Document:

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                                                                    Exhibit 10.2

THIS EXHIBIT CONTAINS CONFIDENTIAL INFORMATION WHICH HAS BEEN OMITTED AND FILED
SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A
CONFIDENTIAL TREATMENT REQUEST UNDER RULE 406 OF THE SECURITIES ACT OF 1933, AS
AMENDED. THE CONFIDENTIAL INFORMATION ON PAGES 1, 3, 6, 7, 15, AND 16 HAS BEEN
REPLACED WITH ASTERISKS.

                      IPNI / SEARLE 2000 ROLL-OUT AGREEMENT

This Agreement is made and entered into on this 20th day of January, 2000, by
and between i Physician Net, Inc, a Delaware corporation (hereinafter referred
to as "IPNI") with offices located at 8777 North Gainey Center Drive, Suite 285,
Scottsdale, Arizona 85258 and G. D. Searle & Co., a Delaware corporation,
located at 5200 Old Orchard Road, Skokie, Illinois 60077 (hereinafter referred
to as "Searle").

         WHEREAS, IPNI has developed and is engaged in the business of
establishing, installing and maintaining a network of personal videoconferencing
devices at select physician's offices.

         WHEREAS, Searle desires to use the IPNI System (hereinafter defined)
and participate in the roll out of the Network (hereinafter defined).

         NOW, THEREFORE, in consideration of the mutual covenants and conditions
contained herein, the parties hereto agree as follows:

1.       Term. The term of this Agreement shall begin as of January 1, 2000 and
         remain in effect until December 31, 2000, unless earlier terminated as
         provided herein.

2.       Definitions.

         2.1      "IPNI System" means the IPNI personal video conferencing
                  system as described in Exhibit 2.1. The IPNI System is
                  intended to facilitate videoconferencing and other
                  communications between pharmaceutical companies and qualified
                  physicians.

         2.2      "Category" means one of two prescriber categories, either
                  Sleep or Arthritis.

         2.3      "Categories" means both prescriber categories, Sleep and
                  Arthritis.

         2.4      "Network" means a private computer network environment which
                  allows selected users who have been given authority to access
                  and use such Network to communicate with and transmit data to
                  each other.

         2.5      "Qualified Installed Physician" means a physician **** who (i)
                  is classified as **** (ii) has received the necessary training
                  and equipment in order to access and use the IPNI System;
                  (iii) has agreed to participate in the IPNI System and in the
                  collection of data for the Network; and (iv) participates in
                  calls with Searle.

         2.6      "Services" means IPNI System Services, Network Services and
                  any other service provided by IPNI pursuant to this Agreement.

         2.7      "Volume Decile Ranking" means the method by which Searle ranks
                  and classifies ****. Such ranking will be provided to IPNI by
                  Searle.

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IPNI Roll-out Agreement
February 1, 2000
Page 2

         2.8      "Roll out Schedule" means the anticipated schedule, including
                  the number, frequency and anticipated month of installation of
                  Qualified Installed Physicians by IPNI on the IPNI System
                  during the term of this Agreement. The anticipated Roll-out
                  Schedule is attached as Exhibit 2.8.

         2.9      "Monthly Potential Physician Calls" means the number of
                  Qualified Installed Physicians x one (1) potential call per
                  Qualified Installed Physician per month.

         2.10     "Qualified Calls" means each unique monthly call to Searle per
                  Qualified Installed Physician, of longer than sixty (60)
                  seconds in duration. No more than two (2) calls from the same
                  Qualified Installed Physician within the same month will be
                  counted, nor will any calls from a Qualified Installed
                  Physician be counted when a Searle flag is set and notice is
                  given that Searle will not be receiving calls on a given day,
                  or if the call is placed to Searle at any time other than
                  Searle's hours of operation. However, up to one call per month
                  per Qualified Installed Physician will count, if that call is
                  during normally published hours and fails due to Searle's not
                  answering said call. In addition, IPNI "test" calls and calls
                  that are unable to connect due to technical problems are
                  excluded.

         2.11     "Monthly Call Volume Percentage" means the number of Qualified
                  Calls divided by the number of Qualified Installed Physicians
                  in the given month.

         2.12     "Pilot Physicians" means any physician installed by IPNI
                  during the Pilot Program in 1998, or physicians installed by
                  IPNI during the period of January, 1999 through June, 1999,
                  which were installed to replace inactive physicians.

         2.13     "Pilot Program" means the program that was initiated pursuant
                  to the agreement entered into between IPNI and Searle, dated
                  August 20, 1997.

3.       The Project. As of the date hereof, IPNI has established the IPNI
         System, which allows selected users to participate in video
         conferencing. The IPNI System and the Network will allow Qualified
         Installed Physicians to communicate with Searle regarding Searle
         products and detailed sales aids, and allow Qualified Installed
         Physicians to access information provided by Searle on various computer
         screens. The Network will allow IPNI to collect and acquire data from
         the Qualified Installed Physicians activities on the IPNI System.

4.       IPNI System. IPNI shall provide the following IPNI System Services:

<PAGE>   3
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

IPNI Roll-out Agreement
February 1, 2000
Page 3

         4.1      Recruitment of Physicians. IPNI agrees to recruit Qualified
                  Installed Physicians for participation in the Project in
                  accordance with the Roll-out Schedule in Exhibit 2.8. IPNI
                  agrees to recruit Searle targeted physicians, such that ****
                  of all recruited physicians are **** of all recruited
                  physicians are ****. IPNI agrees to provide Searle with all
                  necessary information regarding the recruited physicians to
                  allow Searle to verify and confirm the decile ranking of the
                  recruited physicians. For purposes of this Agreement, Pilot
                  Physicians shall be considered Decile 1-5, Qualified Installed
                  Physicians. In no event shall the total number of Pilot
                  Physicians exceed 250.

         4.2      Equipment/Training of Qualified Installed Physicians. IPNI
                  will be responsible for all recruiting, installations and
                  promotions of the IPNI System in the offices of the Qualified
                  Installed Physicians. IPNI is responsible, at its cost, for
                  all training, including initial and follow-up training, of
                  Qualified Installed Physicians on the use of the IPNI System.
                  IPNI agrees to provide any necessary follow-up training on a
                  periodic basis, or as requested by the Qualified Installed
                  Physician or by Searle on behalf of the Qualified Installed
                  Physician.

         4.3      Installation and Expenses. IPNI shall supply all equipment,
                  hardware and software required for the installation and
                  operation of the IPNI System for use in the head office of
                  Searle ( a list of IPNI System hardware and software is set
                  forth in Exhibit 4.3). Installations in additional office
                  locations will be subject to a one-time installation charge
                  covering labor and additional telecommunication equipment,
                  such as routers or additional servers, and any incremental
                  telecommunication charges between the head office and
                  additional site locations, payable by Searle to IPNI. With the
                  exception of such additional site charges, IPNI shall be
                  responsible for the cost of installation, maintenance and
                  service of the IPNI System, including IPNI telecommunication
                  installation. The IPNI System shall be connected at all times
                  to the IPNI installed telecommunications outlet and a
                  permanent source of electrical supply. The cost of such
                  electrical supply shall be the responsibility of Searle. IPNI
                  shall provide Searle with training materials to assist Searle
                  with the operation of the IPNI System.

                  IPNI agrees to provide Searle with sufficient IPNI Systems to
                  meet the needs of Searle's sales force and medical affairs
                  department during the term of this Agreement based on an
                  anticipated installed base of Qualified Installed Physicians,
                  per Exhibit 2.8 Roll-out Schedule.

         4.4      Non-exclusive License to IPNI System. IPNI hereby grants to
                  Searle and Searle hereby accepts, a limited, non-exclusive
                  license to use the IPNI System for real time, one-to-
<PAGE>   4
IPNI Roll-out Agreement
February 1, 2000
Page 4

                  one video calls and provision of other products and
                  promotional services through the Main Screen and Second
                  Screen.

         4.5      Main Screen/Second Screen. IPNI shall place a Main Screen and
                  a Second Screen (collectively, the "Screens") on each
                  Qualified Installed Physicians' computers. Searle shall be
                  responsible for the design of content for Searle's Second
                  Screen, and any modification or alterations thereto from time
                  to time. IPNI shall replace the material of up to 25 megabytes
                  within 5 business days of IPNI's receipt, provided that IPNI
                  shall have received at least 10 business day's notice of
                  Searle's intent to change such materials. In no event shall
                  IPNI alter or otherwise modify any Searle provided Second
                  Screen material in any respect without the prior written
                  consent of Searle.

         4.6      Physician Compliance. IPNI will make its best efforts to
                  ensure physician compliance with the terms of their contract
                  with IPNI. Specifically IPNI undertakes to monitor Qualified
                  Installed Physician usage of the IPNI System, and, in the
                  event of continuous failure to fulfill the contractual usage
                  obligations, and after the provision of a reasonable remedy
                  period not to exceed sixty (60) days, IPNI will remove such
                  non-compliant physician from the Network and replace with the
                  next physician to be installed.

         4.7      Qualified Calls. IPNI will use its best efforts to ensure that
                  each Qualified Installed Physician makes one Qualified Call
                  per month.

5.       The Network. IPNI shall provide the following Network Services:

         5.1      Establishment of the Network. As of the date hereof, IPNI has
                  established a Network which includes the components, features
                  and resources set forth in Exhibit 5.1. The Network will allow
                  IPNI to collect and acquire data from Qualified Installed
                  Physicians.

         5.2      Maintenance of the Network. IPNI shall use its best effort to
                  ensure that the Network is operational during Searle's posted
                  hours of IPNI System operation.

         5.3      Use of Network. IPNI shall grant and make available to Searle
                  full and complete access to the Network for purposes of
                  communicating and providing information to Network physicians.
                  Through the Network Searle shall have access to the Usage
                  Database. IPNI shall install or otherwise provide any and all
                  software necessary to enable Searle to access the Network.

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IPNI Roll-out Agreement
February 1, 2000
Page 5

         5.4      Searle Usage Database. IPNI shall create an electronic data
                  base containing the information specified in Exhibit 5.4
                  ("Usage Database"). The Usage Database will include the
                  information set forth in Exhibit 5.4.

                  IPNI hereby grants to Searle a non- exclusive license to use
                  the Searle Usage Database and data contained therein for any
                  purpose. IPNI shall not disclose the Searle Usage Database or
                  data contained therein to any other third party or otherwise
                  allow any third parties to view such data, unless such data is
                  viewed on an aggregated basis, such that Searle's Usage Data
                  cannot be reasonably identified as originating from Searle.
                  Notwithstanding the above, in no event shall such data mention
                  a Searle product or identify any therapeutic class.

         5.5      Usage Reports. Each month, by the fifth business day of the
                  month, IPNI shall provide Searle a report of the previous
                  monthly activity, via electronic transmission containing the
                  following information:

                  (i)      Executive Summary
                  (ii)     Call Statistics:  Rolling 12 months
                  (iii)    Call Statistics:  Current Month
                  (iv)     Face-to-Face Connections - Current Month
                  (v)      Call Attempts by Time of Doctors Calls - Current
                           Month
                  (vi)     Doctors' Call Attempts by Time of Day (Graph)
                  (vii)    Doctors' Call Attempts by Day of Week (Graph)
                  (viii)   Date of Call
                  (ix)     Time of Call ( CST or CDT)
                  (x)      Length of Call
                  (xi)     Name of Physician
                  (xii)    Physician Decile Ranking
                  (xiii)   Name of Rep
                  (xiv)    Product Detail Aids Displayed

6.       IPNI Advisory Board. IPNI agrees to grant to Searle the right to
         appoint one (1) executive to represent Searle on the IPNI Client
         Advisory Board for the duration of this Agreement. Searle agrees that
         such executive will be a Director level or above. Searle may designate
         an alternate representative at its discretion. Searle representatives
         shall attend at least seventy-five percent (75%) of the annual Client
         Advisory Board meetings. The Client Advisory Board will provide
         guidance and advice to IPNI management regarding such matters as client
         and physician relations, recruiting, hours of operation, policies and
         procedures, additional networks, system content and physician services.

<PAGE>   6
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

IPNI Roll-out Agreement
February 1, 2000
Page 6

7.       Searle's Obligations.

         7.1      IPNI System. Searle agrees to use its best efforts to protect
                  the IPNI System against abuse and further agrees that it will
                  adhere to such code of practice as shall be established and
                  mandated by IPNI in consultation with IPNI's Client Advisory
                  Board which shall consist of representatives from all of the
                  IPNI Client pharmaceutical companies.

         7.2      Content. Searle shall be responsible for the cost of
                  production of all detail aids and Searle Secondary screen
                  material and telecommunication costs for downloading content
                  to physician units.

         7.3      Training. Searle agrees to compensate IPNI for all reasonable
                  out-of-pocket costs related to the training of Searle's users
                  of the system by IPNI, its representatives or agents, subject
                  to receipt of Searle's prior written approval of an estimate
                  provide by IPNI, which estimates shall be within 10% of actual
                  costs. Such training costs to include reasonable training fees
                  charged by IPNI or its representatives or agents. Searle shall
                  be responsible for their representatives' travel and
                  accommodation costs. Prior to commencing any training
                  activities, IPNI shall submit a training proposal, including
                  all associated costs, for Searle's written approval.

8.       Standard of Performance. IPNI shall at all times use its best efforts
         and all due diligence in performing the Services and shall comply with
         all applicable laws and regulations. All Services shall be performed in
         accordance with generally accepted professional standards and to
         Searle's reasonable satisfaction. IPNI shall use its best efforts to
         ensure that the IPNI System and Network is operational as set forth in
         this Agreement. Furthermore, IPNI shall ensure that the Screens are
         maintained on the IPNI Systems in accordance with this Agreement.

9.       Compensation. In consideration for IPNI's performance of the Services
         and subject to paragraph 10 below, Searle will pay IPNI a monthly fee
         for each Qualified Installed Physician, based on the ****, as specified
         in the rate matrix provided in Exhibit 9.

         In addition, Searle agrees to pay IPNI for actual on-line usage and
         content downloading, at the rate of ****, for which IPNI provides
         appropriate documentation, third party billing and support of the
         charges to Searle. Partial minutes shall be prorated.

10.      Payment. An advance payment in the amount of **** ("Advance Payment")
         was made to IPNI under the previous agreement for
<PAGE>   7
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

IPNI Roll-out Agreement
February 1, 2000
Page 7

         these services, dated June 30, 1999. All subsequent monthly fees
         payable by Searle shall be accounted against the remaining balance of
         the Advance Payment paid to IPNI under the previous agreement. At such
         time as cumulative monthly billings shall exceed ****, Searle will
         provide payment to IPNI for any monthly billing or portion thereof that
         which exceeds the Advance Payment per the terms of this Agreement and
         subject to this Section 9.

         Within five (5) business days of the last business day of each calendar
         month, IPNI shall submit monthly invoices to Searle for its fee, based
         on the rate matrix provided in Exhibit 9. Each such invoice shall
         included detailed information regarding the qualified installed
         physicians, physician classifications, and the aggregate call volume
         percentage and shall be accompanied by any other supporting reports or
         information reasonably satisfactory to Searle, as needed to verify call
         volumes against Searle's call activity records. Each invoice will
         include a separate line item for each physician classification, as well
         as a separate line item for on-line usage charges.

         Searle shall pay IPNI within thirty (30) days after receipt of IPNI's
         invoices, provided IPNI has complied in all material respects with the
         terms of this Agreement. Searle reserves the right to withhold payment
         of any disputed portion of any invoice until resolution of such
         dispute. All IPNI records for monthly call volume shall be able to be
         reasonably reverified by Searle recording of call volume and call
         attempts.

         Invoices shall include the project number and shall be sent to: Searle,
         PO Box 5110, Chicago, Illinois 60680-5110, Attn: Rich Trio.

         IPNI agrees to keep accurate and detailed records of all system
         activity and billings related to Searle and Searle shall have the
         right, at its own expense, and upon five (5) business days notice to
         audit such records during normal business hours for the sole purpose of
         verifying the accuracy of the invoices submitted by IPNI and the
         amounts paid or payable by Searle.

11.      Confidentiality. IPNI, in connection with its performance of the
         Services, and Searle in connection with its use of the Services, may
         receive or have access to confidential materials and information of the
         other, both written and oral. All of such materials and information
         (including without limitation technical, scientific, financial,
         strategic, marketing , product information, physician lists, or Volume
         Decile Ranking information), are collectively defined as "Confidential
         Information" and constitute the exclusive property of the disclosing
         party.

         For a period of five (5) years from the date hereof, neither party will
         use (except to perform or use the Services) or disclose to third
         parties any Confidential Information without the other party's prior
         written consent. Each party shall also limit disclosure of the
         Confidential

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IPNI Roll-out Agreement
February 1, 2000
Page 8

         Information within its organization to those persons who need to know
         such information to perform or use the Services.

