or otherwise), sibling (whether through adoption or otherwise), parent
or spouse of a Partner. As used in this definition of "Affiliate," the term
"control" means possession, directly or indirectly, of the power to direct or
cause the direction of the management and policies of an entity whether through
ownership of voting securities, by contract or otherwise.

         1.6 "Agreement" means this Limited Partnership Agreement of Dodge City
Healthcare Group, L.P. as from time to time amended pursuant to this Agreement.

         1.7 "Approval of the Committee" means a matter has been approved by
both the WPRH Members voting a single vote as a block and also by the DCSF
Members voting a single vote as a block; provided, however, that, if and at such
time as the aggregate Partner's Sharing Percentage of DCSF and the DCSF
Affiliates is less than ten percent (10%) then "Approval of the Committee" shall
mean approval of the WPRH Members. The General Partner's Board of Directors




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shall elect the five WPRH members, and determine the manner and frequency of
their selection, the quorum and votes necessary to take any action by the WPRH
Members (including, but not limited to, deciding how said block will cast its
single vote at any meeting of the Board of Advisors on any issue), which matters
are delegated for decision to the WPRH Members and which are reserved for
approval of the General Partner's Board of Directors, and all other matters
internal to the WPRH Members. DCSF's Board of Directors shall elect the five
DCSF members, and determine the manner and frequency of their selection, the
quorum and votes necessary to take any action by the DCSF Members (including,
but not limited to, deciding how said block will cast its single vote at any
meeting of the Board of Advisors on any issue), which matters are delegated for
decision to the WPRH Members and which are reserved for approval of DCSF's Board
of Directors, and all other matters internal to the DCSF Members.

         1.8 "Approval of the Partners" or "Approved by the Partners" means the
approval of those Partners who own at least 80% of the issued and outstanding
Units of any Class at the time the proposed Partnership action is being
considered for approval.

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

         1.10 "Board of Advisors" has the meaning set forth in Section 12.1.

         1.11 "Capital Account" means a capital account to be established for
each Partner (or transferee of a Partner who is not admitted to the Partnership
as a Partner, provided that the maintenance of such Capital Account will not
constitute the admission of the transferee as a Substituted Limited Partner)
which shall be (i) credited with the amount of Capital Contribution and the
initial Gross Market Value of any party contributed to the Partnership by such
Person, with any Profit allocated to such Person and any items in the nature of
income and gain which are specially allocated under Sections 5.3 and 5.4 hereof
and with the amount of any Partnership liabilities that are assumed by such
Person or that are secured by any Partnership property distributed to such
Person and (ii) debited with the amount of cash and the Gross Market Value (as
determined at the time of distribution) of any property distributed to such
Person by the Partnership, with any Loss allocated to such Person and any items
in the nature of expenses and losses that are specially allocated under Sections
5.3 and 5.4 and with the amount of any liabilities of such



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Partner that are assumed by the Partnership or that are secured by any property
contributed by such Person to the Partnership.

         In the event any Partner transfers his interest in the Partnership in
accordance with the terms of this Agreement, the transferee shall succeed to the
Capital Account of the transferor Partner to the extent such Capital Account
relates to such transferred interest. In determining the amount of any liability
for purposes of this Section there shall be taken into account Code Section
752(c) and any other applicable provisions of the Code and Regulations.

         1.12 "Capital Contribution" means, as to any Partner, the amount of
cash or the Gross Market Value of all property contributed to the Partnership by
the Partner, which is set forth opposite such Partner's name on the attached
Exhibit "A" under the heading "Capital Contribution."

         1.13 "WPHI Members" means those members of the Board of Advisors
elected or appointed from time to time by the General Partner.

         1.14 "DCSF Members" means those members of the Board of Advisors
elected or appointed from time to time by DCSF.

         1.15 "Class A Limited Partners" means any lawful holder of a Class A
Unit, which shall be limited to (i) Qualified Purchasers, (ii) Columbia and/or
any Columbia Affiliate, and (iii) DCSF and/or any DCSF Affiliate; together with
any person or entity to which said Unit may be lawfully and properly assigned
under the provisions of this Agreement. "Class A Limited Partner" means any one
of the Class A Limited Partners.

         1.16 "Class B Limited Partners" means any lawful holder of a Class B
Unit, which shall be limited to (i) Columbia and/or any Columbia Affiliate, and
(ii) DCSF and/or any DCSF Affiliate; together with any person or entity to which
said Unit may be lawfully and properly assigned under the provisions of this
Agreement. The sole initial Class B Limited Partner shall be DCSF. "Class B
Limited Partner" means any one of the Class B Limited Partners.

         1.17 "Class C Limited Partners" means any lawful holder of a Class C
Unit, which shall be limited to those limited partners of the Partnership who
are (i) management level employees of the General Partner (but not more than ten
such employees), and (ii) Columbia and/or any Columbia Affiliate; together with
any person or entity to which said Unit may be lawfully and properly assigned
under the provisions of this Agreement. Any individual who may lawfully hold
Class C Units pursuant to the foregoing definition is hereinafter referred to as
a "Qualified Class C Limited Partner." "Class C Limited Partner" means any one
of the Class C Limited Partners.



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         1.18 "Class D Limited Partners" means any lawful holder of a Class D
Unit, which shall be limited to Columbia and/or any Columbia Affiliate; together
with any person or entity to which said Unit may be lawfully and properly
assigned under the provisions of this Agreement. The sole initial Class D
Limited Partner is Western Plains Regional Hospital, Inc.

         1.19 "Code" means the Internal Revenue Code of 1986, as amended from
time to time (or any corresponding provisions of succeeding law).

         1.20 "Columbia" means Columbia/HCA Healthcare Corporation, a Delaware
corporation, and any successor in interest.

         1.21 "Columbia Affiliate" means any corporation which may be conducted
with Columbia by a chain of one or more corporations linked through 75% stock
ownership, or any partnership (general or limited) orders of partnerships of
which Columbia Corporate Affiliates are the sole general partners therein,
irrespective of any ownership interest in the Partnership. For this purpose, the
parties agree that if Columbia owns 75% of subsidiary A and subsidiary A owns
75% of Subsidiary B, subsidiary B is not "linked through 75% stock ownership"
with Columbia (but rather is linked through 56.25% ownership) and is therefore
not a Columbia Affiliate.

         1.22 "Contribution Agreement" means the Contribution Agreement among
the General Partner, WPRH, DCSF and the Partnership, pursuant to which hospital
and DCSF assets were contributed to the Partnership in exchange for Units.

         1.23 "DCSF" shall mean Dodge City Outpatient Surgical Facility, Inc.

         1.24 "Depreciation" means, for each Partnership fiscal year or other
Partnership period, an amount equal to the depreciation, amortization, or other
cost recovery deduction allowable with respect to a Partnership asset for such
year or other period, except as provided in this Section. If the Partnership
asset's adjusted basis for federal income tax purposes differs from its Gross
Market Value at the beginning of such year or other period, Depreciation shall
be an amount which bears the same ratio to such beginning Gross Market Value as
the federal income tax depreciation, amortization, or other cost recovery
deduction for such year or other period bears to such beginning adjusted tax
basis. If, however, the federal income tax depreciation, amortization or other
cost recovery deduction for such year is zero, Depreciation shall be determined
with reference to such beginning Gross Market Value using any reasonable method
selected by the General Partner.

         1.25 "Economic Risk of Loss" has the meaning set forth in Section
1.752-2 of the Regulations.



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         1.26 "General Partner" means any lawful holder of a Class GP Unit,
which shall be limited to Columbia and/or any Columbia Affiliates; together with
any person or entity to which said Units may be lawfully and properly assigned
under the provisions of this Agreement. The initial General Partner shall be
Columbia/HCA of Dodge City, Inc. the interest of the General Partner herein
shall be represented by 10 GP Units.

         1.27 "Gross Market Value" means, with respect to any Partnership asset,
the adjusted basis of such asset for federal income tax purposes, except as
follows:

             (a) The initial Gross Market Value of any asset contributed by a
         Partner to the Partnership shall be the gross fair market value of such
         asset as determined by the contributing Partner and the Partnership.

             (b) The Gross Market Value of all Partnership assets shall be
         adjusted to equal their respective gross fair market values, as
         determined by the General Partner, as of the following times:

                 (i) the acquisition of an additional interest in the
             Partnership by any new or existing Partner in exchange for more
             than a de minimis capital contribution;

                 (ii) the distribution by the Partnership to a Partner of more
             than a de minimis amount of Partnership assets as consideration for
             the disposition of an interest in the Partnership; and

                 (iii) the liquidation of the Partnership within the meaning of
             Regulations Section 1.704-l(b)(2)(ii)(g).

             Adjustments pursuant to subsections (a) and (b) above shall be made
         only if the General Partner reasonably determines that such adjustments
         are necessary or appropriate to reflect the relative economic interests
         of the Partners in the Partnership.

             (c) If the Gross Market Value of an asset has been determined or
         adjusted as provided in this Section, the Gross Market Value of the
         respective asset shall thereafter be adjusted by the Depreciation taken
         into account with respect to the asset for purposes of computing Profit
         and Loss.

             (d) The Gross Market Value of any Partnership asset distributed to
         any Partner shall be the gross fair market value of the distributed
         asset, as determined by the General Partner, on the date of
         distribution.

             (e) The Gross Market Value of Partnership assets shall be increased
         (or decreased) to reflect any adjustments to the adjusted basis of the
         Partnership assets pursuant to Code Section




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         734(b) or Code Section 743(b), but only to the extent that such
         adjustments are taken into account in determining the Partners' Capital
         Accounts pursuant to Regulations Section 1.704-1(b)(2)(iv)(m). The
         Gross Market Value of the Partnership assets shall not, however, be
         adjusted under this Section to the extent that the General Partner
         determines that an adjustment pursuant to Section ?(b) is necessary or
         appropriate in connection with a transaction that would otherwise
         result in an adjustment pursuant to this Section.

         1.28 "Hospital" means Western Plains Regional Hospital located at 3001
Avenue A, Dodge City, Kansas and its related facilities, together with the
Facilities (as defined in the Contribution Agreement) and any other hospitals or
health care facilities subsequently acquired by the Partnership.

         1.29 "Initial Closing" means the consummation of the transaction
whereby the first Class A Limited Partner is admitted to the Partnership.

         1.30 "DCSF Affiliate" means any entity which (through either 100% stock
ownership or sole membership) directly controls or is controlled by, or is under
common control with, DCSF, irrespective of any ownership interest in the
Partnership.

         1.31 "Limited Partner" means any Partner owning one or more Class A,
Class B, Class C, or Class D Units. "Limited Partners" means all of the persons
or entities who are limited partners of the Partnership as defined in this
Section. The interests of Limited Partners shall be represented by 990 Units,
comprised of 100 Class A Units, 270 Class B Units, 100 Class C Units, and 520
Class D Units.

         1.32 "Liquidator" means the Person who liquidates the Partnership under
Article 16 hereof.

         1.33 "Net Revenues from Health Care Services" shall mean net revenues
derived by the Partnership from services and supplies rendered to Hospital
patients, as consistently determined on an accrual basis and under generally
accepted accounting principles (U.S.). Notwithstanding the foregoing,

              (a) If Hospital bills any goods or services for third-parties
         "under arrangements" or otherwise in which the Hospital, as a practical
         manner, collects revenue and pays over a portion thereof to third-party
         health care providers, health care practitioners, or independent
         contractors, Net Revenues from Health Care Services shall exclude any
         revenues collected in connection with such transactions and be limited
         to the profits Hospital makes from such relationship, and

              (b) Net Revenues from Health Care Services shall in all events
         exclude any amounts derived from transactions in which gain or loss of
         a capital nature for federal income tax purposes is or could be
         realized, and



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              (c) All expenses arising from contractual adjustments, bad debt
         charge offs and reserves, taxes, charity or similar care, and
         administrative discounts shall be deducted and reduce Net Revenues from
         Health Care Services.

If the existing billing relationship among hospitals, doctors, patients, private
third-party payors, and governmental payors changes, either by reason of
legislative decree or otherwise (including changing market conditions), and as a
result the Net Revenues from Health Care Services as defined above fail to
accurately reflect the level of medical care activity taking place within the
Hospital, the Partners agree to meet and negotiate in good faith toward an
alternative definition of the General Partner's compensation set forth in
Section 8.8 below.

         1.34 "Nonaffiliated Limited Partners" means any Limited Partner which
is not Columbia, Columbia Affiliate, or General Partner, or employed by any of
the foregoing.

         1.35 "Nonrecourse Deductions" means any and all items of loss,
deduction or expenditures (described in Section 705(a)(2)(B) of the Code), that,
in accordance with the principles of Section 1.70i2(c) of the Regulations, are
attributable to a Nonrecourse Liability.

         1.36 "Nonrecourse Liability" has the meaning set forth in Section
1.752-l(a)(2) of the Regulations.

         1.37 "Original Limited Partner" means American Medicorp Development
Co., a Delaware corporation.

         1.38 "Partner Nonrecourse Debt" has the meaning set forth in Section
1.704-2(b)(4) of the Regulations.

         1.39 "Partner Nonrecourse Deductions" means any and all items of loss,
deduction or expenditure (including any expenditure described in Section
705(a)(2)(B) of the Code) that, in accordance with the principles of Section 1
 .704-2(i), are attributable to a Partner Nonrecourse Debt.

         1.40 "Partners" means the General Partner and the Limited Partners,
collectively. "Partner" means any one of the Partners.

         1.41 "Partnership" means the limited partnership formed under this
Agreement.

         1.42 "Partnership Minimum Gain" means the amount determined in
accordance with the principles of Section 1.704-2(d) of the Regulations.




