Document:

exv4w6

EXHIBIT 4.6

CERTIFICATE OF AMENDMENT TO BYLAWS

OF

HANMI FINANCIAL CORPORATION

     I, the undersigned, do hereby certify:

     1. That I am the duly elected and acting Secretary of Hanmi Financial Corporation, a Delaware
corporation (the “Company”); and

     2. That the following is a true and correct copy of a resolution of the Company adopted by
the Board of Directors of the Company on October 14, 2009.

     NOW, THEREFORE, BE IT HEREBY RESOLVED, that Section 3.2 the Bylaws of the Company, be deleted
in its entirety and amended and restated to read as follows:

“Number. Except as may be provided by the terms of any class or series
of stock having a preference over the Corporation’s Common Stock, the
number of directors of the Corporation shall be fixed from time to time
by resolution of the Board of Directors, but shall not be less than five
(5) and not more than eleven (11) and the exact number of directors
shall be fixed from time to time by the Board. Commencing with the
annual meeting of stockholders in 2010, the stockholders shall elect
members of the Board of Directors for a term expiring at the next annual
meeting of stockholders, subject to the rights of the holders of any
class or series of stock having a preference over the Corporation’s
Common Stock.”

     The foregoing amendment is presently in full force and effect and has not been revoked or
rescinded as of the date hereof.

     IN WITNESS WHEREOF, I have hereupon set my hand this 14 day of October, 2009.

	 	 	 	 	 
	 

	 	/s/ Judith Kim
 

 
Judith Kim	 	 
	 

	 	Corporate Secretary	 	 
	 

	 	Hanmi Financial Corporationexv10w60

Exhibit 10.60

AMENDMENT NO. 11 TO SERVICE AGREEMENT

BETWEEN

INTEGRAMED AMERICA, INC.

AND

FERTILITY CENTERS OF ILLINOIS, S.C.

          THIS AMENDMENT NO. 11 TO SERVICE AGREEMENT (“Amendment No. 11”), is dated November 30, 2009
by and between IntegraMed America, Inc., a Delaware corporation, with its principal place of
business at Two Manhattanville Road, Purchase, New York 10577 (“INMD”) and Fertility Centers of
Illinois, S.C., an Illinois medical Service corporation, with a place of business at 3703 West
Lake Avenue, Suite 310, Glenview, Illinois corporation, (“FCI”).

RECITALS:

          Whereas, INMD and FCI are parties to a Service Agreement dated February 28, 1997, as
amended (the “Agreement”); and

          Whereas, INMD and FCI wish to amend further the Agreement, in pertinent part to
clarify certain financial and other terms and conditions retroactive to February 28, 1997;

          Now Therefore, in consideration of the mutual promises and covenants herein
contained, and as contained in the Agreement, as amended, INMD and FCI agree as follows:

	 	1.	 	Sections 1.1.3, 2.2.5 are hereby deleted in their entirety.
	 
	 	2.	 	Section 2.3 is hereby deleted and following substituted therefor:
	 
	 	 	 	“2.3. The “Management Fee” described in Section 6.1 shall constitute INMD’s sole
compensation for all indirect costs of INMD including all legal, accounting, financial,
marketing assistance, management and administrative assistance provided by INMD which are
not provided for under Section 2.1.”
	 
	 	3.	 	Section 6.1 and its subsections are deleted in their entirety and the following is
substituted therefor:
	 
	 	 	 	“6.1 Service Fees. The compensation set forth in this Article 6 shall be or
has been paid to INMD in consideration of the substantial commitment made and services to be
or have been rendered by INMD hereunder and shall not be interpreted or applied as
permitting FCI to divide, share or split its fees with, or otherwise directly or indirectly
pay a percentage of FCI’s fees, revenues or profits to INMD. Accordingly, the parties
acknowledge and agree

 

 

	 	 	 	that they have eliminated the “Base Management Fee” and “Additional Service Fee”
effective from the commencement of the Agreement to and including October 31, 2009 (the
“Period”) and have replaced such fees for the Period with a fixed management fee
(“Management Fee”) which Management Fee paid on an annual basis for the Period is as
follows:

          6.1.1 Annual Management Fees for the Period:

	 	a.	 	1997— $    790,943
	 
	 	b.	 	1998— $2,313,263
	 
	 	c.	 	1999— $2,301,928
	 
	 	d.	 	2000— $2,647,387
	 
	 	e.	 	2001— $3,272,520
	 
	 	f.	 	2002— $3,496,194
	 
	 	g.	 	2003— $3,176,841
	 
	 	h.	 	2004— $3,032,142
	 
	 	i.	 	2005— $2,326,001
	 
	 	j.	 	2006— $2,378,489
	 
	 	k.	 	2007— $2,648,581
	 
	 	l.	 	2008— $2,786,876
	 
	 	m.	 	2009— $2,226,400 (10 months ended 10/31/09)

          6.1.2 Commencing with November 1, 2009, INMD shall be paid a Management Fee reflecting
all Cost of Services (whether incurred by INMD or FCI) paid or recorded by INMD from INMD’s
own funds, pursuant to the terms of this Agreement, plus nine and one-half percent (9.5 %)
of such Cost of Services (“Monthly Service Fee”).” The Parties agree that for purposes of
calculating the Monthly Service Fee, no more than 5% of any increased annual costs for each
of the professional liability coverage and health insurance coverages will be factored into
the 9.5% of Cost of Services each year. For example, if the 2010 annual premium for either
professional liability or health care coverage increases by more than 5%, only the portion
of the increase that is 5% and below will be factored into the determination of Cost of
Services before applying the 9.5% multiplier. It is understood and agreed that nothing
herein is intended to preclude Management Company from being reimbursed for actual
out-of-pocket expenses.

          6.1.3 Prior to entering into this Agreement, the parties have computed the Cost of
Services of FCI for the past full fiscal year and have projected the Costs of Services for
a full calendar year of this Agreement. The basis of the negotiated, fixed Monthly Service
Fee, which the parties agree to represent as the fair market value of services, supplies
and facilities, include, but are not limited to, a combined figure of (1) reasonable
market value of the equipment, contract analysis and support, support services, purchasing
assistance, personnel, Facilities, management, administration, other services and capital
provided by INMD; (2) value to be received monthly by FCI as the result of INMD’s purchase
of accounts receivable pursuant to 6.2 hereof; (3) the value of insurance coverage made
available to FCI

 

 

through group rates available to INMD; (5) the increased value to FCI as the result of
INMD’s access to better rates for supplies through bulk purchase; and (6) the ability
of INMD to manage the practice with greater profitability to FCI. The negotiated
compensation is intended to account for the nature, quantity and quality of services
required, and financial risks assumed by INMD under this Management Agreement.

	 	4.	 	All other provisions of the Agreement, as amended, not in conflict with this
Amendment No. 11 remain in full force and effect.

          IN WITNESS WHEREOF, the parties have signed this Amendment No. 11 as the date first
written above.

	 	 	 	 	 
	IntegraMed America, Inc.

 	 	 
	By:  	/s/ Jay Higham
 	 	 
	 	Jay Higham, President 	 	 
	 	 	 	 
	 
	Fertility Centers of Illinois, S.C.

 	 	 
	By:  	/s/ Kevin D. Lederer
 	 	 
	 	Kevin D. Lederer, M.D., Presidentexv10w61

Exhibit 10.61

First Amended and Restated Management Agreement

Among

IntegraMed America, Inc.

Idaho Center for Reproductive Medicine, P.C.

And

Idaho Reproductive Labs, Inc.

     This First Amended and Restated Management Agreement (“Agreement”) is dated December
1, 2009, (“Effective Date”) by and among IntegraMed America, Inc. a
Delaware corporation, with its principal place of business at Two Manhattanville Road, Purchase,
New 10577 (“Management Company”), Idaho Reproductive Labs, Inc. , an Idaho corporation, with its
principal place of business at 111 Main Street, Suite 100, Boise, Idaho 83702 (“IRL”) and Idaho
Center for Reproductive Medicine, P.C., an Idaho professional corporation, with its principal place
of business at 111 Main Street, Suite 100, Boise, Idaho 83702 (“ICRM”). Management Company, IRL
and ICRM are individually referred to herein as a “Party” and jointly, as “Parties.”

Recitals:

     ICRM specializes in gynecological services, treatment of human infertility encompassing the
provision of in vitro fertilization and other assisted reproductive services (“Infertility
Services”). ICRM provides Infertility Services through Russell A. Foulk, M.D. and Cristin C.
Slater, M.D., the shareholders of ICRM. Drs. Foulk and Slater are collectively referred to as
“Physicians.” ICRM also contemplates providing Infertility Services through other physician
employees. Physicians have entered or will enter into employment agreements with ICRM on or about
the date of execution of this Agreement.

     IRL specializes in embryology services and provides the same to ICRM on an exclusive basis.

     Management Company is in the business of making available to medical and embryology providers
such as ICRM and IRL certain assets (principally, facilities and equipment) and support services,
primarily consisting of (i) financial management; (ii) administrative systems; (iii) clinical and
laboratory organization and function; (iv) marketing and (v) operations management. Such support
services and the provision of certain fixed assets are collectively referred to as “Business
Services.”

 

 

     ICRM and IRL believe the Business Services will benefit them and desire Management Company’s
assistance with various aspects of ICRM’s medical practice and IRL’s embryology laboratory through
the utilization of the Business Services as more particularly set forth herein. ICRM and IRL
acknowledge and agree that the Business Services being made available to them require their
cooperation and collaboration, and that Management Company, in making the Business Services
available, makes no warranty or representation that the Business Services will achieve their
desired goals and objectives except as expressly provided in this Agreement.

     In addition, ICRM desires access to capital for funding its growth and development, and
Management Company desires to provide such capital or access to capital as provided herein.

