Document:

<PAGE>   1
                                                                   EXHIBIT 10.23

                                  AMENDMENT TO
                             OPERATING AGREEMENT OF
                   HEART HOSPITAL OF DTO, LLC (the "Company")

         THIS AMENDMENT to the Operating Agreement of the Company is effective
as of October 1, 2000 (the "Amendment").

         This Amendment is made under the terms of Section 11.1(e) of the
Operating Agreement in order to ensure that the Company remains in compliance
with all federal and state laws, rules, regulations and interpretations thereof.
The undersigned have also determined that this Amendment will not materially
reduce the economic return on investment in the Company to any of its Members.

         Accordingly, the Operating Agreement is hereby amended as follows:

         1.       A new Section 5.17 is hereby added to the Operating Agreement
                  as follows:

                           SECTION 5.17      Guarantee Fee. In the event that
                  any Member of the Company or its Affiliates provide a
                  guarantee of any indebtedness of the Company which is
                  acceptable to and required by the Company's lenders
                  ("Guarantor Members") and such guarantees are not provided on
                  a pro rata basis by all other Members of the Company (the
                  "Nonguarantor Members"), then the Guarantor Members shall be
                  paid an annual guarantee fee equal to (a) the amount of such
                  indebtedness which is guaranteed by the Guarantor Members or
                  its Affiliates, multiplied by (b) .0075, multiplied by (c) the
                  percentage Membership Interest in the Company owned by the
                  Nonguarantor Members (the "Guarantee Fee"). The Guarantee Fee
                  shall be paid quarterly and the expense thereof shall be
                  allocated to the Nonguarantor Members as follows:

                                    (a)      The Guarantee Fee shall be deducted
                           from the Cash Distributions otherwise distributable
                           to the Nonguarantor Members and shall be paid to the
                           Guarantor Members;

                                    (b)      To the extent that at the time such
                           Guarantee Fee is due to be paid hereunder there are
                           no anticipated Cash Distributions, then the Company
                           shall pay such Guarantee Fee to the Guarantor Members
                           and the amount of such payments shall be charged to
                           the Capital Accounts of the Nonguarantor Members;

                                    (c)      When Cash Distributions become
                           available for distribution to the Members in the
                           future, the Cash Distributions otherwise
                           distributable to the Nonguarantor Members shall first
                           be retained by the Company to the extent that amounts
                           were previously charged to the

<PAGE>   2

                           Capital Accounts of the Nonguarantor Members in
                           accordance with (b) above and any remaining Cash
                           Distributions shall be distributed to the Members in
                           accordance with Section 6.1.

         2.       Section 6.1 shall be deleted in its entirety and the following
                  new Section 6.1 shall be substituted in lieu thereof:

                           SECTION 6.1       Distributions of Cash Flow from
                  Operations and Cash from Sales or Refinancing. Prior to the
                  dissolution of the Company, Cash Flow from Operations and Cash
                  from Sales or Refinancing, if any, remaining after repayment
                  of any amounts then due on loans made by the Members to the
                  Company, shall be distributed quarterly by the Managers as
                  Cash Distributions according to the relative percentage
                  Membership Interests of the Members and Economic Interest
                  Owners; provided, however, that to the extent possible, any
                  Guarantee Fee shall be deducted from the Cash Distributions
                  otherwise distributable to the Nonguarantor Members and paid
                  to the Guarantor Members as set forth in Section 5.17.
                  Notwithstanding anything herein to the contrary, no
                  distributions shall be made to Members if prohibited by the
                  Act.

         3.       The opening phrase of Section 6.2 shall be deleted and the
                  following shall be substituted in lieu thereof:

                           SECTION 6.2       Profits. Except as provided in the
                  Regulatory Allocation Exhibit and subject to Section 6.6,
                  Profits shall be allocated as follows:

         4.       The opening phrase of Section 6.3 shall be deleted and the
                  following shall be substituted in lieu thereof:

                           SECTION 6.3       Losses. Except as provided in the
                  Regulatory Allocation Exhibit and subject to Section 6.6,
                  Losses shall be allocated as follows:

         5.       The following shall be added as a new Section 6.6:

                           SECTION 6.6.      Special Allocations of Guarantee
                  Fees. Any and all deductions, losses or reductions to Capital
                  Accounts attributable to the payment by the Company of
                  Guarantee Fees shall be allocated to the Nonguarantor Members
                  in accordance with their relative percentage Membership
                  Interests.

         6.       Section 7.3(b)(ii) shall be deleted in its entirety and the
                  following new section shall be substituted in lieu thereof:

                                    (ii)     To the payment of all debts and
                           liabilities (including interest), and further
                           including without limitation any accrued but unpaid
                           Guarantee Fees, owed to the Members or their
                           Affiliates as creditors; and

Except as provided herein, the Operating Agreement shall remain in full force
and effect.

                                       2<PAGE>   1
                                                                   EXHIBIT 10.24

                       AMENDMENT TO OPERATING AGREEMENT OF
                           HEART HOSPITAL OF DTO, LLC

         THIS AMENDMENT (the "Amendment") to the Operating Agreement (the
"Operating Agreement") of Heart Hospital of DTO, LLC (the "Company") is made and
entered pursuant to Section 11.2 of the Operating Agreement.

                                    RECITALS

         WHEREAS, the Members desire to amend the Operating Agreement in
accordance with the terms of this Amendment.

         NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency which is hereby acknowledged, the Members agree as follows:

         1.       The following provision is hereby inserted as the third
paragraph of Section 8.4 of the Operating Agreement:

                  Notwithstanding anything herein to the contrary, in the event
         that no later than December 31, 2001 MedCath Holdings, Inc. ("MHI") or
         one of MHI's Affiliates conducts an underwritten public offering of the
         common stock of MHI or its Affiliate pursuant to an effective
         registration statement under the Securities Act of 1933, as then in
         effect, and MHI or MHI's Affiliate offers shares of its common stock or
         cash to any Member in exchange for such Member's Membership Interest or
         a portion thereof (the "Exchange"), MHI and its Affiliates and the
         Member may, notwithstanding the terms of this Agreement, engage in such
         Exchange upon such terms as the Member and MHI or MHI's Affiliate may
         mutually agree, and the Exchange shall not be subject to any
         restrictions on the transfer of Membership Interests or rights of first
         refusal of the Company or of any other Member set forth in this
         Agreement, including, but not limited to, those restrictions set forth
         in this Section 8.4.

         2.       All terms not defined herein shall have the meaning provided
therefor in the Operating Agreement.

         3.       Except as expressly provided herein, all terms and conditions
of the Operating Agreement shall remain in full force and effect.

         4.       This Amendment shall be effective when approved by the Members
in accordance with Section 11.2 of the Operating Agreement.

         IN WITNESS WHEREOF, the Members have approved and consented to this
Amendment as of the 12th day of April, 2001.<PAGE>   1
                                                                   EXHIBIT 10.25

                               OPERATING AGREEMENT
                                       OF
                        HEART HOSPITAL OF NEW MEXICO, LLC
                     A NEW MEXICO LIMITED LIABILITY COMPANY

<PAGE>   2

                                TABLE OF CONTENTS
                                     TO THE
                               OPERATING AGREEMENT
                                       OF
                        HEART HOSPITAL OF NEW MEXICO, LLC
                     A NEW MEXICO LIMITED LIABILITY COMPANY

<TABLE>
<S>                                                                                                                            <C>
ARTICLE I  DEFINITIONS  ..................................................................................................      1
ARTICLE II  FORMATION AND AGREEMENT OF LIMITED LIABILITY COMPANY..........................................................      2
     Section 2.1      Company Formation: Effective Date ..................................................................      2
     Section 2.2      Name of Company ....................................................................................      2
     Section 2.3      Purposes and Business Objectives ...................................................................      2
     Section 2.4      Statement of Philosophy and Values .................................................................      3
     Section 2.5      Registered Agent and Office; Principal Place of Business ...........................................      4
     Section 2.6      Commencement and Term ..............................................................................      4

ARTICLE III  MEMBERS AND CAPITAL CONTRIBUTIONS............................................................................      4
     Section 3.1      Names and Addresses of Members .....................................................................      4
     Section 3.2      Initial Capital Contributions of Members ...........................................................      4
     Section 3.3      Liability of Members - For Capital .................................................................      5
     Section 3.4      Maintenance of Capital Accounts: Withdrawals of Capital ............................................      5
     Section 3.5      Interest on Capital Contributions or Capital Accounts ..............................................      5
     Section 3.6      Additional Funding .................................................................................      5
     Section 3.7      Enforcement of Commitments .........................................................................      7
     Section 3.8      Reserved Powers of Members .........................................................................      7
     Section 3.9      Other Business of Members ..........................................................................      8
     Section 3.10.    Appointment of Board of Directors ..................................................................     10

ARTICLE IV  MANAGEMENT OF THE COMPANY.....................................................................................     11
     Section 4.1      General Authority and Powers of Board of Directors .................................................     11
     Section 4.2      Restrictions on Authority of the Board of Directors ................................................     11
     Section 4.3      Duties of the Board of Directors ...................................................................     12
     Section 4.4      Delegation by the Board of Directors ...............................................................     13
     Section 4.5      Right to Rely Upon the Authority of the Manager ....................................................     13
     Section 4.6      No Management by Members ...........................................................................     13
     Section 4.7      Consent by Members to Exercise of Certain Rights and Powers by Board of Directors ..................     14
     Section 4.8      Meetings, Quorum and Vote of the Board of Directors ................................................     14
     Section 4.9      Board of Directors' Standard of Care ...............................................................     15
     Section 4.10.    Limitation of Liability ............................................................................     15
     Section 4.11.    Indemnification of Directors .......................................................................     15

ARTICLE V  DISTRIBUTIONS AND ALLOCATIONS..................................................................................     16
     Section 5.1      Distributions of Cash Flow from Operations and Cash from Sales or Refinancing ......................     16
     Section 5.2      Profits ............................................................................................     16
     Section 5.3      Losses .............................................................................................     17
     Section 5.4      Code Section 704(c) Tax Allocations ................................................................     17
     Section 5.5      Miscellaneous ......................................................................................     17
</TABLE>