         The confidentiality obligations set forth above shall not apply to
         Confidential Information which:

         (a)      is or shall become public knowledge through no, fault of
                  disclosing party; or

         (b)      is already in the other's possession (as evidenced by written
                  records pre-dating receipt); or

         (c)      becomes available to the other party from another source
                  without any limitations on it.

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IPNI Roll-out Agreement
February 1, 2000
Page 9

12.      Title to Intellectual Property.

         12.1     Title to IPNI Intellectual Property. Except as set forth in
                  this Agreement, the IPNI System and the Network are
                  proprietary to IPNI and title thereto remains in IPNI. Other
                  than the rights in and to the IPNI System and the Network
                  granted hereunder, Searle shall not acquire any rights in the
                  IPNI System and the Network.

         12.2     Title to Searle Intellectual Property. The parties acknowledge
                  and agree that Searle provided Second Screen content and sales
                  detail aids and data collected from the Qualified Installed
                  Physicians relating to calls to Searle are proprietary to
                  Searle and are the exclusive property of Searle. IPNI shall
                  not acquire any rights in the Searle provided Second Screen
                  content and/or sales detail aids, including patents,
                  copyrights, trademarks, trade secrets or other intellectual
                  property rights of any sort or type embodied therein.

13.      Representations and Warranties. IPNI represents and warrants to Searle
         that:

         13.1     it owns all right, title and interest in and to the IPNI
                  System and the Network or otherwise has the right to grant the
                  license to use as set forth in this Agreement without
                  violating or infringing upon any rights of any third party and
                  without breach of any third-party license, and there is
                  currently no actual, or threatened suit by any third party
                  based on an alleged violation, infringement or breach by it.
         13.2     it has all necessary corporate power and authority to enter
                  into this Agreement, to carry out its obligations hereunder
                  and thereunder and to consummate the transactions contemplated
                  hereby and thereby.

         13.3     it has not violated any law or any governmental regulation or
                  requirement which violation has had or would reasonably be
                  expected to have a material adverse effect upon the financial
                  condition, operating results, assets operations or business
                  prospects of IPNI

         13.4     the information systems used by IPNI in performing the
                  Services, to the extent it contains, operates on or uses logic
                  or processes pertaining to date/time data, is Year 2000
                  Compliant. For purposes of this paragraph, "Year 2000
                  Compliant" means capable of accurately, correctly and
                  consistently processing date/time data (including, but not
                  limited to, accepting, calculating, comparing, sorting,
                  sequencing and returning) prior to, during and after the
                  calendar year 2000 A.D., including leap year calculations and,
                  when used in combination with other information technology,
                  will accurately accept, exchange and process date/time data
                  and will permit use of the century portion of any

<PAGE>   10
IPNI Roll-out Agreement
February 1, 2000
Page 10

                  date fields without processing, special devices or technology
                  or extra costs to Searle and without error. In addition, the
                  parties agree that any business difficulties encountered by
                  either party due to Year 2000 issues shall not be deemed to
                  constitute an event of force majeure or otherwise operate to
                  relieve such party of its obligations under this Agreement or
                  any other agreement between the parties.

14.      Indemnity. IPNI shall indemnify and hold Searle harmless from any
         liability, loss, claim, injury, damage or expense (including reasonable
         attorneys' fees and costs) incurred by Searle as a result of (a) any
         negligent or willful act or omission by IPNI or its employees, agents
         or subcontractors in the performance of the Services, (b) any breach of
         this Agreement by IPNI, (c) any failure by IPNI to disburse funds
         received from Searle to appropriate third parties, and (d) any claim of
         infringement of the patent, copyright, trademark or other intellectual
         rights of a third party as a result of IPNI's entering into this
         Agreement or performing or making any obligations, representations or
         covenants under this Agreement.

         Searle shall indemnify and hold IPNI harmless from any liability, loss,
         claim, injury, damage or expense (including reasonable attorneys' fees
         and costs) incurred by IPNI as a result of (a) any negligent or willful
         act or omission by Searle or its employees agents or subcontractors,
         (b) any breach of this Agreement by Searle, or (c) any claim of
         infringement of copyright or trademark by third parties as a result of
         IPNI' use in connection with the Services of information provided by
         Searle.

15.      Insurance. As an independent contractor, IPNI will carry policies of
         insurance sufficient to meet its obligations under this Agreement.
         Searle will provide reasonable security for the IPNI equipment
         installed in Searle facilities and will assume responsibility for loss
         or damage for such IPNI equipment as a result of Searle's acts or
         omissions.

16.      Termination of this Agreement:

         16.1.    This Agreement may be terminated by either party for cause
                  upon giving thirty (30) day written notice that includes
                  specific details of the alleged default, provided that the
                  defaulting party shall have first been given an initial sixty
                  (60) day notice to cure any default. Cause shall be defined as
                  the occurrence of any material default in the performance of
                  any covenant, agreement, term or provisions of this Agreement,

         16.2.    Searle shall have the option to terminate this Agreement on
                  July 31, 2000, without any requirement of notice, if IPNI has
                  not recruited the number of physicians specified in Exhibit
                  2.8 Roll-out Schedule by July 31, 2000.

<PAGE>   11
IPNI Roll-out Agreement
February 1, 2000
Page 11

         16.3     Either party may immediately terminate this Agreement in the
                  event the other party commences or has commenced against it
                  any proceeding in bankruptcy, insolvency or reorganization
                  pursuant to bankruptcy laws, or law of debtor's moratorium.

         16.4     In addition to any other rights it may have, Searle may
                  terminate this Agreement at any time on ninety (90) days'
                  prior written notice to IPNI for any reason. Upon such
                  termination, Searle will be liable, subject to paragraph 9,
                  for only those Services performed prior to termination and for
                  any non-cancelable commitments entered into by IPNI prior to
                  notice of termination.

         16.5     Except for claims of infringement, neither party shall be
                  liable for any special, indirect, punitive or consequential
                  damages.

17.      Return of Materials. Upon the expiration or termination of this
         Agreement or at any other time upon Searle's written request, IPNI
         shall promptly deliver to Searle all Confidential Information and any
         other materials (including preliminary outlines, notes, sketches,
         plans, unpublished memoranda, and other documents) provided by, or
         prepared for, Searle hereunder. Return of such materials shall be a
         condition to receiving any final payment due hereunder. IPNI may not
         retain copies of any such items without Searle's prior written consent.

         Upon expiration or termination of this Agreement, Searle will promptly
         make available for IPNI all of the IPNI System and other Confidential
         Information, including any copies of Confidential Information, and
         cease use of the IPNI System for any purpose.

18.      Relationship of Parties. IPNI's status hereunder shall be that of an
         independent contractor and not an agent or employee. In no event shall
         IPNI have any authority to enter into any contract or commitment in the
         name of or on behalf of Searle, and IPNI shall not hold itself out as
         having authority to do so, unless approved in writing in advance by
         Searle.

19.      Assignment. This Agreement may not be assigned, nor any right or
         obligation delegated, by IPNI without Searle's prior written consent.

20.      Notices. All notices, requests, demands or other communications (other
         than routine business communications and certain approvals and requests
         for services by SEARLE, which because of time constraints, may be made
         by telephonic or other verbal notice) pertaining to this Agreement
         shall be made by registered, airmail letter, postage prepaid, return
         receipt requested or by telecopy directed to the other party as
         directed below:

                  Party                     By Mail
                  -----                     -------

<PAGE>   12
IPNI Roll-out Agreement
February 1, 2000
Page 12

<TABLE>
<CAPTION>
<S>                                         <C>
                  to SEARLE:                5200 Old Orchard Rd.
                                            Skokie, Illinois 60077
                                            Att'n:  Aimee Berner
                                            Telecopy: (847) 581-4013

                  w/copy to:                5200 Old Orchard Road
                                            Skokie, Illinois 60077
                                            Att'n:  General Counsel
                                            Telecopy:  (847) 581-4045

                     to IPNI:               i Physician Net Inc.
                                            8777 North Gainey Center Drive, #285
                                            Scottsdale, Arizona 85258
                                            Att'n: John Benson
                                            Telecopy: (602) 368-2771
</TABLE>

         No notice by telecopy shall be valid unless confirmed by registered,
         airmail letter or overnight courier service dispatched within
         twenty-four hours after dispatch of the telecopy. Notices shall be
         deemed to be served as of the earlier of (i) receipt or (ii)
         transmission (in the case of a telecopy) provided that notice is
         confirmed as provided above. Either party may notify the other of a
         substitute address or telecopy number for notices in the manner set
         forth herein.

21.      Controlling Law. The validity, interpretation and performance of this
         Agreement and any dispute connected herewith shall be governed by and
         construed in accordance with the laws of the State of Illinois, without
         regard to its conflict of law principles.

22.      Amendment. No agent, employee or other representative of either party
         is empowered to alter any term of this Agreement, unless done in
         writing and signed by authorized representatives of both parties.

23.      Survival. All indemnification, confidentiality and warranty provisions
         contained herein shall survive the expiration or other termination of
         this Agreement.

24.      Entire Agreement. This Agreement, together with the Attachments hereto,
         contains the entire agreement of the parties with respect to the
         subject matter hereof. No representations were made or relied upon by
         either party other than those that are expressly set forth in this
         Agreement.

<PAGE>   13
IPNI Roll-out Agreement
February 1, 2000
Page 13

If acceptable, please indicate your agreement to these terms by signing and
dating both originals of this letter as indicated below.

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement as
of the dates set forth below.

Very truly yours,                           AGREED AND ACCEPTED:

G.D. SEARLE & CO.                           I PHYSICIAN NET INC

By:_____________________                    By:______________________
         Joseph C. Papa
         President,                         Name: ___________________
         U.S. Operations
                                            Title:___________________

                                            Date:____________________

<PAGE>   14
IPNI Roll-out Agreement
February 1, 2000
Page 14

<TABLE>
<CAPTION>
         Exhibits

<S>      <C>
  2.1    IPNI System

  2.8    Roll out Schedule

  4.3    IPNI System hardware and software

  5.1    Network components

  5.4    Data contained in Usage Database

  9.     Rate Matrix
</TABLE>
<PAGE>   15
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

IPNI Roll-out Agreement
February 1, 2000
Page 15

                                   EXHIBIT 2.8
                        IPNI / SEARLE Roll-out Agreement

                               ROLL - OUT SCHEDULE

The schedule and expected number of physicians to be enrolled and activated on
the IPNI System is as follows:

<TABLE>
<CAPTION>
DATE                   TOTAL INSTALLED PHYSICIANS*
----                   ---------------------------
<S>                    <C>
JULY 31, 2000          ****
DECEMBER 31, 2000      ****
</TABLE>

* Cumulative totals for physician include two hundred fifty (250) physicians who
were enrolled in the Pilot Program.

<PAGE>   16
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

IPNI Roll-out Agreement
February 1, 2000
Page 16

                                    EXHIBIT 9
                        IPNI / SEARLE Roll-out Agreement

                                  FEE STRUCTURE
                                  -------------

                                      ****

<PAGE>   17
IPNI Roll-out Agreement
February 1, 2000
Page 17

                                   EXHIBIT 2.1
                        IPNI / SEARLE Roll-out Agreement

                                   IPNI SYSTEM

The IPNI System is intended to facilitate videoconferencing and other
communications between pharmaceutical companies and qualified physicians. The
IPNI System operates over the Network and PC based personal videoconferencing
devices located in the offices of select qualified primary care physicians as
defined in Exhibit 5.1 and utilizes the equipment defined in Exhibit 4.3 at the
pharmaceutical company end of the Network

The IPNI System Main Screen for physicians contains the name of participating
pharmaceutical companies and indicators to the physician that a sales
representative or medical affairs professional has attempted a call and would
like a return call from the physician. In addition, the main screen contains
access to information and services provided by IPNI to participating physicians
currently including: references such as the PDR, daily news, sports, a daily
cartoon, and Internet access.

Each participating company has a "Second Screen referred to in Paragraphs
4.5,and 11.2. The participating company may place up to seven (7) sets of
promotional, educational, or entertainment material on its Second Screen.
Finally, each participating company may also provide detail sales aids for use
during physician videoconferences. The company sales representative controls the
use of all detail sales aids.

The IPNI System collects transactional data defined in Exhibit 5.4. Such data
are aggregated to monitor overall system performance. In addition, such data are
formatted into the reports referred to in paragraph 5.5.

<PAGE>   18
IPNI Roll-out Agreement
February 1, 2000
Page 18

                                   EXHIBIT 5.4
                        IPNI / SEARLE Roll-out Agreement

                              SEARLE USAGE DATABASE
                              ---------------------

IPNI will provide to Searle a database of completed call transactional data for
each month within 15 calendar days of month end. The database will contain the
following elements:

Physician identification

Date and time of call initiation

Date and time of call completion

Duration of detail aid exposure by product

<PAGE>   19
IPNI Roll-out Agreement
February 1, 2000
Page 19

                                   EXHIBIT 4.3
                        IPNI / SEARLE Roll-out Agreement

                 IPNI SYSTEM HARDWARE AND SOFTWARE CONFIGURATION

IPNI resident configurations at the pharmaceutical company are fully detailed in
the IPNI Physical Planning Guide, which has been provided to Searle's
management. This excerpt is a supplement/overview of that guide and will under
no circumstances replace that guide, which may be modified from time to time.

THE IPNI LOCAL AREA NETWORK (LAN)
     -   The IPNI LAN is a dedicated 100Mbps Ethernet network using TCP/IP
         addressing for private networks.
     -   Stackable Hubs are used to connect the IPNI "client" workstations and
         IPNI server onto the IPNI LAN
     -   The IPNI LAN is designed to operate in a single location. If the LAN
         has to be extended to multiple locations, Routers and telecom lines may
         be required (at Searle's expense as addressed in paragraph 4.3 of this
         agreement) to interconnect the LAN segments.
     -   The IPNI LAN is a closed loop with no full-time connection to the
         Internet or any other local area networks.
     -   Authorized IPNI employees use restricted dial-up access to the LAN for
         remote maintenance.

THE IPNI SERVER CONFIGURATION INCLUDES:
     -   A commercially available file server designed to provide network
         security, database operations, and IPNI file storage for 100 client
         stations. (Additional file/application servers may be added as
         additional features are introduced.)
     -   An Un-interruptible Power Supply (UPS) protects all IPNI network
         servers.
     -   A dedicated "support" ISDN 128Kbps dial-up circuit with an ISDN modem
         is used for remote management.
     -   Software includes
              -   Operating System Software
              -   File, Print and Network Server Software (currently Microsoft
                  NT Server 4.0) is currently used as the network operating
                  system.
     -   IPNI remote management
     -   Virus detection
     -   Tape backup of the system

<PAGE>   20
IPNI Roll-out Agreement
February 1, 2000
Page 20

THE IPNI CLIENT CONFIGURATION INCLUDES:

     -   Multiple client stations (as addressed in paragraph 4.3 of this
         agreement)
     -   One station is configured as the administrative station and may have an
         attached printer.
     -   Each client station is a consumer Personal Computer with
         videoconferencing hardware added.
              -   This additional hardware consists of an internal
                  videoconference board, camera, microphone, speakers, and an
                  ISDN network terminator
     -   Each client station is provided a dedicated 128Kbps ISDN dial-up
         circuit.
     -   A dedicated support ISDN 128Kbps dial-up circuit with an ISDN modem is
         used for remote management.
     -   Software includes
              -   Operating System Software
              -   The IPNI Pharma side application.
              -   IPNI remote management which includes videoconferencing
                  software and ISDN drivers)
     -   Virus detection
     -   IPNI remote management
     -   Utilities to support detailing formats<PAGE>   1
THIS EXHIBIT CONTAINS CONFIDENTIAL INFORMATION WHICH HAS BEEN OMITTED AND FILED
SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A
CONFIDENTIAL TREATMENT REQUEST UNDER RULE 406 OF THE SECURITIES ACT OF 1933, AS
AMENDED. THE CONFIDENTIAL INFORMATION ON PAGES 23, 24, 25, AND 26 HAS BEEN
REPLACED WITH ASTERISKS.

FINAL CONTRACT 12-31-99

                                                            Exhibit 10.19

[RHYTHMS(TM) LOGO]

                           RHYTHMS NETCONNECTIONS INC.
                              ENTERPRISE AGREEMENT

THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY AND IS INTENDED SOLELY FOR USE BY
  CUSTOMERS OF RHYTHMS NETCONNECTIONS INC. CUSTOMERS MAY NOT DISCUSS, SHOW OR
REFER TO THIS DOCUMENT WITH OR TO ANY PERSON WHO IS NOT AN EMPLOYEE OR OFFICIAL
  OF CUSTOMER WITHOUT PRIOR WRITTEN APPROVAL FROM RHYTHMS NETCONNECTIONS INC.

