Document:

Exhibit 10.4

 

MANAGEMENT SERVICES AGREEMENT

 

This Management Agreement (“Agreement”)
is made and entered into as of this 20th day of March, 2009, by and between Apollo Medical Management, Inc., a Delaware corporation
(“Manager”), and ApolloMed Hospitalists, a California medical corporation (“Group”).

 

Recitals:

 

A.            Manager
is a Delaware corporation engaged in the business of managing physician practices to enhance the quality and efficiency of the
medical practices it manages.

 

B.            Group
is a California medical corporation that provides hospitalist services to inpatients at hospitals staffed by Group.

 

C.         
  Group desires retain Manager to provide assistance to Group in managing and administering all non-medical aspects of
Group’s medical practice in a manner and to the extent permitted by law.

 

D.          
 Group and Manager recognize that Group has sole responsibility for providing medical services to Group’s patients,
and Manager shall provide assistance to Group in managing and administering all non-medical functions of Group’s medical
practice.

 

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

 

1.           
Management Services .  During the term of this Agreement, Group engages Manager to assist Group in providing the
following management and administrative services required by Group for the operation of the Practice:

 

(a)           
Business Matters .  Supervising and coordinating all day-to-day, non-medical business aspects of Group’s
Practice.

 

(b)           
Supplies and Equipment .  Ordering and purchasing, after consultation with Group, all medical and office supplies
and equipment required by Group in connection with the operation of Group’s practice.  All such supplies shall
be of a quality acceptable to Group.

 

(c)           
Bookkeeping .  Providing all bookkeeping and accounting services, including, without limitation, maintenance,
custody and supervision of Group’s business records, papers and documents, ledgers, journals and reports, and the preparation,
distribution and recording of all bills and statements for professional services rendered by Group in the course of Group’s
Practice.

 

 

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(d)           
Management & Clinical Information Systems .  Upon request and in consultation with Group, the planning, negotiation
with third party vendors, selection, installation and operation of appropriate hardware and software (including but not limited
to the Apollo Web database technology) to provide Group with management and clinical information systems support.  All
clinical and financial data pertaining to Group’s practice shall be regularly backed up on electronic media, with additional
hard copy back up when in the judgment of Manager, after consultation with Group, it is prudent to do so, and copies of such back
up data in both electronic media and hard copy shall be provided to Group from time to time upon request of Group.  Upon
termination of this Agreement for any reason, all such data and back up data shall be promptly delivered to Group to ensure continuity
of Group’s financial and clinical operations.  All such services shall comply, as appropriate, with the Health
Insurance Portability and Accountability Act of 1996, and the regulations promulgated thereto (“HIPAA”).

 

(e)           
Billing & Collection .  Subject to Section 3(d) below, providing all billing and collection services for Group’s
medical practice.  All billings shall be accurate and in accord with appropriate and up-to-date payor coding requirements.  Manager
shall diligently pursue collections of Group and shall follow up billings in a timely fashion to ensure that payments are received
to the greatest extent possible in a commercially reasonable time, and that aged accounts receivable are maintained within commercially
reasonable limits, for medical practices similar to that of Group.

 

(i)   Attorney-In-Fact; Assignment
and Limitations .  In performing its billing and collection duties hereunder, Manager shall act as Group’s
agent and shall indicate it is billing in the name of Group.  Group hereby appoints Manager, for the term hereof, as
its true and lawful attorney-in-fact, with full power of assignment and substitution, to bill patients or third party payors on
Group’s behalf; collect accounts receivable arising out of billings, and receive payments on behalf of Group.  Notwithstanding
the foregoing, no assignment shall be made to Manager of any sums or rights to payment, the assignment of which is prohibited by
law (e.g., revenues from patients covered by the Medicare program).  In lieu of assignment of such payments, unless otherwise
prohibited by law, Group shall remit to Manager the amount of any such sums within five (5) business days of Group’s receipt
thereof.  Group and Manager shall cooperate in the establishment of a separate account or accounts to track all such
amounts.  In connection with its billing activities, Manager may take possession of, and endorse in the name of Group,
any and all notes, drafts and other instruments received by way of payment.  Manager shall assist Group in negotiating
or otherwise communicating with any patient or third party payor regarding claims processing and any disputes arising therefrom.

 

(ii)           
Bank Accounts .  Manager is hereby granted a general power of attorney with respect to the bank accounts of Group
and shall have full access to and signatory rights, with Group, over such bank accounts.  Manager shall have full power
and authority to deposit funds into, and withdraw funds from, all such accounts in accordance with the terms of this Agreement;
provided, however, that Group may impose such limitations upon Manager’s signatory rights over such accounts as Group shall
determine from time to time, in Group’s sole discretion.  Manager shall have full authority to receive and transact
on behalf of Group all cash, checks, drafts, notes and other instruments tendered as payment for professional services rendered
by Group, except as may be precluded by law.

 

 

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(f)       
     UR/QA .  Assisting Group in the establishment and implementation of a program or programs
of utilization review and quality assurance for the activities of Group, and in the formulation and implementation of related policies,
procedures and protocols including, but not limited to both a monitoring function and the development and implementation of performance
parameters, evidence based medicine protocols, and outcomes measurements

 

(g)           
Insurance .  Negotiating and securing appropriate insurance coverage on behalf of Group and in connection with
Group’s Practice, after consultation with Group, including coverage for malpractice, comprehensive general liability, fire
and premises liability, worker’s compensation, business interruption, and such other coverage as may be agreed from time
to time between Manager and Group.

 

(h)           
Worker’s Compensation, Etc .  Preparing and filing all forms, reports, and returns required by law in connection
with unemployment insurance, workers’ compensation insurance, disability benefits, social security, and other similar laws
now in effect or hereafter imposed.

 

(i)            
Premises .  Managing the proper maintenance and physical operation of Group’s medical practice premises
(“Premises”).  Group’s medical office lease(s) are listed on Exhibit A, which is attached hereto and
made a part hereof.

 

(j)         
   Clerical Support .  Providing reception, secretarial, human resources, transcription and clerical
personnel and services, including management of the maintenance of medical records.  All Manager personnel shall be acceptable
to Group in its reasonable discretion and shall be appropriately trained and supervised for the duties assigned to them in connection
with Group’s practice.

 

(k)           
Advertising .  Marketing of physician services to hospitals, and otherwise coordinating advertising, marketing
and similar activities conducted on behalf of Group, after consultation with Group.

 

(l)            
Capital .  Consulting with Group regarding capital and financial needs, including seeking capital, undertaking
the efforts to raise, and providing access to, capital for any lawful purpose, including without limitation working capital, acquiring
other physician practices and acquiring other business assets of the practice.

 

(m)           
Contracting .  Manager shall assist Group in setting the parameters under which Group will enter into, and in
negotiating, contractual relations with hospitals and third party payors.

