Document:

Exhibit 10.1

 

EMPLOYMENT AGREEMENT

 

THIS EMPLOYMENT AGREEMENT (the “Agreement”) is entered into and made
effective as of June 1, 2007 (the “Effective Date”), by and between ProMed
Health Care Administrators, a California corporation (“ProMed HCA”) and Jeereddi
Prasad, M.D., an individual (“Executive”).

 

WHEREAS, the execution of this Agreement is a condition to the closing
of the transactions under that (a) Stock
Purchase Agreement dated as of May 21, 2007 among Prospect Medical Group, Inc.,
a California professional corporation (“PMG”), Prospect Medical Holdings, Inc.,
a Delaware corporation and an affiliate of PMG (“PMH”), Upland Medical Group, A
Professional Medical Corporation (“ProMed Upland”) and Executive (the “ProMed
Upland Stock Purchase Agreement”), (b) Agreement
and Plan of Reorganization dated as of May 21, 2007 among PMG, Prospect
Pomona Medical Group, Inc., a California professional corporation, PMH,
Pomona Valley Medical Group, Inc. dba ProMed Health Medical Group Network
of Pomona Valley Inc.  (“ProMed Pomona”)
and certain of the ProMed Pomona Shareholders (the “ProMed Pomona Merger
Agreement”), and (c) Agreement and Plan of
Reorganization dated as of May 21, 2007 among PMH, Prospect Health
Administrators, Inc., a California corporation, ProMed Health Services
Company, a California corporation (“ProMed HCA Parent”), ProMed Health Care
Administrators, a California corporation (“ProMed HCA”) and certain of the
ProMed HCA Parent shareholders (the “ProMed HCA Merger Agreement”).

 

WHEREAS, Executive is currently the President of ProMed Upland, ProMed
Pomona, ProMed HCA and ProMed HCA Parent under an existing employment Agreement
(“Existing Employment Agreement”).

 

WHEREAS, PMH and PMG, as the new owners of the business of ProMed
Upland, ProMed Pomona, ProMed HCA Parent and ProMed HCA (collectively, the
ProMed Entities”), desire that Executive remain as an officer of the ProMed
Entities, pursuant to the terms and conditions set forth herein.

 

WHEREAS, the Executive has entered into a Non-Compete Agreement, dated
as of even date herewith, with PHM (the “Non-Compete Agreement”).

 

WHEREAS, this Agreement shall supersede and replace the Existing
Employment Agreement with no further consideration due thereunder.

 

NOW, THEREFORE, the parties agree as follows:

 

1.                                       TERM OF EMPLOYMENT. 
ProMed HCA hereby employs Executive and Executive accepts such
employment for an initial term of three (3) years commencing as of the
date of this Agreement (the “Commencement Date”) which shall be automatically
renewed for successive one year periods unless either party gives written
notice of non-renewal at least ninety(90) days prior to the expiration of the
initial or any renewal term, subject to termination at any time, in accordance
with the termination provisions of Section 5 below (the “Term”).

 

2.                                       DUTIES.  Executive
shall be employed as the President of ProMed HCA.  Executive shall also serve, without
additional compensation, as President of each of the other ProMed

 

 

Entities.  Executive shall perform such duties pertaining
to the operations of the ProMed Entities as the ProMed Entities, PMG, PMH or
any of their respective Board of Directors may from time to time direct.  During the period of employment, if elected,
Executive shall serve as director on the Board of Directors of PMH.  ProMed HCA agrees to nominate Executive as a
director to the independent members
of PMH’s Board of Directors.  If approved
by the independent members of PMH’s Board of Directors, ProMed HCA will request
the full board of PMH’s vote on the appointment of Executive to fill a current
vacancy on PMH’s Board of Directors. 
Additionally, if requested by PMH’s Board of Directors, Executive will serve
as a director on the board of directors of any or all of the ProMed
Entities.  Executive shall also serve as
a member of any
board committee to which he may be appointed. 
Executive shall not receive any additional compensation for sitting on
any such boards or committees.

