Amendment to Purchasing Agreement, effective October 1, 2020, between Cardiovascular Systems, Inc. and Healthtrust Purchasing Group, L.P

    Effective as of the Amendment Date above, HealthTrust Purchasing Group, L.P., a Delaware limited partnership having its principal place of business at 1100 Dr. Martin L. King Jr. Blvd., Suite 1100, Nashville, Tennessee, 37203 (hereinafter referred to as "HPG"), and Cardiovascular Systems, Inc., a Delaware corporation, with a place of business at 1225 Old Hwy 8 NW, St. Paul, MN 55112 hereby agree to amend their Purchasing Agreement dated May 1, 2018, and as subsequently amended, for ATHERECTOMY (collectively, the “Agreement”), as follows:

1.    Definitions.    The capitalized terms in this Amendment shall have the meaning designated in the Agreement unless otherwise expressly provided herein.

2.    Products and Pricing. Exhibit A to the Agreement is hereby amended by adding those additional items stated on Exhibit AA, attached hereto and incorporated by reference, as new Products to the Agreement and at the corresponding price indicated with the table.

3.    Rebates. “Rebates” within Exhibit A and Exhibit A-1 to the Agreement are hereby deleted in their entirety and replaced with the following, respectively:

    Exhibit A: “Rebates: [******] percent ([******]%) on all net Purchases during each calendar month.”

    Exhibit A-1: “Rebates: [******] percent ([******]%) on all net Purchases of Product within this Exhibit A-1 during each calendar month. In addition to the foregoing, Vendor also agrees to pay [******] dollars ($[******]) to HealthTrust for allocation to Purchasers on each purchased individual unit of measure of Product listed within this Exhibit A-1 during each calendar month.”

4.    Specific Purchasing Terms. Exhibit B to the Agreement is hereby deleted in its entirety and replaced with Exhibit BB, attached hereto and incorporated by reference, as the new Exhibit B to the Agreement.

5.    Except as expressly amended by this Amendment, the terms and conditions of the Agreement shall remain in full force and effect.

The prior agreement between HealthTrust and Vendor dated August 1, 2014 is replaced by this Agreement upon the Effective Date, as provided in Section 15.1 (Entire Agreement; Prior Agreement).

If the award basis stated above for any Product is other than Sole Source, Vendor acknowledges that if any Participant is able to commit a selected group of its Affiliated Purchasers to purchase from Vendor a higher commitment basis (either by market share percentage or award basis), or to otherwise provide value to Vendor, then Vendor agrees to provide mutually acceptable reduced prices for Products for such Purchasers (“Committed Purchasers”). In each such event, HealthTrust, Vendor and the Participant shall enter into an amendment to this Agreement specifically for such Committed Purchasers, which shall state the reduced prices for Products and other applicable terms, and shall list the Committed Purchasers that are eligible for such prices, subject to any applicable commitment stated therein. Except as modified by such amendment, the terms of this Agreement shall apply to purchases of Products by Committed Purchasers, and such purchases shall be deemed to have been made under this Agreement. If the Committed Purchasers fail to meet any agreed upon commitments, Vendor’s sole remedy shall be to terminate the applicable amendment and move the Committed Purchasers to the prices applicable under this Agreement. The terms of this Agreement shall control in the event of any conflict with the terms of any such amendment.

HealthTrust’s contact for notices under the Agreement:

Nashville, TN 37203

With a copy to:

Nashville, TN 37203

Vendor’s contact for notices under the Agreement:

    Vice President, Market Development

    Cardiovascular Systems, Inc.

    1225 Old Hwy 8 NW

    St. Paul, MN 55112

With a copy to:

    General Counsel

    Cardiovascular Systems, Inc.

    1225 Old Hwy 8 NW

    St. Paul, MN 55112    

The value of any additional product or service provided by Vendor to Purchasers may be considered to be an additional discount, rebate or other reduction in price to the Products and/or Services obtained under the Agreement. Purchasers may have an obligation to disclose and/or appropriately reflect any such discounts, rebates or price reductions in any costs claimed or charges made to Medicare, Medicaid, or health insurers requiring disclosure. Vendor agrees to provide estimates of the value of such additional products or services to Purchasers upon request.

No later than sixty (60) days after use of the Product, the Purchaser must notify Vendor of any such defects or failure to conform to warranties set forth in this Agreement.