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         1.43 "Partner's Sharing Percentage" means the number of Units held by a
Partner, divided by the total number of Units outstanding. As set forth in
Section 4.1 below, as of the initial execution of this Agreement there are 900
Units outstanding, 10 of which are owned by General Partner, 620 by WPRH, and
270 of which are owned by DCSF. The initial sharing percentage is thus 1.1111%
for General Partner (10/900), 68.8889 for WPRH (620/900), and 3096 for DCSF
(2701900). If, pursuant to the provisions hereof, all Class A Units are issued
(and no other transfers occur), the Sharing Percentages will be 1% for General
Partner (10/1,000); 62% for WPRH (620/1,000), 27% for DCSF (27011,000), and 10%
for the Class A Partners (100/1,000).

         1.44 "Person" means any individual, partnership, corporation, trust or
other entity.

         1.45 "Profits and Losses" means for each fiscal year or other period an
amount equal to the Partnership's taxable income or loss for such year or
period, determined in accordance with Section 703(a) of the Code (for this
purpose, all items of income, gain, loss, or deduction required to be stated
separately pursuant to Section 703(a)(1) of the Code shall be included in
taxable income or loss), with the following adjustments:

              (a) Any income of the Partnership that is exempt from federal
         income tax and not otherwise taken into account in computing Profits or
         Losses pursuant to this Section shall be added to such taxable income
         or loss;

              (b) Any expenditures of the Partnership described in Section
         705(a)(2)(B) of the Code or treated as Code Section 705(a)(2)(B)
         expenditures pursuant to Sections 1.704-l(b)(2)(iv)(1) and 1.704-2(j)
         and (i)(1) of the Regulations and not otherwise taken into account in
         computing Profits or Losses pursuant to this Section shall be
         subtracted from such taxable income or loss;

              (c) In the event the Gross Market Value of any Partnership asset
         is adjusted pursuant to the other provisions of this Agreement, hereof,
         the amount of such adjustment shall be taken into account as gain or
         loss from the disposition of such asset for purposes of computing
         Profits or Losses;

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

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



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         period, calculated in accordance with the definition of "Depreciation"
         herein; and

              (f) Notwithstanding any other provision of this Section, any items
         which are specially allocated pursuant to Sections 5.3 and 5.4 hereof
         shall not be taken into account in computing Profits or Losses.

         1.46 "Qualified Purchaser" means, with respect to the Class A Units, a
member of the medical staff of the Hospital (as defined in the medical staff
bylaws of the Hospital, as amended from time to time) or a professional
corporation with ninety percent (90%) of the shareholders being members of the
medical staff of the Hospital.

         1.47 "Substituted Limited Partner" means any person or entity lawfully
admitted to the Partnership pursuant to the provisions of this Agreement
regarding the same.

         1.48 "Syndication Expenses" means all expenditures classified as
syndication expenses pursuant to Treasury Regulations Section 1.709-2(b).
Syndication Expenses shall be taken into account under this Agreement at the
time they would be taken into account under the Partnership's method of
accounting if they were deductible expenses.

         1.49 "Terminating Event" means, with respect to any Class A Limited
Partner, any of the following:

              (a) The Class A Limited Partner has died or become permanently
         disabled; or

              (b) The Class A Limited Partner is in Bankruptcy as defined
         herein.

         1.50 "Treasury Regulations" or "Regulations" means Income Tax
Regulations, including Temporary Regulations, promulgated under the Code, as
such regulations may be amended from time to time (including corresponding
provisions in succeeding regulations).

         1.51 "Units" means all or a part of the issued and outstanding
ownership interests of the Partnership held by the Limited Partners. "Unit"
means any one of the Units. The Units shall consist of 1,000 Units, divided into
the following Classes:

         10 Class GP Units
         l00 Class A Units
         270 Class B Units
         100 Class C Units
         520 Class D Units



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         1.52 "WPRR" means Western Plains Regional Hospital, Inc.

ARTICLE 2. FORMATION OF PARTNERSHIP

         2.1 Formation. The Original Limited Partner and the General Partner
have formed the Partnership pursuant to the Act. The General Partner filed the
Certificate of Limited Partnership in the office of the Secretary of State of
the State of Kansas, and has complied with all other legal requirements to form
and operate the Partnership. Except as stated in this Agreement, the Act shall
govern the rights and liabilities of the Partners.

         2.2 Withdrawal of Original Limited Partner. Upon the admission of DCSF
as a Class B Limited Partner, the Original Limited Partner will withdraw from
the Partnership with no claim or right to any interest in the Partnership as a
Limited Partner. The General Partner will return to the Original Limited Partner
its capital contribution to the Partnership upon such withdrawal. By execution
of this Agreement, (i) each Limited Partner hereby waives and releases the
Original Limited Partner from any and all liability that all or any of them may
have against such Original Limited Partner by reason of its actions as the
Original Limited Partner of the Partnership, and (ii) General Partner represents
to each Limited Partner that nothing happened between the date of formation and
the admission of DCSF that would adversely affect the Partnership, or the
interests of any Limited Partner herein, it being acknowledged and agreed that
the sole purpose of admitting the Original Limited Partner and the creation of
the Partnership for the period before DCSF was admitted was to form the
Partnership for the purpose of initiating the transaction contemplated herein,
and in the Contribution Agreement.

         2.3 Name. The name of the Partnership is "Dodge City Healthcare Group,
L.P." and the business of the Partnership shall be conducted under that name or
such other names as may be approved by the Partners from time to time.

         2.4 Principal Office. The principal office of the Partnership shall be
located at 3001 Avenue A, Dodge City, Kansas 67801 or at such other place or
places as the General Partner may from time to time determine.

         2.5 Term. The Partnership has begun on the date the General Partner
filed the Certificate of Limited Partnership with the Secretary of State of the
State of Kansas, and shall continue until the date on which the Partnership is
dissolved pursuant to the provisions hereof and thereafter, to the extent
provided for by applicable law, until wound up and terminated pursuant to the
provisions hereof.

         2.6 Registered Agent and Office. The registered agent of the
Partnership shall be CT Corporation System, and the registered office of the
Partnership shall be located at CT Corporation, 515 South Kansas Avenue, Topeka,
Kansas 66603. The registered office or the registered agent, or both, may be
changed by the General Partner upon filing the statement required by the Act.



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ARTICLE 3. PURPOSES AND POWERS OF THE PARTNERSHIP; NATURE OF THE BUSINESS OF THE
           PARTNERSHIP

         3.1 Purposes. The purposes of the Partnership are (i) to own, manage,
operate, lease or take any action in connection with operating the Hospital;
(ii) to acquire (through asset acquisition, stock acquisition, lease or
otherwise) and develop other property, both real and personal, in connection
with providing health care related services, including without limitation,
general acute care hospitals, specialty care hospitals, nursing homes, home
health care agencies, health maintenance organizations, psychiatric facilities
and other health care providers; (iii) to enter into, from time to time, such
financial arrangements as the General Partner may determine to be necessary,
appropriate or advisable (including, without limitation, borrowing money and
issuing evidences of indebtedness and securing the same by mortgage, deed of
trust, security interest or other encumbrance upon one or more or all of the
Partnership assets); (iv) to sell, assign, lease, exchange or otherwise dispose
of, or refinance or additionally finance, one or more or all of the Partnership
assets; (v) to promote and invest in rural development of physicians; and (vi)
generally to engage in such other business and activities and to do any and all
other acts and things that the General Partner deems necessary, appropriate or
advisable from time to time in furtherance of the purposes of the Partnership as
set forth in this Section.

         3.2 Nature of the Business. The nature of the business of the
Partnership shall be to own, manage, operate, lease or take any action in
connection with the ownership of the Hospital and outpatient healthcare
facilities.

         3.3 Powers. Subject to the limitations contained in this Agreement and
in the Act, the Partnership purposes may be accomplished by the General Partner
taking any action permitted under this Agreement that is customary or reasonably
related to accomplishing such purposes.

ARTICLE 4. CAPITAL CONTRIBUTIONS, LOANS, CAPITAL ACCOUNTS

         4.1 Capital Contributions. General Partner and DCSF have each made
contributions of property to the capital of the Partnership pursuant to the
Contribution Agreement. In return therefor, the Partnership has issued the
following Units:

         To General Partner:     10 GP Units

         To WPRH:                100 Class C Units, and S20 Class D Units

         To DCSF:                270 Class B Units

No Class A Units were issued as of the date this amended Agreement was initially
adopted, but may be issued as set forth herein.



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         4.2 No Additional Capital Contributions. Under no circumstances will
any Limited Partner be required to make any contributions to the capital of the
Partnership in excess of his or her Capital Contribution.

         4.3 Capital Accounts. A Capital Account shall be established for each
Partner. If any Partner is both a General Partner and a Limited Partner, such
Partner will have one Capital Account for both such interests in the
Partnership. No Partner shall receive any interest or salary with respect to his
Capital Account. No Partner shall have the right to demand the return of his
contribution to the capital of the Partnership, except as otherwise provided in
this Agreement. Should any Partner become entitled to receive a return of his
contribution to the capital of the Partnership, such Partner shall not have the
right to receive property other than cash, except as otherwise provided in this
Agreement.

         All of the provisions of this Agreement relating to the maintenance of
Capital Accounts are intended to comply with Regulations Section 1.7041(b), and
shall be interpreted and applied in a manner consistent with the Regulations. If
the General Partner determines that it is prudent to modify the manner in which
the Capital Accounts, or any debits or credits thereto (including, without
limitation, debits or credits relating to liabilities that are secured by
contributed or distributed property or that are assumed by the Partnership or
any of the Partners) are computed in order to comply with the Regulations, the
General Partner may make such modifications, provided that such modifications
are not likely to have a material effect on the amounts distributable to any
Partner from the Partnership. The General Partner shall also make appropriate
modifications in the event unanticipated events might otherwise cause this
Agreement not to comply with Section 1.704 1(b) of the Regulations.

         4.4 Loans. Any Limited Partner, with the consent of the General
Partner, may lend money to the Partnership. If the General Partner or, with the
written consent of the General Partner, any Limited Partner makes any loan or
loans to the Partnership, the amount of any such loan shall not be treated as a
contribution to the capital of the Partnership but shall be a debt due from the
Partnership. Any Partner's loan to the Partnership shall be repayable out of the
Partnership's cash and shall bear interest (i) if covered by the Contribution
Agreement, under the terms set forth in the Contribution Agreement, and (ii) if
not covered by the Contribution Agreement, at prevailing market rates.

ARTICLE 5. ALLOCATIONS

         5.1. Allocations of Profits. Profits for any Partnership fiscal year
shall be allocated to the Partners in the following order of priority:

             (a) First, 100% to the General Partner until the cumulative Profits
         allocated pursuant to this Section for the current and all prior fiscal
         years are




                                       13
<PAGE>   15
         equal to the cumulative Losses allocated to the General Partner
         pursuant to Section 5.2(b); and

             (b) Second, to the Partners in proportion to each Partner's Sharing
         Percentage.

         5.2 Allocations of Losses.

             (a) Subject to the limitation in Section 5.2(b) below, Losses for
         any Partnership fiscal year shall be allocated to the Partners in
         proportion to each Partner's Sharing Percentage.

             (b) To the extent Losses allocated to a Limited Partner pursuant to
         Section 5.2(a) would create or increase a deficit in the balance of
         such Limited Partner's Adjusted Capital Account, such Losses shall be
         allocated instead to the General Partner.

         5.3 Special Allocations. Thee following special allocations shall be
made in the following order:

             (a) Minimum Gain Chargeback. Notwithstanding any other provision of
         this Article, if there is a net decrease in Partnership Minimum Gain
         during any Partnership fiscal year, each Partner shall be 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 during such year in the manner and
         amounts provided in Regulation Sections 1.704 2(f)(6), 1.704-2(g)(2),
         1.704-2(j)(2)(i) and 1.704-2(i) or any successor provisions. For
         purposes of this Section 5.3(a), each Partner's Adjusted Capital
         Account balance shall be determined, and the allocation of income or
         gain required hereunder shall be effected, prior to the application of
         any other allocations pursuant to this Section 5.3(a) with respect to
         such fiscal year. This Section is intended to comply with the minimum
         gain chargeback requirement in Section 1.704 2(f) of the Regulations
         and shall be interpreted consistently therewith.

             (b) Partner Minimum Gain Chargeback. Notwithstanding any other
         provision of this Article except Section 5.3(a), if there is a net
         decrease in Partner Minimum Gain attributable to a Partner Nonrecourse
         Debt during any Partnership fiscal year, each Partner who has a share
         of the Partner Minimum Gain attributable to such Partner Nonrecourse
         Debt shall be allocated items of Partnership income and gain for such
         year (and, if necessary, subsequent years) in the manner and amounts
         provided in Regulations Sections 1.704-2(i)(4) and 1.704 2(j)(2) (ii)
         or any successor provisions. For purposes of this Section 5.3(b), each
         Partner's Adjusted Capital Account balance shall be determined, and the
         allocation of income or gain required hereunder shall be effected,
         prior to the application of any



                                       14
<PAGE>   16

         other allocations pursuant to this Section 5.3(b) with respect to such
         fiscal year. This Section is intended to comply with the minimum gain
         chargeback requirement in such Sections of the Regulations and shall be
         interpreted consistently therewith.

             (c) Qualified Income Offset. In the event any Limited Partner
         unexpectedly receives any adjustments, allocations, or distributions
         described in Sections 1.704 l(b)(2)(u)(d)(4), 1.7041(b)(2)(ii)(d)(5) or
         1.704 1(b)(2)(ii)(d)(6) of the Regulations, items of Partnership income
         and gain shall be specially allocated to each such Limited Partner in
         an amount and manner sufficient to eliminate, to the extent required by
         the Regulations, the deficit balance, if any, in the Adjusted Capital
         Account created by such adjustments, allocations or distributions as
         quickly as possible, unless such deficit balance is otherwise
         eliminated pursuant to Section 5.3(a) or (b).

