Document:

Professional Services Agreement

 Exhibit 10.35 
  

  
 PROFESSIONAL SERVICES AGREEMENT 
  
 Dated as of
the 31st day of December, 2001 
  
 by and among

  
 RADIOLOGIX, INC., 
  
 PACIFIC IMAGING PARTNERS, INC., 
  
 PACIFIC IMAGING CONSULTANTS, A MEDICAL GROUP, INC. 
  
 and 
  
 AFFILIATES IN IMAGING, A MEDICAL GROUP, INC. 
  
  

 PROFESSIONAL SERVICES AGREEMENT 
  
 This Professional Services Agreement (this “Agreement”), dated effective as of December 31, 2001, is entered into
by and among Radiologix, Inc., a Delaware corporation (“Parent”), Pacific Imaging Partners, Inc., a California corporation (“PIP”), Pacific Imaging Consultants, A Medical Group, Inc., a California
professional corporation (“Group”), and Affiliates In Imaging, A Medical Group, Inc., a California professional corporation (“AII”). 
  

R E C I T A L S 
  
 A. As part of an overall restructuring (the “Restructuring”) among the parties, which Restructuring includes the execution and delivery
of this Agreement, the Group Physician Stockholders of Group have formed AII for the purpose of (1) transferring to AII from Group all of its contractual relationships with hospitals and other entities with which Group maintained professional only
interpretation agreements or arrangements prior to the execution of this Agreement (including at Alta Bates Summit Medical Center, St. Luke’s Hospital, St. Rose Hospital, San Ramon Regional Medical Center, Kindred Hospital and Medical Center
Magnetic Imaging), and certain other contractual relationships as more fully described in Exhibit 3 attached hereto, (2) negotiating new contracts with third party payors for professional only interpretation services, if applicable, and (3)
implementing on-going management of the billing and collection operation for professional only interpretation services provided to entities or facilities not affiliated with either PIP or Parent, and with regard to the billing and collection of
professional services rendered to the patients of Hill Physicians Medical Group (“Hill”) wherever such professional services are rendered, and any other billing and collection efforts outside of PIP’s services provided pursuant to
this Agreement. 
  
 B. As part of the Restructuring, Group
will continue to exist for the purpose of (1) performing the professional supervision and interpretation services at and on behalf of the PIP Facilities pursuant to this Agreement, (2) providing services with respect to existing contracts with
governmental entities, third party payors, IPAs and medical groups with whom PIP or Group have existing contractual relationships to be performed at the PIP Facilities, and (3) providing services with respect to new contracts or revisions to
existing agreements with governmental entities, third party payors, IPAs and medical groups, all as more particularly set forth in this Agreement. 
  
 C. As part of the Restructuring, PIP will be responsible for (1) selecting and implementing on-going management of the billing and collection
functions for all professional interpretation and technical imaging services provided at and on behalf of the PIP Facilities (other than professional services rendered to Hill patients), (2) administering the cash management functions associated
with such collections, and (3) paying Group, as full and complete compensation for the professional supervision and interpretation services rendered by Group and the Physician Employees at and on behalf of the PIP Facilities pursuant to this
Agreement, a monthly amount for the professional supervision and interpretation services based upon fair market value, all as more particularly set forth in this Agreement. 
  
 D. AII and Parent are parties to this Agreement for the limited purposes set forth in this Agreement. 
  
 E. This Agreement is part of the overall Restructuring, which
Restructuring includes the mutual termination of that certain Amended and Restated Service Agreement effective as of November 7, 1997 among Parent, PIP and Group (the “Service Agreement”), as well as a settlement and mutual release of all
claims that Parent, PIP or Group (including Group’s shareholders, officers, directors and Physician Employees) may have against the other parties in connection with the Service Agreement. This Agreement replaces in its entirety the Service
Agreement, except as set forth herein or as otherwise set forth in that certain Mutual Termination, Settlement and Release of All Claims of even date herewith among Group, PIP and Parent (the “Release”). 
  
 NOW, THEREFORE, in consideration of the above recitals, the mutual
covenants and agreements herein contained, and other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, and for their mutual reliance, the parties hereto agree as follows: 
  

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 ARTICLE I 
  

Definitions 
  
 Section 1.1 Definitions. For the purposes of this Agreement, the following definitions shall apply: 
  
 “Affiliate” with respect to any person shall mean a person that,
directly or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with, such person. Neither PIP and Parent, on the one hand, nor Group and AII, on the other hand, shall be deemed to be an Affiliate of
the other. 
  
 “AII” shall have the meaning set forth in
the first paragraph hereof. 
  
 “Average Rate” shall
have the meaning set forth in Section 3.5 below. 
  
 “Contract Fee” shall have the meaning set forth in Section 6.1 below. 
  
 “Deposit Account” shall mean the bank account established for the purpose of depositing the collected revenues received from patients, insurance companies, Managed Care Payors and all other third-party
payors related to professional interpretation and technical imaging services provided at the PIP Facilities under Group’s provider numbers. 
  
 “Facility Charges” shall have the meaning set forth in Section 3.2(b)(i) below. 
  
 “Group Account” shall mean the bank account established by Group solely for the benefit of Group and into which
PIP shall deposit the monthly amounts pursuant to Section 6.1 below. 
  
 “Group Confidential and Proprietary Information” shall have the meaning set forth in Section 5.1(c) below. 
  
 “Group Physician Stockholders” shall mean those Physician Employees and Physician Extender Employees who own an interest, directly or
indirectly, in the equity capital of Group or AII. 
  
 “Group’s Records” shall have the meaning set forth in Section 3.2(f)(ii) below. 
  
 “Hill” shall mean Hill Physicians Medical Group, a California professional corporation, a large independent practice association located
throughout Northern California. 
  
 “Managed Care
Contracts” shall have the meaning set forth in Section 3.5 below. 
  
 “Managed Care Payors” shall have the meaning set forth in Section 3.5 below. 
  
 “Material Group Default” shall have the meaning set forth in Section 8.3(b) below. 
  
 “Material PIP Default” shall have the meaning set forth in Section 8.4(a) below. 
  
 “Northern California RGX Group” shall mean PIP, Parent, Valley
Imaging Partners, Inc. and Valley Radiology Medical Associates, Inc. 
  
 “Parent” shall have the meaning set forth in the first paragraph hereof. 
  
 “Payment Date” shall have the meaning set forth in Section 6.2 below. 
  
 “Permitted Activities” shall have the meaning set forth in Section 5.1(a) below. 
  
 “Personal Property” shall have the meaning set forth in Section 3.3(b) below. 
  

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 “Physician Employees” shall mean those individuals who are physicians employed by Group, or who
are otherwise under contract or associated with Group through AII from time to time to provide professional supervision and interpretation services at the PIP Facilities. 
  
 “Physician Extender Employees” shall mean those individuals who are employed by or otherwise under contract or
associated with Group from time to time, such as advanced practice nurses, physician assistants or any other providers who may generate a professional charge, and who provide their respective services at the PIP Facilities. 
  
 “PIP” shall have the meaning as set forth in the first paragraph
hereof. 
  
 “PIP Account” means a separate bank account
owned solely by PIP, as described in Section 3.2(b)(iii) below. 
  
 “PIP Confidential and Proprietary Information” shall have the meaning set forth in Section 5.1(d) below. 
  
 “PIP Facilities” shall mean those outpatient diagnostic imaging centers and/or radiation oncology centers, mobile imaging services or any other
operations utilizing facilities or equipment owned, operated or managed by PIP as specified in Exhibit 1 attached hereto, and incorporated herein by this reference, where Group, through the Physician Employees and the Physician Extender
Employees, provides professional supervision and interpretation services. 
  
 “PIP Technical Imaging Services” shall have the meaning set forth in Section 3.2(a) below. 
  
 “RGX Group” shall mean PIP, Parent and their Affiliates and all professional associations or corporations or other entities to which PIP, Parent
or their Affiliates provide management services. 
  
 “Restrictive Covenants” shall have the meaning set forth in Section 5.2 below. 
  
 “Security Agreement” shall have the meaning set forth in Section 6.3 below. 
  
 “Termination Date” shall have the meaning set forth in Section 8.5 below. 
  
 “Termination Notice” shall have the meaning set forth in Section
8.5(a) below. 
  
 “Transfer Order” shall have the
meaning set forth in Section 3.2(b)(iii) below. 
  
 ARTICLE II

  
 Relationship of the Parties 
  
 Section 2.1 Independent Contractors. Group and PIP intend to act and
perform as independent contractors, and the provisions hereof are not intended to create any partnership, joint venture, agency or employment relationship between the parties. PIP and Group agree that Group shall retain the exclusive authority to
direct the medical, professional and ethical aspects of its medical practice. PIP shall neither exercise control or direction over the medical methods, procedures or decisions nor interfere with the physician-patient relationships of Group, which
shall be maintained strictly between the physicians of Group, Physician Employees and/or Physician Extender Employees and their patients. 
  
 Section 2.2 Practice of Medicine. The parties hereto acknowledge that neither PIP nor Parent is authorized or qualified to engage in any activity
which may be construed or deemed to constitute the practice of medicine and that nothing herein shall be construed as the practice of medicine by PIP or Parent. To the extent any act or service required of PIP is construed or deemed to constitute
the practice of medicine, PIP is released from any obligation to provide, and Group shall be deemed not to have requested PIP to provide, such act or service without otherwise affecting the other terms of this Agreement. 
  
 Section 2.3 No Payment or Other Compensation for Referrals. The
parties hereby agree that the benefits to Group hereunder do not require, are not payment or compensation in cash or in kind for, and are not in any 
  

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 way contingent upon the admission, referral or any other arrangement for the provision of any item or service offered by
PIP or any of its Affiliates to any of Group’s patients in any facility controlled, managed or operated by PIP. 
  
 Section 2.4 Group’s Internal Matters. Group shall be solely responsible for matters involving its corporate governance, employees and similar
internal matters, including, but not limited to, preparation and contents of such reports to regulatory authorities governing the business operations that Group is required by law to provide, and distribution of salaries and professional fee income
among the Group Physician Stockholders, the Physician Employees and the Physician Extender Employees. 
  
 ARTICLE III 
  
 Services to be Provided by PIP 
  
 Section 3.1
General. PIP shall provide or arrange for the services set forth in this Article III. PIP is authorized to perform its services hereunder as is necessary or appropriate for the efficient operation of the PIP Facilities, including, without
limitation, performance of the business office functions at locations other than the PIP Facilities. Except to the extent necessary to comply with applicable laws, regulations or professional ethical standards, Group will not act in a manner which
would prevent PIP from performing its duties hereunder and will provide such information and assistance to PIP as is reasonably required by PIP to perform its services hereunder. PIP shall cause its employees to comply with all applicable federal,
state and local laws, rules and regulations in PIP’s provision of services hereunder. 
  
 Section 3.2 General Administrative Services. 
  
 (a) Scope of Services. PIP shall be responsible for providing certain non-medical business services relating to the operation of the PIP Facilities, subject to matters reserved for Group as herein contemplated,
and PIP shall have all necessary authority and hereby agrees to perform such services. Subject to Section 4.3 below, PIP agrees that Group, Physician Employees and Physician Extender Employees, and only Group, Physician Employees and Physician
Extender Employees, will perform the professional supervision and interpretation services at the PIP Facilities. PIP shall have no authority, directly or indirectly, to perform, and shall not perform, any professional medical function; provided,
however, that PIP may at any time perform technical-only imaging services for any person or entity at the PIP Facilities, so long as such person or entity is not affiliated with PIP or Parent (the “PIP Technical Imaging Services”) and the
PIP Facilities continue to have sufficient availability for non-PIP Technical Imaging Services; provided, however, that Group shall not be responsible for the performance or supervision of the PIP Technical Imaging Services and Group shall not be
liable, contractually or otherwise, with respect to the provision of the PIP Technical Imaging Services. PIP acknowledges that the primary intent of the PIP Facilities is to provide professional supervision and interpretation services, and technical
services, on a global fee basis, and PIP Technical Services are not intended to displace global fee work generated at the PIP Facilities. 
  
 (b) Billing and Collection. 
  
 (i) To the extent permitted by law and at PIP’s sole discretion, PIP shall directly bill and collect all patients, insurance companies, Managed Care
Payors and other third-party payors for all professional interpretation and technical fee charges incurred in connection with services rendered at the PIP Facilities (the “Facility Charges”), but excluding the billing and collection of
professional services rendered to the patients of Hill, which will be Group’s sole responsibility. PIP will deposit all collections from Facility Charges directly into the PIP Account. 
  
 (ii) To the extent required by law or if PIP does not directly bill and
collect pursuant to Section 3.2(b)(i) above, PIP shall bill and collect, in the name of and on behalf of Group, any patients, insurance companies, Managed Care Payors, or other third-party payors for any Facility Charges, except for professional
services rendered to the Hill patients, which will be Group’s sole responsibility. PIP will deposit all collections from Facility Charges directly into the Deposit Account. Group hereby appoints PIP for the term of this Agreement to be its true
and lawful attorney-in-fact, for the following purposes: 
  
 (A)
to bill patients, insurance companies, Managed Care Payors and other third-party payors for all Facility Charges in Group’s name and on its behalf; 
  

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 (B) to receive payments for Facility Charges on behalf of Group from patients, insurance companies,
Managed Care Payors and other third-party payors, and to deposit such collections into the Deposit Account; and 
  
 (C) upon the prior consent of Group, which consent shall not be unreasonably withheld or delayed, to initiate the institution of legal proceedings in the
name of Group or a Physician Employee to collect any accounts and monies owed to Group or the Physician Employee, to enforce the rights of Group or the Physician Employee, as the case may be, as creditor under any contract or in connection with the
Facility Charges, and to contest adjustments and denials by governmental agencies (or their fiscal intermediaries) as third-party payors. 
  