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<PAGE>   3

<TABLE>

<S>                                                                                                                            <C>
ARTICLE VI  DISSOLUTION, WINDING UP AND LIQUIDATING DISTRIBUTIONS.........................................................     18
     Section 6.1      No Termination by Certain Acts of Member ...........................................................     18
     Section 6.2      Dissolution ........................................................................................     18
     Section 6.3      Dissolution and Final Liquidation ..................................................................     19
     Section 6.4      Termination ........................................................................................     20
     Section 6.5      Payment in Cash ....................................................................................     20
     Section 6.6      Goodwill and Trade Name ............................................................................     20
     Section 6.7      Termination of Noncompetition Covenants ............................................................     20

ARTICLE VII  REMOVAL OR WITHDRAWAL OF MEMBERS AND.........................................................................     21
TRANSFER OF MEMBERS' MEMBERSHIP AND/OR ECONOMIC INTERESTS.................................................................     21
     Section 7.1      Withdrawal of Member ...............................................................................     21
     Section 7.2      Conditions Precedent to Transfer of Membership Interest ............................................     22
     Section 7.3      Substitute Member - Conditions to Fulfill ..........................................................     22
     Section 7.4      Allocations Between Transferor and Transferee ......................................................     22
     Section 7.5      Rights, Liabilities of, and Restrictions on Assignee ...............................................     23
     Section 7.6      Repurchase of Interests in Certain Event ...........................................................     23

ARTICLE VIII  RECORDS, ACCOUNTINGS AND REPORTS............................................................................     24
     Section 8.1      Books of Account ...................................................................................     24
     Section 8.2      Access to Records ..................................................................................     24
     Section 8.3      Bank Accounts and Investment of Funds ..............................................................     24
     Section 8.4      Fiscal Year ........................................................................................     24
     Section 8.5      Accounting Reports .................................................................................     24
     Section 8.6      Tax Returns ........................................................................................     25

ARTICLE IX  MEETINGS AND VOTING RIGHTS OF MEMBERS.........................................................................     25
     Section 9.1      Meetings ...........................................................................................     25
     Section 9.2      Voting Rights of Members ...........................................................................     26

ARTICLE X  AMENDMENTS ....................................................................................................     26
ARTICLE XI  MISCELLANEOUS ................................................................................................     27

     Section 11.1.    Waiver of Provisions ...............................................................................     27
     Section 11.2.    Interpretation and Construction ....................................................................     27
     Section 11.3.    Governing Law ......................................................................................     27
     Section 11.4.    Partial Invalidity .................................................................................     27
     Section 11.5.    Binding on Successors ..............................................................................     27
     Section 11.6.    Notices and Delivery ...............................................................................     27
     Section 11.7.    Counterpart Execution: Facsimile Execution .........................................................     28
     Section 11.8.    Statutory Provision ................................................................................     28
     Section 11.9.    Waiver of Partition ................................................................................     28
     Section 11.10    Change In Law ......................................................................................     28
     Section 11.11    Investment Representations of the Members ..........................................................     29
     Section 11.12    Exhibits ...........................................................................................     30
</TABLE>

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<PAGE>   4
                               OPERATING AGREEMENT
                                       OF
                        HEART HOSPITAL OF NEW MEXICO, LLC
                     A New Mexico Limited Liability Company

         THESE SECURITIES ARE BEING ISSUED PURSUANT TO AN EXEMPTION FROM
REGISTRATION UNDER THE SECURITIES ACT OF 1933 AND THE NEW MEXICO SECURITIES ACT
IN RELIANCE UPON THE REPRESENTATION OF EACH PURCHASER OF THE SECURITIES THAT THE
SAME ARE BEING ACQUIRED FOR INVESTMENT PURPOSES. THESE SECURITIES MAY
ACCORDINGLY NOT BE RESOLD OR OTHERWISE TRANSFERRED OR CONVEYED IN THE ABSENCE OF
REGISTRATION OF THE SAME PURSUANT TO THE APPLICABLE SECURITIES LAWS UNLESS AN
OPINION OF COUNSEL SATISFACTORY TO THE COMPANY IS FIRST OBTAINED THAT SUCH
REGISTRATION IS NOT THEN NECESSARY. ANY TRANSFER CONTRARY HERETO SHALL BE VOID.

         THIS OPERATING AGREEMENT (the "Agreement") of Heart Hospital of New
Mexico, LLC (the "Company"), a New Mexico Limited Liability Company, is made and
entered into by and among Persons whose names, addresses and taxpayer
identification numbers are listed on the Information Exhibit (Exhibit B).

                                    RECITALS

         A.       The Company has been formed to develop, own and operate an
acute care hospital, located in Albuquerque, New Mexico and specializing in all
aspects of cardiology and cardiovascular care and surgery which the Board of
Directors may agree upon;

         B.       It is intended that the hospital will be a cost effective,
high quality provider of medical services within New Mexico in a manner which is
consistent with the national health care goals of lowering the costs of health
care;

         C.       The Capital Contributions and active involvement of the
Members are necessary to enable the Company to achieve its objectives.

                                    ARTICLE I

                                   DEFINITIONS

         Unless otherwise indicated, capitalized words and phrases in this
Operating Agreement shall have the meanings set forth in the attached Glossary
of Terms (Exhibit C).

<PAGE>   5

                                   ARTICLE II

              FORMATION AND AGREEMENT OF LIMITED LIABILITY COMPANY

         SECTION 2.1       COMPANY FORMATION: EFFECTIVE DATE.

         The Company was formed upon the filing of the Articles of Organization
with the New Mexico State Corporation Commission in accordance with the
provisions of the Act. Upon the effectiveness of this Agreement, the Persons
listed on the attached Information Exhibit (Exhibit B) shall be admitted to the
Company as Members and the Persons who executed the Articles shall be withdrawn
as Members (unless they are listed on the Information Exhibit), all without the
necessity of any further act or instrument and without causing the dissolution
of the Company. The Company shall cause to be executed all other such
certificates or documents, and shall do or cause to be done all such filing,
recording, or other acts, as may be necessary or appropriate from time to time
to comply with the requirements of law for the continuation and/or operation of
a limited liability company in the State of New Mexico and other documents to
reflect the admission of additional Members to the Company. The Agreement shall
be effective as of the date the Company was formed.

         SECTION 2.2       NAME OF COMPANY.

         The name of the Company is Heart Hospital of New Mexico, LLC.

         SECTION 2.3       PURPOSES AND BUSINESS OBJECTIVES.

         The principal purposes and business objectives of the Company are as
follows:

                  (a)      To develop, own and operate a Hospital specializing
         in the diagnosis and treatment of cardiac and vascular diseases in
         Albuquerque, New Mexico, which includes, but is not limited to, the
         following:

                           (i)      Services and facilities which meet the
         requirements of the State of New Mexico, Medicare, JCAHO and other
         agencies for licensing, credentialing and certification as a general
         acute care hospital specializing in cardiology and cardiovascular and
         vascular surgical services of every type or nature and to be eligible
         to obtain appropriate reimbursements therefor;

                           (ii)     Approximately 90,000 square feet in a
         building to be constructed in accordance with plans and specifications
         approved by the Company;

                           (iii)    Approximately 60 medical/surgical beds;

                           (iv)     Five heart catheterization laboratories
         with available space for one additional heart catheterization lab;

                                       2
<PAGE>   6

                           (v)      Three heart surgical suites with space for
         the development of one additional heart surgical suite; and

                           (vi)     All appropriate support services and
         systems;

         (The above size, number and scope of facilities of the Hospital are
only preliminary estimates. The Board of Directors are authorized to finally
make all determinations with respect thereto.)

                  (b)      To acquire real property and to construct a suitable
         building in which the Hospital shall be located;

                  (c)      Any other purpose reasonably related to (a) and (b)
         above.

         SECTION 2.4       STATEMENT OF PHILOSOPHY AND VALUES.

         The Company and the Hospital shall be operated in accordance with the
following philosophy and values at all times:

                  (a)      As part of the annual operating budget, the Board

         shall include a level of indigent care to be provided to those patients
         who are unable to pay for Hospital care;

                  (b)      The Hospital shall participate in all public health
         care financing programs applicable to its business including the
         Medicare and Medicaid programs;

                  (c)      The medical staff of the Hospital shall be open to
         any physician who meets the qualifications stated in the Bylaws, Rules
         and Regulations of the Medical Staff;

                  (d)      The Company shall adopt and adhere to a conflict of
         interest policy with respect to contracts between the Company and
         Members or Directors requiring full disclosure of all conflicts;

                  (e)      Within the first two years of its operation, the
         Company shall adopt and thereafter adhere to a Corporate Compliance
         Program to assure compliance with all State and federal laws governing
         the delivery of health care services;

                  (f)      The Company and the Hospital shall be operated in
         accordance with the Ethical and Religious Directives for Catholic
         Health Care Facilities; and

                  (g)      All medical decisions and all policies and procedures
         relating to the delivery of medical services at the Hospital shall be
         made by those physicians who are members of the medical staff of the
         Hospital as provided in the Bylaws, Rules and Regulations of the
         medical staff.

                                       3
<PAGE>   7

         SECTION 2.5       REGISTERED AGENT AND OFFICE; PRINCIPAL PLACE OF
         BUSINESS.

         The registered agent and office of the Company shall be as indicated in
the Articles of Organization, as amended from time to time. The principal place
of business of the Company shall be at such location in Albuquerque, New Mexico
as selected by the Board of Directors from time to time.

         SECTION 2.6       COMMENCEMENT AND TERM.

         The Company commenced on the filing of the Articles of Organization in
the Office of the New Mexico State Corporation Commission, as required by
Section 2.1 hereof, and shall continue until December 31, 2097 or until
terminated or dissolved as provided herein.

                                   ARTICLE III

                        MEMBERS AND CAPITAL CONTRIBUTIONS

         SECTION 3.1       NAMES AND ADDRESSES OF MEMBERS.

         The names and addresses of the Members are as indicated on the
Information Exhibit (Exhibit B), attached hereto and as amended from time to
time.

         SECTION 3.2       INITIAL CAPITAL CONTRIBUTIONS OF MEMBERS.