 

3.                                       NECESSARY SERVICES.

 

(a)                                  Performance of Duties. 
Executive agrees that he will at all times faithfully, industriously and
to the best of his ability, experience and talents, perform to the reasonable
satisfaction of the ProMed Entities all of the duties that may be assigned to
him hereunder.  Such duties shall be of a
kind that are typically assigned to, and reasonably commensurate with, the position
of Chief Executive Officer of a subsidiary or affiliate company.  Executive acknowledges that Jacob Y. Terner,
M.D., the Chief Executive Officer of PMH and PMG, and/or the Board of Directors
of PMH, shall assign tasks to Executive which are commensurate with an
executive position.

 

(b)                                 Faithful and Diligent Performance. 
During the Term of the Agreement, Executive agrees to devote such time,
energy, skill and efforts to the performance of his duties hereunder as are
necessary to allow Executive to faithfully and diligently further the business
and interests of the ProMed Entities. 
The obligations hereunder shall not preclude Executive from working or
involving himself in any other business venture so long as it does not detract
from Executive’s ability to provide services to the ProMed Entities and any
directorships or committee positions he is then serving under the terms of this
Agreement (including not conflicting with the provisions of Subsection (c) below).

 

(c)                                  Services by Executive. 
Executive agrees that, during the period of his employment, Executive
shall provide personal services to the ProMed Entities pursuant to this
Agreement, and Executive will not, within the California counties of Los
Angeles, San Bernardino and Orange (other than Executive’s existing business
with the Chaparral Clinics), without the prior written consent of PMH (which
consent may be granted or withheld in the sole and absolute discretion of PMH),
individually or in any combination, directly or indirectly, as an owner,
shareholder, director, officer, trustee, partner, associate, consultant,
principal, agent, contractor, employee or otherwise:

 

(i)                                     engage, participate in, form, contract,
aid, or hold any interest in an independent physician association (IPA) with
over 50,000 enrollees, or any entity that manages an IPA with over 50,000
enrollees, which is, or as of the Executive’s engagement or participation,
would become, competitive with any aspect of the business or operations of the
ProMed Entities, PMH, PMG or any affiliate of any of them (it being understood
that the restrictions of this Subsection (a) shall not restrict (A) Executive
from practicing medicine

 

2

 

generally, nor
restrict Executive from contracting with IPAs for the provision of
personally-provided patient care services, provided that such practice does not
detract from Executive’s ability to provide services to the ProMed Entities or
any directorship or committees to which Executive is then serving under the
terms of this Agreement, (B) restrict Executive from his ownership and/or
operation of the Chaparral Clinics, (C) prohibit Executive from owning up
to five percent (5%) of any class of securities of any publicly traded company,
or (D) prohibit Executive from continuing to engage in any activity in
which Executive was engaged in as of the Effective Date, which activities have
been disclosed in writing to Prospect provided such activities do not now, or
in the future, become a conflict of interest with the business of Prospect or
its affiliates).

 

(ii)                                  commit any other act or assist others to
commit any other act that is injurious to the business of the ProMed Entities
or any of the ProMed Entities’ affiliates, including but not limited to PMG,
PMH, or any other of PMH’s affiliates. 
Executive shall be entitled to attend seminars, conferences and meetings
relating to the business of PMH consistent with PMH established policies in
that regard so long as such attendance does not interfere with Executive’s
duties to the ProMed Entities.

 

4.                                       COMPENSATION.

 

(a)                                  Base Salary. 
ProMed HCA shall pay Executive a base salary of Three Hundred Thousand
Dollars ($300,000) per annum, effective as of the Commencement Date.  Payments shall be made in periodic
installments in accordance with the normal payroll practices of PMH and its
affiliates.

 

(b)                                 Employee Benefits. 
Executive shall be entitled to participate in all of the employee fringe
benefit plans and programs available to other executive employees of PMH.  Executive shall receive an automobile
allowance of One Thousand Three Hundred Dollars ($1,300) per month and
reimbursement for one week annually of continuing medical education.  PMH retains the right to modify or eliminate
such plans and programs, and to consolidate such plans and programs with those
of its parent or affiliated corporations.

