EXHIBIT 10.43
DIRECT THERAPY SERVICES AGREEMENT
THIS DIRECT THERAPY SERVICES AGREEMENT ("Agreement") is made as of this 10th day
of May, 1996 by and between Paragon Rehabilitation, Inc., a provider of rehab
therapy services, (CONTRACTOR), having its principal place of business at 0000
Xxxx Xxx Xxx, Xxxxx 000, Xxxxxxxxx, XX 00000 and ______________d/b/a Xxxxxxxxxx
of Abemarle doing business at 000 Xxxxxxxx Xxxxx, Xxxxxxxx, XX 00000
("FACILITY").
RECITALS:
WHEREAS, Facility finds that patients are increasingly seeking admission to
Facility with requirements for comprehensive, interdisciplinary physical,
occupational and speech therapy services ("rehabilitation services" or
"Services");
WHEREAS, Facility desires to provide efficient and effective rehabilitation
services to patients who require such care;
WHEREAS, Facility desires to maintain compliance with the requirements of
applicable laws, and applicable state and Federal survey and certification
requirements that Facility provide care that will ensure that each patient
achieves the highest practicable physical, mental and psychosocial well being;
WHEREAS, Facility recognizes its responsibility to be a prudent buyer of
rehabilitation services; and
WHEREAS, Facility has reviewed the rates and services of other contract
providers of rehabilitation services and finds Contractor's rates to be
reasonable, considering the patients to be treated, the staffing required, the
scope of necessary rehabilitation services, and the quality of Contractor's
rehabilitation services.
IN CONSIDERATION of the above premises, the promises contained herein, and other
good and valuable consideration, the receipt and sufficiency of which the
parties acknowledge, the parties agree to be legally bound as follows:
ARTICLE I
NATURE OF ARRANGEMENT
Contractor shall hire and retain qualified, licensed and certified therapists
and other affiliated providers ("Therapists") to perform rehabilitation services
listed on Schedules A, B. and C attached hereto and incorporated herein
("Services") for the Facility's patients.
ARTICLE II
DUTIES AND OBLIGATIONS OF CONTRACTOR
2.1 Services. Contractor shall provide rehabilitation services as they
relate to therapy, to patients of the Facility pursuant to a plan of treatment
prescribed by the patient's physician, through Therapists pursuant to the terms
and conditions of this Agreement and in accordance with any and all applicable
requirements of Federal and state laws, rules and regulations. All Services
rendered by Contractor hereunder shall be in accordance with the requirements of
participation and reimbursement coverage requirements imposed by applicable
governmental and other third party reimbursement sources. Contractor shall
commence rendering Services pursuant to this Agreement as set forth in the
Schedules A, B, and C attached hereto.
2.2 Conferences: Training. Therapists rendering Services at the Facility
shall participate in staff meetings and conferences in accordance with
Facility's policies, for the purpose of discussing Facility's patient care
policies, plans of treatments generally, and common patient treatment problems
or issues. In addition, Therapists rendering Services at the Facility shall
advise and participate in appropriate in-service educational training programs
as may be required by state and Federal guidelines.
2.3 Equipment and Supplies. Equipment and/or supplies owned or customary
stocked by Facility and which are necessary for rehabilitation services may be
used by Contractor. Should Contractor determine that certain equipment or
supplies are needed at the Facility, contractor shall so advise the Facility and
the Facility Administrator shall consider Contractor's recommendation for
purchase but shall not be obligated to act on it. If Contractor offers to supply
equipment or supplies, such arrangements shall be made on a request by request
basis and approved only by the Facility Administrator on behalf of the Facility.
2.4 Statement of Qualification. Contractor shall submit to Facility a
statement of the qualifications and experience of each Therapist who is to
provide rehabilitation services to Facility's patients on behalf of Contractor
and copies of current certificates, licenses and/or registrations and renewals.
Facility shall have the absolute right to disapprove of any Therapist who is to
render services to patients of the Facility on behalf of Contractor pursuant to
this Agreement, and to require that Contractor immediately replace such
Therapist with another Therapist.
2.5 Record Maintenance. Contractor shall provide, maintain and sign
written documentation on the individual patient charts of treatment, progress
and evaluations in accordance with requirements of the Facility and of Federal
and state governmental agencies or other third party reimbursement sources and
shall promptly incorporate such written documentation into the clinical records
of Facility's patients and otherwise as is proscribed from time to time by the
Facility. Additionally, Contractor shall maintain records as set forth in
Article IX, hereof.