                                                                               1

<PAGE>   2
FINAL CONTRACT 12-31-99

                     ENTERPRISE SERVICES SOLUTION AGREEMENT

         Agreement, dated December 30, 1999 (the "Agreement"), by and between
iPhysicianNet Inc., a Delaware corporation (the "Company"), and Rhythms
NetConnections Inc., a Delaware corporation ("Rhythms").

                                    PREAMBLE:

         The Company has chosen Rhythms to be the preferred provider of a DSL
network to the Company's remote access endpoints with respect to the Company's
shared private networks to provide, among other things, videoconference
capability to and between the Company's subscriber physicians and others
(including, without limitation, physician groups and physicians) and various
pharmaceutical companies located in and throughout the continental United States
at locations which the parties will designate in accordance with this Agreement
(collectively, the "Market"), and Rhythms is willing to accept such appointment
and to provide a DSL network based upon the terms and conditions described
herein.

         NOW, THEREFORE, in connection with the premises hereof, and the mutual
agreements, covenants, and representations and warranties set forth herein, the
parties hereto, intending to be legally bound, hereby agree as follows:

         DEFINITIONS. When used in this Agreement, each of the following
capitalized terms shall have the meaning set forth as follows:

1.       Action shall have the meaning set forth in Section 5.1 hereof;

2.       Affected Remote Access Endpoints shall have the meaning set forth in
         Section 5.8 hereof;

3.       Affected Duration shall have the meaning set forth in Section 5.8
         hereof:

4.       Capacity Standard shall have the meaning set forth in Section 1 hereof.

5.       Computer shall mean (i) a personal computer owned or leased by Company
         which shall (a) consist of an integrated monitor and computer as a
         single unit with videoconferencing capability, and (b) be configured
         with a functioning Windows 95, 98 or NT operating system, or (ii) such
         other personal computer equipment as the parties may mutually agree in
         writing from time to time together with any other terms and conditions
         applicable to such other computer equipment (including, without
         limitation, any appropriate adjustment to the costs included in the ESS
         Base Prices relating to the up to 15 minutes of installation time for
         the performance of the General Tasks by Rhythms Installers);

6.       CPE shall mean customer premises equipment (including, without
         limitation, a router and up to 100 feet of new wiring and an associated
         jack) supplied by Rhythms and installed at remote end user endpoints
         which is required for circuit connectivity.

7.       Commencement Date shall mean September 30, 2000 (or such earlier date
         as the parties hereto may mutually agree in writing but in no event
         earlier than thirty (30) days after the date of such mutual agreement.

8.       Doctors shall mean physicians who actually or potentially subscribe for
         the services of the Company, as the context requires in this Agreement;

9.       Effective Date shall mean the date of this Agreement as first set forth
         above.

                                                                               2

<PAGE>   3
FINAL CONTRACT 12-31-99

10.      Egress Connection shall mean any connectivity to the Rhythms DSL
         Network or the Networks provided hereunder by Rhythms to any person,
         other than a Doctor or Physician Group (including, without limitation,
         Company and any PharmCo or any Permitted Subcontractor of Company),
         whose traffic and/or connectivity requirements would, in Rhythms'
         reasonable judgment, require such person to obtain a DS-1 form of
         connection or greater.

11.      Equipment shall mean the equipment (including the CPE) and software to
         connect each remote access endpoint to the Rhythms Network;

12.      ESS or ESS service shall mean the Enterprise Services Solution provided
         by Rhythms under this Agreement as described in Section 1 hereof;

13.      ESS Base Prices shall have the meaning set forth in Section 1.1 hereof;

14.      Force Majeure Event shall have the meaning set forth in Section 5.5
         hereof;

15.      General Tasks shall mean the tasks to be undertaken by a Rhythms
         Installer at a remote access endpoint as described in Section 2.3
         hereof;

16.      Initial Term shall mean the three-year period commencing upon the
         Effective Date (or such shorter period as shall result from the earlier
         termination of this Agreement by either party hereto in accordance with
         the terms of this Agreement);

17.      Notice of Change shall have the meaning set forth in Section 5.8
         hereof;

18.      Networks shall mean the shared private networks designed and created
         for Company by Rhythms utilizing Rhythms' US LAN network and based upon
         the specifications and parameters provided by Company with respect to
         communications (including, without limitation, video conferencing)
         using ESS service to and between (1) Doctors and the PharmCos and/or
         (2) Doctors and Doctors if such communications exclusively traverse
         solely the Networks; provided, however, that the term "Networks" shall
         exclude (i) any Internet access component of ESS service, and (ii) any
         Doctor-to-Doctor communications or connectivity which do not traverse
         the Networks exclusively;

19.      Password shall have the meaning set forth in Section 2.1 hereof;

20.      PCP Network shall mean the initial Network requested by the Company
         using ESS service for primary care physicians;

21.      Permitted Subcontractors shall mean any subcontractor of a party hereto
         that performs an integral business function or activity for such party;
         provided, however, that any subcontractor of a party hereto that is a
         competitor of the other party hereto shall not qualify as a Permitted
         Subcontractor pursuant to this definition;

22.      PharmCo shall mean a pharmaceutical company that has signed an
         agreement with the Company to participate in Company's services and
         which the Company has designated to Rhythms to participate in one or
         more Networks at remote access endpoint locations located in the
         continental United States;

23.      Physician Group shall mean a group or association of physicians
         subscribing for Company services;

24.      Proprietary Information shall have the meaning set forth in Section 4.1
         hereof;

25.      Quality of Service shall mean the use of accepted techniques to deliver
         different data types with different latency requirements across a
         network efficiently;

                                                                               3

<PAGE>   4
FINAL CONTRACT 12-31-99

26.      Ramp Commitment shall mean the obligation of Company to deliver orders
         to Rhythms in such quantities required pursuant to the terms of this
         Agreement as described in Section 1.3 hereof;

27.      Ramp Failure Event shall have the meaning set forth in Section 1.3
         hereof;

28.      remote access endpoint or remote end user endpoint shall include any
         and all locations within the continental United States where Doctors or
         PharmCos are connected to any Network and any other locations where
         Company has ordered ESS service and/or Egress Connections to be
         installed or provisioned by Rhythms to any person pursuant to the terms
         of this Agreement (including, without limitation, Physician Groups, the
         Company or any Permitted Subcontractor);

29.      Rhythms Installers shall mean Rhythms personnel or authorized
         representatives who perform the installation of Equipment to provision
         ESS service at remote access endpoints and/or Egress Connection;

30.      Service Determination shall mean customary testing and review performed
         by Rhythms to determine whether a specific Doctor in a Physician Group
         can be provisioned with ESS service at a connectivity speed equal to or
         greater than 384X384kb/s;

31.      Service Determination Report shall mean the report described in Section
         1.2 hereof;

32.      Taxes shall mean federal, state and local taxes, surcharges,
         assessments and other governmental charges and fees that may be due at
         any time with respect to the delivery of any products or services by
         Rhythms pursuant to the terms of this Agreement;

33.      Throughput Standard shall mean the criteria described in the Service
         Level Agreement under the heading "Data Delivery"; provided, however,
         that, if and to the extent that Company can demonstrate that the
         Capacity Standard is insufficient to sustain acceptable quality of
         videoconferencing due to frame loss, jitter or latency at 384X384kb/s
         for 99% of the video connections on the Networks during any one-month
         period and such quality degradation is not attributable to Company's
         failure to purchase additional bandwidth capacity as contemplated in
         this Agreement, Rhythms shall use its commercially reasonable efforts
         to improve quality of service on the affected Network through the
         available and industry-recognized and accepted means and technology
         necessary;

34.      Username shall have the meaning set forth in Section 2.1 hereof; and

35.      Year 2000 Compliant shall have the meaning set forth in Section 5.2
         hereof.

36.      Power Internet shall have the meaning of the portion of the ESS being
         provided under this Agreement to provide Rhythms' customary
         business-grade Internet access.

         1.       ENTERPRISE SERVICES SOLUTION.

         Rhythms Enterprise Services Solution to be provided to the Company
under this Agreement will be an end-to-end managed and supported service at a
speed of 384X384kb/s for connectivity between (1) Doctors and the PharmCos
and/or (2) Doctors and Doctors if such communications exclusively traverse
solely the Networks, upon the Networks sufficient to support interactive
videoconference capability.

         The Enterprise Services Solution consists of the following features:
(a) Rhythms' provision of the necessary remote access service ordering,
installation, billing, and support; (b) Rhythms' management of the Company's
remote access program with 24 x 7, Tier 1 or Tier 2 support for both
ingress/egress circuits as well as appropriate CPE needed for circuit
termination; (c) Rhythms' provision of CPE needed for such remote access program
and related installation, configuration and management of the CPE needed for
circuit termination; (d) Rhythms' ownership and management of the circuits and
CPE; and (e) Rhythms'

                                                                               4

<PAGE>   5
FINAL CONTRACT 12-31-99

provision of xDSL services, applications and ancillary products as set forth in
Exhibit A hereto (as the same may be amended from time to time in accordance
with this Agreement) for respective deployments. Any such DSL services may be
provided by Rhythms or, at Rhythms sole election and discretion, by an
alternative DSL service provider selected by Rhythms; provided, however, that
any such services provided by or through an alternative service provider shall
be subject to all the terms and conditions of this Agreement and shall be
managed and monitored by Rhythms.

         The PCP Network shall include up to twelve (12) PharmCos participating
in the PCP Network, each of which shall be provided with a DS-3 Egress
Connection which will be configured with a bandwidth capacity equal to or
greater than the product obtained by multiplying (a) the number of Doctors
participating in that particular Network, times (b) 0.882 kb/s (the "Capacity
Standard"); provided, however, that each DS-3 assigned to a PharmCo
participating in the PCP Network shall be initially configured at 5 Mb/s until
the number of Doctors participating in the PCP Network reaches 5,500.

         The Company shall have the right to create additional Networks which
Rhythms will provision with capacity equivalent to the Capacity Standard and
will manage based upon the principles applicable to the PCP Network, with each
such Network being able to accommodate the participation of up to twelve
PharmCos; provided, however, that Rhythms shall have the right to provision such
additional Networks with DS-1 Egress Connections to the extent consistent with
Rhythms maintaining the Capacity Standard and the Throughput Standard until the
number of Doctors participating in any such additional Network justifies the
provision of DS-3 Egress Connections. The Company shall have the right to
allocate bandwidth capacity among different PharmCos within each Network as long
as it does not adversely impact the Capacity Standard (measured as a total
across all Egress Connections for such Network), and such discretionary
allocation by Company shall be implemented by Rhythms in accordance with
Rhythms' then prevailing redeployment time schedules. If Company desires to
obtain additional PharmCo Egress Connections or capacity in any such Network,
Company shall be entitled to purchase additional connections or capacity from
Rhythms at the rates and charges set forth in Exhibit A hereto.

         In order for Rhythms to provide the connectivity and Network capacity
to Company at the prices set forth in this Agreement, Rhythms has configured its
Networks based upon the statistical information regarding Doctor usage patterns
and the average duration of each call connection that Company has provided to
Rhythms. The parties agree that Rhythms shall have met the quality objectives
for each Network that maintains bandwidth capacity equivalent to 10.584 kb/s per
Doctor participating in such Network, and such bandwidth shall be allocated as
the Capacity Standard to each PharmCo Egress Connection, unless otherwise
directed by Company. To the extent that usage requirements shall exceed this
standard, the Company shall be obligated to either (a) purchase additional
capacity to increase the level of capacity beyond 10.584 kb/s per Doctor, or (b)
accept any degradation of ESS resulting from Company's failure to purchase such
additional capacity.

         The Service Level Agreement attached hereto as Exhibit B shall apply
exclusively to performance of the Networks, and shall not apply to (a) the Power
Internet portion of the ESS being provided under this Agreement to provide
Rhythms' customary business-grade Internet access to each of the Doctors, and/or
(b) Doctor-to-Doctor communications which do not exclusively traverse the
Networks.. Rhythms. intends to continue to improve its network capabilities over
time to better support voice and video applications through use of Quality of
Service and other reliable technologies as they become commercially available
and deployable on a commercially reasonable basis.

         1.1 PRICING. Based upon Company's Ramp Commitment and the configuration
of the Networks as described herein, Rhythms shall sell ESS, and the Company
shall purchase ESS, at the monthly recurring and installation prices set forth
in Parts I and II of Exhibit A hereto for each access connection (the "ESS Base
Prices"). Each ESS ordered by the Company shall have a minimum period of 36
months. If and upon the occurrence of Rhythms' failure to meet during any
calendar month the performance criteria set forth in the Service Level Agreement
attached hereto as Exhibit B with respect to the Networks, the Monthly Recurring
Rates that are included in the ESS Base Prices shall be adjusted for

                                                                               5

<PAGE>   6
FINAL CONTRACT 12-31-99

such month by Rhythms in the percentage amounts indicated in Exhibit B
corresponding to any applicable level of Rhythms' non-performance occurring in
any such calendar month. To the extent that any credit allowances may be
applicable to the ESS Base Prices, service credits shall not be cumulative and
the Company shall be entitled to receive the highest service credits applicable
to the month in which the Rhythms' non-performance occurred. Company shall also
be entitled to purchase additional Egress Connections (which do not have any
capacity associated therewith) at the monthly recurring changes and the
installation charges set forth in Part II of Exhibit A hereto, and such
additional Egress Connections may be integrated into any Network or used as
back-up for existing PharmCo Egress Connections.

         The termination of any ESS service or Egress Connection prior to the
expiration of its applicable term will result in certain early termination fees,
unless such termination was due to the breach or default by Rhythms under this
Agreement. Similarly, if the Company fails to confirm or honor any scheduled
installation appointment on a timely basis, the Company may be charged a fee in
accordance with Part III of Exhibit A unless Rhythms has been notified of a
change in the scheduled appointment on or prior to 12:00 noon on the business
day preceding the scheduled time and date of the appointment. Movement of an ESS
service connection or Egress Connection within a Market will not result in an
early termination fee, but will result in an additional charge for
re-installation and related costs. A list of these early termination and other
fees is set forth in Part III of Exhibit A hereto. The Company shall be liable
for all termination charges set forth in Part III of Exhibit A hereto arising
from the Company's early termination of any Egress Connection, ESS service or
other connectivity ordered from Rhythms pursuant to this Agreement. Rhythms
shall have the right to apply any deposits, advance payments or other credit
balances attributable to the Company in satisfaction of any termination or other
fees arising under this Agreement.

         All prices set forth in Exhibit A to this Agreement are exclusive of
applicable Taxes, which shall be invoiced to and due from the Company unless the
Company provides to Rhythms a valid and effective certificate from the
appropriate taxing authorities exempting Company from the Taxes that would
otherwise be invoiced hereunder.

         Rhythms represents and warrants to Company that, except as set forth in
Section 1.3 hereof, the prices set forth in Exhibit A hereto shall be maintained
at their respective levels set forth in Exhibit A hereto throughout the Initial
Term of this Agreement.

         1.2 ESS DEPLOYMENT. As the Company's preferred provider, Rhythms shall
have the exclusive right to supply all Company requirements for DSL services in
the United States during the term of this Agreement, either directly or, in
Rhythms' sole discretion, through an alternative DSL provider. Company shall use
its best efforts to (i) recruit new Doctors in geographic areas designed to
enable Rhythms to provide its DSL services to the Doctors qualifying for
Company's services, (ii) maximize the number of qualified Doctors ordering
connectivity from Rhythms, and (iii) ensure that all information provided to
Rhythms with respect to each Doctor is accurate and complete in all material
respects). Rhythms and Company shall cooperate in performing Service
Determinations. Prior to Company initiating any program to sign up individual
Doctors in any Physician Group, Company shall use its best efforts to provide to
Rhythms appropriate information to conduct a Service Determination for each such
Doctor within such Physician Group (including, without limitation, such Doctor's
name and a complete and accurate installation address for each such Doctor).
Upon receipt of such information, Rhythms shall complete a preliminary Service
Determination for each such Doctor within such Physician Group and shall report
to Company the results of such preliminary Service Determinations within three
(3) business days; provided, however, that if any list or lists of Doctors
delivered to Rhythms within any one week period shall have more than 5,000
addresses, Rhythms shall have a reasonable additional period to complete such
preliminary Service Determinations. Thereafter, when a Doctor contracts with the
Company to obtain the Company's services, the Company shall submit such order to
Rhythms, and Rhythms shall then perform a definitive Service Determination and
shall report the results of such definitive Service Determination to Company
within ten (10) business days following receipt of such order from Company (the
"Service Determination Report"). Each such Doctor's installation address shall
be classified in such Service Determination as within one of the four following
categories:

                                                                               6

<PAGE>   7
FINAL CONTRACT 12-31-99

(a)                  "Operational", which shall mean that connectivity can be
                     successfully provided to such Doctor based upon Rhythms'
                     currently available service;

(b)                  "Committed", which shall mean that connectivity can be
                     successfully provided to such Doctor based upon Rhythms'
                     service availability at a specified date, which shall not
                     exceed sixty (60) days following the date of the
                     performance of the Service Determination for that doctor (a
                     "Specified Date");

(c)                  "Planned", which shall mean that connectivity is projected
                     to be available to such Doctor based upon an expected
                     Rhythms' service availability by reference to a future
                     calendar quarter; or

(d)                   "Unplanned", which shall mean that Rhythms' service
                      availability is not currently planned for that Doctor's
                      installation address at any specific future date.

