Document:

EX-10.27

 Exhibit 10.27 
  

 
 PROMISSORY NOTE 
  

															
	Principal	  	Loan Date	  	Maturity	  	Loan No	  	Call / Coll	  	Account	  	Officer	  	Initials
	$2,010,027 00	  	03-19-2013	  	03-18-2014	  	11119391	  	4a	  	37027	  	RUSSN	  	 
	 References in the boxes above are for Lender’s use only and do not limit the applicability of
this document to any particular loan or item
 Any item above containing **** has been omitted due to text length limitations

  

							
	Borrower	  	 Foundation Surgery Affiliates, LLC

(TIN 80-0322719)
 East El Paso Physicians’ Medical
Center LLC
 (TIN 26-1281512)
 14000 N PORTLAND
AVE STE 205
 OKLAHOMA CITY, OK 73134-4004
	  	Lender	  	 Legacy Bank
 OKC May

2801 W Memorial
 Oklahoma City OK
73134

  
  

 
  

			
	Principal Amount $2,010,027 00	  	Date of Note March 19, 2013

 PROMISE TO PAY Foundation Surgery Affiliates, LLC, and East El Paso Physicians Medical Center, LLC (“Borrower”)
jointly and severally promise to pay to Legacy Bank (“Lender”), or order, in lawful money of the United States of America the principal amount of Two Million Ten Thousand Twenty-seven & 00/100 Dollars ($2,010,027 00) or so much as
may be outstanding, together with interest on the unpaid outstanding principal balance of each advance interest shall be calculated from the date of each advance until repayment of each advance 

PAYMENT Borrower will pay this loan in full immediately upon Lenders demand If no demand is made, Borrower will pay this loan in one payment of all
outstanding principal plus all accrued unpaid interest on March 18, 2014 In addition Borrower will pay regular monthly payments of all accrued unpaid interest due as of each payment date, beginning April 19, 2013, with all subsequent
interest payments to be due on the same day of each month after that Unless otherwise agreed or required by applicable law, payments will be applied first to any unpaid collection costs then to any late charges, then to any accrued unpaid interest
and then to principal Borrower will pay Lender at Lender’s address shown above or at such other place as Lender may designate in writing 

VARIABLE INTEREST RATE The interest rate on this Note is subject to change from time to time based on changes in an independent index which is the
minimum prime lending rate for large U S Money Center Commercial banks as published in the Money Rate Section of the Wall Street Journal (the “Index”) The Index is not necessarily the lowest rate charged by Lender on its loans If the Index
becomes unavailable during the term of this loan Lender may designate a substitute index after notifying Borrower Lender will tell Borrower the current Index rate upon Borrower’s request The interest rate change will not occur more often than
each day Borrower understands that Lender may make loans based on other rates as well The Index currently is 3 250% per annum Interest on the unpaid principal balance of this Note will be calculated as described in the “INTEREST
CALCULATION METHOD” paragraph using a rate of 3 750 percentage points over the Index rounded up to the nearest 0 001 percent adjusted if necessary for any minimum and maximum rate limitations described below resulting in an initial rate of 7
000% per annum based on a year of 360 days NOTICE Under no circumstances will the interest rate on this Note be less than 7 000% per annum or more than the maximum rate allowed by applicable law 

INTEREST CALCULATION METHOD Interest on this Note is computed on a 365/360 basis, that is, by applying the ratio of the interest rate over a year of 360
days, multiplied by the outstanding principal balance, multiplied by the actual number of days the principal balance is outstanding All interest payable under this Note is computed using this method 

PREPAYMENT Borrower agrees that all loan fees and other prepaid finance charges are earned fully as of the date of the loan and will not be subject to
refund upon early payment (whether voluntary or as a result of default) except as otherwise required by law Except for the foregoing Borrower may pay without penalty all or a portion of the amount owed earlier than it is due Early payments will not
unless agreed to by Lender in writing relieve Borrower of Borrower’s obligation to continue to make payments of accrued unpaid interest Rather early payments will reduce the principal balance due Borrower agrees not to send Lender payments
marked “paid in full” “without recourse or similar language If Borrower sends such a payment Lender may accept it without losing any of Lender’s rights under this Note and Borrower will remain obligated to pay any further amount
owed to Lender All written communications concerning disputed amounts including any check or other payment instrument that indicates that the payment constitutes “payment in full of the amount owed or that is tendered with other conditions or
limitations or as full satisfaction of a disputed amount must be mailed or delivered to Legacy Bank OKC May 2801 W Memorial Oklahoma City OK 73134 

