Bourbon Community Hospital S-4 Registration of securities issued in business combination transactions

Exhibit 3.50

BYLAWS

OF

CARE HEALTH COMPANY, INC.

originally adopted on _______________, 1992

Amendments are listed on page 1

AMENDMENTS

Article/Section Effect of Amendment Date of Amendment

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TABLE OF CONTENTS

Article/section     Provision	Page
ARTICLE I. OFFICES		-1-
ARTICLE II. NUMBER OF DIRECTORS		-1-
ARTICLE III. SHAREHOLDERS		-1-
Section 3.1. Annual Meeting		-1-
Section 3.2. Special Meetings		-1-
Section 3.3. Place of Meetings		-1-
Section 3.4. Fixing of Record Date		-2-
Section 3.5. Voting Lists		-2-
Section 3.6. Notice of Meetings		-2-
Section 3.7. Waiver of Notice		-3-
Section 3.8. Manner of Acting; Proxies		-3-
Section 3.9. Participation by Conference Telephone		-4-
Section 3.10. Quorum		-4-
Section 3.11. Voting of Shares		-4-
Section 3.12. Voting for Directors		-4-
Section 3.13. Voting of Shares by certain Holders		-4-
Section 3.14. Action by Shareholders Without a Meeting		-5-
ARTICLE IV. BOARD OF DIRECTORS		-6-
Section 4.1 General Powers		-6-
Section 4.2. Number, Tenure and Qualification		-6-
Section 4.3. Annual and Other Regular Meetings		-6-
Section 4.4. special Meetings		-6-
Section 4.5. Quorum		-7-
Section 4.6. Manner of Acting		-7-
Section 4.7. Participation by Conference Telephone		-7-
Section 4.8. Presumption of Assent		-7-
Section 4.9. Action by Board Without a Meeting		-7-
Section 4.10. Board Committees		-8-
Section 4.11. Resignation		-8-
Section 4.12. Removal		-8-
Section 4 13 Vacancies		-8-
Section 4.14. Compensation		-9-
Section 4.15. Special Responsibilities of the Board		-9-
ARTICLE V. OFFICERS		-10-
Section 5.1. Number		-10-
Section 5.2. Appointment and Term of Office		-10-
Section 5.3. Resignation		-10-
Section 5.4. Removal		-10-
Section 5.5. Chairman and Vice-Chairmen of the Board		-11-

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Article/section      Provision	Page
Section 5.6. President		-11-
Section 5.7. Vice-Presidents		-11-
Section 5.8. Secretary		-11-
Section 5.9. Treasurer		-12-
Section 5.10. Assistant Officers		-12-
Section 5.11. Compensation of Officers and Employees		-12-
ARTICLE VI. CONTRACTS, LOANS, CHECKS, DEPOSITS		-13-
Section 6.1. Contracts		-13-
Section 6.2. Loans		-13-
Section 6.3. Checks, Drafts, Etc.		-13-
Section 6 4. Deposits		-13-
Section 6.5. Contracts with or Loans to Directors and Officers		-13-
ARTICLE VII. SHARES		-14-
Section 7.1. Certificates for Shares		-14-
Section 7.2. Issuance of Shares		-14-
Section 7.3. Beneficial Ownership		-14-
Section 7.4. Transfer of Shares		-14-
Section 7.5. Lost or Destroyed Certificates		-14-
Section 7.6. Restrictions on Transfer		-14-
Section 7.7. Stock Transfer Records		-15-
ARTICLE VIII. SEAL		-15-
ARTICLE IX. INDEMNIFICATION OF DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS		-15-
Section 9.1. Power to Indemnify		-15-
9.1.1. Power to Indemnify		-15-
9.1.2. Power to Pay Expenses in Advance of Final Disposition		-16-
9.1.3. Power to Enter Into Contracts		-16-
9.1.4. Expansion of Powers		-16-
9.1.5. Limitation on Powers		-16-
Section 9.2. Indemnification of Directors, Officers, Employees and Agents		-17-
9.2. 1. Directors		-17-
9.2.2. Officers, Employees, and Agents		-17-
9.2.3. Character of Rights		-17-
9.2.4. Enforcement		-17-
9.2.5. Rights Not Exclusive		-l8-
Section 9.3. Insurance		-18-
Section 9.4. survival of Benefits		-l8-
Section 9.5. Severability		-18-
Section 9.6. Applicable Law		-18-

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Article/section     Provision	Page
ARTICLE X. BOOKS AND RECORDS		-19-
ARTICLE XI. FISCAL YEAR		-19-
ARTICLE XII. VOTING OF SHARES OF ANOTHER CORPORATION		-19-
ARTICLE XIII. AMENDMENTS TO BYLAWS		-19-

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BYLAWS
OF
CARE HEALTH COMPANY, INC.

ARTICLE I. OFFICES

     The principal office and place of business of the corporation in the state of Washington shall be located at 3003 Tieton Drive, Yakima, WA 98902.

     The corporation may have such other offices within or without the state of Washington as the board of directors may designate or the business of the corporation may require from time to time.

ARTICLE II. NUMBER OF DIRECTORS

     The board of directors of this corporation shall consist of not less than two (2) nor more than ten (10) directors.

