AGREEMENT WITH

Exhibit 10.9

THREE RIVERS PROVIDER NETWORK

AGREEMENT WITH

______________________________

This Agreement is made this 23rd day of October 2008, by and between Three Rivers Provider Network, Inc., a Nevada Corporation (“TRPN”) and Fort Bend SA Services a Provider Group of health care services. TRPN contracts with hospitals, physicians, ancillaries and entities hereinafter referred to as “Provider” rendering medical and health care services at pre-determined rates as follow.

1. Clients. Covered Services. Contract Rates: TRPN contracts with insurance companies, third party administrators, health plans, individuals and entities hereinafter referred to as “Clients” that directly or indirectly access TRPN contracted providers for covered services. Covered Services shall include all services that are medically necessary including health, workers’ compensation, automobile and general liability. The rate used in conjunction with this Agreement will be a * discount off of Provider’s usual charge for covered services, less any applicable co-payments, co-insurance or deductibles. Clients are obligated to make payment directly to provider only at the contracted rate as payment in full. Provider shall not balance ▇▇▇▇ the patient upon receipt of payment in full at the contracted rate. TRPN has no responsibility to make payments on behalf of Clients. Payments shall be made within thirty (30) calendar days of receipt of clean claim. Where a state mandated fee schedule exists, provider agrees to accept a * discount below the state schedule. Payments made and cashed by the provider shall be accepted as payment in full and fulfillment of all terms of the agreement, providing the total payment including the member’s portion is not less than the contracted rate.

2. Licenses, Standards of Care: Provider agrees to deliver health care services that meet all legal standards of care complying with applicable Federal, State and Local laws and maintains the standards of NCQA and/or JCAHO. The provider is delegated by TRPN to carry out and/or assign credentialing responsibilities. Evidence of such licenses, certificates and standards shall be made available to TRPN upon request.

3. Term and Termination: This Agreement shall continue in effect for a period of one (1) years with automatic successive one (1) year terms. This Agreement may be terminated by either party without cause with a ninety (90) day prior written notice to the other party at the mailing addresses listed under the signatures. This Agreement may be immediately terminated with cause by TRPN should Provider lose applicable licenses, malpractice coverage, fail to honor the applicable contracted rates pursuant to this Agreement, or if any information provided in Attachment A is illegible, incomplete, or invalid.

4. Dispute Resolution: This Agreement shall be construed and interpreted in accordance with the laws of the State of Nevada. Provider agrees to meet and confer in good faith to resolve any disputes that may arise under this Agreement. If a dispute between TRPN and Provider arises out of this Agreement and is not resolved, either party may submit the dispute to arbitration which shall be commenced and conducted in accordance with the Rules of Practice and Procedures of the Judicial Arbitration and Mediation Services, Inc. (“JAMS”) as in effect at the time (“JAMS Rules”).

5. Attachment A: All information provided in Attachment A of this Agreement is complete and accurate to the best of Provider’s knowledge and Provider shall immediately notify TRPN of any changes thereto. Provider agrees to ▇▇▇▇ “N/A” next to any blank that is not applicable to Provider’s business.

6. Faxed Signatures: The parties agree that facsimile signatures of authorized representatives of the parties shall legally bind the parties to the terms and conditions of this Agreement as if the signatures were original and shall be considered evidence of a fully executed Agreement.

*	Portions of this document omitted pursuant to an application for an order for confidential treatment pursuant to Rule 24b-2 under the Exchange Act. Confidential portions of this document have been filed separately with the Securities and Exchange Commission.

Page 1

IN WITNESS WHEREOF, the authorized parties hereto have executed this Agreement and intend to be bound thereby.