LATE CHARGE if a payment is 11 days or more late Borrower will be charged 5 000% of the unpaid portion of the regularly scheduled payment or $23 50,
whichever is greater 
 INTEREST AFTER DEFAULT Upon default including failure to pay upon final maturity the interest rate on this Note shall be
increased by adding an additional 5 000 percentage point margin (“Default Rate Margin”) The Default Rate Margin shall also apply to each succeeding interest rate change that would have applied had there been no default However in no event
will the interest rate exceed the maximum interest rate limitations under applicable law 
 DEFAULT Each of the following shall constitute an event
of default (“Event of Default”) under this Note 
 Payment Default Borrower fails to make any payment when due under this
Note 
 Other Defaults Borrower fails to comply with or to perform any other term obligation covenant or condition contained in this
Note or in any of the related documents or to comply with or to perform any term obligation covenant or condition contained in any other agreement between Lender and Borrower 

Default in Favor of Third Parties Borrower or any Grantor defaults under any loan extension of credit security agreement purchase or
sales agreement or any other agreement in favor of any other creditor or person that may materially affect any of Borrower’s property or Borrower’s ability to repay this Note or perform Borrower’s obligations under this Note or any of
the related documents 
 False Statements Any warranty representation or statement made or furnished to Lender by Borrower or on
Borrower’s behalf under this Note or the related documents is false or misleading in any material respect either now or at the time made or furnished or becomes false or misleading at any time thereafter 

Death or Insolvency The dissolution of Borrower (regardless of whether election to continue is made) any member withdraws from Borrower
or any other termination of Borrower’s existence as a going business or the death of any member the insolvency of Borrower, the appointment of a receiver for any part of Borrower’s property any assignment for the benefit of creditors any
type of creditor workout or the commencement of any proceeding under any bankruptcy or insolvency laws by or against Borrower 
 Creditor
or Forfeiture Proceedings Commencement of foreclosure or forfeiture proceedings whether by judicial proceeding self-help repossession or any other method by any creditor of Borrower or by any governmental agency against any collateral securing
the loan This includes a garnishment of any of Borrower’s accounts including deposit accounts with Lender However this Event of Default shall not apply if there is a good faith dispute by Borrower as to the validity or reasonableness of the
claim which is the basis of the creditor or forfeiture proceeding and if Borrower gives Lender written notice of the creditor or forfeiture proceeding and deposits with Lender monies or a surety bond for the creditor or forfeiture proceeding in an
amount determined by Lender in its sole discretion as being an adequate reserve or bond for the dispute 
 Events Affecting Guarantor
Any of the preceding events occurs with respect to any Guarantor of any of the indebtedness or any Guarantor does or becomes incompetent or revokes or disputes the validity of or liability under any guaranty of the indebtedness evidenced by this
Note 
 Adverse Change A material adverse change occurs in Borrower’s financial condition or Lender believes the prospect of
payment or performance of this Note is impaired 
 Insecurity Lender in good faith believes itself insecure 

Cure Provisions If any default other than a default in payment is curable and if Borrower has not been given a notice of a breach of the
same provision of this Note within the preceding twelve (12) months it may be cured if Borrower after Lender sends written notice to Borrower demanding cure of such default (1) cures the default within ten (10) days or (2) if the
cure requires more than ten (10) days immediately initiates steps which Lender deems in Lender’s sole discretion to be sufficient to cure the default and thereafter continues and completes all reasonable and necessary steps sufficient to
produce compliance as soon as reasonably practical 
 LENDER S RIGHTS Upon default Lender may declare the entire unpaid principal balance under this
Note and all accrued unpaid interest immediately due and then Borrower will pay that amount 

					
	Loan No 11119391	  	 PROMISSORY NOTE

(Continued)
	  	 Page
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 ATTORNEYS FEES EXPENSES Lender may hire or pay someone else to help collect this Note if Borrower does
not pay Borrower will pay Lender that amount This includes subject to any limits under applicable law Lender’s attorneys fees and Lenders legal expenses whether or not there is a lawsuit including without limitation all attorneys’ fees and
legal expenses for bankruptcy proceedings (including efforts to modify or vacate any automatic stay or injunction) and appeals If not prohibited by applicable law Borrower also will pay any court costs in addition to all other sums provided by law