ARTICLE III. SHAREHOLDERS

     Section 3.1.Annual Meeting. The annual meeting of the shareholders shall be held on the first Tuesday in the month of June in each year, beginning with the year 1993, or at such other date or time as may be determined by the board of directors, for the purpose of electing directors and for the transaction of such other business as may come before the meeting. If the day fixed for the annual meeting shall be a legal holiday in the state of Washington, the meeting shall be held on the next succeeding business day. If the election of directors is not held on the day designated herein for any annual meeting of the Shareholders or at any adjournment thereof, the board of directors shall cause the election to be held at a meeting of the shareholders as soon thereafter as may be convenient.

     Section 3.2.special Meetings. Special meetings of the shareholders for any purpose or purposes unless otherwise prescribed by statute may be called by the president, by the board of directors, or by the written request of any director or holders of at least ten percent (10%) of the votes entitled to be cast on each issue to be considered at the special meeting.

     Section 3.3.Place of Meetings. Meetings of the shareholders shall be held at either the principal office of the corporation or

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at such other place within or without the state of Washington as the board of directors or the president may designate.

     Section 3.4.Fixing of Record Data. For the purpose of determining shareholders entitled to notice of, or to vote at, any meeting of shareholders or any adjournment thereof, or shareholders entitled to receive payment of any dividend, or in order to make a determination of shareholders for any other proper purpose, the board of directors may fix in advance a date as the record date for any such determination of shareholders, which date in any case shall not be more than seventy (70) days prior to the date on which the particular action requiring such determination of shareholders is to be taken. If no record date is fixed for the determination of shareholders entitled to notice of or to vote at a meeting of shareholders, or shareholders entitled to receive payment of a dividend or distribution, the day before the first notice of a meeting is dispatched to shareholders or the date on which the resolution of the board of directors authorizing such dividend or distribution is adopted, as the case may be, shall be the record date for such determination of shareholders. When a determination of shareholders entitled to notice of or to vote at any meeting of shareholders has been made as provided in this section, such determination shall apply to any adjournment thereof unless the board of directors fixes a new record date, which it must do if the meeting is adjourned to a date more than one hundred twenty (120) days after the date fixed for the original meeting.

     Section 3.5.Voting Lists. At least ten (10) days before each meeting of the shareholders, the officer or agent having charge of the stock transfer books for shares of the corporation shall prepare an alphabetical list of all its shareholders on the record date who are entitled to vote at the meeting or any adjournment thereof, arranged by voting group, and within each voting group by class or series of shares, with the address of and the number of shares held by each, which record for a period of ten (10) days prior to the meeting shall be kept on file at the principal office of the corporation or at a place identified in the meeting notice in the city where the meeting will. be held. such record shall be produced and kept open at the time and place of the meeting and shall be subject to the inspection of any shareholder, shareholder’s agent or shareholder’s attorney during the whole time of the meeting. Failure to comply with the requirements of this bylaw shall not affect the validity of any action taken at the meeting.

     section 3.6.Notice of Meetings. Written or printed notice stating the date, time and place of a meeting of shareholders and, in the case of a special meeting of shareholders, the purpose or purposes for which the meeting is called, shall be given by or at the direction of the president, the secretary, or the officer or persons calling the meeting to each shareholder of record entitled

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to vote at such meeting (unless required by law to send notice to all shareholders regardless of whether or not such shareholders are entitled to vote), not less than ten (10) days and not more than sixty (60) days before the meeting, except that notice of a meeting to act on an amendment to the articles of incorporation, a plan of merger or share exchange, a proposed sale, lease, exchange or other disposition of all or substantially all of the assets of the corporation other than in the usual course of business, or the dissolution of the corporation shall be given not less than twenty (20) days and not more than sixty (60) days before the meeting. Written notice may be transmitted by: Mail, private carrier or personal delivery; telegraph or teletype; or telephone, wire or wireless equipment which transmits a facsimile of the notice. Such notice shall be effective upon dispatch if sent to the shareholder’s address, telephone number, or other number appearing on the records of the corporation.

     If an annual or special shareholders’ meeting is adjourned to a different date, time or place, notice need not be given of the new date, time or place if the new date, time or place is announced at the meeting before adjournment unless a new record date is or must be fixed. If a new record date for the adjourned meeting is or must be fixed, however, notice of the adjourned meeting must be given to persons who are shareholders as of the new record date.

     Section 3.7.Waiver of Notice. A shareholder may waive any notice required to be given under the provisions of these bylaws, the articles of incorporation or by applicable law, whether before or after the date and time stated therein. A valid waiver is created by any of the following three methods: (a) in writing signed by the shareholder entitled to the notice and delivered to the corporation for inclusion in its corporate records; (b) by attendance at the meeting, unless the shareholder at the beginning of the meeting objects to holding the meeting or transacting business at the meeting; or (c) by failure to object at the time of presentation of a matter not within the purpose or purposes described in the meeting notice.

     Section 3.8.Manner or Acting: Proxies. A shareholder may vote either in person or by proxy. A shareholder may vote by proxy by means of a proxy appointment form which is executed in writing by the shareholder, his agent, or by his duly authorized attorney-in-fact. All proxy appointment forms shall be filed with the secretary of the corporation before or at the commencement of meetings. No unrevoked proxy appointment form shall be valid after eleven (11) months from the date of its execution unless otherwise expressly provided in the appointment form. No proxy appointment may be effectively revoked until notice in writing of such revocation has been given to the secretary of the corporation by the shareholder appointing the proxy.

