0001193125-14-344452 Sample Contracts

AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF MISSISSIPPI HMA HOLDINGS I, LLC January 27, 2014
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by and between Health Management Associates, LP, a Delaware limited partnership, and HMA Hospitals Holdings, LP, a Delaware limited partnership (collectively referred to as “Member”).

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AMENDED AND RESTATED OPERATING AGREEMENT OF BREVARD HMA HOLDINGS, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Florida

THIS AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Central Florida HMA Holdings, LLC, a Delaware limited liability company (the “Member”).

AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF SOUTHEAST HMA HOLDINGS, LLC January 27, 2014
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by and between Health Management Associates, LP, a Delaware limited partnership, and HMA Hospitals Holdings, LP, a Delaware limited partnership (collectively referred to as “Member”).

FOURTH AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF AFFINITY HEALTH SYSTEMS, LLC May 1, 2012
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS FOURTH AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT (“Agreement”) is made as of the 1st day of May, 2012, by and between (i) Birmingham Holdings, LLC, a Delaware limited liability company, and (ii) Birmingham Holdings II, LLC, a Delaware limited liability company. The foregoing parties are collectively referred to herein as “Members” and individually as a “Member.” For purposes of this Agreement, the term “Members” includes all persons then acting in such capacity in accordance with the terms of this Agreement.

LIMITED PARTNERSHIP AGREEMENT OF HEALTH MANAGEMENT ASSOCIATES, LP
Limited Partnership Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS LIMITED PARTNERSHIP AGREEMENT (this “Agreement”) is made as of the 27th day of December, 2012, by and between HEALTH MANAGEMENT GENERAL PARTNER, LLC, a Delaware limited liability company (referred to as “General Partner”), and HEALTH MANAGEMENT ASSOCIATES, INC., a Delaware corporation (referred to as “Limited Partner”). General Partner and Limited Partner are herein collectively referred to as “Partners” and are Partners in the partnership known as Health Management Associates, L.P. (the “Partnership”), which was formed on December 27, 2012 when the General Partner caused a certificate of limited partnership (the “Certificate”) to be filed in the office of the Secretary of State of Delaware in accordance with the provisions of the Delaware Revised Uniform Limited Partnership Act (the “Act”).

AMENDED AND RESTATED OPERATING AGREEMENT OF NAPLES HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Florida

THIS AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Southwest Florida HMA Holdings, LLC, a Delaware limited liability company (the “Member”).

AMENDED AND RESTATED OPERATING AGREEMENT OF HMA SANTA ROSA MEDICAL CENTER, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Florida

THIS AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Florida HMA Holdings, LLC, a Delaware limited liability company (the “Member”).

AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF CAROLINAS JV HOLDINGS GENERAL, LLC January 27, 2014
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Health Management Associates, LP, a Delaware limited partnership (the “Member”).

SECOND AMENDED AND RESTATED OPERATING AGREEMENT OF JACKSON HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Mississippi

THIS SECOND AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Mississippi HMA Holdings II, LLC, a Delaware limited liability company (the “Member”).

SECOND AMENDED AND RESTATED OPERATING AGREEMENT OF MADISON HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Mississippi

THIS SECOND AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Mississippi HMA Holdings II, LLC, a Delaware limited liability company (the “Member”).

AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF FORT SMITH HMA, LLC January 27, 2014
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Arkansas

THIS AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Mississippi HMA Holdings I, LLC, a Delaware limited liability company (the “Member”).

LIMITED LIABILITY COMPANY AGREEMENT OF SHARON PENNSYLVANIA HOLDINGS, LLC December 4, 2013
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS LIMITED LIABILITY COMPANY AGREEMENT (this “Agreement”) is made as of the 4th day of December, 2013, by Community Health Investment Company, LLC, a Delaware limited liability company (the “Member”).

SECOND AMENDED AND RESTATED OPERATING AGREEMENT OF RIVER OAKS HOSPITAL, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Mississippi

THIS SECOND AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Mississippi HMA Holdings I, LLC, a Delaware limited liability company (the “Member”).

SECOND AMENDED AND RESTATED OPERATING AGREEMENT OF CLARKSDALE HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Mississippi

THIS AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Mississippi HMA Holdings II, LLC, a Delaware limited liability company (the “Member”).

AMENDED AND RESTATED OPERATING AGREEMENT OF LEHIGH HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Florida

THIS AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Florida HMA Holdings, LLC, a Delaware limited liability company (the “Member”).