 

 

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(n)           
Other Services .  Providing such other services as may be agreed between the parties from time to time which may
include, but not be limited to, Physician recruitment services, contracting services (with hospitals and payors), physicians scheduling,
Payroll services for the physicians (as well as management company personnel), Case management for patients

 

2.            Performance
of Manager’s Services.

 

(a)           
Manager’s Availability .  Manager shall devote its best efforts to carrying out the terms of this Agreement
and shall devote sufficient time and resources, as determined by Manager after consultation with Group, as is reasonably required
to discharge its duties under this Agreement.

 

(b)           
Manager’s Authority .  Manager shall perform all additional and ancillary services, not otherwise described
in this Agreement, that may in Manager’s judgment, after consultation with Group, be reasonable and appropriate in order
to meet Manager’s obligations under this Agreement.  Manager may subcontract with other persons or entities, including
entities related to Manager by common ownership or control, to perform all or any part of the services required of Manager by this
Agreement.  For purposes of this Agreement, Manager shall have signatory rights on all bank accounts used by Group in
the conduct of Group’s Practice, and Manager shall have the right to make deposits to and payments from such accounts as
it deems appropriate in furtherance of its obligations hereunder, in accordance with Paragraph 1(e)(ii) (Bank Accounts).

 

(c)           
Manager’s Responsibility .  In all matters under this Agreement, Manager shall abide by all applicable state
and federal laws and regulations, and applicable policies and procedures of Group.

 

(d)           
Reports to Group .  On or before the twenty-fifth (25 th ) day of the first month of each calendar
quarter, Manager shall provide Group with an accounting of all billings and collections on behalf of Group, and all deposits to
the account(s) of Group and payments from the account(s) of Group, effected by Manager for the benefit of Group during the immediately
preceding calendar quarter.  All reports shall be in such form as may be agreed between Manager and Group from time to
time.

 

3.        
   Obligations of Group.

 

(a)           
Designation of Agent .  Group hereby designates and appoints Manager to act as Group’s non-physician
manager and to provide the services to Group in connection with Group’s Practice as described in this Agreement.  Group
hereby designates Warren Hosseinion, M.D. as its designated representative who is duly authorized by the Group to bind the Group
and act on behalf of the Group in all respects pertaining to this Agreement.

 

 

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(b)           
Access to Information .  Group acknowledges and agrees that all information and records concerning Group and Group’s
performance of services that may be obtained by Manager during the term of this Agreement may be used by Manager for all purposes
necessary or convenient to Manager’s obligations under this Agreement.

 

(c)           
Selection of Group Personnel .  Group shall retain responsibility for the selection, hiring and termination of
physicians, allied health professionals and medical assistants working in clinical capacities for the Group.  Group,
in consultation with Manager, shall be solely responsible for determining the compensation of all licensed medical professionals.

 

(d)           
Coding and Billing Procedures .  Group shall retain responsibility for decisions relating to coding and billing
procedure for patient care services.

 

4.            Confidentiality.

 

(a)           
Trade Secrets .  All proceedings, files, records and related information of Group and of Manager are confidential
and proprietary information of Group and Manager, respectively, and each party shall keep and maintain as strictly confidential
all such information to which it may have access by virtue of this Agreement.  Neither party shall voluntarily disclose
all or any part of such confidential information, orally or in writing, except as expressly required by law or pursuant to a written
authorization from the other party.  Each party shall include the provisions of this Paragraph in any written contract
with any employed or contracted persons that may be engaged by such party to render services pursuant to this Agreement, and shall
take such other steps as may be reasonable under the circumstances to ensure that its respective personnel do not disclose any
confidential information in violation of this provision.  This covenant shall survive the termination of this Agreement.  Each
party agrees that upon termination of this Agreement for any reason, it shall promptly return to the other party the originals
and all copies of any and all trade secrets, confidential or proprietary information, it may then possess, including without limitation
any such information stored on computer media.

 

(b)           
Medical Information & Patient Records .  Each party shall maintain the confidentiality of all patient records,
charts and other patient identifying information, and shall comply with all applicable State and Federal laws governing the confidentiality
of medical records and related information.  Manager will serve as a “Business Associate” (as that term is
defined under HIPAA) of Group, Accordingly, and in compliance with the requirements HIPAA, Manager shall, prior to the commencement
of services hereunder, enter into a mutually acceptable form of Business Associate Agreement.

 

 

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(c)           
Intellectual Property Rights .  Group utilizes a proprietary database technology called ApolloWeb to enhance the
quality and efficiency of the medical practices it manages. (“ApolloWeb”).  From time to time, Group may
provide Manager with software programs and related documentation, or improvements and upgrades thereto, to facilitate its use of
ApolloWeb (“System-Related Software”).  Group hereby grants Manager a nonexclusive, royalty-free license
to reproduce, install and use on equipment owned or controlled by Group, and solely for Group’s own purposes (which may be
business or non-commercial, as applicable), any such System-Related Software only in the form it was provided or made available
to Manager by Group, and only in connection with Manager’s use of the ApolloWeb in accordance with this Agreement.  Manager
will not distribute, sublicense, modify, create derivative works of, sell, transfer or assign the System-Related Software, nor
will Manager reverse engineer, decompile or disassemble any object code of System-Related Software except to the extent permitted
by applicable law notwithstanding this restriction.  Manager further agrees not to remove or destroy any proprietary
markings or confidential legends placed upon or contained within any System-Related Software.

 

Group and its licensors reserve all right,
title and interest in the  ApolloWeb and System-Related Software, including all intellectual property rights therein
(including without limitation all copyrights, patents, trade secrets, trademarks, service marks and trade names) subject to the
licenses expressly set forth in this Agreement.  This Agreement does not include any sale or transfer to Manager of Group
intellectual property rights, including without limitation with respect to ApolloWeb or any System-Related Software.

 

Manager acknowledges that the content, data
and other materials made available by Group are owned or licensed by Group (the “Third Party Materials”).  Manager
will not reproduce, distribute, modify, create derivative works of, or exercise any other rights in, such third party materials
except as authorized by Group.

 

5.       
    Independent Contractors.

 

In the performance of services under this
Agreement, it is mutually understood and agreed that Manager is at all times acting and performing as an independent contractor
rendering administrative services to Group.  Neither party shall have any claim against the other under this Agreement
or otherwise for Workers’ Compensation, unemployment compensation, vacation pay, sick leave, retirement benefits, Social
Security benefits, disability insurance benefits, unemployment insurance benefits, or any other benefits.

 

6.            Staffing
of Manager and Group.

 

(a)           
Non-physician Personnel .  Manager shall be responsible for the payment to all persons employed or retained by
Manager of all compensation, including reasonable base salary, fringe benefits, bonuses, health and disability insurance, workers’
compensation insurance and any other benefits that Manager may make available to its employees or contractors.