         On and as of the Commencement Date, Rhythms shall be obligated to
accept Company orders for ESS for each Service Determination that is classified
as Operational or Committed within forty-five (45) days following the delivery
of the Service Determination Report to Company with respect to such order.
Rhythms shall be obligated to complete installation of ESS for (i) a minimum of
70% of the Operational Service Determinations in any Service Determination
Report within sixty (60) days following receipt of each respective order for an
Operational Service Determination, and (ii) 100% of such Operational Service
Determinations within ninety (90) days following receipt of each respective
order for an Operational Service Determination. Rhythms shall be obligated to
complete installation of ESS for (x) a minimum of 50% of Committed Service
Determinations in any Service Determination Report within fifteen (15) days
following the applicable Specified Date (but in no event prior to sixty (60)
days following receipt of each respective order for a Committed Service
Determination), and (y) 100% of such Committed Service Determinations within
forty (45) days following the applicable Specified Date (but in no event prior
to ninety (90) days following receipt of each respective order for such
Committed Service Determination). To the extent that Rhythms chooses to
provision service to Company through an alternative service provider, all such
orders shall be classified as "Committed" Service Determinations and shall be
installed based upon the installation schedule applicable to Committed Service
Determinations. Notwithstanding the foregoing, Rhythms shall have the right to
reject any orders classified as Operational or Committed for a period of thirty
(30) days after Rhythms has reported the classification of such order to
Company, and such rejected orders shall not be included in the calculation of
any percentage completion calculations under this Agreement. If Rhythms fails to
complete installations of Operational or Committed Service Determinations as
provided in this Section 1.2, Company shall have the right to obtain
connectivity from another provider for each of the Operational or Committed
Service Determinations with respect to which Rhythms failed to provide ESS
service on a timely basis. In addition, with respect to orders with a Service
Determination that is classified as Operational or Committed that are not
rejected by Rhythms within thirty (30) days after Rhythms' receipt of such
order, Rhythms shall provide a credit to Company within fifteen (15) days
following the end of a calendar quarterequal to the monthly recurring charge for
(i) one month's service for each such non-rejected Operational or Committed
order that Rhythms has failed to install within one hundred (100) days and not
more than 130 days; (ii) two month's service for each such non-rejected
Operational or Committed order that Rhythms has failed to install within one
hundred thirty one (131) days and one hundred sixty (160) days; and (iii) three
month's service for each such non-rejected Operational or Committed order that
Rhythms has failed to install within one hundred sixty one (161) and one hundred
ninety (190) days following Rhythms' receipt of such Operational or Committed
order (the "Installation Penalty") within such calendar quarter; provided,
however, that Rhythms shall be liable for any such penalty in each such
thirty-day interval provided herein only if the installation of such Operational
or Committed order continues to be pursued by Company with Rhythms and an order
for such doctor or end point has not been placed by Company with another service
provider; and provided,, further, however, that Rhythms shall not be obligated
to pay the Installation Penalty in any calendar quarter unless, and only to the
extent that, such installation failures shall exceed five percent (2.5%) of all
orders submitted by Company that are classified as Operational or Committed
Service Determinations and received by Rhythms during such calendar quarter. The
monthly credit on any individual order is non-cumulative. Company has

                                                                               7

<PAGE>   8
FINAL CONTRACT 12-31-99

the right to be released from Rhythms exclusivity for any ordered ESS service
which is not projected to be installed within one hundred (100) days, without a
cancellation penalty to Company.

         The parties acknowledge and understand that (a) Rhythms is committed to
expanding the geographic footprint of its service availability on an
economically cost-justified basis in the United States and within the markets
where Rhythms presently has service available, and (b) Company will use its best
efforts to aggregate demand for ESS by Physician Groups within markets in a
manner that will provide Rhythms with the maximum opportunity to provide its
existing service to those Physician Groups as well as sufficient orders to
justify Rhythms expansion of its service areas to provide service to such
Physician Groups when meeting the Company's Ramp Commitment set forth in this
Agreement. Rhythms and Company shall consult with each other in developing and
proposing alternative access strategies to the Doctors to provide ESS
connectivity in areas where Rhythms does not provide DSL service generally and
will each attempt to arrive at mutually acceptable and economically and
technically viable methods of providing the ESS service contemplated in this
Agreement. If and to the extent that Rhythms determines, after receipt of a
Doctor's order and all applicable information from Company concerning the
Doctors signed up or projected to be signed up with Physician Groups in areas
where Rhythms does not provide service and in light of Company's progress in
satisfying its Ramp Commitment, that Rhythms will not provide ESS service within
such areas within sixty (60) days following receipt of such order (including,
without limitation, all Service Determinations that are classified as Planned
and Unplanned), Rhythms will release Company from the exclusivity provided in
this Section 1.2 with respect to Doctors which have ordered ESS service within
such areas where Rhythms has determined that it will not provide ESS service
within such sixty-day period as of the date that Rhythms shall have waived such
exclusivity. If Rhythms subsequently determines that Rhythms will offer ESS
service in such areas, the exclusivity provided in this Section 1.2 shall be
reinstated with respect to Doctor orders for such areas upon Rhythms
notification to Company that Rhythms is in a position to provision such orders
as a Committed Service Determination in accordance with this Agreement.

         1.3. RAMP COMMITMENT. Company is committed to providing orders for ESS
service to Rhythms in the following cumulative amounts as of each of the
following dates listed below:
<TABLE>
<CAPTION>

DETERMINATION DATE                    CUMULATIVE ORDERS

<S>                                   <C>
September 30, 2000                           2,000
March 31, 2001                               8,000
September 30, 2001                          16,275
March 31,2002                               33,450
September 30, 2002                          45,000
March 31, 2003                              59,500
</TABLE>

Company understands and acknowledges that Rhythms has designed and configured,
and will continue to design and configure, the Networks and the Rhythms Network
based upon such forecasted orders by Company, and that the pricing provided by
Rhythms in this Agreement has been predicated upon receipt of such minimum
orders on or prior to the dates indicated. If Company shall fail to provide
orders in accordance with the schedule provided in this Section 1.3 as of or for
two (2) consecutive Determination Dates (the "Ramp Failure Event"), Rhythms
reserves the right to renegotiate the prices set forth in this Agreement for ESS
service and/or to terminate this Agreement if Company does not accept such
revised prices and/or fails to provide orders for any Determinate Date
subsequent to the Ramp Failure Event. Company shall advise Rhythms periodically
(and at least at the end of each calendar quarter) of its then currently
forecasted orders for the next six-month period and any information that would
be relevant to assessing Company's ability to meet the Ramp Commitment.

2.       ORDERING AND INSTALLATION.
                                                                               8

<PAGE>   9
FINAL CONTRACT 12-31-99

         2.1. ORDERING. All orders for ESS and Egress Connections shall be for
an initial duration of at least three (3) years, and orders shall be submitted
upon the approved forms provided by Rhythms, whether in written or electronic
form. After processing the Company's Egress Connection Order Form, Rhythms will
issue to the Company a username (the "Username) and a password (the "Password")
to enable the Company, directly or through its Permitted Subcontractors, to
access the NetworkNow(TM) website maintained by Rhythms, which will allow the
Company or such Permitted Subcontractors to place orders for services and
perform certain other functions with Rhythms over the Internet. The Company
understands and agrees that the information contained in and made available
through NetworkNow(TM) (as well as the Username and Password therefore) is
proprietary and highly confidential and should only be used for the purposes for
which it is intended and should not be disclosed to unauthorized persons. The
Company shall ensure that each of its employees and each Permitted Subcontractor
is aware of the confidential and proprietary nature of the Username and the
Password and the proper use of the information obtained from this website. Any
unauthorized use or disclosure of the Username or Password or any information
derived from NetworkNow(TM) will constitute a material breach of this Agreement,
and the Company shall as promptly as possible notify Rhythms of any unauthorized
use or disclosure of such Username, Password or information. The Company shall
promptly contact Rhythms to obtain a different Username and Password, or change
the Password associated with the compromised Username when (a) the Company
becomes aware that the security of the Username or the Password has been
compromised in any manner, and/or (b) the employment of one or more of the
representatives of the Company or Permitted Contractors who has used or had
access to the Company's Username or the Password is terminated by the Company
or, with respect to Company employees, is transferred to a position whose duties
does not require further use of the NetworkNow(TM) website on behalf of the
Company.

         2.2 ESS INSTALLATION. Rhythms will need to install Equipment at each
remote access endpoint. Rhythms will supply all standard components to connect
the Company and/or each remote access endpoint to the Rhythms Network (all of
which components will remain the sole and exclusive property of Rhythms), and
the Company will not be charged any fees for use of these components or
Equipment during the term of this Agreement in addition to the ESS Base Prices.
Without limiting the generality of the foregoing:

         (1)      The Rhythms Installer shall extend the DSL loop through
                  existing wiring and will install up to 100 feet of new wiring
                  as required; provided, however, that such installation shall
                  not include unreasonable activity (including, without
                  limitation, installation of new conduit, opening walls or
                  other comparable activity that would generally be considered
                  construction-related, and/or any activity that would involve
                  excessive hazard or potential liability or injury);

         (2)      The DSL router shall be installed in proximity to the Computer
                  within such location, and the router shall be connected to the
                  Computer using the appropriate Ethernet cable;

         (3)      If the Computer is properly functioning and pre-configured,
                  the Rhythms Installer shall configure the IP settings (i.e.,
                  IP address, IP subnet, gateway address, and DNS address) and,
                  if requested by Company, the IP parameters of the Computer;
                  and

         (4)      Ping-level connectivity from the newly-installed router shall
                  be verified and confirmed to at least two specific
                  destinations within the Company or the Networks.

The Company agrees that the Company will, and will cause each of the persons
using ESS service at each remote access endpoint to, (a) not abuse or otherwise
damage the components or Equipment while they are in their possession, (b)
operate the Equipment according to manufacturer specifications, and (c) return
the Equipment in good condition (except for deterioration from normal usage) to
Rhythms upon the termination of this Agreement and/or such remote access to the
ESS through Company's remote access endpoints; provided, however, that Company
shall not be obligated to return any such router to Rhythms if (a) such router
has been in service at such location for two (2) years or more, and (b) Company
elects not to

                                                                               9

<PAGE>   10
FINAL CONTRACT 12-31-99

have the Computer collocated with such router returned to the Company following
any such termination of connectivity or this Agreement; provided, further,
however, that all routers shall be returned to Rhythms following any termination
resulting from a breach of this Agreement by Company.

         In connection with the installation service performed by Rhythms
hereunder, it may be necessary for Rhythms Installers to insert certain software
in each Computer and possibly reconfigure some aspects of such Computer system
to accommodate ESS in connection with the installation, testing or subsequent
service relating to any connection with ESS. It is possible that such activities
might inadvertently result in the loss of certain programming on that Computer
system that could be important, and the Company hereby agrees that it is
Company's responsibility to make, or cause the Doctor's or others to make,
appropriate arrangements to prepare diskettes of all such important information
prior to the installation, testing or service of ESS. The Company hereby agrees
that neither Rhythms nor the Rhythms Installers will be responsible or liable in
any manner for any loss of, or damage to, any information or programming on any
such Computer system or any breach or violation of any manufacturer's or other
warranty relating to such Computer or any elements included in such Computer
system which may occur as a result of any installation, testing or later service
conducted by Rhythms or the Rhythms Installers as requested with respect to
Rhythms components, Equipment or other facilities or programming; provided,
however, that Rhythms shall be liable for any physical damage to the Computer
caused by the gross negligence or willful misconduct of any Rhythms Installer.

         There may be instances (e.g., due to building maintenance exclusivity
rights) where the Company and/or Doctor or PharmCo is responsible for performing
all electrical or wiring work at their location. Should this situation arise,
the Company and/or Doctor or PharmCo shall be responsible for ensuring inside
wiring at their location is complete prior to Rhythms performing the
installation for the ESS service. Rhythms will install wiring up to the local
telephone company termination point, but the Company will be responsible for any
further wiring installation.

         After an order is placed, Rhythms will coordinate the ESS service
installation with the ILEC. From time to time, conditions may exist that prevent
the installation of the ordered ESS service into a Company location or remote
access endpoint due to adverse infrastructure conditions or other conditions
beyond the reasonable control of Rhythms. Rhythms may evaluate and propose
alternative access strategies to achieve reliable connectivity, each of which
shall be subject to approval by the Company prior to implementation. If any
additional or unusual monthly or non-recurring charges are reasonably
anticipated with implementation of the alternative access strategies, Rhythms
will inform the Company of any estimate of those costs prior to installation. If
the Company decides to cancel the ESS service due to the cost of alternative
access strategies, the Company shall terminate the order and will incur no
charge for the ESS installation. If alternative access strategies are not
reasonably available, Rhythms reserves the right to cancel the order.

         2.3. COMPUTER INSTALLATION SERVICES. Prior to the scheduled time for
installation of ESS service at any particular location, Company shall supply to
the installation location for each of the Doctors who will be receiving ESS a
Computer. At least thirty (30) days prior to the first installation contemplated
hereunder, Company shall deliver to Rhythms one example of each pre-configured
Computer so that Rhythms personnel can evaluate and train the Rhythms Installers
with respect to the procedures and services to be accomplished pursuant to this
Section 2.3, which Rhythms shall return to Company at the earlier of the
Company's discontinuation of its use and/or the termination of this Agreement If
a properly functioning and appropriately pre-configured Computer is not present
at the scheduled time and place for any installation of ESS by Rhythms, Rhythms
shall not be required to complete the procedures and services contemplated in
this Section 2.3 at such location but the Rhythms Installer shall proceed to
complete the ESS installation as contemplated in Section 2.2 hereof.

         With respect to any properly functioning, pre-configured Computer
timely delivered to the installation location, Rhythms shall cause the Rhythms
Installer to perform and accomplish the following General Tasks:

                                                                              10

<PAGE>   11
FINAL CONTRACT 12-31-99

         1.       Remove the Computer from its shipping container and packaging;

         2.       Place the Computer in the installation location;

         3.       Connect the keyboard, mouse, and camera to the appropriate
                  ports on the side of the Computer, mount the camera in the
                  pre-positioned bracket that is permanently affixed to the top
                  of the Computer, and plug the Computer into an available power
                  source;

         4.       Turn on the Computer; and

         5.       Place all packaging materials that came with the Computer back
                  into the shipping container for disposal by the Doctor or the
                  Doctor's office staff.

Each of the foregoing General Tasks shall be accomplished by Rhythms without
additional charge to Company. Company shall use its best efforts to ensure that
the location selected for installation of the Computer and the DSL router is
within the Doctor's private office at the location, and Rhythms shall not be
liable for complying with any instructions or directives received from the
Doctor or the Doctor's on-site representative as to the installation location of
the Computer or the Equipment (even if such installation shall not be within the
Doctor's private office). If the Rhythms Installer is prevented for any reason
from performing the General Tasks concurrently with the installation of ESS at
such location, Company may schedule with Rhythms an additional service
installation call by Rhythms to such location to perform the General Tasks
customarily performed pursuant to this Section 2.3 at such location at such date
and time as Rhythms Installers are available; provided, however, that Company
shall pay Rhythms its standard hourly time and material charges for such
additional site visit and/or services. Any additional tasks requested to be
performed by Rhythms at any installation location shall not be performed unless
previously agreed to by Rhythms and Company based upon mutually agreed upon
terms and conditions (which shall specifically reference this Section 2.3 and
provide for its amendment). Rhythms shall perform the General Tasks for the
number of properly functioning, pre-configured Computers at any location equal
to the number of ESS installations performed at each location.

         Company has requested that Rhythms perform the following sixth task:
"Make a single attempt to complete a video call to a pre-determined destination
that shall not exceed two minutes in duration." Rhythms will evaluate the
feasibility of performing this sixth task using the examples of Computers and
software provided by Company to Rhythms as set forth above and, following the
conclusion of Rhythms evaluation, Rhythms shall decide, in its sole discretion,
whether Rhythms will perform such sixth task as part of the General Tasks
pursuant to this Section 2.3.