AGREEMENT OF LIMITED PARTNERSHIP OF LONE STAR HMA, L.P. A Delaware Limited Partnership
Hospital of Fulton, Inc. • September 17th, 2014 • Services-general medical & surgical hospitals, nec • Delaware

This Agreement of Limited Partnership is entered into and shall be effective as of the 1st day of May, 2002 pursuant to the provisions of the Delaware Revised Uniform Limited Partnership Act, by and among MESQUITE HMA GENERAL, LLC, a Delaware limited liability company (“Mesquite General”), as the General Partner (the “General Partner”), and MESQUITE HMA LIMITED, LLC, a Delaware limited liability company (“Mesquite Limited”), and MANORCARE OF HINSDALE, INC., an Illinois corporation (“MHI”), as the Limited Partners (Mesquite Limited and MHI are hereinafter referred to individually as a “Limited Partner” and collectively as the “Limited Partners”) and, for purposes of Article 14 hereof only, HEALTH MANAGEMENT ASSOCIATES, INC, a Delaware corporation (“HMA”) and MANOR CARE, INC., a Delaware corporation (“MCI”).

FIRST AMENDMENT TO THE LIMITED LIABILITY COMPANY AGREEMENT OF DHSC, LLC
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

This First Amendment (the “Amendment”) to the Limited Liability Company Agreement of DHSC, LLC (the “Company”), entered into effective as of May 19, 2005 (the “LLC Agreement”), is made and entered into as of February 27, 2013, by Massillon Community Health System, LLC, a Delaware limited liability company (the “Member”).

AMENDED AND RESTATED OPERATING AGREEMENT OF CITRUS HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Florida

THIS AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Central Florida HMA Holdings, LLC, a Delaware limited liability company (the “Member”).

FIRST AMENDMENT TO THE LIMITED LIABILITY COMPANY AGREEMENT OF OHIO VALLEY HOLDINGS, LLC
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS LIMITED LIABILITY COMPANY AGREEMENT (this “Agreement”) is made as of the 13th day of June, 2012, by Community Health Investment Company, LLC, a Delaware limited liability company (the “Member”).

FIRST AMENDMENT TO THE LIMITED LIABILITY COMPANY AGREEMENT OF CLARKSVILLE HOLDINGS, LLC
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

This First Amendment to the Limited Liability Company Agreement of Clarksville Holdings, LLC (“Amendment”) is made and entered into as of January 31, 2013, by River Region Medical Corporation, a Mississippi corporation (“Member”).

THIRD AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF YAKIMA HMA, LLC January 27, 2014
Limited Liability Company • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Washington

THIS THIRD AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT (THIS “AGREEMENT”) IS MADE AS OF THE 27TH DAY OF JANUARY, 2014, BY HOSPITAL MANAGEMENT ASSOCIATES, LLC, A KENTUCKY LIMITED LIABILITY COMPANY (THE “MEMBER”) AND YAKIMA HMA, LLC, A WASHINGTON LIMITED LIABILITY COMPANY (THE “COMPANY”).

AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT OF FLORIDA HMA HOLDINGS, LLC January 27, 2014
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

THIS AMENDED AND RESTATED LIMITED LIABILITY COMPANY AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by and between Health Management Associates, LP, a Delaware limited partnership, and HMA Hospitals Holdings, LP, a Delaware limited partnership (collectively referred to as “Member”).

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SECOND AMENDED AND RESTATED OPERATING AGREEMENT OF AMORY HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Mississippi

THIS SECOND AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Mississippi HMA Holdings II, LLC, a Delaware limited liability company (the “Member”).

AMENDED AND RESTATED OPERATING AGREEMENT OF BARTOW HMA, LLC January 27, 2014
Operating Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Florida

THIS AMENDED AND RESTATED OPERATING AGREEMENT (this “Agreement”) is made as of the 27th day of January, 2014, by Central Florida HMA Holdings, LLC, a Delaware limited liability company (the “Member”).

LIMITED LIABILITY COMPANY AGREEMENT OF AFFINITY HOSPITAL, LLC
Limited Liability Company Agreement • September 17th, 2014 • Hospital of Fulton, Inc. • Services-general medical & surgical hospitals, nec • Delaware

The undersigned hereby executes this Limited Liability Company Agreement (this “LLC Agreement”) as the sole member (the “Member”) of Affinity Hospital, LLC (the “Company”), a Delaware limited liability company formed on August 30, 2005, pursuant to the provisions of the Delaware Limited Liability Company Act (the “Act”).

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