Document:

AMENDMENT NO. 2 TO SERVICE AGREEMENT

                                     BETWEEN

                            INTEGRAMED AMERICA, INC.

                                       AND

         NORTHWEST CENTER FOR INFERTILITY AND REPRODUCTIVE ENDOCRINOLOGY

         THIS AMENDMENT NO. 2 TO SERVICE AGREEMENT ("Amendment No. 2"), is dated
November 1, 2002 by and between IntegraMed America, Inc., a Delaware corporation
with its principal place of business at One Manhattanville Road,  Purchase,  New
York 10577  ("INMD")  and  Northwest  Center for  Infertility  and  Reproductive
Endocrinology,  a  Florida  general  partnership,  with its  principal  place of
business  at 2825  North  State  Road  7,  Suite  302,  Margate,  Florida  33063
("NCIRE").

                                    RECITALS:

         INMD and NCIRE entered into a Service  Agreement  dated April 26, 2002,
as amended by  Amendment  No.1 dated June 14, 2002  (collectively,  the "Service
Agreement"); and

         INMD  and  NCIRE  wish to  amend  further  the  Service  Agreement,  in
pertinent  part,  to provide  for a  modification  in the Base  Service  Fee, as
defined in the Service Agreement.

         NOW THEREFORE,  in  consideration  of the mutual promises and covenants
herein  contained,  and as  contained in the Service  Agreement,  INMD and NCIRE
agree as follows:

         1.  Section  7.1.2 of the Service  Agreement  is hereby  deleted in its
entirety and the following is substituted therefor:

                      "Section 7.1.2 (i) commencing  with the Effective Date, as
              hereinafter  defined,  until December 31, 2002, a Base Service Fee
              ("Base  Service  Fee")  paid  monthly,  but  reconciled  to annual
              Revenues, of an amount equal to four (4%) percent of Revenues, and
              (ii) from January 1, 2003 through and  including  June 30, 2003, a
              Base  Service  Fee,  paid  monthly,  equal to five (5%) percent of
              Revenues.  In the event PDE for NCIRE as  budgeted  for the period
              January 1, 2003  through May 31, 2003 is  achieved,  and the June,
              2003 PDE forecast  indicates  the PDE for June,  2003 is on target
              with the budget,  effective July 1, 2003 ("Accelerated Fee Date"),
              NCIRE will pay INMD a Base  Service Fee equal to six (6%)  percent
              of Revenues;  otherwise, NCIRE will commence paying a Base Service
              Fee of six (6%) percent effective October 1, 2003."

         2.   Section  7.1.3 of the Service  Agreement is hereby  deleted in its
              entirety and the following is substituted therefor:

                      "7.1.3 during each year of this Agreement, commencing with
              the  earlier of (i) the  Accelerated  Fee Date or (ii)  October 1,
              2003, a Base Service Fee,  paid monthly but  reconciled  to annual
              Revenues, of an amount equal to six percent (6%) of the first $8.0
              million  of  NCIRE's  Revenues;  five  percent  (5%)  of  NCIRE.'s
              Revenues  over  $8.0  million,  but less  than $12  million;  four
              percent (4%) of NCIRE.'s Revenues of $12 million or more, but less
              than $16  million;  and three  (3%) of.  NCIRE's  Revenues  of $16
              million or more."

         3.   All other provisions of the Service Agreement,  as amended, not in
              conflict  with  this  Amendment  No. 2 remain  in full  force  and
              effect.
<PAGE>

         IN WITNESS  WHEREOF,  the parties have signed this  Amendment No. 2 the
date first above written.

INTEGRAMED AMERICA, INC.

By:/S/Gerardo Canet
   -------------------------------
   Gerardo Canet, President & CEO

NORTHWEST CENTER FOR INFERTILITY AND REPRODUCTIVE ENDOCRINOLOGY

By:      WAYNE S. MAXSON, M.D., P.A., a general partner

By:/S/Wayne S. Maxon, M.D.
   -------------------------------
   Wayne S. Maxson, M.D., President<PAGE>
                                                                   Exhibit 10.17

January 3, 2003

Wayne Wisehart
2009 Viburnum Lane
Ashville, NC  28803

VIA FACSIMILE

Dear Wayne:

This letter (the "Letter Agreement") sets forth the terms of your employment
with Western Wireless Corporation ("WWC"), effective January 30, 2003.

1.    ROLE: Your title will be Executive Vice President and Chief Financial
      Officer. In that capacity you will report to the Chief Executive Officer
      of WWC (the "CEO").