         3. BILLING AND PAYMENT. Rhythms shall prepare and deliver to the
Company a monthly invoice in electronic format which shall include applicable
monthly connectivity charges and the previous month's installation charges (if
any) as well as any applicable Taxes. For installations of ESS service and
Egress Connections occurring during any such month, such first month's
connectivity charges shall be pro-rated based upon the number of days the ESS
service or Egress Connection, respectively, was operational during such month
based upon a thirty (30) day calendar month. The Company shall remit full
payment to Rhythms for each such invoice within thirty (30) days after the date
of such invoice. If, however, the Company believes in good faith that any such
invoice is incorrect, the Company shall (a) timely remit payment of all
undisputed portions of any such invoice, and (b) concurrently object in writing
to the disputed portion or portions of the invoice and set forth with
particularity each basis upon which the Company believes the invoice to be
inaccurate. If payment of any invoice by the Company occurs after the stated
payment date, late fees shall accrue and become immediately due and payable by
the Company on the outstanding unpaid balance at the rate of 1.5% per month or
the highest rate permitted by applicable law, whichever is lower. If the parties
are unable to resolve any such disputed invoice within thirty (30) days after
the date payment of the invoice was initially due to Rhythms, such disputed
amount shall be submitted to escalation and binding arbitration as provided in
Section 9.10 of this Agreement. The Company's payment of any invoice shall not
affect the Company's rights to receive any adjustment to the ESS Base Prices
that may be due to the Company pursuant to Section 1.2 hereof. Invoices shall be
sent to the address of the Company as set forth herein or otherwise provided by
the Company to Rhythms in accordance herewith. Any purchase order or other
instrument of the Company accompanying any order or

                                                                              11

<PAGE>   12
payment hereunder shall be solely for the internal use of the Company and its
terms shall not alter, amend or otherwise affect the terms of this Agreement.

         4.       CONFIDENTIAL INFORMATION.

         4.1. "PROPRIETARY INFORMATION" DEFINED. As used herein, the term
"Proprietary Information" shall mean information that was or will be developed,
created or discovered by or on behalf of a specific person, or which becomes or
will become known by, or was/is conveyed by a specified person to another person
with an expectation of nondisclosure. "Proprietary Information" includes, but is
not limited to, trade secrets, computer programs, ideas, techniques, inventions
(whether patentable or not), business and product development plans, customers
and other information concerning a specified person's actual or anticipated
business, research or development, and/or personnel information, or which is
received in confidence by or for a specified reason from any other person.

         4.2. NON-DISCLOSURE. Each party hereto recognizes and acknowledges that
the other party hereto possesses Proprietary Information which is important to
its business and that this Agreement creates a relationship of trust and
confidence between Rhythms and the Company with regard to Proprietary
Information. At all times, both during the term of this Agreement and after its
termination, each party hereto (including its personnel and/or Permitted
Subcontractors) shall (a) keep in confidence and trust and not use or disclose
any Proprietary Information of the other party without the prior written consent
of the party who is the rightful owner of such Proprietary Information, and (b)
take reasonable protective measures to maintain such non-disclosure (which
measures shall be at least the same as measures it normally takes to protect
it's own Proprietary Information); provided, however, that such Proprietary
Information may be used by such party in the ordinary course of performing the
services and complying with its obligations under this Agreement. Each party
shall require its personnel and/or its Permitted Subcontractor(s) who have
access to Proprietary Information of the other party hereto to execute a
non-disclosure agreement in favor of the parties hereto containing the same
requirements and conditions as set forth in this Section 4.2.

         4.3. EXCEPTIONS TO NON-DISCLOSURE. Notwithstanding the provisions of
Section 4.2 hereof, neither Rhythms nor the Company shall be limited in its use
or disclosure of any Proprietary Information that Rhythms or the Company can
demonstrate: (a) is or has become readily publicly available without restriction
through no fault of the receiving party (or its employees or agents), (b) is
received without restriction from a third party lawfully in possession of such
Proprietary Information and such third party was under no obligation or duty not
to disclose such Proprietary Information; (c) was rightfully in possession of
Rhythms or the Company (as the case may be) without restriction prior to its
disclosure by the Company or Rhythms, respectively; (d) was independently
developed by employees or consultants of the receiving party without access to
Proprietary Information; or (e) is required to be disclosed by applicable law or
in connection with any legal, administrative, judicial or governmental
proceeding, hearing or process (in which event, the disclosing party shall
promptly notify the other of such proposed

         Rhythms and the Company represents and warrants to the other party
hereto that (a) performance of the terms of this Agreement will not breach any
agreement to keep in confidence Proprietary Information obtained by Rhythms or
the Company, respectively, in confidence or in trust prior to the execution of
this Agreement, and (b) Rhythms and the Company, respectively, has not entered
into (and Rhythms and the Company, respectively, agrees not to enter into) any
agreement or commitment, either written or oral, that conflicts or might
conflict with its confidentiality obligations under this Agreement.

         4.4 EQUITABLE RELIEF. The parties each acknowledge and agree that it
would be extremely difficult to measure the amount of damages arising from a
breach or threatened breach of any covenant contained in this Article 4, and
that monetary damages would be an inadequate remedy for the irrevocable harm
that would likely result from any such breach or threatened breach. Accordingly,
in such an event, the non-breaching party shall be entitled to temporary and
permanent injunctive relief (including, without

                                                                              12

<PAGE>   13
FINAL CONTRACT 12-31-99

limitation, specific performance, an injunction and/or a temporary restraining
order) in addition to other rights and remedies (including, without limitation,
monetary damages provided by law) without any requirement to post a bond.

         5.       ADDITIONAL OBLIGATIONS OF RHYTHMS.

         5.1. INFRINGEMENT PROTECTION. Rhythms will indemnify, defend and hold
the Company harmless from and against any and all costs, liabilities, losses and
expenses (including, without limitation, reasonable attorney's fees) resulting
from any claim, suit, action or proceeding (collectively, an "Action") brought
against the Company alleging that customary and proper use of ESS by the Company
infringes or contributes to the infringement of any issued United States patent
or letters patent, copyright or other established intellectual property right
(but excluding any infringement contributorily caused by the Company's business
or equipment). The Company shall promptly notify Rhythms of any Action, and
Rhythms shall have the right to control any such Action and shall have the
exclusive right to conclude a settlement of any such Action which shall be
binding upon the Company. Rhythms shall have the right, in order to avoid or
settle any Action, to substitute at Rhythms' expense non-infringing equipment,
material, processes or services, or to modify ESS or the Equipment to become
non-infringing, or to obtain necessary licenses to use the infringing equipment,
material, processes or ESS services, in each case consistent with Rhythms'
obligations under this Agreement. If the Company's use of ESS services is
materially adversely affected by any actions taken by Rhythms under this Section
5.1 (other than those relating to any infringement contributorily caused by the
Company's business or equipment), then the Company shall have the right to
terminate such affected ESS services without incurring any early termination
charges hereunder.

         5.2. YEAR 2000. Rhythms believes that its internal operating and
network systems are designed to operate before, during and after calendar year
2000 A.D. without material error or interruption relating to date data
(including, without limitation, date data which represents or references
different centuries or more than one century or leap year) in any level of the
systems assuming, in each case, that all systems and products used in
combination with them properly exchange data (hereinafter referred to as "Year
2000 Compliant"). In the event that Rhythms' systems are not Year 2000
Compliant, Rhythms shall, at no additional cost to the Company, seek to modify
its systems within a reasonable period of time so as to ensure that the systems
are Year 2000 Compliant to the extent that such modifications can be
accomplished on a commercially reasonable basis. If Rhythms' systems are not
Year 2000 Compliant and are not modified within a reasonable period to become
Year 2000 Complaint, then the Company shall have the right to terminate this
Agreement, which shall constitute the Company's sole remedy with respect to such
systems not being Year 2000 Compliant. Nothing herein shall constitute a
representation or warranty by Rhythms that the systems of other companies on
whose services or equipment Rhythms depends on or interconnects, or which the
ESS services depend on or utilize, are Year 2000 Compliant, nor shall Rhythms
have any obligation to remedy any such situation occurring with respect to any
such other company.

         5.3. CUSTOMER SUPPORT; RESTORATION OF SERVICE. The Company shall be
entitled to the benefits of Rhythms' customer services described in the Service
Level Agreement with respect to the Networks. In the event that Company or any
of its remote access endpoints experiences a substantial reduction in the
Throughput Standard or a significant interruption of the Networks that is not
attributable to the Company's failure to acquire additional bandwidth capacity,
Rhythms shall, at no charge to the Company, restore the Company's or its remote
access endpoint's ESS service with respect to the Networks to its condition
prior to such reduction or interruption in accordance with the "Mean Time to
Restore Service" set forth in the Service Level Agreement or issue to the
Company the credit set forth therein in accordance with the terms of the Service
Level Agreement; provided, however, that Rhythms shall not be responsible for
any such reduction or interruption arising from or caused by any equipment or
services which are not a part of Networks or Equipment (including, without
limitation, the Company's or a remote access endpoint's computer, network or
software) or due to a Force Majeure Event.

                                                                              13

<PAGE>   14
FINAL CONTRACT 12-31-99

         5.4. WARRANTIES. Subject to the limitations set forth below, in the
event that the Equipment installed by Rhythms in connection with the
provisioning of ESS service hereunder is determined to be defective or otherwise
becomes non-operational during the term of this Agreement, Rhythms will promptly
deliver replacement Equipment to the Company or affected remote access endpoint
upon receipt of notice of a malfunction of the Equipment, and the Company agrees
to cause the defective or non-operational Equipment to be promptly returned to
Rhythms.

         EXCEPT AS SPECIFICALLY SET FORTH IN THIS AGREEMENT, RHYTHMS MAKES NO
         WARRANTIES, EXPRESS OR IMPLIED, WITH RESPECT TO THE ESS SERVICE AND/OR
         THE EQUIPMENT. RHYTHMS SPECIFICALLY DISCLAIMS ANY AND ALL IMPLIED
         WARRANTIES (INCLUDING, WITHOUT LIMITATION, THE WARRANTIES OF
         MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE) OF TITLE OR
         NONINFRINGEMENT OF THIRD PARTY RIGHTS. THE WARRANTIES SET FORTH IN THIS
         AGREEMENT ARE IN LIEU OF ANY OTHER WARRANTY, WRITTEN OR ORAL,
         STATUTORY, EXPRESS OR IMPLIED.

         Any warranties provided by Rhythms under this Agreement shall not apply
to any situation where (a) any ESS service, Equipment or other service has been
installed or serviced by anyone other than Rhythms or its authorized Rhythms
Installers, (b) the Equipment has experienced neglect, misuse or unusual damage,
and/or (c) any ESS service, Equipment or other service is not used in compliance
with applicable law or the operating instructions established by Rhythms or the
original manufacturer. Except as expressly provided in this Agreement, this
Agreement shall not provide third parties (including each of the persons using
ESS service at each remote access endpoint of the Company) with any rights,
privileges, causes of action or claims against Rhythms. The credit allowances
available under, and provided in accordance with the provisions of, the Service
Level Agreement shall constitute the sole and exclusive remedy of the Company
with respect to any temporary interruption or degradation of any services
provided by Rhythms hereunder.

         5.5. FORCE MAJEURE. Notwithstanding any other provision set forth in
this Agreement, Rhythms shall not be liable for any failure or delay in its
performance under this Agreement (including any changes to or failure to
continue to provide ESS service or any other services contemplated herein) due
to any cause beyond Rhythms' reasonable control, including, without limitation,
any act of war or civil insurrection, national emergencies, acts of God, fire,
explosion, vandalism, cable cut which is not the fault of Rhythms or any of its
employees, agents or representatives, storm, earthquake, flood, embargo, riot,
sabotage, industry-wide strikes, lockouts, work stoppages or other labor
difficulties, unavoidable, industry-wide supplier failures, shortages, breaches
or delays, unavailability of materials or rights-of-way, governmental act or
change in regulatory requirements affecting telecommunications companies
similarly situated with Rhythms generally, or failure of the Internet (a "Force
Majeure Event"); provided, however, that Rhythms shall (a) give the Company
prompt notice of such cause, and (b) use its commercially reasonable efforts to
correct promptly such failure or delay in performance to the extent consistent
with then applicable law and regulatory requirements and appropriate in light of
then existing circumstances. Notwithstanding the foregoing, (a) no act or
omission by an employee, agent or authorized representative of Rhythms shall be
deemed to be "beyond the reasonable control" of Rhythms solely for purposes of
this Section 5.5, and (b) in the event that any Force Majeure Event results in a
failure of ESS service to the Company or any remote access endpoint, the
Company's payment obligation for any ESS circuit adversely affected by such
Force Majeure Events shall be suspended on a day-for-day basis for the duration
that such ESS service is so adversely affected by the Force Majeure Event.

         5.6. INSURANCE. During the term of this Agreement, Rhythms at its sole
cost shall carry insurance with an "A" rated company providing coverage with
respect to Comprehensive General Liability, Workers Compensation Insurance and
Automobile Liability Insurance.

         5.7. TECHNOLOGY OPTIMIZATION. As reasonably requested by the Company,
but no more than semi-annually during the Initial Term and all extensions
thereof, Rhythms shall, at no additional charge to the Company, review the mix
and configuration of the ESS service based on the Company's reasonably

                                                                              14

<PAGE>   15
FINAL CONTRACT 12-31-99

anticipated requirements during the succeeding twelve (12) months and consider
the Company's need for additional services, service upgrades and all changes
thereto so as to optimize the efficiency and cost-effectiveness of the Company's
use of ESS service. Based on each such review, Rhythms shall make written
recommendations to the Company that Rhythms believes will improve the efficiency
and cost-effectiveness of the ESS service, including bringing to the Company's
attention any existing or planned offerings, service upgrades, or additional
services that are applicable to the Company's use of the ESS service and that
Rhythms believes may be of value to the Company. Rhythms shall also offer advice
concerning the ESS service, and its configuration where Rhythms believes that
they do not appear to be the most technically or economically appropriate for
addressing a known business communications need of the Company.

         5.8. CHANGES TO SERVICES. Although any service provided by Rhythms is
subject to its business policies, practices, and procedures (which Rhythms
reserves the right to change at any time and from time to time in its sole
discretion), Rhythms will not materially adversely change the ESS service
provided to the Company hereunder except upon sixty (60) days prior written
notice to the Company (a "Notice of Change"). Upon delivery of notice of a
material adverse change to any service, Rhythms shall promptly notify the
Company of the number of remote access endpoints that will be affected by such
change (the "Affected Remote Access Endpoints") and the then existing remaining
duration of each such Affected Remote Access Endpoint's ESS service (excluding
elective extensions) subject to such changes (the "Affected Duration"). Rhythms
shall have the option to either continue to provide the existing ESS service to
the Affected Remote Access Endpoints during the Affected Duration or to upgrade
or enhance the service to an Affected Remote Access Endpoint for the Affected
Duration at Rhythms' sole cost and election. Upon receipt of any Notice of
Change, the Company shall not thereafter be entitled to submit orders for any
services that are materially adversely changed by Rhythms except as specified in
the Notice of Change. Except as set forth herein, if the Company otherwise
elects to continue to use ESS service or any other affected services after
receiving a Notice of Change, those changes will apply to the Company commencing
on the 60th day after the date it receives the Notice of Change. Rhythms shall
exercise commercially reasonable efforts to avoid service degradation,
interruption or material cost to the Company or any Affected Remote Access
Endpoints as a result of such material adverse changes in ESS service for a
period of sixty (60) days after notice to the Company of such actual or proposed
changes in ESS service.

         In addition, Rhythms reserves the right in its sole discretion to
change, replace, upgrade or otherwise modify any aspect of (a) the ESS service
(including, without limitation, the Equipment), or (b) any procedures or
requirements relating to the ordering or provisioning of ESS service under this
Agreement, in response to further technological or other business applications
or developments; provided, however, that any such changes, replacements,
upgrades or modifications shall not result in any adverse effect upon the ESS
service being supplied to Company pursuant to this Agreement.

         5.9. PROJECT MANAGEMENT SERVICES. Rhythms shall provide a full-time
project manager to support the build-out and continuing management of the
Networks and the provision of ESS service to Company and each participating
doctor using ESS service, and that manager will be resident within the greater
Phoenix, Arizona metropolitan market and shall be dedicated to the relationship
between Rhythms and Company. In addition, Rhythms will provide Senior Systems
Engineering resources to Company on an "as needed" basis (as reasonably
determined by Rhythms) to (a) provide consultation and continuing design
engineering for the Networks and provisioning of ESS service to Company and its
participating Doctors, and (b) assist in reviewing Company's developed
applications which require testing of their compatibility and interface with the
ESS service to confirm their operational sufficiency and completeness.

