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Res 132-91 8/20/1991RESOLUTION NO. /1, --9"/ RESOLUTION AUTHORIZING THE MAYOR TO EXECUTE APPROVAL OF A LEASE AGREEMENT BY AND BETWEEN THE WICHITA COUNTY-CITY OF WICHITA FALLS, TEXAS, HOSPITAL BOARD, D/B/A WICHITA GENERAL HOSPITAL, WICHITA GENERAL SERVICE CORPORATION, THE COMMISSIONERS' COURT OF WICHITA COUNTY, TEXAS, AND THE CITY OF WICHITA FALLS, TEXAS. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF WICHITA FALLS, TEXAS, THAT: The Mayor is hereby authorized to execute approval of the attached lease agreement by and between the Wichita County-City of Wichita Falls, Texas, Hospital Board, d/b/a Wichita General Hospital, Wichita General Service Corporation, the Commissioners ' Court of Wichita County, Texas, and the City of Wichita Falls, Texas. PASSED AND APPROVED this the 20th day of August, 1991. 1>1%1</%2 egg M A O R ATTEST: City C erk Page of Pages Agenda Item No. LLrtL 'rrlci t - " MANAGEMENT CONTRACT AND LEASE AGREEMENT THE STATE OF TEXAS 5 KNOW ALL MEN BY THESE PRESENTS: COUNTY OF WICHITA § This Lease Agreement is made and entered to be deemed effective January 1, 1991 , by and between the Wichita County-City of Wichita Falls, Texas, Hospital Board, dba Wichita General Hospital, a body corporate and politic organized under the laws of the State of Texas (the "Board") , and Wichita General Service Corporation, a Texas non-profit corporation (the "Corporation") . Additional parties hereto, to the extent required for the cove- nants herein made, are the City of Wichita Falls, Texas and the Commissioners' Court of Wichita County, Texas. W I T N E S S E T H : WHEREAS, the Board was created by the Resolutions of the City Council of the City of Wichita Falls, Texas, and the Commis- sioner' s Court of Wichita County, Texas, pursuant to the author- ity granted by Article 4494i-1 , V.A.C.S. , in order to facilitate the operation of a general medical and surgical community hospi- tal in the City of Wichita Falls, Texas (hereinafter referred to as the "Hospital") ;. and, WHEREAS, Wichita General Service Corporation is a validly created and duly existing Texas non-profit corporation created under the provisions of the Texas Non-Profit Corporation Act, Article 1396-1.01 et. seq. , V.A.C.S. ; and, RLHR71991 - 1 - WHEREAS, on March 1, 1983, the Board issued and sold its Wichita County-City of Wichita Falls, Texas, Hospital Board Revenue Bonds, Series 1983" (the "1983 Hospital Bonds") in the total principal sum of $17, 600, 000. 00; and, WHEREAS, the 1983 Hospital Bonds were secured by a certain Trust Indenture dated as of the 1st day of March, 1983 ("Trust Indenture") , between the Board and the InterFirst Bank of Wichita Falls, Texas, as Trustee (the "Trustee") ; and, WHEREAS, the 1983 bonds were refunded in 1987 pursuant to powers granted to the issuer by Article 717k V.A.T.C.S. , and the refunding bonds are entitled Wichita County-City of Wichita Falls, Texas, Hospital Board Hospital Revenue Refunding Bonds Wichita General Hospital Project Series 1987) , and were issued in the amount of $21,295,000.00; and, WHEREAS, the 1987 Hospital Bonds are secured by a certain Trust Indenture dated as of March 1, 1987 ("Trust Indenture") between the Board and Interfirst Bank Wichita Falls, N.A. as Trustee (now NCNB Texas National Bank) ; and, WHEREAS, the City Council of the City of Wichita Falls and the Commissioner's Court of Wichita County have resolved to authorize this Lease Agreement as evidenced by the resolutions attached as Exhibit and hereto; and, WHEREAS, by Corporate Resolution, the Directors of Wichita General Service Corporation have empowered its undersigned officers to enter into this Lease Agreement as evidenced by the Corporate Resolution attached on Exhibit hereto; and, 2- WHEREAS, the Board has given serious consideration to the present and future health care needs of the residents of the community served by the Hospital and has determined that it is in the best interest of the community for the Board to enter into a management contract and lease agreement with the Corporation whereby the Corporation may become the operating entity of the Hospital; and, WHEREAS, the Corporation is desirous of leasing the Hospital from the Board, such leasing being permitted and provided for by Article 4494i-1, Revised Civil Statutes of Texas; and, WHEREAS, The Internal Revenue Service has determined the Corporation to be an organization described in Section 501 (C) (3) of the Internal Revenue Code of 1954, as amended, and has further determined that the Corporation is not a private foundation as described in Section 509 (a) of the Internal Revenue Code, said determinations being material conditions precedent and continuing substantial requisites for this agreement; NOW, THEREFORE, for and in consideration of the mutual covenants, promises and agreements herein contained, the Board and the Corporation, hereby covenant, promise and agree as follows: 1. Lease of Premises. In consideration of the covenants of the Corporation to provide community medical and hospital ser- vices and care, the Board does hereby lease to the Corporation and the corporation does hereby lease and take from the Board, those certain tracts or parcels of land described in Exhibit hereto (the "Land") , together with all buildings, equipment, 3- fixtures and facilities now or hereafter erected, constructed or situated thereon (the "Improvements") , together with all personal property used or useful in connection with the operation of the Hospital, including, but not limited to, equipment, machinery, furniture, vehicles, accounts, contract rights, interests resulting from Joint Venture Agreements, general intangibles, inventory, consumable supplies and small tools (the "Personal Property") , and together with all rights, powers, easements, licenses, rights of way, and other interests in property, real, personal or mixed, now owned and appurtenant thereto (the Land, the Improvements, the Personal Property, and interests appurtenant thereto are hereinafter collectively referred to as the "Leased Premises") . 