         The Members shall make the following initial Capital Contributions,
which may be paid in two equal installments, with the first installment due on
January 1, 1998 and the second installment due on or before April 1, 1998:

                  (a)      SWCA, LLC shall own a fifteen percent (15%)
         Membership Interest in the Company and shall contribute to the Company
         for its Membership Interest the sum of Six Hundred Thousand and No/100
         Dollars ($600,000.00);

                  (b)      NMHI, LLC shall own a twenty-six percent (26%)
         Membership Interest in the Company and shall contribute to the Company
         for its Membership Interest the sum of One Million Forty Thousand and
         No/100 Dollars ($1,040,000.00);

                  (c)      St. Joseph Healthcare System shall own a thirty-five
         percent (35%) Membership Interest in the Company and shall contribute
         to the Company for its Membership Interest the sum of One Million Four
         Hundred Thousand and No/100 Dollars ($1,400,000.00); and

                  (d)      NM Hospital Management, Inc. ("NMHM") shall own a
         twenty-four percent (24%) Membership Interest in the Company and shall
         contribute to the Company

                                       4
<PAGE>   8

         for its Membership Interest the sum of Nine Hundred Sixty Thousand and
         No/100 Dollars ($960,000.00).

         SECTION 3.3       LIABILITY OF MEMBERS - FOR CAPITAL.

         The liability of each Member for capital shall be limited to the amount
of its agreed Capital Contribution as a Member as provided in Section 3.2 and
Section 3.6. The Members shall not be required to contribute any additional
capital to the Company except as provided in Section 3.6.

         SECTION 3.4       MAINTENANCE OF CAPITAL ACCOUNTS: WITHDRAWALS OF
         CAPITAL.

         An individual Capital Account shall be maintained for each Member in
accordance with requirements of the Code and the Regulations promulgated
thereunder. No Member shall be entitled to withdraw or to make demand for
withdrawal of any part of its Capital Account or to receive any distribution
except as provided herein. Each Member shall look solely to the assets of the
Company for the return of its Capital Contributions and shall have no right or
power to demand or receive property other than cash from the Company. No Member
shall have priority over any other Member as to the return of its Capital
Contributions, distributions or allocations, except as provided in this
Agreement.

         SECTION 3.5       INTEREST ON CAPITAL CONTRIBUTIONS OR CAPITAL
         ACCOUNTS.

         No interest shall be paid to any Member based solely on its Capital
Contributions or Capital Account.

         SECTION 3.6       ADDITIONAL FUNDING.

         If from time to time, the Board of Directors determines that funds in
addition to those contemplated by Sections 3.2 are necessary or appropriate for
the development or operation of the Hospital, then:

                  (a)      First, the Board shall instruct the Manager to use
         commercially reasonable efforts to arrange a loan for the Company of
         such funds from a bank or other lender (which could include a Member)
         on terms and conditions reasonably acceptable to the Board of
         Directors. All Members agree to pledge their Membership Interests, if
         required by lenders or lessors, to secure Company's financing. The
         Board of Directors shall obtain such loans without the requirement of
         guarantees by the Members if it is economically feasible to do so.

                           (i)      If loan guarantees are required for
         financing the construction and equipping of the Hospital, each Member
         agrees to provide the required guarantee. The aggregate amount of the
         loans for the construction and equipping of the hospital (and the
         commensurate aggregate amount of the guarantees) shall not exceed $45
         million. The guarantees shall be several and in proportion to the
         equity interest of the Member. Each Member shall provide its guarantee
         promptly and in the form reasonably approved by the

                                       5
<PAGE>   9

         Board of Directors and required by the lenders or lessors to the
         Company. Each Member agrees to promptly provide financial statements
         and other information customarily required by the lender or lessor.

                           (ii)     Other than as required to finance the
         construction and equipping of the Hospital, no Member is required to
         guarantee any other loan to the Company.

                  (b)      Second, if loans as provided in (a) above are not
         available, the Board of Directors shall request in writing that the
         Members contribute additional capital to the Company in proportion to
         their respective Membership Interests. Each Member may elect whether or
         not to contribute its proportionate share of the additional Capital
         Contribution. Membership Interests shall be adjusted as necessary as
         provided in (c)(i) below.

                  (c)      Third, if the Board determines that adequate funds
         are not available under (a) or (b) above, the Board shall so notify all
         of the Members. Any Member shall then have the right to contribute all
         or some portion of the additional funds required. If more than one
         Member elects to advance the funds to the Company, preference will be
         given to maintaining the relative equity interests of the Members
         making the additional contributions in the Company. In the event that
         either SWCA, LLC or NMHI, LLC does not elect to make all of its
         proportionate share of additional Capital Contributions which its is
         entitled to make under (b) above, then the other of them shall have the
         first opportunity to make the pro rata Capital Contribution which such
         noncontributing Member declined to make pursuant to (b) above.
         Thereafter the other Members may elect to contribute such amounts. Each
         contributing Member shall be entitled at its election to treat the
         amounts contributed pursuant to this Section either as a Capital
         Contribution or as a loan from the contributing Member to the Company.

                           (i)      If the contributing Member elects to
         contribute the amount as a Capital Contribution, the percentage
         Membership Interests of the Members shall again be adjusted
         proportionately. As a Member's Membership Interest in the Company
         increases or decreases by ten percentage points (e.g., from 30% to 40%
         or 25% to 15%) the Member shall gain or lose the right to appoint one
         Board member for each ten percent increase or decrease as the case may
         be.

                           (ii)     If the contributing Member elects to
         contribute such amount as a loan to the Company, the loan shall bear
         interest as agreed by the Contributing Member and the Company. The loan
         shall be a general obligation of the Company, but repaid before a cash
         distribution, other than a required minimum distribution under Section
         5.1, is made to any of the Members.

                  (d)      Fourth, if funds are not available in accordance with
         (a), (b) or (c) above, then the Board of Directors may elect to
         dissolve the Company.

                                       6
<PAGE>   10

                  (e)      All adjustments to Membership Interests as provided
         in this Section 3.6 shall be made based solely upon the actual total
         Capital Contributions made by the Members as of the date of each such
         adjustment.

         SECTION 3.7       ENFORCEMENT OF COMMITMENTS.

         In the event any Member (a "Delinquent Member") fails to make a
mandatory Capital Contribution as provided in Section 3.2 or an optional Capital
Contribution as agreed to by the Member under Section 3.6 (the "Commitment"),
the Board of Directors shall give the Delinquent Member a Notice of the failure
to meet the Commitment. If the Delinquent Member fails to perform the Commitment
(including any costs associated with the failure to meet the Commitment and
interest on such obligation at the Default Interest Rate) within ten (10)
business days of the giving of Notice, the Board of Directors shall give notice
of such failure to the other Members. The other Members may elect to contribute
additional amounts equal to any amount of the Commitment not contributed by such
Delinquent Member. The contributing Member shall be entitled at its election to
treat the amounts contributed pursuant to this Section either (i) as a Capital
Contribution of the contributing Member or (ii) as a loan from the contributing
Member to the Delinquent Member bearing interest at the Default Rate secured by
the Delinquent Member's Interest in the Company and the proceeds of which loan
shall be applied to meet the Delinquent Member's commitment. If the contributing
Member elects to contribute such amount as a Capital Contribution, the
percentage Membership Interests of the Members shall be adjusted
proportionately. Until the contributing Member is fully repaid for such loan
made as a result of the default by the Delinquent Member, the contributing
Member shall be entitled to all distributions to which the Delinquent Member
would have been entitled had such Commitment been fulfilled thereby, and any
such distribution shall be applied first to accrued interest and then to
principal in repayment of the loan. Notwithstanding the foregoing, no Commitment
or other obligation to make an additional Capital Contribution may be enforced
by a creditor of the Company unless the Member expressly consents to such
enforcement or to the assignment of the obligation to such creditor.

         SECTION 3.8       RESERVED POWERS OF MEMBERS.

         The following actions are the only actions which can be taken by the
Members and shall require the unanimous consent of the Members:

                  (a)      Amendments to or waivers of the rights and
         obligations provided by the Articles of Organization or this Operating
         Agreement;

                  (b)      A merger, consolidation, liquidation, or similar
         reorganization or transfer of a substantial portion of the Company's
         assets;

                  (c)      A sale, lease encumbrance or other transfer of all or
         substantially all of the Company's assets, except for encumbrances
         incurred in connection with financing provided to the Company;

                                       7
<PAGE>   11

                  (d)      Creation by the Company of subsidiaries and/or
         establishment of corporate joint ventures or interest in partnerships
         or limited liability companies;

                  (e)      Election of new Members into the Company;

                  (f)      Any alteration or amendment of the Company's
         Statement of Philosophy and Values;

                  (g)      Dissolution of the Company for reasons other than
         those expressly delegated to the Board of Directors; and

                  (h)      Any action, which in the opinion of counsel, would
         substantially jeopardize the status of SJHS as a corporation exempt
         from taxes under Section 501(c)(3) of the Code or would prevent it from
         receiving referrals of patients.

         SECTION 3.9       OTHER BUSINESS OF MEMBERS.

                  (a)      Subject to (b) below, any Member may engage
         independently or with others in other business ventures of every nature
         and description, including without limitation the purchase of medical
         equipment, the rendering of medical services of any kind, and the
         making or management of other investments and neither the Company nor
         any Member shall have any right by virtue of this Agreement or the
         relationship created hereby in or to such other ventures or activities
         or to the income or proceeds derived therefrom, and the pursuit of such
         ventures.

