First Amendment, dated December 29, 2008, to Pediatrix Medical Group, Inc. 2008



 Exhibit 10.9 
 Execution Copy 
 FIRST AMENDMENT TO THE 
 PEDIATRIX MEDICAL GROUP, INC. 
 2008
INCENTIVE COMPENSATION PLAN 
 THIS FIRST AMENDMENT (the “Amendment”), made on this 29th day of December, 2008, to the
PEDIATRIX MEDICAL GROUP, INC. 2008 INCENTIVE COMPENSATION PLAN, by Mednax, Inc., a Florida Corporation (the “Company”). 
 W I T N E S S E T H: 
 WHEREAS, Pediatrix
Medical Group, Inc., a Florida corporation (“PMG”), did establish the 2008 Incentive Compensation Plan effective as of May 23, 2008 (the “2008 Plan”); and 
 WHEREAS, pursuant to an Agreement and Plan of Merger dated December 29, 2008, between the Company, PMG and PMG Merger Sub, Inc., a
Florida corporation (the “Merger Agreement”), PMG assigned to the Company all of its outstanding obligations pursuant to (i) PMG’s stock option plans, incentive compensation plans, employee stock purchase plans and other benefit
plans pursuant to which PMG’s common stock is issuable, effective as of the “Effective Time” as set forth in the Merger Agreement (the “Effective Time”); 
 WHEREAS, the Company now wishes to amend the 2008 Plan as of the Effective Time to reflect that assignment so as to (i) designate the Company
as the “Company” wherever that term is used in the Plan, (ii) change the name of the Plan to reflect the name of the Company, and (iii) make additional modifications on account of the fact that the Company is the new plan sponsor
and the issuer of Shares thereunder. 
 NOW, THEREFORE, as of the Effective Time, the 2008 Plan shall be and hereby is amended as
follows: 
 1. The name of the Plan is hereby changed to the “Mednax, Inc. 2008 Incentive Compensation Plan”, and all references to
“Company” in the Plan shall hereinafter refer to Mednax, Inc., a Florida corporation. 
 2. Section 1 of the 2008 Plan hereby
is amended in its entirety to read as follows: 
 “1. The purpose of this 2008 INCENTIVE COMPENSATION PLAN (the
“Plan”) is to assist Mednax, Inc., a Florida corporation (the “Company”) and its Related Entities (as hereinafter defined) in attracting, motivating, retaining and rewarding high-quality executives and other employees, officers,
directors, consultants and other persons who provide services to the Company or its Related Entities by enabling such persons to acquire or increase a proprietary interest in the Company in order to strengthen the mutuality of interests between such
persons and the Company’s shareholders, and providing such persons with annual and long term performance incentives to expend their maximum efforts in the creation of shareholder value. 







 Pursuant to the terms of an Agreement and Plan of Merger dated December 29, 2008
(the “Merger Agreement”, between Pediatrix Medical Group, Inc., a Florida corporation (“Pediatrix”), the Company and PMG Merger Sub, Inc. (“Merger Sub”), Merger Sub was merged into Pediatrix effective as of 11:59 P.M.
on December 31, 2008 (the “Effective Time”) and as a result Pediatrix became a wholly owned subsidiary of the Company. Also pursuant to the terms of the Merger Agreement, at the Effective Time: (i) each share of common stock of
Pediatrix, together with attached preferred share purchase right (“Pediatrix Common Stock”), was converted into one share of common stock of the Company, together with attached preferred share purchase right (“Company Common
Stock”); (ii) each share of restricted Pediatrix Common Stock that was restricted under the Plan, whether or not then vested or exercisable, was converted into a restricted share of Company Common Stock, restricted on substantially the
same terms and conditions (including without limitation, vesting schedule) as a applied to such share of restricted share of Pediatrix Common Stock immediately prior to the Effective Time; and (iii) each option to purchase shares of Pediatrix
Common Stock issued under the Plan, that was outstanding immediately prior to the Effective Time, whether or not then vested or exercisable, was converted into an option to purchase the same number of shares of the Company Common Stock, on
substantially the same terms and conditions (including, without limitation, vesting schedule and per share exercise price) as applied to such option to purchase Pediatrix Common Stock.” 
 3. The definition contained in Section 2(ii) of the 2008 Plan hereby is amended in its entirety to read as follows: 
 “(ii) “Prior Plan” means the Mednax, Inc. 2004 Incentive Compensation Plan (f/k/a Pediatrix Medical Group,
Inc. 2004 Incentive Compensation Plan).” 
 4. In all other respects, the 2008 Plan shall remain unchanged by the Amendment. 

IN WITNESS WHEREOF, the Company has caused this instrument to be executed the day and year first written above. 
  

			
	MEDNAX, INC.
		
	By:	 	/s/ Karl B. Wagner
	Name:	 	Karl B. Wagner
	Title:	 	President


  

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