 (iii) Group hereby appoints PIP as its true and lawful attorney-in-fact to deposit into the Deposit Account all amounts collected by PIP pursuant to this
Agreement. Group covenants, and shall cause all Physician Employees and Physician Extender Employees to forward any payments received with respect to any revenues generated from professional supervision and interpretation services and related
technical imaging services rendered by Group or any of its Physician Employees and Physician Extender Employees at the PIP Facilities, except for professional services rendered to the Hill patients, which will be Group’s sole responsibility, to
PIP for deposit into the Deposit Account. PIP shall have the right to withdraw funds from the Deposit Account and all owners of the Deposit Account shall execute a revocable standing transfer order (the “Transfer Order”) under which the
bank maintaining the Deposit Account shall, on a daily basis, transfer the entire balance of the Deposit Account into the PIP Account; provided, however, that Group, to the extent PIP is not satisfying its payment obligations to Group pursuant to
Sections 6.1 and 6.2 below, shall have the right to prevent the transfer from the Deposit Account to the PIP Account of any unpaid Contract Fee owing to Group. In connection with this Agreement, Group hereby assigns and transfers to PIP all rights
and interest Group may have to the funds transferred from the Deposit Account into the PIP Account. Group and PIP hereby agree to execute from time to time such documents and instructions as shall be required by the bank maintaining the Deposit
Account to effectuate the foregoing provisions and to extend or amend such documents and instructions. Any action by Group or its Physician Employees that materially interferes with the operation of this Section 3.2, including, without limitation,
any failure to deposit or to have PIP deposit any revenues into the Deposit Account, any withdrawal of any funds from the Deposit Account not authorized by the express terms of this Agreement, or any revocation of or attempt to revoke the Transfer
Order (otherwise than upon expiration or termination of this Agreement), will constitute a breach of this Agreement and will entitle PIP, in addition to any other remedies it may have at law or in equity, to seek a court ordered assignment of the
rights provided to PIP pursuant to Section 3.2(b)(ii) above; provided, however, that the foregoing is not intended to prevent Group, to the extent PIP is not satisfying its payment obligations to Group pursuant to Sections 6.1 and 6.2 below, from
preventing the transfer from the Deposit Account to the PIP Account of any unpaid Contract Fee owing to Group. 
  
 (iv) Group shall execute such documents in form and substance as are reasonably necessary to permit PIP to exercise the rights and powers granted to PIP
pursuant to this Section 3.2(b). Group shall cooperate with, and at the request of PIP shall provide reasonable assistance to, PIP with the functions set forth herein. In the performance of the services described in this Section 3.2(b), PIP shall
use commercially reasonable best efforts to collect such Facility Charges, and shall comply with all applicable Managed Care Contracts and all applicable laws, rules and regulations. 
  
 (c) Accounting. PIP shall administer and maintain the operation of an appropriate accounting system with respect to
its collection and payment obligations under this Agreement, including the maintenance, custody and supervision of business records, ledgers and reports. Group and its authorized representatives shall have the right to review all such financial
records and bank records maintained by PIP relating to the PIP Account or the Deposit Account and uses contemplated by Section 3.2(d) below. Such information shall be provided by PIP to Group in any media reasonably requested. 
  
 (d) Cash Management. PIP shall manage and transfer the cash and cash
equivalents transferred into the PIP Account to any other account of PIP, and to use such cash for purposes as PIP deems appropriate, subject to and consistent with the terms and provisions of this Agreement, including, without limitation, the right
of Group, to the extent PIP is not satisfying its payment obligations to Group pursuant to Sections 6.1 and 6.2 below, to prevent the transfer from the Deposit Account to the PIP Account of any unpaid Contract Fee owing to Group. 
  

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 (e) Obligations of PIP. PIP shall prepare monthly operational reports which detail payments,
charges and accounts receivable statistics, and monthly reconciliation reports on cash management relating to the revenues generated from the professional supervision and interpretation services rendered at the PIP Facilities, which shall be
delivered to Group as soon as practicable, but no later than thirty (30) days after the end of each calendar month. Group may elect to have an audit conducted with respect to such financial statements by an accounting firm selected by Group, in its
sole discretion, in which case the cost of such audit shall be Group’s sole responsibility, unless such audit discloses a material discrepancy, equal to or greater than ten percent (10%) of the amount to which Group would otherwise have been
entitled to pursuant to Section 6.1 below, in which case the audit costs shall be borne solely by PIP. Any undisputed additional amounts determined to be owed by one party to the other party as a result of any audit shall be paid to the appropriate
party within thirty (30) days of its determination. 
  
 (f)
Records and Files. 
  
 (i) PIP’s Business and
Financial Records. At all times during and after the term of this Agreement, including any extensions or renewals hereof, all business records, including but not limited to, business agreements, books of account, personnel records, general
administrative records and all information generated under or contained in the management information system pertaining to PIP’s obligations hereunder, and other business information of PIP of any kind or nature, except for patient medical
records and Group’s Records, shall be and remain the sole property of PIP; provided, however, that during and after termination of this Agreement, Group shall be entitled to reasonable access to such records and information relating to a
particular PIP Facility, including the right to obtain copies thereof in any media reasonably requested by Group, for any purpose related to patient care or the defense of any claim relating to patient care, and PIP agrees to safeguard such records
for such period as may be required by applicable federal or state law following termination of this Agreement, but in no event less than six (6) years. Notwithstanding the foregoing, Group shall be entitled to access, at all times with regard to
direct electronic access to PIP’s radiology information system and during regular business hours with regard to other information, and upon reasonable prior written notice, to patient billing and demographic data for purposes of billing,
collection and charge verification, including direct electronic access to PIP’s radiology information system. Group hereby agrees to be responsible for any additional costs and expenses related to such direct electronic access, including
programming, telecommunications, hardware or software costs required to provide such direct electronic access, so long as PIP delivers to Group advance notice of such costs and expenses. PIP and Group hereby agree to preserve the confidentiality of
such patient medical records and to use the information in such records only for the limited purposes necessary to perform its responsibilities hereunder. 
  
 (ii) Group’s Business and Financial Records. At all times during and after the term of this Agreement, the patient medical records and charts
and any other information relating exclusively to the business and activities of Group in connection with this Agreement (hereinafter referred to as the “Group’s Records”) shall be and remain the sole property of Group; provided,
however, that Group’s Records shall be the sole property of PIP following such time as PIP obtains IDTF (as defined in Section 3.5 below) status from Medicare or any other similar designation permitted under California law such that a
particular PIP Facility would be permitted to directly bill and collect professional supervision and interpretation services and/or technical imaging services from Managed Care Payors. Notwithstanding the foregoing, PIP acknowledges and agrees that
Group, in the ordinary course, may not have custody of all records which would be deemed to be Group’s Records pursuant to this Agreement, and Group shall not have responsibility for delivering to PIP those Group’s Records for which Group
does not maintain custody. 
  
 (iii) Compliance with Law.
The management of all files and records by PIP and Group shall comply with all applicable federal, state and local statutes and regulations. 
  
 Section 3.3 PIP Facilities. 
  
 (a) PIP Facility Locations. PIP shall make available to Group the PIP Facilities, including such improvements made by PIP or Parent for the use of
Group therein. The PIP Facilities shall contain all utilities reasonably required in connection with the provision of professional supervision and interpretation services at the PIP Facilities. PIP shall ensure the proper cleanliness of the PIP
Facilities, including normal janitorial and maintenance services and refuse disposal, including medical waste. PIP shall maintain the PIP Facilities in good condition and make or cause to be made all necessary repairs thereto. Group shall have a
right of first refusal to provide the professional 
  

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 supervision and interpretation services at any new PIP Facility that is located within a five (5) mile radius of any
existing PIP Facility set forth in Exhibit 1 attached hereto, as Exhibit 1 may be amended from time to time by the parties hereto. 
  
 (b) Personal Property. PIP shall provide Group and its Physician Employees with the use of the equipment, furniture, fixtures, furnishings and
other personal property reasonably necessary for the efficient and safe operation of the PIP Facilities (collectively, the “Personal Property”). PIP shall maintain the Personal Property in good condition and make or cause to be made all
necessary repairs thereto. 
  
 (c) Expenses. All costs,
fees, expenses and other disbursements incurred by PIP, Parent or their Affiliates in connection with the PIP Facilities, including, without limitation, all reasonably necessary costs of repairs, maintenance and improvements, utility expenses
(i.e., telephone, electric, gas and water), janitorial services, refuse disposal, real or personal property lease cost payments and expenses, interest, refinancing expenses, depreciation, loss on disposition of assets, taxes and casualty,
liability and other insurance, shall be borne by PIP. Except as noted in Section 4.6 below, Group and its Physician Employees shall use the PIP Facilities or the Personal Property only in connection with the provision of the professional supervision
and interpretation services pursuant to this Agreement. 
  
 (d)
Disposition. Subject to provisions contained in existing agreements to which PIP or Parent is or becomes a party and, where necessary and appropriate for the efficient operation of the PIP Facilities, nothing herein shall be construed as
precluding PIP or Parent from selling, leasing or otherwise disposing of all or any part of the PIP Facilities, any Personal Property contained therein, or any real property, improvements, trade names, trademarks and other intangible property
related thereto, and any such sale, lease or disposition shall not eliminate or diminish PIP’s obligations hereunder. Group shall have a right of first refusal to provide the professional supervision and interpretation services at any
replacement PIP Facility that is located within a five (5) mile radius of any existing PIP Facility set forth in Exhibit 1 attached hereto, as Exhibit 1 may be amended from time to time by the parties hereto. 
  
 (e) No Warranties or Representations. Except for PIP’s agreements
as to performance herein, Group acknowledges that PIP makes no warranties or representations, express or implied, as to the fitness, suitability or adequacy of the PIP Facilities or the Personal Property, or any other property furnished under this
Agreement, for the conduct of professional supervision and interpretation services hereunder or for any other particular purpose. 
  
 Section 3.4 Personnel. PIP shall provide non-physician professional support (other than Physician Extender Employees) including, without
limitation, technologists, physicists and administrative, clerical, secretarial, bookkeeping, transcription and collection personnel as is deemed to be reasonably necessary by PIP for the efficient conduct of the PIP Facilities. All such personnel
shall be duly qualified by education or experience for their respective positions and shall possess all licenses which may be required by law. Such personnel shall be employees of PIP, and PIP shall determine and cause to be paid the salaries and
benefits of all such personnel. 
  
 Section 3.5 Provider and
Payor Relationships. PIP shall negotiate, establish and supervise all contracts and relationships (collectively, the “Managed Care Contracts”) with all managed care, institutional health care providers and payors, health maintenance
organizations, preferred provider organizations, exclusive provider organizations, Hill, Medicare, Medi-Cal, insurance companies, hospitals and other similar persons (collectively, “Managed Care Payors”) related to the provision of
professional supervision and interpretation services and technical services at the PIP Facilities, subject to appropriate consultations with Group and the final approval of Group for all Managed Care Contracts with a Managed Care Payor to which
Group is a party; provided, however, that (a) Group shall have a reasonable opportunity to review and approve on a timely basis any non-financial terms of such Managed Care Contracts that are related to the performance of Group’s professional
interpretation and supervision services, which approval shall not be unreasonably withheld, (b) Group shall not be required to approve any Managed Care Contract that capitates the fees paid for Group’s professional interpretation and
supervision services, and (c) subject to Sections 3.5(a) and 3.5(b) above, (i) during the first two (2) years of this Agreement, Group shall approve any renewal or modification to an existing Managed Care Contract with a Managed Care Payor, so long
as the term of such renewal or modification does not extend beyond December 31, 2006 and the weighted average of the reimbursement rates for all components of the Managed Care Contract (the “Average Rate”) is at least equal to the Average
Rate in the prior Managed Care Contract; and provided, further, that Group shall approve any new Managed Care Contract, so long as the term of the new Managed Care Contract does not extend beyond December 31, 2006 and the Average Rate in such new
Managed Care Contract is at least equal to the Average Rate contained in the Hill contract in effect during such period, and (ii) effective as of January 1, 2004, Group shall not unreasonably withhold its approval to any such Managed Care Contract

  

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 presented to it for Group’s approval, so long as the term of such Managed Care Contract does not extend beyond
December 31, 2006. Nothing in the foregoing sentence is intended, or shall be interpreted, to constitute a violation of applicable California laws regarding the corporate practice of medicine. Group shall not terminate or amend any existing Managed
Care Contracts with any Managed Care Payors without the prior written approval of PIP. In no event shall Group be responsible for the supervision or provision of PIP Technical Imaging Services to be performed at the PIP Facilities. In addition,
Group and AII are hereby prohibited from negotiating or utilizing separate billing arrangements for professional supervision and interpretation services rendered at the PIP Facilities (other than Group’s professional service arrangements with
Hill), or otherwise interfering with PIP’s existing or future contractual relationships with any Managed Care Payor relating to the professional or technical services rendered at the PIP Facilities, exclusive of the Permitted Activities. PIP
shall have the sole right and authority to submit an application to obtain independent diagnostic testing facility (“IDTF”) status from Medicare for any or all of the PIP Facilities, and Group shall reasonably assist and cooperate with PIP
any such applications as may be requested by PIP from time to time. 
  
 Section 3.6 Inventory and Supplies. PIP shall order, purchase and provide on a timely basis inventory and supplies, and such other ordinary, necessary or appropriate materials which PIP shall reasonably determine to be necessary for
the efficient operation of the PIP Facilities. 
  
 Section 3.7
Advertising and Public Relations. PIP may implement, if appropriate, local public relations or advertising program on behalf of the PIP Facilities, with appropriate emphasis on public awareness of the availability of services at the PIP
Facilities. PIP shall also design and implement all national or other non-local public relations or advertising programs on behalf of the PIP Facilities. The parties hereto agree that all public relations and advertising programs shall be conducted
in compliance with applicable standards of medical ethics, laws and regulations. 
  