                  (b) As long as a Member owns a Membership Interest in the
         Company, and for a period of five (5) years after a Member ceases for
         any reason to own a Membership Interest in the Company, neither such
         Member nor any of its Affiliates shall do any of the following:

                           (i)      hold, directly or indirectly, any investment
         ownership or other beneficial equity interest in, or be associated in a
         consulting, management or advisory role with, any hospital or other
         facility specializing primarily in the diagnosis or treatment of
         cardiac or vascular disease within the Territory;

                           (ii)     hold, directly or indirectly, any investment
         ownership or other beneficial equity interest in, or be associated in a
         consulting, management or advisory role with any Entity, hospital or
         sole proprietorship which provides any of the following services or
         facilities: cardiac catheterization, cardiac or peripheral angioplasty,
         atherectomy, stenting or cardiac or vascular surgical procedures
         ("Cardiac Services") within a fifty (50) mile radius of the Hospital;

                                       8
<PAGE>   12

                  Except that,

                           (A)      nothing herein shall prevent a Member who is
a medical group, its Affiliates or employed physicians from having medical staff
privileges and participating fully as a member of the medical staff (including
service on committees and medical directorships, which do not violate the terms
of any other agreement to which a Member or its Affiliates are bound) of any
hospital or medical facility in the Territory, or from providing any diagnostic
procedures customarily performed on an outpatient basis in medical offices or
cardiac rehabilitation services;

                           (B)      nothing herein shall prevent any Member who
owns or operates a hospital, directly or through an Affiliate, within the
Territory at the time of the formation of the Company from (i) continuing to
provide diagnostic cardiac catheterization and such other Cardiac Services as
are necessary to provide emergency care within the standard of the community or
to stabilize the medical condition of its patients in preparation for transfer
to another facility for treatment of the cardiac condition, (ii) providing
peripheral angioplasty, peripheral stenting and vascular surgery as long as such
procedures are not being performed on patients who have been admitted to the
Member's hospital primarily for treatment of any cardiac disease or condition,
or (iii) continuing to provide all cardiology and cardiovascular services
currently offered by such Member until the earlier to occur of the date on which
sixty-six percent (66%) of the Hospital's beds are open and ready to receive
patients or the date which is forty-five (45) days after Medicare certification
of the Hospital, on which date this subsection (B)(iii) shall be deemed to be
deleted from this Agreement;

                           (C)      a Member who is a nonprofit corporation may
acquire or become affiliated with other corporations which operate general
hospitals that provide or may provide Cardiac Services in the Territory but
outside the 50 mile radius of the Hospital. Within a 50 mile radius of the
Hospital, a Member who is a nonprofit corporation may (a) acquire, manage or
become affiliated with other entities which operate general hospitals providing
Cardiac Services, as of the date hereof, and (b) acquire, affiliate with or
manage a program which provides Cardiac Services on behalf of an entity which
operates, as of the date hereof, such a program (including any cardiac program
related to Section 3.9(b)(ii)(C)(a), so long as in any event the nonprofit
Member uses its reasonable effort to provide either the Hospital or each of
SWCA, LLC, NMHI, LLC and NMHM with an opportunity to participate therein.
Provided, however, no such nonprofit Member may initiate, or be involved with
the initiation of, any new Cardiac Services at its existing hospital or at any
such other affiliated or acquired hospital or at any new hospital;

                           (D)      nothing herein shall prevent any Member from
operating directly or through an Affiliate a mobile catheterization laboratory
within the Territory so long as such service is provided pursuant to a lease of
six (6) months or less (including all renewals and extensions) to a provider
which is already providing catheterization laboratory services in the Territory
at the time of the inception of the lease;

                           (E)      nothing herein shall prohibit a Member from
owning up to three percent (3%) of the outstanding stock of a company whose
stock is publicly traded and listed on a nationally recognized securities
exchange or from investing in a publicly traded mutual fund;

                                       9
<PAGE>   13

                           (F)      nothing herein shall prevent SWCA, LLC,
NMHI, LLC, NMHM or their Affiliates from owning, operating, advising or
managing, together or with other third parties, any hospital, facility, clinic
or service which provides any diagnosis or treatment, of any type or nature, of
any cardiac or vascular condition as long as (i) each such party uses its
reasonable efforts to provide the others (SWCA, LLC, NMHI, LLC or NMHM) with an
opportunity to participate therein and (ii) it is located outside of the 50 mile
radius of the Hospital; and

                           (G)      Nothing herein shall prevent any Member from
offering a service which the Company does not offer after the first anniversary
of the opening of the Hospital.

                  All parties agree that the Territory is the reasonable and
anticipated business service area of the Company.

                  (c)      The Members, including the Directors, have reviewed
         the term and geographical restrictions in Section 3.9(b), and in light
         of the interests of the parties hereto, agree that such restrictions
         are fair and reasonable.

                  (d)      If there is a breach or threatened breach of the
         provisions of this Section 3.9, in addition to other remedies at law or
         equity, the non-breaching party shall be entitled to injunctive relief.
         The parties desire and intend that the provision of this Section 3.9
         shall be enforced to the fullest extent permissible under the law and
         public policies applied, but the enforceability or modification of any
         particular paragraph, subparagraph, sentence, clause, phrase, word or
         figure shall not be deemed to render unenforceable the remainder of
         this Section 3.9. Should any paragraph, subparagraph, sentence, clause,
         phrase, word or figure be adjudicated to be wholly invalid or
         unenforceable, the balance of this Section 3.9 shall thereupon be
         modified in order to render the same valid and enforceable and the
         unenforceable portion of this Section 3.9 shall be deemed to have been
         deleted from this Agreement.

                  (e)      The benefits to any Member hereunder do not require,
         are not payment for, and are not in any way contingent upon the
         referral, admission or any other arrangement for the provision of any
         item or service offered by the Company to patients of such Member in
         any facility, laboratory, cardiac catheterization facility or other
         health care operation controlled, managed or operated by the Company
         and nothing herein is intended to prohibit any party from practicing
         medicine at any other facility.

         SECTION 3.10      APPOINTMENT OF BOARD OF DIRECTORS.

         The Members shall appoint a Board of Directors as follows:

                  (a)      SWCA, LLC shall appoint two (2) Directors;

                  (b)      NMHI, LLC shall appoint two (2) Directors;

                                       10
<PAGE>   14

                  (c)      St. Joseph Healthcare System shall appoint two (2)
         Directors; and

                  (d)      NM Hospital Management, Inc. shall appoint two (2)
         Directors.

         A Member shall have the right, with or without cause, to remove,
substitute or replace any Director which it appointed.

                                   ARTICLE IV

                            MANAGEMENT OF THE COMPANY

         SECTION 4.1       GENERAL AUTHORITY AND POWERS OF BOARD OF DIRECTORS.

         Except as set forth elsewhere in this Agreement, the Board of Directors
shall have complete authority and exclusive control over the management of the
business and affairs of the Company and all Material Agreements and Material
Decisions with respect to the business and affairs of the Company shall be made
by the Board of Directors. No Member has the actual or apparent authority to
cause the Company to become bound in any contract, agreement or obligation, and
no Member shall take any action purporting to be on behalf of the Company. The
Board of Directors shall, in consultation with the medical staff and according
to the terms of the Medical Staff Bylaws, Rules and Regulations of the Hospital,
establish procedures for quality assurance, peer review and grant privileges to
physicians at the Hospital. Decisions relating to medical and clinical practice
at the Hospital, however, shall be made exclusively by the medical staff of the
Hospital, as provided in the Bylaws, Rules and Regulations of the Medical Staff.

         SECTION 4.2       RESTRICTIONS ON AUTHORITY OF THE BOARD OF DIRECTORS.

         The Board of Directors shall not do any of the following:

                  (a)      Act in contravention of this Agreement;

                  (b)      Act in any manner which would make it impossible to
         carry on the express business purposes of the Company;

                  (c)      Commingle the Company funds with those of any other
         Person;

                  (d)      Admit an additional Member, except as provided in
         this Agreement;

                  (e)      Alter or act inconsistently with the primary purposes
         of the Company as set forth in Section 2.3;

                  (f)      Possess any property or assign the rights of the
         Company in specific property for other than a Company purpose;

                                       11
<PAGE>   15

                  (g)      Employ, or permit the employ of, the funds or assets
         of the Company in any manner except for the exclusive benefit of the
         Company;

                  (h)      Make or cause the making of any payments of any type,
         directly or indirectly, to anyone for the referral of patients to the
         Hospital in order to use the Hospital or to provide other services
         payable by Medicare or Medicaid;

                  (i)      Sell all or  substantially  all of the assets of the
         Company or merge the Company with or into any other Entity without the
         approval of all of the Members;

                  (j)      Delegate authority to make Material Decisions or
         enter into Material Agreements; or

                  (k)      Dissolve the Company, except as provided in this
         Agreement.

         SECTION 4.3       DUTIES OF THE BOARD OF DIRECTORS.

         The Board of Directors shall do the following:

                  (a)      Diligently and faithfully devote such of its time to
         the business of the Company as may be necessary to properly conduct the
         affairs of the Company, however, the individual Directors shall not be
         required to devote full time to such duties;

                  (b)      Use its best efforts to cause the Company to comply
         with such conditions as may be required from time to time to permit the
         Company to be classified for federal income tax purposes as a
         partnership and not as an association taxable as a corporation;

                  (c)      File and publish all certificates, statements, or
         other instruments required by law for the formation and operation of
         the Company as a limited liability company in all appropriate
         jurisdictions;

                  (d)      Cause the Company to obtain and keep in force during
         the term of the Company fire and extended coverage, public liability
         and professional liability insurance and other insurance policies, with
         such issuers and in such amounts as the Board of Directors shall deem
         advisable, but in amounts not less (and deductible amounts not greater)
         than those customarily maintained with respect to the business
         equipment and property comparable to the Company's;

                  (e)      Have a fiduciary duty to conduct the affairs of the
         Company in the best interests of the Company and of the Members,
         including the safekeeping and use of all funds and assets, whether or
         not in its immediate possession and control, and it shall not employ or
         permit others besides the Board of Directors to employ such funds or
         assets in any manner except for the benefit of the Company;

                                       12
<PAGE>   16

                  (f)      When this Operating Agreement or circumstances
         affecting the business of the Company require the Directors to take
         certain action or to make a determination, the Board of Directors shall
         take such action or make such determination in a reasonable and timely
         manner;

                  (g)      Deliver to the New Mexico State Corporation
         Commission for filing an annual statement in accordance with the Act;

                  (h)      Employ legal counsel, public accountants and such
         other advisors and consultants for the Company as it deems necessary;
         and

                  (i)      Establish and adhere to a conflict of interest
         policy.

         SECTION 4.4       DELEGATION BY THE BOARD OF DIRECTORS.

