Document:

EX-10.29

 Exhibit 10.29 
  

 
 PROMISSORY NOTE 
  

															
	Principal	  	Loan Date	  	Maturity	  	Loan No	  	Call / Coll	  	Account	  	Officer	  	Initials
	$1,000,000.00	  	03-21-2012	  	03-21-2014	  	10968623	  	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: 10968623	  	 PROMISSORY NOTE

(Continued)
	  	 Page
 2

  
  

 
  

 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, fixtures and mineral, oil and gas 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]EX-10.30

 Exhibit 10.30 

FIRST MODIFICATION TO PROMISSORY NOTES 

AND TO FIRST AMENDED AND RESTATED 

LOAN AND SECURITY AGREEMENT 

This First Modification to Promissory Notes and to First Amended and Restated Loan and Security Agreement (“First Modification
Agreement”) is made and entered into this 28th day of June, 2013, to be effective as of the 26th day of June, 2013, by and between by and between FOUNDATION BARIATRIC HOSPITAL OF SAN
ANTONIO, L.L.C., a Texas limited liability company, d/b/a FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO, L.L.C. (“FBH of SA” or “Borrower”), the Doctor Members of Borrower, as shown on Schedule 2 attached to the
First Amended and Restated Loan and Security Agreement, FOUNDATION SURGICAL HOSPITAL HOLDINGS, LLC, a Nevada limited liability company (“FSHH”), FOUNDATION SURGICAL HOSPITAL AFFILIATES, LLC, a Nevada limited liability
company (“FSHA”), FOUNDATION SURGICAL HOSPITAL MANAGEMENT, LLC, an Oklahoma limited liability company (“FSHM”), FOUNDATION SURGERY AFFILIATES, LLC, an Oklahoma limited liability company
(“FSA”), FOUNDATION SURGERY HOLDINGS, LLC, a Delaware limited liability company (“FSH”), FOUNDATION SURGERY MANAGEMENT, LLC, a Delaware limited liability company (“FSM”), and FOUNDATION HEALTHCARE
AFFILIATES, LLC, an Oklahoma limited liability company (“FHA”) (FSHH, FSHA, FSHM, FSA, FSH, FSM, and FHA are collectively referred to herein as “Company Guarantors,” and the Doctor Members of Borrower and the Company
Guarantors are collectively referred to herein as “Guarantors”), and LEGACY BANK (“Lender”), 2801 W. Memorial Road, Oklahoma City, Oklahoma 73134. 

WITNESSETH: 

WHEREAS, effective August 11, 2010, FBH of SA, as Borrower, FSHH, as Guarantor, and Lender entered into that certain Loan and
Security Agreement (“Loan Agreement”), pursuant to which FBH of SA executed and delivered to Lender those two certain Promissory Notes as follows: (a) Note No. 1 in the amount of $5,000,000.00, and (b) Note No. 2 in the
amount of not to exceed $2,000,000.00; and FSHH and the Doctor Members of Borrower executed and delivered to Lender their respective certain Loan Guaranty Agreements dated of even date therewith (the loan transaction heretofor described is hereafter
referred to as the “Prior Loan Agreement”), and 
 WHEREAS, effective September 7, 2010, Borrowers hereinafter
described and Lender agreed to modify the structure of the Prior Loan Transaction to three (3) Loans pursuant to that certain First Amended and Restated Loan and Security Agreement, in the following amounts: (1) Loan #1 having FBH of SA as
Borrower, in the amount of not to exceed ONE MILLION AND 00/100 DOLLARS ($1,000,000.00), (2) Loan #2 having FBH of SA as maker, in the amount of ONE MILLION AND 00/100 DOLLARS ($1,000,000.00), and (3) Loan #3 having FBH of SA, FSHA, FSHH,
and FSHM, as makers (FBH of SA, FSHA, FSHH, and FSHM are collectively referred to herein as the “Note #3 Borrowers”), jointly and severally, in the amount of FOUR MILLION AND 00/100 DOLLARS ($4,000,000.00) (the loan transaction herein
described is hereafter referred to as the “First Amended Loan Agreement”); and 