PROVIDER GROUP NAME (Please Print):		ATTENTION:▇▇▇▇ ▇▇▇▇▇▇▇▇
		TRPN CONTRACTING COORDINATOR

		THREE RIVERS PROVIDER NETWORK

Signature: /s/ ▇▇▇▇▇ ▇▇▇▇		Signature:

Title: COO

Date: 10/23/08
		NAME: ▇▇▇▇ ▇▇▇▇▇▇▇, C.O.O.
		Mailing Address: ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇
		▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Phone: (▇▇▇) ▇▇▇-▇▇▇▇
		Date:

ATTACHMENT A: PROVIDER INFORMATION

(Please attach a roster of all the provider’s full names, titles, NPI#s, and all locations under the group’s Tax Id#, use Addendum A)

Tax ID: ▇▇-▇▇▇▇▇▇▇	Practice Name: Fort Bend SA Services

National Provider Identifier (NPI):

126569033	Group / IPA Affiliation:___________
(If there is more than one NPI Number, please attach a listing.)


Degree: LSA, CSA,SA-C, CST/CFA, CRNFA, RN, CNOR	Office Hours: 8-4:30
Specialty : Surgical Assisting
First Assist	Primary Address: ▇.▇. ▇▇▇ ▇▇▇
	▇▇▇▇▇ ▇▇ ▇▇▇▇▇

	County: ▇▇▇▇▇▇
	Phone: ▇▇▇-▇▇▇-▇▇▇▇ Fax: ▇▇▇-▇▇▇-▇▇▇▇

	Email: ▇▇▇▇▇▇▇▇▇@▇▇.▇▇▇

	Other Practice and/or Billing Address: Yes □ No □
	If “yes”, attach page with additional information

	Hospital Affiliations (list name, date and type):

	See Attachment.

Provider agrees to ▇▇▇▇ “N/A” next to any blank that is not applicable to Provider’s business.

Page 2

ADDENDUM A:

MEDICAL STAFF LISTING & FACILITY LOCATIONS

_______________________________

i.	The attached roster of providers and or locations will be participating under this Agreement between Fort Bend SA Services and Three Rivers Provider Network and shall include Tax Identification Numbers, NPI Numbers, Address(s), Phone and Fax Numbers.

Page 3

FORT BEND SA SERVICES

Bayshore Medical Center

▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Christus St. Catherine’s

▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇

▇▇▇▇ ▇▇ ▇▇▇▇▇

Christus St. ▇▇▇▇ Hospital

▇▇▇▇▇ ▇▇. ▇▇▇▇ ▇▇.

▇▇▇▇▇▇ ▇▇▇, ▇▇ ▇▇▇▇▇

Clear Lake Medical Center

▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇.

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Cypress Fairbanks Medical Center

▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇

▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇

Doctors Surgical Center

▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

East Houston Regional Medical Center

▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

East Side Surgery Center

▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

First Street Hospital

▇▇▇▇ ▇▇▇▇▇▇▇▇▇

▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

First Surgical Memorial Village

▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇ #▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

First Surgical Partners LLC

▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇

▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Foundations Surgery Center

▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇

▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Houston NW Medical Center

▇▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇

▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇

Katy St. Catherine’s Surgery Center

▇▇▇ ▇▇▇▇▇ ▇▇▇ ▇▇▇▇ #▇▇▇

▇▇▇▇ ▇▇ ▇▇▇▇▇

FORT BEND SA SERVICES

Kingwood Medical Center

▇▇▇▇▇ ▇▇ ▇▇▇▇▇▇▇ ▇▇

▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Memorial Hermann

▇▇▇▇ ▇▇▇▇▇▇

▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇

Memorial Hermann Memorial City

▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Memorial Hermann Northwest

▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Memorial Hermann Southeast

▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Memorial Hermann Southwest

▇▇▇▇ ▇▇▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Memorial Hermann Surgery Center Northwest

▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇ #▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Memorial Hermann Surgery Center Southwest

▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ #▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Memorial Hermann The Woodlands

▇▇▇▇ ▇▇▇▇▇▇▇▇▇

▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Methodist Sugar Land

▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇▇▇

Methodist Willowbrook

▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

North Cypress Medical Center

▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Northeast Medical Center

▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇

▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

OakBend Medical Center

▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇

▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

FORT BEND SA SERVICES

Palladium Surgery Center

▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ #▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Park Plaza Hospital

▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Special Surgery Centre

▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Spring Branch Medical Center

▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

St. ▇▇▇▇▇▇ Medical Center

▇▇▇▇ ▇▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇

St. Luke’s Episcopal Hospital Sugar Land

▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇

▇▇▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇▇▇

St. Luke’s Episcopal Hospital

▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Sugar Land Surgical Hospital

▇▇▇▇ ▇▇▇▇▇▇▇ ▇ ▇▇▇▇▇ ▇▇

▇▇▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇▇▇

The Woman’s Hospital

▇▇▇▇ ▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

West Houston Medical Center

▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

West Houston Surgicare

▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇

▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇

Provider List

10/23/2008

Code	Name	National Provider Identifier	Credentials	License Number
Last Name

▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00024
SA ▇▇▇▇	▇▇▇▇, SAYED	▇▇▇▇▇▇▇▇▇▇	LSA	SA00289
▇▇ ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00283
OA AKUPUE	AKUPUE, OKECHUKWU	▇▇▇▇▇▇▇▇▇▇	LSA	SA00307
MA ▇▇ ▇▇▇▇	▇▇ ▇▇▇▇, MOHD	▇▇▇▇▇▇▇▇▇▇	LSA	SA00309
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, RECTO	▇▇▇▇▇▇▇▇▇▇	SA-C	A01143
AA ARREOZOLA	▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00299
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	A03119
MA01 ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00029
IA ▇▇▇▇	▇▇▇▇, ILIA	▇▇▇▇▇▇▇▇▇▇	CSA	CSA04209
QB BABURI	BABURI, QASIM	▇▇▇▇▇▇▇▇▇▇	LSA	SA00160
VB01 BARCES	▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00161
▇▇ ▇▇▇▇▇▇`	▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00290
▇▇ ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00163
▇▇ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CST/CFA	109540

Provider List

10/23/2008

Code	Name	National Provider Identifier	Credentials	License Number
Last Name

DGB ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇ G	▇▇▇▇▇▇▇▇▇▇	LSA	SA00291
▇▇ ▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	▇▇▇	▇▇▇▇▇▇▇
JC01 CANSECO	▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00110
JC002 ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	▇▇-▇	▇▇▇▇▇
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA
▇▇ ▇▇▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00237
▇▇ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00255
▇▇ ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00277
MC01 ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SA-C	07272
▇▇ ▇▇▇▇	▇▇▇▇, VIRGINIA	▇▇▇▇▇▇▇▇▇▇	CSA	A05223
AD DARWISHS-SALAMA	DARWISHS-▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	▇▇▇	▇▇▇▇▇▇
ND ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	ABSA 001163
BE ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CRNFA	061022
▇▇ ▇▇▇▇▇▇▇	ELGAMAL, ZAK	▇▇▇▇▇▇▇▇▇▇	LSA	SA00011
▇▇ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00038

Provider List

10/23/2008

Code	Name	National Provider Identifier	Credentials	License Number
Last Name

▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00069
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CNOR	CNOR030775
▇▇ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00170
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00073
▇▇ ▇▇▇▇▇▇-▇▇▇▇▇▇▇	▇▇▇▇▇▇-▇▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	▇▇▇	▇▇▇▇▇▇
EG ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00270
▇▇ ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	A06115
▇▇ ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SA-C	07336
▇▇ ▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	SA2582
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	CSA2667
▇▇ ▇▇▇▇	KHAN, SOSUN	▇▇▇▇▇▇▇▇▇▇	LSA	SA00272
▇▇ ▇▇▇▇	▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SA-C	A03118
▇▇ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	A05224
JM0-1 ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	CSA3044
▇▇ ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00129