         Subject to restrictions otherwise provided herein, the Board of
Directors may at any time employ a Manager, including a Manager affiliated with,
or related to any member of the Board of Directors or any Member to perform
services for the Company and its business, and may delegate all or part of their
duties, authority or control to such Manager, provided that such employment or
delegation shall not relieve the Board of Directors of its respective
responsibilities and obligations under this Agreement or under the laws of the
State of New Mexico nor will it make any such Manager a Member of the Company.

         SECTION 4.5       RIGHT TO RELY UPON THE AUTHORITY OF THE MANAGER.

         Persons dealing with the Company may rely upon the representation of
the Manager that such Manager is manager of the Company and that such Manager
has the authority to make any commitment or undertaking on behalf of the
Company. No Person dealing with the Manager shall be required to determine its
authority to make any such commitment or undertaking.

         SECTION 4.6       NO MANAGEMENT BY MEMBERS.

         Other than as set forth in Article III hereof, the Members shall take
no part in, or at any time interfere in any manner with, the management,
conduct, or control of the Company's business and operations and shall have no
right or authority to act for or bind the Company. The rights and powers of such
Members shall not extend beyond those set forth in this Agreement and those
granted under the Articles of Organization and any attempt to participate in the
control of the Company in a manner contrary to the rights and powers granted
herein and under the Articles of Organization shall be null and void and without
force and effect. The exercise by any other Member of any of the rights granted
to the Member hereunder shall not be deemed to be taking part in the control of
the business of the Company and shall not constitute a violation of this
Section.

                                       13
<PAGE>   17

         SECTION 4.7       CONSENT BY MEMBERS TO EXERCISE OF CERTAIN RIGHTS AND
         POWERS BY BOARD OF DIRECTORS.

         By its execution hereof, each Member expressly consents to the exercise
by the Board of Directors of the rights, powers, and authority conferred on the
Board of Directors by this Agreement.

         SECTION 4.8       MEETINGS, QUORUM AND VOTE OF THE BOARD OF DIRECTORS.

         (a)      The Board of Directors shall meet at least quarterly. A
meeting may be called by any Director or the Manager. Notice of any meeting,
regular or special, shall be delivered to each Director personally, by
telephone, by electronic mail, by facsimile transmission or in writing at least
five (5) business days before the meeting. If a request for additional funding
pursuant to Section 3.6(b) is to be considered at the meeting, it must be so
stated specifically in the Notice of Meeting. The Director calling the meeting
or the Manager shall be responsible for preparing and delivering the Notice of
Meeting.

         (b)      An emergency meeting of the Board of Directors may be called
by the Manager upon shorter notice. Action taken at the emergency meeting shall
be valid so long as the meeting is attended by at least one Board member
appointed by each of SWCA, LLC, NMHI, LLC, NMHM and St. Joseph Healthcare System
and the action is unanimously approved by the Board members in attendance.

         (c)      The Board of Directors shall elect one of its members to
preside over the meetings as the Chairperson and one of its members, as the
Secretary, to oversee the preparation and delivery of meeting notices and the
preparation of minutes of the meetings of the Board of Directors and Members.

         (d)      A quorum of the Board of Directors shall be necessary to
conduct business at any meeting, except as provided in Section 4.8(b). A quorum
shall consist of a majority of the Directors. The Directors present at a meeting
at which a quorum is initially present may continue to transact business
notwithstanding the withdrawal of Directors, so long as any action taken is
approved by at least a majority of the required quorum for such meeting and one
of such remaining Directors must have been appointed by each of the Members for
there to be business transacted. A Director may attend a meeting by telephone or
other electronic means and be considered present for purposes of a quorum so
long as the telephone or other connection allows each Director to hear and be
heard by all other Directors.

         (e)      Subject to (d) above, any action taken by the Board of
Directors shall require the affirmative vote of at least a majority of the
Directors (at least one of which must have been a Board member appointed by
either NMHM or St. Joseph Healthcare System) present.

         (f)      Any action which is required to be or may be taken at a
meeting of the Board of Directors may be taken without a meeting if consent in
writing, either collectively or in counterparts, setting forth the action so
taken, is signed unanimously by all Directors.

                                       14
<PAGE>   18

         (g)      Minutes of the meetings of the Board of Directors shall be
taken. The original of the minutes shall be signed by the Secretary of the Board
and kept with the records of the Company. A copy of the minutes shall be sent to
each of the Directors.

         (h)      Attendance at a meeting of the Board of Directors constitutes
waiver of any objection to the Notice of the meeting.

         SECTION 4.9       BOARD OF DIRECTORS' STANDARD OF CARE.

         Each Director and the Board of Directors shall act in a manner it
believes in good faith to be in the best interest of the Company and with such
care as an ordinarily prudent Person in a like position would use under similar
circumstances. In discharging its duties, each Director shall be fully protected
in relying in good faith upon the records required to be maintained under this
Agreement and upon such information, opinions, reports and statements by any of
its other Directors, Members, or agents, or by any other Person as to matters
each Director reasonably believes are within such other Person's professional or
expert competence and who has been selected with reasonable care by or on behalf
of the Company, including information, opinions, reports or statements as to the
value and amount of the assets, liabilities, income or losses of the Company or
any other facts pertinent to the existence and amount of assets from which
distributions to members might properly be paid.

         Notwithstanding anything herein to the contrary, a Director or Member
shall have the right to vote or approve Company matters in accordance with the
terms of this Agreement regardless of the personal interest of any Director or
Member in the outcome of any vote, decision or matter, subject to the obligation
to disclose conflicts in advance under Section 2.4(d).

         SECTION 4.10      LIMITATION OF LIABILITY.

         A Director shall not be liable to the Company or its Members for any
action taken in managing the business or affairs of the Company if it performs
the duty of its office in compliance with the standard contained in Sections 4.3
and 4.9. No Director has guaranteed nor shall have any obligation with respect
to the return of a Member's Capital Contribution or share of income from the
operation of the Company. Furthermore, no Director shall be liable to the
Company or to any Member for any loss or damage sustained by the Company or any
Member except loss or damage resulting from gross negligence or intentional
misconduct or knowing violation of law or a transaction for which such Director
or Agent received a personal benefit in violation or breach of the provisions of
this Agreement.

         SECTION 4.11      INDEMNIFICATION OF DIRECTORS.

         (a)      Each Director shall be indemnified by the Company against any
losses, judgments, liabilities, expenses, including attorneys' fees and amounts
paid in settlement of any claims sustained by such Director arising out of any
action or inaction of the Director in its capacity as a Director of the Company
to the fullest extent allowed by law, provided that the same were not the

                                       15
<PAGE>   19

result of willful misconduct or gross negligence on the part of the Director and
provided that the Director, in good faith, reasonably determined that such
course of conduct was in the best interest of the Company; provided, however,
that such indemnification and agreement to hold harmless shall be recoverable
only out of Company assets. Subject to applicable law, the Company shall advance
expenses incurred with respect to matters for which a Director may be
indemnified hereunder.

         (b)      If at any time, the Company has insufficient funds to furnish
indemnification as herein provided, it shall provide such indemnification if and
as it generates sufficient funds and prior to any cash distributions, pursuant
to Article V or Article VI hereof, to the Members.

                                    ARTICLE V

                          DISTRIBUTIONS AND ALLOCATIONS

         SECTION 5.1       DISTRIBUTIONS OF CASH FLOW FROM OPERATIONS AND CASH
         FROM SALES OR REFINANCING.

         Prior to the dissolution of the Company, Cash Flow from Operations and
Cash from Sales or Refinancing, if any, remaining after repayment of any amounts
then due on loans made by the Members to the Company shall be distributed
quarterly as Cash Distributions according to the relative percentage Membership
Interests of the Members. The Board shall make a minimum distribution of Cash
Flow from Operations equal to fifty percent (50%) of net profit, after taking
into consideration the requirement for cash reserves or other limitations
established by any lender. Notwithstanding anything herein to the contrary, no
distributions shall be made to Members if prohibited by the Act or any other
applicable law.

         SECTION 5.2       PROFITS.

         Except as provided in the Regulatory Allocations Exhibit (Exhibit E),
Profits shall be allocated as follows:

         (a)      First, to the Members who have been allocated Losses pursuant
to Subsection 5.3(a) below until the cumulative Profits allocated pursuant to
this Subsection 5.2(a) equal the cumulative prior allocations of Losses under
that Subsection.

         (b)      Next, to the Members who have been allocated Losses pursuant
to Subsection 5.3(b) below until the cumulative Profits allocated pursuant to
this Subsection 5.2(b) equal the cumulative prior allocations of Losses under
that Subsection.

         (c)      All remaining Profits shall be allocated to the Members in
accordance with their percentage Membership Interests.

                                       16
<PAGE>   20

         SECTION 5.3       LOSSES.

         Except as provided in the Regulatory Allocations Exhibit (Exhibit E),
Losses shall be allocated as follows:

         (a)      First, Losses shall be allocated to the Members with positive
Adjusted Capital Account balances in proportion to those balances.

         (b)      All remaining Losses shall be allocated to the Members in
accordance with their percentage Membership Interests.

         SECTION 5.4       CODE SECTION 704(C) TAX ALLOCATIONS.

         Income, gain, loss, and deduction with respect to any property
contributed to the capital of the Company shall, solely for tax purposes, be
allocated among the Members so as to take account of any variation between the
adjusted basis of such property to the Company for federal income tax purposes
and its initial Agreed Value pursuant to any method allowable under Code Section
704(c) and the Regulations promulgated thereunder.

         In the event the Agreed Value of any Company asset is adjusted after
its contribution to the Company, subsequent allocations of income, gain, loss
and deduction with respect to such asset shall take into account any variation
between the adjusted basis of such asset for federal income tax purposes and its
Agreed Value pursuant to any method allowable under Code Section 704(c) and the
Regulations promulgated thereunder.

         Any elections or other decisions relating to allocations under this
Section shall be determined by the Board of Directors. Absent a determination by
the Board of Directors, the remedial allocation method under Regulation Section
1.704-3(d) shall be used. Allocations pursuant to this Section are solely for
purposes of federal, state, and local taxes and shall not be taken into account
in computing any Member's Capital Account or share of Profits, Losses, other
items, or distributions pursuant to any provision of this Agreement.

