Effective April 6, 2006

GENERAL OPERATING FEE ON A TAX EXEMPT BOND ISSUE

The general operating fee of the Authority is 4 basis points (0.0004) of the total outstanding bond principal balance.

The fee is calculated monthly by multiplying the outstanding principal amount of the bonds on the first of the month by 0.0004.  This calculation is then divided by 12.

There is an annual fee cap of $80,000.

The fee is collected annually in arrears and is due March 1^st of each year.

For the obligated group with multiple bond issues, the total of all bond issue's outstanding principal balances is used to calculate the monthly fee amount.  The monthly fee amount is then allocated to each individual bond issue using the fraction whose numerator is the individual bond issue outstanding principal balance and whose denominator is the total of all the bond issues outstanding principal balance for the hospital or health system.

For determination of members of the obligated group, reference will be made to the Officer's Certificate filed by the Obligated Group Agent with the Master Trustee pursuant to the requirements of the Master Indenture.

HEALTHCARE EQUIPMENT LOAN PROGRAM (HELP) FEE

The Heathcare Equipment Loan Program (H.E.L.P.) fee is 1/10 of 1% (0.001) of the outstanding principal amount of the HELP bonds.

FEDERALLY TAXABLE BOND ISSUE FEE

The fee for federally taxable bond issues shall be 1/40 of 1% (0.00025) of the outstanding principal amount of the bonds and calculated separately from the fee charged for tax-exempt bond issues.

SHORT TERM FINANCING FEE

Privately placed, short term bond issues will be charged a one time, up front fee of 0.10 of 1% (0.0010) of the principal amount of the loan for a three year loan, 0.15 of 1% (0.0015) of the principal amount of the loan for a five year loan, 0.25 of 1% (0.0025) of the principal amount of the loan for a seven year loan, and 0.30 of 1% (0.0030) of the principal amount of the loan for a ten year loan.  The fee will be billed at closing.

If at the time of financing the Obligor is at the annual fee cap the short term vendor financing fee will be waived.