         6. USE OF SERVICES; RIGHTS TO RESTRICT, INTERRUPT OR END SERVICE OR
THIS AGREEMENT. Rhythms is providing ESS service, Equipment and other services
contemplated by this Agreement solely for the internal business use of the
Company and each of its participating Doctors, PharmCos, Physician Groups and
others as an end user of the services provided by Company, and the Company shall
be solely responsible for the content of any transmissions over the Rhythms
Network or the Networks from its premises location or any location of any remote
access endpoint of the Company. The Company shall, and

                                                                              15

<PAGE>   16
FINAL CONTRACT 12-31-99

shall cause each of the persons using ESS service at each remote access endpoint
to, use Rhythms' services in a manner that conforms with the terms of this
Agreement, and the Company and the persons using ESS service at each remote
access endpoint shall not (a) attempt to gain unauthorized access to any other
system or network, or (b) interfere or disrupt other End Users, Network
Operations or Network equipment of Rhythms or any of its affiliates. The Company
and the persons using ESS service at each remote access endpoint shall also not
(1) propagate computer viruses or other harmful code or data or (2) impersonate
any person using forged headers or other identifying information (provided,
however, that the use of anonymous re-mailers and nicknames is allowed). The
Company hereby warrants that the Company and the persons using ESS service at
each remote access endpoint will not infringe the copyright, trademark, or other
intellectual property rights of any other person or entity through the use of
the Rhythms Network or services, and that the Company shall not, and shall cause
each of the persons using ESS service at each remote access endpoint not to, use
the Rhythms Network or services to defame, cause an invasion of privacy or
otherwise violate the rights of any person or entity, or violate any local,
state, federal, or international statute, regulation or treaty. The transfer of
certain technical data and software across national boundaries (including the
electronic transmission thereof) is regulated by the federal government. The
Company shall not, directly or indirectly, export or re-export (including by
electronic transmission) any regulated technical data or software without first
obtaining any required export license or governmental approval and otherwise
complying with all governmental rules and regulations applicable to that
activity. The provisions set forth in this Section 6 are hereby supplemented
and/or modified by the provisions set forth in Rhythms' Acceptable Use Policy
published from time to time at Rhythms' website located at www.rhythms.net If
any conduct described in this first paragraph of this Article 6 or in Rhythms'
Acceptable Use Policy shall occur, Rhythms shall promptly notify the Company of
such offending conduct and, if the Company shall have failed to cause such
offending conduct to cease expeditiously and in a manner calculated to avoid any
repetition to the reasonable satisfaction of Rhythms, Rhythms shall have the
right, in addition to other available remedies, to suspend and interrupt ESS
service to the remote access endpoint(s) or location(s) that Rhythms shall have
identified are responsible for such offending conduct. Rhythms reserves the
right to adopt further restrictions or regulations to address the development or
occurrence of further activities comparable to those listed in this Article 6.

         RHYTHMS MAKES NO GUARANTEE OF CONFIDENTIALITY OR PRIVACY OF ANY
         COMMUNICATION OR INFORMATION TRANSMITTED OVER ITS NETWORK OR ANY
         NETWORK ATTACHED TO ITS NETWORK.

         Rhythms shall not be liable for the privacy of e-mail addresses,
registration and identification information, disk space, communications,
confidential information or trade secret information, or any other content
stored on Rhythms equipment, transmitted over networks accessed by the ESS
service, or otherwise connected with the Company's or its remote access
endpoints. Notwithstanding the above, Rhythms shall be liable for the conduct of
its employees and/or agents in connection with the provisioning of ESS service
that would otherwise constitute a violation by Rhythms of the terms of this
Agreement.

         To maintain or improve Rhythms service or the Rhythms Network, to
prevent fraud or for other business exigencies, Rhythms can restrict, interrupt
or modify the ESS service to the Company, but, with respect to each
interruption, restriction or modification (other than normal and customary
scheduled maintenance and upgrading of the Rhythms Network), Rhythms will
promptly seek to advise the Company of such interruption, restriction or
modification as reasonably practicable and to resolve any situation or condition
that has caused an interruption in ESS service to the extent that the fault
involves the Rhythms Network or its equipment. Rhythms shall have the right, at
its sole election, to restrict or end ESS service to the Company and/or any of
its remote access endpoints if the Company: (a) carries past due balances for
more than thirty (30) days after the original due date (other than disputed
charges being resolved pursuant to Section 9.10 hereof); (b) makes a materially
false statement to Rhythms; (c) interferes with Rhythms' customer service or any
other business operations; (d) becomes insolvent or goes bankrupt; or (e)
breaches or is otherwise in violation of any material, non-monetary provision of
this Agreement and the Company fails to cure any such breach or violation within
(30) days after receipt of notice from Rhythms concerning such breach or
violation. Rhythms also reserves the right to suspend services to any remote
access endpoint or location upon notice to the Company if (i) Rhythms believes
that its service is being misused or used by anyone for unlawful activity, or
(ii) the use of Rhythms service in any premises of the

                                                                              16

<PAGE>   17
FINAL CONTRACT 12-31-99

Company or at any remote access endpoint of the Company adversely affects
Rhythms service to other Rhythms' customers. All products and services of
Rhythms shall be provided subject to Rhythms' business polices, practices and
procedures, which Rhythms' reserves the right to change at any time and from
time to time in its sole discretion.

         Company represents and warrants to Rhythms that Company is obtaining
the ESS service, Equipment and other services provided by Rhythms under this
Agreement solely for the internal business use of the Company as the ultimate
end user at each Company or doctor location and remote access endpoint, and
neither Company nor any of its affiliates shall, directly or indirectly, (i) act
as an internet service provider using any ESS service, Equipment or other
services provided hereunder, and/or (ii) resell, lease, or otherwise provide in
any form or manner any ESS service, Equipment or other services provided
hereunder (or any bandwidth associated therewith) to any other person or party
who is not affiliated with, or an employee of, the Company. Rhythms shall have
the right to reject any order, and to terminate any ESS service or other
services provided hereunder, which involves the provision of any ESS service,
Equipment or other service provided hereunder that is or would be inconsistent
with the immediately preceding sentence.

         7. MUTUAL WAIVERS AND LIMITATIONS OF LIABILITY. Except as otherwise
specifically set forth herein, Rhythms' maximum liability to the Company under
any theory (including but not limited to fraud, misrepresentation, breach of
contract, personal injury, negligence, or products liability) is limited to a
refund or rebate of charges paid or owed to Rhythms by the Company and any
physical property damage caused by Rhythms in connection with the installation
or provisioning of ESS service. The maximum liability of the Company to Rhythms
under any theory (including but not limited to fraud, misrepresentation, breach
of contract, personal injury, negligence, or products liability) is limited to
charges the Company owes to Rhythms, any actual damages the Company causes to
Rhythms business or property, and any damages collected from Rhythms by a third
party arising out of the Company's use of Rhythms' products or services in an
improper or unauthorized manner and/or in violation of the terms of this
Agreement.

         IN NO EVENT SHALL EITHER PARTY TO THIS AGREEMENT BE LIABLE TO THE OTHER
         OR ANY THIRD PARTIES FOR ANY SPECIAL, INDIRECT, INCIDENTAL, PUNITIVE,
         CONSEQUENTIAL OR EXEMPLARY DAMAGES RELATING TO OR ARISING FROM THE
         PROVISION OF THE SERVICES TO BE PROVIDED HEREUNDER, OR OTHERWISE
         RELATING TO THE PERFORMANCE BY EITHER PARTY OF ITS OBLIGATIONS
         HEREUNDER (INCLUDING, WITHOUT LIMITATION, BASED ON LOSS OF REVENUES,
         PROFITS, CUSTOMERS, GOODWILL OR BUSINESS OPPORTUNITIES) WHETHER OR NOT
         EITHER PARTY HAD OR SHOULD HAVE HAD ANY KNOWLEDGE, ACTUAL OR
         CONSTRUCTIVE, THAT SUCH DAMAGES MIGHT BE INCURRED.

         Rhythms and the Company agree not to make, and to waive to the fullest
extent allowed by law, any claim for damages other than direct, compensatory
damages as limited above. Rhythms and the Company also agree not to make, and to
waive to the fullest extent allowed by law, any claim for equitable relief,
other than to protect any patents, copyrights, trademarks, or other intellectual
property rights or Proprietary Information, or to prevent abusive, fraudulent,
improper or illegal use of Rhythms' products or service. The Company shall
indemnify Rhythms for any claims by third parties against Rhythms arising out of
the use of Rhythms' products or service by the Company to the extent such use is
improper, unauthorized or in breach of any provision of this Agreement. Rhythms
shall not be liable to the Company for interrupted service or problems caused by
or contributed to (i) by the Company; (ii) by any third party; (iii) by
atmospheric conditions or other things Rhythms does not control; or (iv) by any
act of God, natural disaster or other Force Majeure Event. Rhythms shall not be
liable for any claim by or against the Company arising out of or related to (i)
alteration, theft or destruction of the Company's computer programs,
information, data files, procedures or other property which is not caused by
Rhythms' negligence or willful misconduct, (ii) any losses or damages the
Company may suffer in connection with the use or

                                                                              17

<PAGE>   18
FINAL CONTRACT 12-31-99

inability to use Rhythms products or services, or (iii) any data, materials or
other information transmitted or received by or to the Company or the Company's
intended recipient that are lost or improperly intercepted via the Internet.

         8.  TERM; TERMINATION.

         8.1. TERM. This Agreement shall initially have a duration equal to the
Initial Term commencing on the Effective Date. This Agreement shall
automatically be renewed for successive one-year terms on each anniversary of
the Effective Date (or on the second or third anniversary of the Effective Date
for two-year and three-year term Agreements, respectively) unless, at least
thirty (30) days prior to the applicable anniversary date for any such renewal,
Rhythms or the Company shall deliver a cancellation and non-renewal notice to
the other party, in which event this Agreement shall expire and terminate at
11:59 p.m. on the day immediately preceding the forthcoming applicable
anniversary date with respect to such renewal.

         8.2.     TERMINATION.

         (a) BY RHYTHMS. Rhythms shall have the right to terminate this
Agreement if the Company shall have failed to promptly perform its obligations
under this Agreement. and such non-performance is not remedied within thirty
(30) days after notice to the Company (or, in the case of non-payment, ten (10)
days after written notice thereof to the Company) (or, in the case of
non-performances other than non-payment, if such remedial action cannot
reasonably be completed within such thirty-day period, the Company shall have
initiated efforts to effect such remedy and is (and continues to) diligently
pursuing the accomplishment of such remedy).

         (b) BY COMPANY. Company shall have the right to terminate this
Agreement in the following circumstances:

         (1)      The Networks shall consistently fail to meet the Network
                  Availability, One-Way Network Delay, and Throughput criteria
                  set forth in the Service Level Agreement on a nationwide basis
                  during any calendar quarter, and Rhythms shall have failed to
                  bring the Networks into compliance with such criteria within
                  thirty (30) days after receipt of notice from the Company; or

         (2)      Rhythms shall fail to continue to increase the number of
                  operational central offices (or comparable coverage-enabling
                  locations) in Rhythms Network such that Rhythms maintains its
                  present proportional relationship to the average number of
                  operational central offices maintained by its two largest
                  competitors, and Rhythms shall fail to reestablish such
                  proportionality within three (3) months after receipt of
                  notice from Company.

         (c) BY EITHER PARTY. Either party may terminate this Agreement upon
thirty (30) days written notice to the other in the event that the other party
becomes bankrupt or insolvent, or makes an assignment for the benefit of
creditors, if such proceedings are not dismissed within sixty (60) days after
commencement. Subsequent to the Initial Term of this Agreement, either party
shall have the right to terminate this Agreement upon sixty (60) days advance
written notice to the other party.

         (d) TERMINATION DAMAGES. In addition to the other remedies provided
herein, each party shall be responsible for all damages (including attorneys'
fees and costs) caused by reason of such defaults by the defaulting party.

                                                                              18

<PAGE>   19

FINAL CONTRACT 12-31-99

         8.3 RIGHT UPON TERMINATION. Upon the expiration or earlier termination
of this Agreement, each party shall return to the other within thirty (30) days
following such expiration or termination all papers, materials, and properties
of the other (including, without limitation, all Proprietary Information).

         8.4. NO DAMAGE FOR TERMINATION. Neither party shall have the right to
recover damages or indemnification of any nature (whether by way of lost
profits, expenditures for promotion, payment for goodwill or payments otherwise
made in connection with the business contemplated by this Agreement) solely as a
result of the expiration or permitted or lawful termination of this Agreement.

         8.5 SURVIVAL. The termination or expiration of this Agreement shall not
affect the provisions of Articles 4, 6, 7, 8 and 9, and Sections 5.1, 5.4 and
5.5 of this Agreement, each of which shall survive any such termination or
expiration and continue in full force and effect thereafter.

         9.       MISCELLANEOUS.

         9.1 SUCCESSORS AND ASSIGNS. This Agreement shall not be assigned by
Rhythms or the Company without the prior written approval of the Company or
Rhythms, respectively, which consent shall not be unreasonably withheld;
provided, however, that either party may assign its rights and obligations under
this Agreement (a) in whole or in part to any subsidiary or affiliate of such
party as long as such party remains primarily obligated under this Agreement,
and/or (b) in whole as part of a corporate reorganization, consolidation,
merger, or sale of all or substantially all of its assets; provided, further,
however, that (a) the assignee assumes in full in writing the obligations of the
assignor under this Agreement, and (b) the Company shall not assign this
Agreement to any direct competitor of Rhythms. Except as otherwise provided
herein, the terms and conditions of this Agreement shall inure to the benefit
of, and be binding upon, the respective permitted successors and assigns of the
parties. Nothing in this Agreement, express or implied, is intended to confer
upon any party other than the parties hereto or their respective permitted
successors and assigns any rights, remedies, obligations, or liabilities under
or by reason of this Agreement.

         9.2 PUBLICITY. Except as otherwise provided in Section 4.3 of this
Agreement, neither party shall disclose the existence or the terms and
conditions of this Agreement to third parties (other than as required to enable
subcontractors and/or consultants to perform its obligations under this
Agreement) without the prior written consent of the other party.

         9.3 GOVERNING LAW. This Agreement shall be governed by, and construed
and enforced in accordance with, the laws of the Sate of Colorado without regard
to the choice of law principles thereunder.

         9.4. COUNTERPARTS. This Agreement may be executed in two or more
counterparts, each of which shall be deemed an original, but all of which
together shall constitute one and the same instrument.

         9.5 HEADINGS. The titles, subtitles and other headings used in this
Agreement are used for convenience only and are not to be considered in
construing or interpreting this Agreement.

9.6 NOTICES. Unless otherwise provided, any notice, request, demand,
instruction, document or other communication required or permitted under this
Agreement shall be given in writing and shall be deemed effectively given upon
its receipt addressed to the party to be notified at the address or number
indicated for such party below, or at such other address or number as such party
may designate by advanced written notification to the other party delivered as
provided in this Section 9.6. All notices, requests, demands, instructions,
documents and other communications shall be deemed duly given upon the earliest
of (i) hand delivery; (ii) the first business day after sending by reputable
overnight delivery service for next-day delivery; (iii) the third business day
after sending by first class United States mail, postage prepaid; (iv) the time
of successful facsimile or e-mail transmission as evidenced by a confirmation of
successful transmission (or in the event that the time of receipt of the fax or
e-mail in the city where the fax

                                                                              19

<PAGE>   20
or e-mail is received is not during regular business hours on a business day,
then at the customary hour for the opening of business on the next business
day); or (v) the date actually received by the other party. The current
addresses and numbers of the parties hereto are as follows:

                  Rhythms NetConnections Inc.
                  6933 South Revere Parkway
                  Englewood, Colorado  80112
                  Tel. No.:  303-476-4200
                  Fax. No.:  303-476-5723
                  E-Mail: kdegenhart@rhythms.net
                  Attention:  Mr. Kenneth R. Degenhart

                  iPhysicianNet Inc.
                  8777 North Gainey Center Drive, Suite 285
                  Scottsdale, Arizona  85258
                  Tel. No.:           480-368-2768
                  Fax. No:  480-368-2771
                  E-Mail:   lyle.scritsmier@ipni.com
                  Attention:  Lyle R. Scritsmier.
                              Executive Vice President & Chief Financial Officer

         9.7 EXPENSES. If any action at law or in equity is necessary to enforce
or interpret the terms of this Agreement, the prevailing party shall be entitled
to reasonable attorney's fees, costs and necessary disbursements in addition to
any other relief to which such party may be entitled.

         9.8 AMENDMENTS AND WAIVERS Any term of this Agreement may be amended,
either in whole or in part, only with the written consent of each of the parties
hereto. Notwithstanding any course of conduct or dealing by the parties during
the course of this Agreement, no waiver (either generally or in a particular
instance and either retroactively or prospectively) shall be deemed to have been
made by either party hereto unless expressed in writing and signed by the
waiving party. The failure of either party to insist in any one or more
instances upon strict performance of any of the terms or provisions of this
Agreement, or to exercise any election herein contained, shall not be construed
as a waiver of any prior or subsequent rights or remedies hereunder or at law.
All remedies afforded in this Agreement shall be taken and construed as in
addition to every other remedy available at law or in equity.

