0001047469-04-018834 Sample Contracts

SECOND AMENDMENT TO PACIFICARE OF CALIFORNIA MEDICAL GROUP/IPA SERVICES AGREEMENT (PROFESSIONAL CAPITATION)
Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Second Amendment to the PacifiCare Medical Group/IPA Services Agreement (the “Amendment”) is entered into effective as of January 1, 2003 by and between PacifiCare of California, a California corporation (“PacifiCare”) and Prospect Medical Group (“Medical Group”), with respect to the following facts:

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FHS PARTICIPATING PHYSICIAN GROUP PROVIDER SERVICES AGREEMENT PROSPECT MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California

This Participating Physician Group Provider Services Agreement (“Agreement”) is made and entered into by and between the Foundation Health Systems Affiliate(s) (“FHS”) identified in Addendum A to this Agreement and Prospect Medical Group. Inc., a Participating Physician Group (“PPG”), to be effective January 1, 1998.

CALIFORNIACARE MEDICAL SERVICES AGREEMENT
Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California
CaliforniaCare MEDICAL SERVICES AGREEMENT
Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California

This AGREEMENT is effective on January 1, 1997 between BLUE CROSS OF CALIFORNIA and Affiliates (jointly and severally “BLUE CROSS”) and Gateway Medical Group (“PARTICIPATING MEDICAL GROUP”).

FHS PARTICIPATING PHYSICIAN GROUP PROVIDER SERVICES AGREEMENT SIERRA MEDICAL GROUP
Group Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California
Contract
Service Ipa Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

Amendment to HMO IPA/Medical Group Shared Savings Provider Agreement between California Physicians’ Service dba Blue Shield of California and Northwest

AMENDMENT CALIFORNIACARE MEDICAL SERVICES AGREEMENT
Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Amendment to the CALIFORNIACARE Medical Services Agreement is entered into at Woodland Hills, Los Angeles County. California, as of August 1, 1997 between Blue Cross of California and its Affiliates (“BLUE CROSS”) and Prospect Medical Group (“PARTICIPATING MEDICAL GROUP”).

LETTER OF AGREEMENT SERVING AS ADDENDUM TO THE 1997 MEDICAL SERVICES AGREEMENT BETWEEN BLUE CROSS OF CALIFORNIA AND GATEWAY MEDICAL GROUP FOR CALIFORNIACARE, BLUE CROSS PLUS AND PERSONAL CALIFORNIACARE
Letter of Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This exhibit lists the areas in which PARTICIPATING MEDICAL GROUP and PARTICIPATING MEDICAL GROUP Physicians will have administrative responsibility. The extent and type of responsibility to be undertaken will be agreed upon by the PARTICIPATING MEDICAL GROUP and BLUE CROSS.

FIRST AMENDMENT TO PACIFICARE OF CALIFORNIA MEDICAL GROUP/IPA SERVICES AGREEMENT (PROFESSIONAL CAPITATION)
Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This First Amendment to the PacifiCare Medical Group/IPA Services Agreement (the “Amendment”) is effective January 1, 2002 by and between PacifiCare of California, a California corporation (“PacifiCare”), and Prospect Health Source Medical Group (“Medical Group”), with respect to the following facts:

PACIFICARE OF CALIFORNIA MEDICAL GROUP/IPA SERVICES AGREEMENT (PROFESSIONAL CAPITATION)
Ipa Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California

THIS PACIFICARE MEDICAL GROUP/IPA SERVICES AGREEMENT (this “Agreement”) is made and entered into this 1st day of January, 2001, by and between PACIFICARE OF CALIFORNIA, INC., a California corporation (“PacifiCare”), and Prospect Health Source Medical Group (“Medical Group”), with reference to the following facts:

HMO IPA / MEDICAL GROUP SHARED SAVINGS PROVIDER AGREEMENT
Shared Savings Provider Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • Dorado

This Agreement is entered into between Prospect Health Source Medical Group, a California corporation (hereinafter “Group”), and California Physicians’ Service, Inc., d.b.a., Blue Shield of California, a California nonprofit corporation (hereinafter “Blue Shield”). The Effective Date of this Agreement is July 1, 2003.

AMENDMENT CALIFORNIACARE MEDICAL SERVICES AGREEMENT
Californiacare Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Amendment to CaliforniaCare Medical Services Agreement (“Amendment”), is entered into at Woodland Hills, Los Angeles County, California as of July 1, 1999 by and between Blue Cross of California and its Affiliates (“BLUE CROSS”) and Prospect Medical Group (“PARTICIPATING MEDICAL GROUP”).

AMENDMENT to the PROVIDER SERVICES AGREEMENT between FOUNDATION HEALTH SYSTEMS AFFILIATES And PROSPECT MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Provider Services Agreement (“Agreement”), dated January 1, 1998, between Prospect Medical Group (“PPG”) and Foundation Health Systems Affiliate(s) (“FHS”) subsequently amended July 1, 2000, and subsequently amended February 19, 2001, is hereby amended effective October 1, 2001.