 WHEREAS, effective March 30, 2011, Borrowers, Guarantors, and Lender entered into
that certain First Addendum to First Amended and Restated Loan and Security Agreement, which modified certain terms of the First Amended Loan Agreement as stated therein (the “Addendum”); and 

WHEREAS, effective April 22, 2011, the Note No. 3 Borrowers and Lender agreed an extension of the Note No. 3 Maturity date
from September 7, 2011, to May 7, 2013 (the “Extension Agreement”); and 
 WHEREAS, Borrower has requested that
Note No. 1 and Note No. 3 be amended to provide for modification of the interest rate and an extension of the maturity dates; and 

WHEREAS, pursuant to said request Lender has agreed to said modification, all as more particularly set forth hereinafter. 

NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements contained herein, and for other good and
valuable consideration, the receipt and adequacy of which are hereby acknowledged, the Lender, Borrowers, and Guarantors hereby covenant and agree as follows: 

1. Interest Rate: Effective June 26, 2013, interest shall accrue on Note No. 1 and Note No. 3 based upon the Minimum
Debt Service Coverage Ratio of FBH of SA for the twelve month period preceding the end of the first and third calendar quarters, and shall be modified effective every subsequent December 1st and
June 1st during the term of Note No. 1 and Note No. 3, as follows: 
  

			
	 Minimum DSCR
	  	 Effective Interest Rate

	<1.5:1	  	Wall Street Journal Prime rate plus three and three quarter percent (3.75%)
		
	1.5:1 -1.8999:1	  	Wall Street Journal Prime rate plus three and one quarter percent (3.25%)
		
	1.9:1 or greater	  	Wall Street Journal Prime rate plus two and three quarter percent (2.75%)

 Minimum Debt Service Coverage Ratio (“DSCR”) shall be calculated as follows: net income, plus interest expenses,
plus depreciation expenses, plus amortization expense, divided by debt service, all for the twelve month immediately preceding a determination date and all as determined in accordance with GAAP. “GAAP” shall mean generally accepted
accounting principles in the United States of America in effect from time to time. The DSCR will be tested semi-annually at the end of the first and third quarters of each year. 

2. Non-Usage Fee. Borrower agrees to pay to Lender, on a quarterly basis, within thirty (30) days of the end of each calendar
quarter, a Non-Usage Fee on Note No. 1 in an amount equal to one quarter percent (0.25%) of unadvanced funds under Note No. 1 for the immediately preceding calendar quarter. The unadvanced funds under Note No. 1 will be

  
 -2- 

 
calculated on the amount of Note No. 1 not advanced during the preceding calendar quarter on average based upon the sum of balance available on a daily basis divided by the actual number of
days during the quarter. 
 3. Maturity Dates. The Maturity Date on Note No. 1 is hereby extended from June 7, 2013 to
June 7, 2014. The Maturity Date on Note No. 3 is hereby extended from May 7, 2013 to September 7, 2015. 
 4. Current
Balance Due. The current principal balance of Note No. 1 is $896,000.00. The current principal balance of Note No. 3 is $1,997,286.20. 

5. Effectiveness of Loan Documents. Except as specifically modified by the terms and provisions hereof, each and every of the terms and
provisions of the Loan Documents are and shall remain in full force and effect and are hereby assumed, ratified, and confirmed; and the execution, delivery, and effectiveness of this First Modification Agreement shall not, except as expressly
provided herein, operate as a waiver of any right, power or remedy of Lender under any of the Loan Documents nor constitute a waiver of any provision of any of the Loan Documents. The parties hereto agree that the modifications herein contained to
the Loan Documents shall not affect or impair the Loan Documents or any lien(s) securing the same. 
 6. Execution Counterparts. This
First Modification Agreement may be executed in any number of counterparts, each of which so executed and delivered shall be deemed to be an original and all of which taken together shall constitute one and the same instrument. 