             (d) Gross Income Allocation. In the event any Limited Partner has a
         deficit Capital Account at the end of any Partnership fiscal year which
         is in excess of the sum of (i) the amount such Limited Partner is
         obligated to restore pursuant to any provision of this Agreement and
         (ii) the amount such Limited Partner is deemed to be obligated to
         restore under Sections 1.704-2(g) and 1.704-2(i)(5) of the
         Regulations, each such Limited Partner shall be allocated items of
         Partnership income and gain in the amount of such excess as quickly as
         possible, provided that an allocation pursuant to this Section 5.3(d)
         shall be made only if and to the extent that such Limited Partner would
         have a deficit balance in its Adjusted Capital Account in excess of
         such sum after all other allocations provided for in this Article 5
         have been made as if this Section were not in this Agreement.

             (e) Nonrecourse Deductions. Nonrecourse Deductions for any fiscal
         year or other period shall be allocated to the Partners in proportion
         to each Partner's Sharing Percentage.

             (f) Partner Nonrecourse Deductions. Any Partner Nonrecourse
         Deductions for any fiscal year or other period shall be 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 Section 1.704 2(i) of the
         Regulations.

             (g) Section 754 Adjustments. To the extent an adjustment to the
         adjusted tax basis of any Partnership asset pursuant to Sections 734(b)
         or 7430b) of the Code is required, pursuant to Section
         1.704-1(b)(2)(iv)(m) of the Regulations, to be taken into account in
         determining Capital Accounts, the amount of such adjustment to the
         Capital Accounts shall be treated as an item of gain (if the adjustment
         increases the basis of the asset) or loss (if the adjustment decreases
         such basis) and such gain or loss shall be specially



                                       15
<PAGE>   17

         allocated to the Partners in a manner consistent with the manner in
         which their Capital Accounts are required to be adjusted pursuant to
         such Section of the Regulations.

         5.4 Curative Allocations. Notwithstanding any other provision of this
Article 5 (other than Section 5.3), the allocations contained in Section 5.3
shall be taken into account in making the allocations contained in Sections 5.1
and 5.2 so that, to the extent possible, the net amount of items of income,
gain, loss and deduction allocated to each Partner under Sections 5.1, 5.2 and
5.3, together, shall be equal to the net amount of such items that would have
been allocated to each Partner under Sections 5.1 and 5.2 had the allocations
under Section 5.3 not otherwise been provided for. The General Partner shall
have reasonable discretion, with respect to each fiscal year, to apply the
provisions of this Section 5.4 and thereby allocate income, gain, loss and
deduction in such order and proportion as the General Partner deems equitable,
practicable and consistent with this Agreement and the applicable Regulations.

         5.5 Tax Allocations.

             (a) Code Section 704(c). If any Partner contributes any property to
         the Partnership that has a Gross Market Value that is in excess of or
         less than its adjusted basis for federal income tax purposes at the
         time of such contribution, then all gain, loss and deduction with
         respect to the contributed property shall, solely for federal income
         tax purposes, be allocated among the Partners so as to take account of
         the variation between the adjusted basis of such property and its
         initial Gross Market Value as required under Code Section 704(c).

             (b) Partnership Asset Adjustments. In the event the Gross Market
         Value of any Partnership asset is adjusted pursuant to Section 1.27,
         subsequent allocations of Partnership income, gain, loss and deduction
         with respect to such asset, as calculated for tax purposes, shall take
         account of any variation between the adjusted basis of such asset for
         federal income tax purposes and its Gross Market Value in accordance
         with the principles of Code Section 704(c), as required pursuant to
         Regulation Section 1.704-l(b)(4)(i).

             (c) Consistent Allocation. Except as provided above in Sections
         5.5(a) and (b), Partnership income, gain, loss, deduction and credit,
         as calculated for tax purposes, shall be allocated among the Partners,
         to the extent possible, in accordance with the allocations of the
         corresponding Profits, Losses or items thereof pursuant to Sections 5.1
         through 5.3.

             (d) Adjustments by the Partners. Any elections or other decisions
         related to Partnership tax allocations pursuant to this Section 5.5
         shall be



                                       16
<PAGE>   18

         made by the General Partner in any manner that reasonably reflects the
         purpose and intention of this Agreement. Partnership tax allocations
         pursuant to this Section 5.5 are solely for purposes of federal, state
         and local taxes and shall not affect, or in any way be taken into
         account in computing, any Partner's Capital Account or distributive
         Share of the Partner-ship's Profit or Loss (or any item thereof), or
         Partnership distributions to any of the Partners under this Agreement.

         5.6 Other Allocation Rules.

             (a) In the event that Limited Partners are admitted to the
         Partnership on different dates during any Partnership fiscal year,
         Partnership income or loss allocated to the Partners for each such
         fiscal year shall be allocated among the Partners in proportion to each
         Partner's Sharing Percentage from time to time during such fiscal year
         in accordance with Code Section 706, using any convention permitted by
         law and selected by the General Partner.

             (b) For purposes of determining Partnership income, gain, losses
         and deductions allocable to any period, all such Partnership items
         shall be determined on a daily, monthly or other basis, as determined
         by the General Partner using any permissible method under Code Section
         706 and the Regulations thereunder.

             (c) The Partners are aware of the income tax consequences of the
         Partnership allocations made under this Section and hereby agree to be
         bound by the provisions of this Section in reporting their share of
         Partnership income and loss for federal income tax purposes.

ARTICLE 6. DISTRIBUTIONS

         6.1 Distribution of Excess Cash. Except as otherwise provided in this
Agreement, or as may otherwise be prohibited or required by applicable law, the
General Partner may determine in its reasonable judgment to what extent (if any)
the Partnership's cash on hand exceeds its current and anticipated needs,
including, without limitation, for operating expenses, debt service, authorized
acquisitions, and a seasonable contingency reserve. If such an excess exists,
the General Partner may cause the Partnership to distribute to the Partners an
amount in cash equal to that excess to the Partners in proportion to each
Partner's Sharing Percentage.

         Subject to the foregoing provisions of this Section, it is the
understanding of the Partners that the Partnership will, at a minimum,
distribute cash on a yearly basis in an amount sufficient to provide each
Partner with sufficient funds to pay income tax obligations on Partnership
earnings assuming each Partner's Sharing Percentage of such earnings were fully
taxable to such Partner at the highest federal individual income tax rate
(taking into account the phase-out of exemptions,



                                       17
<PAGE>   19

deductions, and other similar items dependent upon the amount of a taxpayer
taxable income, adjusted gross income, or similar income related concepts), plus
the highest Kansas individual income tax rate (taking into account the phase-out
of the deductions, and other similar items dependent upon the amount of a
taxpayer taxable income, adjusted gross income, or similar income-related
concepts).

         6.2 Limit on Distributions. The General Partner shall not make
distributions to a Partner as provided in Section 6.1 if the result of such
distributions would be to cause such Partner to have an Adjusted Capital Account
deficit or to have an increase in its Adjusted Capital Account deficits.

         6.3 Compensation or Reimbursement to the General Partner. Authorized
amounts payable as compensation or reimbursement to the General Partner or to
any Person other than in his capacity as a Partner in the Partnership, such as
for services rendered, goods purchase or money borrowed, shall not be treated as
a distribution for purposes of this Article 6.

ARTICLE 7. BANK ACCOUNTS, BOOKS OF ACCOUNT, TAX COMPLIANCE AND FISCAL YEAR

         7.1 Bank Accounts; Investments. The General Partner shall establish one
or more bank accounts as provided in Section 8.1(g) into which all Partnership
funds shall be deposited. No other funds shall be deposited into these accounts.
Funds deposited in the Partnership's bank accounts may be withdrawn only to pay
Partnership debts or obligations or to be distributed to the Partners under this
Agreement. Partnership funds, however, may be invested in such securities and
investments, as the General Partner may select, until withdrawn for Partnership
purposes; provided, however, that no Partnership funds shall be invested in the
securities of Columbia or any Columbia Affiliate unless (i) Approved by the
Committee, and, in addition, (ii) such investment is consistent with the General
Partner's fiduciary duties hereunder.

         7.2 Books and Records. The General Partner shall keep books of account
and records relative to the Partnership's business. The books shall be prepared
in accordance with generally accepted accounting principles using the accrual
method of accounting. The accrual method of accounting shall also be used by the
Partnership for income tax purposes. The Partnership's books and records shall
at all times be maintained at the principal business office of the Partnership
or its accountants and shall be available for inspection by the Limited Partners
or their duly authorized representatives during reasonable business hours. The
books and records shall be preserved for four years after the term of the
Partnership ends.

         7.3 Determination of Profit and Loss: Audited Financial Statements. All
items of Partnership income, expense, gain, loss, deduction and credit shall be
determined with respect to, and allocated in accordance with, this Agreement for



                                       18
<PAGE>   20

each Partner for each Partnership fiscal year. Within seventy-five (75) days
after the end of each Partnership fiscal year, the General Partner shall cause
to be prepared, at Partnership expense, financial statements of the Partnership
for the preceding fiscal year, including, without limitation, a balance sheet,
profit and loss statement, statement of cash flows and statement of the balances
in the Partners' Capital Accounts, prepared in accordance with generally
accepted accounting principles consistently applied with prior periods and
audited by a major certified public accounting firm. These audited financial
statements shall be available for inspection and copying during ordinary
business hours at the reasonable request of any Partner, and will be furnished
to DCSF and to any other Partner upon written request therefor.

         7.4 Tax Returns and Information. The Partners intend for the
Partnership to be treated as a partnership for tax purposes. The General Partner
shall prepare or cause to be prepared all federal, state and local income and
other tax returns which the Partnership is required to file and shall furnish
such returns to the Limited Partners, together with a copy of each Limited
Partner's Form K-l and any other information which any Limited Partner may
reasonably request relating to such returns, within ninety (90) days after the
end of each Partnership fiscal year.

         7.5 Tax Audits. The General Partner shall be the tax matters partner of
the Partnership under Section 6231(a)(7) of the Code. The General Partner shall
inform the Limited Partners of all matters which may come to its attention in
its capacity as tax matters Partner by giving the Limited Partners notice
thereof within ten (10) days after becoming so informed. The General Partner
shall not take any action contemplated by Sections 6222 through 6232 of the Code
unless the General Partner has first given the Limited Partner notice of the
contemplated action and received the Approval of the Partners to the
contemplated action. This provision is not intended to authorize the General
Partner to take any action which is left to the determination of the individual
Partner under Sections 6222 through 6232 of the Code.

         7.6 Fiscal Year. The Partnership fiscal year shall be the calendar
year.

ARTICLE 8. RIGHTS, OBLIGATIONS, INDEMNIFICATION AND REMOVAL OF THE GENERAL
           PARTNER

         8.1 Rights of the General Partner as Manager. Subject to the
limitations imposed upon the General Partner in this Agreement (including,
without limitation, Sections 8.3, 8.4, and 12.2), to the fiduciary obligations
and limitations imposed upon it at law, and to the express provisions regarding
any of the following as may be set forth in the Contribution Agreement, the
General Partner shall have full, exclusive and complete duty and right to manage
and control, and, within its discretion, shall make all decisions and take any
necessary or appropriate action in connection with, the Partnership's business.
Without limiting the General Partner's



                                       19
<PAGE>   21

power or authority under this Agreement or the Act, the General Partner may take
the following actions if, as, and when it deems any such action to be necessary,
appropriate or advisable, at the sole cost and expense of the Partnership,
subject however in all respects to the limitations imposed on the General
Partner in this Agreement (including, without limitation, Sections 8.3, 8.4 and
12.2):

             (a) Borrow money from any source, including without limitation from
         the General Partner, Columbia or a Columbia Affiliate and, if security
         is required therefor' to mortgage or subject to any other security
         device its interest in the Partnership (including its General Partner
         interest) or any portion of the Partnership's property, to obtain
         replacements of any mortgage or other security device, and to prepay,
         in whole or in part, refinance, increase, modify, consolidate or extend
         any mortgage or other security device, all of the foregoing at such
         terms and in such amounts as the General Partner deems, in its sole
         discretion, to be in the best interest of the Partnership;

             (b) Acquire and enter into any contract of insurance which the
         General Partner deems necessary and proper for the protection of the
         Partnership, for the conservation of the Partnership's assets, or for
         any purpose convenient or beneficial to the Partnership;

             (c) Employ from time to time on behalf of the Partnership,
         individuals (including employees of the General Partner, the Limited
         Partners, or any of their Affiliates) on such terms and for such
         compensation as the General Partner shall determine (but not in an
         amount which would be considered unreasonable based upon the scope of
         an individual employee's duties and responsibilities), and to enter
         into agreements for the transfer of Partnership interests to such
         persons as expressly permitted below;

             (d) Make decisions as to accounting principles and elections,
         whether for book or tax purposes (and such decisions may be different
         for each purpose);

             (e) Set up or modify record keeping, billing and accounts payable
         accounting systems;

             (f) Lease or purchase real and/or personal property in fulfillment
         of the Partnership purposes and for the operation of the Hospital and
         other Partnership property;

             (g) Open checking and savings accounts, in banks or similar
         financial institutions, in the name of the Partnership, and deposit
         cash in and withdraw cash from such accounts;



                                       20
<PAGE>   22

             (h) Adjust, arbitrate, compromise, sue or defend, abandon, or
         otherwise deal with and settle any and all claims in favor of or
         against the Partnership, as the General Partner shall, in its sole
         discretion, deem proper;

             (i) Enter into, make, perform and carry out all types of contracts,
         leases, and other agreements, and amend, extend, or modify any
         contract, lease, or agreement at any time entered into by the
         Partnership, provided that the General Partner uses its best efforts to
         insure that all such contracts, leases, or agreements are the result of
         arm's length transactions and are representative of fair market value;

             (j) Execute, on behalf of and in the name of the Partnership, any
         and all contracts, leases, agreements, instruments, notes,
         certificates, titles or other documents of any kind or nature as deemed
         necessary and desirable by the General Partner; and

             (k) Do all acts necessary or desirable to carry out the business
         for which the Partnership is formed or which may facilitate the General
         Partner's exercise of its powers hereunder.