 

(c)                                  Deductions and Withholding. 
Executive hereby agrees that ProMed HCA may deduct and withhold from the
compensation payable to Executive hereunder any amounts of money required to be
deducted or withheld by ProMed HCA under the provisions of any and all
applicable local, state or federal statutes or regulations or any amendments
thereto hereafter enacted requiring the withholding or deducting of
compensation.

 

(d)                                 Bonus.  Executive
shall be entitled to an annual incentive bonus of 6.67% of the amount by
which the EBITDA (Earnings Before Interest, Taxes, Depreciation and
Amortization) of the aggregate ProMed Entities exceeds $10,500,000,
$11,500,000, $12,500,000, $13,500,000 and $14,500,000 in fiscal years 2007,
2008, 2009, 2010 and 2011, respectively.

 

5.                                       TERMINATION.

 

(a)                                  Term.  Except as
provided herein, this Agreement shall terminate at the end of the initial or any
renewal Term specified in Section 1 of this Agreement.

 

3

 

(b)                                 Termination For Cause And Other Specified
Events.  Notwithstanding the provisions of paragraph (a) above,
Executive’s employment with ProMed HCA shall terminate upon any of the events
specified below:

 

(i)                                     Upon the death of Executive, or (at the
election of ProMed HCA) the permanent disability of Executive, “permanent
disability” being defined as any continuous loss of one-half (1⁄2) or more of the
time spent by Executive in the usual daily performance of his duties as a
result of physical or mental illness for a continuous period in excess of
ninety (90) days.

 

(ii)                                  Upon the date that ProMed HCA ceases to
conduct business for any reason whatsoever (other than the voluntary
consolidation of ProMed HCA’s business into PMG, PMH or one of their
affiliates, in which case the terms of this Agreement shall continue and
Executive shall continue to be responsible for the business of ProMed HCA and
within PMG, PHH or such affiliate despite such voluntary consolidation);

 

(iii)                               At the election of ProMed HCA, upon the breach by
Executive of any term or condition of this Agreement or upon the dismissal of
Executive by ProMed HCA for Cause.  For
purposes of this Agreement, “Cause” shall be deemed to exist if Executive (1) engages
in one or more acts constituting criminal conduct; (2) engages in one or
more acts involving fraud or serious moral turpitude; (3) misappropriates
assets or engages in gross misconduct materially injurious to ProMed HCA or its
parent or affiliates; or (4) engages in a course of conduct or pattern of
behavior that has had or will have a material adverse impact upon ProMed HCA or
its parent or affiliates, or their business or operations.  Termination under this subparagraph shall be
effective immediately upon written notice by ProMed HCA.

 

(iv)                              At the election of Executive for Good
Reason.  For purposes of this Agreement, “Good
Reason” shall mean (i) ProMed HCA’s failure to pay Executive’s salary
pursuant to this Agreement for more than 30 days, (ii) a change in
Executive’s title, responsibilities or duties to a materially lesser status or
degree than his title, responsibilities or duties as of the Effective Date, or (iii) the
relocation of ProMed HCA’s principal executive offices outside a 25-mile radius
provided, however, that Employee shall be required to render services from time
to time at such other offices of PMH or PMG within or without the United States
as ProMed HCA, PMG or PMG may require in the performance of Executive’s duties.

 

(c)                                  Compensation Following Termination For
Cause And Other Specified Events.  In the event
Executive’s employment is terminated pursuant to paragraph (b) above,
ProMed HCA shall pay to Executive the portion of the total amount of the Base
Salary earned through the date of termination. 
In addition, Executive shall be paid any vacation, PTO, or other
compensation that has accrued pursuant to ProMed HCA’s written policies but has
not been used.  Otherwise, ProMed HCA
shall have no obligation to make payments to, or bestow benefits upon,
Executive following the date of termination.