Provider List

10/23/2008

Code	Name	National Provider Identifier	Credentials	License Number
Last Name

▇▇ ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00263
▇▇ ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, OMAR	▇▇▇▇▇▇▇▇▇▇	LSA	SA00286
MM MAYOR	MAYOR, MASOUDA	▇▇▇▇▇▇▇▇▇▇	LSA	SA00296
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SAC	03132
▇▇ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇	1154440983	CSA	A06119
▇▇ ▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00084
NN ▇▇▇▇▇▇	▇▇▇▇▇▇, NAYEF	▇▇▇▇▇▇▇▇▇▇	LSA	SA00135
▇▇ ▇▇▇▇▇	NESIC, J-▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00312
CN NNA-WOSU	NNA-WOSU, CHI	▇▇▇▇▇▇▇▇▇▇	LSA	SA00085
▇▇▇ ▇▇▇▇	▇▇▇▇, ▇▇▇▇▇ ▇	▇▇▇▇▇▇▇▇▇▇	▇▇▇	▇▇▇▇▇▇▇
HP ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	A05207
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00020
KP01 ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SA-C	A05217
LP01 ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00138
▇▇ ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SA-C	A96160

Provider List

10/23/2008

Code	Name	National Provider Identifier	Credentials	License Number
Last Name

▇▇ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	CSA2617
▇▇ ▇▇▇▇	PITA, KLEBER	▇▇▇▇▇▇▇▇▇▇	LSA	SA00274
CP PITTY	PITTY, ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	▇▇▇	▇▇▇▇▇▇▇
▇▇ ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00303
▇▇ ▇▇▇	▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00276
SR ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00090
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	A07252
▇▇ ▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00091
JR ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	▇▇▇/▇▇▇	▇▇▇▇▇▇▇▇
▇▇ ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA TEMPORARY
▇▇ ▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00269
▇▇ ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CST/CFA	109194
PS SLAVCHEV	▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00316
AS SOLOMAY	SOLOMAY, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SA-C	A99216
PT01 ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	SA-C	08120

Provider List

10/23/2008

Code	Name	National Provider Identifier	Credentials	License Number
Last Name

PT ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00156
IV ▇▇▇▇▇-▇▇▇▇	▇▇▇▇▇-▇▇▇▇, ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00191
▇▇ ▇▇▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00249
▇▇ ▇▇▇▇▇▇	▇▇▇▇▇▇, ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	ABSA 08138
▇▇ ▇▇	▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	CSA	CSA2958
▇▇ ▇▇▇▇▇▇▇▇	▇▇▇▇▇▇▇▇, ▇▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00056
BZ ▇▇▇▇▇	▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇	▇▇▇▇▇▇▇▇▇▇	LSA	SA00158

AMENDMENT TO

AGREEMENT

BETWEEN

THREE RIVERS PROVIDER NETWORK

AND

FORT BEND SA SERVICES, INC.

This AMENDMENT to the Agreement between THREE RIVERS PROVIDER NETWORK (“TRPN”) AND (Tax Id# ▇▇-▇▇▇▇▇▇▇), dated 10-23-2008 (“Agreement”), is entered into and made effective as of 05-07-2010.

FOR VALUABLE CONSIDERATION, the receipt and sufficiency of which is hereby acknowledged, and in consideration of the mutual promises and mutual covenants of the parties, the parties agree that the Agreement is hereby amended as follows:

1. This Agreement is being amended due to renegotiations of the reimbursement rate in Section 1. and will now reflect the following change in rate:

a) The rate used in conjunction with this Agreement will be * discount off of Provider’s usual charge for covered services, less any applicable co-payments, co-insurance or deductibles.

2. The remaining terms and conditions of the Agreement shall remain in full force and effect unless so amended pursuant to the terms of the Agreement.

IN WITNESS WHEREOF, the parties have executed this Amendment to the Provider Service Agreement to be effective as of the Effective Date.

		THREE RIVERS PROVIDER NETWORK


By /s/ ▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇.		By /s/ ▇▇▇▇ ▇▇▇▇▇▇▇
Signature		Signature

Name: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇, ▇▇.		Name ▇▇▇▇ ▇▇▇▇▇▇▇

Title: COO		Title Chief Operating Officer

Date 5/7/2010		Date 5/7/2010

*	Portions of this document omitted pursuant to an application for an order for confidential treatment pursuant to Rule 24b-2 under the Exchange Act. Confidential portions of this document have been filed separately with the Securities and Exchange Commission.

AGREEMENT WITH

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