SETTLEMENT AGREEMENT AND GENERAL RELEASE

EX-10.1 2 w60680exv10w1.htm SETTLEMENT AGREEMENT AND GENERAL RELEASE exv10w1
Exhibit 10.1
SETTLEMENT AGREEMENT AND GENERAL RELEASE
     THIS SETTLEMENT AGREEMENT (“Agreement”) is made and entered into by and between MedQuist Inc. and MedQuist Transcriptions, Ltd. (collectively, “MedQuist”), and Ronald Scarpone, John Suender, Brian Kearns, and Michael Clark (the “Individual Defendants,” and together with MedQuist collectively referred to herein as the “Defendants”), on the one hand, and South Broward Hospital District, Partners HealthCare System, Inc., NorthBay HealthCare Group, Riverside Healthcare System, LP d/b/a Riverside Community Hospital, West Hills Hospital d/b/a West Hills Hospital and Medical Center, HCA Management Services, LP on behalf of the HCA Affiliates (as specified in Attachment A hereto), St. Luke’s Regional Medical Center, Ltd., an Idaho non-profit corporation, Palisades Medical Center, Mt. Sinai Medical Center of Florida, Inc., Ascension Health, Bayonne Medical Center, Bon Secours Health System, Inc., and University of Colorado Hospital, (collectively the “Settling Plaintiffs”), on the other hand. MedQuist, the Individual Defendants, and the Settling Plaintiffs are each individually referred to herein as a “Party,” and collectively as the “Parties.” This Agreement shall become binding and effective on the date it is fully executed by all Parties and their counsel (the “Effective Date”).
1. Recitals
     1.1. There is now pending in the United States District Court, District of New Jersey, an action entitled South Broward Hospital District et al. v. MedQuist Inc. et al., Case No. 1:05-cv-2206-JBS-AMD (the “Action”).
     1.2. Plaintiffs filed the Action against MedQuist and the Individual Defendants on behalf of themselves individually and on behalf of a putative class of MedQuist customers, alleging that Defendants over-billed Plaintiffs for medical transcription services provided to Plaintiffs and the putative class by MedQuist. In the Third Amended Complaint (the “Complaint”), Plaintiffs purport to state causes of action for fraud in the inducement of the arbitration clause of its medical transcription contracts, fraud in the inducement of the entire contracts, fraud, unfair and deceptive business practices, demand for accounting, unjust enrichment, negligent misrepresentation and supervision, and violation of RICO statutes. MedQuist and the Individual Defendants denied the material allegations of the Action. No class has been certified in the Action.
     1.3. Any and all claims that were or could have been asserted in the Action, including the Complaint and defenses thereto, and any and all issues arising out of or relating to MedQuist’s billing and invoicing of the Settling Plaintiffs, are collectively referred to herein as the “Dispute.”
     1.4. The Parties have reached an agreement in principle on the terms of a complete and final resolution of the Dispute as, by and among MedQuist, the Individual Defendants, and the Settling Plaintiffs.

 


 

2. Agreement
     In consideration of the recitals above, and for other good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the Parties agree as follows:
     2.1. Settlement Payment. MedQuist agrees to pay the total sum of $7,519,556.54 (the “Settlement Payment”), by wire transfer payable to Greenberg Traurig LLP, counsel for the Settling Plaintiffs to the account listed in Attachment B in accordance with the instructions set forth therein. The Settlement Payment shall be due within three (3) business days of the Effective Date. Greenberg Traurig LLP shall be solely responsible for determining the allocation of and distributing the Settlement Payment to and among the Settling Plaintiffs. Neither MedQuist nor any of the Individual Defendants shall have any responsibility or liability with respect to the payment, allocation, or distribution of any sum to any of the individual Settling Plaintiffs. To the extent that any disputes may arise between or among the Settling Plaintiffs regarding distribution of the Settlement Payment, such disputes shall be resolved solely by and among the Settling Plaintiffs and Greenberg Traurig LLP and shall not forestall or otherwise impact or affect the Effective Date of this Agreement and/or the General Releases contained in Section 3.
     2.2. Stipulation of Voluntary Dismissal of Action. Upon execution of this Agreement by all Parties, counsel for the Settling Plaintiffs shall promptly prepare and file a stipulation for voluntary dismissal with prejudice pursuant to Federal Rule of Civil Procedure 41(a)(1)(A)(ii) of all individual and class claims in the Action against MedQuist and all Individual Defendants, and the Parties shall execute all other documents necessary to effectuate Court approval of the dismissal of the Action. The stipulation shall reference this Agreement though this Agreement shall not be attached thereto. The Parties agree that the Court shall retain continuing jurisdiction over implementation of this Agreement.
     2.3. Cooperation and Notice of Request for Information. Except as may be required to cooperate with an official investigation by state or federal agencies or officers, the Settling Plaintiffs agree to give MedQuist notice pursuant to Section 7.11 of any request to discuss or provide testimony, or any document request or subpoena to produce documents, related to the subject matter of this Agreement and/or the underlying Action or Dispute. Such notice shall be given in writing within five (5) business days of the receipt by their respective general counsel’s office of the initial request for information, and except as might be otherwise expressly required by law, no information covered under this Section 2.3 shall be disclosed earlier than ten (10) business days after written notice to MedQuist of such request. Nonetheless, each and every Party may disclose, without condition or qualification, any such document or information (i) as may be required in connection with any proceeding in which such Party is a debtor in a case under title 11, United States Code, or (ii) to its general counsel’s office, outside counsel, auditor, or accountant, provided that any such person shall be informed of and agree to hold any such document or information confidential and not to disclose further except as provided in this Section 2.3.