2.6 Notification by Contractor. Contractor shall provide prompt
notification to Facility if it cannot provide rehabilitation services or
Therapists in a timely fashion so that the Facility can arrange alternate
sources for these services.
2.7 Preservation of Licenses. Contractor shall not knowingly take any
action or fail to take any action which may:
(a) cause any governmental authority having jurisdiction over the
operation of Facility to institute any proceeding for the
rescission or revocation of any necessary license, permit,
consent or approval; or
(b) adversely affect Facility's right to accept and obtain
payments under Medicare, Medicaid, or any other public or
private third party medical payment program.
2.8 Consulting. Contractor shall act as an consultant to the Facility with
regards to the rehabilitation program and will make recommendations to the
Facility, assist in implementation of such recommendations and maintain an
ongoing assessment of progress to facilitate compliance by the Facility with all
governmental or third party payor requirements. Written reports will be
submitted by Contractor as may from time to time be reasonably required by
Facility or applicable law.
ARTICLE III
DUTIES AND OBLIGATIONS OF FACILITY
3.1 Billing. Facility shall be solely responsible for billing patients
and/or their respective governmental or other third party reimbursement sources
for Services provided to the patients by Contractor.
3.2 Space and Equipment. Facility shall, at its sole expense, set aside a
designated work and storage area, adequate for provision of therapy services,
inside Facility's premises where Contractor's Therapists can provide the
Services required under this Agreement. The maintenance of the designated area
or space shall be the sole responsibility of Facility. Standard equipment and
supplies required for provision of therapy services shall also be provided and
maintained in good repair by Facility. All additional equipment requested by
Contractor shall be provided only if agreed upon by the Facility Administrator.
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3.3 Record Maintenance. Facility shall have primary responsibility for
maintaining all patient records, including coordinating the transmittal of
information required by Contractor for orderly and efficient delivery of
services and applicable administrative transactions. Facility shall make
available to Contractor for review and inspection, upon request, individual
patient treatment records necessary for the proper evaluation, screening and
treatment of, and provision of Services to, such patient. Contractor agrees to
respect and abide by any and all Federal, state and local regulations pertaining
to the confidentiality of patient records. Facility's responsibility for
maintaining patient records shall not be deemed by Contractor to relieve
Contractor of any of its responsibilities to maintain records as set forth in
Article IX, hereof.
ARTICLE IV
COMPENSATION
4.1 Fee Schedule. Facility shall compensate Contractor for Services
rendered to Facility's patients in accordance with attached Schedules A, B, and
C subject to section 4.4, hereof Contractor shall not xxxx any patient or any
governmental entity or other third party reimbursement sources for services
rendered to a patient pursuant to the Agreement, except as may be required by
applicable Federal or state law, rules or regulations.
4.2 Invoices. Contractor shall submit to Facility within three (3)
business days after the end of each month an invoice for the Services rendered
to each Facility patient during the latest service period. Support for the
monthly invoices shall include, among other things, (a) the name(s) of the
Therapist(s) who provided the Services; (b) the name(s) of the patients to whom
the Services were provided and the number of units of service provided to each
patient and the total applicable charges by patient; and (c) number of units and
total applicable charges relating to staff meetings, conferences and training
and; (d) such other information as Facility may require.
4.3 Payment. Subject to the provisions of Section 4.4, Facility shall
remit payment in full to Contractor as shown on each invoice within thirty (30)
days of the receipt of the Contractor's invoice.
4.4 Medicare Denials.
(a) General and Escrow. In the event that the Medicare fiscal
intermediary, through a denial notice or Notice of Amount of
Medicare Program Reimbursement ("NPR"), notifies the Facility
that rehabilitation services rendered did not meet the
applicable conditions of coverage, or that the charges for
Services provided by Contractor are deemed to exceed the
usual, customary and reasonable charges for said Services, or
that the charges for Services provided by Contractor are
deemed to exceed any applicable salary equivalency caps
(collectively, a "disallowance"), Facility shall provide
Contractor with a copy of the denial notice or NPR.
Contractor, within ten (10) business days after receiving a
copy of said denial notice or NPR, shall pay to an escrow
agent reasonably acceptable to Facility (the "Escrow Agent")
an amount equal to the total amount of disallowance listed in
the denial notice or NPR (the "Escrow Amount") for amounts
over $10,000.00. For denial notice or NPR amounts equal or
less than $10,000.00, Contractor shall pay Facility directly
within ten (10) business days after receiving a copy of said
denial notice or NPR and Facility shall assign any of its
rights to payment up to $10,000.00 to Contractor. Contractor
agrees to execute an escrow agreement with Escrow Agent which
provides for release of the Escrow Amount in accordance with
Section 4.4(b) below without any further action on the part of
Contractor required for release of the Escrow Amount.