2. Warranty of Title. The Board represents and warrants that it owns the Leased Premises in fee simple, free and clear of all encumbrances, except as set forth and described on Exhibit to this Lease Agreement, the bond indenture, and statutory restrictions imposed under Article 4494i-1. The Board further warrants that it has the lawful authority to enter into this Lease Agreement and covenants that it will execute or procure any further necessary assurance of title and authority that may be reasonably required for the protection of the Corporation. 3. Covenant of Quiet Enjoyment. Except as otherwise expressly provided in this Lease Agreement, and so long as no default exists hereunder, the Board covenants to do no act to disturb the peaceful and quiet occupation and enjoyment of the Leased Premises by the Corporation. 4- 4. Warranty of Fulfillment of Existing Obligations. The Board represents and warrants that, at the time of the execution and delivery of this Lease Agreement, it is not in default of its obligations under the 1987 Hospital Bonds, and Trust Indenture, or any other obligations which are secured by, or related to the Leased Premises. The Board further represents and warrants that the execution and delivery of this Lease Agreement will not constitute such a default. 5. Assignment of Board' s Rights. The Board assigns to the Corporation, for the term of this Lease, all of the Board rights under, or in connection with, leases of real estate, equipment leases, office leases, employment agreements, warranties and guarantees, other executory agreements, and transferrable govern- mental or quasi-governmental licenses and permits relating to the operation of the Hospital. In addition, the Corporation shall have access to, and the right to use, all customer lists of the Hospital, all books and records relating to the medical care, operations, financial condition, personnel and patients of the Hospital, and all telephone exchange numbers presently in use, or reserved for the use, by the Hospital. As further consideration for the assumption by the Corporation of the obligations herein described, the Board herewith assigns and delivers to the Corpo- ration its deposits of operating capital and funds registered to its account and in its name in financial and savings institutions listed on the attached Exhibit if any, and if there are none, the word none shall be inserted on such exhibit. The Corporation acknowledges receipt of such deposits in the amounts 5- I , set forth by separate letter executed contemporaneously with this Lease Agreement, if there are such sums on deposit. In accordance with Paragraph 10 of this Agreement, the Corporation agrees to periodically and upon reasonable notice to provide the Board the hospital' s operating information, including but not limited to, an accounting for all sums registered upon deposit or to its credit in such institutions. Further, the Corporation agrees to provide the Board at all times material to this Agreement evidence of fidelity bond coverages on all employees entrusted with such funds. 6. Additional Security. As additional security for this lease, Lessee grants and pledges to Lessor a security interest in and to any and all income, rents, profits, and gross revenues of the corporation, including, but not limited to all patient revenues, third art payments, accounts receivable, monies inPYPYm bank accounts, cash on hand, articles, i and items of equipment, inventory, furniture and supplies. 7. Term of Lease. The initial term of the Lease Agreement shall commence legally on the deemed effective date of this lease, June 1, 1991, and shall continue through the period ending on December 31, 1995. In the event the Corporation loses its 501 (c) (3) exemption from the Internal Revenue Service, then this Lease Agreement shall be deemed to be voidable subject to the curative opportunities for default as provided for in this Agreement. 8. Provisions of Health Care. 6- a) The Corporation will operate the Hospital and all affiliated entities in such a manner to ensure high quality and comprehensive hospital care, reflective of local characteristics and responsive to the current and anticipated demands from and within the communities served by the Hospital, and to assure an effective, efficient and economic program manifesting financial viability. For purposes of this Agreement, except where other- wise specifically modified, "affiliated entities" shall mean all of the land, hospitals, buildings, structures, equipment, ser- vices, and other facilities of every nature whatsoever constitut- ing Wichita General Hospital in Wichita Falls, Texas, together with all future improvements, enlargements, and additions thereto, and replacements thereof, acquired or constructed from any sources, including the issuance of revenue bonds, and by the following or any subsidiary thereof: (1) the Wichita General Hospital of Wichita Falls, Texas, (2) the System as defined in Section 1.01 of the Trust Indenture, and (3) the Corporation and any other corporation or entity which includes any of these entities including clinics and any other method of delivering hospital care as defined herein. Such term does not include independent non-owned joint venturers or partners and does not include the resulting joint ventures or partnerships as long as the entry into such joint ventures or partnerships does not diminish the existing hospital care available to medically indigent residents of Wichita County. The Corporation covenants and agrees that it will at all times use its best efforts to maintain and operate the Leased Premises and affiliated entities 7- in compliance with all laws, ordinances, orders, rules, regula- tions, and requirements of duly constituted public authorities which may be applicable to the Leased Premises or to the repair and alteration thereof, or to the use or manner of use of the Leased Premises, and to meet standards and