 


 

3. General Releases
     Immediately upon payment of the Settlement Payment by MedQuist as set forth in Section 2.1, and subject to the provisions of this Agreement, the following general releases shall become binding and enforceable:
     3.1 Matters Released by the Settling Plaintiffs. Except as to such rights or claims as may be created by this Agreement, including Section 7.13, the Settling Plaintiffs, and all related and/or associated facilities and affiliates (including all facilities and affiliates identified in Attachment A hereto), and all of their respective divisions, joint venturers, parents, subsidiaries, predecessor and successor corporations,1 and all past and present partners, directors, officers, shareholders, agents, servants, employees, representatives, assigns, heirs, successors in interest, predecessors in interest, administrators, adjustors and attorneys, hereby release, remise and forever discharge MedQuist, including its respective divisions, affiliates, parents, subsidiaries, predecessor and successor corporations, and past and present partners, directors, officers, shareholders, agents, servants, employees, representatives, assigns, heirs, successors in interest, predecessors in interest, administrators, adjustors and attorneys, including without limitation, the Individual Defendants, from any and all claims, demands, causes of action, obligations under any implied covenant of good faith and fair dealing, damages and liabilities heretofore or hereafter arising out of, connected with or incidental to the Action and/or the Dispute. Each of the Settling Parties agree to defend, indemnify, and hold Defendants harmless against any and all Released Claims that may be asserted against Defendants by their respective affiliates as identified in Attachment A.
     3.2. Matters Released by MedQuist and the Individual Defendants. Except as to such rights or claims as may be created by this Agreement, MedQuist on behalf of itself and its respective divisions, affiliates, parties, joint venturers, parents, subsidiaries, predecessor and successor corporations, and past and present partners, directors, officers, shareholders, agents, servants, employees, representatives, assigns, heirs, successors in interest, predecessors in interest, administrators, adjustors and attorneys, and the Individual Defendants, hereby release, remise and forever discharge the Settling Plaintiffs, including their respective divisions, affiliates, parents, subsidiaries, predecessor and successor corporations, and past and present partners, directors, officers, shareholders, agents, servants, employees, representatives, assigns, heirs, successors in interest, predecessors in interest, administrators, adjustors and attorneys, from any and all claims, demands, causes of action, obligations under any implied covenant of good faith and fair dealing, damages and liabilities heretofore or hereafter arising out of, connected with or incidental to the Action and/or the Dispute. Notwithstanding the foregoing, the Parties agree that MedQuist is not waiving, and expressly reserves, the right to seek payment from the Settling Plaintiffs for any and all accounts receivable, including any and all accounts receivable over 30 days as of the Effective Date.
 
1   With respect to Bon Secours Health System, Inc., all related and/or associated facilities and affiliates and all of their respective divisions, joint venturers, parents, subsidiaries, and predecessor corporations, shall mean the list of facilities in the Attachment A hereto.