 GOVERNING LAW This Note will be governed by federal law applicable to Lender and, to the extent not preempted by federal law, the laws of the State of
Oklahoma without regard to its conflicts of law provisions This Note has been accepted by Lender in the State of Oklahoma 
 DISHONORED ITEM FEE
Borrower will pay a fee to Lender of $20 00 if Borrower makes a payment on Borrower’s loan and the check or other payment order including any preauthorized charge with which Borrower pays 5 later dishonored 

RIGHT OF SETOFF To the extent permitted by applicable law Lender reserves a right of setoff in a Borrower’s accounts with Lender (whether checking
savings or some other account) This includes all accounts Borrower holds jointly with someone else and all accounts Borrower may open in the future However this does not include any IRA or Keogh accounts or any trust accounts for which setoff would
be prohibited by law Borrower authorizes Lender to the extent permitted by applicable law to charge or setoff all sums owing on the indebtedness against any and all such accounts and at Lender’s option to administratively freeze all such
accounts to allow Lender to protect Lender’s charge and setoff rights provided in this paragraph 
 COLLATERAL Borrower acknowledges this Note
is secured by the following collateral described in the security instruments listed herein inventory chattel caper accounts equipment and general intangibles described in Commercial Security Agreements dated March 19 2013 

LINE OF CREDIT This Note evidences a revolving line of credit Advances under this Note may be requested orally by Borrower or as provided in this
paragraph All oral requests shall be confirmed in writing or the day of the request All communications instructions or directions by telephone or otherwise to Lender are to be [ILLEGIBLE] to Lender’s office shows above The following person or
persons are authorized to request advances and authorize payments under the line of credit until Lender receives from Borrower at Lender’s address shown above written notice of revocation of such authority Robert M Byers, President/Manager
of Foundation Healthcare Affiliates, L L C , Manager of Foundation Surgery Affiliates, LLC, Robert M Byers, President/Manager of Foundation Healthcare Affiliates, L L C, Manager of Foundation Surgical Hospital Affiliates, LLC, Manager of Foundation
Surgical Hospital Holdings, LLC, Manager of East El Paso Physicians Medical Center LLC, Scott Banks Chief Financial Officer of Foundation Surgical Hospital Affiliates, LLC and Brad Ottwell, Chief Financial Officer of Foundation Surgery Affiliates,
LLC Borrower agrees to be liable for all sums either (A) advanced in accordance with the instructions of an authorized person or (B) credited to any of Borrowers accounts with Lender The unpaid principal balance owing or this Note at
any time may be evidenced by endorsements on this Note or by Lenders internal records including daily computer print-outs Lender will have no obligation to advance funds under this Note if (A) Borrower or any guarantor is in default under the
terms of this Note or any agreement that Borrower or any guarantor has with Lender including any agreement made in connection with the signing of this Note (B) Borrower or any guarantor ceases doing business or is insolvent (C) any
guarantor seeks claims or otherwise attempts to [illegible] modify or revoke such guarantors guarantee of this Note or any other loan with Lender (D) Borrower has applied funds provided pursuant to this Note for purposes other than those
authorized by Lender or (E) Lender in good faith believes itself insecure 
 ADDITIONAL FEES Borrower(s) agrees to pay any and all fees or costs
associated with this indebtedness as deemed necessary by Lender for fee documentation or security perfect or These additional fees or costs may include but not be limited to attorney fees appraisal fees title fees filing and recording fees or
abstracting fees Said fees if required for Borrower(s) specific loan If not paid when Incurred will be added to the principal of this indebtedness 