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     Section 3.9.Participation by Conference Telephone. At the discretion of the board of directors, shareholders or proxies may participate in a meeting of the shareholders by conference call or any other means of communication by which all persons participating in the meeting can hear each other during the meeting, and participation by such means shall constitute presence in person at the meeting.

     Section 3.10.Quorum. At any meeting of the shareholders, a majority in interest of all the shares entitled to vote on a matter, represented by shareholders of record, shall constitute a quorum of that voting group for action on that matter. Once a share is represented at a meeting, other than to object to holding the meeting or transacting business, it is deemed to be present for purposes of a quorum for the remainder of the meeting and for any adjournment of that meeting unless a new record date is or must be fixed for the adjourned meeting. At such reconvened meeting, any business may be transacted which might have been transacted at the adjourned meeting. If a quorum exists, action on a matter is approved by a voting group if the votes cast within the voting group favoring the action exceed the votes cast within the voting group opposing the action, unless the question ·is one upon which a different vote is required by express provision of law or of the articles of incorporation or of these bylaws.

     Section 3.11.Voting of Shares. Each outstanding share, regardless of class, shall be entitled to one vote on each matter submitted to a vote at a meeting of shareholders, except as may be otherwise provided in the articles of incorporation.

     Section 3.12.Voting for Directors. Unless otherwise provided in the articles of incorporation, shareholders entitled to vote at any election of directors are not entitled to cumulate votes, but, rather, each shareholder shall have one vote only. Unless otherwise provided in the articles of incorporation, in any election of directors the candidates elected are those receiving the largest numbers of votes cast by the shares entitled to vote in the election, up to the number of directors to be elected by such shares.

     Section 3.13.Voting of Shares by Certain Holders.

          3.13.1. Shares standing in the name of another corporation, domestic or foreign, may be voted by such officer, agent or proxy as the board of directors of such corporation may determine. A certified copy of a resolution adopted by such directors shall be conclusive as to their determination.

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          3.13.2. Shares held by a personal representative, administrator, executor, guardian or conservator may be voted by such administrator, executor, guardian or conservator, without a transfer of such shares into the name of such personal representative, administrator, executor, guardian or conservator. Shares standing in the name of a trustee may be voted by such trustee, but no trustee shall be entitled to vote shares held in trust without a transfer of such shares into the name of the trustee.

          3.13.3. Shares standing in the name of a receiver may be voted by such receiver, and shares held by or under the control of a receiver may be voted by the receiver without the transfer thereof into his name if authority so to do is contained in an appropriate order of the court by which such receiver was appointed.

          3.13.4. If shares are held jointly by three or more fiduciaries, the will of the majority of the fiduciaries shall control the manner of voting or appointment of a proxy, unless the instrument or order appointing such fiduciaries otherwise directs.

          3.13.5. Unless the pledge agreement expressly provides otherwise, a shareholder whose shares are pledged shall be entitled to vote such shares until the shares have been transferred into the name of the pledgee, and thereafter the pledgee shall be entitled to vote the shares so transferred.

          3.13.6. Shares held by another corporation shall not be voted at any meeting or counted in determining the total number of outstanding shares entitled to vote at any given time if a majority of the shares entitled to vote for the election of directors of such other corporation is held by this corporation.

          3.13.7. On and after the date on which written notice of redemption of redeemable shares has been dispatched to the holders thereof and a sum sufficient to redeem such shares has been deposited with a bank or trust company with irrevocable instruction and authority to pay the redemption price to the holders thereof upon surrender of certificates therefor, such shares shall not be entitled to vote on any matter and shall be deemed to be not outstanding shares.

     Section 3.14. Action by Shareholders Without a Meeting. Any action which mayor is required to be taken at a meeting of the shareholders may be taken without a meeting if one or more written consents setting forth the action so taken shall be signed, either before or after the action taken, by all the shareholders entitled to vote with respect to the subject matter thereof. Action taken by written consent of the shareholders is effective when all consents are in possession of the corporation, unless the consent

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specifies a later effective date. Whenever any notice is required to be given to any shareholder of the corporation pursuant to applicable law, a waiver thereof in writing, signed by the person or persons entitled to notice, shall be deemed equivalent to the giving of notice.

ARTICLE IV. BOARD OF DIRECTORS

     Section 4.1.General Powers. The business and affairs of the corporation shall be managed by its board of directors.

     Section 4.2.Number, Tonure and Qualification. The number of directors set forth in Article II of these bylaws may be increased or decreased from time to time by amendment to or in the manner provided in these bylaws. No decrease, however, shall have the effect of shortening the term of any incumbent director unless such director resigns or is removed in accordance with the provisions of these bylaws. Except as classification of directors may be specified by the articles of incorporation and unless removed in accordance with these bylaws, each director shall hold office until the next annual meeting of the shareholders and until a successor shall have been elected and qualified. Directors need not be residents of the state of Washington or shareholders of the corporation.