 

(d)                                 Termination Without Cause. 
Notwithstanding the above-stated provisions, ProMed HCA retains the
right to terminate Executive’s employment “at-will,” either with or without
cause and in its sole discretion; provided, however, that if ProMed HCA elects
to exercise its right to terminate without cause under this provision,
Executive shall be entitled to

 

4

 

continue receiving
all of the following for the balance of the Term or a period of six (6) months,
whichever is greater, as though Executive were continuing to perform services
to ProMed Upland under this Agreement:  (1) his
full Base Salary as set forth in paragraph 4(a) above, (2) the bonus
as set forth in paragraph 4(d) above, and (3) payment of the premiums
to continue group medical coverage for himself and his spouse and
dependents.  In addition, Executive shall
be paid any vacation, PTO, or other compensation that has accrued pursuant to
ProMed HCA’s written policies but has not been used, as of the date of
termination.  Otherwise, ProMed HCA shall
have no obligation to make payments to, or bestow benefits upon, Executive
following the date of termination.

 

(e)                                  Return of Company’s Property. 
Upon expiration of this Agreement, or in the event Executive’s
employment is terminated for any reason during the Term of this Agreement,
ProMed HCA may, at its option, require Executive to vacate his offices
immediately, and to cease all activities on ProMed HCA’s behalf.  Executive agrees that upon receiving notice
of termination of his employment in any manner, he will immediately deliver to
ProMed HCA all notebooks, brochures, documents, memoranda, reports, price
lists, files, invoices, purchase orders, books, correspondence, customer lists,
or other written or graphical records, and the like, relating to the business
or work of ProMed HCA, which are or have been in his possession or under his
control.  Executive hereby expressly
acknowledges that all such materials referenced above are the property of
ProMed HCA.

 

6.                                       EXPENSES.  ProMed HCA
shall pay for or reimburse Executive for all properly documented reasonable
business expenses incurred or paid for by Executive in the performance of his
duties hereunder, including expenditures for travel, mileage, professional
organization dues and other authorized expenses, subject to such written
policies or guidelines and/or requirements for verification as ProMed HCA may,
in its sole and absolute discretion, establish.

 

7.                                       CONFIDENTIALITY AND TRADE SECRETS.

 

(a)                                  Confidential Information. 
Executive shall keep in strictest confidence all information relating to
the business, affairs, customers and suppliers of the ProMed Entities or their
parent or affiliates (collectively hereinafter referred to as “Trade Secrets”),
including, among other things but without limitation, the ProMed Entities’ cost
of performing services, pricing formulae, methods or procedures, and customer
lists, which Executive may acquire during the performance of his services and
duties hereunder and which is not otherwise generally known to the public.  Executive acknowledges that such Trade
Secrets are of great value, and have been developed and/or acquired at great
expense to the ProMed Entities, and the ProMed Entities would not enter into
this contract of employment and such information would not be made available to
Executive in Executive’s fiduciary capacity unless the ProMed Entities were
assured that all such information will be used for the exclusive benefit of the
ProMed Entities.  Accordingly, during the
term of this Agreement, and at all times thereafter, Executive shall not
publish, communicate, divulge, disclose or use, whether or not for his own
benefit, any such information without the prior written consent of the ProMed
Entities.

 

(b)                                 Non-Diversion. 
Executive hereby specifically agrees that he will not utilize any
information concerning patients, customers, or business associates of the
ProMed Entities, or its parent or affiliates, which Executive acquires during
the term of this Agreement, whether or not

 

5

 

the same
originated through Executive’s efforts, for any purpose detrimental to the
business of the ProMed Entities or their parent or affiliates.  Without limitation of the foregoing,
Executive agrees that he shall not at any time interfere with any existing
contracts of the ProMed Entities, nor divert or attempt to divert business or
patients away from the ProMed Entities or their parent or affiliates.

