Second Amendment to Letter Agreement Regarding Divestiture Plan Sample Contracts

Bank of America, N.A. WA1-501-17-32
Second Amendment to Letter Agreement Regarding Divestiture Plan • June 12th, 2009 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

Reference is hereby made to that certain side letter agreement dated as of May 15, 2008 (as amended, restated, supplemented or otherwise modified from time to time, the “Divestiture Letter Agreement”) among Prospect Medical Holdings, Inc. (“Holdings”), Prospect Medical Group, Inc. (“Prospect” and, collectively with Holdings, the “Borrowers” and each, individually, a “Borrower”), Bank of America, N.A., as Administrative Agent (in such capacity, the “First Lien Administrative Agent”), and the lenders party thereto (collectively, the “First Lien Lenders”). Terms not otherwise defined in this Second Amendment shall have the meaning assigned thereto in the Divestiture Letter Agreement.

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Contract
Second Amendment to Letter Agreement Regarding Divestiture Plan • April 3rd, 2009 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

* Confidential Information identified below was omitted and filed separately with the Securities and Exchange Commission.

Bank of America, N.A. WA1-501-17-32
Second Amendment to Letter Agreement Regarding Divestiture Plan • June 12th, 2009 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

Reference is hereby made to that certain side letter agreement dated as of May 15, 2008 (as amended, restated, supplemented or otherwise modified from time to time, the “Divestiture Letter Agreement”) among Prospect Medical Holdings, Inc. (“Holdings”), Prospect Medical Group, Inc. (“Prospect” and, collectively with Holdings, the “Borrowers” and each, individually, a “Borrower”), Bank of America, N.A., as Administrative Agent (in such capacity, the “Second Lien Administrative Agent”), and the lenders party thereto (collectively, the “Second Lien Lenders”). Terms not otherwise defined in this Second Amendment shall have the meaning assigned thereto in the Divestiture Letter Agreement.

Contract
Second Amendment to Letter Agreement Regarding Divestiture Plan • April 3rd, 2009 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

* Confidential Information identified below was omitted and filed separately with the Securities and Exchange Commission.

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