 


 

     3.3. The matters released by the Settling Plaintiffs in Section 3.1 and the matters released by MedQuist and the Individual Defendants in Section 3.2 are collectively referred to as the "Released Matters.” It is the intention of the Parties that this Agreement be effective as a full and final release of each and every matter specifically or generally referred to in the Released Matters. In furtherance of this intention, each Party acknowledges that it may hereafter discover facts in addition to or different from those which it now knows or believes to be true with respect to the subject matter of this Agreement, but it is their intention to fully and finally and forever settle and release any and all matters, disputes and differences, known or unknown, suspected or unsuspected, which do now exist, may exist or heretofore have existed between them which relate to the Released Matters.
     3.4. The General Releases contained in this Agreement shall be and remain in effect as full and complete general releases, notwithstanding the discovery or existence of any additional or different facts. In particular, each Party hereby expressly waives California Civil Code § 1542, which states: “A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor.” Each Party also hereby waives any and all federal and state statutes similar in substance, meaning or application to California Civil Code § 1542.
     3.5 Each Party warrants and represents to each other Party that the effect and import of the release and waiver provisions above have been fully explained to it by its attorney.
4. Representations and Warranties
     Each Party represents and warrants to and agrees with the other as follows:
     4.1 This Agreement is being entered by Settling Plaintiffs, and their related and associated facilities, on their own behalf and on behalf of each of their own respective divisions, partners, joint venturers and affiliates, as set forth in Section 3.1 above and Attachment A hereto.
     4.2 The Parties have not been induced to enter into this Agreement by any representations and warranties made by any other Party to this Agreement (other than such representations which are expressly contained in this Agreement).
     4.3 The Parties each have had the opportunity to receive independent legal advice from attorneys of their choice with respect to the advisability of making the settlement and release provided herein and of executing this Agreement. Before the execution of the Agreement, each Party and/or its attorneys have reviewed the Agreement and have had the opportunity to negotiate revisions to the Agreement. Further, each Party acknowledges, represents, and declares that it has carefully read this Agreement, knows the contents and executes the same voluntarily and without duress or pressure.
     4.4 There have been no other agreements or understandings between the Parties hereto with respect to the Dispute with the exception of those agreements and understandings memorialized in writing in this Agreement.

 


 

     4.5 Each Party has made such investigation of the facts pertaining to the Action and/or the Dispute, and all of the matters pertaining thereto, as it deems necessary.
     4.6 Each Party is the sole and lawful owner of all rights, title and interest in and to every claim and other matter released herein, and that no Party has assigned, granted or transferred in any way to any other person or entity any of the claims, causes of action, costs or demands, or any part thereof, of the Released Matter. The Parties further agree to indemnify and hold each other harmless from: (i) any rights, claims, or causes of action that have been assigned or transferred contrary to this Section 4.6; and (ii) any and all loss, expense, and/or liability (including attorney fees) arising directly or indirectly from the breach of any of the foregoing representations or warranties contained in this Section 4.6.
     4.7 The execution, delivery and performance of this Agreement have been duly authorized by all requisite action on the part of such Party.
     4.8 Any individual signing this Agreement on behalf of a corporation, partnership or trust has full authority to do so.
5. Confidentiality and Non-Disparagement
     5.1 With the exception of the scope of the release set forth above in Section 3, each Party agrees to keep the terms of this Agreement completely confidential, and not to disclose such information other than: (i) as may be required by applicable law, governmental order, or regulation or by order or decree of any court of competent jurisdiction; (ii) as part of its normal reporting requirements or review procedures to its parent company(ies), auditors, attorneys or other professional advisors; (iii) in connection with a possible sale, merger, or other consolidation transaction involving it or its parent company; or (iv) in cooperation with any official investigation by any state or federal agency or officer. Specifically with regard to disclosure of the Settlement Payment, the individual amounts of the Settlement Payment distributed to the Settling Plaintiffs by Greenberg Traurig LLP pursuant to Section 2.1 of this Agreement shall be confidential and not revealed between or among the Parties or to any third party, except as above.
     5.2 In the event that any third party makes any inquiries about the Action or the Dispute (other than a situation covered by the circumstances set forth above), the Parties agree to only state that “the dispute was amicably resolved following settlement discussions” and shall not provide any other details regarding the settlement or this Agreement. Except as set forth above, neither Party shall divulge or disclose to any third party any of the material terms and conditions of this Agreement without the prior written consent of the other Party. In the event that disclosure is required pursuant to clause (i) of the first sentence of Section 5.1, the person or Party making disclosure shall so notify the other Party at least five (5) business days prior to making such disclosure and shall seek confidential treatment of such information. In the event that disclosure is required pursuant to clause (ii) or (iii) of the first sentence of Section 5.1, the person or Party making disclosure shall take all reasonable efforts to ensure that the confidentiality of this Agreement and its terms are maintained.