requirements and provide hospital care of such quality and in such manner as shall enable the Hospital to participate in, and provide services in connection with, recognized health and hospital insurance pro- grams, and agrees that, so long as it shall remain a participat- ing hospital under the Medicare, Medicaid, Blue Cross, Blue Shield, or other programs, it will use its best efforts to comply with the standards and requirements for remaining a participating hospital thereunder. The Corporation further covenants that in the operation and maintenance of the Leased Premises and affili- ated entities it will comply with applicable federal and state laws prohibiting discrimination based on race, religion, creed, color, sex or national origin. The Corporation further covenants and agrees that during the term of this Lease it will use its best efforts to continuously operate the Leased Premises in a manner that will maintain its certifications for reimbursements and licensure and its accreditation, if compliance with accredi- tation standards is. required to maintain the operations of the Leased Premises and if failure to comply would adversely affect revenues from the Leased Premises. The Corporation agrees that it and all its affiliated entities shall admit and/or provide treatment to any person at any facility under their control where hospital care is provided without regard to his or her ability to 8- pay for the hospital care rendered. It is agreed that the term Hospital Care" shall include the various types of services offered by the Wichita General Hospital at the commencement date of this agreement, including the future development and improve- ment of those services, as well as such additional services as may be generally recognized and delivered by medical and surgical hospitals of similar size and nature in communities of similar size in the State of Texas, and which additional services the Corporation is able to deliver at the time the need for same arises. The term "Hospital Care" shall not include physicians fees except those required of the Hospital by State or Federal Law or by contract. b) In consideration of the authorization of this Lease Agreement by the City Council of the City of Wichita Falls, Texas and the Commissioner' s Court of Wichita County, Texas, and the covenants made herein by the Commissioner's Court with respect to payments and reimbursements to the hospital for indigent care, the Corporation agrees that it shall provide hospital care to medically indigent residents of Wichita County as required of the Hospital by State or Federal law or by this contract. Notwithstanding anything to the contrary, Wichita General Hospital shall not be responsible for hospital care which is provided or has been provided by any other non-affiliated entity, or care which exceeds the capacity and/or ability of the hospital to deliver at the time the need for such care arises. c) The Corporation further covenants that it will neither refer nor permit the referral of County Jail inmates, juveniles 9- in County detention, nor medically indigent residents of Wichita County to other institutions, unless it is documented as part of the patient record that the facilities of the Corporation or the expertise of the medical staff are inadequate or inappropriate to provide the patient care required for that patient. d) Fees and charges. The rates, fees, charges, and rents established or caused to be established by the LESSEE for the use of the Hospital shall be substantially commensurate with facili- • ties of similar size and nature in communities of similar size within the State of Texas. Such rates, fees, charges and rent shall be sufficient to provide money adequate to meet its obliga- tions hereunder, as well as to pay all operating costs and debt service, and provide reserves therefor, all as provided by State law and the existing Trust Indenture. 9. Provision for Indigent Health Care. Wichita County pursuant to Section 61.001 et seq, of the Health and Safety Code (the "Code") will meet its statutory obligations for funding of health care services to the County's eligible residents under this Code.Accordingly, and simultaneously with the execution of the lease agreement, Wichita County will select the Corporation as one of the County mandated providers of health care service pursuant to Section 61.030 of the Code. As a mandated provider, the Corporation will provide to eligible County residents hospital services set forth under the Code that are within its capacity as designated in paragraph 8 of this Agreement, and will be entitled to receive reimbursement from the County for such hospital services upon 10- proper documentation of such services rendered, at a rate of reimbursement as then currently set by the Texas Department of Health. The County is obligated by State Law to reimburse provider a total sum for accounts and services in sums up to ten percent (10%) of the then current Gross Revenue Tax Levy and of that amount, the Corporation agrees to the limitation of up to sixty-five percent (65%) of the then percent (10%) of Gross Revenue Tax Levy as the maximum amount the Corporation can expect from the County until such time as the County has expended the ten percent (10%) of the Gross Revenue Tax Levy. This covenant by the County is accepted by the Corporation as consideration for this agreement to induce it to provide indigent care within the limits herein set forth; provided, however, that the County hereby additionally covenants to expend reimbursements to other mandated providers to the extent necessary to provide indigent care services incurred outside the hospital up to the County's remaining statutory responsibility of thirty-five percent (35%) of ten percent (10%) of its Gross Revenue Tax Levy. Once the County has expended the amount of ten percent (10%) of Gross Revenue Tax Levy and thus qualifies for state pool reimbursement of eighty percent (80%) of all qualified additional indigent health carer expenditures, the Corporation shall receive reimbursement per the Texas Department of Health formula from the County of all eligible expenditures without limitation. Should the Corporation cease to be a mandated provider for any reason of indigent health care for the County during the term of this lease agreement, then in that event this lease agreement shall 11- terminate as of the date the Corporation ceases to be a mandated provider. 