     On or about January 1, 2004, Regents Management, LLC (“Regents Management”) and ICRM entered
into an agreement titled Master Management Agreement (the “Former ICRM Agreement”) whereby Regents
Management agreed to provide certain business services to ICRM. Regents Management assigned to
Regents Management- Idaho, an Idaho general partnership (“Regents-Idaho”), all its rights and
obligations under the Former ICRM Agreement effective December 31, 2004.

     On or about January 1, 2004, Regents Management and IRL entered into an agreement titled
Master Management Agreement (the “Former IRL Agreement”) whereby Regents Management agreed to
provide certain business services to IRL. Regents Management assigned to Regents-Idaho all its
rights and obligations under the Former IRL Agreement effective December 31, 2004.

     On December 1, 2009, Management Company acquired all the partnership interests of
Regents-Idaho from Russell A. Foulk, M.D., Cristin C. Slater, M.D. and Scott J. Whitten, M.D.
resulting in Management Company succeeding to all of Regents-Idaho’s interests under the Former
ICRM and IRL Agreements. The parties now desire to amend and restate the Former ICRM and IRL
Agreements in their entirety on the terms and conditions set forth herein.

     ICRM and IRL are collectively hereinafter referred as ICRM.

     NOW THEREFORE, in consideration of the above recitals which the parties incorporate into this
Agreement, the mutual covenants and agreements herein contained and other good and valuable
consideration, ICRM hereby agrees to purchase from Management Company the Business Services and
Management Company agrees to provide the Business Services to ICRM on the terms and conditions
provided herein.

Article 1

Definitions

     1.1 Definitions. For the purposes of this Agreement, the following
definitions shall apply:

			
	 	 	 
	Idaho Center for Reproductive Medicine Business Service Agreement
	 	Page 2 of 36

 

 

     1.1.1 “Adjustments” shall mean adjustments for refunds, discounts, contractual adjustments,
professional courtesies, and other activities that do not generate a collectible fee as reasonably
determined by Management Company and ICRM. Adjustments shall not include Bad Debt.

     1.1.2 “Additional Service Fee” shall mean a monthly fee paid by ICRM to Management Company in
an amount equal to a percentage of ICRM’s monthly PDE.

     1.1.3 “Assets” shall mean those fixed assets utilized in connection with the operation of
ICRM’s medical practice, including, but not limited to, fixed assets and leasehold improvements.

     1.1.4 “Bad Debt” shall mean all or a portion of an account, loan or note receivable
considered to be uncollectible in accordance with Generally Accepted Accounting Principles
(“GAAP”),

     1.1.5 “Base Service Fee” shall mean a monthly fee paid by ICRM to Management Company in an
amount equal to a percentage of ICRM’s monthly Physician and Other Professional Revenues.

     1.1.6 “Business Services” shall mean Management Company making available certain personnel
and assets (including, without limitation, all facilities and equipment necessary to operate
ICRM’s medical practice for the provision of Infertility Business Services) and support services,
primarily consisting of (i) financial management; (ii) administrative systems; (iii) clinical and
laboratory organization and function; (iv) marketing and (v) operations management, all as more
fully set forth in Article 3.

     1.1.7 “Cost of Services” shall have the meaning set forth in Article 2.

     1.1.8 “Facilities” shall mean the medical offices and clinical spaces of ICRM, including any
satellite locations, related businesses and all medical group business operations of ICRM, which
are utilized by ICRM in its medical practice.

     1.1.9 “Fiscal Year” shall mean the 12-month period beginning January 1 and ending December 31
of each year.

     1.1.10 “Infertility Services” shall mean gynecological services, treatment of human
infertility encompassing the provision of in vitro fertilization and other assisted reproductive
services provided by ICRM or any Physician Employee and Other Professional Employee.

     1.1.11 “Management Company Overhead” shall mean salaries, bonuses, payroll taxes and benefits
for Management Company’s corporate office employees, rent and expenses related to the operation of
the Management Company corporate office, travel and entertainment expenses for corporate
employees.

Page 3 of 36

 

 

     1.1.12 “Other Professional Employee” shall mean a non-physician individual who provides
services, including nurse anesthetists, physician assistants, nurse practitioners, psychologists,
and other such professional employees who generate professional charges, but shall not include
Technical Employees.

     1.1.13 “Physician-Employee” shall mean an individual, including any ICRM physician owner and
any other physician who is an employee of ICRM or is under contract with ICRM, including
physicians employed by entities with whom ICRM has contracted, to provide Infertility Services to
ICRM’s patients and is duly licensed as a physician in the where ICRM provides Infertility
Services.

     1.1.14 “Physician and Other Professional Revenues” shall mean all fees, whether received or
accrued, and actually recorded each month (net of Adjustments) by or on behalf of ICRM as a result
of professional medical and laboratory services furnished to patients by Physicians and
Physician-Employees and Other Professional Employees and, except as described in the next
succeeding sentence, other fees or income earned in their capacity as professionals, whether
rendered in an inpatient or outpatient setting, including but not limited to, medical director fees
or technical fees from medical ancillary services, consulting fees, ultrasound fees from businesses
owned or operated by Physicians and, including, but not limited to, contributions by pharmaceutical
and other companies for marketing and research activities). Physician and Other Professional
Revenues shall not include (i) board attendance fees and other compensation in connection with
board memberships; provided, the compensation for board related activities does not exceed $5,000
in the aggregate, annually, per Physician, and (ii) other services where Physician does not provide
professional medical services such as testimony and consultation for litigation-related
proceedings, lectures, passive investments, fundraising, or writing (“Permitted Services”; the
compensation from Permitted Services may be retained by a Physician or Physician-Employee without
limit, subject to Section 4.7.5 hereof; Physician and Other Professional Revenues are sometimes
referred to herein as “Revenues.”

     1.1.15 “Pre-distribution Earnings” (“PDE”) shall mean (i) Physician and Other Professional
Revenues, less (ii) Cost of Services and the Base Service Fee.

     1.1.16 “Receivables” shall mean and include all rights to payment for services rendered or
goods sold, including, without limitation, accounts receivables, contract rights, chattel paper,
documents, instruments and other evidence of patient indebtedness to ICRM, policies and
certificates of insurance relating to any of the foregoing, and all rights to payment,
reimbursement or settlement or insurance or other medical benefit payments assigned to ICRM by
patients or pursuant to any Preferred Provider, HMO, capitated payment agreements or other
agreements between ICRM and a payer, recorded each month (net of Adjustments).

     1.1.17 “Technical Employees” shall mean embryologists and other laboratory personnel,
ultrasonographers, phlebotomists and technicians who provide services to ICRM.

Page 4 of 36

 

 

Article 2

Cost of Services

     2.1 “Cost of Services” shall mean all ordinary and necessary expenses of ICRM and all direct
ordinary and necessary operating expenses, without mark-up, of Management Company, exclusive of
Management Company Overhead, incurred in connection with products and/or services that are
specific to ICRM or customized for ICRM or that are related to volume-based usage by ICRM,
including, without limitation, the following costs and expenses, whether incurred by Management
Company or ICRM:

     2.1.1 Salaries and fringe benefits of all Management Company and other employees
employed at ICRM Facilities, along with payroll taxes or all other taxes and charges now or
hereafter applicable to such personnel, and services of independent contractors;

     2.1.2 Marketing expenses incurred by or on behalf of ICRM, such as costs of printing
marketing materials, media placements, and consumer seminars;

     2.1.3 Any sales and use taxes assessed against ICRM related to the operation of ICRM’s
medical practice;

     2.1.4 Lease payments, depreciation expense (determined according to GAAP), taxes and
interest directly relating to the Facilities and equipment, and other expenses of the
Facilities described in Section 3.2 below;

     2.1.5 Legal fees paid by Management Company or ICRM to outside counsel in connection
with matters specific to the operation of ICRM such as regulatory and other issues specific
to jurisdictions in which ICRM operates; provided, however, legal fees incurred by the
parties relative to the execution or performance of this Agreement or as a result of a
dispute between the parties under this Agreement shall be borne by each party and shall not
be considered a Cost of Services; and provided, further any cost related to disputes
between or among Physicians shall not be considered Cost of Services and are outside the
scope of this Agreement.

     2.1.6 Health benefits provided to Physicians and Physician-Employees, including health
and life insurance and long-term disability;

     2.1.7 All insurance necessary to operate ICRM including fire, theft, general liability
professional liability and malpractice insurance for Physicians and Physician-Employees of
ICRM, and Other Professional and Technical Employees provided by Management Company;

Page 5 of 36

 

 

     2.1.8 Professional licensure fees and board certification fees of Physician-Employees, and
Other Professional Employees rendering Infertility Services on behalf of ICRM;

     2.1.9 Membership in professional associations and continuing professional education for
Physicians and Physician-Employees and Other Professional Employees;

     2.1.10 Risk Management Program described in Section 3.8 herein;

     2.1.11 Cost of filing fictitious name permits pursuant to this Agreement;

     2.1.12 Cost of supplies, medical and administrative, and all direct general and
administrative expenses, including but not limited to travel and entertainment expenses, dues and
subscriptions, and other business related expenses, such as cellular telephone, relative to ICRM;
and

     2.1.13 Such other costs and expenses directly incurred by Management Company related to
ICRM’s operations which are included in the annual operation budget referred to in Section 5.2.1
or otherwise approved by ICRM in writing.

     2.1.14 Cost incurred by Management Company with respect to specific requests for services
from ICRM that are outside those provided for in this Agreement. For such requested services,
Management Company and ICRM will mutually determine how such specific requests will be carried
out, as well as how charges and costs, including, but not limited to travel, will be applied.

     2.1.15 ICRM’s Bad Debt.

     2.1.16 Costs incurred by Management Company with respect to Business Services related to a
specific activity requested by ICRM that are in excess of those Business Services typically
provided to other medical providers for the same activity, including, but not limited to
additional travel and staffing.

