Document:

Amendment Number 4 to the Group Purchasing Agreement

 Exhibit 10.34 
 PREMIER PURCHASING PARTNERS, L.P. 
 AMENDMENT NUMBER 4 TO GROUP PURCHASING AGREEMENT 

CONTRACT #:     PP-NS-347     
 Product Category:         Pulse Oximeters         
 Amendment of Section 8.11 HL7 Compliance 
 This Amendment Number 4 (“Amendment”), is entered into effective December 1, 2007 (the “Effective Date”), and shall amend and modify the Group Purchasing Agreement (Contract #: PP-NS-347) by and between Premier
Purchasing Partners, L.P. (“Purchasing Partners”), and Masimo Americas, Inc. (“Seller”), dated effective March 1, 2006 (the “Agreement”), as follows: 
 1. Amendment of Section 8.11 HL7 Compliance. Effective as of the Effective Date, Section 8.11 HL7 Compliance to the Agreement is hereby
amended and restated to and will read as follows: 
  

	 	8.11	HL7 Compliance. Vendor enables HL7 connectivity through and option of the RadNet central station product. This option contains the necessary hardware and software
required to translate patient data into HL7 compliant protocols. Connectivity to the customer’s HL7 compliant Electronic Medical Record will require some level of customization of the protocol dependent of the customer’s EMR vendor, HL7
version and end user requirements. Such customization is available at an additional fee depending on the requirements and scope of the interface. 

 2. Other Terms and Conditions. All other terms and conditions of the Agreement shall remain in full force and effect. 
 This Amendment is hereby executed as of the Effective Date by the parties’ authorized representatives set forth below. 
  

							
	 PREMIER PURCHASING PARTNERS, L.P.
 (“Purchasing Partners”)
	 	 Masimo Americas, Inc.

		 	(“Seller”)
				
	By:	 	PREMIER PLANS, L.L.C.,	 		 	
		 	Its General Partner	 		 	
				
	By:	 	 /s/ John J. Biggers, Jr.
	 	By:	 	 /s/ Jim Beyer

				
	Printed Name:	 	 John J. Biggers, Jr.
	 	Printed Name:	 	 Jim Beyer

				
	Title:	 	 Group Vice President, Sourcing
	 	Title:	 	 Vice President, National Accounts

				
	By:	 	 /s/ John W. Hargette
	 		 	
				
	Printed Name:	 	 John W. Hargette
	 		 	
				
	Title:	 	 Vice President, SourcingAmendment Number 5 to the Group Purchasing Agreement

 Exhibit 10.35 
 *** Text Omitted and Filed Separately 
 Confidential Treatment Requested 
 Under 17 C.F.R. §§ 200.80(b)(4) 
 and 17 C.F.R. 24b-2 
 PREMIER PURCHASING PARTNERS, L.P. 
 AMENDMENT NUMBER 5 TO GROUP PURCHASING AGREEMENT 
 CONTRACT
#: PP-NS-347
 Product Category: Pulse Oximeters
 Product Additions and Deletions 
 This Amendment Number 5
(“Amendment”), is entered into effective March 17, 2008 (the “Effective Date”), and shall amend and modify the Group Purchasing Agreement (Contract #: PP-NS-347) by and between Premier Purchasing Partners, L.P.
(“Purchasing Partners”), and Masimo Corporation (“Seller”), dated effective March 1, 2006 (the “Agreement”), as follows: 
  

	 	1.	Addition of Products. Effective as of the Effective Date, Exhibit A-3 Price Lists to the Agreement is hereby amended to add the Products set forth in Schedule l hereto. The
price of such Products and other pertinent information concerning such Products is also set forth in Schedule l hereto. 

  

	 	2.	Deletion of Products. Effective as of the Effective Date, Exhibit A-3 Price Lists to the Agreement is hereby amended to delete the Products set forth in Schedule 2 hereto.
The price of such Products and other pertinent information concerning such Products is also set forth in Schedule 2 hereto. 

  

	 	3.	Other Terms and Conditions. All other terms and conditions of the Agreement shall remain in full force and effect. 

 This Amendment is hereby executed as of the Effective Date by the parties’ authorized representatives set forth below. 
  

