This checklist does NOT cover all clauses that should be included in an agreement. Additional revisions or languages may be required depending on the following factors and the circumstances of each agreement. I, the doctor who signed, represent that I meet the criteria of activity of medical director of the agency EMS and that I agree to exercise the functions of medical director of the agency EMS for the next agency EMS. [4] 42 CFR 1001.952 (d) (5): “The total compensation paid to the agent during the term of the agreement is set in advance, in accordance with the fair value of arms-time transactions and is not determined in a manner that takes into account the volume or value of any references or transactions made between the parties for which payments may be made in whole or in part under Medicare , execution. Medicaid or other federal health programs. 42 U.S.C 1395n (3) (A) (v): “The compensation to be paid during the term of the agreement is set in advance, does not exceed fair value and . . It is not determined in a way that takes into account the volume or value of referrals of other transactions generated between the parties. [1] 42 CFR 1001.952 (d) (1): “The agency agreement is established in writing and signed by the parties.” 42 CFR 1001.952 (d) (4): “The duration of the agreement is at least one year.” 42 U.S.C 1395n (3) (A) (i): “The agreement is written, signed by the parties and defines the services covered by the agreement.” 42 U.S.C 1395n (e) (3) (A) (iv): “The duration of the agreement is at least one year.” This first amendment and assignment to Physician Employment – Medical Director Agreement (this “Amendment”) will be concluded on March 8, 2017 (effective date) between and between the nobilis Health Network, Inc., a certified non-profit health organization in Texas (“Assignor”), NH Physicians Group, PLLC, a Texas professional limited liability company (“NHPG”) and Carlos R. Hamilton, III, M.D.

, a licensed Texan physician (“Assignor”), NH Physicians Group, PLLC, a Texas professional company (NHPG) and Carlos R. , III, M.D., a Texan, a “party” and collectively the “parties”). Unlike most other types of physician-employment, physicians who act as medical directors are compensated only for administrative services related to patient care.