2.    RESPONSIBILITIES: Your responsibilities will include supervision of all
      financial functions of WWC including accounting, tax, finance, treasury
      and investor relations together with such other duties as may be assigned
      to you by the CEO. You will work closely with the Vice Chairmen on certain
      financial issues. You will devote substantially all of your business time
      and attention to the obligations delineated in this Letter Agreement.

3.    CASH COMPENSATION: Your base compensation will be $240,000, payable in
      accordance with standard payroll practices of WWC. In addition, you will
      have an opportunity, as determined by WWC, to earn a performance bonus
      targeted at $120,000 per year, to be paid annually at year end. The bonus
      will be based on a formula based mutually developed objective and
      subjective criteria. It is understood that nothing contained herein will
      prevent WWC, in its sole and absolute discretion, from, at any time,
      increasing your compensation, either permanently or for a limited period,
      whether in base compensation, by bonus or otherwise, if WWC in its sole
      discretion, shall deem it advisable to do so in order to recognize and
      fairly compensate you for the value of your services to WWC; provided,
      however, that nothing contained in this paragraph three shall in any
      manner obligate WWC to make any such increase or provide any such
      additional compensation or benefits.

4.    STOCK OPTIONS: You will receive an option to purchase 75,000 shares of
      WWC's common stock at an exercise price per share as of the closing price
      of the stock as of the date of this offer or other mutually agreed upon
      date. Your options will have a 4-year vesting and shall contain Change of
      Control protection consistent with other officers of WWC. You will be
      eligible to continue, during the course of your employment, to participate
      in the option program at a level to be determined by the CEO and the
      Compensation Committee.

5.    RELOCATION: We will pay you a flat payment of $60,000, which is intended
      to cover your costs of relocation including moving your belongings,
      vehicles, the costs associated with buying and selling houses and any
      other costs associated with the move. This payment is intended to cover
      all costs of relocation except that it is understood that the company will
      separately reimburse you for the cost of travel to and from Seattle prior
      to your relocation, the cost of temporary housing in the Seattle area and
      the cost of house hunting trips for your family to come to the Seattle
      area.

6.    BENEFITS: You will also be eligible to participate in the WWC's Employee
      Benefit Programs upon eligibility, which includes a group health insurance
      program; life insurance and 401(k) plan with matching. You will be
      entitled to three weeks of vacation annually. We will waive the waiting
      period on the ESPP plan and will pay COBRA from your existing health care
      costs during the waiting period for our medical benefits.
<PAGE>
Page 2

7.    EXPENSES: WWC will reimburse you for all reasonable out-of-pocket business
      expenses paid or incurred by you in connection with the performance of
      your duties, upon submission of signed, itemized lists of such expenses on
      general forms established for that purpose by WWC.

8.    INDEMNIFICATION: WWC will enter into an Indemnification Agreement with you
      pursuant to which WWC will agree to indemnify you against certain
      liabilities arising by reason of your affiliation with WWC.

9.    NON-DISCLOSURE: You agree not to disclose at any time, whether during the
      term of this Letter Agreement or thereafter, any secret or confidential
      information relating to WWC's or any of its subsidiaries' businesses,
      financial condition or prospects, which information you have obtained
      while employed by WWC or by any of its subsidiaries or any of the
      predecessors in interest of any of them, except (i) as may be required in
      furtherance of the businesses of WWC or of any of its subsidiaries, (ii)
      with WWC's express prior written consent, (iii) if such information is
      made generally available to the public through no fault of yours, or (iv)
      if such disclosure is required by applicable law or regulation or by legal
      process and then only with prompt written notice to WWC in advance of any
      such disclosure.

10.   NON-COMPETE: You agree that, during the term of your employment by WWC and
      for a period of one (1) year immediately following the termination of your
      employment with WWC for any reason whatsoever, you will not, either
      directly or indirectly, for compensation or any other consideration,
      individually or as an employee, broker, agent, consultant, lender,
      contractor, advisor, solicitor, stockholder (provided that ownership of 5%
      or less of the outstanding stock of any corporation listed on a national
      securities exchange is not prohibited), proprietor, partner, or person
      having any other material economic interest in, affiliated with or
      rendering services to any other entity, engage in or provide services to
      or for a business that is substantially the same as or similar to WWC's or
      its subsidiaries businesses and which competes within the applicable
      commercial mobile radio services markets serviced by WWC or its
      subsidiaries, directly or indirectly.

11.   EMPLOYMENT AT WILL: Notwithstanding any other provision of this Letter
      Agreement, your employment by WWC may be terminated by WWC at any time,
      with or without Cause, as defined below. In the event of a termination for
      Cause you will have no rights to severance payments. Termination for
      "Cause" means (i) your gross neglect or willful material breach of your
      principal employment responsibilities or duties, (ii) a final judicial
      adjudication that you are guilty of a felony, (iii) fraudulent conduct as
      determined by a court of competent jurisdiction in the course of your
      employment with WWC or any of its subsidiaries, (iv) the breach by you of
      the covenant set forth in paragraph nine, below, or (v) the material
      breach by you of any other provision of this Letter Agreement which
      continues uncured for a period of thirty (30) days after notice thereof by
      WWC. In the event of your voluntary termination of employment with WWC,
      you will have no rights to severance benefits.