ADVANCES Notwithstanding any other provision of this Agreement Borrower acknowledges and agrees that all Advances shall be used for the stated purpose
as specified in each application for Advance Borrower further acknowledges and agrees that Advances shall not be made by Lender to any deposit account owned by Borrower or when applicable a related entry of Borrower which is held at a financial
institution other than that of Lenders 
 DOCUMENTATION/INFORMATION FEE Lender may require additional documentation or information related to this
Indebtedness from the Borrower for loan security or the documentation as deemed appropriate and at the sole discretion of Lender or in accordance with covenants described in the Business Loan Agreement In the event Borrower fails to provide
requested documentation or information within 60 days from written request by Lender a fee may be assessed for each incidence in an amount which is the greater of $100 00 or 03% ( 0003) of the outstanding principal balance of the Indebtedness for
each incidence Said fee if not paid when incurred will be added to the principal of this indebtedness 
 TIMELY ADVANCES After appropriate written
request from Borrower for an advance of funds on this indebtedness Lender shall have a reasonable time to consider approval and process of the advance request While Lender will use reasonable effort to fund the advance as soon as feasible Borrower
understands and agrees that a reasonable time may be up to 72 hours from the time of delivery of the request not including non business days such as weekends or holidays If delays are expected beyond 72 hours Lender will notify Borrower of the delay
and expected funding date and time 
 CROSS PLEDGED AND CROSS COLLATERALIZED This Note is secured by all Collateral evidenced guaranteed and granted
on all Notes and Indebtedness with Lender 
 SUCCESSOR INTERESTS The terms of this Note shall be binding upon Borrower and upon Borrowers heirs
personal representatives successors and assigns and shall inure to the benefit of Lender and its successors and assigns 
 NOTIFY US OF INACCURATE
INFORMATION WE REPORT TO CONSUMER REPORTING AGENCIES Borrower may notify Lender if Lender reports any inaccurate information about Borrower’s account(s) to a consumer reporting agency Borrower’s written notice describing the specific
inaccuracy(ies) should be sent to Lender at the following address Legacy Bank OKC May 2801 W Memorial Oklahoma City OK 73134 
 GENERAL PROVISIONS
This Note is payable on demand The inclusion of specific default provisions or rights of Lender shall not preclude Lender’s right to declare payment of this Note on its demand If any part of this Note cannot be enforced this fact will not
affect the rest of the Note Lender may delay or forgo enforcing any of its rights or remedies under this Note without losing them Each Borrower understands and agrees that with or without notice to Borrower Lender may with respect to any other
Borrower (a) make one or more additional secured or unsecured loans or otherwise extend additional credit (b) alter compromise renew extend accelerate or otherwise change one or more times the time for payment or other terms of any indebtedness
including increases and decreases of the rate of interest on the indebtedness (c) exchange enforce waive subordinate fail or decide not to perfect and release any security with or without the substitution of new collateral (d) apply such security
and direct the order or manner of sale thereof including without limitation any non judicial sale permitted by the terms of the controlling security agreements as Lender in its discretion may determine (e) release substitute agree not to sue or deal
with any one or more of Borrower’s sureties endorsers or other guarantors on any terms or in any manner Lender may choose and (f) determine how when and what application of payments and credits shall be made on any other indebtedness owing by
such other Borrower Borrower and any other person who signs guarantees or endorses this Note to the extent allowed by law waive presentment demand for payment and notice of dishonor Upon any change in the terms of this Note and unless otherwise
expressly stated in writing no party who signs this Note whether as maker guarantor accommodation maker or endorser shall be released from liability All such parties agree that Lender may renew or extend (repeatedly and for any length of time) this
loan or release any party or guarantor or collateral or impair fail to realize upon or perfect Lender’s security interest in the collateral and take any other action deemed necessary by Lender without the consent of or notice to anyone All such
parties also agree that Lender may modify this loan without the consent of or notice to anyone other than the party with whom the modification is made The obligations under this Note are joint and several 

					
	Loan No 11119391	  	 PROMISSORY NOTE

(Continued)
	  	 Page
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 PRIOR TO SIGNING THIS NOTE, EACH BORROWER READ AND UNDERSTOOD ALL THE PROVISIONS OF THIS NOTE, INCLUDING
THE VARIABLE INTEREST RATE PROVISIONS EACH BORROWER AGREES TO THE TERMS OF THE NOTE 
 BORROWER ACKNOWLEDGES RECEIPT OF A COMPLETED COPY OF THIS
PROMISSORY NOTE 
  

			
	BORROWER
	
	FOUNDATION SURGERY AFFILIATES, LLC
	
	FOUNDATION HEALTHCARE AFFILIATES, L L C, Manager of Foundation Surgery Affiliates, LLC
		
	By	 	

		 	Robert M Byers, President/Manager of Foundation Healthcare Affiliates, L L C
	
	EAST EL PASO PHYSICIANS’ MEDICAL CENTER LLC
	
	FOUNDATION SURGICAL HOSPITAL HOLDINGS, LLC. Manager of East El Paso Physicians’ Medical Center, LLC
	