         8.2 Right to Rely on General Partner. No person, firm or governmental
body dealing with the Partnership shall be required to inquire into, or to
obtain any other documentation as to, the authority of the General Partner to
take any action permitted under Section 8.1. Furthermore, any person or entity
dealing with the Partnership may rely upon a certificate signed by the General
Partner as to the following:

             (a) The identity of the General Partner or any Limited Partner,

             (b) The existence or nonexistence of any fact or facts that
         constitute a condition precedent to acts by the General Partner or
         which are in any other manner germane to the affairs of the
         Partnership;

             (c) The persons or entities who are authorized to execute and
         deliver any instrument or document of the Partnership; or

             (d) Any act or failure to act by the Partnership on any other
         matter whatsoever involving the Partnership or any Partner.

         8.3 Specific Limitations on General Partner. Notwithstanding anything
to the contrary in this Agreement or the Act, without the prior written approval
of all of the Limited Partners to the specific act in question, the General
Partner shall have no right, power or authority to do any of the following acts,
each of which is considered outside the ordinary course of Partnership business:

             (a) To do any act in contravention of this Agreement;



                                       21
<PAGE>   23

             (b) To change or reorganize the Partnership into any other legal
         form;

             (c) To dissolve the Partnership at will.

         8.4 Additional Limitations on the Authority of the General Partner.
Without the Approval of the Committee, the General Partner shall have no
authority to do any of the following:

             (a) Cease to operate the Surgicenter in substantially the same way
         as it is operated as of the date of its contribution to the Partnership
         under the Contribution Agreement, including, but not limited to,
         maintaining its current operating hours and days and maintaining three
         operating rooms; or

             (b) Substantially curtail or eliminate a material service being
         offered at the Hospital; or

             (c) Sell, exchange, lease, assign, or otherwise transfer more than
         five percent (5%) of the assets of the Partnership (as determined from
         audited financial statements of the Partnership as of the close of the
         immediately preceding fiscal year of the Partnership); or

             (d) Approve the annual capital budget, or approve any action which
         would result in an expenditure or action causing a material variation
         therefrom or not authorized therein; or

             (e) Encumber more than fifty percent (50%) of the assets of the
         Partnership or incur debt exceeding fifty percent (50%) of the value of
         the assets (as determined from audited financial statements of the
         Partnership as of the close of the immediately preceding fiscal year of
         the Partnership); or

             (f) Select or appoint the Chief Executive Officer, Chief Operating
         Officer, Chief Financial Officer or Director of Nursing; or

             (g) Materially alter existing policies concerning purchasing
         services and supplies under existing Hospital contracts.

         With respect to 8.4(g), the parties hereto acknowledge and agree that
Partnership may participate in Columbia's Group Purchasing Program provided it
does not participate in any competing program, and each Partner agrees that all
information with regard to pricing or any other terms of the Group Purchasing
Program will remain confidential and will not be used by such Partner or the
Partnership in any manner or divulged to any other party. The limitations in
this Section shall not be applicable to any General Partner or any Liquidator in
winding up and liquidating the business of the Partnership.



                                       22
<PAGE>   24

         8.5 Management Obligations of the General Partner, The General Partner
shall devote its time to the Partnership to manage and supervise the Partnership
business and affairs, but nothing in this Agreement shall preclude the General
Partner, at the expense of the Partnership, from employing any Columbia
Affiliate, or a third party if Approved by the Committee, to provide management
or other services to the Partnership, always subject, however, to the control of
the General Partner. Subject to any other provisions hereof, any transaction
between the Partnership and the General Partner, Columbia or any Columbia
Affiliate is hereby expressly authorized provided that the terms of such
transactions and generally no less favorable to the Partnership than the terms
that would be made available to the Partnership in arm's length transactions
with independent third parties. Columbia or any Columbia Affiliate shall not be
entitled to duplicate compensation (whether by direct billing to the Partnership
or through the process of reimbursement) for services which are required to be
rendered to the Partnership by the General Partner. The management obligations
of the General Partner include the following:

             (a) The General Partner will provide management services in such
         areas as: long-range planning, management planning, quality assurance
         programs, materials management, management development, professional
         recruitment, performance appraisal systems, personnel development,
         facilities development and productivity improvement programs;

             (b) The General Partner will provide management services in areas
         such as: budget control systems, financial reporting practices,
         interfaces with lenders, contractual agreements, business office
         procedures, accounts receivable management, risk management programs,
         financial modeling, capital planning, cost accounting analysis and
         third-party reimbursement;

             (c) The General Partner will provide marketing and corporate
         communication management services in areas such as: competitive
         environment assessments, health services marketing, management of
         community and public relations, product-line analysis, new service
         development, management of governmental affairs, market research and
         opinion attitude surveys;

             (d) The General Partner will provide management services for areas
         such as: service utilization analysis, systems development, supply and
         charge systems, manpower utilization and control systems, technical
         clinical skills training, new product evaluation and educational
         programs for clinical staff;

             (e) The General Partner will provide management services for areas
         such as: medical staff orientation programs, medical staff issues,
         practice promotion and selection of physician private practice
         workshops; and



                                       23
<PAGE>   25

             (f) The General Partner will encourage the exchange of written
         materials between Columbia affiliated hospitals subject to
         confidentiality requirements, will provide the Partnership with access
         to materials such as: procedures manuals, bylaws, regulations and
         rules.

         8.6      Indemnification of the General Partner.

             (a) Except to the extent such indemnification may be prohibited by
         law, and except for acts in violation of any of the obligations of the
         General Partner or Columbia under any other agreement between or among
         the General Partner, Columbia, DCSF and the DCSF Affiliates or this
         Agreement, the Partnership, its receiver, or its trustee shall
         indemnify, hold harmless, and pay all Judgments and claims against the
         General Partner relating to any liability or damage incurred or
         suffered by the General Partner by reason of any act performed or
         omitted to be performed (but not constituting willful misconduct or
         gross negligence) by the General Partner or his agents or employees in
         connection with the Partnership's business, including reasonable
         attorneys' fees incurred by the General Partner in connection with the
         defense of any claim or action based on any such act or omission. Such
         liability or damage caused by the General Partner's acts or omissions
         in connection with the business of the Partnership includes but is not
         limited to any attorneys' fees incurred by the General Partner in
         connection with the defense of any action based on such acts or
         omissions, which attorneys' fees may be paid as incurred.

             (b) Subject to the exceptions upon indemnification set forth m
         Section 8.6(a), in the event any Limited Partner shall bring a legal
         action against the General Partner, including a Partnership derivative
         suit, the Partnership shall indemnify, hold harmless, and pay all
         expenses of the General Partner, including but not limited to
         attorneys' fees incurred in the defense of such action, unless the
         General Partner shall be adjudicated guilty of gross negligence or
         willful misconduct in connection with the performance of its duties as
         General Partner to the Partnership. For purposes of this Section 8.6,
         the terms "willful misconduct" or "gross negligence" shall include (but
         not be limited to) acts of fraud.

             (c) The Partnership shall indemnify, hold harmless, and pay all
         expenses, costs or liabilities of the General Partner which (or who)
         for the benefit of the Partnership makes any deposit, acquires any
         option, makes any payment, or assumes any obligation in connection with
         any property proposed to be acquired by the Partnership and which (or
         who) suffers any financial loss as a result of such action.

             (d) Any indemnification required herein to be made by the
         Partnership shall be made promptly following the fixing of any loss,
         liability,



                                       24
<PAGE>   26

         or damage incurred or suffered. If, at any time, the Partnership has
         insufficient funds to provide such indemnification as herein provided,
         it shall provide such indemnification if and as the Partnership
         generates sufficient funds, and prior to any distribution to the
         Partners.

         Notwithstanding the foregoing provisions of this Section, the General
Partner shall not be indemnified by the Partnership from any liability for
actions or omissions that constitute willful misconduct or gross negligence or
for actions or omissions that constitute violations of state or federal
securities laws (other than as are caused by actions of any Partner other than
the General Partner or as are caused by or related to information supplied by
any Partner other than the General Partner or statements or representations made
by the General Partner in reliance on any warranty or representation of any
other Partner or affiliate thereof).

         8.7 Reimbursement. The General Partner shall be entitled to be
reimbursed for any and all reasonable costs and expenses incurred by it in
connection with managing and operating the Partnership and its properties and
business (including, but not limited to, the salaries and benefits of employees
working at the Hospital, but other than for services which it is to provide in
return for its 2% of Net Revenues from Health Care Services compensation, as set
forth in Sections 8.5 and 8.8), subject to the limitations in Section 8.5 and
elsewhere herein.

         8.8 Compensation of the General Partner. As compensation and
consideration for the performance of its duties and responsibilities as General
Partner, the General Partner shall be entitled to receive a monthly management
fee of 2% of the Partnership's Net Revenues from Health Care Services for the
preceeding month. Such management fee will be paid on or before the twentieth
(20th) day of each month after the month the Partnership starts to conduct
business operations. The General Partner shall provide DCSF and each member of
the Board of Advisors with complete information regarding the calculation of
such fee at the time said fee is paid; and shall make available to the WPRH
Members and DCSF Members all supporting information relevant thereto. Subject to
the provisions of Section 8.5 and any other express provisions herein, the
General Partner may (at General Partner's sole expense) contract with Columbia
or any Columbia Affiliate for assistance to it in rendering management services
to the Partnership; and may contract wit-in third parties for the same if
Approved by the Committee.

         8.9 Removal. Upon the written approval of the Nonaffiliated Limited
Partners having a minimum of 90% of the Partner's Sharing Percentages in the
Partnership held by Nonaffiliated Limited Partners, the General Partner may be
removed from the Partnership for willful misconduct or gross negligence in the
performance of its duties hereunder. Removal of the General Partner shall be
effective thirty (30) days following receipt by the General Partner of a written
notice executed by the requisite Nonaffiliated Limited Partners, as provided in
the preceding sentence, referencing its removal and stating the grounds
therefor. If the



                                       25
<PAGE>   27

General Partner is removed as provided herein, all Units in the Partnership held
by the General Partner shall automatically be converted to equivalent Units to
be held by the General Partner as a Class D Limited Partner. If the General
Partner is removed from the Partnership and the Partnership is not
reconstituted, but rather is liquidated in accordance with this Agreement, then
the General Partner shall be entitled to receive from the Partnership only the
liquidation distributions to which it is entitled pursuant to this Agreement.
Nothing in this Section shall affect any interest in the Partnership the General
Partner may own in its capacity as a Limited Partner.

         Nothing in the preceding paragraph shall preclude any Partner (whether
or not such Partner participates in a vote to remove the General Partner, and
irrespective of the outcome of any such vote) from seeking such removal in
connection with any proper judicial proceeding. In addition, the removal of a
General Partner shall not preclude, in a proper case, any action by a Partner or
the Partnership to recover money damages from the General Partner, whether or
not based upon the same grounds relied upon for the removal of the General
Partner.

         8.10 Compliance with Law. The General Partner shall at all times use
its good faith best efforts to cause the Partnership to comply with all
statutes, laws, ordinances and government rules and regulations to which it is
subject, including, without limitation, the Medicare and Medicaid Anti-Fraud and
Abuse or Anti-Kickback Amendments to the Social Security Act (presently codified
in Section 1128B(b) of the Social Security Act), the federal "anti-dumping" law,
the various items of legislation known as the "Stark Bill," and Kansas laws
corresponding in structure to the foregoing federal laws. The General Partner
shall institute a formal compliance program to ensure compliance with the
foregoing laws.

ARTICLE 9. RIGHTS AND STATUS OF LIMITED PARTNERS

         9.1 General. The Limited Partners have the rights and the status of
limited partners under the Act. The Limited Partners shall not take part in the
management or control of the Partnership business, or sign for or bind the
Partnership, such powers being vested exclusively in the General Partner.

         9.2 Limitation of Liability. No Limited Partner shall have any personal
liability whatever, solely by reason of his status as a Limited Partner of the
Partnership, whether to the Partnership, the General Partner or any creditor of
the Partnership, for the debts of the Partnership or any of its losses beyond
the amount of the Limited Partner's obligation to contribute his Capital
Contribution to the Partnership.

         9.3 Bankruptcy; Death; Etc. Neither the Bankruptcy, death, disability
nor declaration of incompetence or incapacity of a Limited Partner shall
dissolve the Partnership, but the rights of a Limited Partner to share in the
Profits and Losses



                                       26
<PAGE>   28

of the Partnership and to receive distributions of Partnership funds shall, on
the happening of such an event, devolve upon the Limited Partner's estate, legal
representative or successor in interest, as the case may be, subject to this
Agreement, and the Partnership shall continue as a limited partnership under the
Act. The Limited Partner's estate, representative or successor in interest shall
be entitled to receive distributions and allocations with respect to such
Limited Partner's interest in the Partnership and shall be liable for all of the
obligations of the Limited Partner. Furthermore, the Limited Partner's estate,
representative or successor in interest shall have no right to any information
or accounting of the affairs of the Partnership, shall not be entitled to
inspect the books or records of the Partnership, and shall not be entitled to
any of the rights of a general partner or limited partner under the Act or this
Agreement unless such estate, representative or successor in interest is
admitted to the Partnership as a Substituted Limited Partner.

ARTICLE 10. SPECIAL COVENANTS OF THE PARTNERS

         10.1 Covenant Not to Compete. Except as otherwise provided in this
Section 10.1, each Class A and Class C Limited Partner agrees that while he is a
Limited Partner and for two (2) years thereafter neither be nor any of his
Affiliates shall, directly or indirectly, hold an ownership interest in an acute
care hospital, specialty hospital, comprehensive rehabilitation facility,
rehabilitation agency, diagnostic imaging center, inpatient or outpatient
psychiatric or substance abuse facility, or ambulatory or other type of surgery
center that is located within a forty (40) mile radius of the hospital
("Competing Business") without the prior written consent of the General Partner.
Each Class A and Class C Limited Partner expressly agrees that neither he nor
any of his Affiliates shall violate the teens of this Section 10.1 while such
Limited Partner is a limited partner of the Partnership and for a period of two
(2) years thereafter. Notwithstanding anything to the contrary in this Section
10.1, no Class A or Class C Limited Partner will be in violation of this Section
10.1 if such Limited Partner or any Affiliate of such Limited Partner held an
ownership interest in a Competing Business, and each such Limited Partner who
holds or whose Affiliate holds such an interest shall have given. written notice
thereof to the General Partner on or before the earlier of (i) delivery of his
or her subscription agreement for the first Class A or Class C Unit acquired or
(ii) the acquisition of the first said Unit. Nothing in this Section 10.1 is
intended to prevent such a Limited Partner from being a member of the medical
staff of, or referring patients to, any other hospital.