(b) Appeal and Release of Escrow Amount. If a particular service
provided by Contractor is disallowed, in full or in part by
the Medicare fiscal intermediary, and the Escrow Amount is
properly forwarded to the Escrow Agent as set forth in 4.4(a)
above, Contractor shall, at its option, be responsible for
disputing such disallowance on its own time and its own
expense and shall, to the extent authorized by law, undertake
the entire appeal of the disallowance as the representative of
the Facility. Contractor, with the
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written concurrence of Facility, may compromise or settle the
disallowance for the account and on behalf of the Facility. In
connection with such dispute, Facility shall cooperate with
Contractor and its representatives and provide reasonable
access to any of its relevant books and records. Facility
shall execute any reasonable authorizations required for
Contractor and Contractor's counsel to prosecute the appeal in
the name of Facility. In the event the denial notice or NPR is
not appealed on a timely basis or the administrative appeal is
not settled within six (6) months, Facility shall be entitled
to the full Escrow Amount and Contractor agrees to fully
cooperate with Facility and Escrow Agent to cause the release
of the Escrow Amount to Facility.
(c) Default and Cross Default. If Contractor fails to pay Facility
or fund the Escrow Amount in accordance with the provisions of
this Section 4.4, Facility and all of its affiliates shall not
be obligated to pay Contractor any fees owed to Contractor
under this Agreement or under any other agreement executed for
the benefit of Contractor by any affiliate or affiliated
operator of Facility or WelCare International, Inc. or their
successors.
ARTICLE V
TERM OF CONTRACT
5.1 Term. The term of this Agreement shall commence as of the date hereof
and shall continue in full force and effect for an initial term of five ( 5 )
years. Unless either party elects to terminate this Agreement at the end of the
original or any renewal term by giving written notice, in accordance with
Section 11.3 of this Agreement, to the other party at least thirty (30) days
prior to the expiration of the then-current term, this Agreement shall be deemed
to have been automatically renewed for successive five (5) year periods.
5.2 Termination. This Agreement may be terminated for any reason
whatsoever by either party upon thirty (30) days prior written notice, in
accordance with Section 11.3 of this Agreement.
ARTICLE VI
INSURANCE
6.1 General Coverage. Contractor shall submit to Facility, within 30 days
of the date Contractor commences performing under this Agreement, a certificate
of insurance from a licensed insurance broker indicating the Contractor has
purchased, at its expense, appropriate coverage insuring the Facility for all of
the following:
(a) professional liability insurance with minimum liability limits
of $1,000,000 for each incident and $3,000,000 aggregate;
(b) general liability insurance, including personal injury on
death and property damage (including theft of or damage to
patient's property) in the combined single unit of not less
than $1,000,000.00; and
(c) worker's compensation, employer's liability or similar
insurance for the Therapists as required by applicable law.
6.2 Continuation, Cancellation and Updates. Such policies of insurance
shall be maintained throughout the term of this Agreement and shall provide that
the insurance company may not cancel any policy of insurance without providing
Facility ten (10) days advance written notice. Facility may request a
certificate from Contractor's licensed insurance broker from time to time.
ARTICLE VII
INDEMNIFICATION
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7.1 Contractor Indemnification. Facility shall indemnify and hold
Contractor harmless from and against all claims, demands, costs, expense,
liabilities and losses (including reasonable attorneys' fees) which may result
as a consequence of any alleged malfeasance, negligence or medical malpractice
caused or alleged to be caused by Facility, its employees, agents or
contractors.
7.2 Facility Indemnification. Contractor shall indemnify and hold Facility
harmless from and against all claims, demands, costs, expenses, liabilities and
losses (including reasonable attorneys' fees), which may result against Facility
as a consequence of any alleged malfeasance, negligence or medical malpractice
caused or alleged to be caused by Contractor, Therapists, its employees, agents
or contractors.
ARTICLE VIII
INDEPENDENT CONTRACTING PARTIES
This Agreement is an independent contract between Facility and Contractor.
Neither party shall be construed in any manner whatsoever to be an employee,
agent partner, joint venturer or lease party of the other, nor shall this
Agreement be construed as such. Nothing in this Agreement shall be construed as
limiting or restricting in any manner Contractor's right to render the same or
similar services as those covered by this Agreement to other individuals and
entities, including, but not limited to, other nursing home and acute care
facilities. There are no other relationships or agreements related to this
Agreement other than those specified herein.