	FOUNDATION SURGICAL HOSPITAL AFFILIATES, LLC, Manager of Foundation Surgical Hospital Holdings LLC
	
	FOUNDATION HEALTHCARE AFFILIATES, L L C. Manager of Foundation Surgical Hospital Affiliates LLC
		
	By	 	

		 	Robert M Byers, President/Manager of Foundation Healthcare Affiliates, L L C

  
  

 
 [ILLEGIBLE]EX-10.28

 Exhibit 10.28 
  

 
 PROMISSORY NOTE 
  

															
	Principal	  	Loan Date	  	Maturity	  	Loan No	  	Call / Coll	  	Account	  	Officer	  	Initials
	$1,000,000.00	  	03-21-2012	  	03-21-2014	  	10968635	  	4a	  	 	  	RUSSN	  	 
	 References in the boxes above are for Lender’s use only and do not limit the applicability of
this document to any particular loan or item.
 Any item above containing “***” has been omitted due to text length
limitations.

  

							
	Borrower:	  	 East El Paso Physicians’ Medical Center, LLC (TIN: 26-1281512)

1416 George Dieter Drive
 El Paso, TX
79936-7601
	  	Lender:	  	 Legacy Bank
 OKC May

2801 W Memorial
 Oklahoma City, OK
73134

  
  

 
  

			
	Principal Amount: $1,000,000.00	  	Date of Note: March 21, 2012

 PROMISE TO PAY. East El Paso Physicians’ Medical Center, LLC (“Borrower”) promises to pay to Legacy Bank
(“Lender”), or order, in lawful money of the United States of America, the principal amount of One Million & 00/100 Dollars ($1,000,000.00), together with interest on the unpaid principal balance from March 21, 2012, until
paid in full. 
 PAYMENT. Subject to any payment changes resulting from changes in the Index, Borrower will pay this loan in accordance with the
following payment schedule, which calculates interest on the unpaid principal balances as described in the “INTEREST CALCULATION METHOD” paragraph using the interest rates described in this paragraph: 6 monthly consecutive interest
payments, beginning April 21, 2012, with interest calculated on the unpaid principal balances using an interest rate based on the minimum prime lending rate for large U.S. Money Center Commercial banks as published in the Money Rate Section of
the Wall Street Journal (currently 3.250%), plus a margin of 1.500 percentage points, the sum rounded up to the nearest 0.001, adjusted if necessary for the minimum and maximum rate limitations for this loan, resulting in an initial interest rate of
6.500% per annum based on a year of 360 days; 17 monthly consecutive principal and interest payments in the initial amount of $23,755.22 each, beginning October 21, 2012, with interest calculated on the unpaid principal balances using an
interest rate based on the minimum prime lending rate for large U.S. Money Center Commercial banks as published in the Money Rate Section of the Wall Street Journal (currently 3.250%), plus a margin of 1.500 percentage points, the sum rounded up to
the nearest 0.001, adjusted if necessary for the minimum and maximum rate limitations for this loan, resulting in an initial interest rate of 6.500% per annum based on a year of 360 days; and one principal and interest payment of $679,005.90 on
March 21, 2014, with interest calculated on the unpaid principal balances using an interest rate based on the minimum prime lending rate for large U.S. Money Center Commercial banks as published in the Money Rate Section of the Wall Street
Journal (currently 3.250%), plus a margin of 1.500 percentage points, the sum rounded up to the nearest 0.001, adjusted if necessary for the minimum and maximum rate limitations for this loan, resulting in an initial interest rate of 6.500% per
annum based on a year of 360 days. This estimated final payment is based on the assumption that all payments will be made exactly as scheduled and that the Index does not change; the actual final payment will be for all principal and accrued
interest not yet paid, together with any other unpaid amounts under this Note. Unless otherwise agreed or required by applicable law, payments will be applied first to any unpaid collection costs; then to any late charges; then to any accrued unpaid
interest; and then to principal. Borrower will pay Lender at Lender’s address shown above or at such other place as Lender may designate in writing. 