 

(c)                                  Solicitation of Employees. 
Executive acknowledges that important factors in the ProMed Entities’
business and operations are the loyalty and good will of its employees.  Accordingly, Executive agrees that both
during the term of this Agreement, and following the expiration or termination
of this Agreement, he will not (i) solicit for hire, or induce any party
to recruit, hire or solicit for hire, any of the persons listed in Schedule
2.17 to the ProMed Upland Stock Purchase Agreement, ProMed Pomona Merger
Agreement or ProMed HCA Merger Agreement or any entities or persons who are
independent contractors of the ProMed Entities on the Effective Date (ii) solicit,
divert or take away, or attempt to solicit, divert or take away, any customers,
business or clients of the ProMed Entities or the ProMed Entities’ affiliates
(including, without limitation, any third party payors); (iii) solicit or
induce any party to solicit, any contractors of the ProMed Entities or the
ProMed Entities’ affiliates to enter into the same or a similar type of
contract with any other party; or (iv) disrupt, damage, impair, or
interfere with the business of the ProMed Entities or the ProMed Entities’ affiliates;
provided, however, that the restrictions set forth above in (i) with
respect to Executive’s ability to hire employees or independent contractors of
the ProMed Entities or the ProMed Entities’ affiliates are limited to a period
of (A) six (6) months from the termination or expiration of this
Agreement), or (B) the expiration of the non-competition provisions of the
Non-Compete Agreement, whichever is greater, being executed by Executive
concurrently herewith provided that Executive has remained in compliance with
the non-solicitation requirements set forth above during the restriction
period.  Executive further agrees that
information as to the capabilities of the ProMed Entities’ employees, their
salaries and benefits, and the other terms of their employment is confidential
and proprietary to the ProMed Entities and constitutes its valuable trade
secrets.  Notwithstanding the foregoing,
nothing in this Agreement shall preclude Executive from accepting an affirmative
response from a person to a general recruitment or advertising effort carried
out through public or general solicitation or hiring a person in the absence of
any indirect or indirect solicitation or inducement.

 

(d)                                 Ongoing Obligation. 
The provisions in this Section 7 shall be binding during Executive’s
employment.  In the event the provisions
in this Section 7 are more restrictive than permitted by the laws of the
jurisdiction in which enforcement of this provision is sought, such provisions
shall be interpreted to extend only over the maximum period of time, range of
activities or geographic area as to which it may be enforceable.

 

8.                                       REMEDY FOR BREACH. 
Executive acknowledges that the services to be rendered by him hereunder
are of a special, unique and extraordinary character, which gives this
Agreement a peculiar value to the ProMed Entities, the loss of which cannot be
reasonably or adequately compensated in damages in an action at law, and a
breach by Executive of the provisions of this Agreement will cause the ProMed
Entities irreparable injury.  It is,
therefore, expressly acknowledged that the Provisions of Sections 3 and 7 of
this Agreement may be enforced by injunction and other equitable remedies,
without bond.  Such relief shall not be
exclusive, but shall be in addition to any other rights or remedies ProMed HCA
may have for such breach, and

 

6

 

the ProMed
Entities shall be entitled to recover all costs and expenses, including
reasonably attorneys’ fees, incurred by reason of any breach of the covenants
of this Agreement.

 

9.                                       ATTORNEYS’ FEES. 
In the event of any dispute (including but not limited to actions, suit,
or arbitration) between the parties hereto in connection with this Agreement or
Executive’s employment with ProMed HCA or termination thereof, or to enforce
any provision or right hereunder, the prevailing party shall be entitled to an
award of all costs and expenses incurred in connection therewith, including but
not limited to reasonable attorneys’ fees incurred by the prevailing party.

 

10.                                 GENERAL PROVISIONS.

 

(a)                                  The failure of ProMed HCA at any time to
enforce performance by Executive of any provisions of this Agreement shall in
no way affect ProMed HCA’s rights thereafter to enforce the same, nor shall the
waiver by ProMed HCA of any breach of any provision hereof be held to be a
waiver of any other breach of the same or any other provision.

 

(b)                                 This Agreement shall be binding upon and
inure to the benefit of the parties hereto and the successors and assigns of ProMed
HCA; provided, however, it is understood and agreed that the services to be
rendered and the duties to be performed by Executive hereunder are of a
special, unique and personal nature and that it would be difficult or
impossible to replace such services; by reason thereof, Executive may not
assign either the benefits or the obligations of this Agreement.

