0001193125-10-287438 Sample Contracts

UNLIMITED GUARANTY
Unlimited Guaranty • December 23rd, 2010 • USMD Holdings, Inc. • Texas

This Unlimited Guaranty (this “Guaranty”) is entered into effective November 7, 2008, by UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“Guarantor”), a Texas registered limited liability partnership, for the benefit of COMPASS BANK (“Lender”), an Alabama state banking association. For valuable consideration, Guarantor absolutely and unconditionally guarantees and promises to pay to Lender or its order, in legal tender of the United States of America, the Indebtedness (as defined below) of UANT VENTURES, L.L.P. (“Borrower”), a Texas registered limited liability partnership, to Lender on the terms and conditions set forth in this Guaranty. Under this Guaranty, the liability of Guarantor is unlimited and the obligations of Guarantor are continuing.

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PARTNERSHIP INTEREST PURCHASE AGREEMENT
Partnership Interest Purchase Agreement • December 23rd, 2010 • USMD Holdings, Inc. • Texas

THIS PARTNERSHIP INTEREST PURCHASE AGREEMENT (this “Agreement”), effective as of this 1st day of January, 2007 (the “Effective Date”), is entered into by and between U.S. Lithotripsy, a Texas limited partnership (“USL”) and Dr. John House (“Seller”).

FIRST AMENDMENT TO PARTNERSHIP INTEREST PURCHASE AGREEMENT
Partnership Interest Purchase Agreement • December 23rd, 2010 • USMD Holdings, Inc. • Texas

This First Amendment to Partnership Interest Purchase Agreement (this “Amendment”), effective as of this 16th day of September, 2009 (the “Effective Date”), is entered into by and between U.S. Lithotripsy, L.P., a Texas limited partnership (“USL”) and John House, M.D. (“Seller”).

Fort Worth, Texas 76116
Loan Agreement • December 23rd, 2010 • USMD Holdings, Inc.

This letter (this “Amendment”) amends the Loan Agreement dated November 7, 2008, among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT VENTURES, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association, as amended by the First Amendment dated March 31, 2009, and the Second Amendment dated January 31, 2010 (the “Loan Agreement”). Capitalized terms below have the meanings assigned in the Loan Agreement.

Fort Worth, Texas 76116
Loan Agreement • December 23rd, 2010 • USMD Holdings, Inc.

This letter (this “Amendment”) amends the Loan Agreement dated November 7, 2008, among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT VENTURES, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association, as amended by the First Amendment dated March 31, 2009 (the “Loan Agreement”). Capitalized terms below have the meanings assigned in the Loan Agreement.

Arlington, Texas 76015
Loan Agreement • December 23rd, 2010 • USMD Holdings, Inc. • Texas

This letter sets forth the Loan Agreement (this “Loan Agreement”) among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT Ventures, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association, with respect to loans from Lender to Borrowers and obligations of Borrowers and Guarantors to Lender.

FIRST AMENDMENT TO PARTNERSHIP INTEREST PURCHASE AGREEMENT
Partnership Interest Purchase Agreement • December 23rd, 2010 • USMD Holdings, Inc. • Texas

This First Amendment to Partnership Interest Purchase Agreement (this “Amendment”), effective as of this 16th day of September, 2009 (the “Effective Date”), is entered into by and between U.S. Lithotripsy, L.P., a Texas limited partnership (“USL”) and Paul Thompson, M.D. (“Seller”).

Arlington, Texas 76015
Loan Agreement • December 23rd, 2010 • USMD Holdings, Inc.

This letter (this “Amendment”) amends the Loan Agreement (the “Loan Agreement”) dated November 7, 2008, among UROLOGY ASSOCIATES OF NORTH TEXAS, L.L.P. (“UANT”), a Texas registered limited liability partnership, and UANT VENTURES, L.L.P. (“UANT VENTURES”), a Texas registered limited liability partnership (collectively “Borrowers”); the Guarantors listed on Schedule 1 attached (collectively “Guarantors”); and COMPASS BANK (“Lender”), an Alabama state banking association. Capitalized terms below have the meanings assigned in the Loan Agreement.

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