VARIABLE INTEREST RATE. The interest rate on this Note is subject to change from time to time based on changes in an independent index which is the
minimum prime lending rate for large U.S. Money Center Commercial banks as published in the Money Rate Section of the Wall Street Journal (the “Index”). The Index is not necessarily the lowest rate charged by Lender on its loans. If the
Index becomes unavailable during the term of this loan, Lender may designate a substitute index after notifying Borrower. Lender will tell Borrower the current Index rate upon Borrower’s request. The interest rate change will not occur more
often than each day. Borrower understands that Lender may make loans based on other rates as well. The Index currently is 3.250% per annum. The interest rate or rates to be applied to the unpaid principal balance during this Note will be
the rate or rates set forth herein in the “Payment” section. Notwithstanding any other provision of this Note, after the first payment stream, the interest rate for each subsequent payment stream will be effective as of the last payment
date of the just-ending payment stream. NOTICE: Under no circumstances will the interest rate on this Note be less than 6.500% per annum or more than the maximum rate allowed by applicable law. Whenever increases occur in the interest rate,
Lender, at its option, may do one or more of the following: (A) increase Borrower’s payments to ensure Borrower’s loan will pay off by its original final maturity date, (B) increase Borrower’s payments to cover accruing
interest, (C) increase the number of Borrower’s payments, and (D) continue Borrower’s payments at the same amount and increase Borrower’s final payment. 

INTEREST CALCULATION METHOD. Interest on this Note is computed on a 365/360 basis; that is, by applying the ratio of the interest rate over a year of 360
days, multiplied by the outstanding principal balance, multiplied by the actual number of days the principal balance is outstanding. All interest payable under this Note is computed using this method. 

PREPAYMENT. Borrower agrees that all loan fees and other prepaid finance charges are earned fully as of the date of the loan and will not be subject to
refund upon early payment (whether voluntary or as a result of default), except as otherwise required by law. Except for the foregoing, Borrower may pay without penalty all or a portion of the amount owed earlier than it is due. Early payments will
not, unless agreed to by Lender in writing, relieve Borrower of Borrower’s obligation to continue to make payments under the payment schedule. Rather, early payments will reduce the principal balance due and may result in Borrower’s making
fewer payments. Borrower agrees not to send Lender payments marked “paid in full”, “without recourse”, or similar language. If Borrower sends such a payment, Lender may accept it without losing any of Lender’s rights under
this Note, and Borrower will remain obligated to pay any further amount owed to Lender. All written communications concerning disputed amounts, including any check or other payment instrument that indicates that the payment constitutes “payment
in full” of the amount owed or that is tendered with other conditions or limitations or as full satisfaction of a disputed amount must be mailed or delivered to: Legacy Bank, OKC May, 2801 W Memorial, Oklahoma City, OK 73134. 

LATE CHARGE. If a payment is 11 days or more late, Borrower will be charged 5.000% of the unpaid portion of the regularly scheduled payment or
$23.00, whichever is greater. 
 INTEREST AFTER DEFAULT. Upon default, including failure to pay upon final maturity, the interest rate on this
Note shall be increased by adding an additional 5.000 percentage point margin (“Default Rate Margin”). The Default Rate Margin shall also apply to each succeeding interest rate change that would have applied had there been no default.
After maturity, or after this Note would have matured had there been no default, the Default Rate Margin will continue to apply to the final interest rate described in this Note. However, in no event will the interest rate exceed the maximum
interest rate limitations under applicable law. 
 DEFAULT. Each of the following shall constitute an event of default (“Event of Default”)
under this Note: 
 Payment Default. Borrower fails to make any payment when due under this Note. 

Other Defaults. Borrower fails to comply with or to perform any other term, obligation, covenant or condition contained in this Note or
in any of the related documents or to comply with or to perform any term, obligation, covenant or condition contained in any other agreement between Lender and Borrower. 

Default in Favor of Third Parties. Borrower or any Grantor defaults under any loan, extension of credit, security agreement, purchase or
sales agreement, or any other agreement, in favor of any other creditor or person that may materially affect any of Borrower’s property or Borrower’s ability to repay this Note or perform Borrower’s obligations under this Note or any
of the related documents. 
 False Statements. Any warranty, representation or statement made or furnished to Lender by Borrower or on
Borrower’s behalf under this Note or the related documents is false or misleading in any material respect, either now or at the time made or furnished or becomes false or misleading at any time thereafter. 

Death or Insolvency. The dissolution of Borrower (regardless of whether election to continue is made), any member withdraws from
Borrower, or any other termination of Borrower’s existence as a going business or the death of any member, the insolvency of Borrower, the appointment of a receiver for any part of Borrower’s property, any assignment for the benefit of
creditors, any type of creditor workout, or the commencement of any proceeding under any bankruptcy or insolvency laws by or against Borrower. 