 

 

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(b)           
Licensed Professional Personnel .  Group shall employ or contract with all physicians and other licensed professional
personnel that Group, after consultation with Manager, deems to be required for the conduct of the Practice.  All such
personnel shall be employees or contractors of Group, and Group shall be responsible for the payment to all such persons of all
compensation, including reasonable base salary, fringe benefits, bonuses, health and disability insurance, workers’ compensation
insurance and any other benefits which Group may make available to Group’s employees or contractors; provided, however, that
Manager shall have management responsibility over the non-medical aspects associated with Group’s employment or contracting
of such personnel.

 

7.            Term
and Termination.

 

(a)           
Term .  This Agreement shall commence on August 1, 2008 and shall continue in full force and effect for a term
of twenty (20) years (the “Term”) until terminated as provided in this Agreement.

 

(b)           
No Termination without Cause .  This Agreement may be terminated only for cause as specified in Subparagraph (c)
below.

 

(c)           
Termination For Cause .  This Agreement may be terminated by either party for cause, upon sixty (60) days prior
written notice to the other party specifying the cause upon which such termination is based.  For purposes of this Agreement,
“cause” shall have the meanings set forth below.  Notwithstanding the foregoing, neither party may terminate
this Agreement if, during the foregoing sixty (60) day period, the party to whom notice has been given successfully cures the failure
or breach of performance upon which termination is based; provided, however, that if such failure or breach cannot be cured within
the sixty (60) day period, termination shall not occur if the party to whom notice has been given takes material action during
such sixty (60) day period to cure the failure or breach and thereafter diligently and continuously prosecutes such cure to completion.

 

(d)           
By Group .  Cause for termination by Group shall be limited to the following: (i) failure of any representation
or warranty made by Manager in this Agreement to be true at the date of this Agreement and to remain true throughout the Term hereof,
which failure has a material adverse effect upon Group; (ii) material failure by Manager to duly observe and perform the covenants
and agreements undertaken by Manager herein; (iii) misrepresentation of material fact, or fraud, by Manager in the discharge
of its obligations under this Agreement; (iv) if Manager shall dissolve, shall be adjudicated insolvent or bankrupt, or shall
make a general assignment for the benefit of creditors, or shall consent to or authorize the filing of a voluntary petition in
bankruptcy, which petition shall remain undismissed for a period of sixty (60) days, or the filing against Manager of any proceeding
in involuntary bankruptcy, which proceeding shall remain undismissed for a period of sixty (60) days.

 

 

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(e)           
By Manager .  Cause for termination by Manager shall be limited to the following: (i) failure of any representation
or warranty made by Group in this Agreement to be true at the date of this Agreement and to remain true throughout the Term hereof,
which failure has a material adverse effect upon Manager; (ii) material failure by Group to duly observe and perform all the
covenants and agreements undertaken by Group herein; (iii) misrepresentation of material fact, or fraud, by Group in the discharge
of Group’s obligations under this Agreement; or (iv) if Group shall be adjudicated insolvent or bankrupt, or shall make
a general assignment for the benefit of creditors, or shall consent to or authorize the filing of a voluntary petition in bankruptcy,
which petition shall remain undismissed for a period of sixty (60) days, or the filing against Group of any proceeding in involuntary
bankruptcy, which proceeding shall remain undismissed for a period of sixty (60) days.

 

(f)           
Effect of Termination .  Termination of this Agreement shall not discharge either party from any obligation which
may have arisen and which remains to be performed upon the date of termination, including, but not limited to, the obligation to
compensate Manager in accordance with Section 8 (Management Fee).  Upon termination of this Agreement, Manager shall
promptly deliver to Group all clinical and financial data maintained by Manager for Group’s benefit.  Manager shall
make diligent efforts to collect receivables arising from services of Group prior to the date of termination and shall remit to
Group in a timely fashion the allocable portion of all such collections.  Similarly, following termination, all receivables
that Group may directly collect arising from services of Group prior to the date of termination shall be allocated as provided
herein, and Group shall remit to Manager in a timely fashion the allocable portion of Group’s collections of the same.

 

8.            Management
Fee.

 

(a)           In
consideration of the management services to be rendered by Manager hereunder, Group shall pay Manager, each month, a percentage
of Group’s gross revenue that Group receives for the performance of medical services by Group.  This percentage
will be amended or modified each month, according to medical practice budgets agreed between Manager and Group.

 

(b)           On
or before the twentieth (20th) day of the month following each month, Manager may deduct and pay to itself, from any account(s)
of Group managed by Manager, all amounts due and owing to Manager as management fees for the immediately preceding month.

 

9.            Rights
of Entry and Inspection.

 

(a)           
By Manager .  Manager and its duly authorized representatives shall have the right at all reasonable times to
enter upon Group’s Premises for the purposes of carrying out the duties of Manager hereunder, and for inspection and verification
of Group’s books and records pertaining to Group’s Practice; provided, however, that any such entry by Manager shall
not unreasonably interfere with the conduct of Group’s Practice.

 

 

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(b)           
By Group .  Group and its duly authorized representatives shall have the right at all reasonable times to enter
upon Manager’s premises for the purposes of carrying out the duties of Group hereunder, and for inspection and verification
of Manager’s books and records pertaining to Group’s Practice; provided, however, that any such entry by Group shall
not unreasonably interfere with the conduct of Manager’s business.

 

10.          Group’s
Representations and Warranties.

 

(a)           
Properly Constituted .  Group is a professional corporation, duly organized, existing in good standing under the
laws of the State of California, has the corporate power and authority to own its property and to carry on Group’s business
as it is now being conducted, and to enter into and perform Group’s obligations under this Agreement.

 

(b)           
No Conflicts .  The execution, delivery and performance of this Agreement will not contravene or conflict with
any agreements, indentures or contracts to which Group is a party or by which it is bound.

 

(c)           
Licenses and Permits .  Group has in full force and effect all licenses, permits and certificates required to
operate Group’s Practice as it is being operated as of the date of this Agreement.  Group shall promptly notify
Manager should any of Group’s shareholders become ineligible to practice medicine in the State of California.  Group
shall not permit any persons who have become ineligible to practice medicine in California to retain shares of Group beyond such
time periods as may be permitted by law.

 

(d)           
Consents .  Group has taken all appropriate corporate action and has obtained all necessary approvals and consents
that are necessary or convenient to enable Group to enter into this Agreement.

 

11.          Manager’s
Representations and Warranties.

 

(a)           
Properly Constituted .  Manager is a corporation duly organized, existing and in good standing under the laws
of the State of Delaware, has the corporate power and authority to own its property and to carry on its business as it is now being
conducted, and to enter into and perform its obligations under this Agreement.

 

(b)           
No Conflicts .  The execution, delivery and performance of this Agreement will not contravene or conflict with
any agreements, indentures or contracts to which Manager is a party or by which it is bound.

 

 

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(c)           
Licenses and Permits .  Manager has in full force and effect all licenses, permits and certificates required to
operate its business as it is being operated as of the date of this Agreement.