     Section 4.3.Annual and other Regular Meetings. An annual meeting of the board of directors shall be held without other notice than this bylaw, immediately after and at the same place as the annual meeting of shareholders. The board of directors may specify by resolution the time and place, either within or without the state of Washington, for holding any other regular meetings of the board of directors.

     Section 4.4.Special Meetings. Special meetings of the board of directors may be called by the board of directors, the chairman of the board, the president, the secretary or any director. Notice of special meetings of the board of directors stating the date, time and place thereof shall be given at least two (2) days prior to the date set for such meeting by the person or persons authorized to call such meeting, or by the secretary at the direction of the person or persons authorized to call such meeting. The notice may be oral or written. Oral notice may be communicated in person or by telephone, wire or wireless equipment, which does not transmit a facsimile of the notice. Oral notice is effective when communicated. Written notice may be transmitted by mail, private or public overnight delivery, or personal delivery; telegraph or teletype; or telephone, wire, or wireless equipment which transmits a facsimile of the notice. Written notice is effective upon dispatch if such notice is sent to the director’s address, telephone number, facsimile number or other number

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appearing on the records of the corporation. If no place for such meeting is designated in the notice thereof, the meeting shall be held at the principal office of the corporation. Any director may waive notice of any meeting at any time. Whenever any notice is required to be given to any director of the corporation pursuant to applicable law, a waiver thereof in writing signed by the director, entitled to notice shall be deemed equivalent to the giving of notice. The attendance of a director at a meeting shall constitute a waiver of notice of the meeting except where a director attends a meeting for the express purpose of objecting to the transaction of any business because the meeting is not lawfully convened. Unless otherwise required by law, neither the business to be transacted at, nor the purpose of, any regular or special meeting of the board of directors need be specified in the notice or waiver of notice of such meeting.

     Section 4.5.Quorum. A majority of the number of directors specified in or fixed in accordance with these bylaws shall constitute a quorum for the transaction of any business at any meeting of directors. If less than a majority shall attend a meeting, a majority of the directors present may adjourn the meeting from time to time without further notice, and a quorum present at such adjourned meeting may transact business.

     Section 4.6.Manner of Acting. If a quorum is present when a vote is taken, the affirmative vote of a majority of directors present is the act of the board of directors.

     Section 4.7.Participation by Conference Telephone. Directors may participate in a regular or special meeting of the board by, or conduct the meeting through the use of, any means of communication by which all directors participating can hear each other during the meeting and participation by such means shall constitute presence in person at the meeting.

     Section 4. 8.Presumption of Assent. A director who is present at a meeting of the board of directors at which action is taken shall be presumed to have assented to the action taken unless such director’s dissent shall be entered in the minutes of the meeting or unless such director shall file his written dissent to such action with the person acting as secretary of the meeting before the adjournment thereof or shall forward such dissent by registered mail to the secretary of the corporation immediately after adjournment of the meeting. Such right to dissent shall not apply to a director who voted in favor of such action.

     Section 4.9.Action by Board Without a Meeting. Any action permitted or required to be taken at a meeting of the board of directors may be taken without a meeting if one or more written consents setting forth the action so taken, shall be signed, either before or after the action taken, by all the directors. Action

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taken by written consent is effective when the last director signs the consent, unless the consent specifies a later effective date.

     Section 4.10.Board Committees. The board of directors may by resolution designate from among its members an executive committee and one or more other committees, each of which must have two (2) or more members and shall be governed by the same rules regarding meetings, action without meetings, notice, waiver of notice, and quorum and voting requirements as applied to the board of directors. To the extent provided in such resolutions, each such committee shall have and may exercise the authority of the board of directors, except as limited by applicable law. The designation of any such committee and the delegation thereto of authority shall not relieve the board of directors, or any members thereof, of any responsibility imposed by law.

     Section 4.11.Resignation. Any director may resign at any time by delivering written notice to the chairman of the board, the president, the secretary, or the registered office of the corporation, or by giving oral notice at any meeting of the directors or shareholders. Any such resignation shall take effect at any subsequent time specified therein, or if the time is not specified, upon delivery thereof and, unless otherwise specified therein, the acceptance of such resignation shall not be necessary to make it effective.

     Section 4.12.Removal. At a meeting of the shareholders called expressly for that purpose, any director or the entire board of directors may be removed from office, with or without cause (unless the articles of incorporation provide that directors may be removed only for cause) by a vote of the holders of a majority of the shares then entitled to vote at an election of the director or directors whose removal is sought. If the board of directors or anyone or more directors is so removed, new directors may be elected at this same meeting.

     Section 4.13.Vacancies. A vacancy on the board of directors may occur by the resignation, removal or death of an existing director, or by reason of increasing the number of directors on the board of directors as provided in these bylaws. Except as May be limited by the articles of incorporation, any vacancy occurring in the board of directors may be filled by the affirmative vote of a majority of shareholders; provided, however, that in the event the shareholders fail to fill the vacancy within thirty (3) days of the creation thereof, the vacancy may be filled by the affirmative vote of a majority of the remaining directors though less than a quorum. A director elected to fill a vacancy shall be elected for the unexpired term of his predecessor in office, except that a vacancy to be filled by reason of an increase in the number of directors shall be filled for a term of office continuing only until the next election of directors by shareholders.