ARTICLE IX
ACCESS TO RECORDS AND INFORMATION
9.1 General. Contractor agrees to keep and maintain records of services
rendered by Contractor to Facility's patients in order to meet the requirements
of any fiscal intermediary, Federal, state or local government agency, or other
party, as reasonably requested by Facility, to whom xxxxxxxx for Contractor's
Services are submitted. Contractor agrees to make all records of Facility's
patients to whom Contractor has rendered Services available from time to time
for Facility's inspection.
9.2 Specific Current Records and Information to be Maintained. For the
purpose of implementing Section 186 1 (v)(1)(I) of the Social Security Act, as
amended, and any written regulations thereto, Contractor agrees to comply with
the following statutory requirements governing the maintenance of documentation
to verify the cost of services rendered under this Agreement:
(a) until the expiration of four (4) years after the furnishing of such
services pursuant to this Agreement, upon written request,
Contractor shall make available to the Secretary of Health and Human
Services ("Secretary of HHS") or to the Comptroller General of the
United States ("Comptroller General"), or any other Federal or state
agency having authority or responsibility for the payments for or
supervision of Contractor's services, or any of their duly
authorized representatives, all contacts, books, documents and
records of Contractor that are necessary to certify the nature and
extent of such costs; and
(b) if Contractor carries out any of the duties of the contract through
a subcontract, with a value or cost of $10,000 or more over a twelve
(12) month period, with a related organization (as that term is
defined 42 C.F.R. Section 405.427(b), such subcontract shall contain
a clause to the effect that until the expiration of four (4) years
after the furnishing of such services pursuant to such subcontract,
the related organization or subcontractor, upon written request,
shall make available to the Secretary of HHS, or to the Comptroller
General, or any other Federal or state agency having authority or
responsibility for the payments for or supervision of Contractor's
services, or any of their duly authorized representatives, the
subcontract, books, documents and records of such organization that
are necessary to verify the nature and extent of such costs.
9.3 Notice to Other Party of Disclosure. If either party or any
subcontractor is requested to disclose any books, documents, or records,
relevant to this Agreement for any purpose of an audit or investigation, such
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party shall notify the other party as to the nature and scope of such request
and shall make available to the other party all such books, contracts or
subcontracts, documents, or records. By agreeing to the aforementioned,
Contractor and Facility do not waive any legal rights that they have with
regards to disclosure of documents or information.
9.4 Confidentiality of Patient Information. The parties agree that all
information and records obtained in the course of providing Services to the
patients in the Facility shall be subject to the confidentiality and disclosure
provisions of applicable ethical guidelines, federal and state statutes and
regulations adopted pursuant thereto.
9.5 Automatic Amendment to Agreement. If any existing or future Federal or
state laws are determined to require additional retention of documents and
records this Agreement shall be automatically amended without action required by
the parties to provide for such additional retention in accordance with Section
9.2 hereinabove.
ARTICLE X
COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964
Facility and Contractor agree to fully comply with Title VI of the Civil Rights
Act of 1964 (P.L. 88-352), as amended, and all requirements imposed by and
pursuant to the regulations of the United States Department of Health and Human
Services issued pursuant to such Title VI, so that no person in the United
States of America shall, on the grounds of sex, race, color, handicap or
national origin, be excluded from participation in, be denied the benefits of,
or be otherwise subjected to discrimination under any program or activity
provided by Facility or Contractor.
ARTICLE XI
MISCELLANEOUS
11.1 Confidentiality. Each party hereto acknowledges that they will
receive from time to time confidential information regarding the other party.
Each party agrees to maintain any such information in confidence and not to
disclose the same to any third party except in furtherance of this Agreement.
Contractor shall not use any information gathered at Facility for any purpose
not contained in this Agreement without Facility's written permission,
including, but not limited to my general statistical presentations whether nor
not they reference Facility.
11.2 Controlling Law. This Agreement and all questions relating to its
validity, interpretation, performance and enforcement, shall be governed by and
construed in accordance with the laws of the state of Georgia and both parties
agree that any dispute among them that arise that needs to be decided in a court
of law shall be brought in either the Federal Court, Atlanta Division of the
Northern District of Georgia or the Superior Court of Xxxxxx County, Georgia.