 Section 3.8 Quality Assurance. PIP shall assist Group, as reasonably requested by Group from time to time, in fulfilling its obligations to its patients to maintain a high quality of medical and professional
services. 
  
 Section 3.9 Events Excusing Performance. In
the event of strikes, lock-outs, calamities, acts of God, unavailability of supplies or other events over which PIP has no control, PIP shall not be liable to Group for failure to perform any of the services required hereunder and Group shall not
have the right to terminate this Agreement pursuant to Section 9.3(b) below, for so long as such events continue and for a reasonable period of time thereafter; provided, however, that if such events continue and PIP is not able to perform any
material portion of the services required hereunder for a period of one hundred twenty (120) consecutive days or more, either PIP or Group may terminate this Agreement by written notice to the other parties. 
  
 ARTICLE IV 
  
 Obligations of Group 
  
 Section 4.1 Employment of Physician Employees and Physician Extender
Employees. Group shall have complete control of and responsibility for the hiring, compensation, supervision, training, evaluation and termination of its Physician Employees and Physician Extender Employees. Group shall conduct an appropriate
and reasonable due diligence review in connection with the hiring of any physician. All physician employment agreements between Group and a Physician Employee, or between AII and a physician, shall incorporate all of the material provisions
contained in this Agreement applicable to the Physician Employees. Group shall be solely responsible for the payment of such Physician Employees’ and Physician Extender Employees’ salaries and wages, payroll taxes and all other taxes now
or hereafter applicable to their employment. Group and its Physician Employees and Physician Extender Employees shall not have any claim under this Agreement or otherwise against PIP or Parent for workers’ compensation, unemployment
compensation or Social Security benefits, all of which shall be the sole responsibility of Group. Group shall only employ or contract with board certified or board eligible licensed physicians and Physician Extender Employees who meet applicable
credentialing guidelines established by Group. Group shall obtain and maintain professional liability insurance for all of its Physician Employees and Physician Extender Employees in amounts not less than One Million Dollars ($1,000,000) per
occurrence and Three Million Dollars ($3,000,000) in the annual aggregate with an insurance company reasonably acceptable to PIP (and Group’s existing insurance company shall be deemed to be acceptable to PIP, and similar insurance coverage for
any other employees who may have malpractice exposure or liability. 
  

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 Section 4.2 Professional Supervision and Interpretation Services. Group shall be responsible and
obligated to employ and to provide to the PIP Facilities, a sufficient number of Physician Employees and Physician Extender Employees to render all professional supervision and interpretation services required at and on behalf of the PIP Facilities.
Group shall ensure that each Physician Employee and each Physician Extender Employee has all required licenses, credentials, approvals, provider numbers or other certifications to perform his or her duties and professional supervision and
interpretation services at the PIP Facilities and, in the event that Group becomes aware of any disciplinary actions or medical malpractice actions initiated against any Physician Employee or Physician Extender Employee, Group shall promptly inform
PIP of such action and the underlying facts and circumstances. Group may subcontract for Physician Employees and Physician Extender Employees through a subcontract agreement with AII, and if Group desires to do so, then AII hereby acknowledges the
responsibilities and obligations of Group pursuant to this Section 4.2 and elsewhere pursuant to this Agreement. Group shall carry out a program to monitor the quality of medical care practiced at the PIP Facilities; provided, however, that the
preceding language shall not limit Group’s obligation to participate in or comply with any reasonable corporate compliance programs established by PIP or Parent and provided to Group; provided, however, that if PIP or Parent modifies such
corporate compliance program following the effective date of this Agreement for a reason not required by a new or changed law, then PIP shall be responsible for Group’s reasonable and actual out-of-pocket costs to comply with such modified
corporate compliance program; and provided, further, that PIP also shall be responsible for Group’s reasonable and actual out-of-pocket costs to comply with any corporate compliance program implemented in connection with the PIP Technical
Imaging Services. 
  
 Section 4.3 Medical Practice. Unless
otherwise approved in writing in advance by Group, which approval shall not be unreasonably withheld or delayed, it is expressly acknowledged by the parties hereto that the professional supervision and interpretation services rendered at the PIP
Facilities shall be conducted solely by Physician Employees, and, no other physician shall be permitted to provide professional supervision and interpretation services at the PIP Facilities; provided, however, that if any test or procedure is
required to be performed jointly with another physician who is not a Physician Employee or Physician Extender Employee, then such physician may use and occupy the PIP Facilities for purposes of performing such procedure or test. Group shall be
solely and exclusively in control of all aspects of the practice of medicine and the delivery of medical services at the PIP Facilities. The rendition of all professional medical services, including, but not limited to, diagnosis, treatment,
therapy, the prescription of medicine and drugs, and the supervision and preparation of medical reports (excluding transcription services to be provided by PIP) shall be the sole responsibility of Group. This Section 4.3 expressly excludes the
provision of PIP Technical Imaging Services, which are PIP’s sole responsibility. Group, after consultation and approval from PIP, will adopt and implement fee schedules for (a) non-prepaid patients which shall be reasonable in relation to fees
generally being charged in the same or similar market areas, and (b) for all re-billings and recovery items on prepaid Managed Care Contracts which are authorized and permitted by such contracts. Notwithstanding anything in this Section 4.3 or this
Agreement to the contrary, PIP shall have the right to obtain additional or substitute professional supervision and interpretation services coverage for the PIP Facilities from any physician or other provider to the extent PIP deems, in its
reasonable discretion, that the professional interpretation and supervision service coverage by Group through the Physician Employees and the Physician Extender Employees is inadequate, so long as PIP first provides to Group a written notice
specifying in sufficient detail why the professional interpretation and supervision services are materially inadequate, and Group is unable to correct the problems, to the reasonable satisfaction of PIP, within thirty (30) days of receipt by Group
of such written notice. 
  
 Section 4.4 Group’s Internal
Matters. Group shall be responsible for matters involving its corporate governance, employees and similar internal matters, including, without limitation, preparation and contents of such reports to regulatory authorities governing Group that
Group is required by law to provide, distribution of income, disposition of Group’s property and stock, hiring and firing of its employees, licensing and implementing all compliance plans and procedures as described in Section 4.5 below. The
costs incurred in connection with the foregoing matters shall be borne solely by Group. Group shall be solely responsible for all business and administrative functions related to Group, except as specifically set forth in this Agreement. 

 
 Section 4.5 Compliance with Laws. Group shall, and shall use its
commercially reasonable best efforts to cause the Physician Employees, Physician Extender Employees and other employees of Group to, comply with all applicable federal, state and local laws, rules, regulations and restrictions in the conduct of the
professional supervision and interpretation services provided under this Agreement. Without limiting the generality of the foregoing, Group shall comply and shall cause each Physician Employee, Physician Extender Employee and other employee of

  

 -9- 

 Group to comply, with all laws applicable to the operation of the PIP Facilities in the generation,
transportation, treatment, storage, disposal or other handling of radioactive, medical, biological or hazardous materials or waste, and Group shall not, and shall use its commercially reasonable best efforts to prohibit any Physician Employee,
Physician Extender Employee and any other employee of Group from: 
  
 (a) entering into any contract, lease, agreement or arrangement, including, without limitation, any joint venture or consulting agreement, to provide services, lease space, lease equipment or engage in any other venture or activity with any
physician, hospital, pharmacy, home health agency or other person or entity which is in a position to make or influence referrals to, or otherwise generate business for, the PIP Facilities; 
  
 (b) knowingly and willfully making or causing to be made a false statement or
representation of a material fact in any application for any benefit or payment from a Managed Care Payor or any other third party payor; 
  
 (c) knowingly and willfully making or causing to be made a false statement or representation of a material fact for use in determining rights to any
benefit or payment from a Managed Care Payor or any other third party payor; 
  
 (d) failing to disclose knowledge by a claimant of the occurrence of any event affecting the initial or continued right to any benefit or payment on its own behalf or on behalf of another, with intent to fraudulently
secure such benefit or payment; 
  
 (e) knowingly and willfully
paying, soliciting or receiving any remuneration (including any kickback, bribe, or rebate), directly or indirectly, overtly or covertly, in cash or in kind or offering to pay or receive such remuneration (i) in return for referring an individual to
a person for the furnishing or arranging for the furnishing of any item or service for which payment may be made in whole or in part by Medicare or Medi-Cal, or (ii) in return for purchasing, leasing, or ordering, or arranging for or recommending
purchasing, leasing, or ordering any good, facility, service, or item for which payment may be made in whole or in part by Medicare or Medi-Cal; 
  
 (f) referring a patient for health services or products to, or providing health services to a patient upon a referral from, an entity or person with which
the physician or an immediate family member has a financial relationship, other than as permitted by exceptions set forth in federal or state anti-referral laws or regulations; and 
  
 (g) undertaking any action that is not in accord with the regulatory compliance plans, policies and manuals developed and
implemented by PIP or Group, and used in conjunction with the PIP Facilities. 
  
 Section 4.6 Ancillary Services. Group shall not acquire, establish or commence the operation of any satellite location, medical office, imaging center, health maintenance organization, preferred provider
organization, exclusive provider organization or similar entity or organization established or operated by Group after the date hereof without the prior written consent of PIP. Group and the Physician Employees and the Physician Extender Employees
shall be permitted to use the PIP Facilities only in connection with the provision of professional supervision and interpretation services for patients being treated at the PIP Facilities and for no other purposes whatsoever, except that such
parties may continue to provide professional services to Hill, professional services to family members of the Physician Employees and the Physician Extender Employees, outside reading services similar in type and scope to those reading services
currently being provided by Group as specified in Exhibit 2 attached hereto, and incorporated herein by this reference, and de minimis activities, provided that such activities do not disrupt or interfere in any material respect with the PIP
Facilities or their employees, or otherwise cause PIP to incur any additional costs or expenses. 
  
 Section 4.7 PIP Facilities and Personal Property. Group shall use its commercially reasonable best efforts to prevent damage, excessive wear and
tear, and malfunction or other breakdown of the PIP Facilities and Personal Property or any part thereof by the Physician Employees and Physician Extender Employees or other employees of Group. Group shall promptly inform PIP both orally and in
writing of any and all necessary replacements, repairs or maintenance to any of the PIP Facilities or Personal Property and any failures of equipment of which it becomes aware. Group shall use commercially reasonable best efforts to comply with all
covenants and provisions set forth in any leases or subleases for the PIP Facilities entered into or assumed by PIP, and PIP agrees to make available to Group copies of all such leases or subleases to Group. Group shall, and shall ensure that its
Physician Employees and 
  

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 Physician Extender Employees, reasonably cooperate with PIP in promoting the business interests of the PIP Facilities,
including, without limitation, not interfering with PIP’s existing or future contractual relationships with any Managed Care Payor relating to the professional or technical services rendered at the PIP Facilities, exclusive of the Permitted
Activities. 
  
 Section 4.8 AII Obligations. AII shall, and
shall ensure that its shareholders, directors, officers and the Physician Employees, reasonably cooperate with PIP in promoting the best business interests of the PIP Facilities, including, without limitation, not interfering with PIP’s
existing or future contractual relationships with any Managed Care Payor relating to the professional or technical services rendered at the PIP Facilities, exclusive of the Permitted Activities. AII shall be required to provide professional services
to patients covered under Group’s or PIP’s current and future Hill managed care contract in the hospitals and entities currently acting as Hill contractors to Group or PIP (Alta Bates Summit Medical Center, St. Luke’s Hospital, St.
Rose Hospital, San Ramon Regional Medical Center and Medical Center Magnetic Imaging). In this regard, AII shall also be responsible for positively promoting the Hill relationship to these hospital contractors, and assisting PIP and Group to
minimize the costs and utilization associated with such hospital contractor relationships. 
  
 Section 4.9 Events Excusing Performance. In the event of strikes, lock-outs, calamities, acts of God, unavailability of supplies or other events over which Group has no control, Group shall not be liable to
PIP, Parent or their Affiliates for failure to perform any of its obligations required hereunder as may be materially restricted by any such event and PIP shall not have the right to terminate this Agreement pursuant to Section 8.4(a) below, for so
long as such events continue and for a reasonable period of time thereafter; provided, however, that if such events continue and Group is not able to perform any material portion of its obligations required hereunder for a period of one hundred
twenty (120) consecutive days or more, either Group or PIP may terminate this Agreement by written notice to the other parties. 
  
 Section 4.10 Use of Name. Group hereby grants to PIP and Parent the non-exclusive right to use all or any portion of Group’s name in
connection with the PIP Facilities. 
  
 ARTICLE V

  
 Restrictive Covenants 
  
 Section 5.1 Restrictive Covenants of Group. 
  
 (a) Noncompetition. It is understood that nothing in this Agreement is
intended to restrict (i) Group or AII from providing, independent of any obligation to PIP or Parent, professional interpretation and supervision services pursuant to any existing professional services relationship listed on Exhibit 3
attached hereto and incorporated herein by this reference, or any renewal, amendment or revision of the terms of such relationship, so long as any such modification does not expand the scope of services beyond professional interpretation and
supervision services, (ii) Group from providing services pursuant to the Service Agreement through December 31, 2001, (iii) AII, at any time, from providing, independent of any obligation to PIP or Parent, any professional interpretation and
supervision services to any hospital, wholly-owned hospital imaging facility or joint ventured hospital imaging facility which is managed or controlled by a hospital or a hospital affiliate (and in which there is no ownership by Group, AII or their
affiliates); provided, however, that PIP shall have the right to replace Group at any PIP Facility that is located within a five (5) mile radius of any such hospital, wholly-owned hospital imaging facility or joint ventured hospital imaging facility
unless, (A) the location of such hospital, wholly-owned hospital imaging facility or joint ventured hospital imaging facility is listed in Exhibit 3 attached hereto, or (B) the new location is a relocation of an existing facility listed in
Exhibit 3 attached hereto, and such relocation to a new location is within the immediate vicinity of the original location listed in Exhibit 3 attached hereto; and provided, further, that PIP’s right to replace Group pursuant to
this Section 5.1(a)(iii) expires with regard to each such new location, unless Group receives written notice of replacement from PIP within sixty (60) days of PIP’s receipt of written notice of such new location, and Group shall have sixty (60)
days following PIP’s written notice to vacate the applicable PIP Facility at which it is being replaced, or (iv) AII from establishing and operating an independent billing and collection business that provides billing and collection services
outside of the scope of PIP’s billing and collection services pursuant to this Agreement (the items described in (i)—(iv) above are referred to as the “Permitted Activities”). Excluding the Permitted Activities, during the term
of this Agreement, neither Group nor AII 
  

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 shall, without the prior written consent of PIP, establish, operate or provide professional interpretation or supervisory
services to, or engage or participate in, any business which engages in competition with the business conducted by the Northern California RGX Group as of the date of this Agreement anywhere within fifteen (15) miles of any location at which any
member of the Northern California RGX Group conducts business as of the date of this Agreement. Nothing in this Section 5.1(a) is intended to limit or restrict Group or AII from entering into any management or administrative services agreement or
other arrangement with any other person or entity for purposes of obtaining management, administrative or other support services, so long as such person or entity does not directly or indirectly own, operate, manage or otherwise assist any business
operation that competes with any of the PIP Facilities. 
  