     2.1.17 Such costs charged by third-party vendors that are, in turn, allocated among network
practices. For example, and not by way of limitation, costs to install and maintain
telecommunication lines linking ICRM to the Management Company data center; annual software
license maintenance fees and hardware maintenance fees related to MISYS Optimum and software
license and maintenance fees associated with all other software applications utilized by ICRM,
including but not limited to HRIS/ON-core, Goldmine, MAS500, Centrix, HelpSTAR, Secure ID/RSA
token and spam reduction services provided by Management Company; insurance premiums for
professional liability and other insurance coverages, and; any other cost or expense that is
allocated among the network practices based on volume usage.”

Page 6 of 36

 

 

     2.1.18 Such additional training that ICRM may request from Management Company beyond
basic training for such applications as ARTworks® or in connection with basic Marketing and
Sales training.”

     2.1.19 Base salary up to $250,000 for two years for one new physician employed by ICRM; provided, however, such new hire must be approved by the Practice Management Board and
provided, further, (i) “new physician” shall mean a physician whose hiring is not to
replace a physician who has left ICRM within 12 months prior to the employment of the new
physician, but whose hiring increases ICRM’s full-time equivalent (“FTE”) physicians to a
number greater than ICRM’s FTE physicians for the previous 12 months; and (ii) “new
physician” shall not mean a physician providing Infertility Services to patients in
“Territory” during the 12 month period immediately preceding employment by ICRM.

     2.2 Notwithstanding anything to the contrary contained herein, Cost of Services shall
not include costs of the following:

     2.2.1 Any federal or state income taxes of ICRM or Management Company other than as
provided above;

     2.2.3 The Base Service Fee;

     2.2.4 Except as set forth in Section 2.1.19, any amount paid to or on behalf of any
Physician or Physician-Employee including salary, payroll taxes, draw or pension
contributions (all of which come out of ICRM’s share of PDE);

     2.2.5 Management Company’s cash outlay to acquire capital assets for which
depreciation expense is to be charged as a Cost of Services under Section 2.1.4.

     2.2.6 Management Company Overhead.

Article 3

Duties and Responsibilities of Management Company

     3.1 Business Services and Administration.

     3.1.1 ICRM hereby engages Management Company to provide the Business Services within
the Counties of Ada, Adams, Boise, Camas, Canyon, Custer, Elmore, Gem, Gooding, Idaho,
Payelle, Valley and Washington in Idaho (the “Territory”), and ICRM agrees to limit its use
of the Business Services to the Territory, without prior written consent from Management
Company.

     None of the Business Services made available to ICRM include any physician medical
functions.

Page 7 of 36

 

     3.1.2 Management Company will, on behalf of ICRM and as directed by ICRM, bill patients timely
and collect professional fees for Infertility Business Services rendered by ICRM at the Facilities,
outside the Facilities for ICRM’s hospitalized patients, and for all other Infertility Business
Services rendered by any Physician- Employee or Other Professional Employees. ICRM hereby appoints
Management Company for the term hereof to be its true and lawful attorney-in-fact, for the
following purposes: (i) bill patients in ICRM’s name and on its behalf; (ii) collect Receivables
resulting from such billings in ICRM’s name and on its behalf (recognizing that successfully
collecting Receivables may be dependent on ICRM’s participation and cooperation, ICRM will
reasonably cooperate with respect to Management Company’s collection efforts, and policies and
procedures established by the Practice Management Board governing the collection of Receivables);
(iii) receive payments from insurance companies, prepayments from health care plans, and all other
third-party payers; (iv) take possession of and endorse in the name of ICRM (and/or in the name of
any Physician Employee or Other Professional Employee rendering Infertility Business Services to
patients of ICRM) any notes, checks, money orders, and other instruments received in payment of
Receivables; and (v) at ICRM’s request, initiate the institution of legal proceedings in the name
of ICRM, with ICRM’s cooperation, to collect any accounts and monies owed to ICRM, to enforce the
rights of ICRM as creditor under any contract or in connection with the rendering of any service by
ICRM, and to contest adjustments and denials by governmental agencies (or its fiscal
intermediaries) as third-party payers.

     3.1.3 Management Company will provide the administrative services function of supervising and
maintaining (on behalf of ICRM) all files and records relating to the operations of the
Facilities, including but not limited to accounting and billing records, including for billing
purposes, patient medical records, and collection records. Patient medical records shall at all
times be and remain the property of ICRM and shall be located at the Facilities and be readily
accessible for patient care. Management Company’s management of all files and records shall comply
with all applicable state and federal laws and regulations, including without limitation, those
pertaining to confidentiality of patient records. The medical records of each patient shall be
expressly deemed confidential and shall not be made available to any third party except in
compliance with all applicable laws, rules and regulations. Management Company shall have access
to such records in order to provide the Business Services hereunder, to perform billing functions,
and to prepare for the defense of any lawsuit in which those records may be relevant. The
obligation to maintain the confidentiality of such records shall survive termination of this
Agreement. ICRM shall have unrestricted access to all of its records at all times.

     3.1.4 Management Company will provide, as requested by ICRM, all reasonably necessary
clerical, accounting, bookkeeping and computer services, printing, postage and duplication
services, medical transcribing services, and any other necessary or appropriate administrative
services reasonably necessary for the efficient operation of ICRM’s medical practice at the
Facilities.

Page 8 of 36

 

     3.1.5 With ICRM’s cooperation and participation Management Company will design and
direct the implementation of appropriate marketing programs for ICRM. ICRM’s participation
is essential in developing such marketing program and accordingly, will designate one or
more physicians to work with Management Company in designing and implementing such
marketing programs.

     3.1.6 Management Company, upon request of ICRM, will assist ICRM in recruiting
additional physicians, including Management Company providing such administrative functions
as advertising for and identifying potential candidates, checking credentials, and
arranging interviews; provided, however, ICRM shall interview and make the ultimate
decision as to the suitability of any physician to become associated with ICRM. All
physicians recruited by Management Company and accepted by ICRM shall be employees of or
independent contractors to ICRM.

     3.1.7 Management Company will assist ICRM in negotiating any managed care contracts to
which ICRM desires to become a party. Management Company will provide administrative
assistance to ICRM in fulfilling its obligations under any such contract.

     3.1.8 Management Company will arrange, in consultation with ICRM, for legal and
accounting services as may otherwise be reasonably required in the ordinary course of
ICRM’s operation.

     3.2 Facilities. ICRM shall determine the nature and extent of the facilities
reasonably needed for ICRM’ medical practice and Management Company will assist ICRM in obtaining
such Facilities, including providing administrative support, effort and resources in obtaining the
Facilities, including all furniture, equipment and furnishings necessary for the Facilities, all
repairs, maintenance and improvements thereto, utility (telephone, electric, gas, water) services,
customary janitorial services, refuse disposal and all other services reasonably necessary in
conducting ICRM’s medical practice at the Facilities. Management Company will arrange for the
cleaning of the Facilities, and timely maintenance and cleanliness of the equipment, furniture and
furnishings located therein. Management Company will advise, counsel and collaborate with ICRM
regarding the condition, use and needs for the Facilities, the improvements thereto, equipment and
services.

     3.3 Executive Director and Other Personnel.

     3.3.1 Executive Director. Management Company will employ an Executive
Director, approved by the Practice Management Board, as defined in Section 5.1, to manage
and administer all of the day-to-day business functions of the Facilities. The Executive
Director’s compensation and benefits shall be approved by Practice Management Board. ICRM
agrees not to offer any compensation or benefits to the Executive Director other than those
approved by the Practice Management Board.

     3.3.2 Personnel. Management Company will provide, as requested by
ICRM, Other Professional Employees, Technical Employees, support and administrative
personnel, clerical, secretarial, bookkeeping and collection personnel
reasonably

Page 9 of 36

 

necessary for the efficient operation of ICRM at the Facilities. Such personnel must be
approved by ICRM, but will be under the direction and supervision of the Executive
Director, except that Technical Employees and Other Professional Employees subject to the
professional supervision of ICRM. The compensation of such personnel shall be approved by
ICRM and ICRM may request that any of such personnel be terminated in its reasonable
discretion and in such event, all cost and expenses associated with such termination shall
be a Cost of Services.

     3.4 Financial Planning and Goals. Management Company, in collaboration with
ICRM, will prepare, for the approval of the Practice Management Board, an annual capital and
operating budget (the “Budget”) reflecting the anticipated Revenues and Cost of Services, sources
and uses of capital for growth of ICRM’s practice and for the provision of Infertility Services at
the Facilities. Management Company will present the Budget to the Practice Management Board for
its approval at least thirty (30) days prior to the commencement of the Fiscal Year. If the
Practice Management Board can not agree on the Budget for any Fiscal Year during the term of this
Agreement, the Budget for the preceding Fiscal Year will serve as the Budget until such time as a
new Budget is approved.

     3.5 Financial Statements. Management Company will deliver to ICRM monthly
financial statements (“Financial Statements”) within thirty (30) days after the end of each
calendar month. Such Financial Statements will comprise, on a monthly and year-to-date basis, a
statement of ICRM’ Revenues and Cost of Services and PDE, as hereinafter defined.

     3.6 Tax Planning and Tax Returns. Management Company will not be responsible
for any tax planning or tax return preparation for ICRM, but will provide support documentation in
connection with the same. Such support documentation will not be destroyed without ICRM’ consent.

     3.7 Inventory and Supplies. For the account of ICRM, Management Company
shall order and purchase inventory and supplies, and such other materials which are requested by
ICRM to enable ICRM to deliver Infertility Services in a cost-effective quality manner.

     3.8 Risk Management. Management Company shall assist ICRM in the development
of a Risk Management Program and in meeting the standards of such Program.

     3.9 Personnel Policies and Procedures. Management Company shall develop, in
cooperation with ICRM, personnel policies, procedures and guidelines, governing office behavior,
protocol and procedures which will aid in compliance with applicable laws and guidelines related to
employment and human resources management.

     3.10 Licenses and Permits. Management Company will coordinate and assist
ICRM in its application for and efforts to obtain and maintain all federal, state and local
licenses, certifications and regulatory permits required for or in connection with the operations
of ICRM and equipment located at the Facilities, other than those relating to the practice of
medicine or the administration of drugs by Physicians and Physician-Employees.