         Notwithstanding anything else contained in this Section 10.1, Columbia
and the Columbia Affiliates are prohibited from acquiring, directly or
indirectly, an interest in any Competing Business located within a forty (40)
mile radius of the Hospital, other than through the Partnership, unless
Nonaffiliated Limited Partners owning a majority of the aggregate Partner's
Sharing Percentage of the Nonaffiliated Limited Partners fail to approve a
proposal by the General Partner for



                                       27
<PAGE>   29

the Partnership to acquire such interest on the same basis, at a meeting called
to vote on such issue in accordance with Article 11 hereof, or unless such
meeting is not held within thirty (30) days after the date upon which the
Limited Partners are given notice of such proposal.

         10.2 Limitation. In the event of an actual or threatened breach by any
of the Class A or Class C Limited Partner or the General Partner of Section
10.1, any party to this Agreement shall be entitled to an injunction in any
appropriate court in Kansas, or elsewhere, restraining the actual or threatened
breach by such Partner. If a court shall hold that the duration and/or scope
(geographic or otherwise) of the covenant contained in Section 10.1 is
unreasonable, then, to the extent permitted by law, the court may prescribe a
duration and/or scope (geographic or otherwise) that is reasonable and
judicially enforceable. The parties agree to accept such determination, subject
to their rights of appeal, which the parties hereto agree shall be substituted
in place of any and every offensive part of this Agreement, and as so modified,
the Agreement shall be as fully enforceable as if set forth herein by the
parties in the modified form. Nothing herein stated shall be construed as
prohibiting any party hereto from pursuing any other remedies available for such
breach or threatened breach, including the recovery of damages.

         10.3 Capital Improvements. The General Partner agrees, and the Partners
contemplate, that the Partnership will (subject to the identification of proper
projects) expend up to the amount of One Million Dollars ($1,000,000) per annum
for capital expenditures during the first five (5) years of this Agreement.
These expenditures will be discussed and approved by the Board of Advisors, as
contemplated in Section 8.4 above in connection with the annual establishment of
a capital budget.

ARTICLE 11. MEETINGS AND MEANS OF VOTING

         11.1 Meetings of the Partners. Meetings of the Partners may be called
by the General Partner and shall be promptly called upon the written request of
any one or more Limited Partners who own in the aggregate 10% or more of the
aggregate Partner's Sharing Percentage in the Partnership. The notice of a
meeting shall state the nature of the business to be transacted at such meeting,
and actions taken at any such meeting shall be limited to those matters
specified in the notice of the meeting. Notice of any meeting shall be given to
all Partners not less than three (3) and not more than thirty (30) days prior to
the date of the meeting. Partners may vote in person or by proxy at such
meeting.

         Except as otherwise expressly provided in this Agreement or required by
the express provisions of the Act (without regard to future amendment), the
requisite vote of the Partners shall be the Approval of the Partners which shall
control all decisions for which the vote of the Partners is required hereunder.
Each Partner's voting rights shall be the same as that Partner's Sharing
Percentage at the time of



                                       28
<PAGE>   30

the vote. The presence of any Partner at a meeting shall constitute a waiver of
notice of the meeting with respect to such Partner. The Partners may, at their
election, participate in any regular or special meeting by means of conference
telephone or similar communications equipment by means of which all Persons
participating in the meeting can hear each other. A Partner's participation in a
meeting pursuant to the preceding sentence shall constitute presence in person
at such meeting for all purposes of this Agreement.

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

         11.3 Conduct of Meeting. Each meeting of Partners shall be conducted by
the General Partner or by a person or entity appointed by the General Partner.
The meeting shall be conducted pursuant to such rules as may be adopted by the
General Partner or the person or entity appointed by the General Partner for the
conduct of the meeting.

         11.4 Action Without a Meeting. Notwithstanding anything to the contrary
in this Agreement, any action that may be taken at a meeting of the Partners may
be taken without a meeting if a consent in writing setting forth the action so
taken is Approved by the Partners. In the event any action is taken pursuant to
this Section, it shall not be necessary to comply with any notice or timing
requirements set forth in this Article. Prompt written notice of the taking of
action without a meeting shall be given to the Partners who have not consented
in writing to such action.

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



                                       29
<PAGE>   31

ARTICLE 12. BOARD OF ADVISORS; GRIEVANCE PROCEDURE

         12.1 Board of Advisors. Effective for all purposes on the date of this
Agreement, the General Partner and DCSF shall form a management committee for
the Partnership (the "Board of Advisors") by appointing thereto five WPRH
Members and five DCSF Members, as applicable. The Board of Advisors shall be
created and operate to consider those matters pertaining to the business of the
Partnership for which Approval of the Committee is required.

         12.2 Authority of the Board of Advisors. In addition to considering
those matters pertaining to the business of the Partnership for which Approval
of the Committee is required, the Board of Advisors shall review, advise and
make recommendations with respect to the following matters related to operating
and managing the Hospital:

             (a) Operating and managing the Hospital in accordance with
         accreditation guidelines of JCAHO:

             (b) Establishing new services and program to be offered by the
         Hospital;

             (c) Establishing budgets for the Hospital;

             (d) Establishing strategic plans for the Hospital;

             (e) Establish quality of care standards the Hospital;

             (f) Reviewing operating results, both revenues and expenses;

             (g) Establishing contracts and other arrangements with Physicians,
         and

             (h) Reviewing at each meeting the calculation of the General
         Partner's compensation under Section 8.8 hereof.

In order that the Board of Advisor's duties may be properly carried out
hereunder, the General Partner shall notify all members of the Board of Advisors
of all information relevant to the forgoing (and provide each member to whatever
other information the member shall reasonably request to inform himself or
herself about the same), and shall afford the Board of Advisors sufficient time
and opportunity to review, advise and make recommendations with respect to the
same.

         12.3 Manner of Exercise of Board of Advisors' Authority. All
responsibilities granted to the Board of Advisors under this Agreement shall be
exercised by the Board of Advisors as a body, and no member of the Board of
Advisors, acting alone, shall have the authority to act on behalf of the Board
of Advisors.



                                       30
<PAGE>   32

         12.4 Meetings of the Board of Advisors. The Board of Advisors shall
hold regular meetings on at least a quarterly basis. In addition, each member of
the Board of Advisors shall be available at all reasonable times to consult with
other members of the Board of Advisors on matters relating to the duties of the
Board of Advisors. Meetings of the Board of Advisors shall be held at the call
of the General Partner, the Chairman of the Board of Advisors, or the WPRH
Members or DCSF Members requesting such meeting through such Chairman, upon not
less than five (5) business days written or telephonic notice to the members of
the Board of Advisors, such notice specifying all matters to come before the
Board of Advisors for action at such meeting. The presence of any member of the
Board of Advisors at a meeting shall constitute a waiver of notice of the
meeting with respect to such member. The members of the Board of Advisors may,
at their election, participate in any regular or special meeting by means of
conference telephone or similar communications equipment by means of which all
persons participating in the meeting can hear each other. A member's
participation in a meeting pursuant to the preceding sentence shall constitute
presence in person at such meeting for all purposes of this Agreement. Proxy
votes shall be permitted as established in accordance for proxies at meetings of
the Partners.

         12.5 Grievance Procedure. If one (or more) Limited Partners owning in
the aggregate 50 or more Units has a grievance against the Partnership or the
operation of the Hospital, said Partner(s) shall set forth the grievance in full
in writing and submit it to the General Partner with a formal statement that the
provisions of this Section 12.5 are being invoked. If the matter is not resolved
to the satisfaction of the complaining Partner(s) within 20 days, either the
General Partner or the complaining Partner(s) shall have the right and privilege
to send a copy of the grievance to the Division President of Columbia for the
Kansas City Division (or to any person having responsibilities similar to that
office as conducted as of the date this Agreement is signed). The Division
President shall meet personally with representatives of the General Partner and
with the complaining Partner(s), in Dodge City, Kansas, in an effort to mediate
and resolve the grievance. If those efforts fail to reach a satisfactory
solution within 30 days after the matter is referred to the Division President
of Columbia for said Division, then either the General Partner or the
complaining Partner(s) shall have the right and privilege to send a copy of the
grievance to the Group President of Columbia for the Central Group (or to any
person having responsibilities similar to that office as conducted as of the
date this Agreement is signed). The Group President shall meet personally with
representatives of the General Partner and with the complaining Partner(s), in
Dodge City, Kansas, in an effort to mediate and resolve the grievance. If those
efforts fail to reach a satisfactory solution within 30 days after the matter is
referred to the Group President of Columbia for said Group, then either the
General Partner or the complaining Partner(s) shall be entitled to transfer the
grievance to the Chief Operating Officer of Columbia, who shall meet with
representatives of the General Partner and with the complaining Partner(s) in an
effort to mediate a resolution of the grievance. General Partner shall utilize
its best efforts to secure



                                       31
<PAGE>   33

the cooperation of the Columbia personnel designated above; it being
acknowledged and agreed that Columbia, as part of the negotiation of this
Agreement, represented that its personnel would be available and willing to
undertake the foregoing. Nothing herein shall preclude any party from pursuing
such other remedies at it may have, regardless of whether and either before or
after this grievance procedure is pursued.

ARTICLE 13. TRANSFER OF RIGHTS AND ADDITIONAL LIMITED PARTNERS

         13.1 Transfers By Limited Partners; General Provisions. A Limited
Partner may sell, assign, transfer, pledge or hypothecate all or any part of
his, her, or its Units in the Partnership only in strict accordance with the
provisions of this Section, Section 14, and the other provisions of this
Agreement, and then (unless otherwise expressly provided herein) only with the
prior consent of the General Partner. The General Partner in its sole discretion
may withhold its consent to any transfer for which such consent is required with
or without reasonable cause. Except for transfers to DCSF under Section 13.4(c),
a Limited Partner, with the prior consent of the General Partner, may only sell
his interest in the Partnership if the following conditions are satisfied:

              (a) The sale, transfer or assignment is with respect to one or
         more Units, and is

                  (i) In the case of Class A Units, to another Qualified
              Purchaser or the Partnership, or

                  (ii) In the case of Class B Units, to DCSF or a DCSF
              Affiliate, to the General Partner, WPRH, a transferee Approved by
              the Committee, or as otherwise expressly set forth herein,

                  (iii) In the case of Class C Units, to a Qualified Class C
              Limited Partner, Columbia, Columbia Affiliate, General Partner,
              WPRH, or a transferee Approved by the Committee,

                  (iv) In the case of Class D Units, to the General Partner,
              WPRH, Columbia, any Columbia Affiliate, or a transferee Approved
              by the Committee (or, if applicable under Section 14.1(d) below,
              approved the Nonaffiliated Limited Partners as defined and applied
              in said Section);

              (b) The sale, transfer or assignment, when aggregated with any
         prior sales, transfers or assignments of Partnership interests, does
         not result in a sale or exchange within a twelve (12) month period of
         50% or more of the total interests in the Partnership's capital and
         profits within the meaning of Code Section 708(b);



                                       32
<PAGE>   34

             (c) The Limited Partner and his transferee execute, acknowledge and
         deliver to the General Partner such instruments of transfer and
         assignment with respect to such transaction as are in form and
         substance satisfactory to the General Partner;

             (d) Unless waived in writing by the General Partner, the Limited
         Partner delivers to the General Partner an opinion of counsel
         satisfactory to the General Partner, covering such securities and tax
         laws and other aspects of the proposed transfer as the General Partner
         may reasonably request;

             (e) The Limited Partner has furnished to the transferee a written
         statement showing the name and taxpayer identification number of the
         Partnership in such form and together with such other information as
         may be required under Section 6050K of the Code and the Regulations
         thereunder; and

             (f) The Limited Partner pays the Partnership a transfer fee that is
         sufficient to pay all reasonable expenses of the Partnership in
         connection with such transaction.

         Any Limited Partner who thereafter sells, assigns or otherwise
transfers all or any portion of his interest in the Partnership shall promptly
notify the General Partner of such transfer and shall furnish to the General
Partner the name and address of the transferee and such other information as may
be required under Section 6050K of the Code and the Regulations thereunder.

         Notwithstanding the foregoing o, any other provisions hereof, DCSF
shall be entitled without the consent of the General Partner:

             (i) To pledge, encumber, or otherwise give as collateral for loans
         or other indebtedness the proceeds of which are used in connection with
         the redemption of any DCSF shareholder, all or any of its Class B Units
         or any other Units held by it, and the pledgee or other holder of any
         such pledge, encumbrance, or security interest may exercise its rights
         with respect thereto, including without limitation, its rights to
         foreclose, transfer, convey, sell or assign such partnership interest
         or Units, without the consent of, or notice to, any other Partner; and

             (ii) Transfer all of its Class B Units or other Units held by it to
         one DCSF Affiliate (if said DCSF Affiliate agrees to be bound by the
         provisions hereof).

         13.2 Substituted Limited Partner. No Person taking or acquiring, by
whatever means, the interest of any Limited Partner in the Partnership shall be
admitted as a Substituted Limited Partner without the consent of the General
Partner (which consent may be unreasonably withheld) and unless such Person:



                                       33
<PAGE>   35

             (a) Elects to become a Substituted Limited Partner by delivering
         notice of such election to the Partnership;

             (b) Executes, acknowledges and delivers to the Partnership such
         other instruments as the General Partner may deem necessary or
         advisable to effect the admission of such person as a Substituted
         Limited Partner, including, without limitation, the written acceptance
         and adoption by such person of the provisions of this Agreement; and

             (c) Pays a transfer fee to the Partnership in an amount sufficient
         to cover all reasonable expenses connected with the admission of such
         person or entity as a Substituted Limited Partner.