Creditor or Forfeiture Proceedings. Commencement of foreclosure or forfeiture proceedings, whether by judicial proceeding, self-help,
repossession or any other method, by any creditor of Borrower or by any governmental agency against any collateral securing the loan. This includes a garnishment of any of Borrower’s accounts, including deposit accounts, with Lender. However,
this Event of Default shall not apply if there is a good faith dispute by Borrower as to the validity or reasonableness of the claim which is the basis of the creditor or forfeiture proceeding and if Borrower gives Lender written notice of the
creditor or forfeiture proceeding and deposits with Lender monies or a surety bond for the creditor or forfeiture proceeding, in an amount determined by Lender, in its sole discretion, as being an adequate reserve or bond for the dispute. 

					
	Loan No: 10968635	  	 PROMISSORY NOTE

(Continued)
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 Events Affecting Guarantor. Any of the preceding events occurs with respect to any
Guarantor of any of the indebtedness or any Guarantor dies or becomes incompetent, or revokes or disputes the validity of, or liability under, any guaranty of the indebtedness evidenced by this Note. 

Adverse Change. A material adverse change occurs in Borrower’s financial condition, or Lender believes the prospect of payment or
performance of this Note is impaired. 
 Insecurity. Lender in good faith believes itself insecure. 

Cure Provisions. If any default, other than a default in payment is curable and if Borrower has not been given a notice of a breach of
the same provision of this Note within the preceding twelve (12) months, it may be cured if Borrower, after Lender sends written notice to Borrower demanding cure of such default: (1) cures the default within ten (10) days; or
(2) if the cure requires more than ten (10) days, immediately initiates steps which Lender deems in Lender’s sole discretion to be sufficient to cure the default and thereafter continues and completes all reasonable and necessary
steps sufficient to produce compliance as soon as reasonably practical. 
 LENDER’S RIGHTS. Upon default, Lender may declare the entire unpaid
principal balance under this Note and all accrued unpaid interest immediately due, and then Borrower will pay that amount. 
 ATTORNEYS’ FEES;
EXPENSES. Lender may hire or pay someone else to help collect this Note if Borrower does not pay. Borrower will pay Lender that amount. This includes, subject to any limits under applicable law, Lender’s attorneys’ fees and
Lender’s legal expenses, whether or not there is a lawsuit, including without limitation all attorneys’ fees and legal expenses for bankruptcy proceedings (including efforts to modify or vacate any automatic stay or injunction), and
appeals. If not prohibited by applicable law, Borrower also will pay any court costs, in addition to all other sums provided by law. 
 GOVERNING LAW.
This Note will be governed by federal law applicable to Lender and, to the extent not preempted by federal law, the laws of the State of Oklahoma without regard to its conflicts of law provisions. This Note has been accepted by Lender In the State
of Oklahoma. 
 DISHONORED ITEM FEE. Borrower will pay a fee to Lender of $20.00 if Borrower makes a payment on Borrower’s loan and the
check or other payment order including any preauthorized charge with which Borrower pays is later dishonored. 
 RIGHT OF SETOFF. To the extent
permitted by applicable law, Lender reserves a right of setoff in all Borrower’s accounts with Lender (whether checking, savings, or some other account). This includes all accounts Borrower holds jointly with someone else and all accounts
Borrower may open in the future. However, this does not include any IRA or Keogh accounts, or any trust accounts for which setoff would be prohibited by law. Borrower authorizes Lender, to the extent permitted by applicable law, to charge or setoff
all sums owing on the indebtedness against any and all such accounts, and, at Lender’s option, to administratively freeze all such accounts to allow Lender to protect Lender’s charge and setoff rights provided in this paragraph. 

COLLATERAL. Borrower acknowledges this Note is secured by the following collateral described in the security instrument listed herein: inventory,
chattel paper, accounts, equipment, general intangibles and fixtures described in a Commercial Security Agreement dated March 21, 2012. 