 

(d)           
Consents .  Manager has taken all appropriate corporate action and has obtained all necessary approvals and consents
that are necessary or convenient to enable Manager to enter into this Agreement.

 

12.           Insurance
and Indemnity.

 

(a)           
Professional Liability .  Group shall at all times during the term of the Agreement procure and maintain, and
cause all licensed health care personnel associated with Group’s medical practice to similarly procure and maintain, professional
liability insurance with minimum coverage limits of One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000)
annual aggregate, and in such form and substance, and underwritten by such recognized companies, authorized to do business in California,
as Manager may from time to time reasonably require, and shall provide copies of all such policies and renewals thereof to Manager
upon request.

 

(b)           
Indemnity .  To the extent permissible under each party’s respective policies of insurance, each party shall
indemnify and hold harmless the other party, and its shareholders, directors, officers, employees and agents, from and against
all damages, costs, expenses, liabilities, claims, demands, and judgments of whatever kind or nature, including reasonable attorneys’
fees and costs, for which either party might liable, in whole or in part, arising out of or related to the acts and/or omissions
of the indemnifying party and its shareholders, directors, officers employees and agents.

 

13.          General
Provisions.

 

(a)           
Assignment .  Neither party shall assign any of its rights nor delegate any of its duties or obligations under
this Agreement without the prior written consent of the other party.  Notwithstanding the foregoing, Manager may assign
this Agreement to a successor in interest by providing notice to Group, which notice shall state the effective date of such assignment.  Upon
such assignment, the successor shall be responsible for the duties and responsibilities of Manager hereunder.  Nothing
contained in this Agreement shall be construed to prevent the Manager from selling or conveying substantially all of its assets
used in connection with the performance of this Agreement, nor shall Group be prohibited from selling or conveying substantially
all of its assets provided that the Agreement continues in full force and effect.

 

(b)           
Access to Books and Records .  Manager shall make available, upon request, to the Secretary of Health and Human
Services and the Comptroller General of the United States, or their authorized representatives, this Agreement, and all books,
documents and records relating to the nature and extent of the costs of services provided hereunder for a period of five (5) years
after the furnishing of services pursuant hereto.  In addition, if Manager’s services under this Agreement are
to be provided by subcontract and if that subcontract has a value or cost of Ten Thousand Dollars ($10,000.00) or more over a twelve-month
period, Manager shall require in writing that the subcontractor make available to the Secretary and the Comptroller General, or
their authorized representatives, for a period of five (5) years after the furnishing of such services, the subcontract and all
books, documents and records relating to the nature and extent of the costs of the services provided thereunder.

 

 

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(c)           
Amendments .  This Agreement may be amended at any time by mutual agreement of the parties without additional
consideration, provided that before any amendment shall become effective, it shall be reduced to writing and signed by the parties.  Notwithstanding
the foregoing, should any provision of this Agreement be in conflict with a governing State or federal law, it shall be deemed
amended accordingly.

 

(d)           
Notices .  Notices required under this Agreement shall be deemed given (i) at the time of personal delivery upon
the party to be served; or (ii) twenty four (24) hours following deposit for overnight delivery with a bonded courier holding itself
out to the public as providing such service, or following deposit in the U.S. Mail, Express Mail for overnight delivery; or (iii)
forty eight (48) hours following deposit in the U.S. Mail, registered or certified mail; and in any case postage prepaid and addressed
as follows, or to such other addresses as either party may from time to time designate to the other:

 

	 	To Group: 	ApolloMed Hospitalists

 

P.O. Box 4555

       Glendale,
CA 91222

 

	 	To Manager:	Apollo Medical Management, Inc.

 

 1010 N. Central Ave.

Glendale, CA 91201

 

(e)           
Entire Agreement .  This Agreement, including all Attachments, is the entire Agreement between the parties regarding
the subject matter hereof, and supersedes all other and prior agreements, whether oral or written.

 

(f)           
Successors and Assigns .  This Agreement shall inure to the benefit of, and shall be binding upon, the parties
hereto and their permitted successors and assigns.

 

(g)           
Waiver of Provisions .  No waiver of any terms or conditions hereof shall be valid unless given in writing, and
signed by the party giving such waiver.  A waiver of any term or condition hereof shall not be construed as a future
or continuing waiver of the same or any other term or condition hereof.

 

 

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(h)           
Governing Law .  This Agreement shall be construed in accordance with and governed by the laws of the State of
California without regard to conflicts of law.

 

(i)           
Severability .  The provisions of this Agreement shall be deemed severable, and if any portion shall be held invalid,
illegal or unenforceable for any reason, the remainder of this Agreement shall be effective and binding upon the parties.

 

(j)           
Attorneys’ Fees .  In the event that any action, including mediation or arbitration, is brought by either
party arising out of or in connection with this Agreement, the prevailing party in such action shall be entitled to recover its
costs of suit, including reasonable attorneys’ fees.

 

(k)           
Captions .  Any captions to or headings of the articles, sections, subsections, paragraphs, or subparagraphs of
this Agreement are solely for the convenience of the parties, are not a part of this Agreement, and shall not be used for the interpretation
or determination of any provision hereof.

 

(l)           
Cumulation of Remedies .  The various rights, options, elections, powers, and remedies of the respective parties
hereto granted by this Agreement are in addition to any others to which the parties may be entitled to by law, shall be construed
as cumulative, and no one of them is exclusive of any of the others, or of any right of priority allowed by law.

 

(m)         
No Third Party Rights .  The parties do not intend the benefits of this Agreement to inure to any third person
not a signatory hereto; and accordingly, this Agreement shall not be construed to create any right, claim or cause of action against
either party by any person or entity not a party hereto.

 

(n)           
Construction of Agreement .  The parties agree that each party and its counsel have participated in the review
and revision of this Agreement and that any rule of construction to the effect that ambiguities are to be resolved against the
drafting party shall not apply in the interpretation of this Agreement.

 

(o)           
Counterparts .  This Agreement may be executed in any number of counterparts, each of which shall be deemed an
original, but all of which together shall constitute one and the same instrument.

 

 

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

 

	Apollo Medical Management, Inc.
	(“MANAGER”):
	 	 
	By:	/s/ Warren Hosseinion
	 	 
	Its:	Chief Executive Officer
	 	 
	Apollo Med Hospitalists, a Medical Corporation
	(“GROUP”):
	 	 
	By:	/s/ Warren Hosseinion
	 	 
	Its:	Chief Executive Officer

 

 

-13-Exhibit
10.14

ApolloMed Hospitalists

A Medical Corporation

 

HOSPITALIST PARTICIPATION SERVICE AGREEMENT

 

This HOSPITALIST PARTICIPATION SERVICE AGREEMENT
(“Agreement”) is

made and entered into this 1st day of February, 2009
by and between ApolloMed Hospitalists, A Medical Corporation (Group), a California professional corporation located at P.O. Box
4555, Glendale, CA 91222 and Warren Hosseinion, a physician (Provider), having its principal place of business at 1420 S. Central
Ave, Glendale, CA 91202.