7. Governing Law. The terms and provisions hereof shall be governed by, construed, and enforced in accordance with the laws of the
State of Oklahoma. 
 8. Entire Agreement. This First Modification Agreement constitutes the entire agreement of the parties with
respect to the subject matter hereof, and may be amended only in writing, executed by all parties herein. 
 9. Modification Only.
This agreement is only a modification of the Note and not a novation. Except as provided in this First Modification Agreement, all terms and conditions of the Note and all loan agreements executed in connection with said Note shall remain in full
force and effect. 
 10. Guarantor’s Consent. Guarantors acknowledge that they have executed that their respective Guaranty
Agreements dated September 7, 2010, guaranteeing Borrower’s payment and performance of the Notes and the Loan Documents. Guarantors hereby consent to this First Modification Agreement. Guarantors hereby reaffirm their respective Guaranty
Agreements dated effective September 7, 2010, in favor of Lender which Guaranty Agreements guaranteed payment of the Promissory Notes payable to Lender in the respective amounts of $1,000,000.00 and $4,000,000.00. Guarantors acknowledge and
agree that the aforesaid Guaranty Agreements are hereby amended to guaranty the Borrower’s Notes as modified by this First Modification Agreement which is modifying the interest rate and maturity dates of the 

  
 -3- 

 Promissory Notes as stated above, together with any and all renewals thereof. Performance by Guarantors under the
Guaranty Agreements will not entitle Guarantors to any payment from Borrower under any claim for contribution, indemnification, subrogation, or otherwise. 

IN WITNESS WHEREOF, the parties hereto have executed this First Modification Agreement as of the date first above written. 

 

					
	BORROWER:	 		  	 FOUNDATION BARIATRIC HOSPITAL OF
 SAN
ANTONIO, L.L.C., a Texas limited liability company, d/b/a FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO, LLC

			
		 	By:	  	FOUNDATION SURGICAL HOSPITAL HOLDINGS, LLC, a Nevada limited liability company, its Class B Manager
			
		 	By:	  	 /s/ ROBERT M. BYERS

		 		  	ROBERT M. BYERS, Manager
			
	COMPANY GUARANTORS:	 		  	FOUNDATION SURGICAL HOSPITAL AFFILIATES, LLC, a Nevada limited liability company
			
		 	By:	  	 /s/ ROBERT M. BYERS

		 		  	ROBERT M. BYERS, Manager
			
		 		  	FOUNDATION SURGICAL HOSPITAL HOLDINGS, LLC, a Nevada limited liability company
			
		 	By:	  	 /s/ ROBERT M. BYERS

		 		  	ROBERT M. BYERS, Manager

  
 -4- 

 
			
		 	 FOUNDATION SURGICAL HOSPITAL

MANAGEMENT, LLC, an Oklahoma limited liability company

		
	By:	 	 /s/ ROBERT M. BYERS

		 	ROBERT M. BYERS, Manager
		
		 	FOUNDATION SURGERY AFFILIATES, LLC, a Nevada limited liability company
		
	By:	 	 /s/ ROBERT M. BYERS

		 	ROBERT M. BYERS, Manager
		
		 	 FOUNDATION SURGERY HOLDINGS,

L.L.C., a Delaware limited liability company

		
	By:	 	 /s/ ROBERT M. BYERS

		 	ROBERT M. BYERS, Manager
		
		 	FOUNDATION SURGERY MANAGEMENT, LLC, a Delaware limited liability company
		
	By:	 	 /s/ ROBERT M. BYERS

		 	ROBERT M. BYERS, Manager
		
		 	FOUNDATION HEALTHCARE AFFILIATES, LLC, an Oklahoma limited liability company
		
	By:	 	 /s/ ROBERT M. BYERS

		 	ROBERT M. BYERS, Manager

  
 -5- 

							
	LENDER:	  		  		  	LEGACY BANK
				
		  		  	By:	  	 /s/ RUSS NATION

		  		  		  	RUSS NATION, Sr. Vice-President

  
 -6-

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00224-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00224-of-00352.parquet"}]]