         13.3 Bans Adjustment. Upon the transfer of all or part of an interest
in the Partnership, at the request of the transferee of the interest the General
Partner may, in its sole discretion, cause the Partnership to elect, pursuant to
Section 754 of the Code or the corresponding provisions of subsequent law, to
adjust the basis of the Partnership properties as provided by Sections 734 and
743 of the Code.

         13.4 Transfer by General Partner.

              (a) The Limited Partners have entered into this Agreement, in
         part, based upon the identity of the General Partner. Therefore, except
         as expressly provided in this Section, the General Partner, in its
         capacity as General Partner, may not withdraw from the Partnership or
         sell, assign, hypothecate or otherwise transfer, voluntarily or by
         operation of law, all or any part of its GP Units to any person or
         entity. In all events, and regardless of whether any transfer of GP
         Units has occurred, the General Partner shall at all times remain a
         Columbia Affiliate (except as set forth in Section 13.4(c) immediately
         below).

              (b) The General Partner or any Columbia Affiliate holding any GP
         Units may, if all other provisions of this Agreement are satisfied, do
         the following without the consent of any Partner if, but only if, the
         General Partner shall at all times remain a Columbia Affiliate and
         retain operational control of the Partnership:

                  (i) Pledge, encumber, or otherwise give as collateral for
              loans or other indebtedness, all or any of its GP Units or any
              other Units held by it, and the pledgee or other holder of any
              such pledge, encumbrance, or security interest may exercise its
              rights with respect thereto, including without limitation, its
              rights to foreclose, transfer, convey, sell or assign such general
              partnership interest or Units, without the consent of, or notice
              to, any other Partner (provided, however, that any such
              foreclosure or shift in operational control shall render the
              General Partner before such foreclosure liable for damages



                                       34
<PAGE>   36

                  for the breach of the covenant made in this Section that the
                  General Partner having operational control shall at all times
                  remain a Columbia Affiliate); and

                     (ii) Transfer all of its GP Units or other Units held by it
                  to one Columbia Affiliate (if said Columbia Affiliate agrees
                  to be bound by the provisions hereof, and Western Plains
                  Regional Hospital, Inc. remains liable as a guarantor for the
                  faithful performance of this Agreement by said Columbia
                  Affiliate).

             (c) If General Partner, Columbia, and/or any Columbia Affiliate(s)
         holding Units (collectively, the "Selling Partners") receive or obtain
         an offer from a party which is not Columbia or a Columbia Affiliate to
         acquire in any manner any of their GP Units, then said offer may be
         accepted if, but only if, all 10 GP Units, all 100 Class C Units, and
         all S20 Class D Units are to be sold as part of the offer, and said
         Units ("Single Package Units") are first offered to DCSF in accordance
         with the following procedure: The Selling Partners shall promptly
         notify DCSF in writing of the offer received, including the name of the
         offeror, the proposed purchase price and the other terms and conditions
         of the offer. DCSF shall have the option for a period of sixty (60)
         days from the day it receives notice of such offer to agree to purchase
         the Single Package Units on the same terms and conditions contained in
         the offer. DCSF may exercise its option by notifying the General
         Partner prior to the end of the sixty (60) day period of its agreement
         to exercise the option. If DCSF fails to or indicates in writing that
         it will not exercise the option within the period provided, or if DCSF
         exercises the option but fails to effect the purchase within the later
         of the period prescribed in such offer or a reasonable time, the
         Selling Partners may convey or dispose of the Single Package Units but
         only at the price, terms and conditions, and to the party specified in
         the offer notice to DCSF. If terms and conditions more favorable to the
         proposed purchaser than, or in any material manner different from,
         those offered to the Selling Partners should be agreed to by the
         Selling Partners and such third party purchaser, DCSF shall again have
         the option to purchase Single Package Units upon and subject to the
         more favorable or different purchase terms in accordance with this
         section.

         13.5 Restriction of Transfer By General Partner. Except for transfers
otherwise permitted pursuant to Section 13.4(c) hereof, the General Partner may
not transfer any Units in the Partnership in a manner which would result in the
termination of the Partnership for federal income tax purposes or constitute an
event of default (or an event which, upon notice or the passage of time, or
both, would constitute a default) under any agreement or instrument by which the
Partnership borrowed money or by which its assets are encumbered, and any such
attempted transfer shall be null and void.

         13.6 Admission of Class A Limited Partners. The General Partner is
authorized to issue the authorized but unissued Class A Units to persons who are




                                       35
<PAGE>   37

Qualified Purchasers and to admit them to the Partnership as Additional Limited
Partners, which in all instances shall comply with applicable securities laws.
Except as provided in this Section, the General Partner shall have complete
discretion in determining the consideration to be paid therefor, which must be
based on fair market value (which must be fully paid in cash or property at the
time of subscription) and the terms and conditions with respect to the
Partnership for admitting Additional Limited Partners; provided, however, that
for the one-year period following the Initial Closing, the General Partner may
not sell Class A Units for less than $15,000 per Unit. The General Partner will
not permit any person or entity to become an Additional Limited Partner unless
such person or entity certifies in writing to the General Partner that the
person is a Qualified Purchaser and agrees to be bound by the terms of this
Agreement. The General Partner shall do all things necessary to comply with the
Act and is authorized to do all things it deems to be necessary or advisable in
connection with the Partnership for admitting any Additional Limited Partner,
including, but not limited to, complying with any statute, rule, regulation or
guideline issued by any federal, state or other governmental agency.

         13.7 Transfer Procedures. The General Partner shall establish a
transfer procedure consistent with this Article 13 to ensure that all conditions
precedent to the admission of a Substituted Limited Partner or Additional
Limited Partner have been complied with, and shall execute a certificate that
such covenant has been complied with and shall, upon the written request of any
Limited Partner, deliver to such Limited Partner a copy thereof.

         13.8 Invalid Transfer. No transfer of an interest in the Partnership
that is in violation of Article 13 shall be valid or effective, and the
Partnership shall not recognize any improper transfer for the purposes of making
allocations, payments of profits, return of capital contributions or other
distributions with respect to such Partnership interest, or part thereof. The
Partnership may enforce the provisions of this Article ? either directly or
indirectly or through its agents by entering an appropriate stop transfer order
on its books or otherwise refusing to register or transfer or permit the
registration or transfer on its books of any proposed transfers not in
accordance with Article 13.

         13.9 Distributions and Allocations in Respect of a Transferred
Ownership Interest. If any Partner sells, assigns or transfers any part of his
interest in the Partnership during any accounting period in compliance with the
provisions of this Article 13, Partnership income, gain, deductions and losses
attributable to such interest for the respective period shall be divided and
allocated between the transferor and the transferee by taking into account their
varying interests during the applicable accounting period in accordance with
Code Section 706(d), using the daily proration method. All Partnership
distributions on or before the effective date of such transfer shall be made to
the transferor, and all such Partnership distributions thereafter shall be made
to the transferee. Solely for purposes of



                                       36
<PAGE>   38

making Partnership tax allocations and distributions, the Partnership shall
recognize a transfer on the day following the day of transfer. Neither the
Partnership nor the General Partner shall incur any liability for making
Partnership allocations and distributions in accordance with the provisions of
this Section, whether or not the General Partner or the Partnership has
knowledge of any transfer of any interest in the Partnership or part thereof
where the transferee is not admitted as a Substituted Limited Partner.

         13.10 Additional Requirements of Admission to Partnership. The General
Partner shall not admit any Person as a Limited Partner if such admission would
have the effect of causing the Partnership to be re-classified for federal
income tax purposes as an association (taxable as a corporation under the Code),
or which would violate any Medicare or other health care law, rule or
regulation, or which would violate applicable exemptions from securities
registration and securities disclosure provisions under federal and state
securities laws.

         13.11 Amendment to Exhibit "A". The General Partner shall amend Exhibit
"A" attached to this Agreement from time to time to reflect the admission of any
successor General Partner, Substituted Limited Partners or Additional Limited
Partners, or the termination of any Partner's interest in the Partnership.

ARTICLE 14. PARTNERSHIP'S RIGHT TO LIQUIDATE PARTNERSHIP INTERESTS

         14.1 Right of First Refusal.

              (a) Class A Units. If any Class A Limited Partner receives or
         obtains an offer from a third-party (who must be a Qualified Purchaser)
         to acquire in any manner all or any part of his Class A Units in the
         Partnership, which offer the Class A Limited Partner intends to accept,
         the Class A Limited Partner shall promptly notify the General Partner
         in writing of the offer received, including the name of the offeror,
         the number of whole or partial Units offered to be purchased, the
         proposed purchase price and the other terms and conditions of the
         offer. The Partnership shall have the option for a period of thirty
         (30) days from the day it receives notice of such offer to liquidate
         such Class A Limited Partner's



                                       37
<PAGE>   39

         interest in the Partnership on the same terms and conditions contained
         in the offer. The Partnership may exercise its option by notifying the
         Class A Limited Partner prior to the end of the thirty (30) day period
         of its intent to exercise the option. If the Partnership fails to or
         indicates in writing that it will not exercise the option within the
         period provided, or if the Partnership exercises the option but fails
         to effect the liquidation within a reasonable time thereafter, the
         Class A Limited Partner, in accordance with and subject to the
         provisions of Article 13 (including, without limitation, the General
         Partner's right to approve such transfer), may convey or dispose of the
         part of the Class A Limited Partner's interest in the Partnership that
         was the subject of the offer but only at the price, terms and
         conditions, and to the party specified in the notice to the
         Partnership. If terms and conditions more favorable to the proposed
         purchaser than, or in any material manner different from, those offered
         to the Partnership should be agreed to by the Class A Limited Partner
         and such third party purchaser, the Partnership shall again have the
         option to liquidate the Class A Limited Partner's interest in the
         Partnership which is subject to the more favorable or different
         purchase terms in accordance with this Section. Neither the General
         Partner nor the Partnership shall be liable or accountable to any Class
         A Limited Partner who attempts to transfer his interest in the
         Partnership for any loss, damage, expense, cost, or liability resulting
         from the Partnership's exercise or failure to exercise the purchase
         option under this Section, delay in notifying the Class A Limited
         Partner of the Partnership's intention not to exercise the purchase
         option, or its enforcement of the requirements of this Section in the
         event that it elects not to exercise the purchase option. The
         Partnership's failure to exercise the purchase option or to indicate in
         writing that it is electing not to exercise the option shall not be
         deemed a consent of the General Partner to allow any third party
         transferee to become a Substituted Class A Limited Partner, such
         consent being controlled by the provisions of Article 13.

             (b) Class B Units. Class B Units may only be held by DCSF or DCSF
         Affiliates, the General Partner, WPRH, as Approved by the Committee, or
         as otherwise expressly permitted in Section 13.1(a)(ii); provided,
         however, that if at any time Class B Units are to be transferred upon
         the Approval of the Committee other than to DCSF, DCSF Affiliates, or
         the General Partner, the right of first refusal set forth in Section
         14.1(a) above shall apply the same as if it referred to Class B Units
         rather than Class A Units.

             (c) Class C Units. Except for transfers to DCSF under Section
         13.4(c), Class C Units may only be held by Qualified Class C Limited
         Partners, Columbia, Columbia Affiliates, or as Approved by the
         Committee; provided, however, that if at any time Class C Units are to
         be transferred (other than pursuant to Section 13.4(c)) with the
         Approval of the Committee other than to a Qualified Purchaser,
         Columbia, or a Columbia Affiliate, the right of first refusal set forth
         in Section 14.1(a) above shall apply the same as if it referred to
         Class C Units rather than Class A Units (and the decision of whether or
         not the Partnership shall exercise said right of first refusal shall be
         made by a majority vote of the Nonaffiliated Limited Partners).

             (d) Class D Units. Except for transfers to DCSF under Section
         13.4(c), Class D Units may only be held by the General Partner, WPRH,
         Columbia, or any Columbia Affiliate, or as Approved by the Committee;
         provided, however, that if at any time Class D Units are to be
         transferred



                                       38
<PAGE>   40

         (other than pursuant to Section 13.4(c)) with the Approval of the
         Committee other than to a Columbia or a Columbia Affiliate, the right
         of first refusal set forth in Section 14. l(a) above shall apply the
         same as if it referred to Class D Units rather than Class A Units (and
         the decision of whether or not the Partnership shall exercise said
         right of first refusal shall be made by a majority vote of the
         Nonaffiliated Limited Partners).

         14.2 Occurrence of Terminating Event or Adverse Terminating Event.

              (a) In the event a Terminating Event shall occur with respect to
         any Class A Limited Partner as set forth in Section 1.48, such Partner,
         or the Partner's successor or other legal representative, shall give
         written notice thereof to the Partnership within thirty (30) days of
         the occurrence of such event. Upon the receipt of such notice, the
         Partnership shall have the right, but not the obligation, for the
         ensuing sixty (60) days to elect to liquidate such Partner's interest
         in the Partnership. If the Partnership has not received written notice
         of a Terminating Event with respect to any Class A Limited Partner as
         required under this Section 14.2(a), the Partnership will have the
         right to elect to liquidate such Partner's interest in the Partnership
         for sixty (60) days after the Partnership has actual knowledge of the
         occurrence of any such event and gives written notice thereof to the
         Class A Limited Partner. Notwithstanding anything to the contrary in
         this Agreement, the failure of a Class A Limited Partner to notify the
         Partnership of the occurrence of a Terminating Event as required under
         this Section shall not constitute the occurrence of an Adverse
         Terminating Event.

              (b) In the event the General Partner determines that an Adverse
         Terminating Event has occurred with respect to any Class A Limited
         Partner, the Partnership shall give written notice thereof to such
         Partner and, for a period of sixty (60) days from the date of such
         notice, the Partnership shall have the right, but not the obligation,
         to elect to liquidate such Partner's interest in the Partnership.