 


 

     5.3 No member of the board of directors (or the equivalent), officer, or other member of senior management or other official spokesperson for any of the Settling Plaintiffs or MedQuist shall make or cause to be published or disseminated any disparaging remarks or statements regarding any Party with respect to the Action, the Dispute, or any Released Matters.
6. No Admission
     This Agreement represents the settlement of disputed claims, and it does not represent any admission of liability on the part of any Party hereto, each of which expressly denies such liability. This Agreement may not be introduced into evidence or used in any action except in connection with an action to enforce the terms of this Agreement.
7. Miscellaneous
     7.1 Severability. If any term or provision of this Agreement shall be found to be illegal or unenforceable, then, notwithstanding any such illegality or unenforceability, this Agreement shall remain in full force and effect and such term or provision shall be deemed to be deleted.
     7.2 Entire Agreement. This Agreement constitutes the entire agreement of settlement and release between Settling Plaintiffs, on the one hand, and Defendants, on the other hand, with respect to the Action and Dispute, and there are otherwise no other agreements expanding or modifying its terms. All prior oral and/or written agreements regarding settlement of the Action and Dispute, including the Settlement Term Sheet executed by counsel for the Parties on or about March 10, 2008, are expressly superseded by this Agreement and are of no further force and/or effect. MedQuist does have other, separate agreements with certain Settling Plaintiffs regarding the continuing provision of medical transcription and/or other services.
     7.3 Modification. The provisions of this Agreement may be modified or amended only in a writing signed by each of the Parties and expressly state that modification or amendment of this Agreement is intended.
     7.4 No Waiver. No breach of any provision of this Agreement may be waived unless in writing signed by the Party against whom a waiver is asserted. Waiver of any one breach shall not be deemed to be a waiver of any other breach of the same or any other provision hereof.
     7.5 Counterparts. This Agreement may be signed concurrently by facsimile copies, .pdf, or otherwise in counterparts, each of which shall be deemed an original, but all originals together shall constitute only one and the same instrument and it shall be deemed fully executed when signed by all Parties whether the signatures of all Parties appear on the original or one or more copies of this Agreement. Each Party agrees to sign two (2) originals of this Agreement so that each side of the Action will have a fully executed original version of the Agreement.
     7.6 Construction. Each Party to this Agreement has participated in the drafting and preparation of this Agreement. Neither this Agreement nor any of its terms hereof shall be construed under a doctrine of correct interpretation (including but not limited to, the doctrine of contra proferentum) against the Parties or their representatives by reason of their responsibility for drafting or mutually proposing the Agreement or any portion of it.

 


 

     7.7 Attorneys’ Fees and Costs Related to the Dispute. Other than as expressly provided in Section 2.1 of this Agreement, the Parties shall bear their own respective attorneys’ fees and costs which arose as a result of the Dispute or Action. Nothing in this Agreement, however, shall impact any separate agreement or obligation regarding payment of attorneys’ fees and/or costs as between MedQuist and the Individual Defendants.
     7.8 Survival of Representations. All representations, warranties, and other agreements contained in this Agreement shall survive the execution and delivery of this Agreement by all Parties hereto.
     7.9 Admissibility of Agreement. In any action or proceeding relating to this Agreement (including, but not limited to, actions or proceedings relating to the releases, or retained rights contained in this Agreement), the Parties stipulate that a fully executed copy of this Agreement may be admissible to the same extent as the fully executed original of this Agreement.
     7.10 Captions. The captions or headings of the Sections of this Agreement are for convenience of reference only and in no way define, limit or affect the scope or substance of any Section of this Agreement.
     7.11 Notice and Cure.
          7.11.1 All notices and other communications among the Parties in connection with this Agreement shall be in writing addressed to the following persons or Parties, and shall be deemed duly served, given and received (a) on the date of service, if served personally or sent be telex or facsimile transmission (with appropriate confirmation of receipt) to the Party to whom notice is to be given, or (b) on the fourth day after mailing, if mailed by first class registered or certified mail, return receipt requested, postage pre-paid in the United States mail, or (c) on the next day if sent by a nationally recognized courier for next day service and so addressed as follows:
         
 
  If to MedQuist:   MedQuist Inc.
 
      c/o Mark R. Sullivan, Esq.
 