10. Special Provisions for Operating Deficits. a) If the schedule of rates, fees and charges for the system, as defined in Section 1 . 01 of the Trust Indenture, does not produce in any fiscal year an amount of net revenues suffi- cient for the purposes stated in Section 5.01 (a) (1) of the Trust Indenture, the lease agreement shall be reviewed in accordance with this Paragraph. Net revenues, for purposes of this agreement, shall be defined as the excess of revenues over expenses including depreciation, such depreciation computed on a basis consistent with generally accepted accountin g principles.rinci les b) The special provision for operating deficits shall be applicable only if all the Net Revenues of all affiliated enti- ties of the Corporation are included in the calculation for the System. For purposes of this Paragraph, affiliated entities shall mean all of the hospitals, buildings, structures, equipment, services, and other facilities of every nature whatso- ever constituting Wichita General Hospital in Wichita Falls, Texas and the Corporation, together with all future improvements, enlargements, and additions thereto, and replacements thereof, acquired or constructed from any sources, including the issuance of revenue bonds, and by the following or any subsidiary thereof: 1) the Wichita General Hospital, in Wichita Falls, Texas, (2) the System as defined in Section 1.01 of the Trust Indenture, (3) the Corporation and/or (4) any related holding company or other corporation or entity which includes any of these entities, 12- including but not limited to Joint Venture interests, professional office buildings, clinics, ambulatory care units, data processing, parking garages, nursing homes, sales of inpatient or outpatient drugs or supplies, alcoholism/- detoxification programs, real estate companies and service corporations. However, this definition of the "System" shall not be deemed to include the Wichita General Hospital Foundation or any other philanthropic entity or organization principally funded by charitable contributions. c) For the Corporation to invoke the special provisions of paragraph 10 (a) it must notify the Board, the Commissioner's Court of Wichita County, Texas and the City Council of Wichita Falls, Texas in writing, of, the circumstances requiring the invocation. After providing such notice, the Corporation, the Board, the City Council of Wichita Falls, Texas and Commissioner's Court of Wichita County, Texas, shall enter into negotiations for reviewing the lease agreement. d) If, within ninety (90) days after receiving such written notice of the deficit and requested review of this lease agreement, the Board, the City Council of Wichita Falls, Texas, the Commissioner's Court of Wichita County, Texas and the Corpo- ration have not agreed upon a means to make up the deficit that resulted in the invoking of the special provision, then the Corporation shall have the right to terminate this lease agreement upon ninety (90) days written notice. e) In no event shall any provisions of this lease agreement result in obligating Wichita County, Texas or the City 13- of Wichita Falls, Texas to provide for payments for indigent health services in excess of the obligation of the County or City under state and federal law. f) The Commissioner' s Court of Wichita County, Texas, and the City of Wichita Falls, Texas, reserves the right to provide Hospital care in any manner authorized by law, including but not limited to providing such care thro ug h the Corporation or its affiliated entities, or such other provider or entity as the Commissioner's Court of Wichita County and City of Wichita Falls may determine. The exercise of this right shall not enlarge the responsibilities of the Corporation as set forth herein. g) The Corporation agrees to indemnify and hold the Board, the County and the City harmless against any and all claims, demands, charges, cost and expenses including attorney's fees for defense of such claim and demands arising from the Corporation's operations and use of the Leased Premises. 11. Mutual Agreement to Terminate. Notwithstanding any provision herein to the contrary, this management contract and lease agreement may be concluded or terminated by mutual agreement of the parties in writing at any time during the initial term or any renewal hereof. In that event, all properties- leased, pledged, encumbered, or otherwise assigned hereunder shall revert to and become the property of the Wichita County - City of Wichita Falls, Texas, Hospital Board, a political subdivision of the State of Texas, as shall all other assets and liabilities of the Corporation be distributed to or assumed by said Board, and the Corporation shall then be 14- dissolved in accordance with the laws of the State of Texas and applicable regulations of the Internal Revenue Code applicable to 501 (c) (3) organizations generally. 12. Condition of Premises. The Corporation shall maintain the Leased Premises in good repair and operating condition. Cor- poration shall permit no liens to be affixed to the realty and improvements. Any such encumbrances so created shall be void and of no validity, force or effect, as an attempt to affix a lien against realty owned by a Texas political subdivision. Corpora- tion agrees to indemnify and hold the Board harmless from all costs and expenses in removing such liens. 