									
	PREMIER PURCHASING PARTNERS, L.P.	 		 	
	(“Purchasing Partners”)	 		 	Masimo Americas, Inc.
		 		 	(“Seller”)
					
	By:	 	PREMIER PLANS, L.L.C.,	 		 		 	
		 	Its General Partner	 		 		 	
					
	By:	 	/s/ Durral Gilbert	 		 	By:	 	/s/ Jim Beyer

									
	Printed Name:	 	Durral Gilbert	 		 	Printed Name:	 	Jim Beyer

									
	Title:	 	Vice President, Operations and Contract Manager	 		 	Title:	 	Vice President, National Accounts

									
					
	By:	 	/s/ John W. Hargette	 		 		 	

									
	Printed Name:	 	John W. Hargette	 		 		 	

									
	Title:	 	Vice President, Sourcing	 		 		 	

					
	 Amendment #5
 Schedule 1 - Product
Additions
	  	 Masimo Americas
 Pulse Oximeters
 Amendment Effective: 03/17/2008
	  	PP-NS-347

  

													
	 Manufacturer
Catalog Number
	  	 Item Description
	  	 UOM
	  	 Qty/UOM
	  	 Tier 1
Access
Price
	  	 Tier
2
[...***...], Total
Product
Purchases ($ Per
Calendar Year)
	  	 Tier 3
[...***...], Total
Product Purchases
($
Per Calendar
Year)

	14422	  	3Com Wireless Bridge	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14530	  	Cable, Male-Male, 3Com - Serial Port	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14423	  	Antenna, 2.4/5 GHz, 3Com	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	32054	  	3COM - Radical Bracket	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	32055	  	RAD-8 Bracket	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14256	  	Wireless Access Points - Cisco 1242AG	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14260	  	Antenna, Ceiling Mount, 2 dBi Diversity, Omnidirectional, 2.4 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14261	  	Antenna, Wall Mount, 6.5 dBi Diversity, Omnidirectional, 2.4 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14573	  	Antenna, Wall Mount, 4.5 dBi Diversity, Cisco AVT-5145 5.8 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14574	  	Antenna, Wall Mount, 9.5 dBi Diversity, Cisco AVT-5195 5.8 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14263	  	Network Switch (Basic) - NetGear	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14858	  	SMC Network Switch (Rack Mount)	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14802	  	HP Proliant DL140 G3 Rack Mount Server	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14803	  	HP DL320G3/DL140G3 DVD/CDRW Drive	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14857	  	4U Rackmount Cabinet, Black XRackPro2 Noise Reduction Enclosure	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14804	  	HP R1500 G2 UPS	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14868	  	Patient SafetyNet Terminal PC	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2382	  	Patient SafetyNet Software	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14424	  	Paging Transmitter	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14253	  	Pager 456 - 460 MHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14254	  	Pager 460 - 464 MHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14255	  	Pager 464 - 468 MHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2345	  	LNCS Sensor Training Kit, 1-Adtx, 1-Pdtx, 1-Inf, 1-Neo, 1-NeoPt Adhesive Sensors and 1-foot w/application Card	  	Pack	  	1	  	[...***...]	  	[...***...]	  	[...***...]

  

					
		  	Schedule 1	  	* Confidential Treatment Requested

					
	 Amendment #5
 Schedule 1 - Product
Additions
	  	 Masimo Americas
 Pulse Oximeters
 Amendment Effective: 03/17/2008
	  	PP-NS-347

  

													
	 Manufacturer
Catalog Number
	  	 Item Description
	  	 UOM
	  	 Qty/UOM
	  	 Tier 1
Access
Price
	  	 Tier
2
[...***...], Total
Product
Purchases ($ Per
Calendar Year)
	  	 Tier 3
[...***...], Total
Product Purchases
($ Per
Calendar
Year)

	2346	  	LNCS Sensor Sample Pack, 3 ft. 1 Adtx-3, 1 Pdtx-3, 1 Inf-3 and 1 Neo-3 Adhesive Sensors	  	Pack	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2347	  	LNCS Adult Sample Pack, 1-Adtx, 1-Pdtx, and 1-Neo Adhesive Sensors	  	Pack	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2348	  	LNCS Neo Sample Pack, 1-Inf, 1-Neo and 1-NeoPt Adhesive Sensors	  	Pack	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	9030	  	Radical Handheld, Blue Screen	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14422	  	3Com Wireless Bridge	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14530	  	Cable, Male-Male, 3Com - Serial Port	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14423	  	Antenna, 2.4/5 GHz, 3Com	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	32054	  	3COM - Radical Bracket	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	32055	  	RAD-8 Bracket	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14256	  	Wireless Access Points - Cisco 1242AG	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14260	  	Antenna, Ceiling Mount, 2 dBi Diversity, Omnidirectional, 2.4 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14261	  	Antenna, Wall Mount, 6.5 dBi Diversity, Omnidirectional, 2.4 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14573	  	Antenna, Wall Mount, 4.5 dBi Diversity, Cisco AVT-5145 5.8 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14574	  	Antenna, Wall Mount, 9.5 dBi Diversity, Cisco AVT-5195, 5.8 GHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14263	  	Network Switch (Basic) -NetGear	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14858	  	SMC Network Switch (Rack Mount)	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14802	  	HP Proliant DL140 G3 Rack Mount Server	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14803	  	HP DL320G3/DL140G3 DVD/CDRW Drive	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14857	  	4U Rackmount Cabinet, Black XRackPro2 Noise Reduction Enclosure	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14804	  	HP R1500 G2 UPS	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14868	  	Patient SafetyNet Terminal PC	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]