Page 10 of 36

 

     3.11 Subcontracted Business Services. Subject to prior approval of ICRM,
which approval shall not be unreasonably withheld, Management Company is expressly authorized to
subcontract with other persons or entities for any of the services that Management Company is
required to perform pursuant to this Agreement. Provided, however, that Management Company shall
disclose any term of this Agreement to any subcontractor or potential subcontractor of Management
Company who does or will perform services to ICRM to the extent the subcontractor or potential
subcontractor will perform significant or continuing functions for ICRM which are specific
obligations of Management Company hereunder and shall incorporate such terms into such
subcontract, including but not limited to the restrictive provisions of Section 3.1.1 hereof. No
such subcontract will limit the overall responsibility of Management Company for compliance with
the terms and provisions of this Agreement unless ICRM specifically agrees in writing. Nothing in
this Section 3.11 shall apply to contracts entered into by Management Company that relate to
services not required to be performed directly by Management Company such as payroll services.

     3.12 Access to Protected Health Information. In connection with the Business
Services provided by Management Company pursuant to this Agreement, Management Company and its
employees, representatives and agents will have access to protected health information (“PHI”)
maintained by ICRM. In connection with such PHI, Management Company contemporaneous with entering
into this Agreement will enter into a Business Associate Agreement with ICRM, substantially in the
form of Exhibit 3.12, in accordance with the regulations promulgated under the Health
Insurance Portability & Accountability Act of 1996.

Article 4

Duties and Responsibilities of ICRM

     4.1 Timely Performance. ICRM, in engaging Management Company to provide the
Business Services described in this Agreement, acknowledges that ICRM’s timely performance of its
duties and responsibilities as delineated in this Article 4 are material to this Agreement and to
Management Company’s interest.

     4.2 Professional Services. ICRM shall use its best efforts to cause its
Physicians and Physician-Employees to provide Infertility Services to ICRM’ patients in compliance
at all times with ethical standards, laws and regulations applying to the practice of medicine in
the applicable jurisdiction which such Physician or Physician-Employee provides Infertility
Services on behalf of ICRM. ICRM shall ensure that each Physician, Physician-Employee, any Other
Professional Employee employed by ICRM, and any other professional provider associated with ICRM is
duly licensed to provide the Infertility Services being rendered within the scope of such
provider’s practice. In addition, ICRM shall require each Physician and Physician-Employee to
maintain a DEA number and appropriate medical staff privileges as determined by ICRM during the
term of this Agreement. In the event that any disciplinary actions or medical malpractice actions
are initiated against any Physician, Physician-Employee or other professional provider, ICRM shall
promptly inform the Executive Director and provide the underlying facts and circumstances of such
action, and the proposed course of action to

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resolve the matter. Periodic updates, but not less than monthly, shall be provided to Management
Company.

     4.3 Medical Practice. ICRM shall use and occupy the Facilities exclusively
for the purpose of providing Gynecology, Infertility Services, and related services and activities
and shall use its best efforts to comply with all applicable laws and regulations and all
applicable standards of medical care, including, but not limited to, those established by the
American Society of Reproductive Medicine. The medical practice conducted at the Facilities shall
be conducted solely by Physicians employed by ICRM and Physician-Employees employed by or serving
as independent contractors to ICRM, and Other Professional Employees employed by ICRM. No other
physician or medical practitioner shall be permitted to use or occupy the Facilities without the
prior written consent of Management Company, except in the case of a medical emergency, in which
event, notification shall be provided to Management Company as soon after such use or occupancy as
possible.

     4.4 Employment of Physician and Other Professional Employees. In the event
ICRM shall determine that additional physicians are necessary, ICRM shall undertake and use its
best efforts to select physicians who, in ICRM’s judgment, possess the credentials and expertise
necessary to enable such physician candidates to become affiliated with ICRM for the purpose of
providing Infertility Services. ICRM shall cause each Physician-Employee to enter into an
employment or service agreement with ICRM or their respective professional association which is a
partner of ICRM (“Physician Employment Agreement”) in such form as is mutually and reasonably
acceptable to ICRM and Management Company. Upon ICRM’ request, Management Company shall consult
with and advise ICRM respecting the hiring, compensation, supervision, evaluation and termination
of Physician-Employees.

     4.5 Continuing Medical Education ICRM shall require its Physician-Employees
to participate in such continuing medical education as ICRM deems to be reasonably necessary for
such physicians to remain current in the provision of Infertility Services.

     4.6 Professional Insurance.

     4.6.1 ICRM shall maintain professional liability coverage at all times during the Term, in
limits of not less than $1,000,000.00 per occurrence, $3,000,000.00 in the aggregate, unless the
Practice Management Board determines that such limits can be lowered or should be increased. If
possible, under the terms of the insurance coverage, ICRM shall use its best efforts to cause
Management Company to be named an additional named insured to the extent reasonably available at
no additional cost or expense. Upon request of Management Company, evidence of such coverage shall
be provided to Management Company. Management Company, in conjunction with medical practices in
the Management Company network, maintains a malpractice captive insurance company, ARTIC, Ltd.
(“ARTIC”). As a member of the Management Company network, in lieu of maintaining professional
liability coverage as provided for in this Section 4.6.1, ICRM is eligible to become a member of
ARTIC provided it meets the underwriting requirements and pays applicable premiums and fees. As an
ARTIC member, ICRM is required to participate in the Management Company Risk Management Program.

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     4.7 Direction of Practice ICRM, as a continuing condition of Management
Company’s obligations under this Agreement, shall at all time during the Term be and remain
legally organized and operated to provide Infertility Services in a manner consistent with state
and federal laws. ICRM, through its physicians, is expected to provide leadership in its market
area and reasonably cooperate with Management Company in Management Company’s efforts to make the
Business Services available to ICRM. In furtherance of which:

     4.7.1 ICRM shall operate and maintain at the Facilities a full-time practice of medicine
specializing in the provision of Infertility Services and shall maintain and enforce the
Physician Employment Agreements or in such other form as is mutually and reasonably agreed to
by ICRM and Management Company in writing. ICRM covenants that it shall not employ any
physician, or have any physician as a shareholder, unless said physician shall sign the
Physician Employment Agreement prior to assuming the status as employee and/or shareholder.
ICRM covenants that should a physician become a shareholder of ICRM, that a condition
precedent to the issuance of the shares shall be the ratification of this Service Agreement.
The relationship between ICRM and physicians who independently contract with ICRM to provide
services shall be in such other form as is mutually and reasonably agreed to by ICRM and
Management Company in writing.

     4.7.2 ICRM shall not terminate the Physician Employment Agreement(s) of any Physician,
except in accordance with the Physician Employment Agreement(s). ICRM shall not amend or
modify the Physician Employment Agreements in any material manner, nor waive any material
rights of ICRM thereunder without the prior written approval of Management Company, which
approval will not be unreasonably withheld, and it shall be deemed unreasonable for
Management Company to withhold consent of an amendment or modification mandated by the
necessity of compliance with applicable law. ICRM covenants to enforce the terms of each
Physician Employment Agreement, including but not limited to any terms confirming a
Physician-Employee’s commitment to practice medicine solely through ICRM for a specified
number of years. Attached hereto as Exhibit 4.7.2 are copies of all Physician
Employment Agreement.

     4.7.3 Recognizing that Management Company would not have entered into this Agreement
but for ICRM’s covenant to maintain and enforce the Physician Employment Agreements with any
physician now employed or physicians who may hereafter become employees of ICRM, and in
reliance upon such Physician-Employee’s observance and performance of the non-competition
and non-solicitation obligations under the Physician Employment Agreements, any damages,
liquidated damages, compensation, payment or settlement received by ICRM from a physician
whose employment is terminated shall be considered to be Physician and Other Professional
Revenues.

     4.7.4 ICRM shall retain that number of Physician-Employees as are reasonably necessary
and appropriate for the provision of Infertility Services. Each Physician-Employee shall
hold and maintain a valid and unrestricted license to practice medicine in the applicable
jurisdiction where such Physician-Employee provides Infertility Services on behalf of ICRM,
and all full-time Physician-Employees shall be board eligible in the

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practice of gynecology, with training in the subspecialty of infertility and assisted reproductive
medicine. ICRM shall be responsible for paying the compensation and benefits, as applicable, for
all Physician-Employees, and for withholding, as required by law, any sums for income tax,
unemployment insurance, social security, or any other withholding required by applicable law.
Management Company, at the request of ICRM, will establish and administer the compensation with
respect to such Physician-Employees in accordance with the written agreement between ICRM and each
Physician Employee. Management Company shall neither control nor direct any Physician in the
performance of Infertility Services for patients, and Management Company will not unreasonably
interfere with the employer-employee relationship between ICRM and its Physician-Employees.

     4.7.5 ICRM and its Physician-Employees shall provide patient care and clinical backup as
required for the proper provision of Infertility Services to patients of ICRM at ICRM’ Facilities.
ICRM shall require that its full-time Physician-Employees devote substantially all of their
professional time, effort and ability to ICRM’s practice, including the provision of Infertility
Services and the development of such practice, and that Permitted Services, of any
Physician-Employee do not interfere with such Physician-Employees full time practice of
Infertility Services at ICRM’ Facilities.

     4.7.6 ICRM shall obtain and maintain necessary licenses and operate its clinical laboratory
and tissue bank services in accordance with all applicable laws and regulations. ICRM agrees that
the Medical Director or Tissue Bank Director, if applicable, shall be Physician-Employees or Other
Professional Employees, if applicable, of ICRM who meet the qualifications required by applicable
State law or regulation, and that should there be a vacancy in any such position, ICRM will cause
another Physician-Employee or Other Professional Employee, if applicable, to fill such vacancy in
accordance with applicable State law.