13. Operating Information. The Corporation shall furnish the Board with copies of the annual operating and financial statements of the Hospital and periodic reports when requested by the Board or the Trustee, prepared in the ordinary course of business, so that the Board may know the general financial condi- tion of the Hospital as operated by the Corporation. The Board will be permitted, upon giving reasonable advance written notice to the Corporation, to inspect the Leased Premises and review records related to the operations thereon so that the Board may be satisfied as to the keeping of the covenants and conditions contained in this Lease Agreement. The Corporation shall also be required to furnish to the Board upon request, evidence of com- pliance with licensing, accreditation and indigent care require- ments. The City and County, shall be furnished the same informa- tion upon reasonable written notice. 15- 14. Compliance with Hospital Survey and Construction Act. To the extent that Wichita General Hospital has any obligation under any application for federal financial assistance under the Hospital Survey and Construction Act (42 U.S.C. Sec. 291 , et. seq. ) , the Corporation agrees that it will obtain the appropriate state and federal approval for the transfer of the Hospital. The Corporation represents that it is an entity that would have been eligible for the original grant under the Act, and it will assume the Hospital's responsibility for providing the assurances origi- nally given by the Hospital. The Board of Directors of the Cor- poration will adopt a resolution formally assuming such obliga- tions. To the extent that the Corporation is unsuccessful in obtaining such approval, so as to relieve the County and the Hospital of such obligations, the Corporation agrees to be solely responsible for liabilities relating to the County and the Hospi- tal under the Hospital Survey and Construction Act. 15. Assignment and Sublease Prohibited. Except as provided in Paragraph 23 hereafter, neither this Lease nor any part of this lease or the Leased Premises shall be assignable or sublet without the express written approval of the Board. 16. Payment of Obligations; Additional Indebtedness. The Corporation shall keep all obligations created by or arising from the lease of they Leased Premises paid and discharged before they become delinquent,and if the Board should in the future at the Corporations' request incur other or further debts or obligations related to the Leased Premises (the "Additional Indebtedness") , the Corporation will likewise keep, perform and discharge the 16- p Additional Indebtedness at the Corporation' s sole cost and expense so that the Board is fully protected. 17. Insurance Coverage for the Board. The Corporation shall provide, either under its own blanket insurance policies or under a separate insurance policy, directors and officers liability insurance, which insurance shall jointly and severally insure the Board and the Individual members of the Board (the "Board Mem- bers") . Such insurance shall provide for coverage for each Board Member in an amount of not less than One Million Dollars 1,000,000.00) ; provided, however, that the Corporation shall only provide insurance for the BoardPrd and the Board Members for claims arising during or related to the operations of the Hospi- tal during the Term or Extension thereof of the Lease Agreement, and further provided that the Corporation shall not be required to provide insurance for the Board or the Board Members against any claims arising out of any willful or wrongful misconduct of the Board or any of the Board Members or other standard exclusions from such policies. 18. Insurance Coverage for the Leased Premises. a) At a minimum, the Corporation will provide and maintain continuously during the Initial Term and any Extended Term, an insurance policy or policies covering the Leased Premises against loss or losses which are required to be provided by the Board by Section 7. 11 of the Trust Indenture. If requested by the Board, and if such insurance is available at reasonable rates, the Cor- poration shall carry, at its own expense, public liability insur- ance in reasonable amounts to protect the Board; and 17- b) (i) In case of the destruction of or damage to the Leased Premises, or any part thereof, for which destruction or loss insurance is maintained, the Corporation may collect the insurance proceeds for such loss, for and on behalf of the Board, but (1) shall use the proceeds for the repair or replacement of the Leased Premises so that the Leased Premises are restored as nearly as possible to their condition prior to the casualty, and 2) subject to the provisions for control over and use of insurance proceeds contained in the Trust Indenture. Should such insurance proceeds be insufficient to properly repair or restore the Leased Premises (and needed additional funds not be readily obtainable from other acceptable sources of financing) , or such repair or restoration be otherwise not feasible, the Lease Agreement may be terminated by either party. ii) Any insurance adjustment which may be made shall be made by the Corporation with the consent of the Board, which consent shall not be unreasonably withheld. 19. Condemnation. a) If, during the term of this Lease Agreement or any extension or renewal thereof, all or a substantial part (substan- tial part being defined as any portion of the Leased Premises, the condemnation of which would unduly interfere with or burden the intended use of the Leased Premises) of the Leased Premises should be taken for any public or quasi-public use under any governmental law, ordinance or regulation or by right of eminent domain, or should be sold to the condemning authority under threat of condemnation, the Corporation shall collect the condem- 18- nation award or the amount of the settlement in lieu thereof, for and on behalf of the Board, but (1) shall use such amount for the purchase of property acceptable to the Corporation and the Board and on- such property shall construct a replacement facility for the Hospital, and (2) subject to any provisions for control over and use of such amount contained in the Trust Indenture. Should the amount received upon condemnation or settlement be insuffi- cient (and needed additional funds not be readily obtainable from other acceptable sources of financing) , or the Corporation and the Board be unable to agree upon a proper site for the replace- ment facility or the construction of a replacement facility be otherwise not feasible, this Lease Agreement may be terminated by either party. b) If this Lease Agreement terminates under this Paragraph 19, the Board and the Corporation shall each be entitled to receive and retain such separate awards and portions of lump sum awards as may be allocated to their respective interests in any condemnation proceedings. The termination of this Lease Agree- ment shall not affect the rights, if any, of the respective parties to such awards. 