0001047469-10-010504 Sample Contracts

PROSPECT MEDICAL HOLDINGS, INC., THE SUBSIDIARY GUARANTORS PARTIES HERETO AND As Trustee FIRST SUPPLEMENTAL INDENTURE Dated as of December 15, 2010
Indenture • December 20th, 2010 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • New York

FIRST SUPPLEMENTAL INDENTURE, dated as of December 15, 2010, among PROSPECT MEDICAL HOLDINGS, INC., a Delaware corporation (the “Corporation”), THE SUBSIDIARY GUARANTORS (as defined in the Indenture) and U.S. BANK NATIONAL ASSOCIATION, as trustee (the “Trustee”). Terms not defined herein shall have the meanings assigned to them in the Indenture (as defined below).

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CONSENT AND AGREEMENT
Consent and Agreement • December 20th, 2010 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • New York

THIS CONSENT AND AGREEMENT, dated as of December 15, 2010 (this “Consent”), is by and among PROSPECT MEDICAL HOLDINGS, INC., a Delaware corporation (the “Borrower”), the Lenders whose signatures appear on the signature pages hereof and ROYAL BANK OF CANADA, as administrative agent for the Lenders (in such capacity, the “Administrative Agent”).

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