11.3 Notices. All notices, requests, demands and other communications
required or permitted under this Agreement shall be in writing and shall be
deemed to have been duly given, made and received upon actual receipt of
registered or certified mail, postage prepaid, return receipt requested, or upon
delivery by overnight mail services, addressed as set forth below:
(i) If to Contractor: Paragon Rehabilitation, Inc.
0000 Xxxx Xxx Xxx, Xxxxx 000
Xxxxxxxxx, XX 00000
Attn: President/CEO
(ii) If to Facility: Xxxxxxxxxx of Albemarle
000 Xxxxxxxx Xxxxx
Xxxxxxxxx, XX 00000
Attn: Administrator
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With a copy to: Xxxxxx Xxxxxxx Xxxxx & Scarborough, L.L.P.
0000 Xxxxxxxxx Xxxxxx
000 Xxxxxx Xxxxxx
Xxxxx 0000
Xxxxxxx, Xxxxxxx 00000
Attn: Xxxx X. Xxxxxx, Esquire
Any party may change the address to which communications or copies are to be
sent by giving notice of such change of address in conformity with the
provisions of this Section for the giving of notice.
11.4 Assignment. Without the written consent of the other party, this
contract cannot be assigned, except to an affiliate or successor entity of
either party.
11.5 Entire Agreement and Amendment. This Agreement and the Schedule(s)
hereto contain the entire understanding between the parties hereto with respect
to the subject matter, and supersedes all prior and contemporaneous agreements
and understandings, inducements or conditions, express or implied, oral or
written. Except as stated herein, including section 9.5 hereinabove, neither
this Agreement nor the attached Schedules may be modified or amended other than
by an agreement in writing.
11.6 Incorporation. All Schedules, Exhibits, and Addenda attached hereto
are hereby incorporated by reference into, and made a part of, this Agreement.
11.7 Partial Invalidity. If any term, provision, covenant, or condition of
this Agreement is held by a court of competent jurisdiction to be invalid, void,
or unenforceable, the remainder of the provisions shall remain in full force and
effect and shall in no way be affected, impaired, or invalidated. The parties
recognize that this Agreement, at all times, is subject to applicable state,
local and Federal law including, but not limited to, the Social Security Act,
the rules and regulations and policies of the U.S. Department of Health and
Human Services, and all public health and safety provisions of state law and
regulation. The parties further recognize that the Agreement shall be subject to
any amendments in such laws and regulations. Any provisions of law that
invalidate or otherwise are inconsistent with the terms of this Agreement or
that would cause one or both of the parties to be in violation of law, shall be
deemed to have superseded the terms of this Agreement, provided, however, that
the parties shall exercise their best efforts to accommodate the terms and
intent of this Agreement to the greatest extent possible consistent with the
requirements of law.
11.8 Survival. The following provisions of this Agreement shall survive
the expiration and termination of this Agreement for any reason: Article IX and
Sections 3.3, 4.2, 4.4, 6.2, 7.1, 7.2 11.1 and 11.2.
11.9 Section Headings. The Article and section headings contained in this
Agreement are for reference purposes only and will not affect how this Agreement
is to be construed and interpreted.
IN WITNESS WHEREOF, the parties have executed and delivered this Agreement on
the data first above written.
d/b/a Paragon Rehabilitation, Inc.
By: /s/ Xxxxxxxx X. Xxxxxx
----------------------------------------
Its: President
FACILITY: Xxxxxxxxxx of Albemarle
By: /s/ Xxxxx Xxxxxx
----------------------------------------
Its: Administrator
Agreement Form Expires: May 31, 2001
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THERAPY SERVICES AGREEMENT
Schedule A
Fee Schedule - Physical Therapy
Contractor shall provide physical therapy services to Facility's patients for
the lesser of the usual, customary or reasonable charges or as follows:
Facility agrees to pay for the above services at rates specified by the Salary
Equivalency Guidelines as published in the Federal Register dated September 30,
1983 and in accordance with the requirements of Chapter 14 of the Provider
Reimbursement Manual (together the "Guidelines") based upon labor logs
documenting time in the Facility.
The rates will automatically be adjusted on the earlier of the beginning of the
Facility's new cost report fiscal year in accordance with the Guidelines or when
the Guidelines change.
The rates may also be adjusted by any additional, substitutionary or subsequent
laws or regulations to the Guidelines.
Current rates are as follows:
Physical Therapy Supervisor NA
Physical Therapist $34.84
RPTA $26.13
Physical Therapy Aide $10.71
Travel Allowance $17.42 for RPT/$13.07 for RPTA
Special TVL Allowance
Contractor will begin delivery of physical therapy services under this Agreement
as of the following date: June 1, 1996.