Purchasers may place orders directly from Vendor by the means checked below:

    Internet

    EDI

    Purchase Order

    Verbal

    Facsimile

    Other

    Not applicable - Product only available from Distributors

Purchasers may place orders directly from Vendor and/or from Distributors as checked below:

    Vendor Direct only

    Distributor only

    Either Vendor Direct or Distributor

Purchasers may place orders with Distributors approved by HealthTrust, including the Distributors checked below:

    Cardinal Health 200, LLC

    Claflin Company

    Concordance Healthcare Solutions, LLC d/b/a Seneca

    Henry Schein, Inc.

    McKesson and associated affiliates

    Medline Industries, Inc.

    Owens & Minor Distribution, Inc.

RGH Enterprises, Inc. d/b/a AssuraMed

    Suture Express, Inc.

For Products obtained through Distributors, the price to Distributors shall be that listed in Exhibit A unless otherwise expressly provided in this Agreement.

Shipments of orders placed directly with Vendor shall be fulfilled as checked below:

    F.O.B. Origin

    F.O.B. Destination

If Products are shipped on an F.O.B. Origin basis, Vendor shall remain responsible for replacing, at Vendor’s sole expense, any Products lost or damaged in transit and, provided that Vendor has timely shipped replacement Products to the applicable Purchaser, shall be entitled to retain the proceeds of any damage-in-transit insurance claim.

GPO Fees: [******] percent ([******]%)

Vendor shall pay to HealthTrust such GPO Fees related to purchases hereunder during each calendar month during the Term within thirty (30) days after the expiration of each calendar month.

Rebates: Rebates shall be based on purchases by Purchasers under this Agreement made during each calendar month during the Term, and shall be paid within thirty (30) days after the expiration of each calendar month.

Purchasing Invoice: Net due forty-five (45) days from the latter of receipt of invoice or receipt of Product.

Electronic Payment Programs: Vendor shall accept payment through electronic payment programs (e.g., the American Express Buyer Initiated Payment (BIP) Solution, Bank of America’s ePayables, FifthThird Bank PayMode-X Solution, SunTrust MasterCard or Visa E-Payables Solution) for all payments arising under this Agreement.

For delivery of checks that require proof of delivery:

HealthTrust Purchasing Group, L.P.

c/o Wells Fargo

Attn: Wholesale Lockbox- P. O. Box 751576

Building 2C2-NC 0802

1525 West WT Harris Blvd.

Charlotte, North Carolina 28262

Telephone No.: 704 ###-###-####

For ACH payments:    

Bank Name: Wells Fargo

        

        Account Name: HealthTrust Purchasing Group, L.P.    

        

For wire payments:

    HealthTrust Purchasing Group, L.P.

        c/o Wells Fargo

        

For all other mail deliveries:    

HealthTrust Purchasing Group, L.P.

    c/o Wells Fargo

    

    P.O. Box 751576

    Charlotte, North Carolina ###-###-####

HealthTrust reserves the right to revise the above payment address information by providing written notice to Vendor.

Freight/shipping charges for purchases directly from Vendor shall be subject to the additional terms checked below:

    Freight/shipping charges are not included in the Product price and shall be “prepaid” by Vendor and added to the invoice as a separate line item that is identified as either a “freight” or “shipping” charge. The freight/shipping charge shall not include any additional amounts for shipping for which Vendor is responsible pursuant to Section 8.1 of the Agreement.

    Freight/shipping charges are included in the Product price, subject to Purchaser’s obligations to pay any additional expedited freight/shipping charges (if such expedited delivery is requested by Purchaser), as stated in Section 8.1 of the Agreement.

    Freight collect via carrier designated by Purchaser or HealthTrust.

    N/A – Products available only via distribution.

Per Occurrence: Ten million dollars ($10,000,000.00).

In the Annual Aggregate: Twenty-five million dollars ($25,000,000.00).

Vendor shall supply training, repair and safety information to each Purchaser as checked below:

    Operator training

    Preventative maintenance and repair instruction

    Repair and replacement parts lists, ordering instructions, and alternative sources of parts

    Material Safety Data Sheets for all material/chemical Product purchases in compliance with OSHA standards and those of any other applicable federal, state or local law or regulation

With respect to each product category under this Agreement, Vendor shall provide to HealthTrust quarterly a listing of (i) its and its Affiliates’ entire offering of products in each

such product category and (ii) to the extent reasonably available, its competitors’ offerings of products in each such product category, in the form of the following worksheet:

    

The file containing the products listings shall be uploaded to: http://www.healthtrustcorp.com/xref