     4.7.7 ICRM acknowledges that it bears all medical obligations to patients treated at the
Facilities and covenants that it is responsible for all tissue, specimens, embryos or biological
material (“Biological Materials”) kept at the Facilities on behalf of the patients (or former
patients) of ICRM, except for the negligence, willful or intentional misconduct of Management
Company’s employees; provided, however, this shall not apply to circumstances where an Management
Company employee is acting under the direction or supervision of a Physician-Employee. In the event
of a termination or dissolution of ICRM, or the termination of this Agreement for any reason, ICRM
and the Physicians will have the obligation to account to patients and to arrange for the storage
or disposal of such Biological Materials in accordance with patient consent and the ethical
guidelines of the American Society of Reproductive Medicine (“Relocation Program”). Management
Company, in such event, will, at the request of ICRM, assist in the administrative details of such
a Relocation Program for so long as ICRM shall request and an appropriate fee shall be paid during
that time. These obligations shall survive the termination of this Agreement.

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     4.7.8 ICRM will designate certain physicians to (i) work with Management Company in
designing and implementing marketing plans, (ii) participate in marketing strategy
sessions, and (iii) identify targeted referral sources and managed care opportunities.

     4.7.9 ICRM agrees to participate in the IntegraMed’s network activities and programs,
including, but not limited to, the Council of Physicians and Scientists and offering
IntegraMed’s AttainTM IVF Refund Program to ICRM patients, and participating in other
product and service offering IntegraMed has in effect from time to time. ICRM shall be
entitled to offer the Attain IVF Refund Program or any successor program on an exclusive
basis in the Territory, as defined in this Agreement, to its patients so long as 80% of
ICRM “private pay” patients apply for the Attain IVF Refund Program during each 12-month
period of the Term beginning with the Effective Date.

     4.8 Practice Development, Collection Efforts and Network Involvement.
ICRM agrees that during the term of this Agreement, ICRM covenants for itself and will use
reasonable efforts to cause its Physician-Employees to:

     4.8.1 Execute such documents and take such steps reasonably necessary to assist
billing and collecting for patient services rendered by ICRM and its Physician-Employees;

     4.8.2 Promote ICRM’s medical practice and participate in marketing efforts developed
by Management Company as provided for in Section 3.1.5

     4.8.3 Reasonably cooperate with respect to Management Company’s collection efforts,
and policies and procedures governing the collection of Receivables; and

     4.8.4 Comply with all applicable laws and regulations, federal, state and local.

     4.9 No Grant of License; Independent Contractors. ICRM may not use IntegraMed
service names, acquired or developed trade names, trademarks, or related logos of IntegraMed (the
“IntegraMed Trade Names”) in conjunction with the provision of Infertility Services. ICRM will use
its own legal entity name, and will not use the IntegraMed Trade Names as any part of that name.
ICRM will not allow its clinic or its Infertility Services to become substantially associated with
the IntegraMed Trade Names. IntegraMed is an independent contractor, and neither party may hold
themselves out as agents, employees, partners, or representatives of one another. Neither party may
bind the other to any contract.

     4.10 Internet Marketing. Pursuant to Section 3.1.5, IntegraMed agrees to
provide marketing services, including designing marketing plans for implementation by ICRM for
practice development. In performing such marketing, IntegraMed may maintain the Web site
www.integramed.com or successor site, and will engage in other marketing efforts designed
to benefit ICRM and other independent clinics for which IntegraMed performs services. IntegraMed
will link to ICRM on that site, and will list ICRM in its other marketing efforts and materials,
as appropriate. ICRM may also, in its discretion, state expressly that it has retained

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IntegraMed as a manager, but this is not permission to make a trademark use of the IntegraMed
Trade Names, nor may ICRM use any IntegraMed Trade Name to identify its own Infertility Services
or its clinics. For example, ICRM may, but is not required to, add to its Web site a link to the
IntegraMed Web site, together with the phrase “an independent member of the IntegraMed Network” or
“an independent IntegraMed affiliate”. One of these two phrases must also be used by ICRM in
connection with any marketing materials or other communications that mention that IntegraMed is
providing the Business Services to ICRM.

     4.11 Disclaimer of Representations. The parties agree that neither
IntegraMed nor its employees or agents has made any guarantee or representation that: (i) it will
find markets or patients or locations for ICRM; (ii) it will purchase products or services from
ICRM; (iii) ICRM will derive income of any particular level or amount. ICRM acknowledges that it
is experienced in providing Infertility Services, will produce marketing plans with assistance and
counsel from IntegraMed, and will not be relying on IntegraMed’s efforts in providing the
Infertility Services.

     4.12 Rights Upon Termination.

     4.12.1 Upon termination of this Agreement, ICRM shall within 30 days of the
termination (i) refrain from making any further link or reference to its former
relationship with IntegraMed and (ii) return to IntegraMed all proprietary materials
including, but not limited to, consents, policy and procedure manuals, Risk Management and
Clinical Standards Review Manuals (“Proprietary Materials”).

     4.13 ICRM’s failure (except as otherwise provided herein) to cease using the
Proprietary Materials at the termination or expiration of this Agreement will result in
immediate and irreparable damage to IntegraMed and to the rights of any licensee of
IntegraMed. There is no adequate remedy at law for such failure. In the event of such
failure, IntegraMed shall be entitled to equitable relief by way of injunctive relief and
such other relief as any court with jurisdiction may deem just and proper. Additionally,
pending such a hearing and the decision on the application for such permanent injunction,
IntegraMed shall be entitled to a temporary restraining order, without prejudice to any
other remedy available to IntegraMed. All such remedies hereunder shall be at the expense
of ICRM and shall not be a Cost of Services.

Article 5

Joint Duties and Responsibilities

     5.1 Formation and Operation Of Practice Management Board.

     Management Company and ICRM will establish a practice management board (“Practice Management
Board”), which will be responsible, to assist ICRM, in developing management and administrative
policies for the overall operation of ICRM. The Practice Management Board will consist of
designated representatives from Management Company as determined by Management Company, designated
representatives of ICRM as determined by ICRM, the Executive Director and the Medical Director. It
is the intent and objective of Management Company and ICRM that they agree on the overall
provision of the Business Services to ICRM. In the case of any matter

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requiring a formal vote, ICRM shall have one (1) vote and Management Company shall have one (1)
vote; provided, however, the determination with respect to adding Shareholders, or hiring or firing
of Physician-Employees shall be determined solely by ICRM. The desire is that Management Company
and ICRM agree on matters of operations and that, if they disagree, they will have to work
cooperatively to resolve any disagreement. The Practice Management Board shall meet at least three
(3) times per calendar year and will maintain minutes of all meetings, which minutes shall, among
other things, reflect all decisions of the Practice Management Board.

     5.2 Duties and Responsibilities of The Practice Management Board. With the
assistance of Management Company, the Practice Management Board shall have, among others, the
following duties and responsibilities:

     5.2.1 Annual Budgets and profitability. Review and approve annual
capital and operation budgets prepared by Management Company. The parties covenant and agree
to use their respective best efforts to assist the Practice Management Board in achieving
the projected budgets. ICRM and Management Company agree that, recognizing changes in
circumstances, annual budgets and forecast are subject to revisions. Accordingly, the
Practice Management Board may, from time to time, propose to modify the annual budgets, as
needed, including without limitation, staff reductions, so that ICRM operates in a
profitable mode which means that PDE is positive on a monthly basis. ICRM’s approval of such
modifications shall not be unreasonably withheld and shall become part of the Budget.
Further, ICRM agrees that in the event ICRM incurs operational losses at any point during
the term of this Agreement, nothing herein shall obligate Management Company to incur losses
under this Agreement in order to sustain ICRM’s operations. For example, Management Company
may take appropriate steps to reduce its Cost of Services in order to avoid negative PDE at
any point.

     5.2.2 Capital Improvements and Expansion. Except as otherwise provided
herein, any renovation and expansion plans, and capital equipment expenditures with respect
to ICRM shall be reviewed and approved by the Practice Management Board and shall be based
upon the best interests of ICRM, and shall take into account capital priorities, economic
feasibility, physician support, productivity and then current market and regulatory
conditions.

     5.2.3 Marketing Budget. ICRM shall assist in the development of an
annual marketing budget and plan prepared by Management Company for approval by the
Practice Management Board. All annual advertising and other marketing budgets prepared by
Management Company shall be subject to the review, amendment, approval and disapproval of
the Practice Management Board.

     5.2.4 Strategic Planning. The Practice Management Board shall develop
long-term strategic plans.

     5.2.5 Physician Hiring. Make recommendations regarding the number and
type of physicians required for the efficient operation of ICRM; provided, the final
determination on physician hiring shall be made by ICRM.

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     5.2.6 Executive Director. The Practice Management Board will
direct
the day-to-day functions of the Executive Director in implementing the policies agreed by
the Practice Management Board. The Executive Director shall meet with the Medical Director
on a regular basis as reasonably requested by either party to discuss issues pertaining to
ICRM. Salary and fringe benefits paid to the Executive Director shall be approved by the
Practice Management Board. The Practice Management Board will conduct an annual evaluation
of such individual’s performance.

Article
6

Financial Arrangements

     6.1 Compensation. The compensation set forth in this Article 6 is being paid
to Management Company in consideration of the substantial commitment made, capital provided
and services to be rendered by Management Company hereunder and is fair and reasonable.
Management Company shall be paid the following amounts (collectively “Compensation”):

     6.1.1 an amount reflecting all Cost of Services (whether incurred by Management
Company or ICRM) paid or accrued by Management Company pursuant to the terms of this
Agreement.

     6.1.2 during each year of this Agreement commencing with the Effective Date, a Base
Service Fee, paid monthly but reconciled to annual Revenues, of an amount equal to six
percent (6%) of ICRM’s Revenues.

     6.1.3 commencing with the Effective Date, an additional service fee (“Additional
Service Fee”) paid monthly but reconciled to Fiscal Year operating results of ICRM, equal
to fifteen percent (15%) of PDE.

