0001047469-14-004488 Sample Contracts

FACILITY AND MANAGEMENT SERVICES AGREEMENT
Facility and Management Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Florida

THIS FACILITY AND MANAGEMENT SERVICES AGREEMENT (the “Agreement”), dated as of October 18, 2013, is by and between U.S. Cancer Care, Inc., a Delaware corporation (“Manager”), and 21st Century Oncology LLC, a Florida limited liability company (“Medical Group”). Manager and Medical Group are each individually referred to in this Agreement as a “Party” and, collectively, as the “Parties.”

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TRANSITION AGREEMENT AND STOCK PLEDGE
Transition Agreement and Stock Pledge • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • New Jersey

This Transition Agreement and Stock Pledge (this “Agreement”) is made as of May 14, 2013, by and between 21ST CENTURY ONCOLOGY OF NEW JERSEY, INC., a New Jersey corporation (“Management Services”); 21ST CENTURY HEALTHCARE ASSOCIATES, P.C., a New Jersey professional corporation (the “PC”); and MICHAEL J. KATIN, M.D. (the “Current Shareholder”).

JOINDER AND ASSUMPTION OF OBLIGATIONS UNDER AMENDED AND RESTATED MASTER LEASE AGREEMENT
Master Lease Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Florida

THIS AMENDED AND RESTATED MASTER LEASE AGREEMENT (this “Lease”) is dated October 29, 2012 (the “Lease Date”) but is effective as of August 30, 2012 (the “Effective Date”), by and between SPIRIT SPE PORTFOLIO 2012-3, LLC, a Delaware limited liability company (“Lessor”), whose address is 14631 N. Scottsdale Road, Suite 200, Scottsdale, Arizona 85254-2711, and SPECIALISTS IN UROLOGY, P.A., a Florida corporation, whose address is 955 10th Avenue North, Naples, Florida 34102, and SPECIALISTS IN UROLOGY SURGERY CENTER, LLC, a Florida limited liability company, whose address is 955 10th Avenue North, Naples, Florida 34102 (referred to herein, collectively, as “Lessee”). Capitalized terms not defined herein shall have the meanings set forth in Exhibit A hereto.

RADIATION THERAPY SERVICES AGREEMENT
Radiation Therapy Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Rhode Island

This RADIATION THERAPY SERVICES AGREEMENT (“Agreement”), effective as of November 1, 2013 (“Effective Date”), is entered into by and Roger Williams Radiation Therapy, LLC, a Rhode Island limited liability company (“RWR”) and Massachusetts Oncology Services, P.C., a Massachusetts professional corporation (“Contractor”).

AMENDMENT NO.4 PHYSICIAN’S EMPLOYMENT AGREEMENT
Physician’s Employment Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine

This Amendment No. 4 to Physician’s Employment Agreement (the “Amendment”) dated November 11, 2009 is by and between 21st Century Oncology, LLC f/k/a 21st Century Oncology, Inc., a Florida limited liability company (the “Employer”) and Constantine Mantz, M.D. (the “Physician”).

ASSET PURCHASE AGREEMENT
Asset Purchase Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Florida

THIS ASSET PURCHASE AGREEMENT (the “Agreement”), dated and effective as of May 16, 2013 (the “Effective Date”), is between 21ST CENTURY ONCOLOGY, LLC, a Florida limited liability company (“Buyer”) and SPECIALISTS IN UROLOGY, P.A., a Florida corporation (“Seller”). William M. Figlesthaler, M.D., Earl J. Gurevitch, M.D., Steven W. Luke, M.D., Michael F. D’Angelo, M.D., Jonathan Jay, M.D., Rolando Rivera, M.D., David S. Harris, M.D., Carolyn F. Langford, D.O., and David Wilkinson, M.D. (the “Principals”) are each executing this Agreement for the purpose of binding each such individual to perform his/her respective obligations under Section 9.

FIRST AMENDED AND RESTATED FACILITIES AND MANAGEMENT SERVICES AGREEMENT
Facilities and Management Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • California

This FIRST AMENDED AND RESTATED FACILITIES AND MANAGEMENT SERVICES AGREEMENT (this “Agreement”) is made as of August 29, 2011 (the “Effective Date”), by and between 21st Century Oncology-CHW, LLC, a California limited liability company (“Manager”), and Redding Radiation Oncologists, P.C., a California professional medical corporation (“Medical Group”).

ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENT
Administrative Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine

This Addendum (the “Addendum”) is entered into effective as of January 1, 2014, by and between NORTH CAROLINA RADIATION THERAPY MANAGEMENT SERVICES, LLC., a North Carolina limited liability company (“MANAGEMENT SERVICES”) and RADIATION THERAPY ASSOCIATES OF WESTERN NORTH CAROLINA, P.A., a North Carolina professional corporation (the “PA”). This Addendum amends Section 3.1 of the Administrative Services Agreement dated January 1, 2002 between the parties (the “Agreement”) to adjust the monthly Service Fee payable at the rate of $530.00 per external beam treatment billed as paid in 2013 to a monthly Service Fee payable at the rate of $550.00 per external beam treatment billed (currently CPT codes 77372, 77373, 77401 — 77416, 77418 and 77781-77784) and replaces the Addendum of that same Section dated January 1, 2013. The parties acknowledge that Management Services neither provides direct marketing services currently under the Agreement nor does this Amendment provide for Management Servi

RADIATION THERAPY SERVICES AGREEMENT
Radiation Therapy Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Rhode Island

This RADIATION THERAPY SERVICES AGREEMENT (“Agreement”), effective as of November 1, 2013 (“Effective Date”), is entered into by and between South County Radiation Therapy, LLC, a Rhode Island limited liability company (“SCR”) and Massachusetts Oncology Services, P.C., a Massachusetts professional corporation (“Contractor”).

ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENT
Administrative Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine

This Addendum (the “Addendum”) is entered into as of January 1, 2007, by and between NEW ENGLAND RADIATION THERAPY MANAGEMENT SERVICES, INC., a Massachusetts corporation (“MANAGEMENT SERVICES”) and MASSACHUSETTS ONCOLOGY SERVICES, P.C., a Massachusetts professional corporation (the “PC”). This Addendum amends Section 3.1 of the Administrative Services Agreement dated June 1, 2005 between the parties (the “Agreement”) to adjust the monthly Service Fee of $133,333.33 paid in 2006 to Seventy-Seven percent (77%) of monthly net collections for radiation therapy services. From and after the date hereof, Section 3.1 shall read as follows:

ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENT
Administrative Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine

This Addendum (the “Addendum”) is entered into as of January 1, 2014, by and among NEW YORK RADIATION THERAPY MANAGEMENT SERVICES, LLC., a New York limited liability company (“MANAGEMENT SERVICES”) and YONKERS RADIATION MEDICAL PRACTICE, P.C., a New York professional corporation (the “PC”). This Addendum amends Section 3.1 of the Administrative Services Agreement dated January 1, 1999 between the parties (the “Agreement”) to adjust the monthly Service Fee payable at the rate of $560.00 per external beam treatment billed in 2013 to a monthly Service Fee payable at the rate of $550.00 per external beam treatment billed (currently CPT codes 77372, 77373, 77401 — 77416, 77418, and 77781 — 77784) and replaces the Addendum of that same Section dated January 1, 2013. From and after the date hereof, Section 3.1 shall read as follows:

AGREEMENT
Operating Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Rhode Island

This Agreement is entered into on June 10, 2013 (the “Effective Date”) by and among New England Radiation Therapy Management Services, Inc., a Rhode Island corporation and wholly-owned subsidiary of Radiation Therapy Services, Inc. (referred to collectively as “RTSI”), Rhode Island Hospital, a Rhode Island non-profit corporation (“RIH”), Radiosurgery Center of Rhode Island, LLC, a Rhode Island limited liability company (the “Company”), Financial Services of Southwest Florida, LLC (solely for purposes of Sections 3, 7 and 11) (“Biller”), and Massachusetts Oncology Services, P.C. (solely for purposes of Sections 3, 8 and 11) (“Mass. Onc.”).

RADIATION THERAPY SERVICES AGREEMENT
Radiation Therapy Services Agreement • May 1st, 2014 • 21st Century Oncology Holdings, Inc. • Services-offices & clinics of doctors of medicine • Rhode Island

This RADIATION THERAPY SERVICES AGREEMENT (“Agreement”), effective as of November 1, 2013 (“Effective Date”), is entered into by and between Southern New England Regional Cancer Center, LLC, a Rhode Island limited liability company (“SNR”) and Massachusetts Oncology Services, P.C., a Massachusetts professional corporation (“Contractor”).

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