ADDITIONAL FEES. Borrower(s) agrees to pay any and all fees or costs associated with this indebtedness as deemed necessary by Lender, for file
documentation or security perfection. These additional fees or costs, may include, but not be limited to, attorney fees, appraisal fees, title fees, filing and recording fees, or abstracting fees. Said fees, if required for Borrower(s) specific
loan, if not paid when incurred, will be added to the principal of this indebtedness. 
 ADVANCES. Notwithstanding any other provision of this
Agreement, Borrower acknowledges and agrees that all Advances shall be used for the stated purpose as specified in each application for Advance. Borrower further acknowledges and agrees that Advances shall not be made by Lender to any deposit
account owned by Borrower, or, when applicable, a related entity of Borrower, which is held at a financial institution other than that of Lender’s. 

DOCUMENTATION/INFORMATION FEE. Lender may require additional documentation or information related to this Indebtedness from the Borrower for loan
security or file documentation as deemed appropriate and at the sole discretion of Lender or in accordance with covenants described in the Business Loan Agreement. In the event Borrower fails to provide requested documentation or information within
60 days from written request by Lender, a fee may be assessed for each incidence in an amount which is the greater of $100.00 or .03% (.0003) for each incidence. Said fee, if not paid when incurred, will be added to the principal of this
Indebtedness. 
 TIMELY ADVANCES. After appropriate written request from Borrower for an advance of funds on this indebtedness, Lender shall have a
reasonable time to consider approval and process of the advance request. While Lender will use reasonable effort to fund the advance as soon as feasible, Borrower understands and agrees that a reasonable time may be up to 72 hours from the time of
delivery of the request, not including non-business days, such as weekends or holidays. If delays are expected beyond 72 hours, Lender will notify Borrower of the delay and expected funding date and time. 

LINE OF CREDIT NON REVOLVING. This Note evidences a straight line of credit. Once the total amount of principal has been advanced, I am not entitled to
further loan advances. I agree to be liable for all sums either: (A) advanced in accordance with the instruction of an authorized person or (B) credited to any of my accounts with Lender. The unpaid principal balance owing on this Note at
any time may be evidenced by endorsements on this Note or by lender’s internal records, including daily computer print-outs. 
 SUCCESSOR
INTERESTS. The terms of this Note shall be binding upon Borrower, and upon Borrower’s heirs, personal representatives, successors and assigns, and shall inure to the benefit of Lender and its successors and assigns. 

NOTIFY US OF INACCURATE INFORMATION WE REPORT TO CONSUMER REPORTING AGENCIES. Borrower may notify Lender if Lender reports any inaccurate information
about Borrower’s account(s) to a consumer reporting agency. Borrower’s written notice describing the specific inaccuracy(ies) should be sent to Lender at the following address: Legacy Bank, OKC May, 2801 W Memorial, Oklahoma City, OK
73134. 
 GENERAL PROVISIONS. If any part of this Note cannot be enforced, this fact will not affect the rest of the Note. Lender may delay or forgo
enforcing any of its rights or remedies under this Note without losing them. Borrower and any other person who signs, guarantees or endorses this Note, to the extent allowed by law, waive presentment, demand for payment, and notice of dishonor. Upon
any change in the terms of this Note, and unless otherwise expressly stated in writing, no party who signs this Note, whether as maker, guarantor, accommodation maker or endorser, shall be released from liability. All such parties agree that Lender
may renew or extend (repeatedly and for any length of time) this loan or release any party or guarantor or collateral; or impair, fail to realize upon or perfect Lender’s security interest in the collateral; and take any other action deemed
necessary by Lender without the consent of or notice to anyone. All such parties also agree that Lender may modify this loan without the consent of or notice to anyone other than the party with whom the modification is made. The obligations under
this Note are joint and several. 
 PRIOR TO SIGNING THIS NOTE, BORROWER READ AND UNDERSTOOD ALL THE PROVISIONS OF THIS NOTE, INCLUDING THE VARIABLE
INTEREST RATE PROVISIONS. BORROWER AGREES TO THE TERMS OF THE NOTE. 
 BORROWER ACKNOWLEDGES RECEIPT OF A COMPLETED COPY OF THIS PROMISSORY NOTE.

  

			
	BORROWER:
	
	EAST EL PASO PHYSICIANS’ MEDICAL CENTER, LLC
		
	By:	 	

		 	 Robert M. Byers, Manager of East El Paso

Physicians’ Medical Center, LLC

  
  

 
 LASER PRO Lending, Ver. 5.57.10.001
Copr. Harland Financial Solutions, Inc. 1997, 2012. All Rights Reserved. - OK [ILLEGIBLE]

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