AMENDMENT CALIFORNIACARE MEDICAL SERVICES AGREEMENT BETWEEN BLUE CROSS OF CALIFORNIA AND NORTHWEST ORANGE COUNTY MEDICAL GROUP, INC.
Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Amendment to the CaliforniaCare Medical Services Agreement is entered into at Woodland Hills, Los Angeles County, California, effective as of January 1, 1998 between BLUE CROSS OF CALIFORNIA and Affiliates (“BLUE CROSS”) and Northwest Orange County Medical Group, Inc. (“PARTICIPATING MEDICAL GROUP”).

CLAIMS MANAGEMENT AGREEMENT
Claims Management Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Claims Management Agreement (the “Agreement”) is entered into with an effective date of October 1, 2003 (the “Effective Date”), by and among Prospect Medical Group and Professional Care IPA Medical Group (collectively referred to as “Medical Groups”) and PacifiCare of California (“PacifiCare”) with reference to the following facts;

AMENDMENT to the PARTICIPATING PROVIDER AGREEMENT between FOUNDATION HEALTH SYSTEMS AFFILIATES and PROSPECT MEDICAL GROUP
Prospect Medical Holdings Inc • May 28th, 2004 • Services-offices & clinics of doctors of medicine

The Provider Services Agreement dated January 1, 1998 between Prospect Medical Group (“PPG”) and Foundation Health Systems Affiliate(s) (“FHS”) is hereby amended effective January 1, 1998.

HMO IPA/MEDICAL GROUP PROVIDER AGREEMENT [WITH AFFILIATED CAPITATED HOSPITAL] Amendment I
Prospect Medical Holdings Inc • May 28th, 2004 • Services-offices & clinics of doctors of medicine

This is the first Amendment to the HMO IPA/Medical Group Provider Agreement [With Affiliated Capitated Hospital] (hereinafter “Agreement”) between California Physicians’ Service, Inc., d.b.a., Blue Shield of California, a California non-profit corporation (hereinafter “Blue Shield”) and Starcare Medical Group, Inc. d.b.a. Gateway Medical Group, Inc., a California corporation, (hereinafter “Group”) effective February 1, 2004. This amendment is effective February 1, 2004.

Health Net Medicare+Choice (M+C) Addendum to Provider Agreement
Prospect Medical Holdings Inc • May 28th, 2004 • Services-offices & clinics of doctors of medicine

This Addendum or Exhibit (the “Addendum”) is entered into by Health Net and StarCare Medical Group dba Gateway Medical Group (“Provider”) effective October 1, 1999 and is intended to amend the agreement between Health Net and Provider to add language required by HCFA for participation as a Medicare+Choice contracted provider or organization.

FHS PARTICIPATING PHYSICIAN GROUP PROVIDER SERVICES AGREEMENT A.V. MEDICAL GROUP
Dental Services • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California

This Participating Physician Group Provider Services Agreement (“Agreement”) is made and entered into by and between the Foundation Health Systems Affiliate(s) (“FHS”) identified in Addendum A to this Agreement and A.V. Medical Group, a Participating Physician Group (“PPG”), to be effective June 1, 1998.

AMENDMENT BLUE CROSS SENIOR SECURE MEDICARE+CHOICE MEDICAL SERVICES AGREEMENT BETWEEN BLUE CROSS OF CALIFORNIA AND STARCARE MEDICAL GROUP D.B.A. GATEWAY MEDICAL GROUP, INC.
Prospect Medical Holdings Inc • May 28th, 2004 • Services-offices & clinics of doctors of medicine

This Amendment (this “Amendment”) between BLUE CROSS OF CALIFORNIA and Affiliates (“BLUE CROSS”) and Starcare Medical Group d.b.a. Gateway Medical Group, Inc. (“PARTICIPATING MEDICAL GROUP”) is effective as of January 1, 2002.

PACIFICARE OF CALIFORNIA MEDICAL GROUP/IPA SERVICES AGREEMENT (PROFESSIONAL CAPITATION)
Ipa Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California

THIS PACIFICARE MEDICAL GROUP/IPA SERVICES AGREEMENT (this “Agreement”) is made and entered into this 1st day of January, 2001, by and between PACIFICARE OF CALIFORNIA, INC., a California corporation (“PacifiCare”), and Gateway Physicians Medical Associates, Inc. (“Medical Group”), with reference to the following facts;

AMENDMENT TO CALIFORNIACARE MEDICAL SERVICES AGREEMENT BETWEEN BLUE CROSS OF CALIFORNIA AND PROSPECT MEDICAL GROUP
Californiacare Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Amendment to the CaliforniaCare Medical Services Agreement is entered into at Woodland Hills, Los Angeles County, California, and will be effective as of January 1, 2001 between Blue Cross of California and its Affiliates (“BLUE CROSS”) and Prospect Medical Group (“PARTICIPATING MEDICAL GROUP”).