         SECTION 5.5       MISCELLANEOUS.

                  (a)      Allocations Attributable to Particular Periods. For
         purposes of determining Profits, Losses or any other items allocable to
         any period, such items shall be determined on a daily, monthly, or
         other basis, as determined by the Board of Directors using any
         permissible method under Code Section 706 and the Regulations
         thereunder.

                  (b)      Other Items. Except as otherwise provided in this
         Agreement, all items of Company income, gain, loss, deduction, credit
         and any other allocations not otherwise provided for shall be divided
         among the Members in the same proportion as they share Profits or
         Losses, as the case may be, for the year.

                                       17
<PAGE>   21

                  (c)      Tax Consequences Consistent Reporting. The Members
         are aware of the income tax consequences of the allocations made by
         this Article and by the Regulatory Allocations and hereby agree to be
         bound by those allocations as reflected on the information returns of
         the Company in reporting their shares of Company income and loss for
         income tax purposes. Each Member agrees to report its distributive
         share of Company items of income, gain, loss, deduction and credit on
         its separate return in a manner consistent with the reporting of such
         items to it by the Company. Any Member failing to report consistently,
         and who notifies the Internal Revenue Service of the inconsistency as
         required by law, shall reimburse the Company for any legal and
         accounting fees incurred by the Company in connection with any
         examination of the Company by federal or state taxing authorities with
         respect to the year for which the Member failed to report consistently.

                                   ARTICLE VI

              DISSOLUTION, WINDING UP AND LIQUIDATING DISTRIBUTIONS

         SECTION 6.1       NO TERMINATION BY CERTAIN ACTS OF MEMBER.

         Neither the transfer of interest, withdrawal from the Company,
bankruptcy, insolvency, dissolution, liquidation or other disability, nor the
legal incompetency of any Member shall result in the termination or dissolution
of the Company or affect its continuance in any manner whatsoever.

         SECTION 6.2       DISSOLUTION.

         The Company shall be dissolved upon the happening of any of the
following events, whichever shall first occur:

                  (a)      The election by the Directors to dissolve the Company
         in accordance with the terms of Section 3.6(c) hereof;

                  (b)      The expiration of the term provided in Section 2.6
         hereof.

                  (c)      The adjudication of bankruptcy of the Company;

                  (d)      In accordance with Section 11.10 hereof; and

                  (e)      The entry of a decree of judicial dissolution or the
         administrative dissolution of the Company as provided in the Act.

                                       18
<PAGE>   22

         SECTION 6.3       DISSOLUTION AND FINAL LIQUIDATION.

                  (a)      Upon any dissolution of the Company, the Company
         shall not terminate, but shall cease to engage in further business
         except to the extent necessary to perform existing contracts and
         preserve the value of its assets. Its assets shall be liquidated and
         its affairs shall be wound up as soon as practical thereafter by the
         Board of Directors or by another Person designated by the Members. In
         winding up the Company and liquidating assets, the Board of Directors,
         or other Person so designated for such purpose, may arrange, either
         directly or through others, for the collection and disbursement to the
         Members of any future receipts from the Hospital or other sums to which
         the Company may be entitled, and shall sell the Company's interest in
         the Hospital and the Equipment to any Person, including a Member or any
         Affiliate thereof, on such terms and for such consideration as shall be
         consistent with obtaining the fair market value thereof, as such fair
         market value is approved by the Members.

                  (b)      Upon any such dissolution and liquidation of the
         Company, the net assets, if any, of the Company available for
         distribution, including any cash proceeds from the liquidation of
         Company assets, shall be applied and distributed in the following
         manner or order, to the extent available:

                           (i)      To the payment of or creation of reserves
         for all debts, liabilities, and obligations to all creditors of the
         Company (other than the Members or their Affiliates) and the expenses
         of liquidation;

                           (ii)     To the payment of all debts and liabilities
         (including interest) owed to the Members or their Affiliates as
         creditors; and

                           (iii)    The balance to the Members with positive
         Capital Account balances after taking into account all other
         adjustments during the Fiscal Year in which liquidation occurs.

                  (c)      The Members shall look solely to the assets, if any,
         of the Company for any return of their Capital Contributions and, if
         the assets of the Company remaining after payment or discharge of the
         Company's debts and liabilities, or provision therefor, are
         insufficient to return all or any part of the Capital Contributions, no
         Member shall have any right of recourse against the Directors or other
         Members or to charge the Board of Directors or other Members for any
         amounts except as provided herein and except to the extent otherwise
         provided by the Act and/or New Mexico law.

                  (d)      Upon such dissolution, reasonable time shall be
         allowed for the orderly liquidation of the assets of the Company and
         the discharge of liabilities to creditors so as to minimize the losses
         normally attendant to a liquidation.

                  (e)      The Capital Accounts of the Members, as adjusted,
         shall be utilized by the Company for the purpose of making
         distributions to those Members with positive balances

                                       19
<PAGE>   23

         in their respective Capital Accounts pursuant to Section 6.3(b). In
         making such distributions, the Board of Directors or the Person winding
         up the affairs of the Company shall distribute all funds available for
         distribution to the Members (after establishing any reserves that the
         Board of Directors deem or the Person winding up the affairs of the
         Company deems reasonably necessary pursuant to Section 6.3(b)) prior to
         the later of (a) the end of the taxable year in which the event occurs
         which caused the termination and dissolution of the Company, or (b)
         ninety (90) days after the occurrence of such event. The Board of
         Directors in their sole discretion, or the Person winding up the
         affairs of the Company, in its discretion, may elect to have the
         Company retain any installment obligations owed to the Company until
         collected in full so long as any portion of the reserves which are
         later determined to be unnecessary, and all collections on such
         installment obligations which are not deemed to be reasonably necessary
         by the Board of Directors or the Person winding up the affairs of the
         Company to add to such reserves are distributed as soon as practicable
         in accordance with the provisions of Section 6.3(b) as modified by this
         Section.

         SECTION 6.4       TERMINATION.

         Upon completion of the dissolution, winding up, distribution of the
liquidation proceeds and any other Company assets, the Company shall terminate.

         SECTION 6.5       PAYMENT IN CASH.

         Any payments made to any Member pursuant to this Article VI shall be
made only in cash.

         SECTION 6.6       GOODWILL AND TRADE NAME.

         Upon the dissolution of the Company, the firm or trade name of the
Company and any goodwill associated therewith shall become the sole property of
the Members, provided that distributions and allocations otherwise due to the
Members shall not be reduced as a result of the Members becoming entitled to
such assets.

         SECTION 6.7       TERMINATION OF NONCOMPETITION COVENANTS.

         Upon the later of the dissolution of the Company and the completion of
the liquidation process, the Members shall have no continuing liability or
obligation under Section 3.9(b), except that Section 3.9(b) shall continue to be
binding upon a Member whose breach of this Agreement caused a dissolution of the
Company and any action for a breach of this Agreement, including a breach of
Section 3.9(b), shall not be impaired by the dissolution or completed
liquidation.

                                       20
<PAGE>   24

                                   ARTICLE VII

                      REMOVAL OR WITHDRAWAL OF MEMBERS AND
            TRANSFER OF MEMBERS' MEMBERSHIP AND/OR ECONOMIC INTERESTS

         SECTION 7.1       WITHDRAWAL OF MEMBER.

                  (a)      Except as provided in this Section 7.1, without the
         unanimous consent of the nonwithdrawing Members, a Member shall not
         voluntarily withdraw from the Company as a Member at any time prior to
         its termination, or transfer or assign any of its rights and duties,
         provided that a Member may assign its Membership Interest in the
         Company and its rights to appoint one or more Directors to wholly-owned
         Affiliates (for NMHM, including MedCath, Incorporated and its
         wholly-owned Affiliates) and lenders. A Member shall give written
         notice to the remaining Members if it desires to otherwise sell its
         Membership Interest. In that event, the other Members shall first have
         an option to purchase such Membership Interest in accordance with
         Section 7.1(b) below. The foreclosure of a Member's Interest by a
         lender shall give the remaining Members a right to purchase the
         Interest being foreclosed for either the amount due and owing to the
         lender or pursuant to Section 7.1(b). A sale or transfer in a single
         transaction or in a series of related transactions of 50% or more of
         the direct or indirect ownership interests in SWCA, LLC or NMHI, LLC
         (other than to another entity owned solely by either or both of such
         Members or their Affiliates) shall constitute an offer by such Member
         to sell its Membership Interest to the Company and the other Members in
         accordance with (b) below.

                  (b)      Except as otherwise set forth in this Agreement, no
         Membership Interest or any portion thereof, shall be validly sold or
         assigned whether voluntarily, involuntarily or by operation of law, and
         no purported assignee shall be recognized by the Company for any
         purpose, unless such Membership Interest shall have been transferred in
         accordance with the provisions of this Agreement and in compliance with
         such additional restrictions as may be imposed by any federal or state
         securities law and with the consent of the Board of Directors. In no
         event, however, shall a Member transfer or sell all or any of its
         Membership Interest to any party which, if a Member, would be in
         violation of Section 3.9(b) hereof. Except as otherwise set forth in
         this Section or in this Agreement, a Member may transfer, sell or
         assign its entire Membership Interest if it has received the consent of
         the Board of Directors, not to be unreasonably withheld, provided
         however: (a) the Company first for a period of fifteen (15) days, and
         thereafter the other Members for a period of fifteen (15) days, shall
         have the right, but not the obligation, to purchase all, but not less
         than all, of the Membership Interest proposed to be transferred, which
         right shall be exercisable on the terms and for the purchase price set
         forth in a bona fide offer made for the Interest by a third-party (the
         "Right of First Refusal"), and (b) there shall have been filed with the
         Company a duly executed and acknowledged counterpart of the instrument
         making such assignment signed by both the assignor and assignee and
         such instrument evidences the written acceptance by the assignee of all
         of the terms and provisions of the Agreement, represents that such
         assignment was made in accordance with all applicable laws and
         regulations and the assignee shall have represented to the Company in
         writing

                                       21
<PAGE>   25

         that it meets the investor suitability standards established by the
         appropriate state of residence, or, in the absence thereof, the
         investor suitability standards established by the Company. The Board of
         Directors shall use reasonable care to determine that transfers are in
         accordance with applicable laws and regulations, which may include
         obtaining an opinion of counsel to that effect.