 (b)
Covenant Not to Solicit. During the term of this Agreement and for a period of twelve (12) months following the expiration or the earlier termination of this Agreement, neither Group nor AII (nor any of their respective affiliates,
shareholders, officers, directors or employees) shall, without the prior written consent of PIP: (i) directly or indirectly recruit or hire, or induce any party to recruit or hire any person who is an employee of, or who has entered into an
independent contractor arrangement with, any member of the Northern California RGX Group; (ii) directly or indirectly, whether for itself or for any other person or entity, call upon, solicit, divert or take away, or attempt to solicit, call upon,
divert or take away any customers, business, or clients of any member of the Northern California RGX Group; provided, however, that the Permitted Activities shall not be deemed to be a violation of this Section 5.1(b)(ii); (iii) directly or
indirectly solicit, or induce any party to solicit, any contractors of any member of the Northern California RGX Group, to enter into the same or a similar type of contract with any other party; or (iv) directly or indirectly disrupt, damage, impair
or interfere with the business of any member of the Northern California RGX Group, exclusive of the Permitted Activities. During the term of this Agreement and for a period of twelve (12) months following the expiration or the earlier termination of
this Agreement, neither PIP nor Parent (nor any of their respective affiliates, shareholders, officers, directors or employees) shall, without the prior written consent of Group: (i) directly or indirectly recruit or hire, or induce any party to
recruit or hire any person who is an employee of, or who has entered into an independent contractor arrangement with, Group or AII; (ii) directly or indirectly, whether for itself or for any other person or entity, call upon, solicit, divert or take
away, or attempt to solicit, call upon, divert or take away any customers, business, or clients of Group or AII; (iii) directly or indirectly solicit, or induce any party to solicit, any contractors of Group or AII to enter into the same or a
similar type of contract with any other party; or (iv) directly or indirectly disrupt, damage, impair or interfere with the business of Group or AII. 
  
 (c) PIP’s Obligations Regarding Proprietary Interest. 
  

(i) Acknowledgement of Proprietary Interest. PIP, Parent or their Affiliates hereto recognize the proprietary interest of Group or AII in any
Group Confidential and Proprietary Information. PIP, Parent and their Affiliates acknowledge and agree that any and all Group Confidential and Proprietary Information communicated to, learned of, developed or otherwise acquired by PIP, Parent and
their Affiliates during the term of this Agreement shall be the property of Group or AII, as applicable. PIP, Parent and their Affiliates further acknowledge and understand that disclosure of any of Group’s Confidential and Proprietary
Information will result in irreparable injury and damage to Group or AII, as the case may be. As used herein, “Group’s Confidential and Proprietary Information” means all trade secrets and other confidential and/or proprietary
information of Group and AII, including information derived from reports, investigations, research, work in progress, codes, marketing and sales programs, financial projections, cost summaries, pricing formula, contract analyses, financial
information, projections, confidential filings with any state or federal agency, and all other confidential concepts, methods of doing business, ideas, materials or information prepared or performed for, by or on behalf of the parties hereto by its
employees, officers, directors, agents, representatives, or consultants. Group Confidential and Proprietary Information shall not include any information which: (A) was known to PIP, Parent or their Affiliates prior to its disclosure by Group; (B)
is or becomes publicly known through no wrongful act of PIP, Parent or their Affiliates or any of their employees; or (C) is disclosed pursuant to a statute, regulation or the order of a court of competent jurisdiction, provided that the PIP, Parent
or their Affiliates provides prior notice to Group or AII. 
  
 (ii) Covenant Not-to-Divulge Group’s Confidential and Proprietary Information. PIP, Parent and their Affiliates acknowledge and agree that Group and AII are each entitled to prevent the disclosure of Group Confidential and
Proprietary Information. PIP, Parent and their Affiliates agree at all times during the term of this Agreement and thereafter to hold in strictest confidence and not to disclose to any person, firm or corporation, except as may be necessary for the
discharge of its obligations under this Agreement and not to use, except in the pursuit of the business of the PIP Facilities, Group Confidential and Proprietary Information, without the prior written consent of 
  

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 Group or AII; unless (A) such information becomes known or available to the public generally through no wrongful act of
PIP, Parent or their Affiliates or their employees, or (B) disclosure is required by law or the rule, regulation or order of any governmental authority under color of law; provided, however, that prior to disclosing any of Group Confidential and
Proprietary Information pursuant to this clause (B), PIP, Parent or their Affiliates shall, if possible, give prior written notice thereof to Group or AII and provide Group or AII with the opportunity to contest such disclosure. PIP, Parent and
their Affiliates shall take all necessary and proper precautions against disclosure of any of Group Confidential and Proprietary Information to unauthorized persons by any of its officers, directors, employees or agents. All officers, directors,
employees, and agents of PIP, Parent and their Affiliates who will have access to all or any part of Group Confidential and Proprietary Information will be required to execute an agreement upon request, valid under the law of the jurisdiction in
which such agreement is executed, and in a form acceptable to PIP, Parent or their Affiliates and their counsel, committing themselves to maintain Group Confidential and Proprietary Information in strict confidence and not to disclose it to any
unauthorized person or entity. Upon the expiration or the earlier termination of this Agreement for any reason, PIP, Parent and their Affiliates and their employees shall cease all use of any of Group’s Confidential and Proprietary Information
and shall execute such documents as may be reasonably necessary to evidence their abandonment of any claim thereto. 
  
 (iii) Return of Materials. Upon the expiration or the earlier termination of this Agreement for any reason whatsoever, or at any time upon the
request of Group or AII, PIP, Parent and their Affiliates will promptly deliver or cause to be delivered to Group all documents, data and other information in their possession that contain any of Group Confidential and Proprietary Information. PIP,
Parent and their Affiliates shall not take or retain any documents or other information, or any reproduction or excerpt thereof, containing any of Group Confidential and Proprietary Information, unless otherwise authorized in writing by Group or
AII. 
  
 (d) Group’s and AII’s Obligations Regarding
Proprietary Interest. 
  
 (i) Acknowledgement of
Proprietary Interest. Group and AII hereby recognize the proprietary interest of PIP, Parent and their Affiliates in any PIP Confidential and Proprietary Information. Group and AII hereby acknowledge and agree that any and all PIP Confidential
and Proprietary Information communicated to, learned of, developed or otherwise acquired by either Group or AII (or any of their affiliates, shareholders, directors, officers, employees or agents) during the term of this Agreement shall be the
property of PIP, Parent or their Affiliates. Group and AII further acknowledge and understand that their disclosure of PIP Confidential and Proprietary Information will result in irreparable injury and damage to PIP, Parent or their Affiliates. As
used herein, “PIP Confidential and Proprietary Information” means all trade secrets and other confidential and/or proprietary information of PIP, Parent or their Affiliates, including information derived from reports, investigations,
research, work in progress, codes, marketing and sales programs, financial projections, cost summaries, pricing formula, contract analyses, financial information, projections, confidential filings with any state or federal agency, and all other
confidential concepts, methods of doing business, ideas, materials or information (other than Group’s Records) prepared or performed for, by or on behalf of the parties hereto by its employees, officers, directors, agents, representatives, or
consultants. PIP Confidential and Proprietary Information shall not include any information which: (A) was known to the parties hereto prior to its disclosure by PIP, Parent or their Affiliate; (B) is or becomes publicly known through no wrongful
act of Group, AII or any of their employees; or (C) is disclosed pursuant to a statute, regulation or the order of a court of competent jurisdiction, provided that Group or AII provides prior notice to PIP, Parent or its Affiliates. PIP and Parent
acknowledge and agree that AII’s proposed development of a billing and collection program shall not be deemed to be a violation of this Section 5.1(d)(i) solely because of Group’s use of employees or contractors previously involved with
PIP, so long as AII maintains all confidential and proprietary information protected by third party contracts regarding such information. 
  
 (ii) Covenant Not-to-Divulge PIP Confidential and Proprietary Information. Group and AII hereby acknowledge and agree that PIP, Parent or their
Affiliates are entitled to prevent the disclosure of PIP Confidential and Proprietary Information. Group and AII hereby agree at all times during the term of this Agreement and thereafter to hold in strictest confidence and not to disclose to any
person, firm or corporation, except as may be necessary for the discharge of its obligations under this Agreement, and not to use, except in the pursuit of the business of the PIP Facilities, PIP Confidential and Proprietary Information, without the
prior written consent of PIP, Parent and their Affiliates; unless (A) such information becomes known or available to the public generally through no wrongful act of Group, AII or their employees, or (B) disclosure is required by law or the rule,
regulation or order of any governmental authority under color of law; provided, however, that prior to disclosing any PIP Confidential and 
  

 -13- 

 Proprietary Information pursuant to this clause (B), Group or AII, as the case may be, shall, if possible, give prior
written notice thereof to PIP, Parent and their Affiliates and provide such parties with the opportunity to contest such disclosure. Group and AII shall take all necessary and proper precautions against disclosure of any PIP Confidential and
Proprietary Information to unauthorized persons by any of its officers, directors, employees or agents. All officers, directors, employees, and agents of Group or AII who will have access to all or any part of PIP Confidential and Proprietary
Information will be required to execute an agreement upon request, valid under the law of the jurisdiction in which such agreement is executed, and in a form acceptable to PIP, Parent and their Affiliates and its counsel, committing themselves to
maintain PIP Confidential and Proprietary Information in strict confidence and not to disclose it to any unauthorized person or entity. Upon termination of this Agreement for any reason, Group, AII and their employees shall cease all use of any of
PIP Confidential and Proprietary Information and shall execute such documents as may be reasonably necessary to evidence their abandonment of any claim thereto. 
  

(iii) Return of Materials. Upon the expiration or the earlier termination of this Agreement for any reason whatsoever, or at any time upon the
request of PIP, Parent or their Affiliates, Group and AII will promptly deliver or cause to be delivered to PIP, Parent and their Affiliates all documents, data and other information in their possession that contains any PIP Confidential and
Proprietary Information regarding PIP, Parent and their Affiliates. Neither Group nor AII shall take or retain any documents or other information, or any reproduction or excerpt thereof, containing any PIP Confidential and Proprietary Information,
unless otherwise authorized in writing by the party possessing such PIP Confidential and Proprietary Information. 
  
 (e) Third Party Beneficiaries. The members of the Northern California RGX Group not party to this Agreement are hereby specifically made third
party beneficiaries of this Section 5.1, with the power to enforce the provisions hereof. 
  
 Section 5.2 Restrictive Covenants. Group and AII shall obtain written agreements with each Physician Employee or Group Physician Stockholder, which written agreements shall contain certain restrictive covenants
thereof (similar to the covenants applicable to Group and AII, as contained in Section 5.1 above) pertaining to covenants not to compete and/or solicit with and not to divulge PIP Confidential and Proprietary Information (the “Restrictive
Covenants”). Each Physician Employee or Group Physician Stockholder shall agree, during the term of his or her employment or contractor agreement with Group or AII, as the case may be, and for a period of twenty-four (24) months after the
expiration or the earlier termination of such agreement (but in no event longer than twenty-four (24) months following the expiration or the earlier termination of this Agreement): (a) not to establish, operate or provide professional radiology
services at any office, practice, hospital or health care facility providing services substantially similar to those provided at the PIP Facilities pursuant to this Agreement within fifteen (15) miles of any PIP Facility, and (b) to be bound by
non-solicitation, noncompetition and nondisclosure of confidential/proprietary information and engagement of PIP covenants similar to those applicable to Group and AII, as contained in Section 5.1 above. Neither Group nor AII shall materially amend,
alter or otherwise change any term or provision of any agreement or contract relating to the foregoing covenants in this Section 5.2 without the prior written consent of PIP. Notwithstanding the foregoing, any such amendment, alteration or change
shall not be inconsistent with the terms or provisions contained in this Agreement. Following the expiration or the earlier termination of this Agreement, neither Group nor AII shall amend, alter or otherwise change any term or provision of the
Restrictive Covenants, unless such provisions are no longer in force and effect pursuant to the terms of the applicable agreement or contract at the time of the expiration or the earlier termination of this Agreement. 
  
 Section 5.3 Enforcement of Restrictive Covenants and Other Provisions.
Group and AII may enforce the Restrictive Covenants to the extent permitted under applicable law. In the event that, after a request by PIP, Group or AII, as the case may be, does not pursue any remedy that may be available to it by reason of a
breach or default of the Restrictive Covenants, upon the request of PIP, Group or AII, as the case may be, shall assign to PIP such causes of action and/or other rights it has related to such breach or default and shall cooperate with and provide
reasonable assistance to PIP with respect thereto; in which case, all costs and expenses incurred in connection therewith shall be borne by PIP. 
  