      1000 Bishops Gate Blvd., Suite 300
 
      Mount Laurel, NJ 08054-4632
 
      Facsimile: 856 ###-###-####
 
       
 
  with a copy to:   Winston & Strawn LLP
 
      Neal Marder, Esq.
 
      333 South Grand Ave.
 
      Los Angeles, CA 90071
 
      Facsimile: 213 ###-###-####
 
       

 


 

         
 
  If to Settling Plaintiffs:   Greenberg Traurig LLP
 
      Mark L. Hogge, Esq.
 
      2101 L Street N.W.
 
      Washington, DC 20037
 
      Facsimile: 202 ###-###-####
 
       
 
  If to Brian Kearns:   Brian Kearns
 
      804 Loveland Road
 
      Moorestown, NJ 08057
 
       
 
  with a copy to:   Latham & Watkins LLP
 
      Edward J. Shapiro, Esq.
 
      555 Eleventh Street, NW, Suite 1000
 
      Washington, DC 20004-1304
 
      Facsimile: 202 ###-###-####
 
       
 
  If to John Suender:   LeClairRyan, A Professional Corporation
 
      James A. Murphy, Esq.
 
      Riverfront Plaza, East Tower
 
      951 East Byrd Street, Eighth Floor
 
      Richmond, VA 23219
 
      Facsimile: 804 ###-###-####
 
       
 
  If to Michael Clark:   Miller & Chevalier
 
      Matthew Reinhard, Esq.
 
      655 15th St., NW Suite 900
 
      Washington, DC 20005
 
      Facsimile: 202 ###-###-####
 
       
 
  If to Ronald Scarpone:   Gibbons P.C.
 
      Frederick E. Blakelock, Esq.
 
      1700 Two Logan Square, 18th and Arch Streets
 
      Philadelphia, PA 19103-2769
 
      Facsimile: 215 ###-###-####
          7.11.2 The Parties, by like notice, may designate another or additional address(es), facsimile number(s) or person(s) to which notices shall be given in connection with this Agreement.
          7.11.3 Except as otherwise expressly set forth herein, in the event that any Party believes that another Party is in default or breach of any term of this Agreement (not including any default or breach that cannot be remedied by additional time), the aggrieved Party shall give written notice of the default or breach by facsimile, personal service, overnight delivery by a nationally recognized courier, or first class registered or certified mail, return receipt requested, to the other Party at the addresses identified above. The other Party shall then have ten (10) business days to rectify the alleged default or breach and shall provide written notice to the complaining Party of steps taken to rectify the alleged default or breach (the “Cure Period”).

 


 

The complaining Party shall withhold any legal action during the Cure Period, and to the extent that any alleged default or breach shall be cured within the Cure Period, the Parties agree to treat such default or breach as though it had not occurred.
     7.12 Governing Law, Choice of Forum, Costs and Fees.
          7.12.1 This Agreement shall be interpreted, construed, and enforced under and according to the laws of the State of New Jersey, without regard to the choice of law rules of that or any other jurisdiction. The Parties agree that any dispute, claim, or controversy to enforce or interpret this Agreement, or alleging the breach hereof, shall be resolved exclusively in the State of New Jersey.
          7.12.2 All Parties agree that breach of Section 2.3 and/or Section 5 would cause immediate and irreparable injury and further that such injury would be difficult to quantify. Accordingly, the Parties agree that injunctive relief would be appropriate to address any threatened or continuing breach of these Sections. The Parties further agree that, in addition to injunctive relief, any Party that breaches Section 2.3 and/or Section 5 by disclosing information without notice and/or in breach of the confidentiality provisions, or by making disparaging statements during the period of five years from the Effective Date, without remedying such breach under the procedures set forth in Section 7.11.3, shall be individually liable for payment of liquidated damages in the amount of $50,000, except that in no event shall any of the Settling Plaintiffs pay liquidated damages under this Section 7.12.2 in an amount greater than the Settlement Payment received by that individual Settling Plaintiff under Section 2.1. The Parties agree that this amount would be a fair approximation of actual damages caused by any such breach. This provision shall not have any impact on any Parties’ rights to pursue any other, separate future claims, for defamation or other tortious conduct, not based on an alleged breach of this settlement agreement.
          7.12.3 In any action brought to enforce or interpret this Agreement, or alleging the breach hereof, the prevailing Party shall be entitled to recover its reasonable expenses and costs, including but not limited to reasonable attorneys’ fees.
     7.13 Other. Should MedQuist become subject to a case or proceeding under any Chapter of Title 11 of the United States Code within 90 days of the Settlement Payment, and if the Settlement Payment or any part thereof is rescinded or reduced in amount, restored or otherwise returned, whether as a voidable preference, fraudulent transfer or otherwise, then unless any such deficiency in the Settlement Payment is repaid within 45 days, the Settling Plaintiffs’ claims against all Defendants in the above-referenced action which were released under this settlement shall, to the fullest extent permitted by law, be reinstated and deemed reduced only by such amount paid and not so rescinded, reduced, restored or returned.