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     If the vacant office was held by a director elected by holders of one or more authorized classes or series of shares, only the holders of those classes or series of shares are entitled to vote to fill the vacancy.

     Section 4.14.Compensation. By resolution of the board of directors, the directors may be paid a fixed sum plus their expenses, if any, for attendance at meetings of the board of directors or committee thereof, or a stated salary as director. No such payment shall preclude any director from serving the corporation in any other capacity and’ receiving compensation therefor.

     Section 4.15.Special Responsibilities of the Board. In addition, to the general powers and duties vested in the Board, the Board shall have overall responsibility and authority for the operation and performance of the Company. These responsibilities shall include, but not be limited to, the following:

          4.15.1. Adopting a statement of the mission, goals and objectives of the corporation, which includes a description of the services provided.

          4.15.2. Establishing an organizational structure and specifying the functional relationships among the various components of the corporation.

          4.15.3. Adopting bylaws or similar rules and regulations to establish authority and responsibility and to provide for the orderly development and management of the corporation.

          4.15.4. Adopting such policies and procedures as may be necessary for the orderly conduct of the corporation.

          4.15.5. Adopting a program to evaluate the quality of care provided and to appropriately address identified problems in care.

          4.15.6. Reviewing and taking appropriate action on all matters relating to the legal conduct of the corporation and its staff.

          4.15.7. Establishing a system of financial management and accountability.

          4.15.8. Establishing a policy on the rights and responsibilities of the patients at the facilities owned and/or operated by the corporation.

          4.15.9. Approving, with review as appropriate by the professional staff of the corporation, all major contracts or

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arrangements affecting the medical care provided under the auspices of the corporation including, but not limited to, physician employment contracts, the provision of radiology services and pathology and medical laboratory services, the use of external laboratories, the provision of care by other organizations and the provision of education for students and postgraduate trainees.

          4.15.10. Formulating long range plans in accordance with the missions and goals of the corporation.

          4.15.11. Operating the corporation without limitation by reason of race, creed, sex or national origin.

          4.15.12. Overseeing the activities of the medical staff at the facilities owned and/or operated by the corporation.

ARTICLE V. OFFICERS

     Section 5.1.Number. The corporation shall have a president, and may have one or more vice-presidents, a secretary and a treasurer, each of whom shall be appointed by the board of directors. Such other officers and assistant officers, including a chairman of the board, as may be deemed necessary or appropriate may be appointed by the board of directors. By resolution, the board of directors may designate any officer as chief executive officer, chief operating officer, chief financial officer, or any similar designation. Any two or more offices may be held by the same person.

     Section 5.2.Appointment and Term of Office. ·The officers of the corporation shall be appointed by the board of directors for such term as the board may deem advisable or may be appointed to serve for an indefinite term at the pleasure of the board. Each officer shall hold office until a successor shall have been appointed regardless of such officer’s term of office, except in the event of such officer’s termination of an indefinite term at the pleasure of the board or such Officer’s removal in the manner herein provided.

     Section 5.3.Resignation. Any officer may resign at any time by delivering written notice to the chairman of the board, the president, a vice-president, the secretary or the board of directors, or by giving oral notice at any meeting of the board. Any such resignation shall take effect at any subsequent time specified therein, or if the time is not specified, upon delivery thereof and, unless otherwise specified therein, the acceptance of such resignation shall not be necessary to make it effective.

     Section 5.4.Removal. Any officer appointed by the board of directors may be removed by the board of directors with or without cause. The removal shall be without prejudice to the contract

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rights, if any, of the person so removed. Appointment of an officer or agent shall not of itself create contract rights.

     Section 5.5.Chairman and Vice-Chairmen of the Board. The chairman of the board, if there be such an office, shall, if present, preside at all meetings of the board of directors, and exercise and perform such other powers and duties as may be determined from time to time by resolution of the board of directors. The vice-chairman of the board, if there be such an office, or in the event there shall be more than one vice-chairman, the one designated most senior at the time of election, shall perform the duties of the chairman of the board in the chairman’s absence, or in the event of the chairman’s death, disability or refusal to act. The vice-chairman of the board shall exercise and perform such other powers and duties as may be determined from time to time by resolution of the board of directors.

     Section 5.6.President. The president shall be the principal executive officer of the corporation and, subject to the control of the board of directors, shall generally supervise and control the business and affairs of the corporation. When present the president shall preside at all meetings of the shareholders and in the absence of the chairman of the board, or if there be none, at all meetings of the board of directors. The president may sign with the secretary or any other proper officer of the corporation thereunto authorized by law, certificates for shares of the corporation, and may sign deeds, mortgages, bonds, contracts, or other instruments which the board of directors has authorized to be executed, except in cases where the signing and execution thereof shall be expressly delegated by the board of directors or by these bylaws to some other officer or agent of the corporation or shall be required by law to be otherwise signed or executed. In general, the president shall perform all duties incident to office of and such other duties as may be prescribed by resolution of the board of directors from time to time.

     Section 5.7.Vice-Presidents. In the absence of the president or in the event of his death, disability or refusal to act, the vice-president, or in the event there shall be more than one vice-president, the vice-presidents in the order designated at the time of their election, or in the absence of any designation then in the order of their election, if any, shall perform the duties of the president. When so acting the vice-president shall have all the powers of and be subject to all the restrictions upon the president and shall perform such other duties as from time to time may be assigned to the vice-president by resolution of the board of directors.