 Section 5.4 Remedies. PIP and Group acknowledge and agree that a remedy at law for any breach or attempted breach of the provisions of this Article
V shall be inadequate, and therefore, either party shall be entitled to specific performance and injunctive or other equitable relief in the event of any such breach or attempted breach, in addition to any other rights or remedies available to
either party at law or in equity. Each party hereto waives any 
  

 -14- 

 requirement for the securing or posting of any bond in connection with the obtaining of any such injunctive or other
equitable relief. If any provision of the Restrictive Covenants or this Article V relating to the restrictive period, scope of activity restricted and/or the territory described therein shall be declared by a court of competent jurisdiction to
exceed the maximum time period, scope of activity restricted or geographical area such court deems reasonable and enforceable under applicable law, the time period, scope of activity restricted and/or area of restriction held reasonable and
enforceable by the court shall thereafter be the restrictive period, scope of activity restricted and/or the geographical area applicable to such provision of the Restrictive Covenants or this Article V. The invalidity or non-enforceability of any
provision of the Restrictive Covenants or this Article V in any respect shall not affect the validity or enforceability of the remainder of the Restrictive Covenants or this Article V or of any other provisions of this Agreement. 
  
 Section 5.5 Survival of Certain Covenants. If this Agreement is
terminated pursuant to Section 8.4(a), the provisions of Section 5.1, Section 5.2 and Section 5.3 shall survive such termination for a period of two (2) years following termination if the actions or events giving rise to a breach of the Restrictive
Covenants or other provisions occurred prior to such termination. However, regardless of the reason for termination, or upon expiration of this Agreement, the provisions of Section 5.1(b), (c), (d) and (e) shall survive such termination or
expiration for a period of two (2) years following such termination or expiration. 
  
 ARTICLE VI 
  
 Financial
and Security Arrangements 
  
 Section 6.1 Contract Fee.
Group and PIP agree that the compensation set forth in this Article VI is being paid to PIP in consideration of the professional supervision and interpretation services to be provided by Group through the Physician Employees, and that such fees have
been negotiated at arms’ length and are fair, reasonable and consistent with fair market value. Group shall be paid a contract fee in an amount equal to XX percent (X%) of actual global collections received by PIP during the preceding
calendar month relating to the professional supervision and interpretation services rendered after December 31, 2001 by Group through the Physician Employees or the Physician Employee Extenders at the PIP Facilities (but specifically excluding any
professional services rendered to the patients of Hill, which professional service fee charges shall be the sole responsibility of Group, and any technical fee revenues received for PIP Technical Imaging Services), whether received from patients,
Managed Care Payors or other third party payors, and less refunds, chargebacks and credits incurred in such calendar month (collectively, the “Contract Fee”). Compensation of Group for professional interpretation and supervision services
rendered through and including December 31, 2001 shall be as set forth in the Release. Payment of the Contract Fee by PIP into the Group Account is not intended to and shall not be interpreted or implied as permitting PIP to share in Group’s
fees for medical services, but is acknowledged as the negotiated fair market value compensation to Group considering the scope of the professional supervision and interpretation services rendered at the PIP Facilities. PIP and Group may consider
revising the Contract Fee following June 1, 2004 (the third (3rd) anniversary of the Hill contract renewal) in the event that the Hill contract reverts from a professional services only, fee-for-service basis to a global payment methodology. If the
parties are unable to agree upon new terms, then upon the termination of the Hill contract, either PIP or Group may terminate this Agreement upon at least one hundred eighty (180) days prior written notice to the other parties. 
  
 Section 6.2 Payments. The amounts to be paid to Group under this
Article VI shall be calculated by PIP on the cash basis of accounting and shall be payable monthly. Payments due for any Contract Fee shall be made by PIP into the Group Account each calendar month as provided herein and shall be paid on the
fifteenth (15th) day following the end of such month (or the first preceding day that is a business day if the fifteenth (15th) day is not a business day) (a “Payment Date”). Such amounts shall be paid based upon available information for
such month, and any adjustments to the Contract Fee shall be made on the next Payment Date. PIP shall not withhold any Contract Fee during any dispute between Group and PIP, so long as Group continues to perform the professional supervision and
interpretation services in accordance with this Agreement. 
  
 Section 6.3 Security Agreement. In order to enforce its rights granted hereunder and subject to applicable law, Group shall execute a Security Agreement in substantially the form attached hereto as Exhibit 4 (the
“Security Agreement”), and incorporated herein by this reference, which Security Agreement grants a security interest in all of Group’s accounts receivable (as more fully described in the Security Agreement) to PIP; provided, however,
that such security interest shall not include any funds that are transferred from the Deposit Account into 
  

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 the Group Account. In addition, Group shall cooperate with PIP and execute all necessary documents in connection with the
pledge of such accounts receivable to PIP or at PIP’s option, to its or Parent’s lenders. 
  
 ARTICLE VII 
  
 Insurance and Indemnification 
  
 Section 7.1
Insurance to be Maintained by Group. During the term of this Agreement, Group shall maintain comprehensive professional medical/malpractice liability insurance with such carrier as may be mutually agreeable by PIP and Group with the limits
set forth in Section 4.1 above, unless higher limits shall be required under Group’s contracts with hospitals or other third parties. Such insurance shall be on a per claim and per physician basis and a separate limit for Group to the extent
available and permitted by law with such deductible as is mutually agreeable by PIP and Group. All comprehensive professional medical/malpractice liability insurance premiums and deductibles shall be borne solely by Group. All costs, expenses and
liabilities incurred by Group in excess of the limits of such policies identified in the preceding sentence shall also be borne solely by Group. 
  
 Section 7.2 Insurance to be Maintained by PIP. During the term of this Agreement, PIP will provide and maintain comprehensive professional
medical/malpractice liability insurance for all applicable employees of PIP, and comprehensive general liability and property insurance covering the PIP Facilities, personal property and operations with such limits and coverages as a reasonable
business person under similar circumstances would maintain. All comprehensive professional medical/malpractice liability insurance and comprehensive general liability and property insurance premiums and deductibles shall be borne solely by PIP. All
costs, expenses and liabilities incurred by PIP in excess of the limits of such policies identified in the preceding sentence shall also be borne solely by PIP. 
  

Section 7.3 Continuing Liability Insurance Coverage. Group shall obtain, or require each of the Physician Employees and Physician Extender
Employees to obtain, continuing liability insurance coverage under either a “tail policy” or a “prior acts policy,” with the same limits and deductibles as the insurance coverage provided pursuant to Section 7.1 above upon the
termination of such physician’s (or other provider’s) relationship with Group for any reason, unless such physician (or other provider) was covered with an occurrence-based policy while employed or retained by Group or AII. In the event
that Group or any Physician Employee or Physician Extender Employee fails to obtain such continuing liability insurance coverage, PIP may do so. The cost of such continuing liability insurance coverage shall be borne solely by Group or AII.

  
 Section 7.4 Additional Insureds. Group and PIP agree to
use their commercially reasonable best efforts to have each other named as an additional insured on the other’s respective professional liability insurance programs. The additional cost, if any, associated therewith shall be borne by the
policyholder of each such insurance program. 
  
 Section 7.5
Indemnification. 
  
 (a) By Group. Group and AII,
jointly and severally, shall indemnify, defend and hold PIP, Parent, their Affiliates and their respective officers, directors, shareholders, employees, agents, attorneys and consultants (other than such persons who are also officers, directors,
shareholders, employees, agents or consultants of Group or AII) harmless, from and against any and all liabilities, losses, damages, claims, causes of action and expenses (including reasonable attorneys’ fees), not covered by insurance
(including self-insured insurance and reserves), whenever arising or incurred, that are caused or asserted to have been caused, directly or indirectly, by or as a result of the performance of medical services by Group, AII or their employees and
contractors during the term of this Agreement (excluding the provision of PIP Technical Imaging Services) or the performance of any intentional acts, negligent acts or omissions by Group and/or its shareholders, employees and/or subcontractors
(other than PIP, Parent, their Affiliates or their employees, officers, directors, agents, attorneys and consultants) during the term of this Agreement. Provided, however, that in the event an indemnification obligation under the preceding sentence
arises as of the result of any act or omission of a person who is an officer, shareholder or other equity holder, director, employee, agent, attorney or consultant of PIP, Parent or any of its Affiliates, such person shall not be entitled to
indemnification in connection therewith and any other adjustment as is equitable shall be made to Group’s indemnification obligation arising thereby. 
  

 -16- 

 (b) By PIP. PIP and Parent, jointly and severally, shall indemnify, defend and hold Group and its
officers, shareholders, directors, employees, agents, attorneys and consultants, harmless from and against any and all liabilities, losses, damages, claims, causes of action and expenses (including reasonable attorneys’ fees), not covered by
insurance (including self-insured insurance and reserves), whenever arising or incurred, that are caused or asserted to have been caused, directly or indirectly, by or as a result of the performance of any intentional acts, negligent acts or
omissions by PIP, Parent or Affiliates and/or any of their respective shareholders, employees and/or subcontractors (other than Group, AII or their employees and contractors) during the term of this Agreement or the provision of PIP Technical
Imaging Services. Provided, however, that in the event an indemnification obligation under the preceding sentence arises as a result of any act or omission of a person who is an officer, shareholder or other equity holder, director, employee, agent,
attorney or consultant of Group or AII, such person shall not be entitled to indemnification in connection therewith and any other adjustment as is equitable shall be made to PIP’s or Parent’s indemnification obligation arising thereby.

  

 -17- 

 ARTICLE VIII 
  
 Term and Termination 
  

Section 8.1 Term of Agreement. This Agreement shall commence on January 1, 2002, and shall expire as of December 31, 2007, unless earlier
terminated pursuant to either Section 8.3 or Section 8.4 below, or unless extended pursuant to Section 8.2 below. 
  
 Section 8.2 Extended Term. Unless earlier terminated as provided for in either Section 8.3 or Section 8.4 below, the term of this Agreement shall
be automatically extended for additional terms of five (5) years each, unless either party delivers to the other party, not less than twelve (12) months nor earlier than fifteen (15) months prior to the expiration of the then current term, written
notice of such party’s intention not to extend the term of this Agreement. 
  
 Section 8.3 Termination by Group. Group may, in its sole discretion, terminate this Agreement by giving written notice thereof to PIP (after the giving of any required notices and the expiration of any
applicable waiting periods set forth below) upon the occurrence of any the following events: 
  
 (a) PIP or Parent shall default in the performance of any material duty or material obligation imposed upon it by this Agreement (a “Material PIP Default”) and such default shall continue for a period of
sixty (60) days after written notice thereof has been given to PIP or Parent by Group. The term “Material PIP Default” for purposes of this Section 8.3 shall include without limitation (i) PIP’s or Parent’s admission in writing
of its inability to generally pay its debts when due, application for or consent to the appointment of a receiver, trustee or liquidator of all or substantially all of its assets, filing of a petition in bankruptcy or making an assignment for the
benefit of creditors, or upon other action taken or suffered by PIP or Parent, voluntarily or involuntarily, under any federal or state law for the benefit of creditors, except for the filing of a petition in involuntary bankruptcy against PIP or
Parent which is dismissed within ninety (90) days thereafter, (ii) PIP’s failure to maintain the insurance coverages required pursuant to Article VII, or (iii) PIP’s failure to make timely payments of the Contract Fee pursuant to Article
VI. 
  
 (b) A termination event under Section 3.9 or 6.1 above
occurs. 
  
 (c) In the event that any two (2) audits in any three
(3) year period pursuant to Section 3.2(e) above results in a material discrepancy that benefits Group. 
  
 Section 8.4 Termination by PIP. PIP may, in its sole discretion, terminate this Agreement by giving written notice thereof to Group (after the
giving of any required notices and the expiration of any applicable waiting periods set forth below) upon the occurrence of any of the following events: 
  
 (a) Group or AII shall default in the performance of any material duty or material obligation imposed upon it by this Agreement (a “Material Group
Default”) and such default shall continue for a period of sixty (60) days after written notice thereof has been given to Group or AII by PIP. The term “Material Group Default” for purposes of this Section 8.4 shall include without
limitation (i) Group’s or AII’s admission in writing of its inability to generally pay its debts when due, application for or consent to the appointment of a receiver, trustee or liquidator of all or substantially all of its assets, filing
of a petition in bankruptcy or making an assignment for the benefit of creditors, or upon other action taken or suffered by Group or AII, voluntarily or involuntarily, under any federal or state law for the benefit of debtors, except for the filing
of a petition in involuntary bankruptcy against Group or AII which is dismissed within ninety (90) days thereafter, (ii) Group’s or AII’s failure to maintain the insurance coverages required pursuant to Article VIII, (iii) Group or AII
engages in dishonest behavior or a breach of fiduciary duty involving any assets or business of PIP or Parent, exclusive of an action covered by Section 8.4(a)(v) below, (iv) Group or AII is unable (exclusive of events outside of its control) or
unwilling to provide the professional supervision and interpretation services at the PIP Facilities pursuant to this Agreement, or (v) any Physician Employee (A) engages in any conduct or is formally accused of conduct for which such Physician
Employee’s license to practice medicine reasonably would be expected to be subject to revocation or suspension, whether or not actually revoked or suspended, (B) is convicted of any crime or otherwise engages in any activities which, in
PIP’s reasonable opinion, would bring the name or reputation of any PIP Facility into disrepute, (C) is disruptive, in any material respect, to the reasonable and proper operation of any PIP Facility, (D) engages in dishonest behavior or a
breach of fiduciary duty involving any assets or business of PIP or 
  

 -18- 

 Parent, or (E) is notified in writing of any adverse action by any state or federal department or agency that has the
effect of either excluding that individual from participating in or from receiving reimbursement under any program funded by the federal government or by any state government (subitems (B), (C) and (D) immediately above do not create due process
employment issues for Group, since Group’s obligation to cure the material breach is merely to remove such individual from rendering professional supervision and interpretation services at the PIP Facilities as described immediately below).
Notwithstanding anything to the contrary contained in this Section 8.4, upon written notification to Group of a violation of Section 8.4(a)(v) above, Group may cure such Material Group Default by permanently removing such Physician Employee from
rendering professional supervision and interpretation services at the PIP Facilities. 
  