 


 

     IN WITNESS WHEREOF, the Parties hereby execute this Agreement with an Effective Date as set forth above.
                                     
MEDQUIST INC. and MEDQUIST
TRANSCRIPTIONS, LTD.
              SOUTH BROWARD HOSPITAL DISTRICT            
 
                                   
By:
  /s/ Howard Hoffmann       Dated: 5/20/08       By:   /s/ Gary S. Barber, Esq.       Dated: 5/13/08    
 
                                   
 
  Howard Hoffmann                   Gary S. Barber, Esq.            
    Its Chief Executive Officer               Its Senior Vice President and General Counsel    
 
                                   
HCA MANAGEMENT SERVICES LP on
behalf of all HCA Affiliates as identified
in Attachment A
      ST. LUKE’S REGIONAL MEDICAL CENTER, LTD.,
AN IDAHO NON-PROFIT CORPORATION
   
 
                                   
By:
  /s/ Robert Waterman       Dated: 5/19/08       By:   /s/ Jeffrey S. Taylor       Dated: 5/13/08    
 
                                   
 
  Name  Robert Waterman                   Name  Jeffrey S. Taylor            
    Title    Sr. VP and General Counsel           Title    VP, CFO        
 
                                   
PARTNERS HEALTHCARE SYSTEM, INC.       NORTHBAY HEALTHCARE GROUP    
 
                                   
By:
  /s/ Samuel Sullivan       Dated: 5/15/08       By:   /s/ Arthur E. DeNio       Dated: 5/13/08    
 
                                   
 
  Samuel Sullivan                   Arthur E. DeNio            
    Its Corporate Director of Materials Management           Its Vice President and Chief Financial Officer
 
                                   
RIVERSIDE HEALTHCARE SYSTEM, LP,
d/b/a RIVERSIDE COMMUNITY HOSPITAL
      WEST HILLS HOSPITAL d/b/a WEST HILLS
HOSPITAL AND MEDICAL CENTER
   
 
                                   
By:
  /s/ Steven E. Clifton       Dated: 5/14/2008       By:   /s/ Steven E. Clifton       Dated: 5/20/2008    
 
                                   
 
  Name  Steven E. Clifton                   Name  Steven E. Clifton            
 
  Title    Vice President                   Title    Vice President            

 


 

                     
MT. SINAI MEDICAL CENTER OF FLORIDA, INC.   PALISADES MEDICAL CENTER
 
                   
By:
  /s/ Arnold M. Jaffee   Dated: 05/14/08 By:   /s/ John Calandriello   Dated:                    
 
                   
 
  Arnold M. Jaffee           John Calandriello    
 
  Its Vice President and General Counsel           Its Chief Financial Officer    
 
                   
BAYONNE MEDICAL CENTER   ASCENSION HEALTH
 
                   
By:
  /s/ Adam C. Rogoff, Esq.   Dated: 5/13/08 By:   /s/ Juli Shields, Esq.   Dated: 5/21/08
 
 
 
Adam C. Rogoff, Esq.
         
 
Juli Shields, Esq.
   
 
  Its Counsel for Debtor in its Chapter 11 Proceeding           Its Vice President and Associate General Counsel    
 
                   
BON SECOURS HEALTH SYSTEM, INC.   UNIVERSITY OF COLORADO HOSPITAL
 
                   
By:
  /s/ Don Strange
 
  Dated: 05/15/08  By:   /s/ Anthony C. DeFurio
 
  Dated: 5/15/08 
 
  Don Strange           Name Anthony C. DeFurio    
 
  Its Chief Operating Officer           Title   Vice President and CFO    
                     
JOHN SUENDER       RONALD SCARPONE    
 
                   
By:
  /s/ John Suender       By:   /s/ Ronald Scarpone    
 
                   
 