  

					
		  	Schedule 1	  	* Confidential Treatment Requested

					
	 Amendment #5
 Schedule 1 - Product
Additions
	  	 Masimo Americas
 Pulse Oximeters
 Amendment Effective: 03/17/2008
	  	PP-NS-347

  

													
	 Manufacturer
Catalog Number
	  	 Item Description
	  	 UOM
	  	 Qty/UOM
	  	 Tier 1
Access
Price
	  	 Tier
2
[...***...], Total
Product
Purchases ($ Per
Calendar Year)
	  	 Tier 3
[...***...], Total
Product Purchases
($
Per Calendar
Year)

	15009	  	Monitor	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2429	  	Patient SafetyNet Software	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14424	  	Paging Transmitter	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14253	  	Pager 456 - 460 MHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14254	  	Pager 460 - 464 MHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	14255	  	Pager 464 - 468 MHz	  	EACH	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2328	  	LNCS Inf, Infant Adhesive Sensors, 18 in., 20/box	  	Box	  	20	  	[...***...]	  	[...***...]	  	[...***...]
	2329	  	LNCS Neo, Neonatal Adhesive Sensors, 18 in., 20/box	  	Box	  	20	  	[...***...]	  	[...***...]	  	[...***...]
	2330	  	LNCS Neo PT, Soft touch Neonatal Adhesive, 18 in., 20/box	  	Box	  	20	  	[...***...]	  	[...***...]	  	[...***...]
	2256	  	RED DCIP-dc3: 3’ DCSC Pediatric Finger Sensor with Direct Connection to Monitor (No Cable Req’d; for Rad-57 & Radical -7)	  	Each	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2257	  	RED DCIP-dc12: 12’ DCSC Pediatric Finger Sensor with Direct Connection to Monitor (No Cable Req’d; for Rad-57 & Radical-7)	  	Each	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	2258	  	LNCS YI, Multisite Reusable Sensor, 3 ft. 1/box	  	Each	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	9086	  	Radical-7 Handheld, TFT Color Display	  	Each	  	1	  	[...***...]	  	[...***...]	  	[...***...]

  

					
		  	Schedule 1	  	* Confidential Treatment Requested

					
	 Amendment #5
 Schedule 2 - Product
Deletions
	  	 Masimo Americas
 Pulse Oximeters
 Amendment Effective: 03/17/2008
	  	PP-NS-347

  

													
	 Manufacturer
Catalog Number
	  	 Item Description
	  	 UOM
	  	 Qty/UOM
	  	 Tier 1
	  	 Tier 2
	  	 Tier 3

	R7DS-1	  	RADICAL-7, 3-IN-1 OXIMETER WITH SAME FEATURES AS R2DS-1 ABOVE EXCEPT THE HANDHELD INCLUDES RAINBOW SET HARDWARE PLATFORM -- WHICH INCLUDES MASIMO SET SPO2 PLUS THE OPTION TO ADD OTHER
HEMOGLOBIN PARAM	  	Each	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	R7DS-1B	  	RADICAL-7, 3-IN-1 OXIMETER WITH SAME FEATURES AS R2DS-1B ABOVE EXCEPT IT INCLUDES RAINBOW SET HARDWARE PLATFORM -- WHICH INCLUDES MASIMO SET SPO2 PLUS THE OPTION TO ADD OTHER HEMOGLOBIN
PARAMETERS SUC	  	Each	  	1	  	[...***...]	  	[...***...]	  	[...***...]
	R7DS-3	  	RADICAL-7, 3-IN-1 OXIMETER WITH SAME FEATURES AS R2DS-3 ABOVE EXCEPT IT INCLUDES RAINBOW SET HARDWARE PLATFORM -- WHICH INCLUDES MASIMO SET SPO2 PLUS THE OPTION TO ADD OTHER HEMOGLOBIN
PARAMETERS SUC	  	Each	  	1	  	[...***...]	  	[...***...]	  	[...***...]

  

					
		  	Schedule 2	  	* Confidential Treatment Requested

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