 (b) A termination event under Section 4.8 or 6.1 above occurs. 
  
 Section 8.5 Effective Date of Termination. Any termination of this Agreement shall be effective (the “Termination Date”) as follows: 
  
 (a) Immediately upon receipt of a termination notice pursuant to Section 8.3 above or Section 8.4 above (each, a
“Termination Notice”) and expiration of applicable cure periods; or 
  
 (b) Upon the expiration of this Agreement pursuant to Sections 8.1 or 8.2 above. 
  
 Section 8.6 Effect Upon Termination. Upon the Termination Date, except as provided below, this Agreement shall terminate and shall be of no further
force and effect and all further obligations of PIP, Parent and/or their Affiliates and Group and AII under this Agreement shall terminate without further liability of the PIP, Parent and/or their Affiliates to Group or AII, or Group and AII to PIP,
Parent and/or their Affiliates, except with respect to the obligations set forth below. The foregoing to the contrary notwithstanding: 
  
 (a) Each party hereto shall provide the other party with reasonable access to books and records owned by it to permit such requesting party to satisfy
reporting and contractual obligations which may be required of it. 
  
 (b) Any other amounts due and owing but unpaid to either Group or PIP as of the Termination Date shall be paid, as due, by the appropriate party. 
  
 (c) Any and all covenants and obligations of either party hereto which by their terms or by reasonable implication are to be performed, in whole or in
part, after the termination of this Agreement, shall survive such termination for the period specified in this Agreement, including, without limitation, the obligations of the parties pursuant to the following Sections: 5.1(b), 5.1(c), 5.1(d),
5.1(e), 5.2, 5.3, 7.5 and the applicable provisions of Article VIII. 
  
 ARTICLE IX 
  
 General Provisions

  
 Section 9.1 Assignment. PIP shall have the right to
assign its rights hereunder to Parent or any direct or indirect wholly-owned subsidiary of PIP or Parent or to an Affiliate without the consent of Group; provided, however, that no assignment hereunder shall relieve PIP or Parent of their
obligations hereunder without the consent of Group. 
  
 Section
9.2 Amendments. This Agreement shall not be modified or amended except by a written document executed by all parties to this Agreement, and such written modification(s) or amendment(s) shall be attached hereto. 
  
 Section 9.3 Waiver of Provisions. Any waiver of any terms and
conditions hereof must be in writing, and signed by the parties hereto. The waiver of any of the terms and conditions of this Agreement shall not be construed as a waiver of any other terms and conditions hereof. 
  

 -19- 

 Section 9.4 Additional Documents. Each of the parties hereto agrees to execute any document or
documents that may be reasonably requested from time to time by the other party to implement or complete such party’s obligations pursuant to this Agreement. 
  
 Section 9.5 Attorneys’ Fees. If legal action is commenced by either party to enforce or defend its rights under
this Agreement, the prevailing party in such action shall be entitled to recover all reasonable attorneys’ fees, costs and expenses including, but not limited to, attorney’s fees, costs and expenses for trial, appellate proceedings and
negotiations, in addition to any other relief granted. 
  
 Section
9.6 Contract Modifications for Prospective Legal Events. In the event any state or federal laws or regulations, now existing or enacted or promulgated after the date hereof, are interpreted by judicial decision, a regulatory agency or
independent legal counsel in such a manner as to indicate that this Agreement or any provision hereof may be in violation of such laws or regulations, Group and PIP shall amend this Agreement as necessary to preserve the underlying economic and
financial arrangements between Group and PIP and without substantial economic detriment to either party. To the extent any act or service required of PIP in this Agreement should be construed or deemed, by any governmental authority, agency or court
to constitute the practice of medicine, the performance of said act or service by PIP shall be deemed waived and forever unenforceable and the provisions of this Section 9.6 shall be applicable. Neither party shall claim or assert illegality as a
defense to the enforcement of this Agreement or any provision hereof. 
  
 Section 9.7 Parties In Interest; No Third Party Beneficiaries. Except as otherwise provided herein, the terms and conditions of this Agreement shall inure to the benefit of and be binding upon the respective heirs, legal
representatives, successors and permitted assigns of the parties hereto. Except as provided in Section 5.1(e) above, neither this Agreement nor any other agreement contemplated hereby shall be deemed to confer upon any person not a party hereto or
thereto any rights or remedies hereunder or thereunder. 
  
 Section 9.8 Entire Agreement. This Agreement and the agreements contemplated hereby constitute the entire agreement of the parties regarding the subject matter hereof, and supersede all prior agreements and understandings, both
written and oral, among the parties, or any of them, with respect to the subject matter hereof. 
  
 Section 9.9 Severability. If any provision of this Agreement is held to be illegal, invalid or unenforceable under present or future laws effective
during the term hereof, such provision shall be fully severable and this Agreement shall be construed and enforced as if such illegal, invalid or unenforceable provision never comprised a part hereof; and the remaining provisions hereof shall remain
in full force and effect and shall not be affected by the illegal, invalid or unenforceable provision or by its severance herefrom. Furthermore, in lieu of such illegal, invalid or unenforceable provision, there shall be added automatically as part
of this Agreement a provision as similar in its terms to such illegal, invalid or unenforceable provision as may be possible and be legal, valid and enforceable. 
  
 Section 9.10 Governing Law; Venue. This Agreement and the rights and obligations of the parties hereto shall be
governed by and construed and enforced in accordance with the substantive laws (but not the rule governing conflicts of laws) of the State of California. The exclusive venue of any dispute arising out of or relating to the subject matter of this
Agreement shall be in a court of competent jurisdiction located in San Francisco County, Contra Costa County or Alameda County, California, and the parties hereto hereby consent to the personal jurisdiction of such courts. 
  
 Section 9.11 No Waiver; Remedies Cumulative. No party hereto shall by
any act (except by written instrument pursuant to Section 9.3 above), delay, indulgence, omission or otherwise be deemed to have waived any right or remedy hereunder or to have acquiesced in any default in or breach of any of the terms and
conditions hereof. No failure to exercise, nor any delay in exercising, on the part of any party hereto, any right, power or privilege hereunder shall operate as a waiver thereof. No single or partial exercise of any right, power or privilege
hereunder shall preclude any other or further exercise thereof or the exercise of any other right, power or privilege. No remedy set forth in this Agreement or otherwise conferred upon or reserved to any party shall be considered exclusive of any
other remedy available to any party, but the same shall be distinct, separate and cumulative and may be exercised from time to time as often as occasion may arise or as may be deemed expedient. 
  

 -20- 

 Section 9.12 Communications. Group and PIP, Parent and their Affiliates agree that good
communication between the parties is essential to the successful performance of this Agreement, and each pledges to communicate fully and clearly with the other on matters relating to the successful operation of the PIP Facilities. 
  
 Section 9.13 Captions. The captions in this Agreement are for
convenience of reference only and shall not limit or otherwise affect any of the terms or provisions hereof. 
  
 Section 9.14 Gender and Number. When the context requires, the gender of all words used herein shall include the masculine, feminine and neuter and
the number of all words shall include the singular and plural. 
  
 Section 9.15 Reference to Agreement. Use of the words “herein,” “hereof,” “hereto” and the like in this Agreement shall be construed as references to this Agreement as a whole and not to any particular
article, section or provision of this Agreement, unless otherwise noted. 
  
 Section 9.16 Notice. Whenever this Agreement requires or permits any notice, request, or demand from one party to another, the notice, request, or demand must be in writing to be effective and shall be deemed
to be delivered and received (a) if personally delivered or if delivered by telex, telegram, facsimile or courier service, when actually received by the party to whom notice is sent, or (b) if delivered by mail (whether actually received or not), at
the close of business on the third business day next following the day when placed in the mail, postage prepaid, certified or registered, addressed to the appropriate party or parties, at the address of such party set forth below (or at such other
address as such party may designate by written notice to all other parties in accordance herewith): 
  

			
	 If to PIP or Parent:
	 	 Pacific Imaging Partners, Inc.
 3600 Chase Tower
 2200 Ross Avenue
 Dallas, Texas 75201
 Facsimile: (214) 303-2777
 Attention: Mark S. Martin

		
	 with a copy to:
	 	 Radiologix, Inc.
 3600 Chase Tower
 2200 Ross Avenue
 Dallas, Texas 75201
 Facsimile: (214) 303-2777
 Attention: Paul M. Jolas, Esq.

		
	 If to Group or AII:
	 	 Pacific Imaging Consultants, A Medical Group, Inc.
 3012 Summit Street, Third Floor, B Wing
 Oakland, California 94609
 Facsimile: (510) 869-6250
 Attention: Philip J. Rich, M.D.

  
 Section 9.17
Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument. 
  
 [REMAINDER OF THIS PAGE LEFT INTENTIONALLY BLANK] 
  

 -21- 

 Section 9.18 Defined Terms. Terms used in the exhibits attached hereto with their initial letter
capitalized and not otherwise defined therein shall have the meanings assigned to such terms in this Agreement. 
  
 IN WITNESS WHEREOF, the parties hereto have executed this Professional Services Agreement through their duly authorized representatives on the 31st
day of December, 2001 to be effective as of the date first written above. 
  

			
	 GROUP:
  
 PACIFIC IMAGING CONSULTANTS, A MEDICAL GROUP, INC., a California professional corporation

		
	By:	 	 /s/ Philip J. Rich, M.D.

	 	 	

	 Title:
	 	 CEO

  

			
	 AII:
  
 AFFILIATES IN IMAGING, A MEDICAL GROUP, INC., a California professional corporation

		
	By:	 	 /s/ Philip J. Rich, M.D.

	 	 	

	 Title:
	 	 CEO

  

			
	 PIP:
  
 PACIFIC IMAGING PARTNERS, INC., a California corporation

		
	By:	 	 /s/ Mark S. Martin

	 	 	

	 Title:
	 	 President and Chief Operating Officer

  

			
	 PARENT:
  
 RADIOLOGIX, INC., a Delaware corporation

		
	By:	 	 /s/ Mark S. Martin

	 	 	

	 Title:
	 	 President and Chief Operating Officer

  

 -22- 

 EXHIBIT 1 
  

LIST OF PIP FACILITIES 
  

			
	Owned Imaging Centers	 	Administrative Office
		
	 Concord
 2600 Park Avenue, Suite 203
 Concord, California 94520
	 	 Summit Medical Center
 3012 Summit Street
 3rd Floor, B Wing
 Oakland, California 94609

	 Oakland OpenScan MRI
 401 29th Street, Suite 112
 Oakland, California 94609
	 	 
		
	 PET Center
 450 30th Street
 Oakland, California 94609
	 	 
		
	 Pleasanton
 5720 Stoneridge Mall Road, Suite 290
 Pleasanton, California 94588
	 	 
		
	 San Francisco
 490 Post Street, Suite 323
 San Francisco, California 94102
	 	 
		
	 San Leandro
 2450 Washington Avenue, Suite 120
 San Leandro, California 94577
	 	 
		
	 St. Luke’s CT Scan
 1580 Valencia Street, Suite 404
 San Francisco, California 94110
	 	 
		
	 Tri City
 2191 Mowry Avenue, Suite 500H
 Freemont, California 94538
	 	 
		
	 Walnut Creek
 1515 Ygnacio Valley Road, Suites C&H
 Walnut Creek, California 94598
	 	 

  
  
  
  
  
  
  
  
  
  
  

 EXHIBIT 2 
  

OUTSIDE READING SERVICES 
  
 Group currently provides outside professional reading services at the designated PIP Facilities for those parties denoted in Exhibit 3 attached to
the Agreement. 
  

 EXHIBIT 3 
  

PERMITTED ACTIVITIES 
  
 Hospital Sites 
  
 Group and/or AII currently contracts with Alliance Imaging to provides professional interpretation and supervision services for certain imaging procedures at St. Rose Hospital and Breast Center; Kindred Hospital; San
Ramon Regional Medical Center and St. Luke’s Hospital. Group and/or AII currently provides professional interpretation and supervision services at the following hospitals and hospital-affiliated entities: 
  
 Summit Medical Center (North) 
 350 Hawthorne Avenue 
 Oakland, California 
  
 Summit Medical Center (South) 
 3100 Summit Street 
 Oakland, California 
  
 Summit Medical Center (West) 
 450 30th Street 
 Oakland, California 
  
 (MCMI) Medical Center Magnetic Imaging 
 3000 Telegraph Avenue 
 Oakland, California 
  
 St. Rose Hospital 
 27200 Calaroga Avenue 
 Hayward, California 
  
 St. Rose Hospital Breast Center 
 27206 Calaroga Avenue 
 Hayward, California 
  
 Kindred Hospital 
 2800 Benedict Drive 
 San Leandro, California 
  
 San Ramon Regional Medical Center 
 6001 Norris Canyon Road 
 San Ramon, California 
  
 St. Luke’s Hospital 
 3555 Cesar Chavez Street 
 San Francisco, California 
  
 Stonestown Imaging 
 595 Buckingham Way 
 San Francisco, California 

 Outside Reading Contracts/PIP Imaging Facilities Where Performed 
 490 Post Street, San Francisco, California 
  
 CONCENTRA 
 KETCHUM, SMITH MD 
 JEWISH HOME 
 MDSI 
 LIFE EXTENSION 
 MISSION NEIGHBORHOOD – 1 
 RADNET (MIDI) 
  
 1580 Valencia Street, Suite 404, San Francisco, California 
  
 1515 Ygnacio Valley Road, Suite C & H, Walnut Creek, California 
  
 5720 Stoneridge Mall Road, Suite 290, Pleasanton, California 
  
 PLEASANTON FAMILY MEDICAL 
 PREMIER COMP MEDICAL GROUP 
  
 2600 Park Avenue, Suite 203, & 101, Concord, California 
  
 CLAYTON VALLEY MEDICAL GROUP 
  
 2191 Mowry Avenue, Suite 500H, Fremont, California 
  
 KATIBY, NAIM MD 
  
 2450 Washington Avenue, Suite 120, San Leandro, California 
  
 COMMUNITY MOBILE X-RAY 
 MEDICAL DIAGNOSTIC 
 US HEALTHWORKS 
  
 Non-Hospital Affiliated
Reading Contracts 
 Emeryville/San Francisco 
  
 RADNET (MIDI) 
 Emeryville and 490 Post Street, San Francisco, California

  

 EXHIBIT 4 
  

SECURITY AGREEMENT 
  
 To be attached. 
  