 

RECITALS

 

WHEREAS, Group intends to enter into agreements with,
but not limited to, Independent Physician Associations (IPA’s), private community physicians (Physicians) and contracted
hospitals (Hospital(s)) for the provision of inpatient medical services to persons enrolled as Enrollees (Enrollees) of IPA’s
or patients assigned to group as attending physician or consultant by Physician(s) or Hospital(s).

 

WHEREAS, Group and Provider desire to enter into
a contract whereby Provider agrees to provide Covered Inpatient Intensive Medicine Services on behalf of Group to Enrollees of
IPA’s or patients assigned to group as a locum tenens attending physician or consultant by, but not limited to, Hospital(s)
and Physician(s) which contract with Group.

 

NOW, THEREFORE, in consideration of the mutual covenants
and promises

contained herein, the parties agree as follows:

 

			RETENTION OF PROVIDER

 

		1.	Provider shall, at all times, be deemed an, employee. It is the express intention of the parties that Provider is an employee,
agent, owner, joint venturer and partner of Group. Both parties acknowledge that Provider is an employee for any and all purposes,
including state and federal tax withholdings and that: (1) Provider will not incur business expenses that are not reimbursed by
the Group except as otherwise expressly stated in this Agreement, (3) Provider will exercise independent discretion in and control
the performance of services that Provider renders pursuant to this Agreement, and (4) Group may supply Provider with the tools
and instrumentalities used in the performance of such services at Group’s discretion. This Agreement is primarily to achieve
the result of the service Provider will render, not the means by which the service will be accomplished.

    	Page 1
                                                                                                                                                                                               of 13

    	 	 

    
 

		2.	Provider will devote high professional standards and very good effort and attention to the performance of services pursuant
to this Agreement. Provider will use good judgment, adhere to high ethical standards, and avoid situations that create an actual
or perceived conflict between Provider’s interests and the interests of Group. While providing services to Group, Provider
will respect Group’s procedures and policies so as not to create unsafe situations, hinder Group’s patient, employee
or vendor relations, expose Group to undue risks or losses or cause dissension among the Group’s employees.

 

		3.	Provider agrees to indemnify Group and all of its officers, directors, employees, shareholders, and agents and hold them all
harmless for any injuries, damages, or losses (including reasonable attorney’s fees and legal costs) to Provider or to Provider’s
agents or employees arising from or relating to this Agreement. Provider further agrees to indemnify Group, and all of its officers,
directors, employees, shareholders and agents, free and hold them all harmless from and against any and all claims, demands, damages
or liabilities (including reasonable attorney’s fees and legal costs) of Group arising from or relating to the performance
by Provider and Provider’s agents and employees of Provider’s obligations and duties pursuant to this Agreement.

 

 

ARTICLE
I

SERVICES
TO BE PERFORMED BY PROVIDER

 

Provider agrees to be available to provide and/or
arrange coverage for Covered

Inpatient Intensive Medicine Services to Enrollees
of IPA’s, or patients assigned to group as attending physician by Hospital(s) or Physician(s) on an as-needed basis. Said
Covered Inpatient Intensive Medicine Services as referenced in Exhibit “A” shall be provided to Enrollees of each and
every IPA which has (1) contracted with the Group and (2) has accepted Group to provide Covered Inpatient Intensive Medicine Services
to its Enrollees and to patients assigned to Group as attending physician by Hospital(s) or Physician(s). Provider agrees to provide
said Covered Inpatient Intensive Medicine Services at Group’s Participating Hospitals as referenced in Exhibit “B”.
IPA’s contracted with Group are listed in Exhibit “C.”

 

ARTICLE
II

REPRESENTATIONS

 

GROUP hereby warrants and represents that it is a
California medical professional corporation that is in good standing with the California Secretary of State.

 

PROVIDER hereby warrants and represents that he or
she is duly licensed to practice medicine in the State of California and is in good standing with the Medical Board of California.
Provider further warrants and represents that he or she is currently either Board Certified or Board Eligible, and that for the
duration of this Agreement shall remain in good standing with the Medical Board of California and with the medical staff of the
Primary Hospital(s) with privileges in Inpatient Intensive Medicine.

 

    	Page 2 of 13

    	 

    

ARTICLE
III

COMPENSATION

 

Group shall compensate Provider for Covered Inpatient
Intensive Medicine Services as referenced in Exhibit A at an annualized rate of four hundred fiftteen thousand Dollars ($415,000.00)
per year, where three hundred sixty thousand Dollars ($360,000.00) are payable as a taxable and direct salary in bimonthly installments
and prorated on a daily basis for any portion of a month in which the terms of this Agreement do not apply or have been suspended
by agreement of the Parties or terminated pursuant to the termination provisions of this Agreement and the remaining fifty five
thousand Dollars ($55,000.00) as nontaxable benefits, paid either directly from Group or remitted to Group by Provider for costs
incurred on a monthly basis, for the purpose of carrying out and performing duties related to employment with Group which include
the following: (1) automobile expenses including (a) automobile lease (b) gasoline and (c) automobile repairs and maintenance,
(2) meals, (3) travel expenses including (a) automobile rental (b) airline fees and (c) hotels, (4) communication expenses including
(a) cellular phone and accessories and (b) cellular phone fees. In the event the amount of nontaxable benefits incurred by Provider
is less than the fifty five thousand Dollars ($55,000.00) allocated to Provider by Group, Group shall pay the difference to Provider
as a taxable salary at the end of the calendar year. In the event the amount of nontaxable benefits incurred by Provider is greater
than the fifty five thousand Dollars ($55,000.00) allocated to Provider by Group, Group shall convert said amount to a loan against
Provider which shall be repaid by Provider to Group within the following quarter in the form of bimonthly deductions from Provider’s
expected salary.

 

ARTICLE IV

OBLIGATIONS
OF GROUP

 

		1.	Group will secure throughout the entire term of this Agreement a policy of professional malpractice liability insurance on
behalf of Provider with an insurance company admitted and licensed in the State of California. The minimum coverage amount must
be One Million Dollars ($1,000,000) per claim and Three Million Dollars ($3,000,000) in the annual aggregate. Group shall supply
evidence of current insurance upon the Provider’s demand at any time. Should Provider elect to obtain such coverage through
an insurance other than that arranged by the Group, Group will remit the costs of the premiums on a monthly basis to the Provider
as invoiced to Group by the Provider.
	 	 	 
	 	2.	Group
also agrees to maintain or purchase a tail policy for a period of not less than five (5) years following the effective termination
date of the foregoing policy. Said tail policy shall have the same policy limits as the primary professional liability policy.
Should Provider elect to obtain such coverage through an insurance other than that arranged by the Group, Group shall fully reimburse
Provider for the cost of said tail policy.