     It is understood and agreed that the Additional Service Fee is paid to Management Company in
the event ICRM achieves positive PDE. Nothing herein shall be interpreted to mean that if PDE is
negative, Management Company makes a contribution to ICRM to cover any such operating losses.

     6.2 Accounts Receivable.

     6.2.1 On or before the 20th business day of each month, commencing with the first month
following the Effective Date, Management Company shall reconcile the Receivables of ICRM
arising during the previous calendar month. Subject to the terms and conditions of this
Agreement, ICRM hereby sells and assigns to Management Company as absolute owner, and
Management Company hereby purchases from ICRM all Receivables hereafter owned by or arising
in favor of ICRM on or before the 20th business day of each month. Management Company shall
transfer or pay such amount of funds to ICRM equal to the Receivables less Compensation due
Management Company pursuant to Section 6.1. ICRM shall cooperate with Management Company
and execute

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all necessary documents in connection with the purchase and assignment of such Receivables
to Management Company or at Management Company’s option, to its lenders. All collections
in respect of such Receivables shall be deposited in a bank account at a bank designated
by Management Company. To the extent ICRM comes into possession of any payments in respect
of such Receivables, ICRM shall direct such payments to Management Company for deposit in
bank accounts designated by Management Company.

     6.2.2 Any Medicare or Medicaid Receivables due to ICRM shall be excluded from the
operation of Section 6.2.1 hereof. Any such Receivables shall be subject to agreement of
ICRM and Management Company with respect to the collection thereof.

     6.2.3 ICRM will be charged monthly interest at an annualized rate equal to the Prime
Rate charged by Management Company’s primary bank on Receivables with average days sales
outstanding (“DSO”) greater than 60 days for a trailing three-month period. For example, if
prime is 6% and ICRM’s Revenues are $1,385,000 for a three-month period, the average
Revenues per day (assuming 90 days in such three-month period) equals $15,389. If on the
last day of that same three-month period ICRM’s Receivables are $1.5 million, then ICRM’s
DSO equal 97 days ($1.5 million divided by $15,389), resulting in interest being charged
for the month on $569,393.00 of ICRM’s Receivables ($15,389 times 37 days) at a rate of
0.5% ( 6% prime rate divided by 12), or a $2,846.97 interest charge. Any application of
this Section 6.2.3 shall exclude Bad Debt from the determination of Receivables subject to
an interest payment.

     6.2.4 On or before the 20th business day of each month, commencing with the
month following the Effective Date, Management Company shall remit to ICRM the PDE
generated for the previous calendar month.

     6.3 Advances. Management Company may advance necessary funds for ICRM to meet
Cost of Services and, to meet Physician distributions (through their respective professional
associations), and Physician-Employee salaries; provided, however, nothing herein shall obligate
Management Company to incur Cost of Services and Physician salary Advances in excess of Revenues
under this Agreement in order to sustain ICRM’s operations. As security for such Advances, ICRM
shall deliver to Management Company with the execution of this Agreement a Security Agreement in
the form of Exhibit 6.3 hereto giving Management Company a collateral interest in all
Receivables of ICRM and PDE payable to ICRM Shareholders. Management Company shall, in its sole
discretion, be entitled to take any and all necessary action to prevent financial losses, in the
form of Cost of Services on behalf of ICRM, to Management Company in the event ICRM’s Cost of
Services exceed ICRM’s Revenues at any point during the Term of this Agreement. Notwithstanding
anything herein to the contrary, no Advances will be made by Management Company to satisfy
Physician-Employee draws, salaries or pension contributions, unless requested by ICRM.

     6.3.1 Any Advance hereunder shall be a debt owed to Management Company by ICRM and
shall be repaid in twelve equal installments plus accrued interest on the first day of each
month following any Advance. To the extent PDE is available for

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distribution to Physicians for a particular month; Management Company is authorized to
deduct any outstanding Advance from the PDE prior to distribution to the Physicians to pay
any installment then due.

     6.3.2 Interest expense will be charged on an Advance and will be computed at the
Prime Rate charged by Management Company’s primary bank.

     6.3.3 In addition to the Security Agreement provided for in Section 6.3, ICRM agrees
to enter into a Continuing General Limited Security Agreement in the form of Exhibit
6.3.3 with Management Company’s current bank, Bank of America, National Association in
connection with assigning to Bank of America, the Receivables identified in Section 6.2
that are otherwise assigned to Management Company pursuant to the Security Agreement
identified in Section 6.3.

     6.4 Build Out and Capital Commitment.

     Management Company agrees to invest sufficient capital to build, equip and supply appropriate
office and laboratory space for ICRM to conduct its medical practice at the Facilities. As an
expression of Management Company’s commitment to the growth of ICRM’ practice, Management Company
agrees to maintain, during the term of this Agreement, an on-going investment in the Facilities
and equipment, of an amount up to $250,000.00 (“Capital Commitment”) without an interest charge.
Any amount invested by Management Company in ICRM’s medical Facilities in excess of $250,000.00
will be charged to ICRM as a capital cost at an interest rate equal to the Prime Rate, plus two
percent (2%), charged by Management Company’s primary bank.

Article 7

Term, Service Rights, Payments, And Other Commitments

     7.1 This Agreement shall begin on the Effective Date and shall continue for twenty-five years
(the “Term”), with automatic successive twenty-five year terms (each, a “Renewal Term”), unless
sooner terminated as herein provided. In the event either party elects not to renew this Agreement
at the expiration of the Term or a Renewal Term, said party shall give the other not less than one
(1) year’s prior written notice of its intention not to renew at the expiration of the Term or a
Renewal Term.

     7.2 In consideration of the considerable investment of time and resources in ICRM expected by
Management Company, ICRM grants to Management Company the exclusive right to provide the Business
Services to ICRM.

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Article 8

Termination of the Agreement

     8.1 Termination

          This Agreement may be terminated by either party in the event of the following:

          8.1.1 Insolvency. If a receiver, liquidator or trustee of any party shall be
appointed by court order, or a petition to reorganize shall be filed against any party under any
bankruptcy, reorganization or insolvency law, and shall not be dismissed within 90 days, or any
party shall file a voluntary petition in bankruptcy or make assignment for the benefit of
creditors, then either of the other parties may terminate this Agreement upon 10 days prior written
notice to the other parties.

          8.1.2 Material Breach. If either party believes that the other party has
materially breached its obligations hereunder, then the non-breaching party (“Accuser”) shall give
notice (“Breach Notice”) to the breaching party (“Accused”), setting forth in detail the basis for
the belief (“Accusation”) and indicating that the Accused must cure said breach within 30 days
(“Cure Period”).

          (a) If the Accused, in good faith denies the Accusation, then the Accused shall give notice
within the Cure Period to the Accuser demanding an arbitration of whether there has been a material
breach of this Agreement. Such arbitration shall be conducted in accordance with Section 11.7
hereof and the parties agree, in good faith, to commence the arbitration within 60 days of the
Breach Notice and participate in the arbitration in a “time is the essence of the arbitration”
basis.

          (b) If the Accused agrees with the Breach Notice and cures the Material Breach within the
Cure Period, no further action will be required by either party.

          (c) If the Accused agrees with the Breach Notice, but the breach is not curable within the
Cure Period and the Accused is making diligent efforts to cure the breach during the Cure Period
(“Good Faith Cure Efforts”), the parties shall continue to operate under the terms and conditions
of this Agreement. If after the exercise of such Good Faith Cure Efforts, the Accused shall be
unable to cure the breach within 60 days from the Breach Notice, the Accuser shall, in good faith,
extend the time in which to cure the breach, upon request of the Accused. In the event the Accuser
does not extend the time in which to cure the breach, the Accused shall be entitled to arbitrate
pursuant to Section 11.7 whether the Accused is entitled to an extension in order to cure the
breach.

          (d) It is the intent of the parties that in the event of a material breach hereunder, the
Accused shall the have the opportunity to a full determination of whether there was a material
breach, before this Agreement terminates. If as a result of arbitration, there is a finding
(“Finding”) of a material breach, the Accuser shall be entitled to terminate this Agreement and
the applicable section of Article 9 shall govern.

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     8.2 Termination By Management Company for Professional Disciplinary Actions.
ICRM shall be obligated to suspend a physician whose authorization to practice medicine is
suspended, revoked or not renewed. Management Company may terminate this Agreement upon 10 days
prior written notice to ICRM if a Physician’s authorization to practice medicine is suspended,
revoked or not renewed and ICRM has failed to suspend such physician; provided, however, such
action may not be taken until ICRM has been given 30 days to resolve such physician’s
authorization to practice medicine. ICRM shall notify Management Company within five (5) days of a
notice that a physician’s authorization to practice medicine is suspended, revoked or not renewed
or that formal disciplinary action has been taken against a physician which could reasonably lead
to a suspension, revocation or non-renewal of a physician’s license.

     8.3 Termination at the expiration of a Term or Renewal Term. In the event
either party gives not less than one (1) year’s prior written notice of its intent not to renew at
the expiration of the Term or a Renewal Term, this Agreement shall automatically expire at the end
of the Term or Renewal Term.

Article 9

Purchase of assets — Obligations and Options

     9.1 Termination by Management Company. If Management Company
terminates this Agreement due to the insolvency of ICRM (Section 8.1.1), or for a Finding of
material breach by ICRM (Section 8.1.2), or ICRM fails to suspend a physician whose license is
suspended, revoked or not renewed (Section 8.2), the following shall apply:

     9.1.1 On the closing date (the “Closing Date”) for purposes of consummating the
termination, ICRM shall:

     (a) Pay to Management Company in immediately available funds, an amount equal to the
net book value (in accordance with GAAP) of all Management Company Assets at all Facilities
made available to ICRM by Management Company;

     (b) Pay to Management Company in immediately available funds, an amount equal to the
uncollected accounts receivable purchased from ICRM immediately prior to the Closing Date
which have not been charged to ICRM as a Bad Debt under Cost of Services;

     (c) Pay to Management Company, in immediately available funds, an amount equal to
$1.98 million, plus 50% of ICRM’s PDE in excess of $1.98 million for the 12-month period
ending the month prior to termination of this Agreement.

