EXHIBIT 3.46
BYLAWS
OF
PHYSICIAN PRACTICE MANAGEMENT OF ARKANSAS, INC.
ARTICLE I
MEETINGS OF SHAREHOLDERS
1.1 Annual Meeting. The annual meeting of the shareholders shall be
held, at such place within or without the state of incorporation as may be
designated by the Board of Directors, on such date and at such time as shall be
designated each year by the Board of Directors and stated in the notice of the
meeting. At the annual meeting the shareholders shall elect a Board of Directors
by a plurality vote and transact such other business as may properly be brought
before the meeting.
1.2 Special Meetings. Special meetings of the shareholders may be
called by the president, a majority of the Board of Directors, or by the holders
of not less than one-tenth (1/10) of all shares entitled to vote at such
meeting. The place of said meetings shall be designated by the directors. The
business transacted at special meetings of the shareholders shall be confined to
the business stated in the notice given to the shareholders.
1.3 Notice of Shareholder Meetings. Written or printed notice stating
the place, day, and hour of the meeting, and, in the case of a special meeting,
the purpose or purposes for which the meeting is called and the person or
persons calling the meeting may be delivered in person, by telegraph, teletype
or other form of wire or wireless communication, or by mail or private carrier
by or at the direction of the president, secretary, officer, or person calling
the meeting to each shareholder entitled to vote at the meeting. Such notice
shall be delivered not less than ten (10) days nor more than two (2) months
before the date of the meeting, and shall be deemed to be delivered when
deposited in the United State mail addressed to the shareholder at his last
known address as it appears on the stock transfer books of the corporation, with
postage thereon prepaid, or by confirmed telex; provided, however, that any such
notice may be waived in writing, either prior to or subsequent to such meeting.
1.4 Quorum Requirements. A majority of the shares entitled to vote
present, in person or represented by proxy, shall constitute a quorum for the
transaction of business. A meeting may be adjourned despite the absence of a
quorum, and notice of an adjourned meeting need not be given if the time and
place to which the meeting is adjourned are announced at the meeting at which
the adjournment is taken. When a quorum is present at any meeting, a majority in
interest of the stock there represented shall decide any question brought before
such meeting, unless the question is one upon which, by express provision if
this corporation's charter or Bylaws, or by the laws of Tennessee, a larger or
different vote is required, in which case such express provision shall govern
the decision of such question.
1.5 Voting and Proxies. Every shareholder entitled to vote at a meeting
may do so either in person or by proxy appointment made by an instrument in
writing subscribed by such shareholder, which proxy shall be filed with the
secretary of the meeting before being voted. Such proxy shall entitle the
holders thereof to vote at any adjournment of such meeting, but shall not be
valid after the final adjournment thereof. No proxy shall be valid after the
expiration of eleven (11) months from the date of its execution, unless the said
instrument expressly provides for a longer period.
ARTICLE II
BOARD OF DIRECTORS
2.1 Qualification and Election. Directors need not be shareholders or
residents of this State, but must be of legal age. They shall be elected by a
plurality of the votes cast at the annual meetings of the shareholders or at a
special meeting of the shareholders called for that purpose. Each director shall
hold office until the expiration of the term for which he is elected, and
thereafter until his successor has been elected and qualified.
2.2 Number. The number of directors that shall constitute the entire
Board of Directors shall not be less than one (1) nor more than fifteen (15),
the exact number of directors to be determined by resolution of the Board of
Directors from time to time.
2.3 Meetings. The annual meeting of the Board of Directors shall be
held immediately after the adjournment of the annual meeting of the
shareholders, at which time the officers of the corporation shall be elected.
The Board of Directors may also designate more frequent intervals for regular
meetings. Special meetings may be called at any time by the chairman of the
board, president, or any two directors.
2.4 Notice of Director's Meetings. The annual and all regular board
meetings may be held without notice of the date, time, place or purpose of the
meeting. Special meetings shall be held upon notice sent by any usual means of
communication, not less than two (2) days before the meeting, noting the date,
time and place of the meeting. The notice need not describe the purposes of the
special meeting. Attendance by a director at a meeting or subsequent execution
or approval by a director of the minutes of a meeting or a consent action shall
constitute a waiver of any defects in notice of such meeting and/or consent
action.