  John Suender           Ronald Scarpone    
 
                   
MICHAEL CLARK       BRIAN KEARNS    
 
                   
By:
  /s/ Michael Clark       By:   /s/ Brian Kearns    
 
                   
 
  Michael Clark           Brian Kearns    


 

APPROVED AS TO FORM:
                     
GREENBERG TRAURIG, LLP       WINSTON & STRAWN LLP    
 
                   
By:
/s/ Mark Hogge       By: /s/ Neal R. Marder    
 
Mark Hogge
       
 
Neal R. Marder
   
 
Attorneys for Plaintiffs         Attorneys for MedQuist Inc. and    
 
            MedQuist Transcriptions, Ltd.    
 
                   
MILLER & CHEVALIER       GIBBONS P.C.    
 
                   
By:
/s/ Matthew T. Reinhard       By: /s/ Frederick Blakelock    
 
Matthew T. Reinhard
       
Frederick Blakelock
   
 
Attorneys for Michael Clark         Attorneys for Ronald Scarpone    
 
                   
LATHAM & WATKINS, LLP       LECLAIR RYAN    
 
                   
By:
/s/ Edward J. Shapiro       By: /s/ James A. Murphy    
 
Edward J. Shapiro
       
James A. Murphy
   
 
Attorneys for Brian Kearns         Attorneys for John Suender    


 

SETTLEMENT AGREEMENT AND GENERAL RELEASE
ATTACHMENT A
         
Partners Healthcare System, Inc.
       
Brigham & Women’s Hospital
       
Dana Farber Cancer Institute
       
Massachusetts General Hospital
       
Newton-Wellesley Hospital
       
North Shore Medical Center
       
NorthShore Union Hospital
       
Partners Center for Human Genetics
       
Spaulding Rehabilitation Hospital
       
 
       
Northbay Healthcare Group
       
Northbay Medical Center
       
Northbay Occupational Medicine
       
Vaca Valley Hospital
       
 
       
HCA Affiliates
       
Alaska Regional Hospital
       
Atlanta Peachtree Dunwoody Center
       
Aventura Hospital & Medical Center
       
Bailey Square Surgery Center
       
Baptist-Lutheran Medical Center
       
Blake Medical Center
       
Brandon Regional Hospital
       
Cartersville Medical Center
       
Cedars Medical Center
       
Centennial Medical Center
       
Centennial Medical Center at Ashland City
       
Centennial Medical Plaza
       
Centennial Surgery Center
       
CJW Medical Center
       
Coliseum Medical Center
       
Colleton Medical Center
       
Columbia Hospital
       
Columbia Metropolitan Hospital
       
Del Sol Medical Center
       
Doctors Hospital
       
Dominion Hospital
       
East El Paso Surgery Center
       
Eastern Idaho Regional Medical Center
       
Emory Dunwoody Medical Denter
       
Emory Eastside Medical Center
       

A-1


 

SETTLEMENT AGREEMENT AND GENERAL RELEASE
ATTACHMENT A
         
HCA Affiliates (cont.)
       
Emory Parkway Medical Center
       
Fort Walton Beach Medical Center
       
Frankfort Regional Medical Center
       
Good Samaritan Hospital
       
Grand Strand Regional Medical Center
       
Gulf Coast Hospital
       
HCA Physician Services
       
Health One Clinic Services
       
Henrico Doctors Hospital
       
Horizon Medical Center
       
Hughston Orthopedic Hospital
       
JFK Medical Center
       
John Randolph Medical Center
       
Lakeside Hospital
       
Lakeview Hospital
       
Lakeview Regional Medical Center
       
Las Palmas Medical Center
       
Lewis-Gale Medical Center
       
Los Gatos Surgical Center
       
Marietta Surgical Center
       
Medical Center of Arlington
       
Medical Center of Aurora
       
Medical Center of Aurora North
       
Medical Center of Independence
       
Medical Center of Plano
       
Medical City Dallas Hospital
       
Memorial Hospital Jacksonville
       
Menorah Medical Center
       
Methodist Hospital
       
Mountain View Hospital
       
North Austin Medical Center
       
North County Surgicenter
       
North Monroe Medical Center
       
North Suburban Medical Center
       
Northlake Medical Center
       
Oak Hill Hospital
       
Oakwood Surgery Center
       
Osceola Regional Medical Center
       
OU Medical Center
       
Overland Park Regional Medical Center
       

A-2


 

SETTLEMENT AGREEMENT AND GENERAL RELEASE
ATTACHMENT A
         
HCA Affiliates (cont.)
       