         SECTION 7.2       CONDITIONS PRECEDENT TO TRANSFER OF MEMBERSHIP
         INTEREST.

         Notwithstanding anything herein to the contrary, no transfer of a
Membership Interest may be made if such transfer (a) constitutes a violation of
the registration provisions of the Securities Act of 1933, as amended, or the
registration provisions of any applicable state securities laws; (b) if after
such transfer the Company will not be classified as a partnership for federal
income tax purposes; and (c) if when taken together with other prior transfers,
results in a "termination" of the Company for federal income tax purposes. The
Company may require, as a condition precedent to transfer of a Membership
Interest, delivery to the Company, at the proposed transferor's expense, of an
opinion of counsel satisfactory (both as to the counsel and substance of the
opinion) to the Company that the transfer will not violate any of the foregoing
restrictions.

         SECTION 7.3.      SUBSTITUTE MEMBER - CONDITIONS TO FULFILL.

         No assignee of a Member's Membership Interest in the Company shall have
the right to become a Substitute Member in place of its assignor unless, in
addition to any other requirement herein, all of the following conditions are
satisfied:

                  (a)      The Company has waived its right pursuant to Section
         to purchase the Membership Interest held by the assignee;

                  (b)      The duly executed and acknowledged written instrument
         of assignment which has been filed with the Company sets forth that the
         assignee becomes a Substitute Member in place of the assignor;

                  (c)      The assignor and assignee execute and acknowledge
         such other instruments as the Board of Directors may deem reasonably
         necessary or desirable to effect such admission, including, but not
         limited to, the written acceptance and adoption by the assignee of the
         provisions of this Agreement;

                  (d)      The payment by the assignee of all costs to the
         Company associated with the transaction, including but not limited to
         legal fees, transfer fees, and filing fees.

         SECTION 7.4       ALLOCATIONS BETWEEN TRANSFEROR AND TRANSFEREE.

         Upon the transfer of a Member's Interest, all items of income, gain,
loss, deduction and credit attributable to the Membership Interest so
transferred shall be allocated between the transferor and the transferee in such
manner as the transferor and transferee agree at the time of transfer; provided
such allocation does not violate federal or state income tax law. If the Board
of

                                       22
<PAGE>   26

Directors deems such laws violated, then such allocation shall be made pro rata
for the fiscal year based upon the number of days during the applicable fiscal
year of the Company that the Membership Interest so transferred was held by the
transferor and transferee, without regard to the results of Company activities
during the period in which each was the holder, or in such other manner as the
Board of Directors deems necessary to comply with federal or state income tax
laws. Distributions as called for by this Agreement shall be made to the holder
of record of the Membership Interest on the date of distribution.
Notwithstanding anything contained in this Agreement to the contrary, the
Company shall be entitled to treat the assignor of any assigned Membership
Interest as the absolute owner thereof in all respects, and shall incur no
liability for distributions made in good faith to such assignor in reliance on
the Company records as they exist until such time as the written assignment has
been received by, and recorded on the books of the Company. For purposes of this
Article VII, the effective date of an assignment of any Membership Interest
shall be the last day of the month specified in the written instrument of
assignment.

         SECTION 7.5       RIGHTS, LIABILITIES OF, AND RESTRICTIONS ON ASSIGNEE.

         No assignee of a Member's Interest shall have the right to participate
in the Company, inspect the books of account of the Company or exercise any
other right of a Member unless and until admitted as a Substitute Member.
Notwithstanding the failure or refusal to admit an assignee as a Substitute
Member, such assignee shall be entitled to receive the share of income, credit,
gain, expense, loss and deduction and cash distributions provided hereunder that
is assigned to it, and, upon demand, may receive copies of all reports
thereafter delivered pursuant to the requirements of this Agreement; provided,
the Company shall have first received notice of such assignment and all required
consents thereto shall have been obtained and other conditions precedent to
transfer thereof shall have been satisfied. The Company's tax returns shall be
prepared to reflect the interests of assignees as well as Members.

         SECTION 7.6       REPURCHASE OF INTERESTS IN CERTAIN EVENT.

                  (a)      In the discretion of the Board of Directors, the
         Company may, but is not obligated to, repurchase a Member's Interest
         upon such Member's breach of the Member's obligations contained in
         Article III, Sections 7.1 and 7.2 of this Agreement, unless the breach
         is cured promptly after notice thereof by the Company.

                  (b)      Any Member who is in breach of this Operating
         Agreement agrees to sell its Membership Interest to the Company in the
         event the Company elects to exercise the right of repurchase granted
         under Section 7.6(a) and the purchase price shall be the lower of (x)
         the Capital Contributions of the Member less all amounts distributed to
         such Member by the Company or (y) the fair market value of such
         Member's Membership Interest determined by an independent appraiser
         reasonably selected by the Board of Directors.

                                       23
<PAGE>   27

                                  ARTICLE VIII

                        RECORDS, ACCOUNTINGS AND REPORTS

         SECTION 8.1       BOOKS OF ACCOUNT.

         At all times during the continuance of the Company, the Board of
Directors shall maintain or cause to be maintained true and full financial
records and books of account showing all receipts and expenditures, assets and
liabilities, income and losses, and all other records necessary for recording
the Company's business and affairs including those sufficient to record the
allocations and distributions required by the provisions of this Agreement.

         SECTION 8.2       ACCESS TO RECORDS.

         The books of account and all documents and other writings of the
Company, including the Articles of Organization and any amendments thereto,
shall at all times be kept and maintained at the principal office of the Company
or elsewhere as decided by the Board of Directors. Each Member or its designated
representatives shall, upon reasonable notice to the Company, have access to
such financial books, records and documents during reasonable business hours and
may inspect and make copies of any of them.

         SECTION 8.3       BANK ACCOUNTS AND INVESTMENT OF FUNDS.

                  (a)      The Board of Directors shall open and maintain, on
         behalf of the Company, a bank account or accounts in a federally
         insured bank or savings institution as it shall determine, in which all
         monies received by or on behalf of the Company shall be deposited. All
         withdrawals from such accounts shall be made upon the signature of such
         Person or Persons as the Board of Directors may from time to time
         designate.

                  (b)      Any funds of the Company which the Board of Directors
         may determine are not currently required for the conduct of the
         Company's business may be deposited with a federally insured bank or
         savings institution or invested in short-term debt obligations
         (including obligations of federal or state governments and their
         agencies, commercial paper, certificates of deposit of commercial
         banks, savings banks or savings and loan associations) as shall be
         determined by the Board of Directors.

         SECTION 8.4       FISCAL YEAR.

         The Fiscal Year and accounting period of the Company shall end on
September 30 of each year, unless otherwise determined by the Board of
Directors.

         SECTION 8.5       ACCOUNTING REPORTS.

         As soon as reasonably practicable after the end of each fiscal year but
in no event later than 120 days after the end thereof, each Member shall be
furnished an annual accounting showing the

                                       24
<PAGE>   28

financial condition of the Company at the end of such fiscal year and the result
of its operations for the fiscal year then ended, which annual accounting shall
be prepared on an accrual basis in accordance with generally accepted accounting
principles applied on a consistent basis and shall be delivered to each of the
Members promptly after it has been prepared. It shall include a balance sheet as
of the end of such Fiscal Year and statements of income and expense, each
Member's equity, and cash flow for such Fiscal Year. The Company shall be
audited by a firm of independent certified public accountants regularly engaged
by the Board of Directors on behalf of the Company. (For so long as NMHM is a
Member of the Company, the Company shall endeavor to use the same firm of
accountants as used by MedCath.) The report shall set forth the distributions to
the Members for such Fiscal Year and shall separately identify distributions
from (i) operating revenue during such Fiscal Year, (ii) operating revenue from
a prior period which had been held as reserves, (iii) proceeds from the sale or
refinancing of the Equipment, and (iv) unexpended proceeds received from the
sale of Membership Interests. Following the opening of the Hospital, Board of
Directors shall also cause to be prepared and distributed to the Members
quarterly financial statements.

         SECTION 8.6       TAX RETURNS.

         It is the intention of all Members that the Company be treated for tax
purposes as a partnership under Subchapter J of the Code, and that this
Agreement be construed in accordance with such intent. All Members agree to
construe and/or amend the Agreement as may be necessary from time to time to
effect such intent. The Board of Directors shall cause income tax returns for
the Company to be prepared, at Company expense, and timely filed with the
appropriate authorities. As soon as is reasonably practicable, and in any event
on or before the expiration of 75 days following the end of each Fiscal Year,
each Member shall be furnished with a statement to be used in the preparation of
the Member's tax returns, showing the amounts of any Profits or Losses allocated
to the Member, and the amount of any distributions made to the Member, pursuant
to this Agreement, along with a reconciliation of the annual report with
information furnished to Members for income tax purposes.

                                   ARTICLE IX

                      MEETINGS AND VOTING RIGHTS OF MEMBERS

         SECTION 9.1       MEETINGS.

                  (a)      Meetings of the Members of the Company for any
         purpose may be called by the Board of Directors, or any Member. Such
         meetings shall be held in Albuquerque, New Mexico.

                  (b)      A notice of any such meeting shall be given in
         person, by mail, by overnight courier or by facsimile transmission not
         less than seven (7) days nor more than sixty (60) days before the date
         of the meeting, to each Member at its address as specified in Section
         11.6. Such notice shall be in writing, and shall state the place, date
         and hour of the

                                       25
<PAGE>   29

         meeting. The notice shall state the purpose or purposes of the meeting.
         If a meeting is adjourned to another time or place, and if any
         announcement of the adjournment of time or place is made at the
         meeting, it shall not be necessary to give notice of the adjourned
         meeting.

                  (c)      Each Member may authorize any Person or Persons to
         act for the Member by proxy in all matters in which a Member is
         entitled to participate, whether by waiving notice of any meeting, or
         voting or participating at a meeting. Every proxy must be signed by the
         Member or its attorney-in-fact. No proxy shall be valid after the
         expiration of eleven months from the date thereof unless otherwise
         provided in the proxy. Every proxy shall be revocable at the pleasure
         of the Member executing it, by filing a written notice of such
         revocation with each Director.