20. Licenses. The Corporation shall take such actions as may be necessary to keep any governmental and quasi-governmental licenses and permits in force which are required to operate the Hospital or occupy the Leased Premises and shall comply with any lawful requirements relating to the operations of the Hospital or occupation of the Leased Premises. The Board agrees to join and cooperate fully with the Corporation in such actions when reason- 19- ably necessary for the Corporation to meet its obligations under this Lease Agreement. Loss of licensing shall constitute a material breach of this Agreement. 21 . Additional Facilities. Written approval of the Board shall be required prior to enlargements, additions, replacements or substitutions to the Leased Premises (the "Additional Facili- ties") ; (1) that exceed the provisions of Section 7.05 of the Trust Indenture; (2) or if the amount to be expended for any • enlargement, addition, replacement, or substitution to the Leased Premises is in excess of the budgeted depreciation expense for the period expended and would cause action to be initiated under Paragraph 10 herein. Additionally, Corporation agrees to submit all proposed capital expenditures valued in excess of $1,000,000. for the review and comment of the Board prior to such expenditure by the Corporation. The Board and the Corporation further agree to cooperate in all matters in connection with any proposed tax-exempt financing for the construction of such Additional Facilities and issuance of bonds to finance such construction when determined to be in the best interest of the Hospital and the community. The Additional Facilities, when constructed, shall become a part of the Leased Premises. Approval shall not be granted, if in the opinion of Bond Counsel, such approval would constitute violation of the provisions of any existing bond trust indenture. 22. Payment of Impositions; Compliance with Laws. a) Before interest or penalties are due thereon, the Corporation shall pay and dischargeSail taxes of every kind and 20- nature (including, for example, federal income tax withholding on wages) , all charges for any easement or agreement maintained for the benefit of any of the Leased Premises, all general and special assessments, levies, permits, inspection and license fees, all water and sewer rents and charges, ad valorem taxes, if any, and all other public charges whether of like or different nature, imposed upon or assessed against the Board, the Corporation or the Leased Premises, or arising in respect of the occupancy, use of possession thereof (collectively, the "Imposi- tions") . In any event that any Impositions may be paid in install- ments, the Corporation shall have the option to pay such assess- ment in installments, and in such event, the Corporation shall be liable for only those installments which become due during the term of the Lease Agreement. The Corporation shall prepare and file all tax reports required by governmental authorities which relate to the Impositions. The Corporation shall deliver to the Board, within twenty (20) days of receipt thereof, copies of all settlements and notices pertaining to the Impositions which may be issued by any governmental authority. b) The, Corporation shall comply with and conform to all present and•:` future laws, codes, ordinances, orders, judgments, decrees, injunctions, rules, regulations and requirements of every duly constituted governmental authority and all covenants, restrictions and conditions of record which may be applicable to the Corporation or the Leased Premises, or to the use, manner of use, occupancy, possession, operation or maintenance of the 21- Leased Premises (collectively, the "Legal Requirements") . c) The Corporation and the system' s properties, real and personal, whether owned or leased by the City-County Hospital Board or the Corporation will remain exempt from ad valorem taxes so long as the Corporation complies with the terms and conditions of the Lease Agreement and is not in default. 23. Permitted Contest. The Corporation shall be required to i) pay any Imposition, or (ii) comply with any Legal Requirement so long as the Corporation shall contest, in good faith and at its expense, the existence, the amount, or the validity thereof, or the extent of its or the Board' s liability therefor, by appropriate proceedings which shall operate during the pendency thereof to prevent (i) the collection of, or other realization upon, the Imposition, (ii) the sale, forfeiture or loss of any of the Leased Premises to satisfy the payment of any Imposition or payment of any damages caused by the violation of any such Legal Requirement, (iii) any interference with the use of occupancy by the Corporation of any of the Leased Premises, and (iv) the cancellation of any fire or other insurance policy. The Corporation further agrees that each such contest shall be promptly and diligently prosecuted to a final conclusion, except that the Corporation shall, so long as the conditions of the first sentence of this Paragraph are at all times complied with, have the right to attempt to settle or compromise such contest through negotiations. The Corporation shall pay, and save the Board, County or City harmless against, any and all losses, judgments, decrees and costs (including reasonable attorney's 22- fees and expenses) in connection with any such contest and shall, promptly after the final determination of such contest, fully pay and discharge the amounts which may be levied, assessed, charged or imposed or be determined to be payable therein or in connection therewith, together with all penalties, fines, interest, cost and expenses thereof or in connection therewith, and perform all acts the performance of which shall be ordered or decreed as a result thereof. No such contest shall subject the Board to the risk of any civil or criminal liability or contravene any provision of the Wichita County-City of Wichita Falls, Texas, Hospital Board Hospital Revenue Refunding Bonds Wichita General Hospital Project Series 1987) or the Trust Indenture. 