 TABLE OF CONTENTS 
  

					
	 	  	 	  	Page
		
	ARTICLE I—Definitions	  	2
	 	  	Section 1.1 Definitions	  	2
		
	ARTICLE II—Relationship of the Parties	  	3
	 	  	Section 2.1 Independent Contractors	  	3
	 	  	Section 2.2 Practice of Medicine	  	3
	 	  	Section 2.3 No Payment or Other Compensation for Referrals	  	3
	 	  	Section 2.4 Group’s Internal Matters	  	4
		
	ARTICLE III—Services to be Provided by PIP	  	4
	 	  	Section 3.1 General	  	4
	 	  	Section 3.2 General Administrative Services	  	4
	 	  	Section 3.3 PIP Facilities	  	6
	 	  	Section 3.4 Personnel	  	7
	 	  	Section 3.5 Provider and Payor Relationships	  	7
	 	  	Section 3.6 Inventory and Supplies	  	8
	 	  	Section 3.7 Advertising and Public Relations	  	8
	 	  	Section 3.8 Quality Assurance	  	8
	 	  	Section 3.9 Events Excusing Performance	  	8
		
	ARTICLE IV—Obligations of Group	  	8
	 	  	Section 4.1 Employment of Physician Employees and Physician Extender Employees	  	8
	 	  	Section 4.2 Professional Supervisions and Interpretation Services	  	9
	 	  	Section 4.3 Medical Practice	  	9
	 	  	Section 4.4 Group’s Internal Matters	  	9
	 	  	Section 4.5 Compliance with Laws	  	9
	 	  	Section 4.6 Ancillary Services	  	10
	 	  	Section 4.7 PIP Facilities and Personal Property	  	10
	 	  	Section 4.8 AII Obligations	  	11
	 	  	Section 4.9 Events Excusing Performance	  	11
	 	  	Section 4.10 Use of Name	  	11
		
	ARTICLE V—Restrictive Covenants	  	11
	 	  	Section 5.1 Restrictive Covenants of Group	  	11
	 	  	Section 5.2 Restrictive Covenants	  	14
	 	  	Section 5.3 Enforcement of Restrictive Covenants and Other Provisions	  	14
	 	  	Section 5.4 Remedies	  	14
	 	  	Section 5.5 Survival of Certain Covenants	  	15
		
	ARTICLE VI—Financial and Security Arrangements	  	15
	 	  	Section 6.1 Contract Fee	  	15
	 	  	Section 6.2 Payments	  	15
	 	  	Section 6.3 Security Agreement	  	15
		
	ARTICLE VII—Insurance and Indemnification	  	16
	 	  	Section 7.1 Insurance to be Maintained by Group	  	16
	 	  	Section 7.2 Insurance to be Maintained by PIP	  	16
	 	  	Section 7.3 Continuing Liability Insurance Coverage	  	16
	 	  	Section 7.4 Additional Insureds	  	16
	 	  	Section 7.5 Indemnification	  	16

  
  
  
  

					
	ARTICLE VIII—Term and Termination	  	18
	 	  	Section 8.1 Term of Agreement	  	18
	 	  	Section 8.2 Extended Term	  	18
	 	  	Section 8.3 Termination by Group	  	18
	 	  	Section 8.4 Termination by PIP	  	18
	 	  	Section 8.5 Effective Date of Termination	  	19
	 	  	Section 8.6 Effect Upon Termination	  	19
		
	ARTICLE IX—General Provisions	  	19
	 	  	Section 9.1 Assignment	  	19
	 	  	Section 9.2 Amendments	  	19
	 	  	Section 9.3 Waiver of Provisions	  	19
	 	  	Section 9.4 Additional Documents	  	20
	 	  	Section 9.5 Attorneys’ Fees	  	20
	 	  	Section 9.6 Contract Modifications for Prospective Legal Events	  	20
	 	  	Section 9.7 Parties In Interest; No Third Party Beneficiaries	  	20
	 	  	Section 9.8 Entire Agreement	  	20
	 	  	Section 9.9 Severability	  	20
	 	  	Section 9.10 Governing Law; Venue	  	20
	 	  	Section 9.11 No Waiver; Remedies Cumulative	  	20
	 	  	Section 9.12 Communications	  	21
	 	  	Section 9.13 Captions	  	21
	 	  	Section 9.14 Gender and Number	  	21
	 	  	Section 9.15 Reference to Agreement	  	21
	 	  	Section 9.16 Notice	  	21
	 	  	Section 9.17 Counterparts	  	21
	 	  	Section 9.18 Defined Terms	  	22

 LIST OF EXHIBITS 
  

			
	Exhibit	  	Description
		
	1	  	PIP Facilities
		
	2	  	Outside Reading Services
		
	3	  	Permitted Activities
		
	4	  	Security AgreementNTOP Holdings LLC, Right of First Offer Agreement

 EXHIBIT 10.1 
  
 NTOP HOLDINGS LLC 
  
 RIGHT OF FIRST OFFER AGREEMENT 
  
 This Right of First Offer Agreement (this “Agreement”) is entered into as of December 31, 2003, by and among IDT Corporation, a Delaware
corporation (“IDT Corporation”), IDT Domestic-Union, LLC, a Delaware limited liability company (“IDT Sub”), IDT Investments Inc., a Nevada corporation (“IDT Investments” and together with IDT Sub,
the “IDT Members”), Liberty Media Corporation, a Delaware corporation (“LMC”), Liberty N2P, Inc., a Delaware corporation (“Liberty N2P”), Liberty N2P II, Inc, a Delaware corporation
(“Liberty N2P II” and together with Liberty N2P, the “Liberty Members”) and NTOP Holdings, LLC, a Delaware limited liability company (the “Company”). 
  
 RECITALS 
  

	1.	The IDT Members, the Liberty Members, IDT Corporation and LMC are parties to the Second Amended and Restated Limited Liability Company Agreement, dated as of October 19, 2001, of
the Company, as amended by Amendment No. 1 thereto, dated as of October 31, 2001, (the “LLC Agreement”). Capitalized terms used and not otherwise defined in this Agreement have the meanings given to them in the LLC Agreement.

  

	2.	The IDT Members and the Liberty Members constitute all of the members of the Company. As of the date hereof, IDT Sub holds 87 Class A-1 Membership Interests and 13 Class B
Membership Interests, IDT Investments holds 6 Class A Membership Interests and 30 Class B Membership Interests, Liberty N2P holds 33 Class A Membership Interests and 97 Class B Membership Interests, Liberty N2P II holds 23 Class A Membership
Interests and there are no other outstanding Membership Interests. 

  

	3.	The IDT Members and the Liberty Members desire to grant each other reciprocal rights of first offer with respect to their respective Membership Interests on the terms set forth in
this Agreement. 

  
 NOW, THEREFORE, in consideration
of the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which the parties acknowledge, the parties hereto agree as follows: 
  
 ARTICLE I. 
  
 DEFINITIONS 
  
 1.1. Definitions. As used in this Agreement, the following terms shall have the meanings indicated: 
  
 “Average Market Price”: With respect to any publicly traded
security as of any relevant date of determination, the average of the Closing Prices per share or other unit of such security for the period of ten Trading Days ending on and including the third Trading Day prior to such relevant date of
determination. 
  
 “Business Day”: Any day other
than Saturday, Sunday and a day on which banks are required or permitted to close in Denver, Colorado or New York, New York. 
  
 “Closing Price”: Of a share or other unit of any security on any Trading Day is (a) the last reported sale price for a share or other
unit of such security on such Trading Day as reported on the principal United States securities exchange on which such security is listed or admitted for trading or (b) if such security is not listed or admitted for trading on any such securities
exchange, the last reported sale price for a share or other unit of such security on such Trading Day as reported on The Nasdaq Stock Market or (c) if such security is not listed or admitted to trading on any United States securities exchange or The
Nasdaq Stock Market, the average of the 

  

 1 

 
highest bid and lowest asked prices for a share or other unit of such security on such Trading Day in the over-the-counter market as reported by The National
Quotation Bureau Incorporated, or any similar organization. 
  
 “Fair Market Value”: at any time with respect to any Membership Interest, the value of the distributions that the holder of such Membership Interest would receive pursuant to Section 10.2(iii) of the LLC Agreement upon the
hypothetical liquidation of the Company at such time. For purposes of determining the Fair Market Value of any Membership Interest, the Common Stock shall be valued as set forth in Section 10.2 of the LLC Agreement. 
  
 “Trading Day”: With respect to any security, means a day on
which the principal United States securities exchange on which such security is listed or admitted to trading, or The Nasdaq Stock Market if such security is not listed or admitted to trading on any such securities exchange, as applicable, is open
for the transaction of business (unless such trading shall have been suspended for the entire day) or, if the applicable security is not listed or admitted to trading on any United States securities exchange or The Nasdaq Stock Market, any Business
Day. 
  
 ARTICLE II. 
  
 RIGHTS OF FIRST OFFER 
  
 2.1. IDT Members Right of First Offer. 
  
 (a) Prior to December 1, 2004, LMC shall not, directly or indirectly,
Transfer any Membership Interest to any Person (other than a Permitted Transferee in compliance with Section 9.2 of the LLC Agreement). On or after December 1, 2004, LMC shall not, directly or indirectly, Transfer any Membership Interest to any
Person (other than a Permitted Transferee in compliance with Section 9.2 of the LLC Agreement), unless, prior to such Transfer, LMC causes the applicable Liberty Member to first offer to sell the Membership Interests proposed to be Transferred (the
“Liberty Offered Units”) to the IDT Members at their Fair Market Value by delivering a written notice (a “Liberty Offer Notice”) to the IDT Members. The Liberty Offer Notice shall state the number and class of the
Liberty Offered Units and shall constitute a binding, irrevocable offer, subject to the provisions of this Section 2.1, to sell the Liberty Offered Units to the IDT Members at their Fair Market Value. In order to accept the offer of the Liberty
Offered Units, the IDT Members desiring to do so (“IDT Accepting Members”) must deliver a written notice of acceptance (an “IDT Acceptance Notice”) to the Liberty Member offering the Liberty Offered Units (the
“Liberty Offeror”) agreeing to purchase all, but not less than all, of the Liberty Offered Units at their Fair Market Value. In order to be effective, an IDT Acceptance Notice must be signed by the IDT Accepting Members and be
delivered to the Liberty Offeror no later than 5:00 p.m. Denver, Colorado time on the tenth Business Day following the date the Liberty Offer Notice is delivered. A duly completed and delivered IDT Acceptance Notice shall constitute a binding
irrevocable agreement by the IDT Accepting Members to purchase the Liberty Offered Units at their Fair Market Value as provided in this Section 2.1. If an IDT Acceptance Notice meeting the requirements specified above is not delivered within such
ten Business Day period, then the IDT Members shall be deemed to have rejected the offer of the Liberty Offered Units. 
  
 (b) Upon delivery of an IDT Acceptance Notice meeting the requirements specified above within the specified period, the Liberty Offeror shall be obligated
to sell, and the IDT Accepting Members shall be obligated to buy, the Liberty Offered Units at their Fair Market Value. The closing of such purchase and sale shall occur at the offices of the Company on the twentieth Business Day following the
delivery of the Liberty Offer Notice, or at such other place and time as the parties thereto may agree. At such closing, the IDT Accepting Members shall deliver the purchase price for the Liberty Offered Units to the Liberty Offeror, and the Liberty
Offeror shall deliver the Liberty Offered Units to the IDT Accepting Members free and clear of any mortgage, pledge, lien, security interest, claim, restriction, charge or encumbrance of any kind other than those created by the LLC Agreement.
Payment of the purchase price shall be in any combination of immediately available United States Dollars and/or shares of Class B Common Stock, par value $0.01 per share, of IDT Corporation (“IDT Class B Stock”), as determined by
the IDT Accepting Members in their sole discretion and specified in a written notice to the Liberty Offeror at least five Business Days prior to the closing of the purchase and sale of the 

  

 2 

 
Liberty Offered Units, or in such other form of consideration as the parties may agree. If any portion of the purchase price is paid in shares of IDT Class B
Stock, (i) such shares of IDT Class B Stock shall be valued at the Average Market Price of such shares and (ii) the IDT Accepting Member will enter into appropriate arrangements or customary registration rights agreements (subject to no lockup
obligations) with LMC and/or its Affiliates to ensure that when shares of IDT Class B Stock are issued in payment of a portion of the purchase price, or as soon as practicable thereafter, such shares will be freely tradable by LMC or its Affiliates,
either because such shares are registered under the Securities Act of 1933, as amended (the “Securities Act”), when issued or because resales of such shares are covered by a “shelf” registration statement filed by IDT
pursuant to Rule 415 under the Securities Act, which “shelf” registration statement shall be maintained effective for a period of two years after the date of issuance of the IDT Class B Stock. The purchase and sale of the Liberty Offered
Units shall be structured in the most tax efficient manner available, as reasonably determined by the Liberty Offeror. Without limiting the generality of the foregoing, and notwithstanding anything else set forth in this Agreement, if a Liberty
Member proposes to Transfer Liberty Offered Units to a Person in a transaction not subject to taxation pursuant to the Code, the purchase and sale of the Liberty Offered Units by and to the IDT Accepting Members, if any, shall be structured, if LMC
so requests, in a manner that such purchase and sale will not be subject to taxation pursuant to the Code. 
  