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2.5 Quorum and Vote. The presence of a majority of the directors shall
constitute a quorum for the transaction of business. A meeting may be adjourned
despite the absence of a quorum, and notice of an adjourned meeting need not be
given if the time and place to which the meeting is adjourned are fixed at the
meeting at which the adjournment is taken, and if the period of adjournment does
not exceed thirty (30) days in any one adjournment. The vote of a majority of
the directors present at a meeting at which a quorum is present shall be the act
of the board, unless the vote of a greater number is required by the charter,
these bylaws, or by the laws of the state of incorporation.
2.6 Executive and Other Committees. The Board of Directors, by a
resolution adopted by a majority of its members, may designate an executive
committee, consisting of two or more directors, and other committees, consisting
of two (2) or more persons, who may or may not be directors, and may delegate to
such committee or committees any and all such authority as it deems desirable,
including the right to delegate to an executive committee the power to exercise
all the authority of the Board of Directors in the management of the affairs and
property of the corporation.
ARTICLE III
OFFICERS
3.1 Number. The corporation shall have a President, a Secretary, and
any other officers as the Board of Directors shall from time to time deem
necessary. Any two or more offices may be held by the same person, except the
offices of President and Secretary.
3.2 Election and Term. The officers shall be elected by the Board of
Directors.
3.3 Duties. All officers shall have such authority and perform such
duties in the management of the corporation as are normally incident to their
offices and as the Board of Directors may from time to time provide.
ARTICLE IV
RESIGNATIONS. REMOVALS AND VACANCIES
4.1 Resignations. Any officer or director may resign at any time by
giving written notice to the chairman of the board, the president, or the
secretary. Any such resignation shall take effect at the time specified therein,
or, if no time is specified, upon its acceptance by the Board of directors.
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4.2 Removal of Officers. Any officer may be removed at any time with or
without cause by the board whenever in its judgment the best interest of the
corporation will be served thereby.
4.3 Removal of Directors. Any or all of the directors may be removed
either with or without cause by a proper vote of the shareholders; and may be
removed with cause by a majority vote of the entire board.
4.4 Vacancies. Newly created directorships resulting from an increase
in the number of directors, and vacancies occurring in any office or
directorship for any reason, including removal of an officer or director, may be
filled by the vote of a majority of the directors remaining in office, even if
less than a quorum exists.
ARTICLE V
CAPITAL STOCK
5.1 Stock Certificates. Every shareholder shall be entitled to a
certificate or certificates of capital stock of the corporation in such form as
may be prescribed by the Board of Directors. Unless otherwise decided by the
board, such certificates shall be signed by the president and the secretary of
the corporation.
5.2 Transfer of Shares. Shares of stock may be transferred on the books
of the corporation by delivery and surrender of the properly assigned
certificate, but subject to any restrictions on transfer imposed by applicable
federal and state securities laws and any shareholder agreement.
5.3 Loss of Certificate. In the case of the loss, mutilation, or
destruction of a certificate of stock, a duplicate certificate may be issued
upon such terms as the Board of Directors shall prescribe.
ARTICLE VI
ACTION BY CONSENT
Whenever the shareholder or directors are required or permitted to take
any action by vote, such action may be taken without a meeting on written
consent, setting forth the action so taken, signed by all the persons or
entities entitled to vote thereon, and such action shall be as valid and
effective as any action taken at a regular or special meeting of the directors
or shareholders.
ARTICLE VII
AMENDMENT OF BYLAWS
These bylaws may be amended, added to, or repealed either by: (1) a
majority vote of the shares represented at any duly constituted shareholder's
meeting; or
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(2) by a majority vote of the Board of Directors pursuant to T.C.A. Section
48-20-201.
ARTICLE VIII
FISCAL YEAR
The fiscal year for the corporation shall be the calendar year.
CERTIFICATION
These bylaws were adopted by written consent of the Board of Directors
of the Corporation and became effective on April 30,1998.
/s/ Joey A. Jacobs
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Joey A. Jacobs
/s/ Steven T. Davidson
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Steven T. Davidson
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