         SECTION 9.2       VOTING RIGHTS OF MEMBERS.

                  (a)      No Member shall take part in or interfere in any
         manner with the control, conduct or operation of the Company, nor have
         any right or authority to act for or bind the Company except as
         provided herein. Votes or decisions, to the extent taken or to be made,
         of the Members may be cast at any duly called meeting of the Company or
         in writing within ten (10) days after written request therefor by
         filing such writing with each Director. Each Member shall be entitled
         to the number of votes equal to the percentage Membership Interest of
         such Member.

                  (b)      No Member shall have the right or power to vote to:
         (i) withdraw or reduce the Member's Capital Contributions except as a
         result of the dissolution and liquidation of the Company or as
         otherwise provided by law or this Agreement; (ii) bring an action for
         partition against the Company; (iii) cause the termination and
         dissolution of the Company by court decree or otherwise, except as set
         forth in this Agreement; or (iv) demand or receive property other than
         cash in return for its Capital Contributions.

                                    ARTICLE X

                                   AMENDMENTS

         This Agreement and the Articles of Organization of the Company may be
amended only with the unanimous consent of the Members.

                                       26
<PAGE>   30

                                   ARTICLE XI

                                  MISCELLANEOUS

         SECTION 11.1      WAIVER OF PROVISIONS.

         The waiver of compliance at any time with respect to any of the
provisions, terms or conditions of this Agreement shall not be considered a
waiver of such provision, term or condition itself or of any of the other
provisions, terms or conditions hereof.

         SECTION 11.2      INTERPRETATION AND CONSTRUCTION.

         Any modification or amendment hereto must be accomplished in accordance
with the provisions of Article X. Where the context so requires, the masculine
shall include the feminine and the neuter, and the singular shall include the
plural. The headings and captions in this Agreement are inserted for convenience
and identification only and are in no way intended to define, limit or expand
the scope and intent of this Agreement or any provision thereof. The references
to Section and Article in this Agreement are to the Sections and Articles of
this Agreement.

         SECTION 11.3      GOVERNING LAW.

         This Agreement shall be governed by and construed in accordance with
the laws of the State of New Mexico exclusive of its conflict of law rules.

         SECTION 11.4      PARTIAL INVALIDITY.

         In the event that any part or provision of this Agreement shall be
determined to be invalid or unenforceable, the remaining parts and provisions of
said Agreement which can be separated from the invalid or unenforceable
provision and shall continue in full force and effect.

         SECTION 11.5      BINDING ON SUCCESSORS.

         The terms, conditions and provisions of this Agreement shall inure to
the benefit of, and be binding upon the parties hereto and their respective
heirs, successors, distributees, legal representatives, and assigns. However,
none of the provisions of this Agreement shall be for the benefit of or
enforceable by any creditors of the Company.

         SECTION 11.6.     NOTICES AND DELIVERY.

                  (a)      To Members. Any notice to be given hereunder at any
         time to any Member or any document reports or returns required by this
         Agreement to be delivered to any Member, may be delivered personally or
         mailed to such Member, certified mail, postage prepaid, addressed to
         the Member at such times as the Member shall by notice to the Company
         have designated as the Member's address for the mailing of all notices
         hereunder

                                       27
<PAGE>   31

         or, in the absence of such notice, to the address set forth in the
         Information Exhibit (Exhibit B) hereof. Any notice, or any document,
         report or opinion so delivered or mailed shall be deemed to have been
         given or delivered to such Member at the time it is mailed, as the case
         may be.

                  (b)      To the Company. Any notice to be given to the
         Company hereunder shall be delivered personally or mailed to the
         Company, by certified mail, postage prepaid, addressed to the Company
         at its registered office. Any notice so delivered or mailed shall be
         deemed to have been given to the Company at the time it is delivered or
         mailed, as the case may be.

         SECTION 11.7.     COUNTERPART EXECUTION: FACSIMILE EXECUTION.

         This Agreement may be executed in any number of counterparts with the
same effect as if all of the Members had signed the same document. Such
executions may be transmitted to the Company and/or the other Members by
facsimile and such facsimile execution shall have the full force and effect of
an original signature. All fully executed counterparts, whether original
executions or facsimile executions or a combination, shall be construed together
and constitute one and the same agreement.

         SECTION 11.8      STATUTORY PROVISION.

         Any statutory reference in this Agreement shall include a reference to
any successor to such statute and/or revision thereof.

         SECTION 11.9      WAIVER OF PARTITION.

         Each party does hereby waive any right to partition or the right to
take any other action which might otherwise be available to such party for the
purpose of severing its relationship with the Company or such party's interest
in the assets held by the Company from the interests of other Members until the
end of the term of both this Company and any successor company formed pursuant
to the terms hereof.

         SECTION 11.10     CHANGE IN LAW.

         If due to any new law, rule or regulation, or due to an interpretation
or enforcement of any existing law, rule or regulation, health care counsel
selected by the Board of Directors determines in writing that it is reasonably
likely that the relationships established between any of the parties to this
Agreement including any of their Affiliates and/or successors or assigns will
not comply with any law, rule, regulation or interpretation thereof ("Applicable
Law"), then the parties hereto hereby agree first, to negotiate in good faith to
restructure the relationships established under this Agreement so as to bring
them into compliance with such applicable laws while at the same time preserving
the material benefits of each of the parties hereto. In the event that a
specific proposal for the restructuring of this Agreement is approved
unanimously by the Members, such restructured agreement shall become binding
upon all Members of the Company. Second, in the

                                       28
<PAGE>   32

event that within forty-five (45) days following the Company's receipt of legal
advice in writing from such health care counsel regarding Applicable Law the
parties hereto are unable to negotiate an acceptable restructuring of their
relationship, then the Company shall have the option, within the following
forty-five (45) day period, to purchase the Membership Interests of some or all
of the Members whose ownership is involved with such noncompliance with
Applicable Law for a purchase price equal to the greater of: (a) five times the
net income of the Company for the prior 12 month period times the percentage of
the selling Member's Membership Interest or (b) the amount of the Capital
Contributions made by each such Member to the Company together with interest
thereon computed at the Prime Rate as of the date of this Agreement from the
date of such contribution through the date upon which the Company pays all
amounts due under the terms of this Section 11.10. For the purpose of
Subparagraph (b), distributions to the Members by the Company after the
effective date of this Agreement (and whether before or after health care
counsel determined there was a problem under an Applicable Law or before or
after the exercise of the purchase option) shall be treated as payments by the
Company. Such purchase prices shall be paid in accordance with the Payment
Method. Third, in the event that the Company does not exercise its option to
purchase Membership Interests of a Member whose ownership causes the Company not
to be in compliance with Applicable Law, such Members may elect in writing
within the following forty-five (45) day period, to require that the Company be
dissolved, in which event the Company shall be dissolved in accordance with the
terms of this Agreement.

         SECTION 11.11     INVESTMENT REPRESENTATIONS OF THE MEMBERS.

                  (a)      Each Member or individual executing this Agreement on
         behalf of an Entity which is a Member hereby represents and warrants to
         the Company and to the Members that such Member has acquired such
         Member's Membership Interest in the Company for investment solely for
         such Member's own account with the intention of holding such Membership
         Interest for investment, without any intention of participating
         directly or indirectly in any distribution of any portion of such
         Membership Interest and without the financial participation of any
         other Person in acquiring such Membership Interest in the Company.

                  (b)      Each Member or individual executing this Agreement on
         behalf of an entity which is a Member hereby acknowledges that such
         Member is aware that such Member's Membership Interest in the Company
         has not been registered (i) under the Securities Act of 1933, as
         amended (the "Federal Act"), (ii) under applicable New Mexico
         securities laws, or (iii) under any other state securities laws. Each
         Member or individual executing this Agreement on behalf of an Entity
         which is a Member further understands and acknowledges that his
         representations and warranties contained in this Section are being
         relied upon by the Company and by the Members as the basis for the
         exemption of the Members' Membership Interest in the Company from the
         registration requirements of the Federal Act and from the registration
         requirements of applicable New Mexico securities laws and all other
         state securities laws. Each Member or individual executing this
         Agreement on behalf of an Entity which is a Member further acknowledges
         that the Company will not and has no obligation to recognize any sale,
         transfer, or assignment of

                                       29
<PAGE>   33

         all or any part of such Member's Membership Interest in the Company to
         any Person unless and until the provisions of this Agreement hereof
         have been fully satisfied.

                  (c)      Each Member or individual executing this Agreement on
         behalf of an Entity which is a Member hereby acknowledges that prior to
         his execution of this Agreement, such Member received a copy of this
         Agreement and that such Member has examined this Agreement or caused
         this Agreement to be examined by such Member's representative or
         attorney. Each Member or individual executing this Agreement on behalf
         of an Entity which is a Member hereby further acknowledges that such
         Member or such Member's representative or attorney is familiar with
         this Agreement and with the Company's business plans. Each Member or
         individual executing this Agreement on behalf of an Entity which is a
         Member acknowledges that such Member or such Member's representative or
         attorney has made such inquiries and requested, received, and reviewed
         any additional documents necessary for such Member to make an informed
         investment decision and that such Member does not desire any further
         information or data relating to the Company or to the Members. Each
         Member or individual executing this Agreement on behalf of an Entity
         which is a Member hereby acknowledges that such Member understands that
         the purchase of such Member's Membership Interest in the Company is a
         speculative investment involving a high degree of risk and hereby
         represents that such Member has a net worth sufficient to bear the
         economic risk of such Member's investment in the Company and to justify
         such Member's investing in a highly speculative venture of this type.

         SECTION 11.12     EXHIBITS.

         The Exhibits to this Agreement, each of which is incorporated by
reference, are:

         EXHIBIT A:        Articles of Organization.
         EXHIBIT B:        Information Exhibit.
         EXHIBIT C:        Glossary of Terms.
         EXHIBIT D:        Development Budget Exhibit.
         EXHIBIT E:        Regulatory Allocations.

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement on
the following execution page(s), to be effective as of the date described in
Article II.

                                       30

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