 

    	Page 3 of 134

    	 

    

	 	 	 
	 	3.	Group
will secure throughout the entire term of this Agreement a policy of health insurance on behalf of Provider with an insurance
company admitted and licensed in the State of California. Said insurance policy shall provide coverage for Provider and all
his dependents at no additional cost to Provider. Group shall supply evidence of current insurance upon the Provider’s
demand at any time. Should Provider elect to obtain such coverage through an insurance other than that arranged by the Group,
Group will remit the costs of the premiums on a monthly basis to the Provider as invoiced to Group by the Provider.
	 	 	 
	 	4.	Group
will secure throughout the entire term of this Agreement a policy of disability insurance and on behalf of Provider with an
insurance company admitted and licensed in the State of California. The minimum coverage shall be in the amount equal to
Provider’s current salary. Group shall supply evidence of current insurance upon the Provider’s demand at any
time. Should Provider elect to obtain such coverage through an insurance other than that arranged by the Group, Group will
remit the costs of the premiums on a monthly basis to the Provider as invoiced to Group by the Provider.
	 	 	 
	 	5.	Group
will secure throughout the entire term of this Agreement a policy of term life insurance on behalf of Provider with an insurance
company admitted and licensed in the State of California. The minimum coverage shall be in the amount of one million dollars ($1,000,000).
Group shall supply evidence of current insurance upon the Provider’s demand at any time. Should Provider elect to obtain
such coverage through an insurance other than that arranged by the Group, Group will remit the costs of the premiums on a monthly
basis to the Provider as invoiced to Group by the Provider.

 

 

ARTICLE V

OBLIGATIONS
OF PROVIDER 

 

 

		1.	During the entire term of this Agreement, Provider shall remain in good standing of the medical staff of the Primary Hospital(s)
as referenced in Exhibit “B” with privileges in Inpatient Intensive Medicine.
Loss of such medical staff membership or loss, impairment, suspension or reduction in privileges shall result in immediate termination
of this Agreement.

 

 

 

    	Page 4 of 13

    	 

    

		2.	Provider shall advise Group of each malpractice claim filed against Provider and each settlement or judgment of malpractice
within fifteen (15) days following said filing, settlement, or judgment. Provider represents and warrants that no claims of malpractice
have been made against Provider except as previously indicated in writing to the Group.

 

		3.	Provider has agreed to provide Covered Inpatient Intensive Medical Services as referenced in Exhibit “A,” Exhibit
“B,” and Exhibit “C.”

 

		4.	Provider shall maintain active licenses and DEA numbers in the State of California. Provider shall pay all associated licensing
fees and expenses. Provider may also maintain active or inactive licenses in other states at Provider’s sole expense.
	 	 	 

		5.	Provider shall cooperate with independent quality review and improvement organization activities pertaining to provision of
services. Provider shall comply with M+CO medical policies, quality assurance programs and medical management programs. Provider
shall fully cooperate with and adhere to Medicare's appeals, expedited appeals and expedited review procedures for M+CO Members,
including gathering and forwarding information on appeals to M+CO as necessary.
	 	 	 

		6.	Provider shall abide by all standards specified by the Healthcare Facilities Accreditation Program (the “HFAP”)
or the Joint Commission on Accreditation of Healthcare Organizations (“JCAHO”) (whichever is applicable), or any comparable
deemed status organization in the current accreditation manual for hospitals and all regulations set forth in Title 22, Division
5 of the California Code of Regulations, with respect to the provision of the Services.
	 	 	 

		7.	As to those patients assigned to Provider, Provider shall:
	 	 	 

		(a)	Timely assess all newly admitted patients in accordance with the following timelines:
	 	 	 

(1) Admissions to Units Other Than ICU – In
accordance with existing hospital policy, unless the clinical status of the patient warrants an earlier assessment;

 

(2) Admission to ICU - In accordance with existing
hospital policy, unless the clinical status of the patient warrants an earlier assessment; and

 

(3) Emergency Department –
Within thirty (30) minutes of request from Emergency Department.

 

		(b)	Communicate with the patient’s Primary Care Physician, where applicable, regarding the patient’s medical condition
and treatment plan within twenty-four (24) hours of admission, at least every forty-eight (48) hours during the patient’s
inpatient stay, and within twenty-four (24) hours of discharge.
	 	 	 

 

    	Page 5 of 13

    	 

    

	 	 	 
	 	 	 
	 	 	 

		(c)	Provide encounter data on all services rendered at Hospital as requested by Hospital;
	 	 	 

		(d)	Communicate with Hospital’s Case Management Staff on a daily basis regarding the patient’s medical condition, treatment
plan, and discharge status;
	 	 	 

		(e)	Obtain consultations with specialists and other members of the Medical Staff as may be required by the patient’s medical
condition.
	 	 	 

		(f)	Cooperate in promptly transitioning care back to the Patient’s primary care physician upon discharge, by, among other
things:
	 	 	 

		(1)	Preparing discharge instructions (i.e., the discharge
sheet) to be faxed or submitted to the primary care physician on the day of discharge; and

		(2)	Timely completing the discharge summary, as required
by hospital rules.

 

		8.	Provide consultations to those staff physicians who have elected to admit patients to the Hospital.
	 	 	 

		9.	In the event a patient requests his/her own primary care physician, Provider will provide such care as may be immediately required
under the circumstances, and shall promptly call and inform the primary care physician of the patient’s request.

 

ARTICLE
VI

CONFIDENTIALITY/NONDISCLOSURE

 

		1.	Provider understands that, in connection with his or her engagement with Group, he or she may receive, produce, or otherwise
be exposed to trade secrets, Group Information and/or Confidential Information, in addition to all information Group receives from
others under an obligation of confidentiality.

 

		2.	Provider acknowledges that trade secrets, Group Information and Confidential Information are the sole, exclusive and extremely
valuable property of Group. Accordingly, Provider agrees to segregate all trade secrets, Group Information and/or Confidential
Information from information of other companies and agrees not to reproduce any trade secrets, Group Information and/or Confidential
Information without Group’s prior written consent, not to use trade secrets, Group Information and/or Confidential Information
except in the performance of this Agreement, and not to divulge all or any part of any trade secrets, Group Information and/or
Confidential Information in any form to any third party, either
during or after the term of this Agreement. Upon termination or expiration of this Agreement for any reason, Provider agrees
to cease using and to return to Group all whole and partial copies and derivatives of any trade secrets, Group Information
and/or Confidential Information, whether in Provider’s possession or under Provider’s direct or indirect control,
including any computer access codes and/or nodes.