         9.9 SEVERABILITY. If one or more provisions of this Agreement are held
to be unenforceable under applicable law, such provision shall be appropriately
limited in its scope and application to make it enforceable or, if any such
limitations is not possible, such provision shall be excluded from this
Agreement and the balance of the Agreement shall be interpreted as if such
provision were so excluded and shall be enforceable in accordance with its
terms.

         9.10.    DISPUTE RESOLUTION

         9.10.1. ESCALATION. Any controversy or claim arising out of, relating
to or in connection with this Agreement shall be first submitted by the parties
in writing to a panel of two senior executives, one appointed by the Company and
one appointed by Rhythms, who shall promptly meet and confer in an effort to
resolve such dispute. In the event the appointed executives are unable to
resolve such dispute within forty-five (45) days (or, with respect to any
dispute involving payments due under this Agreement, within ten (10) days) after
the submission of the dispute to them and the parties have not agreed to an
extension of time within which the dispute may be resolved by such executives,
either party may then refer such dispute to arbitration in accordance with
Subsection 9.10.2 hereof.

         9.10.2. ARBITRATION. Any controversy or claim arising out of, relating
to or in connection with this Agreement that has not been resolved pursuant to
Subsection 9.10.1 hereof

                                                                              20

<PAGE>   21
FINAL CONTRACT 12-31-99

shall be resolved through binding arbitration pursuant to and in accordance with
the Commercial Arbitration Rules of the American Arbitration Association then in
effect, as modified by the terms of this Subsection 9.10.2 set forth below:

         (a) Arbitration shall be conducted at a location in San Francisco,
         California to be agreed upon by the parties.

         (b) Arbitration shall be conducted by three (3) arbitrators, with each
         party to this Agreement selecting one (1) arbitrator each and the two
         selected arbitrators then selecting the third arbitrator.

         (c) Prior to the commencement of the arbitration, each party shall be
         entitled to take limited discovery, including the rights to request a
         reasonable number of documents, to serve no more than twenty (20)
         interrogatories and to take no more than three (3) depositions. This
         limited discovery shall be conducted in accordance with the Federal
         Rules of Civil Procedure, which shall be interpreted and enforced by
         the arbitrators.

         (d) The arbitrators shall, as soon as practicable and upon fifteen (15)
         days written notice to each party, conduct an arbitration hearing and
         proceeding on the merits of the dispute and thereafter shall issue a
         written decision explaining the basis for the decision, including
         findings of fact and conclusions of law and/or contract interpretation.
         The decision of the arbitrators shall be based upon a majority vote.
         The parties agree that the arbitrators shall have no power or authority
         to make any award that provides for punitive or exemplary damages or
         other damages excluded by this Agreement, or that otherwise departs
         from the plain meaning of this Agreement.

         (e) Each party shall bear its own costs and expenses arising out of any
         arbitration (including the costs of the arbitrator selected by it), and
         shall bear equally the costs, expenses and fees of the third party
         arbitrator.

         (f) Any arbitration arising out of or relating to this Agreement or any
         alleged breach or non-performance thereof may include by consolidation,
         joinder or other manner any other person or persons which or whom a
         party to the arbitration reasonably believes to be substantially
         involved in a common question of fact or law.

         (g) The agreement to arbitrate shall be specifically enforceable under
         prevailing law. Any award rendered by the arbitrators shall be final,
         binding and enforceable by any party to the arbitration, and judgment
         may be rendered upon it in accordance with applicable law in a court of
         competent jurisdiction.

         (h) Other than in connection with enforcing its rights in proprietary
         information or intellectual property rights or in connection with this
         Subsection 9.10.2, each party hereby waives any and all rights to, and
         hereby covenants not to, bring any lawsuit, arbitration or other
         proceeding in any jurisdiction, judicial body or forum arising under or
         relating to this Agreement or its subject matter (other than an
         arbitration proceeding described above or a legal proceeding solely to
         enforce the award or judgment of such arbitration proceeding).

         (i) The parties acknowledge that this Agreement evidences a transaction
         involving interstate commerce. The United States Arbitration Act shall
         govern the interpretation, enforcement, and proceedings pursuant to the
         arbitration clause in this Agreement.

         9.11 RELATIONSHIP OF PARTIES. In fulfilling its obligations under this
Agreement, each party shall be acting as an independent contractor. This
Agreement does not make either party the employee, agent, or legal
representative of the other. Nothing stated in this Agreement shall be construed
as constituting the Company and Rhythms as partners or joint venturers, or
creating any other type of relationship such as general agency, partnership,
employment relationship or franchise, and each party to

                                                                              21

<PAGE>   22
FINAL CONTRACT 12-31-99

this Agreement shall not hold itself out as having any authority to make any
agreement or incur any liability or bind the other party hereto in any manner.

         9.12 ENTIRE AGREEMENT. This Agreement (including the Exhibits hereto,
each of which is incorporated herein and made a part of this Agreement by this
reference) constitutes the full and entire understanding and agreement between
the parties with regard to the subject matter hereof and thereof.

         IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date first above written.

iPHYSICIANNET  INC.                                  RHYTHMS NETCONNECTIONS INC.

------------------------                             --------------------------
Signature                                            Signature

Steve Bonnell                                        Robert Bajema
------------------------                             --------------------------
Name (Type or Print)                                 Name (Type or Print)

Executive Vice President, Technical Operations
------------------------
And Chief Technology Officer                         Area Vice President
------------------------                             --------------------------
Title                                                Title

------------------------                             --------------------------
Date                                                 Date

                                                                              22

<PAGE>   23
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

FINAL CONTRACT 12-31-99

EXHIBIT A:  RHYTHMS PRODUCTS AND PRICING, OTHER FEES AND CHARGES

I.       ESS PRICING (STANDARD MONTHLY RECURRING AND INSTALLATION CHARGES)

         The Monthly Recurring Charges set forth herein shall encompass the
following functions: DSL Connectivity, Access to the Networks, an average of 45
MB egress for each PharmCo, Network Management, Enterprise class Internet
Access, Computer Installation Services and Rhythms provision of full-time
Project Management. Based upon Company's satisfaction of the Ramp Commitment in
accordance with Section 1.3 of the Agreement, the Monthly Recurring Charges for
ESS service shall be **** per Doctor or remote end-user endpoint per month.

         The Monthly Recurring Charges assumes normal and customary Egress
Connections by PharmCos located within the continental United States. If and to
the extent that special circumstances and/or extraordinary measures must be
undertaken, or excessive costs must be incurred, in order to establish the level
of Egress Connection to any such PharmCo or Rhythms is requested to provision
connectivity or Egress Connections for other than Doctors or PharmCos, Rhythms
reserves the right to decline to provide such connectivity or Egress Connections
if Company does not agree to pay to Rhythms the appropriate installation and/or
monthly recurring charges to compensate Rhythms for such special circumstances,
additional measures or excessive costs or such additional connectivity or Egress
Connections.

         Company shall be entitled to purchase additional capacity for its
Networks at an additional charge of **** for each 1kb/s of backbone bandwidth
measured at the point of egress.

         Company shall have the option to require Rhythms to manage the Internet
access service to prove acceptable performance for Doctor-to-Doctor video
transmissions at an additional charge of **** per Doctor per month; provided,
however, that such Internet access management shall apply to all Doctors within
the installed base and all new Doctors subscribing for ESS after Company's
exercise of such option.

         The installation charge for completing the inst shall be a one-time
charge of **** (except for special access strategies or other special
circumstances in establishing such connectivity, the estimated costs of which
will be reviewed with Company prior to taking any such action in accordance with
Section 2.2 of the Agreement).

II.      EGRESS CONNECTIONS

         The following shall be the pricing applicable to any and all Egress
Connections ordered by the Company for any person (other than the first twelve
Egress Connections ordered for PharmCos for each Network), and the amounts set
forth herein shall be used for purposes of determining any credits due under the
Service Level Agreement with respect to any failure of an Egress Connection that
may qualify for a credit thereunder.

<TABLE>
<CAPTION>

                                                                            EGRESS INSTALLATION 12
CONNECTIVITY OPTIONS          MONTHLY CHARGES     INSTALLATION CHARGES      MONTH PAYMENT OPTION
--------------------          ---------------     --------------------      --------------------
<S>                               <C>                  <C>                        <C>
DS1 Circuit                       ****                 ****                         ****
-----------------------           ------               ------                       ------
DS3 Circuit                       ****                 ****                        ****
-----------------------           ------               ------                      ------
</TABLE>

                                                                              23

<PAGE>   24
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

FINAL CONTRACT 12-31-99

The foregoing monthly and installation charges shall be applicable for each
Egress Connection ordered by Company to provide back-up Egress Connections for
the PharmCos, Company or any of Company's Permitted Subcontractors.

III.    SCHEDULE OF CANCELLATION AND OTHER FEES

  A.       EARLY TERMINATION

1.   ESS  SERVICES:

     If Company cancels an Order for an ESS Service prior to installation for
     any reason other than a failure by Rhythms to provide an ESS Service at
     transmission speeds at least equivalent to those included in the Minimum
     Expected Service Availability, a charge of **** will be assessed against
     the Company and payable to Rhythms. Company will be provided a grace period
     of 30 days after the order is placed with Rhythms to cancel an ESS Service
     without a penalty, as long as such cancellation is received by Rhythms at
     least 30 days prior to the planned installation date of the ESS Service and
     it can be shown that no third party costs have been incurred by Rhythms in
     connection with the actual provisioning of such ordered ESS Service. .

     If an ESS Service is disconnected prior to the expiration of the term for
     that ESS Service, a charge of **** will be assessed against Company for
     orders cancelled between the service initiation day and the end of the
     twelfth (12th) month, a charge of **** will be assessed against Company for
     orders cancelled thereafter and prior to the last day of the twenty seventh
     (27th) month , and such early termination charges will be payable to
     Rhythms on or prior to the fifteenth (15th) day after the end of the
     calendar quarter in which such cancellations occurred; provided, however,
     that Company shall not be charged for any early termination of ESS Service
     occurring in any calendar quarter unless early terminations of ESS Service
     in such calendar quarter exceed five percent (5%) of total newly completed
     installations of ESS Service occurring in such calendar quarter (such 5%
     excused early terminations to be determined on a first-to-occur in the
     quarter basis). There will be no cancellation penalty for an ESS Service
     cancelled after the last day of the twenty seventh (27th) month of such
     service.

     2. EGRESS CONNECTIONS:

     If Company cancels an Order for an Egress Connection prior to installation
     of the ordered Egress Connection, a charge of **** of the full installation
     charge for that Egress Connection will be assessed against Company and
     payable to Rhythms.

     If Company cancels an Egress Connection after installation of the Egress
     Connection and prior to completion of the applicable contracted term, a
     charge of **** for a DS-1 early termination and **** for a DS-3 early
     termination, as the case may be, will be assessed against Company and
     payable to Rhythms.

  B.       OTHER FEES AND CHARGES

     1. LATE CANCELLATION, NO SHOW AND REDISPATCH:

                                                                              24

<PAGE>   25
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

FINAL CONTRACT 12-31-99

                      If an installation appointment is cancelled after 12:00
                      noon (local time) on the business day preceding the
                      scheduled installation date, or if the Company or any of
                      its individual end users are not available at the
                      scheduled time and date to permit installation to proceed
                      as scheduled, a **** charge will be assessed against
                      Company and payable to Rhythms. If it is determined by
                      Rhythms that a Redispatch is necessary due to problems
                      caused by Company or any of its individual end users, a
                      **** charge will be assessed to Company and payable to
                      Rhythms.

                      The Company will not be charged for cancellations and
                      rescheduling of appointments unless cancellations exceed
                      **** of their total installations during any quarterly
                      period.

                  2.  EGRESS MOVE:

                      Charges will be supplied upon request. (Allow 30 days for
                      receipt of a firm quote).

                  3.  INTRA-MARKET REMOTE ACCESS ENDPOINT MOVE:

                      No cancellation charge will apply to a Company when an
                      individual remote access endpoint moves within a
                      Metropolitan Market. However, a **** charge for
                      re-installation and related costs will be assessed against
                      Company and payable to Rhythms with respect to an
                      intra-Metropolitan Market move. The term of the ESS
                      Service at the new location will be for at least the
                      balance of the remaining term of the disconnected circuit
                      (but in any event no less than 12 months) from the date
                      that re-installation is completed at the new location.

                  4.  STANDARD INSIDE WIRING:

                      This is included in the charges for a normal installation.
                      Normal or standard inside wiring shall include up to 100'
                      of wiring and installation of one customary RJ11 Jack or
                      Biscuit Jack (according to the Company's preference) in an
                      accessible location situated in a standard, two-story
                      building.

                  5.  ORDER NON-ACCEPTANCE FEE:

                      A full installation charge and, if a Rhythms Installer
                      must visit the Company or any of its individual remote
                      access endpoints premises in connection with the
                      deactivation, an equivalent deactivation charge for each
                      such additional visit will be assessed against the Company
                      and payable to Rhythms for each.

                  6.  SERVICE CHANGE FEE:

                      A **** charge will be assessed against the Company
                      whenever a change of service (upgrade or downgrade) is
                      made within a technology and no corresponding change is
                      required to the Equipment, unless the duration of any
                      change of service shall be for at least a one-month
                      period. When a Rhythms Installer is required to go to the
                      Company or any of its individual remote access endpoints
                      premises to effect any change in services or Equipment, a
                      full installation charge will be assessed against Company
                      and payable to Rhythms in addition to any other applicable
                      charges. If any downgrade of an ESS Service occurs within
                      the first six months of its initial service period, the
                      net difference between any promotional discounts existing
                      at the time of the original Order for the initial ESS
                      Service and the downgrade will be recaptured and shall be
                      assessed against the Company and payable to Rhythms.

                  7.  BILLABLE DISPATCH OR REPAIR FEE:

                                                                              25

<PAGE>   26
* Confidential information has been omitted and filed separately with the
  Securities and Exchange Commission pursuant to a confidential treatment
  request.

FINAL CONTRACT 12-31-99

                      Charges will be assessed against Company for any instance
                      a Technical Representative is dispatched to Company's site
                      to resolve any service-related problem that is not caused
                      by the Rhythms ESS Service. No charge will be assessed if
                      the service-related problem is determined to be caused by
                      the Rhythms ESS Service. If Company requests any repair or
                      maintenance services relating to a router, inside wiring,
                      or other service problem and Rhythms agrees to provide
                      such repair or maintenance services, Company shall pay
                      Rhythms for such services at the rates set forth in this
                      Paragraph (7).

                               Time and Materials at the following rates:

                               Dispatch Fee                             ****

                               During Normal Hours (7AM to
                                    6PM local time):
                                    First Hour/Minimum Charge           ****
                                    Each Additional 15 Minutes          ****

                               Outside Normal Hours:
                                    First Hour/ Minimum Charge          ****
                                    Each Additional 15 Minutes          ****

         IV. Pricing protections

         During the term of this Agreement, Rhythms shall not offer to any
person that provides videoconferencing between Doctors and PharmCos in direct
competition with Company (a "Company Competitor") an ESS service offering that
is identical to the ESS service being provided to Company pursuant to this
Agreement at pricing that is equal to or less than the prices then paid by
Company for the ESS service unless such Company Competitor agrees to equal or
higher order volume commitments than those provided by Company in this
Agreement.

                                                                              26

<PAGE>   27
FINAL CONTRACT 12-31-99

EXHIBIT B:        RHYTHMS ENTERPRISE SERVICE LEVEL AGREEMENT

NETWORK AVAILABILITY
Rhythms' target for Network Availability is an average of 99.9% per month for
the Company's circuits.

Network Availability is defined as:
<TABLE>
<CAPTION>

<S>                      <C>
NETWORK                  (TOTAL NUMBER CIRCUITS* TOTAL MINUTES IN GIVEN MONTH) - (TOTAL MINUTES CIRCUIT OUTAGES IN GIVEN MONTH)
                         ------------------------------------------------------------------------------------------------------
Availability =           Total Number Circuits* Total Minutes In Given Month
</TABLE>

Network Availability for an end-user circuit is measured the Rhythms provided
Customer Premises Equipment (CPE) at the end-user's premises to the Company's
port on the Rhythms switch or router at the Rhythms Metro Service Center (RMSC),
excluding inside wiring at the end-user's premises. Network Availability for a
Rhythms provided Interconnect circuit is measured from the minimum point of
entry (MPOE) at the Company's premises to the Company's port on the Rhythms
switch or router at the RMSC.

Total minutes in outage in any given month will be calculated commencing on the
date and time Rhythms or the Company opens a trouble ticket with Rhythms, and
ending with confirmation to the Company or the Company's end-user from Rhythms
that Network Availability has been restored. Rhythms scheduled outages and
Company outages, either scheduled or unscheduled, will not be considered in the
total minutes of outage equation.

Where the average 99.9% network availability target is not met, a penalty equal
to 10% of the monthly recurring service charge of the affected xDSL, DS1, NxDS1
or DS3 service charge will be credited to the Company.