              (c) In the event the Partnership does not elect to exercise its
         right to liquidate such Partner's interest in the Partnership pursuant
         to subsections (a) or (b) above, then the Class B Limited Partner(s)
         shall have the right to purchase such Partner's interest, pursuant to
         the terms provided in Section 14.3 hereof.

         14.3 Payment for Partnership Interest.

              (a) If any Class A Limited Partner's interest in the Partnership
         is liquidated because of the occurrence of a Terminating Event prior to
         the third anniversary of the date of this Agreement, the amount the
         Partnership will pay for each Unit owned by such Partner shall be equal
         to the greater of (i)



                                       39
<PAGE>   41

         the "Fair Market Value" of each of his Units, as determined in
         accordance with Section 14.3(c); or (ii) the amount the Partner paid to
         acquire his Units less any distributions to such Partner pursuant to
         Section 6.1 hereof; and if any Class A Limited Partner's interest in
         the Partnership is liquidated because of the occurrence of a
         Terminating Event on or after the third anniversary of the date of this
         Agreement, the amount the Partnership will pay for each Unit owned by
         such Partner shall be equal to the "Fair Market Value" of each of his
         units as determined in accordance with Section 14.3(c).

              (b) If the Partnership liquidates any Class A Limited Partner's
         interest in the Partnership as a result of an Adverse Terminating
         Event, the amount to be paid by the Partnership to such Partner shall
         be equal to the lesser of (i) the Fair Market Value of such Partner's
         interest, as determined in accordance with Section 14.3(c); or (ii) the
         amount paid by the Class A Limited Partner to acquire his Units less
         any distributions to such Partner pursuant to Section 6.1 hereof.

              (c) If the Partnership liquidates any Class A Limited Partner's
         interest in the Partnership as provided in this Section, the Fair
         Market Value of each Unit owned by such Class A Limited Partner shall
         be equal to four (4) times the average annual Net Cash from Operations
         distributed with respect to a Unit during the three (3) years
         immediately preceding the date a Terminating Event (or Adverse
         Terminating Event, as the case may be) has occurred with respect to
         such Partner (or if the Partnership teas been in existence for less
         than three (3) years, an annual average for the period of time the
         Partnership has been in existence). For purposes of this Section
         14.3(c), the term "Net Cash From Operations" means the gross cash
         revenues received from Partnership operations less amounts used to pay
         or establish reserves for all Partnership expenses, debt payments
         (principal and interest), capital improvements, capital replacements
         and contingencies, all as determined by the General Partner. Net Cash
         From Operations shall not be reduced by depreciation, amortization,
         cost recovery deductions or similar allowances, but shall be increased
         by any reductions of reserves previously established.

              (d) If the Partnership liquidates any Class A Limited Partner's
         interest in the Partnership as provided in this Section, the
         Partnership shall pay any such amounts owed therefor to such Partner or
         its successor in a lump sum or, at the discretion of the General
         Partner, in up to sixty (60) equal monthly payments with interest at
         the "prime" or base rate as established from time to time by Chemical
         Bank on the unpaid principal balance. If the General Partner exercises
         its discretion to pay for a liquidated Partnership interest in monthly
         installments, the first such installment will be paid to the Partner or
         his successor in interest on the first day of the month after thirty
         (30) days have expired since the Partner's interest in the



                                       40
<PAGE>   42

         Partnership has been terminated. Each subsequent installment shall be
         paid on the first day of each successive month until the full amount
         owed to the Partner or its successor in interest has been paid. The
         Partnership's obligation to pay the Partner in monthly installments
         under this Section will be evidenced by a nonrecourse promissory note
         executed by the General Partner on behalf of the Partnership.

         14.4 Subsequent Legislation. If the Class A Limited Partners are
prohibited from owning an interest in the Partnership as a result of the
enactment of any statute, regulation or other law or the judicial or
administrative interpretation of any existing or future statute, regulation or
other law, the Partnership will liquidate the interests in the Partnership of
all the Class A Limited Partners as provided in this Section. The Partnership
shall pay each such Class A Limited Partner for his interest in the Partnership
the greater of (i) the "Fair Market Value" of each of his Units, as determined
in accordance with Section 14.3(c), or (ii) the amount the Partner paid to
acquire his Units less any distributions to such Partner pursuant to Section 6.1
hereof; and if any Class A Limited Partner's interest in the Partnership is
liquidated because of the occurrence of a Terminating Event on or after the
third anniversary of the date of this Agreement, the amount the Partnership will
pay for each Unit owned by such Partner shall be equal to the "Fair Market
Value" of each of his units as determined in accordance with Section 14.3(c).
Such amount will be paid to each Limited Partner in eighty-four (84) equal
monthly payments with interest on the unpaid principal balance at the rate
announced from time-to-time by Citibank as its "prime" or base rate, as such
rate may be in effect. The first such installment shall be paid to each such
Limited Partner on the first day of the month after thirty (30) days have
expired since the Partner's interest in the Partnership had been terminated,
with subsequent installments paid on the first day of each successive month
thereafter until paid in full. The Partnership's obligation to pay such Limited
Partners in eighty-four (84) equal monthly installments under this Section will
be evidenced by nonrecourse promissory notes executed by the General Partner on
behalf of the Partnership.

ARTICLE 15. DISSOLUTION

         15.1 Causes. Each Partner expressly waives any right which he or it
might otherwise have to dissolve the Partnership except as set forth in this
Article. The Partnership shall be dissolved upon the first to occur of the
following:

              (a) The Approval by the Partners of an instrument dissolving the
         Partnership;

              (b) the occurrence of any other circumstance which, by law, would
         require that the Partnership be dissolved, including, but not limited
         to, the Bankruptcy, dissolution, removal, or any other occurrence which
         would legally disqualify the General Partner from acting hereunder;



                                       41
<PAGE>   43

              (c) The General Partner determines in its reasonable discretion,
         backed in all events by an unqualified opinion of outside legal counsel
         addressed to the Partnership and its Partners and reasonably acceptable
         to a majority of the Nonaffiliated Limited Partners, that a rule,
         ordinance, regulation, statute or government pronouncement has been
         enacted that would make any material aspect of this Agreement or the
         activities conducted by the Partnership unlawful or eliminate or
         substantially reduce, either directly or indirectly, the benefits that
         would accrue to the Partners (including the General Partner) with
         respect to continuing the Partnership's business operations, and that
         there is no reasonable way in which the Partnership's operations can be
         conformed to the requirements of said law; or

              (d) December 31, 2050.

         Nothing contained in Section 15.1(b) is intended to grant to any
Partner or Partners the right or power to dissolve the Partnership other than in
accordance with Sections 15.1(a), (c), and (d). Dissolution pursuant to Section
15.1(b) or other than in accordance with Sections 15.1(a), (c), and (d) shall be
considered breach of the Agreement if effected by the actions or inactions of
one or more Partners; and nothing herein shall exonerate any Partner from
liability to the Partnership and the remaining Partners if said Partner's
actions or inactions caused or impermissibly contributed to such a dissolution.

         15.2 Reconstitution. If the Partnership is dissolved as a result of an
event other than as permitted in Sections 15.1(a), (c), and (d), and the
Partnership may be continued if a successor general partner is selected, the
Partnership may be reconstituted and its business continued if, within ninety
(90) days after the date of dissolution, a majority of Nonaffiliated Limited
Partners affirmatively elect to reconstitute the Partnership, agree on the
identity of the new general partner or partners, and execute an instrument
confirming such facts. At such time, without the execution or delivery of
additional instruments, the GP Units held by the General Partner shall be
converted into interests of limited partner interest; the successor general
partner shall entitled (upon reaching a mutually satisfactory agreement with the
holder thereof) to acquire any Unit of Limited Partnership interest (which
acquired Units, upon such transfer, shall be deemed to have been converted into
Units representing a general partner's interest), and all provisions of this
Agreement restricting the General Partner to being Columbia or a Columbia
Affiliate, or permitting any transfer of GP Units to Columbia or Columbia
Affiliates, shall be deemed to have been deleted without the execution or
delivery of additional interests. If the Partnership is reconstituted, an
amendment to this Agreement shall be executed and an amended Certificate of
Limited Partnership filed of record.

         15.3 Interim Manager. If the Partnership is dissolved as a result of an
event described in Section 15.1(b), or otherwise, by reason of a breach by the
General Partner, Columbia, or any Columbia Affiliate, those Nonaffiliated
Limited Partners



                                       42
<PAGE>   44

who own Units representing a majority of the aggregate Partner's Sharing
Percentage of all of the Nonaffiliated Limited Partners may appoint an interim
manager of the Partnership, who shall have and may exercise only the rights,
powers and duties of a general partner necessary to preserve the Partnership
assets, under (a) the new general partner is elected under Section 15.2, if the
Partnership is reconstituted; or (b) a Liquidator is appointed under Article 16,
if the Partnership is not reconstituted. The interim manager shall not be liable
as a general partner to the Limited Partners and shall, while acting in the
capacity of interim manager on behalf of the Partnership, be entitled to the
same indemnification rights as are set forth for the General Partner above. The
interim manager appointed as provided herein shall be entitled to receive such
reasonable compensation for its services as may be agreed upon by such interim
manager and those Nonaffiliated Limited Partners who own Units representing a
majority of the aggregate Partner's Sharing Percentage of the Nonaffiliated
Limited Partners.

ARTICLE 16. WINDING UP AND TERMINATION

         16.1 General. If the Partnership is dissolved and is not reconstituted,
the General Partner (or in the event that the General Partner has withdrawn or
been expelled or is deemed to be in Bankruptcy, a Liquidator or liquidating
committee selected by those Limited Partners who own at least 67% of the
aggregate Partners' Sharing Percentage) shall commence to wind up the affairs of
the Partnership and to liquidate and sell the Partnership's assets. The party or
parties actually conducting such liquidation in accordance with the foregoing
sentence, whether the General Partner, a Liquidator or a liquidating committee,
is herein referred to as the "Liquidator." The Liquidator (if other than the
General Partner) shall have sufficient business expertise and competence to
conduct the winding up and termination of the Partnership and, in the course
thereof, to cause the Partnership to perform any contracts which the Partnership
has or thereafter enters into. The Liquidator shall have full right and
unlimited discretion to determine the time, manner and terms of any sale or
sales of Partnership property under such liquidation, having due regard for the
activity and condition of the relevant market and general financial and economic
conditions. The Liquidator (if other than the General Partner) appointed as
provided herein shall be entitled to receive such reasonable compensation for
its services as shall be agreed upon by the Liquidator and those Limited
Partners who own at least 67% of the aggregate



                                       43
<PAGE>   45

Partners' Sharing Percentage. If the General Partner serves as the Liquidator,
the General Partner shall not be entitled to receive any fee for carrying out
the duties of the Liquidator. The Liquidator may resign at any time by giving
fifteen (15) days prior written notice and may be removed at any time, with or
without cause, by written notice of Limited Partners who own at least 67% of the
aggregate Partners' Sharing Percentage. Upon the death, dissolution, removal or
resignation of the Liquidator, a successor and substitute Liquidator (who shall
have and succeed to all the rights, powers and duties of the original
Liquidator) will, within thirty (30) days thereafter, be appointed by those
Limited Partners who own at least 67% of the aggregate Partners' Sharing
Percentage, evidenced by written appointment and acceptance. The right to
appoint a successor or substitute Liquidator in the manner provided herein shall
be recurring and continuing for so long as the functions and services of the
Liquidator are authorized to continue under the provisions hereof, and every
reference herein to the Liquidator will be deemed to refer also to any such
successor or substitute Liquidator appointed in the manner herein provided. The
Liquidator shall have and may exercise, without further authorization or consent
of any of the parties hereto or their legal representatives or successors in
interest, all of the powers conferred upon the General Partner under the terms
of this agreement to the extent necessary or desirable in the good faith
judgment of the Liquidator to perform its duties and functions. The Liquidator
(if other than the General Partner) shall not be liable as a general partner to
the Limited Partners and shall, while acting in such capacity on behalf of the
Partnership, be entitled to the indemnification rights set forth above for the
General Partner.

         16.2 Court Appointment of Liquidator. If, within ninety (90) days
following the date of dissolution or other time provided in Section 15.1, a
Liquidator or successor Liquidator has not been appointed in the manner provided
therein, any interested party shall have the right to make application to any
United States Federal District Judge (in his individual and not judicial
capacity) for the District of Kansas sitting in Wichita for appointment of a
Liquidator or successor Liquidator, and the Judge, acting as an individual and
not in his judicial capacity, shall be fully authorized and empowered to appoint
and designate a Liquidator or successor Liquidator who shall have all the
powers, duties, rights and authority of the Liquidator herein provided.

         16.3 Liquidation. In the course of winding up and terminating the
business and affairs of the Partnership, the assets of the Partnership (other
than cash) shall be sold, its liabilities and obligations to creditors,
including any Partners who properly made loans to the Partnership as provided
above, and all expenses incurred in its liquidation shall be paid, and all
resulting items of Partnership income, gain, loss or deduction shall be credited
or charged to the Capital Accounts of the Partners in accordance with Articles 4
and 5. All Partnership property shall be sold upon liquidation of the
Partnership and no Partnership property shall be distributed in kind to the
Partners. Thereafter, all Partnership assets shall be distributed among the
Partners in the ratio of the then credit balances in their Capital Accounts.
Upon the completion of the liquidation of the Partnership and the distribution
of all the Partnership funds, the Partnership shall terminate and the General
Partner (or the Liquidator, as the case may be) shall have the authority to
execute and record all documents required to effectuate the dissolution and
termination of the Partnership.

         16.4 Creation of Reserves. After making payment or provision for
payment of all debts and liabilities of the Partnership and all expenses of
liquidation, the Liquidator may set up such cash reserves as the Liquidator may
deem reasonably



                                       44
<PAGE>   46

necessary for any contingent or unforeseen liabilities or obligations of the
Partnership.

         16.5 Final Statement. Within a reasonable time following the completion
of the liquidation, the Liquidator shall supply to each of the Partners a
statement which shall set forth the assets and the liabilities of the
Partnership as of the date of complete liquidation, each Partner's pro rata
portion of distributions under this Agreement, and the amount retained as
reserves by the Liquidator under this Agreement.