    	Page 6 of 13

    	 

    

		3.	Provider shall not disclose or otherwise make available to Group in any manner any confidential and proprietary information
received by Provider from third parties. Provider warrants that his or her performance of all the terms of this Agreement does
not and will not breach any agreement entered into by Provider with any other party, and Provider agrees not to enter into any
agreement, oral or written, in conflict with this Agreement. In addition, Provider recognizes that Group has proprietary information
subject to a duty on Group’s part to maintain the confidentiality of such information and to use such information only for
certain limited purposes. Provider agrees that he or she owes to Group and such third parties, during the term of the Provider’s
relationship with Group and thereafter, regardless for the reason of termination of the relationship, a duty to hold all such confidential
or proprietary information in the strictest of confidence and not to disclose such information to any person, Group or corporation
(except as necessary in carrying our his or her work for Group consistent with Group’s agreement with such third party) or
to use such information for the benefit of anyone other than for Group or such third party (consistent with Group’s agreement
with such third party).
	 		 
		4.	Provider
shall comply with all state, federal and other government requirements regarding medical records, including requirements regarding
completion of records, retention of records, access to records, confidentiality of records, and submission of reports, including
but not limited to HIPAA. Attached as Exhibit “D” and incorporated herein by reference, is Group’s HIPAA privacy
policy. As a condition of and in consideration for this Agreement, Provider shall execute and be subject to Group’s HIPAA
Business Associate Agreement, attached as Exhibit “E.”
	 	 	 
	 	5.	The
provisions of this Article shall remain enforceable regardless of any termination of the Agreement.

  

ARTICLE
VII

RESTRICTION
ON SOLICITATION

 

Provider shall not, for as long as Provider is providing
services to Hospital hereunder and for a period of six months after the termination of this Agreement, directly or indirectly,
promote, participate, or engage in any business activity that would interfere with the performance of Group’s business. By
way of example only and not by way of limitation, Provider shall not solicit, attempt to solicit, or cause to be solicited any
customers or clients of Group, nor will Provider solicit, attempt to solicit, or cause to be solicited any employees, agents or
independent contractors of Group to cease their relationship with Group. The parties expressly acknowledge that remedies at law
shall be deemed to be inadequate for any breach of any of the covenants of this section, and Group shall be entitled to injunctive
relief in addition to any other remedies it may have in law or in equity in the event of such breach. This section shall remain
enforceable regardless of any termination of the Agreement.

    	Page 7 of 13

    	 

    
 

ARTICLE
VIII

INDEMNIFICATION

 

Provider hereby indemnifies and holds harmless Group
and its directors, officers, employees, shareholders and agents from and against any claim, loss, damage, cost, expense (including
reasonable attorney’s fees) or liability arising out of or related to the performance or non-performance by Provider of any
services to be performed or

provided by Provider under this Agreement, as well
as all other acts or omissions of Provider. This and all other indemnification provisions in the Agreement shall remain enforceable
regardless of any termination of the Agreement.

 

ARTICLE
IX

MISCELLANEOUS

 

		1.	This Agreement reflects the entirety of the Agreement of the Parties and may be amended or modified only by a written document
signed by both parties hereto.

 

		2.	All notices required by this Agreement shall be sufficient if delivered in writing by United States mail, postage prepaid and
return receipt requested, addressed to the party at the addresses set forth above.

 

		3.	The rights and benefits of Group under this Agreement shall be fully assignable and transferable, and all provisions herein
shall inure to the benefit of and be enforceable by or against its successors and assigns.

		4.	Nothing contained in this Agreement shall be construed to permit assignment by Provider of any rights under this Agreement
and any such assignment is expressly prohibited. Group may assign its rights and obligations under this Agreement.

 

		5.	If any provision in this Agreement is held by a court or arbitrator of competent jurisdiction to be invalid, void, or unenforceable,
the remaining provisions will nevertheless continue in full force without being impaired or invalidated in any way.

 

		6.	In case of enforcement action arising under or related to this Agreement, the prevailing party shall be entitled to reasonable
attorney’s fees, costs, and necessary disbursements in addition to any other relief to which he or she may be entitled. This
provision shall be construed as applicable to the entire Agreement.

 

    	Page 8 of 13

    	 

    

		7.	This Agreement will be governed by and construed in accordance with the laws of the State of California.

 

		8.	Provider acknowledges that he or she had the opportunity to consult an attorney regarding the terms of this Agreement and has
either received or waived such advice.

 

		9.	This Agreement may be executed in separate counterparts, each of which is deemed to be an original and all of which taken together
constitute one and the same Agreement.

 

ARTICLE
X

VOLUNTARY
AND OPTIONAL AGREEMENT TO ARBITRATE DISPUTES

 

Any controversy or claim arising out of or relating
to this Agreement, or breach thereof, shall be settled by binding arbitration pursuant to the following terms and conditions, which
shall remain enforceable regardless of any termination of the Agreement:

 

1.                       
Voluntary Agreement.

 

The purpose of arbitration is
to resolve any disputes in a timely, fair and individualized manner. Provider’s agreement to Arbitrate is not a mandatory
condition of this Agreement, and if Provider rescinds his or her acceptance of the agreement to Arbitrate within the time specified
below, this Article shall not be enforceable. At the written request of either Party, the Parties agree to consider, in good faith,
any reasonable proposal to modify or amend the terms proposed by the other Party, or previously agreed upon in writing by the Parties.
Provider is free to consult an attorney of his or her choice in connection with this process. If the Provider wishes to rescind
his or her acceptance of the agreement to Arbitrate, he or she may do so at any time within 30 days of signing the Agreement by
delivering and maintaining proof of delivery (such as a return receipt of certified mailing) of a signed written notice to the
Group that Provider’s acceptance of the agreement to arbitrate pursuant to this Article has been rescinded. In the absence
of a written, mutually executed amendment, this Article shall set forth the full and complete agreement between the Parties concerning
the matters addressed within the scope of this Article and shall supersede all prior oral or written agreements concerning these
matters.

 

2.                       
Covered Disputes.

 

These arbitration
provisions shall apply to any claim or dispute alleging liability that arises from or relates to this Agreement, including, but
not limited to, claims of wrongful employment termination, breach of contract, respondeat superior or vicarious liability, harassment
or discrimination in employment, disputes concerning wage laws that are applicable only to employees, and all other similar employment
relationship, contract, and principle-agent claims. The Arbitrator selected by the Parties shall be solely responsible for resolving
any disputes over the interpretation or application of this Arbitration Agreement. Any arbitrable claims that, standing alone,
would not be subject to these arbitration provisions shall be included within the scope of these standards if they arise from the
same transaction or occurrence as claims that are independently subject to these arbitration provisions.

    	Page 9 of 13

    	 

    
 

3.                       
Dispute Resolution Procedures.

 

The parties
agree that each of them shall attempt to provide timely notice to the other party of any actual or perceived claim against the
other and that they shall attempt to informally resolve any dispute that arises between them.