 

(c)                                  Any notices, requests, consents, or other
communications required or permitted under this Agreement shall be in writing
and may be delivered in person to the other party, or sent by United States
mail or commercial courier service.  The
addresses set forth below shall be deemed sufficient for purposes of providing
notice under this Agreement:

 

To Executive:                                                                      Jeereddi Prasad, M.D.

[Intentionally Omitted]

 

To ProMed:                                                                                ProMed Health Care Administrators

c/o Prospect Medical Group

1920 East 17th Street, Suite 200

Santa Ana, CA 92705

Attn: Jacob Y.  Terner, M.D.

 

Each party may change his
or its address through written notice in compliance with this Section.  Written notice provided by methods other than
those specified herein shall be effective if actually received, in timely
fashion, by the other party.

 

(d)                                 This Agreement is the entire agreement
between the parties hereto with respect to the subject matter hereof and
supersedes all prior oral and written agreements and negotiations between the
parties.  Nothing in this Agreement shall
be deemed to be a limitation on the remedies of any of the parties under the
Non-Compete Agreement.

 

7

 

(e)                                  The headings of the several paragraphs in
this Agreement are inserted solely for the convenience of the parties and are
not a part of and are not intended to govern, limit or aid in the construction
of any term or provision hereof.

 

(f)                                    This Agreement may not be modified except
by a written instrument signed by all parties hereto.

 

(g)                                 All clauses and covenants contained in
this Agreement are severable, and in the event any of them shall be held to be
invalid by any court, such clauses or covenants shall be limited as permitted
under applicable law, or, if the same are not susceptible to such limitation,
this Agreement shall be interpreted as if such invalid clauses or covenants
were not contained herein.

 

(h)                                 This Agreement is made with reference to
the laws of the State of California and shall be governed by and construed in
accordance therewith.  Any litigation
concerning or to enforce the provisions of this Agreement shall be brought in
the courts of the State of California.

 

(i)                                     Any and all disputes arising under this
Agreement, or with respect to Executive’s employment or the other subject
matters addressed in this Agreement (other than claims for specific performance
or other equitable relief permitted by this Agreement), shall be resolved
through binding arbitration.  The
arbitration shall be administered by JAMS, with the arbitration to be conducted
in Los Angeles, California. 
Notwithstanding the foregoing, the parties shall have the rights to
discovery in accordance with California Code of Civil Procedure Section 1283.05.

 

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

 

	
   

  	
  EXECUTIVE

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  /s/ Jeereddi Prasad, M.D.

  
	
   

  	
  Jeereddi Prasad, M.D.

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  ProMed Health Care
  Administrators

  
	
   

  	
   

  	
   

  
	
   

  	
  By:

  	
  /s/ Jacob Y. Terner, M.D.

  
	
   

  	
   

  	
  Jacob Y. Terner, M.D.

  
	
   

  	
   

  	
  Vice President

  

 

8Exhibit 10.2

 

AMENDMENT NO. 1 TO PROMISSORY NOTE

 

THIS AMENDMENT NO. 1 TO PROMISSORY NOTE (this “Amendment”)
is entered into as of February 10, 2010, by and between BROTMAN MEDICAL
CENTER, INC., a California corporation (“Borrower”) and JHA WEST 16, LLC,
a Delaware limited liability company (“Lender” and, together with
Borrower, the “Parties”).

 

RECITALS

 

WHEREAS, Borrower issued that certain Promissory
Note, dated as of April 14, 2009, to the order of Lender (as amended, the “Note”);

 

WHEREAS, the Parties have determined that it is in
their respective best interests to amend the Note as specified herein; and

 

WHEREAS, capitalized terms used, but not otherwise
defined herein, shall have the meanings given to such terms in the Note.