     Section 5.8. Secretary. The secretary shall keep the minutes of the proceedings of the shareholders and board of directors, shall give notices in accordance with the provisions of these

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bylaws and as required by law, shall be custodian of the corporate records of the corporation, shall keep a record of the names and addresses of all shareholders and the number and class of shares held by each, have general charge of the stock transfer books of the corporation, may sign with the president, or a vice-president, certificates for shares of the corporation, deeds, mortgages, bonds, contracts, or other instruments which shall have been authorized by resolution of the board of directors, and in general shall perform all duties incident to the office of secretary and such other duties as from time to time may be assigned to the secretary by resolution of the board of directors.

     Section 5.9.Treasurer. If required by the board of directors, the treasurer shall give a bond for the faithful discharge of his duties, in such sum and with such surety or sureties as the board of directors shall determine. The treasurer shall have charge and custody of and be responsible for keeping correct and complete books and records of account, for all funds and securities of the corporation, receive and give receipts for moneys due and payable to the corporation from any source whatsoever, deposit all such moneys in the name of the corporation in the banks, trust companies or other depositories as shall be selected in accordance with the provisions of these bylaws, and in general perform all of the duties incident to the office of treasurer and such other duties as from time to time may be assigned to the treasurer by resolution of the board of directors.

     Section 5.10.Assistant Officers. The assistant officers in general shall perform such duties as are customary or as shall be assigned to them by resolution of the board of directors. If required by the board of directors, the assistant treasurers shall respectively give bonds for the faithful discharge of their duties in such sums and with such sureties as the board of directors shall determine.

     Section 5.11.Compensation of Officers and Employees. The board of directors shall fix compensation of officers and may fix compensation of other employees from time to time. No officer shall be prevented from receiving a salary by reason of the fact that such officer is also a director of the corporation. In the event any salary payment, or portion thereof, to an officer or other employee is disallowed by the Internal Revenue Service as a deduction for employee compensation under Section 162(a) (1) of the Internal Revenue Code of 1986, as may be amended from time to time, on the grounds such payment was unreasonable in amount, then such officer or employee shall promptly repay the amount disallowed as a deduction to the corporation; it shall be the duty of the board of directors to take all action necessary to enforce this bylaw requiring repayment of unreasonable compensation.

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ARTICLE VI. CONTRACTS, LOANS, CHECKS, DEPOSITS

     Section 6.1.Contracts. The board of directors may authorize any officer or officers, agent or agents, to enter into any contract or execute and deliver any instrument in the name of and on behalf of the corporation, and that authority may be general or confined to specific instances.

     Section 6.2.Loans. No loans shall be contracted on behalf of the corporation and no evidences of indebtedness shall be issued in its name unless authorized by a resolution of the board of directors, which authority may be general.

     Section 6.3.Checks, Drafts, Etc. All checks, drafts or other orders for the payment of money, notes or other evidences of indebtedness issued in the name of the corporation shall be signed by the officer or officers, or agent or agents, of the corporation and in the manner as shall from time to time be prescribed by resolution of the board of directors.

     Section 6.4.Deposits. All funds of the corporation not otherwise employed shall be deposited from time to time to the credit of the corporation in the banks, trust companies or other depositories as the board of directors may select.

     Section 6.5.Contracts with or Loans to Directors and Officers. The corporation may enter into contracts and otherwise transact business as vendor, purchaser, or otherwise, with its directors, officers, and shareholders and with corporations, associations, firms, and entities in which they are or may become interested as directors, officers, shareholders, members, or otherwise, as freely as though such interest did not exist, as permitted by applicable law. In the absence of fraud the fact that any director, officer, shareholder, or any corporation, association, firm or other entity of which any director, officer, or shareholder is interested, is in any way interested in any transaction or contract shall not make the transaction or contract void or voidable, or require the director, officer, or shareholder to account to this corporation for any profits therefrom if the transaction or contract is or shall be authorized, ratified, or approved by (a) vote of a majority of a quorum of the board of directors excluding any interested director or directors, (b) the written consent of the holders of a majority of the shares entitled to vote, or (c) a general resolution approving the acts of the directors and officers adopted at a shareholders meeting by vote of the holders of the majority of the shares entitled to vote. Nothing herein contained shall create or imply any liability in the circumstances above described or prevent the authorization, ratification or approval of such transactions or contracts in any other manner.

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ARTICLE VII. SHARES

     Section 7.1.Certificates for Shares. The shares of the corporation may be represented by certificates in such form as prescribed by the board of directors. Signatures of the corporate officers on the certificate may be facsimiles if the certificate is manually signed on behalf of a transfer agent, or registered by a registrar, other than the corporation itself or an employee of the corporation. All certificates shall be consecutively numbered or otherwise identified. All certificates shall bear such legend or legends as prescribed by the board of directors or these bylaws.

     Section 7.2.Issuance of Shares. Shares of the corporation shall be issued only when authorized by the board of directors, Which authorization shall include the consideration to be received for each share.