1. $2.50 Standard Travel Allowance should be added to the RPT and RPTA. Rates
above do not include this amount.
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THERAPY SERVICES AGREEMENT
Schedule B
Fee Schedule - Occupational Therapy
Facility agrees to pay for occupational therapy services performed for
in-patients and out-patients of Facility as follows:
Occupational Therapy Consulting Services $23.75 per unit
Each unit of service equals fifteen (15) minutes of a therapist's time,
including evaluations, delivery of patient therapy, preparation of treatment
plan, documentation, writing reports, but excluding travel and personal time for
which no charge is made.
The schedule of charges set forth above may be changed by Contractor at any time
upon thirty (30) days notice of Facility. Facility's objection to any fee
increase and failure of the parties to agree within such thirty (30) days
thereafter regarding fees will constitute "cause" for termination of this
Agreement.
Contractor will begin delivery of occupational therapy services under this
Agreement as of the following date: June 1, 1996.
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THERAPY SERVICES AGREEMENT
Schedule C
Fee Schedule - Language Pathology Services
Facility agrees to pay for speech or language pathology services performed for
inpatients and outpatients of Facility as follows:
Speech Therapy Consulting Services $23.75 per unit
Each unit of service equals fifteen (15) minutes of a therapist's time,
including evaluations, delivery of patient therapy, preparation of treatment
plan, documentation and writing reports, but excluding travel and personal time
for which no charge is made.
The schedule of charges set forth above may be changed by Contractor at any time
upon thirty (30) days notice to Facility. Facility's objection to a fee increase
and failure of the parties to agree within such thirty (30) days thereafter
regarding fees will constitute "cause" for termination of this Agreement.
Contractor will begin delivery of speech therapy services under this Agreement
as of the following date: June 1, 1996.
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SCHEDULE 10.43
Paragon has entered into agreements substantially identical to Exhibit
10.43 as follows:
1. Direct Therapy Services Agreement effective as of May 1, 1996 with THS
of Cary for Cary, North Carolina facility.
2. Direct Therapy Services Agreement effective as of April 1, 1996 with
Xxxxxxxxxx of Lenoir for Lenoir, North Carolina facility.
3. Direct Therapy Services Agreement effective as of April 1, 1996 with
Xxxxxxxxxx of Woodfin for Woodfin, North Carolina facility.
4. Direct Therapy Services Agreement effective as of December 5, 1996 with
The Health Rehabilitation Centre at Dolphins View for St. Petersburg, Florida
facility.
5. Direct Therapy Services Agreement effective as of June 1, 1996 with THS
of Charlotte for Charlotte, North Carolina facility.
6. Direct Therapy Services Agreement effective as of August 1, 1996 with
Xxxxx Care Center for Libby, Montana facility.
7. Direct Therapy Services Agreement effective as of June 1, 1996 with
Xxxxxxxxxx of Archdale for Archdale, North Carolina facility.
8. Direct Therapy Services Agreement effective as of April 22, 1996 with
Tri-State Health and Rehab Center for Clarkston, Washington facility.
9. Direct Therapy Services Agreement effective as of June 1, 1996 with THS
of Kannapolis for Kannapolis, North Carolina facility.
10. Direct Therapy Services Agreement effective as of May 1, 1996 with
Xxxxxxxxxx of King for King, North Carolina facility.
11. Direct Therapy Services Agreement effective as of January 1, 1997 with
CHPC for Olathe, Kansas facility.
12. Direct Therapy Services Agreement effective as of July 1, 1996 with
Pinewood Care Center for Coeur d'Alene, Idaho facility.
13. Direct Therapy Services Agreement effective as of April 1, 1996 with
Montclair Nursing Center for Omaha, Nebraska facility. A material detail in
which this agreement differs from Exhibit 10.43 is that this agreement
automatically renews for successive one (1) year periods.
14. Direct Therapy Services Agreement effective as of March 1, 1996 with
Grant Park Care Center for Washington, D.C. facility. A material detail in which
this agreement differs from Exhibit 10.43 is that this agreement automatically
renews for successive one (1) year periods.
15. Direct Therapy Services Agreement effective as of May 1, 1996 with
Wilora Lake Healthcare Center for Charlotte, North Carolina facility.
16. Direct Therapy Services Agreement effective as of July 1, 1996 with
The Oaks at Sweeten Creek for Arden, North Carolina facility.
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