     (d) Provide to Management Company a Consent to Assignment from each landlord of real
estate leased by Management Company for the benefit of ICRM to the extent each landlord is
willing to provide such consent. The parties shall endeavor to

Page 22 of 36

 

 

obtain a consent that includes a release of Management Company from any further
obligations or liability under the leases as of the Closing Date, except for liabilities
accruing prior to the Closing Date, and shall satisfy any requirements provided for in the
assignment provisions of the applicable leases;

     (e) Hire all Management Company employees working at the Facilities or
make provision for their termination, without liability to Management Company after
the Closing Date.

          (f) Pay to Management Company in immediately available funds any outstanding
liabilities under this Agreement, including any and all loans or Advances

          (g) Execute such documents and perform such acts as may be reasonably necessary to
accomplish the transactions required to effect the termination.

     For purposes of Sections 9.1, 9.2 9.3 and 9.4 the Closing Date shall mean 90 days following
termination of this Agreement.

     9.2 Termination By ICRM In the event this Agreement is terminated by ICRM as
a result of the insolvency of Management Company (8.1.1) or a Finding of a material breach by
Management Company (8.1.2), the following shall apply:

     9.2.1 On the Closing Date for purposes of consummating the termination, ICRM shall;

     (a) Pay to Management Company in immediately available funds, an amount equal to the
net book value (in accordance with GAAP) of all Management Company Assets at all Facilities
made available to ICRM by Management Company, in the event ICRM opts to acquire the Assets;

     (b) Pay to Management Company in immediately available funds, an amount equal to the
uncollected accounts receivable purchased from ICRM immediately prior to the Closing Date
which have not been charged to ICRM as a Bad Debt under Cost of Services;

     (c) Have the option of assuming leases for office and equipment used directly for the
operation of ICRM’s business. In such event, a Consent to Assignment from each landlord of
real estate leased by Management Company for the benefit of ICRM to the extent each
landlord is willing to provide such consent shall be obtained. ICRM shall endeavor to
obtain a consent that include a release of Management Company from any further obligations
or liability under the leases as of the Closing Date, except for liabilities accruing prior
to the Closing Date and shall satisfy any requirements provided for in the assignment
provisions of the applicable leases ;

Page 23 of 36

 

 

     (d) Hire all Management Company employees working at the Facilities or make provision
for their termination, without liability to Management Company after the Closing Date.

     (e) Pay to Management Company in immediately available funds any outstanding
liabilities under this Agreement, including any and all loans or Advances

     (f) Execute such documents and perform such acts as may be reasonably necessary to
accomplish the transactions required to effect the termination.

     9.3 Termination Under Section 8.3 By ICRM. In the event ICRM
elects to
terminate this Agreement pursuant to Section 8.3 hereof, the following shall apply:

     9.3.1 On the Closing Date for purposes of consummating the termination, ICRM shall:

     (a) Pay to Management Company in immediately available funds, an amount equal to the
net book value (in accordance with GAAP) of all Management Company Assets at all Facilities
made available to ICRM by Management Company;

     (b) Pay to Management Company in immediately available funds, an amount equal to the
uncollected accounts receivable purchased from ICRM immediately prior to the Closing Date
which have not been charged to ICRM as a Bad Debt under Cost of Services;

     (c) Pay to Management Company, in immediately available funds, an amount equal to
$1.98 million, plus 50% of ICRM’s PDE in excess of $1.98 million for the 12-month period
ending the month prior to termination of this Agreement.

     (d) A Consent to Assignment from each landlord of real estate leased by Management
Company for the benefit of ICRM to the extent each landlord is willing to provide such
consent. ICRM shall endeavor to obtain a consent that includes a release of Management
Company from any further obligations or liability under the leases as of the Closing Date,
except for liabilities accruing prior to the Closing Date and shall satisfy any
requirements provided for in the assignment provisions of the applicable leases ;

     (e) Hire all Management Company employees working at the Facilities or make provision
for their termination, without liability to Management Company after the Closing Date.

     (f) Pay to Management Company in immediately available funds any outstanding
liabilities under this Agreement, including any and all loans or Advances

     (g) Execute such documents and perform such acts as may be reasonably necessary to
accomplish the transactions required to effect the termination.

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     9.4 Expiration of the Term or a Renewal Term. In the event this
Agreement expires at the end of the Term or a Renewal Term, the following shall apply:

          9.4.1 On the last day of the Term, ICRM shall:

     (a) Pay to Management Company in immediately available funds, an amount equal to the
net book value (in accordance with GAAP) of all Management Company Assets at all Facilities
made available to ICRM by Management Company;

     (b) Pay to Management Company in immediately available funds, an amount equal to the
uncollected accounts receivable purchased from ICRM immediately prior to the Closing Date
which have not been charged to ICRM as a Bad Debt under Cost of Services;

     (c) Pay to Management Company, in immediately available funds, an amount equal to
$1.98 million, plus 50% of ICRM’s PDE in excess of $1.98 million for the 12-month period
ending the month prior to termination of this Agreement.

     (d) Provide to Management Company a Consent to Assignment from each landlord of real
estate leased by Management Company for the benefit of ICRM to the extent each landlord is
willing to provide such consent. The parties shall endeavor to obtain a consent that
include a release of Management Company from any further obligations or liability under the
leases as of the Closing Date, except for liabilities accruing prior to the Closing Date,
and shall satisfy any requirements provided for in the assignment provisions of the
applicable leases;

     (e) Hire all Management Company employees working at the Facilities or make provision
for their termination, without liability to Management Company for payments owed to
Employees for services rendered after the Closing Date.

          (f) Pay to Management Company in immediately available funds any outstanding
liabilities under this Agreement, including any and all loans or Advances

          (g) Execute such documents and perform such acts as may be reasonably necessary to
accomplish the transactions required to effect the termination.

     9.5 Transfer of Ownership

     Upon receipt of payments due under this Article 9 and other payments due, Management Company
shall transfer ownership and possession of the Assets, and assign all right, title and interest in
and to and obligations under the Lease(s) to ICRM and return to ICRM all security deposits. ICRM
shall have the option of receiving full credit on the payments due under this Article 9 for all
liens, encumbrances or security interest, or of having Management Company transfer ownership of
the Assets free and clear of all liens, encumbrances or security interests thereon.

Page 25 of 36

 

     9.6 Nothing in this Article 9 shall be construed to provide for Management Company for an
amount greater than the original Right to Service Fee, except for the repayment of the Exclusive
Right to Service Fee provided for in Section 9.3.1(c).

     9.7 Nothing in this Agreement shall create any personal responsibility or liability on any of
the shareholders of ICRM to repay any amounts due to the Management Company by ICRM other than the
liability of the shareholder described in the Personal Responsibility Agreement dated December 1,
2009 that he or she executed in favor of Management Company.

Article 10

Insurance

     10.1 ICRM shall carry professional liability insurance, covering itself and its employees
providing Infertility Services under this Agreement in accordance with Section 4.6 hereof.

     10.2 ICRM and Management Company shall provide written notice to the other at least thirty
(30) days in advance of the effective date of any reduction, cancellation or termination of the
insurance required to be carried by each hereunder.

Article 11

Miscellaneous

     11.1 Independent Contractor. Management Company and ICRM are independent
contracting parties. In this regard, the parties agree that:

     11.1.1 The relationship between Management Company and ICRM is that of an independent
supplier of non-medical services and a medical practice, respectively, and, unless
otherwise provided herein, nothing in this Agreement shall be construed to create a
principal-agent, employer-employee, or master-servant relationship between Management
Company and ICRM;

     11.1.2 Notwithstanding the authority granted to Management Company herein, Management
Company and ICRM agree that ICRM shall retain the full authority to direct all of the
medical, professional, and ethical aspects of its medical practices;

     11.1.3 Any powers of ICRM not specifically vested in Management Company by the terms
of this Agreement shall remain with ICRM;

     11.1.4 ICRM shall, at all times, be the sole employer of the Physician-
Employees, the Other Professional Employees required by law to be employees of ICRM
and all other professional personnel engaged by ICRM in connection with the operation
of its medical practice at the Facilities, and shall be solely responsible for the
payment of
all applicable federal, state or local withholding or similar taxes and provision of

Page 26 of 36

 

 

workers’ compensation and disability insurance for such professional personnel that are
employees of ICRM;

     11.1.5 No party shall have the right to participate in any benefits, employment
programs or plans sponsored by the other party on behalf of the other party’s employees,
including, but not limited to, workers’ compensation, unemployment insurance, tax
withholding, health insurance, life insurance, pension plans or any profit sharing
arrangement;

     11.1.6 In no event shall any party be liable for the debts or obligations of any
other party except as otherwise specifically provided in this Agreement; and

     11.1.7 Matters involving the internal agreements and finances of ICRM,
including but not limited to the distribution of professional fee income among
Physician
Employees and, if applicable, Other Professional Employees who are providing
professional services to patients of ICRM, and other employees of ICRM, disposition of
ICRM property and stock, accounting, tax preparation, tax planning, and pension and
investment planning, hiring and firing of physicians, decisions and contents of
reports to
regulatory authorities governing ICRM and licensing, shall remain the sole
responsibility
of ICRM and the individual Physicians.

     11.2 Force Majeure. No party shall be liable to the other parties for
failure to perform any of the services required under this Agreement in the event of a strike,
lockout, calamity, act of God, unavailability of supplies, or other event over which such party
has no control, for so long as such event continues and for a reasonable period of time
thereafter, and in no event shall such party be liable for consequential, indirect, incidental or
like damages caused thereby.