24. Default. a) If the Board, County, and/or City should claim that the Corporation defaulted in the performance of one or more of its obligations hereunder, including without limitation, the obligations set forth in Paragraphs 7 and 13 of this Lease Agreement, the Board shall give the Corporation written notice specifying the claimed default. If the corporation does not contest the claimed default it shall have thirty (30) days from the receipt of such notice to (1) pay any delinquent amounts due hereunder, or (2) perform any of the other covenants, conditions or provisions of this Lease Agreement, provided, however, that if such performance requires work to be done, actions to be taken, or conditions to be remedies, which by their nature cannot reasonably be done, taken or remedy, as the case may be, within 23- such thirty (30) day period, no default shall be deemed to have occurred or to exist if, and so long as, the Corporation shall commence such performance within the thirty (30) day period and shall diligently and continuously prosecute the same to completion. If the actions required by this Paragraph are not undertaken by the Corporation, then the Board may terminate the Lease Agreement. In no event shall the Corporation be granted more than ninety (90) days to cure declared default. b) Upon the occurrence of such events of default, the Board shall have the right to terminate this lease, in which event the Corporation shall immediately surrender the Premises to the Board, City or County. Should the Board at any time terminate this lease for any. breach, in addition to any other remedies it may have, it may recover from the Corporation all damages it may incur by reason of such breach, including the cost of recovering the Premises, and all of such amounts shall be immediately due and payable from the Corporation to the Board, City or County. Pursuit of any of the remedies of the Corporation shall not preclude pursuit of any of the other remedies herein provided or any other remedies provided by law, nor shall pursuit of any remedy herein provided constitute a forfeiture_ or waiver of any damages accruing to the Board by reason of the violation of any of the terms, provisions, and covenants herein contained. c) If the Corporation fails to meet, comply with, or perform any covenant, agreement, or obligation on its part required within the time limits and in the manner required in 24- this contract, the Corporation shall be deemed to be in default. Such obligations specifically include but are not limited to the obligations set forth in Paragraphs 8 , 9 and 13 of this Lease Agreement. If the Corporationororation is in default,t, the Board or the County may enforce specific performance of this contract against the Corporation. d) If any affiliated entity fails to meet, comply with, or perform any covenant, agreement, or obligation on its part required within the time limits and in the manner required in this contract, the affiliated entity shall be deemed to be in default. If any affiliated entity defaults and fails to perform any obligations of the Corporation under this contract, the Board of the County may enforce specific performance of this contract against the affiliated entity. 25. Assignment to Affiliated Entity of the Corporation. The Corporation may assign any or part of its rights under this Lease Agreement to an affiliated entity of the Corporation, upon the conditions that said assignee accept such assignment and assume and agree to perform all obligations of the Corporation here- under. The Corporation shall immediately advise the Board of such assignment hereunder. 26. Board's Right to Re-enter the Leased Premises. In the event of default herein, which default remains uncontested or uncured by the Corporation as provided in Paragraph 24 of this Lease Agreement, the Board shall have the right, after giving the notice provided for in Paragraph 24, in addition to such other remedies as may be available to it at law, to re-enter the 25- premises and to resume possession of the Leased Premises and to take possession of all Personal Property leased to the Corpora- tion and covered by this Lease Agreement, and to resume control over all Hospital operations upon the Leased Premises . To the extent of any contract, sublease, lease, agreement or other arrangement has been entered into by the Corporation or any of its affiliated entities pursuant to the terms of Paragraphs 15 and 25, the Board may assume management and control over all services, to the extent of the ownership interest of the Corpora- tion or affiliated entity, provided pursuant to Paragraph 15 and 25, including without limitation possession of all Personal Property, Real Property or mixed property utilized in the perfor- mance of said services. 27. Termination of the Lease. The Corporation shall leave as a part of the Leased Premises all fixtures which have been installed, and all personal property acquired for the Hospital with Corporation funds, during the term of the Lease Agreement. 