REDLANDS SURGICAL SERVICES - Page 8




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                         (a)  General Management by the Managing Directors.           
                         The general management and determination of all              
                         questions relating to the affairs and policies of            
                         the Partnership, except for questions relating to            
                         the medical standards and medical policies of the            
                         centers, shall be decided by a majority vote of              
                         the Managing Directors.  The Managing Directors              
                         shall consist of four (4) persons, two (2) of whom           
                         shall be chosen by SCA Centers and two (2) of whom           
                         shall be chosen by RHS.  Notwithstanding the                 
                         above, it is recognized that the Managing                    
                         Directors have no authority to amend the                     
                         Partnership Agreement.  In the event the Managing            
                         Directors are unable to agree on a matter, either            
                         Partner may institute the following arbitration              
                         procedure to resolve the matter.  Within three (3)           
                         days of a Partner's notifying the other of                   
                         institution of this arbitration procedure, each              
                         Partner shall select an arbitrator to resolve the            
                         matter.  Within seven (7) days after the selection           
                         of the arbitrators, those arbitrators shall select           
                         a third.  Within five (5) days after selection of            
                         the third arbitrator, each Partner shall submit in           
                         writing to each of the arbitrators the Partner's             
                         position on the matter to be resolved.  The                  
                         arbitrators shall decide the matter and advise the           
                         Partners in writing of their decision within                 
                         fourteen (14) days after the Partners' submission            
                         of their written positions.  In hearing such                 
                         arbitration the arbitrators shall determine the              
                         procedural rules to be applied and shall apply the           
                         substantive law of the State of California without           
                         regard to conflict of law considerations.  The               
                         decision of a majority of the arbitrators shall be           
                         final and binding.  The costs and expenses of the            
                         arbitrators shall be divided equally between the             
                         Partners.                                                    
                         (b)  Medical Advisory Group.  The                            
                         determination of all questions relating                      
                         to the medical standards and medical                         
                         policies of the center shall rest with                       
                         the Medical Advisory Group.  The                             
                         determination as to what constitutes a                       
                         medical decision, standard or policy                         
                         shall rest with the Managing Directors.                      
                         The Managing Directors shall select 50                       
                         percent of the Medical Advisory Group.                       





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Last modified: May 25, 2011