     11.3 Equitable Relief. Without limiting other possible remedies available to
a non-breaching party for the breach of the covenants contained herein, including the right of
Management Company to cause ICRM to enforce any and all provisions of the Physician Employment
Agreements described in Section 4.3 hereof, injunctive or other equitable relief shall be
available to enforce those covenants, such relief to be without the necessity of posting bond,
cash or otherwise. If any restriction contained in said covenants is held by any court to be
unenforceable or unreasonable, a lesser restriction shall be enforced in its place and remaining
restrictions therein shall be enforced independently of each other.

     11.4 Prior Agreements; Amendments. This Agreement supersedes all prior
agreements and understandings between the parties as to the subject matter covered hereunder
including the Former ICRM and IRL Agreements, and this Agreement may not be amended, altered,
changed or terminated orally. No amendment, alteration, change or attempted waiver of any of the
provisions hereof shall be binding without the written consent of all parties, and such amendment,
alteration, change, termination or waiver shall in no way affect the other terms and conditions of
this Agreement, which in all other respects shall remain in full force.

Page 27 of 36

 

 

     11.5 Assignment; Binding Effect. This Agreement and the rights and
obligations hereunder may not be assigned without the prior written consent of all of the parties,
and any attempted assignment without such consent shall be void and of no force and effect, except
that ICRM acknowledges and agrees that Management Company may assign this Agreement to any
affiliate, which for purposes of this Agreement, shall include any parent or subsidiary of
Management Company, without the consent of ICRM, provided Management Company shall remain liable
for its obligations hereunder. The provisions of this Agreement shall be binding upon and shall
inure to the benefit of the parties’ respective heirs, legal representatives, successors and
permitted assigns.

     11.6 Waiver of Breach. The failure to insist upon strict compliance with any
of the terms, covenants or conditions herein shall not be deemed a waiver of such terms, covenants
or conditions, nor shall any waiver or relinquishment of any right at any one or more times be
deemed a waiver or relinquishment of such right at any other time or times.

     11.7 Governing Law. This Agreement shall be governed by and construed in
accordance with the laws of the State of Idaho irrespective of the principal place of business of
the parties hereto. Any and all claims, disputes, or controversies arising under, out of, or in
connection with this Agreement or any beach thereof, except for equitable relief sought pursuant to
Section 11.3 hereof, shall be determined by binding arbitration in the State of Idaho, City of
Boise (hereinafter “Arbitration”). The party seeking determination shall subject any such dispute,
claim or controversy to the American Arbitration Association, and the rules of commercial
arbitration thereof shall govern. The Arbitration shall be conducted and decided by a single
arbitrator, unless the parties mutually agree, in writing at the time of the Arbitration, to three
arbitrators. In reaching a decision, the arbitrator(s) shall have no authority to change or modify
any provision of this Agreement, including any liquidated damages provision. Each party shall bear
its own expenses and one-half the expenses and costs of the arbitrator(s). Any application to
compel Arbitration, confirm or vacate an arbitral award or otherwise enforce this Section 11.7
shall be brought in the Courts of the State of Idaho or the United States District Court for the
District of Idaho.

     11.8 Separability. If any portion of the provisions hereof shall to any
extent be invalid or unenforceable, the remainder of this Agreement, or the application of such
portion or provisions in circumstances other than those in which it is held invalid or
unenforceable, shall not be affected thereby, and each portion or provision of this Agreement
shall be valid and enforced to the fullest extent permitted by law, but only to the extent the
same continues to reflect fairly the intent and understanding of the parties expressed by this
Agreement taken as a whole.

     11.9 Headings. Section and paragraph headings are not part of this Agreement
and are included solely for convenience and are not intended to be full or accurate descriptions
of the contents thereof.

     11.10 Notices. Any notice or other communication required by or which may be
given pursuant to this Agreement shall be in writing and mailed, certified or registered mail,
postage prepaid, return receipt requested, or overnight delivery service, such as FedEx or DHL

Page 28 of 36

 

Express, prepaid, and shall be deemed given when received, Any such notice or communication shall
be sent to the address set forth below:

     11.10.1 If for Management Company:

Jay Higham., President

IntegraMed America, Inc.

Two Manhattanville Road

Purchase, New York 10577

With a copy to:

Claude E. White, General Counsel

IntegraMed America, Inc.

Two Manhattanville Road

Purchase, New York 10577

     11.10.2 If for ICRM:

Russell A. Foulk, M.D., President

Idaho Center for Reproductive Medicine

111 Main Street, Suite 100

Boise, Idaho 83702-7304

With a copy to:

Richard H. Breit, Esq.

Richard H. Breit, P.A.

8551 West Sunrise Boulevard

Suite 300

Plantation, Florida 33322-4007

     Any party hereto, by like notice to the other parties, may designate such other address or
addresses to which notice must be sent.

     11.11 Entire Agreement. This Agreement and all attachments hereto represent
the entire understanding of the parties hereto with respect to the subject matter hereof and
thereof, and cancel and supersede all prior agreements and understandings among the parties hereto,
including the Former ICRM and IRL Agreements, whether oral or written, with respect to such subject
matter.

     11.12 No Medical Practice by Management Company. Management Company will not
engage in any activity that constitutes the practice of medicine, and nothing contained in

Page 29 of 36

 

this Agreement is intended to authorize Management Company to engage in the practice of medicine or
any other licensed profession.

     11.13 Confidential Information.

     11.13.1 During the initial term and any renewal term(s) of this Agreement, the parties
may have access to or become acquainted with each other’s trade secrets and other
confidential or proprietary knowledge or information concerning the conduct and details of
each party’s business (“Confidential Information”). At all times during and after the
termination of this Agreement, no party shall directly or indirectly, communicate, disclose,
divulge, publish or otherwise express to any individual or governmental or non-governmental
entity or authority (individually and collectively referred to as “Person”) or use for its
own benefit, except in connection with the performance or enforcement of this Agreement, or
the benefit of any Person any Confidential Information, no matter how or when acquired, of
another party. Each party shall cause each of its employees to be advised of the
confidential nature of such Confidential Information and to agree to abide by the
confidentiality terms of this Agreement. No party shall photocopy or otherwise duplicate any
Confidential Information of another party without the prior express written consent of the
such other party except as is required to perform services under this Agreement. All such
Confidential Information shall remain the exclusive property of the proprietor and shall be
returned to the proprietor immediately upon any termination of this Agreement.

     11.13.2 Confidential Information shall not include information which (i) is or becomes
known through no fault of a party hereto; (ii) is learned by a party from a third-party
legally entitled to disclose such information; or (iii) was already known to a party at the
time of disclosure by the disclosing party.

     11.13.3 In order to minimize any misunderstanding regarding what information is
considered to be Confidential Information, Management Company or ICRM will designate at each
others request the specific information which Management Company or ICRM considers to be
Confidential Information.

     11.14 Indemnification.

     11.14.1 Management Company agrees to indemnify and hold harmless
ICRM, its directors, officers, employees and servants from any suits, claims, actions,
losses, liabilities or expenses (including reasonable attorney’s fees) arising out of or in
connection with any act or failure to act by Management Company related to the performance
of its duties and responsibilities under this Agreement. The obligations contained in this
Section 11.14.1 shall survive termination of this Agreement. This indemnification provision
shall apply to both third-party claims and second-party claims, including, but not limited
to, claims, actions, damages, losses, expenses, or costs

Page 30 of 36

 

(including, but not limited to, reasonable attorneys’ fees and court costs) incurred by
one party to this Agreement as a result of an act, or omission to act, on the part of the
other party, its agents, or employees pursuant to this Agreement

     11.14.2 ICRM agrees to indemnify and hold harmless Management Company, its
shareholders, directors, officers, employees and servants from any suits, claims, actions,
losses, liabilities or expenses (including reasonable attorney’s fees) arising out of or in
connection with any act or failure to act by ICRM related to the performance of its duties
and responsibilities under this Agreement. The obligations contained in this Section
11.14.2 shall survive termination of this Agreement. This indemnification provision shall
apply to both third-party claims and second-party claims, including, but not limited to,
claims, actions, damages, losses, expenses, or costs (including, but not limited to,
reasonable attorneys’ fees and court costs) incurred by one party to this Agreement as a
result of an act, or omission to act, on the part of the other party, its agents, or
employees pursuant to this Agreement

     11.14.3 In the event of any claims or suits in which Management Company and/or ICRM
and/or their directors, officers, employees and servants are named, each of Management
Company and ICRM for their respective directors, officers, employees agree to cooperate in
the defense of such suit or claim; such cooperation shall include, by way of example but not
limitation, meeting with defense counsel (to be selected by the respective party hereto),
the production of any documents in his/her possession for review, response to subpoenas and
the coordination of any individual defense with counsel for the respective parties hereto.
The respective party shall, as soon as practicable, deliver to the other copies of any
summonses, complaints, suit letters, subpoenas or legal papers of any kind, served upon such
party, for which such party seeks indemnification hereunder. This obligation to cooperate in
the defense of any such claims or suits shall survive the termination, for whatever reason,
of this Agreement.

     11.15 The Parties have participated in the drafting and preparation of this Agreement and
this Agreement shall be construed as a whole according to the fair meaning and not for or
against any party.

     IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto as of the day and
year first above written.

	 	 	 	 	 
	Idaho Center For Reproductive Medicine, P.C.

 	 	 
	By:  	/s/ Russell A. Foulk
 	 	 
	 	Russell A. Foulk, M.D., President 	 	 
	 	 	 	 

Page 31 of 36

 

	 	 	 	 	 

	 	 	 	 	 
	IntegraMed America, Inc.

 	 	 
	By:  	/s/ Amin Neghabat
 	 	 
	 	Amin Neghabat, Sr. Vice President
Western Region 	 	 
	 	 	 	 

Page 32 of 36

 

	 	 	 	 	 

Exhibit 3.12

Business Associate Agreement

Page 33 of 36

 

Exhibit 4.7.2

Physician Employment Agreements

Page 34 of 36

 

Exhibit 6.3

Security Agreement

Page 35 of 36

 

Exhibit 6.3.3

Continuing Limited Security Agreement

Page 36 of 36

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