     Section 7.3.Beneficial ownership. Except as otherwise permitted by these bylaws, the person in whose name shares stand on the books of the corporation shall be deemed by the corporation to be the owner thereof for all purposes. The board of directors may adopt by resolution a procedure whereby a shareholder of the corporation may certify in writing to the corporation that all or a portion of the shares registered in the name of such shareholder are held for the account of a specified person or persons. upon receipt by the corporation of a certification complying with such procedure, the persons specified in the certification shall be deemed, for the purpose or purposes set forth in the certification, to be the holders of record of the number of shares specified in place of the shareholder making the certification.

     Section 7.4.Transfer of Shares. Transfer of shares of the corporation shall be made only on the stock transfer books of the corporation by the holder of record thereof or by his legal representative who shall furnish proper evidence of authority to transfer, or by his attorney thereunto authorized by power of attorney duly executed and filed with the secretary of the corporation, on surrender for cancellation of the certificate for the shares. All certificates surrendered to the corporation for transfer shall be cancelled and no new certificate shall be issued until the former certificate for a like number of shares shall have been surrendered and cancelled.

     Section 7.5.Lost or Destroyed Certificates. In the case of a lost, destroyed or mutilated certificate, a new certificate may be issued therefor upon such trems and indemnity to the corporation as the board of directors may prescribe.

     Section 7.6.Restrictions on Transfer. Except to the extent that the corporation has obtained an opinion of counsel acceptable to the corporation that transfer restrictions are not required

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under applicable securities laws, all certificates representing shares of the corporation shall bear a legend on the face of the certificate or on the reverse of the certificate if a reference to the legend is contained on the face, to the effect as follows:

These securities are not registered under state or federal securities laws and may not be offered, sold, pledged or otherwise transferred, nor may these securities be transferred on the books of the company, without an opinion of counsel or other assurance satisfactory to the company that no violation of such registration provisions would result therefrom.

     Section 7.7.stock Transfer Records. The stock transfer books shall be kept at the principal office of the corporation or at the office of the corporation’s transfer agent or registrar. The name and address of the person to whom the shares represented by any certificate, together with the class, number of shares and date of issue, shall be entered on the stock transfer books of the corporation. Except as provided in these bylaws, the person in whose name shares stand on the books of the corporation shall be deemed by the corporation to be the owner thereof for all purposes.

ARTICLE VIII. SEAL

     This corporation need not have a corporate seal. If the directors adopt a corporate seal, the seal of the corporation shall be circular in form and consist of the name of the corporation, the state and year of incorporation, and the words “Corporate Seal”.

ARTICLE IX. INDEMNIFICATION OF DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS

     Section 9.1.Power to Indemnify. The corporation shall have the following powers:

          9.1.1.Power to Indemnify. The corporation may indemnify and hold harmless to the full extent permitted by applicable law each person who was or is made a party to or is threatened to be made a party to or is involved (including, without limitation, as a witness) in any actual or threatened action, suit or other proceeding, whether civil, criminal, administrative or investigative, by reason of that fact that he or she is or was a director, Officer, employee or agent of the corporation or, being or having been such a director, officer, employee or agent, he or she is or was serving at the request of the corporation as a director, officer, employee, agent, trustee, or in any other capacity of another corporation or of a partnership, joint venture, trust or other enterprise, including service with respect to

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employee benefit plans, whether the basis of such proceeding is alleged action or omission in an official capacity or in any other capacity while serving as a director, officer, employee, agent, trustee or in any other capacity, against all expense, liability and loss (including, without limitation, attorneys’ fees, judgments, fines, ERISA excise taxes or penalties and amounts to be paid in settlement) actually or reasonably incurred or suffered by such person in connection therewith. such indemnification may continue as to a person who has ceased to be a director, officer, employee or agent of the corporation and shall inure to the benefit of his or her heirs and personal representatives.

          9.1.2.Power to Pay Expanses in Advance of Final Disposition. The corporation may pay expenses incurred in defending any such proceeding in advance of the final disposition of any such proceeding; provided, however, that the payment of such expenses in advance of the final disposition of a proceeding shall be made to or on behalf of a director, officer, employee or agent only upon delivery to the corporation of an undertaking, by or on behalf of such director, officer, employee or agent, to repay all amounts so advanced if it shall Ultimately be determined that such director, officer, employee or agent is not entitled to be indemnified under this Article or otherwise, which undertaking may be unsecured and may be accepted without reference to financial ability to make repayment.

          9.1.3.Power to Enter Into Contracts. The corporation may enter into contracts with any person who is or was a director, officer, employee and agent of the corporation in furtherance of the provisions of this Article and may create a trust fund, grant a security interest in property of the corporation, or use other means (including, without limitation, a letter of credit) to ensure the payment of such amounts as may be necessary to effect indemnification as provided in this Article.

          9.1.4.Expansion of Powers. If the Washington Business Corporation Act is amended in the future to expand or increase the power of the corporation to indemnify, to pay expenses in advance of final disposition, to enter into contracts, or to expand or increase any similar or related power, then, without any further requirement of action by the shareholders or directors of this corporation, the powers described in this Article shall be expanded and increased to the fullest extent permitted by the Washington Business Corporation Act, as so amended.