 (c) If (i) the IDT Members reject or are deemed to reject the offer of the Liberty Offered Units set forth in a Liberty Offer Notice or (ii) an IDT Member
accepts such offer but the purchase and sale of all the Liberty Offered Units does not occur within twenty Business Days after the Liberty Offer Notice is delivered for any reason other than the Liberty Offeror’s agreement to a later date or
its failure to comply with its obligations under Section 2.1(b) then, notwithstanding anything in the LLC Agreement to the contrary, LMC shall thereafter be free to Transfer or cause the Transfer of, directly or indirectly, the Liberty Offered Units
to any Person at any price, including at a price below the Fair Market Value of the Liberty Offered Units; provided that if such sale does not occur within 180 days after the delivery of the Liberty Offer Notice, the Liberty Offered Units shall
again be subject to the restrictions on Transfer set forth this Agreement and the LLC Agreement. 
  
 (d) An IDT Accepting Member may assign its right to acquire Liberty Offered Units pursuant to an IDT Acceptance Notice completed and delivered in
accordance with Section 2.1(a) to any Person it may designate; provided that such IDT Accepting Member shall remain jointly and severally liable with any such designee for delivery of the purchase price for such Liberty Offered Units in accordance
with this Section 2.1. 
  
 2.2. Liberty Members Right of First
Offer. 
  
 (a) Prior to December 1, 2004, IDT Corporation
shall not, directly or indirectly, Transfer any Membership Interest to any Person (other than a Permitted Transferee in compliance with Section 9.2 of the LLC Agreement). On or after December 1, 2004, IDT Corporation shall not, directly or
indirectly, Transfer any Membership Interest to any Person (other than a Permitted Transferee in compliance with Section 9.2 of the LLC Agreement), unless, prior to such Transfer, IDT Corporation causes the applicable IDT Member to first offer to
sell the Membership Interests proposed to be Transferred (the “IDT Offered Units”) to the Liberty Members at their Fair Market Value by delivering a written notice (an “IDT Offer Notice”) to the Liberty Members. The
IDT Offer Notice shall state the number and class of the IDT Offered Units and shall constitute a binding, irrevocable offer, subject to the provisions of this Section 2.1, to sell the IDT Offered Units to the Liberty Members at their Fair Market
Value. In order to accept the offer of the IDT Offered Units, the Liberty Members desiring to do so (“Liberty Accepting Members”) must deliver a written notice of acceptance (a “Liberty Acceptance Notice”) to the
IDT Member offering the IDT Offered Units (the “IDT Offeror”) agreeing to purchase all, but not less than all, of the IDT Offered Units at their Fair Market Value. In order to be effective, a Liberty Acceptance Notice must be signed
by the Liberty Accepting Member and be delivered to the IDT Offeror no later than 5:00 p.m. Denver, Colorado time on the tenth Business Day following the date the IDT Offer Notice is delivered. A duly completed and delivered IDT Acceptance Notice
shall constitute a binding irrevocable agreement by the Liberty Accepting Member to purchase the IDT Offered Units at their Fair Market Value as provided in this Section 2.2. If a Liberty Acceptance Notice meeting the requirements specified above is
not delivered within such ten Business Day period, then the Liberty Members shall be deemed to have rejected the offer of the IDT Offered Units. 
  

 3 

 (b) Upon delivery of a Liberty Acceptance Notice meeting the requirements specified above within the
specified period, the IDT Offeror shall be obligated to sell, and the Liberty Accepting Members shall be obligated to buy, all of the IDT Offered Units at their Fair Market Value. The closing of such purchase and sale shall occur at the offices of
the Company on the twentieth Business Day following the delivery of the IDT Offer Notice, or at such other place and time as the parties thereto may agree. At such closing, the Liberty Accepting Members shall deliver the purchase price for the IDT
Offered Units to the IDT Offeror, and the IDT Offeror shall deliver the IDT Offered Units to the Liberty Accepting Members free and clear of any mortgage, pledge, lien, security interest, claim, restriction, charge or encumbrance of any kind other
than those created by the LLC Agreement. Payment of the purchase price shall be in any combination of immediately available United States Dollars and/or shares of Series A Common Stock, par value $.01 per share, of Liberty Media Corporation
(“Liberty Series A Stock”), as determined by the Liberty Accepting Members in their sole discretion and specified in a written notice to the IDT Offeror at least five Business Days prior to the closing of the purchase and sale of
the IDT Offered Units, or in such other form of consideration as the parties may agree. If any portion of the purchase price is paid in shares of Liberty Series A Stock, (i) such shares of Liberty Series A Stock shall be valued at the Average Market
Price of such shares and (ii) the Liberty Accepting Member will enter into appropriate arrangements or customary registration rights agreements (subject to no lockup obligations) with IDT Corporation and/or its Affiliates to ensure that when shares
of Liberty Series A Stock are issued in payment of a portion of the purchase price, or as soon as practicable thereafter, such shares will be freely tradable by IDT Corporation or its Affiliates, either because such shares are registered under the
Securities Act when issued or because resales of such shares are covered by a “shelf” registration statement filed by LMC pursuant to Rule 415 under the Securities Act, which “shelf” registration statement shall be maintained
effective for a period of two years after the date of issuance of the Liberty Series A Stock. The purchase and sale of the IDT Offered Units shall be structured in the most tax efficient manner available, as reasonably determined by the IDT Offeror.
Without limiting the generality of the foregoing, and notwithstanding anything else set forth in this Agreement, if an IDT Member proposes to Transfer IDT Offered Units to a Person in a transaction not subject to taxation pursuant to the Code, the
purchase and sale of the IDT Offered Units by and to the Liberty Accepting Members, if any, shall be structured, if IDT Corporation so requests, in a manner that such purchase and sale will not be subject to taxation pursuant to the Code.

  
 (c) If (i) the Liberty Members reject or are deemed to reject
the offer of the IDT Offered Units set forth in a IDT Offer Notice, or (ii) a Liberty Member accepts such offer but the purchase and sale of all the IDT Offered Units does not occur within twenty Business Days after the IDT Offer Notice is delivered
for any reason other than the IDT Offeror’s agreement to a later date or its failure to comply with its obligations under Section 2.2(b) then, notwithstanding anything in the LLC Agreement to the contrary, IDT Corporation shall thereafter be
free to Transfer or cause the Transfer of, directly or indirectly, the IDT Offered Units to any Person at any price, including at a price below the Fair Market Value of the IDT Offered Units; provided that if such sale does not occur within 180 days
after the date of the IDT Offer Notice, the IDT Offered Units shall again be subject to the restrictions on Transfer set forth this Agreement and the LLC Agreement. 
  
 (d) A Liberty Accepting Member may assign its right to acquire Liberty Offered Units pursuant to a Liberty Acceptance Notice
completed and delivered in accordance with Section 2.2(a) to any Person it may designate; provided that such Liberty Accepting Member shall remain jointly and severally liable with any such designee for delivery of the purchase price for such IDT
Offered Units in accordance with this Section 2.2. 
  
 2.3. Any
purported Transfer of any Membership Interests in violation of this Article II shall be void and ineffective as against both the purported transferor and the proposed transferee, and the Company agrees that it shall not record or recognize any such
purported Transfer. To the extent this Agreement conflicts with any provision of the LLC Agreement, the parties hereto agree that this Agreement shall govern. 
  

2.4. Prior to December 1, 2004, no Liberty Member or IDT Member shall exercise its rights to cause the dissolution of the Company under Section
10.1(a)(i) of the LLC Agreement. On or after December 1, 2004, and notwithstanding anything in the LLC Agreement to the contrary, prior to any Liberty Member or any IDT 

  

 4 

 
Member exercising its rights to cause the dissolution of the Company under Section 10.1(a)(i) of the LLC Agreement, such Liberty Member or IDT Member, as
applicable, shall make an offer to sell all of its Membership Interests to the IDT Members or the Liberty Members, as applicable, in accordance with Sections 2.1 or 2.2, as applicable, of this Agreement. The offer notice, in addition to any other
matter required to be set forth therein in accordance with this Agreement, shall state that such Liberty member or IDT Member, as applicable, intends to cause the dissolution of the Company if the offer is not accepted. If the IDT Members or the
Liberty Members do not accept such offer in accordance with the provisions of this Agreement, then the member whose offer was rejected, instead of having the right to sell its Membership Interests as provided in Sections 2.1(c) and 2.2(c), as
applicable, may exercise, at any time within ten Business Days following the rejection of the offer, its rights under Section 10.1(a) of the LLC Agreement and the dissolution of the Company shall be governed by the terms and provisions of the LLC
Agreement. If the offer is accepted, the Membership Interests shall be purchased and sold in accordance with this Agreement. 
  
 ARTICLE III. 
  
 MISCELLANEOUS 
  
 3.1. Further Assurances. Each party to this Agreement agrees to execute, acknowledge, deliver, file and record such further certificates, amendments, instruments and documents, and to do all such other acts and
things, as may be required by law or as, in the reasonable judgment of either party, are necessary to carry out the intent and purpose of this Agreement. 
  
 3.2 Notices. Unless otherwise specified in this Agreement, all notices, demands, elections, requests or other communications that any party to this
Agreement may desire or be required to give hereunder shall be in writing and shall be given by hand, by facsimile, or by a recognized overnight courier service providing confirmation of delivery, addressed as follows: 
  

	 	(a)	IDT Investments Inc. 

 400 North Stephanie Street, Suite
235 
 Henderson, Nevada 89014 
  

	 	(b)	IDT Domestic-Union, LLC 

 520 Broad Street 
 Newark, New Jersey 07102 
  

	 	(c)	Liberty N2P, Inc. or Liberty N2P II, Inc. 

 12300 Liberty
Boulevard 
 Englewood, Colorado 80112 
  
 All notices given pursuant to this Section 3.2 shall be deemed to have been given (i) if delivered by hand on the date of delivery or on the date delivery
was refused by the addressee, (ii) if delivered by facsimile transmission, when transmitted to the applicable number so specified in (or pursuant to) this Section 3.2 and an appropriate answer back is received or (iii) if delivered by overnight
courier, on the date of delivery as established by the return receipt or courier service confirmation (or the date on which the courier service confirms that acceptance of delivery was refused by the addressee). 
  
 3.3 Headings and Captions. All headings and captions contained in this
Agreement and the table of contents hereto are inserted for convenience only and shall not be deemed a part of this Agreement. 
  
 3.4 Variance of Pronouns. All pronouns and all variations thereof shall be deemed to refer to the masculine, feminine or neuter, singular or
plural, as the identity of the person or entity may require. 
  
 3.5 Counterparts. This Agreement may be executed in two or more separate counterparts, each of which shall constitute an original and all of which, when taken together, shall constitute one Agreement. 
  

 5 

 3.6 Governing Law. THIS AGREEMENT SHALL BE CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF
DELAWARE, WITHOUT REGARD TO CONFLICT OF LAW PROVISIONS THEREOF. 
  
 3.7 Invalidity. Whenever possible, each provision of this Agreement shall be interpreted in such manner as to be effective and valid under applicable law, but if any provision of this Agreement is held to be prohibited by or invalid
under applicable law, such provision shall be ineffective only to the extent of such prohibition or invalidity, without invalidating the remainder of this Agreement. If a provision of this Agreement is held to be invalid and the rest of this
Agreement is not invalidated, each party shall use all reasonable efforts to effect as far as practicable and valid under applicable law a new provision to achieve the purpose of such invalidated provision. 
  
 3.9 Entire Agreement. This Agreement supersedes all prior agreements
among the parties with respect to the subject matter hereof and thereof and contains the entire agreement among the parties with respect to such subject matter. No waiver of any provision hereof by any party hereto shall be deemed a waiver by any
other party nor shall any such waiver by any party be deemed a continuing waiver of any matter by such party. No amendment, modification, supplement, discharge or waiver hereof or hereunder shall require the consent of any Person not a party to this
Agreement. 
  
 3.10 Expenses. Without prejudice to its
ability to recover for any losses, damages or liabilities relating to any dispute, controversy or claim arising out of or relating to this Agreement, each of the parties to this Agreement shall pay its own expenses in connection with this Agreement
and any amendments, consents or waivers (whether or not the same become effective) under or in respect of this Agreement. 
  
 3.11 Publicity. None of the parties hereto shall, or permit any of their Affiliates to, issue any press release or make any other public
statements, filings or disclosure with respect to the matters contemplated by this Agreement, or any other matter related hereto or thereto, except (a) as may be required by applicable law, court process or obligations pursuant to the requirement of
any applicable self-regulatory authority or (b) with the consent of the other parties to this Agreement. 
  
 [signature pages follow] 
  

 6 

 IN WITNESS WHEREOF, the parties hereto have executed this Agreement to be effective as of the day and
year first above written. 
  

			
	NTOP HOLDINGS, LLC
		
	 By:
	 	  

	 	 	 Name:

	 	 	 Title:

	
	IDT CORPORATION
		
	 By:
	 	  

	 	 	 Name:

	 	 	 Title:

	
	IDT INVESTMENTS INC.
		
	 By:
	 	  

	 	 	 Name:

	 	 	 Title:

	
	IDT DOMESTIC-UNION LLC
		
	 By:
	 	  

	 	 	 Name:

	 	 	 Title:

	
	LIBERTY MEDIA CORPORATION
		
	 By:
	 	  

	 	 	 Name:

	 	 	 Title:

	
	LIBERTY N2P, Inc.
		
	 By:
	 	  

	 	 	 Name:

	 	 	 Title:

	
	LIBERTY N2P II, Inc.
		
	 By:
	 	  

	 	 	 Name:

	 	 	 Title:

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