28. Medical Staff. The Corporation agrees to maintain the medical staff by-laws and rules and regulations in force at the time of commencement of this Agreement, allowing for future changes as authorized by due procedures. The Corporation agrees to accept_ and approve the members of the medical staff on the staff at that time, and to grant to such members of the staff privileges respectively afforded to the individual members under their existing status, allowing for future changes as authorized by due procedures. 29. Hospital Auxiliary. The Corporation agrees to accept 26- and continue the Board' s present affiliation with the Wichita General Hospital Auxiliary. 30. Hospital By-Laws. The Corporation agrees to maintain in force hospital by-laws of the Board, and to continue same where appropriate, reserving however, subsequent autonomy to review, amend, and adopt such by-laws as becomes necessary for the operation of the Leased Premises. 31. Composition and Appointment of Board. a) The Board of Directors of the Wichita General Service Corporation shall consist of eleven (11) members. b) The Board of the Corporation shall be autonomous and self-perpetuating and shall elect and appoint its own successor members. c) The original and all successor members of the Board of Directors of the Wichita General Service Corporation must be residents of Wichita County at the time of appointment and shall remain such at all times during their tenure on the Board. 32. Invalidity of Provisions. If any provision of this Lease Agreement shall be invalid, illegal, unenforceable, or in contravention of the Trust Indenture, the validity, legality and enforceability of the remaining provisions and applications shall not in any way be affected or impaired thereby. If a particular provision's invalidity would render the Lease Agreement invalid, then the Board and Corporation agree to modify the Lease Agreement, if such modification is legally possible, to preserve the original intent of the Board and Corporation. 27- 33. Notices. All notices required, permitted, or desireable hereunder shall be sufficiently given if sent by United States Mail, postage prepaid, addressed as follows: Wichita County, City of President and C.E.O. Wichita Falls, Texas, Wichita General Service Hospital Board Corporation c/o County Judge 1600 Eighth Street Wichita County Courthouse Wichita Falls, TX 76301 Room 202, 600 Lamar Wichita Falls, Tx 76301 34. Governing Law. This Lease Agreement is being executed and delivered, and is intended to be performed, in the State of Texas, and the laws of such State shall govern the validity, construction, enforcement, and interpretation of this Contract, unless otherwise specified herein. 35. Entirety and Amendments. This Lease Agreement embodies the entire agreement between the parties and supersedes all prior agreements and understandings, if any, relating to the Leased Premises, and may be amended or supplemented only by an instru- ment in writing executed by the party against whom enforcement is sought. 36. Multiple Counterparts. This Lease Agreement may be executed in a number of identical counterparts. If so executed, each of such counterparts is to be deemed an original for all purposes, and all such counterparts shall, collectively, consti- tute one agreement, but in making proof of this Lease Agreement, it shall not be necessary to produce or account for more than one such counterpart. 37. Parties Bound.. This Lease Agreement shall be binding 28- upon and inure to the benefit of the Board and the Corporation and their respective heirs, personal representatives, successors, and permitted assigns. 38. Amendment. This agreement may be amended or modified at any time by mutual agreement of all the parties but only in writing duly executed by all parties. 39. Further Acts. In addition to the acts and deed recited herein and contemplated to be performed, executed and/or de- livered by the Board and the Corporation, the Board and the Corporation agree to perform, execute and/or deliver or cause to be performed, executed and/or delivered any and all such further acts, deeds, and assurances as may be necessary to consummate the transactions contemplated hereby. The Corporation agrees further that it shall not enter into any agreement or contract with a health care provider which is not an affiliated entity which would materially and adversely affect the hospital services provided by the Hospital without obtaining the prior consent of the Board. 41. Time of the Essence. It is expressly agreed by the parties hereto that time is of the essence with respect to this Lease Agreement. IN TESTIMONY WHEREOF, the parties to this Lease Agreement have executed it as of the day and year first above written, each representative of each party hereby certifying that individual has been duly authorized to execute the same in the capacity shown. 29- BOARD: CORPORATION: Wichita County-City of Wichita Wichita General Service Falls, Texas, Hospital Board Corporation By: By: Chairman Chairman FUNDING BODIES: City of Wichita Falls, Texas Attest: By: Mayor City Secretary Commissioners' Court of Wichita County . By: County Judge STATE OF TEXAS COUNTY OF WICHITA S This instrument was acknowledged before me on the day of 1991, by Chairman of the Wichita County-City of Wichita Falls, Texas, Hospital Board, in such capacity and on behalf of said Board. Notary Public, State of Texas 30- A , V STATE OF TEXAS S COUNTY OF WICHITA § This instrument was acknowledged before me on the day of 1991 , by Chairman of Wichita General Service Corporation, a Texas Corporation, in such capacity and on behalf of said Corporation. Notary Public, State of Texas STATE OF TEXAS COUNTY OF WICHITA § This instrument was acknowledged before me on the day of 1991, by Michael Lam, Mayor of the City ofWichitaFalls, Texas, in such capacity and on behalf of said City. Notary Public, State of Texas STATE OF TEXAS COUNTY OF WICHITA § This instrument was acknowledged before me on the day of 1991, by Nick Gipson, County Judge, fo—rtie Commissioners' Court of Wichita County, in his capacity as County Judge and on behalf of said Commissioner's Court. Notary Public, State of Texas 31-