          9.1.5.Limitation on powers. No indemnification shall be provided under this Article to any such person if the corporation is prohibited by the nonexclusive provisions of the Washington Business Corporation Act or other applicable law as then in effect from paying such indemnification. For example, no indemnification shall be provided to any director in respect of any

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proceeding, whether or not involving action in his or her official capacity, in which he or she shall have been finally adjudged to be liable on the basis of intentional misconduct or knowing violation of law by the director, or from conduct of the director in violation of RCW 23B. 08.310, or that the director personally received a benefit in money, property or services to which the director was not legally entitled.

     Section 9.2.Indemnification of Directors Officers, Employees and Agents.

          9.2.1.Directors. The corporation shall indemnify and hold harmless any person who is or was a director of this corporation, and pay expenses in advance of final disposition of a proceeding, to the full extent to which the corporation is empowered.

          9.2.2.Officers, Employees and Agents. The corporation may, by action of its Board of Directors from time to time, indemnify and hold harmless any person who is or was an officer, employee or agent of the corporation, and pay expenses in advance of final disposition of a proceeding, to the full extent to which the corporation is empowered, or to any lesser extent which the Board of Directors may determine.

          9.2.3.Character of Rights. The rights to indemnification and payment of expenses in advance of final disposition of a proceeding conferred by or pursuant to this Article shall be contract rights.

          9.2.4.Enforcement. A director, officer, employee or agent (“claimant”) shall be presumed to be entitled to indemnification and/or payment of expenses under this Article upon submission of a written claim (and, in an action brought to enforce a claim for expenses incurred in defending any proceeding in advance of its final disposition, where the undertaking in subsection 9.1.2 above has been delivered to the corporation) and thereafter the corporation shall have the burden of proof to overcome the presumption that the claimant is so entitled.

     If a claim under this Article is not paid in full by the corporation within sixty (60) days after a written claim has been received by the corporation, except in the case of a claim for expenses incurred in defending a proceeding in advance of its final disposition, in which case the applicable period shall be twenty (20) days, the claimant may at any time thereafter bring suit against the corporation to recover the unpaid amount of the claim and, to the extent successful in whole or in part, the claimant shall be entitled to be paid also the expense of prosecuting such claim. Neither the failure of the corporation (including its board of directors, its shareholders or independent legal counsel) to

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have made a determination prior to the commencement of such action that indemnification of or reimbursement or advancement of expenses to the claimant is proper in the circumstances nor an actual determination by the corporation (including its board of directors, its shareholders or independent legal counsel) that the claimant is not entitled to indemnification or to the reimbursement or advancement of expenses shall be a defense to the action or create a presumption that the claimant is not so entitled.

          9.2.5.Rights Not Exclusive. The right to indemnification and payment of expenses in advance of final disposition of a proceeding conferred in this Article shall not be exclusive of any other right which any person may have or hereafter acquire under any statute, provision of the articles of incorporation, bylaws, agreement, vote of shareholders or disinterested directors or otherwise.

     Section 9.3.Insurance. The corporation may purchase and maintain ;insurance, at its expense, to protect itself and any director, officer, employee, agent or trustee of the corporation or another corporation, partnership, joint venture, trust or other enterprise against any expense, liability or loss, whether or not the corporation would have the power to indemnify such person against such expense, liability or loss under the Washington Business Corporation Act.

     Section 9.4.Survival of Benefits. Any repeal or modification of this Article shall not adversely affect any right of any person existing at the time of such repeal or modification.

     Section 9.5.Severability. If any provision of this Article or any application thereof shall be invalid, unenforceable or contrary to applicable law, the remainder of this Article, or the application of such provision to persons or circumstances other than those as to which it is held invalid, unenforceable or contrary to applicable law, shall not be affected thereby and shall continue in full force and effect.

     Section 9.6.Applicable Law. For purposes of this Article, “applicable law” shall at all times be construed as the applicable law in effect at the date indemnification may be sought, or the law in effect at the date of the action, omission or other event giving rise to the situation for which indemnification may be sought, whichever is selected by the person seeking indemnification. As of the date hereof, applicable law shall include RCW 23B. 08.500 through .600, as amended.

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ARTICLE X. BOOKS AND RECORDS

     The corporation shall keep correct and complete books’ and records of account, stock transfer books, minutes of the proceedings of its shareholders and the board of directors and such other records as may be necessary or advisable.

ARTICLE XI. FISCAL YEAR

     The fiscal year of the corporation shall be determined by resolution adopted by the board of directors. In the absence of such a resolution, the fiscal year shall be the calendar year.

ARTICLE XII. VOTING OF SKARES OF ANOTHER CORPORATION

     Shares of another corporation held by this corporation may be voted by the president or vice-president, or by proxy appointment form executed by either of them, unless the directors by resolution shall designate some other person to vote the shares.

ARTICLE XIII. AMENDMENTS TO BYLAWS

     These bylaws may be altered, amended or repealed, and new bylaws may be adopted, by the board of directors or by the shareholders. Any bylaw adopted, amended or repealed by the directors may be repealed, amended or reinstated by the shareholders at the next meeting of shareholders following such action, without further notice than this bylaw.

     The undersigned, being the secretary of the corporation, hereby certifies that these bylaws are the bylaws of CARE HEALTH COMPANY, INC. adopted by resolution of the directors on 9/30/92, 1992.

     DATED this 30 day of September, 1992.

/s/ James M. Williams  

James M. Williams, Secretary 

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