 

If a dispute
cannot be resolved informally, the parties agree that it shall be submitted to final and binding arbitration before a single neutral
arbitrator (the “Arbitrator”), selected from the then-current panel of the American Arbitration Association (“AAA”)
that is most appropriate for the nature of the dispute as determined by mutual agreement of the parties or, if such agreement cannot
be reached, by AAA. Except as otherwise expressly provided in this Agreement, the arbitration shall be conducted in accordance
with the AAA Rules corresponding to the nature of the dispute. Should the nature of the dispute be deemed to fall within the Employment
Rules, the Employment Rules of the AAA shall apply except as otherwise expressly provided by this Agreement. The AAA Employment
Rules are attached as Exhibit “D.” Other than in conjunction with a properly instituted arbitration, the parties shall
not be required to adhere to mediation procedures prescribed by any AAA Rules except upon mutual agreement.

 

Except
as otherwise expressly provided in this Agreement, the interpretation, scope and enforcement of these arbitration provisions and
all procedural issues shall be governed by the procedural and substantive provisions of the Federal Arbitration Act, 9 U.S.C. §
1 et seq. (the “FAA”), the federal decisional law construing the FAA, and the AAA Rules, provided the AAA Rules
do not conflict with the FAA. In the event of a conflict, the terms of this Article and the FAA will prevail over the AAA Rules.

 

The arbitration
fees incurred pursuant to these arbitration provisions will be borne as determined by the AAA Rules, unless the Employment Rules
apply, in which case they shall be paid exclusively by the Group. Except as otherwise permitted by law and awarded by the arbitrator,
each party shall bear her, his, or its own attorney fees and costs. In submitting their disputes to final and binding resolution
by the Arbitrator, THE PARTIES VOLUNTARILY AND KNOWINGLY WAIVE ANY RIGHT
THEY HAVE TO A JURY TRIAL OR COURT TRIAL.

 

4.                       
Small Claims Procedures.

 

If either Party asserts that
a dispute involves an amount in controversy that is too small to warrant resolution by standard arbitration procedures, the claim
may be resolved by a summary small claims procedure (the “Small Claims Procedure”). The Parties shall meet and confer
to agree on whether the use of a Small Claims Procedure is appropriate in light of the nature and amount of the claim and, if so,
what dispute resolution procedures are most appropriate. To the extent the Parties are unable to agree, the Arbitrator shall decide
whether and to what extent a Small Claims Procedure shall apply. The Small Claims Procedure may involve relaxed rules of evidence,
the use of broad principles of equity in place of strict application of law, telephonic hearings, and such other economic procedures
as the Arbitrator deems appropriate under the circumstances of the dispute and consistent with due process. In no event, however,
shall the Arbitrator utilize a Small Claims Procedure for a dispute involving a claim in excess of $50,000.

    	Page 10 of 13

    	 

    
 

5.                       
Claims of Non-Parties Excluded From Arbitration.

 

The Parties wish to resolve
any disputes between them in an individualized, informal, timely, and inexpensive manner and to eliminate, to the maximum extent
possible, any resort to litigation in a court of law. Consequently, the Arbitrator shall not consolidate or combine the resolution
of any claim or dispute between the Parties pursuant to these arbitration provisions with the resolution of any claim by any other
party or parties, including but not limited to any other actual or claimed employee of the Group. Nor shall the Arbitrator have
the authority to certify a class under Federal Rule of Civil Procedure Rule 23, analogous state rules, or AAA rules pertaining
to class arbitration, and the Arbitrator shall not decide claims on behalf of any other party or parties.

 

ARTICLE
XI

TERM OF
AGREEMENT

 

This Agreement will become effective on the 1st day
of February, 2009, and shall be effective for a period of twelve (12) months thereafter, unless sooner terminated pursuant to the
terms of this Agreement. This Agreement shall automatically be renewed for successive periods of twelve (12) months, each on the
same terms and conditions contained herein, unless sooner terminated pursuant to the terms of the Agreement.

 

ARTICLE
XII

TERMINATION
OF THE AGREEMENT

 

Notwithstanding any other provision of this Agreement
to the contrary, Group shall have the right to terminate this Agreement for cause. In the event Provider is terminated by the Group
for cause, termination shall be effective immediately following the giving of notice of termination by Group. For purposes of this
section, cause shall include, but shall not be limited to, the following:

 

		1.	Provider repeatedly denies Covered Medical Services to Enrollees inappropriately, as determined by the Group.

 

    	Page 11 of 13

    	 

    

		2.	Provider repeatedly fails to comply with Group’s quality improvement and utilization management policies and accessibility
and availability standards.

 

		3.	Provider fails to comply with Obligations as referenced in Article IV.

 

		4.	Provider breaches any other term of this Agreement.

 

		5.	Loss, restriction or suspension of Provider’s professional license to practice medicine in the State of California.

 

		6.	Provider’s suspension or exclusion from the Medicare program.

 

		7.	Provider violates the State Medical Practice Act.

 

		8.	Provider’s services place the safety of patients in imminent jeopardy.

 

		9.	Provider is convicted of a felony or crime or moral turpitude under State or Federal law.

 

		10.	Provider violates ethical and professional codes of conduct of the workplace as specified under State and Federal law.

 

		11.	Provider’s medical staff privileges at any Primary Hospital are revoked, cancelled, suspended or limited.
	 	 	 
	 	12.	Provider
work product is unsatisfactory as measured by criteria set in the discretion of the Group.

Notwithstanding any other provision in this Agreement
to the contrary, this Agreement may be terminated by Group, at any time, without cause, by the giving of ninety (90) days prior
written notice to Provider.

 

Notwithstanding any other provision in this Agreement
to the contrary, this Agreement may be terminated by Provider, at any time, without cause, by the giving of ninety (90) days prior
written notice to Group.

 

Notwithstanding anything to the contrary contained
in this Agreement, this Agreement may be terminated at any time by mutual written consent of the parties to this Agreement.

 

Notwithstanding any other provision of this Agreement,
in the event that any IPA contracting with Group notifies Group that said IPA wishes to remove Group from the IPA’s roster
of participating physicians, Group shall have the right to terminate this Agreement by the giving of ninety (90) days prior written
notice to Provider.

 

    	Page 12 of 13

    	 

    

 

ENTIRE AGREEMENT

 

This Agreement constitutes the entire agreement between
the Group and Provider with respect to matters relating to Provider’s retention, and it supersedes all previous oral or written
communications, representations, or agreements between the parties.

 

THIS AGREEMENT CONTAINS PROVISIONS FOR
THE ARBITRATION OF DISPUTES AND WAIVER OF THE RIGHT TO TRIAL BY JURY OR COURT.

 

Executed at Glendale, California
on May 1, 2009

 

	GROUP:	PROVIDER:
	 	 
	 	 
	By: /s/ Adrian Vazquez, M.D. 	By: /s/ Warren Hosseinion, M.D. 
	(Signature)	 (Signature)
	 	 
	 	 
	      Adrian C. Vazquez, M.D.	Warren Hosseinion, M.D
	      President	 
	      ApolloMed Hospitalists	 
	 	 
	 	 
	 	 

 

    	Page 13 of 13

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