 

NOW, THEREFORE, in consideration of the mutual
promises herein made, and in consideration of the representations, warranties,
and covenants herein contained, the Parties hereby agree as follows:

 

AGREEMENT

 

1.                                       Section 1
of the Note is hereby amended and restated as follows:

 

“Maturity Date.  The unpaid principal balance hereof, together
with all unpaid interest accrued thereon, and all other amounts payable by
Borrower under the terms of the Loan Documents (the “Loan
Balance”), is due and payable on the date that is the later to
occur of (i) twenty-four (24) months following the Closing Date, (ii) one
hundred eighty (180) days after Lender’s exercise or deemed exercise of the Put
Right, and (iii) if Lender, in its capacity as “Buyer” under the Option
Agreement, exercises the Option during the Option Period (as such period may be
extended pursuant to the terms thereof), the date of the closing of the
transaction contemplated by the Option Agreement (the “Maturity
Date”).  Notwithstanding
the foregoing, at any time following October 14, 2010 and prior to the
date which is twenty-four (24) months after the Closing Date, Lender shall
have the right to require Borrower to fully repay the Loan Balance (“Put Right”), provided that Lender
notifies Borrower in writing of its exercise of the Put Right at least one
hundred and eighty (180) days in advance (the “Refinance
Period”).  Lender may not
provide notice of its exercise of the Put Right prior to October 14,
2010.  If the Maturity Date falls on a
day that is not a Business Day, payment of the outstanding principal must be
made on the next succeeding Business Day and such extension of time will be
included in computing any interest in respect of such payment.”

 

2.                                       Except as
expressly set forth in this Amendment, the Note shall remain in full force and
effect and shall not be deemed to have been modified or amended by this
Amendment.  

 

 

Each of the Parties understands and agrees that by
executing and delivering this Amendment the other Parties do not hereby waive
any of their respective rights or remedies under the Note.

 

3.                                       From and after
the date hereof, all references in the Loan Agreement and each of the other
Loan Documents to the Note shall be deemed to be references to the Note as
modified hereby. This Amendment shall constitute a Loan Document for all
purposes under the Loan Agreement and the other Loan Documents.

 

4.                                       This Amendment,
together with the Note, constitutes the entire understanding of the Parties
with respect to the subject matter hereof, and any other prior or contemporaneous
agreements, whether written or oral, with respect thereto are expressly
superseded hereby.

 

5.                                       This Amendment,
the rights of the Parties hereunder and the interpretation hereof shall be
governed by, and construed in accordance with, the internal laws of the State
of California, in all respects.  To the
extent permitted by law, Borrower hereby waives any right to a trial by jury in
any action relating to this Amendment.

 

6.                                       This Amendment
may be executed in two or more counterparts, each of which shall be deemed to
be an original, but all of which shall constitute one and the same
agreement.  Any signature delivered by
facsimile or electronic mail shall be deemed to be an original signature
hereunder.

 

[Signature page follows]

 

2

 

IN WITNESS WHEREOF, the Parties have caused this
Amendment to be executed by their respective officers thereunto duly
authorized, as of the date first above written.

 

	
   

  	
  “BORROWER”

  

  BROTMAN MEDICAL CENTER, INC.,

  
	
   

  	
  a
  California corporation

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  By:

  	
  /s/
  Von Crockett

  
	
   

  	
   

  	
  Name:

  	
  Von
  Crockett

  
	
   

  	
   

  	
  Title:

  	
  CEO

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  “LENDER”

  
	
   

  	
   

  
	
   

  	
  JHA
  WEST 16, LLC,

  
	
   

  	
  a
  Delaware limited liability company

  
	
   

  	
   

  
	
   

  	
  By:

  	
  JHA
  Geriatric Services, Inc.,

  
	
   

  	
   

  	
  a
  California corporation

  
	
   

  	
  Its:

  	
  Sole
  Member

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  By:

  	
  /s/
  Mary M. Forrest

  
	
   

  	
   

  	
  Name:

  	
  Mary
  M. Forrest

  
	
   

  	
   

  	
  Title:

  	
  CEO

  

 

[SIGNATURE PAGE TO AMENDMENT NO. 1 TO PROMISSORY NOTE]

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