Where an average of 99.5% network availability is not met, a penalty equal to
30% of the monthly recurring service charge of the affected xDSL, DS1, NxDS1 or
DS3 service charge will be credited to the Company.

ONE-WAY NETWORK DELAY

Rhythms commits to an average one-way network delay summarized in table 1 below.

One-way delay is defined as the time it takes a 64 byte packet originating over
an xDSL or DS-1 end-user circuit to traverse from a computer directly attached,
on a dedicated segment, to the Rhythms provided CPE to the Company's port on the
switch or router at the RMSC; or the time it takes to traverse from the input of
the Company's port on the switch or router at the RMSC to a computer directly
attached, on a dedicated segment, to the Rhythms provided CPE. This delay
measurement includes the serialization delay on the interface of the directly
attached computer that connects to the Rhythms provided CPE and includes all
network components up to the Company's port on the switch or router in the RMSC.

The Average One-Way Delay with WAN Services column in table 1 is applicable if
the Rhythms' wide area ATM network is part of the product selected. The wide
area network is used if the Company's port on the ATM switch is in a different
RMSC from the RMSC where the DSL line is terminated. Otherwise the Average
One-Way Delay-Single RMSC column in table 1 is applicable.

                                                                              27

<PAGE>   28
FINAL CONTRACT 12-31-99
<TABLE>
<CAPTION>

<S>                                                     <C>                                       <C>
     DSL TECHNOLOGY                                      AVERAGE ONE-WAY DELAY -                     AVERAGE ONE-WAY DELAY WITH WAN
                                                             SINGLE RMSC                                       SERVICES
------------------------------------------------        -----------------------------------       ---------------------------------
 RADSL (7x1 Mbps
 to 1 x 1 Mbps)                                         13 ms                                     73 ms
------------------------------------------------        -----------------------------------       ---------------------------------
  RADSL (768 kbps
    and below)                                          18 ms                                     78 ms
------------------------------------------------        -----------------------------------       ---------------------------------
          SDSL                                          15ms                                      75ms
------------------------------------------------        -----------------------------------       ---------------------------------
          IDSL                                          20ms                                      80ms
------------------------------------------------        -----------------------------------       ---------------------------------
DS-1 (end-user circuit)                                 13 ms                                     73 ms
------------------------------------------------        -----------------------------------       ---------------------------------
                                                                       TABLE 1
</TABLE>

The Company's Network Management Center (NMC) must perform the delay measurement
using the method described below:

-    The Company's Network Management Center (NMC) initiates a PING test to the
     end-user's directly attached computer. This measurement is the NMC to
     end-user delay.

-    Secondly, the Company's NMC initiates a PING test to a router that is
     located within the RMSC. This second measurement is the NMC to Interconnect
     delay.

The One-way Network Delay is calculated as follows:

                            (NMC to end-user Delay - NMC to Interconnect Delay)
                            ---------------------------------------------------
One-way Network Delay =                     2

The Network Delay test shall consist of a series of 10 such measurements
performed twice daily at four-hour intervals for five consecutive days. The
average one-way network delay is then calculated as the mathematical average of
all measurements over the five-day period. If the Company suspects a delay
problem the Company shall open a trouble ticket with Rhythms. After notifying
Rhythms, Rhythms and the Company shall perform joint testing to identify the
problem.

If non-compliance with the average one-way network delay is verified, a penalty
equal to 10% o the Company. of the monthly recurring service charge of the
affected xDSL or DS-1 end-user circuit will be credited to the Company.

                                                                              28

<PAGE>   29
FINAL CONTRACT 12-31-99

                       [Figure 1 Data Network Delay Measurement]
                                   [GRAPHIC OMITTED]

DATA DELIVERY
As a commitment to prevent congestion, Rhythms will guarantee 99.9% data
delivery over the Rhythms network.

The Company will open a trouble ticket when Data Delivery rate is in questions.
For each circuit whose monthly average does not equal or exceed the 99.9%
target, a penalty equal to 10% of the monthly recurring service charge of the
affected xDSL or DS-1 end user circuit will be credited to the Company.

MEAN RESPONSE TIME

Rhythms commits itself to providing the best customer care experience in the
telecommunications industry. To that end, Rhythms promises to answer the phone
within 20 seconds of the first ring, and a customer will be on hold no longer
than 30 seconds.

MEAN TIME TO RESTORE SERVICE
Rhythms is committed to restoring service within certain periods of time based
on the severity of the problem in addition to whether single or multiple clients
are affected. Rhythms manages to these restoration goals and targets restoration
of services within the following time frames:

     END-USER xDSL OR DS1 CIRCUIT:

     -   End-user Circuit is defined as the Rhythms provided CPE and the circuit
         from the Network Interface Device (NID) or MPOE at the end-user's
         premises to the Company's port on the Rhythms switch or router at the
         RMSC.

     -   Time to repair for all submitted Company Trouble Tickets shall be 4
         hours averaged on a monthly basis for all of the Company's End-User
         Circuits.

     -   If the average time to repair circuits is in excess of 4 hours, a
         penalty equal to 10% of the monthly recurring service charge of each
         xDSL or DS-1 End-user Circuit that has been affected by an outage will
         be credited to the Company.

     -   If the average time to repair circuits is in excess of 24 hours, a
         penalty equal to 30% of the monthly recurring service charge of each
         xDSL or DS-1 End-user Circuit that has been affected by an outage will
         be credited to the Company.

                                                                              29

<PAGE>   30
FINAL CONTRACT 12-31-99

     INTERCONNECT CIRCUIT:

     -   The Company's Interconnect Circuit is defined as the Rhythms-provided
         circuit from the Company's port on the Rhythms switch or router in the
         RMSC to Rhythms' point of demarcation at the Company premise, up to but
         not including the Company-owned router, switch or other equipment.

     -   Rhythms will manage the local loop vendor (or Incumbent Local Exchange
         Carrier) on behalf of the Company for any repairs or problems related
         to Rhythms provided Interconnect Circuits.

     -   If the average time to repair circuits is in excess of 4 hours, a
         penalty equal to 10% of the monthly recurring service charge of each
         Interconnect Circuit that has been affected by an outage will be
         credited to the Company.

     -   If the average time to repair circuits is in excess of 24 hours, a
         penalty equal to 30% of the monthly recurring service charge of each
         Interconnect Circuit that has been affected by an outage will be
         credited to the Company.

CUSTOMER INSTALLATION PROMISE

Rhythms schedules firm appointments for installation. A Rhythms Field Service
Technician (FST) will arrive within two hours of the scheduled installation
appointment time. If the Rhythms FST fails to arrive within that time, a penalty
equal to 50% of the installation charges for the affected end-user will be
credited to the Company.

TROUBLE REPORTING

The Company and Rhythms shall determine appropriate personnel authorized to
issue trouble reports under this Agreement Each party shall accept trouble
reports without delay from these authorized personnel whenever, after the
performance of appropriate tests, trouble is located in the facilities or the
ESS services, and shall cause further testing and sectionalization to be done to
determine whether the trouble is located in Rhythms facilities or equipment or
in another source. If such testing is ineffective, each party shall work
together with the other to assist in identifying the location of the trouble.
Such cooperative testing shall normally be limited to continuity testing and
quality testing based upon customary existing industry practices.

Whenever trouble is reported by either party, specific trouble tracking
information shall be exchanged with the other party. To facilitate the exchange
of information, each party shall maintain a trouble log of all trouble reports
occurring with respect to this Agreement. The trouble log shall include the
following information at a minimum:serialization of each trouble report;
37.      the nature of the reported trouble;
38.      date and time of the trouble report;
39.      name and telephone number of the person initially reporting the
         trouble;
40.      name and telephone number of the person receiving the initial trouble
         report;
41.      diagnosis of trouble;
42.      trouble clearance code;
43.      date and time of trouble clearance;
44.      name and telephone number of the person reporting the trouble has been
         cleared; and
45.      name and telephone number of the person receiving the trouble
         clearance.

Rhythms and Company shall use their best efforts to maintain complete and
accurate records of all relevant data (including, without limitation, trouble
tickets in each billing cycle) necessary to calculate any appropriate credits
that may become due to Company and to reconcile any disputes arising with
respect to each of such credits, and shall promptly confer and exchange such
trouble ticket information to resolve any questions arising concerning the
validity or amount of any credit allowance due to Company.

                                                                              30

<PAGE>   31
FINAL CONTRACT 12-31-99

GENERAL TERMS

All Network Performance Parameters are based on the assumption that the Company
network is appropriately engineered (e.g., Interconnect Circuits are maintained
within reasonable over-subscription limits). If Rhythms determines that the
Company network is inappropriately configured, no credits will be given.

No credits will be provided under Availability, Network Delay, or Data Delivery
prior to successful completion of installation. Credits must be claimed within
60 calendar days of the date of the reported incident(s). Credits provided by
Rhythms hereunder shall not be cumulative for any single failure or greater than
50% for the monthly charge within any given month and 100% for the installation
charge.

No credits will be granted to the Company for any service interruption or other
transmission problems (including, without limitation, any inability by Rhythms
to maintain 100% service under its Network Availability, Network Delay, and Data
Delivery commitments contained herein) which are caused by or contributed to (a)
by the Company, (b) by any third party (including the Company and the Company's
end-users), (c) by atmospheric or environmental conditions, which could not be
reasonably foreseen or controlled (d) by any Act of God or natural disaster, or
(e) by any person who is not controlled by, or under common control with,
Rhythms. Rhythms will nevertheless use its reasonable efforts to seek a prompt
resumption of service and/or resolution of transmission problems in
circumstances where such efforts have a reasonable likelihood of achieving those
results promptly.

If there is any month in which you believe our service has not delivered the
performance that we promised you, please notify us at 1-800-RHYTHMS (749-8467).

                                                                              31

<PAGE>   32
FINAL CONTRACT 12-31-99

EXHIBIT  C:  SPECIAL PROVISIONS

I.       TERM OF AGREEMENT
         This Agreement shall have an Initial Term of three (3) years.

II.      SPECIAL ARRANGEMENTS:   ISDN  TRANSITION PROGRAM

         On or prior to the Commencement Date, Rhythms shall establish a Five
Hundred Thousand Dollar ($500,000) loan to the Company upon the terms and
subject to the conditions set forth herein (the "Loan"). The Loan shall have a
three-year term, shall commence on the Commencement Date, and shall bear
interest at the rate of 12.25% annually. The terms of such Loan shall be
evidenced by a promissory note issued by the Company and payable to Rhythms and
which shall be in form and substance satisfactory to Rhythms and its legal
counsel.

         The entire proceeds of the Loan shall be deposited by or on behalf of
Company in an escrow fund (the "Escrow Fund") with an accredited financial
institution reasonably satisfactory to Rhythms and Company (the "Escrow Agent"),
and the Escrow Fund shall be established upon terms and conditions in an
agreement which shall be mutually satisfactory to Company, Rhythms and Escrow
Agent. Interest paid upon the Escrow Fund shall, upon receipt, become part of
the Escrow Fund. Concurrently with the establishment of the Escrow Fund, Rhythms
shall have a senior secured and perfected security interest in the Escrow Fund
which shall be senior to any other creditor of Company, and Company shall
execute and deliver to Rhythms all agreements, certificates and other
documentation or instruments as Rhythms or its legal counsel may reasonable
request in order to establish such senior, perfected security interest and
otherwise assure its interests in the Escrow Fund. Any and all fees and
administrative charges due to the Escrow Agent with respect to the Escrow Fund
shall be paid by Company. The Escrow Fund shall terminate on the third
anniversary of the Commencement Date (or such earlier date as the Agreement
shall be terminated as provided below) (the "Expiration Date") at 12:00 p.m.
(MST) (the "Expiration Time"), and any funds remaining in the Escrow Fund shall
be delivered to Rhythms (the "Remaining Escrow Funds")

         The Escrow Fund shall be used solely for the purpose of satisfying
Company's obligations to Rhythms with respect to the installation charges
arising in connection with the conversion of Doctors on the "iPhysician Net"
network on and as of the Commencement Date (the "ISDN Doctors") to obtaining ESS
pursuant to the terms of this Agreement. Company shall provide Rhythms with
access to all information with respect to the ISDN Doctors, and Rhythms shall
determine, in its sole discretion, the ISDN Doctors that are the best candidates
for conversion to ESS and the target dates for accomplishing any such
conversion. Company and Rhythms shall cooperate in maximizing the number of ISDN
Doctors that can be reasonably converted to ESS . With respect to the
installation charge due from Company to Rhythms upon the completion of an
installation of ESS at an ISDN Doctor's location, Company shall be entitled to
disburse to Rhythms (a) $99.95 of such installation charge from the Escrow Fund
with respect to the first 1,600 ISDN Doctors so converted, and (b) $25.00 of
such installation charge from the Escrow Fund with respect to each ISDN Doctor
so converted after completion of the first 1,600 conversions; provided, however,
that the $25.00 disbursement shall be limited to first 13,600 ISDN Doctors
converted who qualify for such $25.00 disbursement from the Escrow Fund.
Disbursements from the Escrow Fund shall continue until the Escrow Fund is fully
depleted.

         The principal of, and accrued interest on, the Loan shall be due and
payable by Company to Rhythms, and shall be repaid to Rhythms by Company, at the
Expiration Time on the Expiration Date in one lump-sum payment (collectively,
the "Repayment Amount"); provided, however, that:

(a)               if Company shall have satisfied its Ramp Commitment and shall
                  have converted 15,200 ISDN Doctors to ESS service on or prior
                  to the Expiration Date, the Remaining Escrow

                                                                              32

<PAGE>   33
FINAL CONTRACT 12-31-99

                  Funds shall be remitted to Rhythms and the Repayment Amount
                  shall be forgiven in its entirety by Rhythms and the Loan
                  shall be extinguished and considered paid in full;

         (b)      if Company shall have satisfied its Ramp Commitment but shall
                  have converted less than 15,200 ISDN Doctors to ESS service by
                  the Expiration Date, Company shall remit to Rhythms the
                  Remaining Escrow Funds and accrued interest on the Loan to
                  Rhythms in full payment of the Loan and the balance of the
                  Repayment Amount shall be forgiven; or

         (c)      if Company shall not have satisfied its Ramp Commitment on or
                  prior to the Expiration Date, the Remaining Escrow Funds shall
                  be delivered to Rhythms and the Repayment Amount (as decreased
                  by the amount of the Remaining Escrow Funds delivered to
                  Rhythms) shall be paid by Company to Rhythms on or prior to
                  the Expiration Time on the Expiration Date.

Notwithstanding the foregoing, if the Agreement shall be terminated at any time
by Rhythms for cause, by Company without cause, or as a result of any Force
Majeure Event or any matter described in Section 8.2(b) of the Agreement
(collectively, a "Termination Event"), then the remaining funds in the Escrow
Fund shall be immediately paid to Rhythms and the principal of, and accrued
interest on, the Loan shall become immediately due and payable to Rhythms (the
"Termination Amount"), and the Company's obligation to pay the Termination
Amount shall be reduced to the extent of any funds received by Rhythms from the
Escrow Fund as a direct result of the Termination Event.

III. Special Arrangements:  Co-Branding Arrangements

A. Joint Marketing

1. Each party to the Agreement grants to the other party a non-exclusive right
   to use its logo and trade name on such parties corporate marketing materials
   after receipt of approval as set forth herein, and such approval will not be
   unreasonably withheld. Each party agrees to use its best efforts to jointly
   promote and provide co-branding opportunities as mutually agreed upon. A
   joint marketing program shall be developed by the parties at least annually
   during the term of this Agreement.

Website1. Each party may list the trade name and/or logo of the other on its
respective Website, as a business or alliance partner, in an approved manner as
set forth herein; provided, however, that no such reference shall constitute or
imply that the other party is the agent for, or liable for the obligations of,
the party who's Website has such reference. Each party will facilitate the "hot
link" to the others web destination in the appropriate business or alliance
partner section of their Website, or other locations/sections as mutually agreed
upon.

Notwithstanding the foregoing, neither Rhythms nor Company shall have any right
to use the logo or trade name of the other party hereto in any manner prior to
obtaining the approval of the owner of such logo or trade name (the
"Owner").Such approval will not be unreasonably withheld. The party proposing to
use any such logo or trade name (the "Using Party") shall submit to the Owner,
at least three (3) business days prior to such proposed first use, an exact
copy, illustration or rendition of how such logo or trade name is proposed to be
used and, if such use is approved by the Owner, the Using Party shall have the
right to use such logo or trade name solely as approved by the Owner and any
modifications or additions to the material or manner in which such logo or trade
name is being used by the Using Party shall not be permitted unless such
modifications and/or additions are approved in writing by the Owner after a
further submission by the Using Party. Any such approved use shall terminate
upon the termination of this Agreement or the withdrawal or expiration of such
approval by the Owner, and the Using Party shall cease using such logo or trade
name upon receipt of notification of such termination, expiration or
withdrawal.

                                                                              33

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