         16.6 Compliance with Timing Requirements of Regulations. In the event
the Partnership is "liquidated" within the meaning of Regulations Section 1.704
1(b)(2)(u)(g), (a) distributions shall be made pursuant to this Article to the
Partners who have positive Capital Accounts in compliance with Regulations
Section 1.704 1(b)(2)(ii)(b)(2), and (b) if the General Partner's Capital
Account has a deficit balance (after giving effect to all contributions,
distributions, and allocations for all taxable years, including the year during
which such liquidation occurs), the General Partner shall contribute to the
capital of the Partnership the amount necessary to restore such deficit balance
to zero in compliance with Regulations Section 1.704-l(b)(2)(ii)(b)(3). If any
Person who is not a General Partner has a deficit balance in his Capital Account
(after giving effect to all contributions, distributions and allocations for all
taxable years, including the year during which such liquidation occurs), such
Partner shall have no obligation to make any contribution to the capital of the
Partnership with respect to such deficit, and such deficit shall not be
considered a debt owed to the Partnership or any other Person for any purpose
whatsoever. In the discretion of the Liquidator, a pro rata portion of the
distributions that would otherwise be made to the Partners may instead be
distributed to a trust established for the benefit of the Partners for the
purposes of liquidating Partnership property, collecting amounts owed to the
Partnership, and paying any contingent or unforeseen liabilities or obligations
of the Partnership or of the Partners arising out of or in connection with the
Partnership. The assets of any such trust shall be distributed to the Partners
from time to time, in the reasonable discretion of the Liquidator, in the same
proportions as the amount distributed to such trust by the Partnership would
otherwise have been distributed to the Partners pursuant to this Agreement.

         16.7 Deemed Distribution and Recontribution. Notwithstanding any other
provision of this Article, in the event the Partnership is liquidated within the
meaning of Regulations Section 1.704-1(b)(2)(ii)(g) but no event described in
Section 15.1 has occurred, the Partnership's properties shall not be liquidated,
the Partnership's liabilities shall not be paid or discharged, and the
Partnership's affairs shall not be wound up. Instead, the Partnership shall be
deemed to have distributed the Partnership's properties in kind to the Partners,
who shall be deemed to have assumed and taken such assets subject to all
Partnership liabilities, all in accordance with their respective Capital
Accounts. Immediately thereafter,



                                       45
<PAGE>   47

the Partners shall be deemed to have recontributed the Partnership's properties
in kind to the Partnership, which shall be deemed to have assumed and taken such
assets subject to all such liabilities.

ARTICLE 17. POWER OF ATTORNEY

         17.1 General Partner as Attorney-in-Fact. Each Limited Partner hereby
makes, constitutes, and appoints the General Partner, with full power of
substitution and resubstitution, his true and lawful attorney-in-fact for him
and in his name, place, and stead and for his use and benefit to sign, execute,
certify, acknowledge, swear to, file, and record (a) this Agreement and all
agreements, certificates, instruments, and other documents amending or changing
this Agreement as now or hereafter amended which the General Partner may deem
necessary, desirable, or appropriate including, without limitation, amendments
or changes to reflect (i) the valid exercise by any General Partner of any power
granted to it under this Agreement; (ii) any amendments adopted by the Partners
in accordance with the terms of this Agreement; (iii) the valid admission of any
Substituted Limited Partner or Additional Limited Partner to the Partnership; or
(iv) the valid disposition by any Partner of his interest in the Partnership;
and (b) any certificates, instruments, or documents as may be required by, or
may be appropriate under, the laws of the State of Kansas.

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

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

              (b) may be exercised by any such attorney-in-fact by listing the
         Limited Partners executing any agreement, certificate, instrument, or
         other document with the single signature of any such attorney-in-fact
         acting as attorney-in-fact for such Limited Partners; and

              (c) shall survive the death, disability, legal incapacity,
         Bankruptcy, insolvency, dissolution, or cessation of existence of a
         Limited Partner and shall survive the delivery of an assignment by a
         Limited Partner of the whole or a portion of his interest in the
         Partnership, except that where the assignment is of such Limited
         Partner's entire interest in the Partnership and the assignee, with the
         consent of the General Partner, is admitted as a Substituted Limited
         Partner, the power of attorney shall survive the delivery of such
         assignment for the sole purpose of enabling any such attorney-in-fact
         to effect such substitution.



                                       46
<PAGE>   48

ARTICLE 18. MISCELLANEOUS

         18.1 Notices. All notices given pursuant to this Agreement shall be in
writing and shall be deemed effective when personally delivered or when placed
in the United States mail, registered or certified with return receipt
requested, or when sent by prepaid telegram or facsimile followed by
confirmatory letter. For purposes of notice, the addresses of the Partners shall
be as stated under their names on the attached Exhibit "A"; provided, however,
that each Partner shall have the right to change his address with notice
hereunder to any other location by the giving of thirty (30) days notice to the
General Partner in the manner set forth above.

         18.2 Governing Law. This Agreement shall be governed by and construed
in accordance with the substantive federal laws of the United States and the
laws of the State of Kansas, and the courts of competent jurisdiction, federal
and state, sitting in such State shall be the exclusive courts of jurisdiction,
and more particularly the federal courts in Wichita, Kansas, for venue purposes
and for litigation or other proceedings as between the parties that may be
brought, or arise out of, or by reason of this Agreement.

         18.3 Successors and Assigns. This Agreement shall be binding upon and
shall inure to the benefit of the Partners, and their respective heirs, legal
representatives, successors and permitted assigns; provided, however, that
nothing contained herein shall negate or diminish the transfer or other
restrictions set forth herein.

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

         18.5 Time. Time is of the essence with respect to this Agreement.

         18.6 Waiver of Partition. Notwithstanding any statute or principle of
law to the contrary, each Partner hereby agrees that, during the term of the
Partnership, he or it shall have no right (and hereby waives any right that he
or it might otherwise have had) to cause any Partnership property to be
partitioned and/or distributed in kind.

         18.7 Entire Agreement. This Agreement contains the entire agreement
among the Partners relating to the subject matter hereof, and all prior
agreements relative hereto which are not contained herein are terminated. This
Agreement



                                       47
<PAGE>   49

supersedes, amends and restates in its entirety the Limited Partnership
Agreement for the Partnership previously executed with the Original Limited
Partner.

         18.8 Amendments. Except as otherwise expressly provided in this
Agreement, amendments or modifications may be made to this Agreement only by
setting forth such amendments or modifications in a document Approved by the
Partners and any alleged amendment or modification herein which is not so
documented shall not be effective as to any Partner. The General Partner may,
without the consent of any Limited Partner, amend any provision of this
Agreement and execute, swear to, acknowledge, deliver, file and record whatever
documents may be required in connection therewith to reflect:

              (a) a change in the location of the principal place of business of
         the Partnership not inconsistent with the provisions of Section 3.2, or
         a change in the registered office or the registered agent of the
         Partnership;

              (b) admission of a Limited Partner into the Partnership or
         termination of any Limited Partner's interest in the Partnership in
         accordance with this Agreement;

              (c) qualification of the Partnership as a limited partnership
         under the laws of any state or that is necessary or advisable in the
         opinion of the General Partner to ensure that the Partnership will not
         be treated as an association taxable as a corporation for federal
         income tax purposes, provided, in either case, such action shall not
         adversely affect any Limited Partner;

              (d) a change (i) that is of an inconsequential nature and does not
         adversely affect the Limited Partners in any material respect; (ii)
         that is necessary or desirable to satisfy any requirements, conditions
         or guidelines contained in any opinion, directive, order, ruling or
         regulation of any federal or state agency or contained in any federal
         or state statute, compliance with any of which the General Partner
         deems to be in the best interest of the Partnership and the limited
         Partners; or (iii) that is required or contemplated by this Agreement;

              (e) an addition to the representations, duties, or obligations of
         the General Partner; or

              (f) a change to any provision in this Agreement required to be so
         changed by the staff of the Securities and Exchange Commission or other
         federal agency or by a State Securities Commissioner or similar
         official, which change is deemed by such commission, agency or official
         to be for the benefit or protection of the Limited Partners.



                                       48
<PAGE>   50

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

         18.9 Severability. This Agreement is intended to be performed in
accordance with, and only to the extent permitted by, all applicable laws,
ordinances, rules and regulations. Subject to the provisions of Section ?, if
any provision of this Agreement or the application thereof to any person or
circumstance shall, for any reason and to any extent, be invalid or
unenforceable, but the extent of such invalidity or unenforceability does not
destroy the basis of the bargain among the Partners as expressed herein, the
remainder of this Agreement and the application of such provision to other
persons or circumstances shall not be affected thereby, but rather shall be
enforced to the greatest extent permitted by law.

         18.10 Gender and Number. Whenever required by the context, as used in
this Agreement, the singular number shall include the plural and the neuter
shall include the masculine or feminine gender, and vice versa.

         18.11 Exhibits. Each Exhibit to this Agreement is incorporated herein
for all purposes.

         18.12 Additional Documents. Each Partner, upon the request of the
General Partner, agrees to perform all further acts and execute, acknowledge and
deliver any documents that may be reasonably necessary, appropriate or desirable
to carry out the provisions of this Agreement.

         18.13 Section Headings. The section headings appearing in this
Agreement are for convenience of reference only and are not intended, to any
extent or for any purpose, to limit or define the text of any section.

         18.14 Counterparts. This Agreement may be executed in counterparts,
each of which shall be an original but all of which shall constitute but one
document

         18.15 DCSF's Right of First Refusal. If the Partnership or the General
Partner receives or obtains an offer from a third-party to acquire in any manner
either

              (i) The Hospital (as defined in Article 1 above, being in general
         terms [without limitation] both the assets contributed to the
         Partnership by Western Plains Regional Hospital, Inc., together with
         all replacements and expansions thereof, and those assets contributed
         by Dodge City Outpatient Surgical Facility, Inc., together with all
         replacements and expansions thereof), or



                                       49
<PAGE>   51

              (ii) The SurgiCenter Assets (being the Facilities (as defined in
         the Contribution Agreement) together with all replacements and
         expansions thereof) which offer the General Partner intends to accept
         and has received approval to accept under Section 8.4, the General
         Partner shall promptly notify DCSF in writing of the offer received,
         including the name of the offeror, the proposed purchase price and the
         other terms and conditions of the offer. DCSF shall have the following
         option(s) for a period of thirty (30) days from the day it receives
         notice of such offer:

                  a. If an event described in Subsection (i) above has occurred,
              to agree to purchase the Hospital on the same terms and conditions
              contained in the offer, or

                  b. If an event described in either Subsection (i) or (ii)
              above has occurred, to agree to purchase only the Surgicenter
              Assets on the same terms and conditions as contained in the offer
              with respect to the Surgicenter Assets; provided that DCSF shall
              have a right to purchase the Surgicenter Assets separate from the
              remaining Hospital assets following an event described in
              Subsection (i) above only if it is reasonably practicable to
              allocate a portion of the offer for the Hospital to the
              Surgicenter Assets.

DCSF may exercise its option by notifying the General Partner prior to the end
of the thirty (30) day period of its intent to exercise the option. If DCSF
fails to or indicates in writing that it will not exercise the option within the
period provided, or if DCSF exercises the option but fails to effect the
purchase within the later of the period prescribed in such offer or a reasonable
time, the Partnership may convey or dispose of the assets which were the subject
of the offer, but only at the price, terms and conditions, and to the party
specified in the offer notice to DCSF. If terms and conditions more favorable to
the proposed purchaser than, or in any material manner different from, those
offered to DCSF should be agreed to by the Partnership or the General Partner
and such third party purchaser, DCSF shall again have the option to purchase the
Hospital (or the Surgicenter Assets, as the case may be) upon and subject to the
more favorable or different purchase terms in accordance with this Section.
Neither DCSF, the General Partner, nor the Partnership shall be liable or
accountable to any Limited Partner for any loss, damage, expense, cost, or
liability resulting from DCSF's exercise or failure to exercise the purchase
option under this Section, delay in notifying the General Partner of DCSF's
intention not to exercise the purchase option, or its enforcement of the
requirements of this Section in the event that it elects not to exercise the
purchase option.





                                       50
<PAGE>   52

         IN WITNESS WHEREOF, the Partners have executed this Agreement on this
first day of March, 1995.


                                   GENERAL PARTNER:

                                   Columbia/HCA of Dodge City, Inc.



                                   By:
                                       -----------------------------------------

                                   ORIGINAL LIMITED PARTNER

                                   American Medicorp Development Co.



                                   By:
                                       -----------------------------------------

                                   LIMITED PARTNERS:
                                   Western Plains Regional Hospital, Inc.



                                   By:
                                       -----------------------------------------


                                   Dodge City Outpatient Surgery Facility, Inc.



                                   By:
                                       -----------------------------------------




                                       51
<PAGE>   53

                                    EXHIBIT A

<TABLE>
<CAPTION>
                                                    CAPITAL
GENERAL PARTNER                                     CONTRIBUTION         UNITS
---------------                                     ------------         -----

<S>                                                 <C>                  <C>
Columbia/HCA of Dodge City, Inc.                        $125,000           10

                                                    CAPITAL
CLASS A LIMITED PARTNERS                            CONTRIBUTION         UNITS
------------------------                            ------------         -----

N/A

                                                    CAPITAL
CLASS B LIMITED PARTNERS                            CONTRIBUTION         UNITS
------------------------                            ------------         -----

Dodge City Outpatient Surgical Facility, Inc.         $3,375,000          270

                                                    CAPITAL
CLASS C LIMITED PARTNERS                            CONTRIBUTION         UNITS
------------------------                            ------------         -----

Western Plains Regional Hospital, Inc.                $1,250,000          100

                                                    CAPITAL
CLASS D LIMITED PARTNERS                            CONTRIBUTION         UNITS
------------------------                            ------------         -----

Western Plains Regional Hospital, Inc.                $6,500,000          520
</TABLE>