      In the event of an involuntary termination for other than Cause (which
      shall include your resignation as a direct result of (i) a reduction in
      your base compensation and/or incentive bonus target percentage, or (ii)
      the material breach by the Company of any provision of this Letter
      Agreement which continues uncured for a period of thirty (30) days after
      notice thereof by you), then (A) you will be entitled to receive a
      severance payment in an amount equal to your accrued but unpaid existing
      annual targeted incentive bonus through the date of termination, twelve
      (12) months of your then base compensation and an amount equal to twelve
      (12) months of your existing annual targeted incentive bonus; (B) WWC
      will, at its expense, make all COBRA benefit payments on behalf of you and
      your dependents for twelve (12) months following such involuntary
      termination; and (C) with respect to any stock options previously granted
      to you by WWC which remain unvested at the time of the involuntary
      termination, notwithstanding the vesting language in the stock option
      agreement pursuant to which such options were granted, there shall be
      immediate vesting of that portion of each such grant of unvested stock
      options as equals the product of the total number of such options under
      such grant which remain unvested multiplied by a fraction the numerator of
      which is the
<PAGE>
Page 3

      sum of (i) the number of days from the date on which the last vesting of
      options under such grant took place to and including the date on which the
      termination occurs plus (ii) 365 and the denominator of which is the
      number of days remaining from the date on which the last vesting of
      options under such grant took place to and including the date on which the
      final vesting under such grant would have occurred.

      Your death or permanent disability will be deemed an involuntary
      termination for other than Cause. "Permanent disability" shall mean your
      inability substantially to render the services required hereunder for
      eight (8) months in any eighteen (18) month period because of a physical
      or mental condition, it being understood that until you have received
      notice from WWC terminating this Letter Agreement, you will continue to
      receive your base compensation and all other benefits to which you are
      entitled under this Letter Agreement.

      You agree that upon termination of your employment by WWC for any reason
      you will surrender to WWC all proprietary records, lists and other
      documents obtained by you or entrusted to you during the course of your
      employment by WWC, together with all copies of all such documents. This
      Letter Agreement contains the entire agreement between you and WWC with
      respect to your employment by WWC, other than human resource and corporate
      policies, which are to be executed by all employees. This Letter Agreement
      may not be amended, waived, changed, modified or discharged except by an
      instrument in writing executed by or on behalf of you and WWC.

12.   NOTICES: All notices, requests, demands and other communications with
      respect to this Letter Agreement will be in writing and will be deemed to
      have been duly given if delivered by hand, registered or certified mail
      (first class postage and fees prepaid, return receipt requested),
      telecopier or overnight courier guaranteeing next-day delivery, as
      follows:

      Western Wireless Corporation
      3650 - 131st Avenue SE, #400
      Bellevue, Washington 98006
      Attention:  General Counsel
      Telecopy:  (425) 586-8102

      Wayne Wisehart
      2009 Viburnum Lane
      Ashville, NC  28803

      and to such other persons as either you or WWC has specified in writing to
      the other by notice as aforesaid.

14.   ENFORCEMENT: If any part of this Letter Agreement is hereafter construed
      to be invalid or unenforceable in any jurisdiction, the same will not
      affect the remainder of the Letter Agreement or the enforceability of such
      part in any other jurisdiction, which will be given full effect, without
      regard to the invalid portions or the enforceability in such other
      jurisdiction. If any part of this Letter Agreement is held to be
      unenforceable because of the scope thereof, you and WWC agree that the
      court making such determination will have the power to reduce the duration
      and/or area of such provision and, in its reduced form, said provision
      shall be enforceable; provided, however, that such court's determination
      will not affect the enforceability of this Letter Agreement in any other
      jurisdiction beyond such court's authority.
<PAGE>
Page 4

15.   JURISDICTION: This Letter Agreement will be governed by and construed and
      interpreted in accordance with the laws of the State of Washington without
      reference to conflicts of laws principles.

Please signify your acceptance of the terms of this Letter Agreement by signing
where indicated below.

                                Sincerely yours,

                                WESTERN WIRELESS CORPORATION

                                By:
                                   -----------------------------------------
                                   John W. Stanton
                                   Chief Executive Officer

AGREED TO AND ACCEPTED:

-----------------------
Wayne Wisehart

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