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Contract
Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This 2001 Amendment to the Professional Capitation Medical Group/IP A Services Agreement (the “Amendment”) is entered into effective as of January 1, 2001 by and between PACIFICARE OF CALIFORNIA, a California corporation (“PacifiCare”), and Sierra Medical Group (“Medical Group”), with respect to the following facts:

CaliforniaCare MEDICAL SERVICES AGREEMENT
Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California

• If PARTICIPATING MEDICAL GROUP selects the Section 8.03A Enrollment Protection level of EIGHT THOUSAND DOLLARS ($8,000.00), once PARTICIPATING MEDICAL GROUP reaches two thousand (2,000) Members at the beginning of the calendar year PARTICIPATING MEDICAL GROUP will receive an additional payment of $ 0.26 PMPM.

CaliforniaCare MEDICAL SERVICES AGREEMENT
Medical Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California
AMENDMENT NO. 1
Prospect Medical Holdings Inc • May 28th, 2004 • Services-offices & clinics of doctors of medicine

The HMO IPA/Medical Group Shared Savings Provider Agreement between California Physicians’ Service, d.b.a. Blue Shield of California (“BSC-HMO”), and PROSPECT HEALTH SOURCE MEDICAL GROUP (“Group”), with an effective date of July 1, 2003 is further amended effective July 1, 2003 as follows:

LETTER OF AGREEMENT SERVING AS ADDENDUM TO THE MEDICAL SERVICES AGREEMENT BETWEEN BLUE CROSS OF CALIFORNIA AND PROSPECT HEALTH SOURCE MEDICAL GROUP
Letter of Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This will serve as a confirmation letter in which Blue Cross of California (“BLUE CROSS”) has agreed to the following terms of the CaliforniaCare Medical Services Agreement between BLUE CROSS and Prospect Health Source Medical Group (“PARTICIPATING MEDICAL GROUP”) effective January 1, 2001.

AMENDMENT NUMBER 4 TO MEDICAL GROUP/IPA SERVICES AGREEMENT (Split Capitation)
Ipa Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Amendment Number 4 to Medical Group IPA Services Agreement (the “Amendment”) is entered into effective as of January 1, 2004 by and between PacifiCare of California, a California corporation (“PacifiCare”), and Northwest Orange County Medical Group (“Medical Group”), with respect to the following facts:

THIRD AMENDMENT TO PACIFICARE OF CALIFORNIA MEDICAL GROUP/IPA SERVICES AGREEMENT (PROFESSIONAL CAPITATION)
Ipa Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Third Amendment to the PacifiCare Medical Group/IPA Services Agreement (the “Amendment”) is entered into effective as of January 1, 2003 by and between PacifiCare of California, a California corporation (“PacifiCare”) and Prospect Sierra Medical Group Medical Group (“Medical Group”), with respect to the following facts:

HNI PARTICIPATING PHYSICIAN GROUP PROVIDER SERVICES AGREEMENT NORTHWEST ORANGE COUNTY MEDICAL GROUP 1 Year Agreement
Group Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California
AMENDMENT NUMBER 1 TO Professional Capitation Medical Group/IPA Services Agreement
Number • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This Amendment Number 1 to Professional Capitation Medical Group/IPA Services Agreement (the “Amendment”) is entered into effective as of January 1, 2002 by and between PACIFICARE OF CALIFORNIA, a California corporation (“PacifiCare”), and Professional Care IPA Medical Group (“Medical Group”), with respect to the following facts:

AMENDMENT TO THE CALIFORNIACARE MEDICAL SERVICES AGREEMENT BETWEEN BLUE CROSS OF CALIFORNIA AND STARCARE MEDICAL GROUP D.B.A., GATEWAY MEDICAL GROUP, INC.
Prospect Medical Holdings Inc • May 28th, 2004 • Services-offices & clinics of doctors of medicine

This Amendment to the CALIFORNIACARE Medical Services Agreement is entered into at Woodland Hills Los Angeles County, California, as of January 1, 2000, between Blue Cross of California and its Affiliates (“BLUE CROSS”) and Starcare Medical Group d.b.a.. Gateway Medical Group, Inc. (“PARTICIPATING MEDICAL GROUP”).

BLUE SHIELD HMO IPA/MEDICAL GROUP SHARED SAVINGS PROVIDER AGREEMENT
Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California
Contract
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

Amendment to the Participating Physician Group Provider Services Agreement between Foundation Health Systems Affiliates and StarCare Medical Group dba Gateway Medical Group, effective October 10, 2000

LETTER OF AGREEMENT SERVING AS ADDENDUM TO THE 1997 MEDICAL SERVICES AGREEMENT BETWEEN BLUE CROSS OF CALIFORNIA AND GATEWAY MEDICAL GROUP FOR CALIFORNIACARE, BLUE CROSS PLUS AND PERSONAL CALIFORNIACARE
Letter of Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

This will serve as a confirmation letter in which Blue Cross of California (“BLUE CROSS”) has agreed to the following terms of the CaliforniaCare Medical Services Agreement between BLUE CROSS and GATEWAY MEDICAL GROUP (“PARTICIPATING MEDICAL GROUP”) effective January 1, 1997.

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