Palms West Hospital
       
Park Central Surgical Center
       
Parthenon Pavilion
       
Plaza Day Surgery
       
Plaza Medical Center of Fort Worth
       
Portsmouth Regional Hospital
       
Presbyterian St. Luke’s Medical Center
       
Radiology Specialists, Ltd.
       
Rapides Regional Medical Center
       
Regional Medical Center San Jose
       
Research Belton Hospital
       
Research Medical Center
       
Research Psychiatric Center
       
Reston Hospital Center
       
Riverside Community Hospital
       
Rose Medical Center
       
San Jose Medical Center
       
Skyline Medical Center
       
Smyran Medical Center
       
South Austin Hospital
       
South Bay Hospital
       
Southern Hills Medical Center
       
Spalding Rehabilitation Hospital
       
St. Lucie Medical Center
       
St. Mark’s Hospital
       
Stonecrest Medical Center
       
Summit Medical Center
       
Sunrise Hospital & Medical Center
       
Surgery Center of El Paso
       
Surgery Center of Plano
       
Surgicare of South Austin
       
Terre Haute Regional Medical Center
       
Texas Pediatric Surgery Center
       
Trinity Lutheran Hospital
       
Tulane University Hospital & Clinic
       
Wesley Medical Center
       
West Florida Hospital
       
West Hills Hospital & Medical Center
       
West Hills Surgery Center
       
West Paces Ferry Medical Center
       

A-3


 

SETTLEMENT AGREEMENT AND GENERAL RELEASE
ATTACHMENT A
         
HCA Affiliates (cont.)
       
West Valley Medical Center
       
Women’s Hospital of Texas
       
 
       
St. Luke’s Regional Medical Center, Ltd.
       
St. Luke’s Regional Medical Center
       
 
       
Palisades Medical Center
       
Palisades Medical Center
       
 
       
Mt. Sinai Medical Center of Florida, Inc.
       
Miami Heart Institute
       
Mount Sinai Medical Center
       
 
       
Ascension Health
       
Baptist Care Center — Bellevue
       
Baptist Care Center — Central
       
Baptist Care Center — Dover Point
       
Baptist Care Center — East
       
Baptist Care Center — Murfrees
       
Baptist Care Center — Rivergat
       
Baptist Care Center — South
       
Baptist Hospital
       
Borgess Ambulatory Care
       
Borgess Health
       
Borgess Health Alliance Inc
       
Borgess Medical Center
       
Borgess Medical Commons
       
Borgess Visiting Nurse Home Care
       
Borgess-Pipp Health Center
       
Brackenridge Hospital
       
Carondelet Health Network
       
Carondelet St. Joseph’s Hospital
       
Carondelet St. Mary’s Hospital
       
Cedar Mills Medical Group
       
Children’s Hospital of Austin
       
Columbia St. Mary’s Airport Medical Clinic
       
Columbia St. Mary’s Columbia West
       
Columbia St. Mary’s Hospital Milwaukee, Inc.
       
Columbia St. Mary’s Inc.
       
Columbia St. Mary’s Northlake Medical Associates
       

A-4


 

SETTLEMENT AGREEMENT AND GENERAL RELEASE
ATTACHMENT A
Ascension Health (cont.)
Columbia St. Mary’s Ozaukee Campus
Columbia St. Mary’s Prospect Medical Clinic
Columbia St. Mary’s River Glen Medical Clinic
Columbia St. Mary’s Whitefish Bay Medical Clinic
Down East Medical Center
Gateway Health Center
Genesys Regional Medical Center
Good Samaritan Regional Medical Center
Holy Cross Hospital, Inc.
Lourdes Health Network
Middle Tennessee Medical Center
Orthopaedic Hospital of Wisconsin
ProMed Healthcare
Providence Hospital
Pulmonary Associates
Seton Health Network
Seton Highland Lakes
Seton Northwest Hospital
Seton Shoal Creek
Seton Southwest Healthcare Center
St. John Detroit Riverview Hospital
St. John Hospital & Medical Center
St. John Northeast Campus
St. John Oakland Hospital
St. John’s Health System
St. Joseph’s Health Center
St. Mary’s Health Care Services
St. Mary’s Health System of America
St. Mary’s Heart Rehabilitation Institute, Inc.
St. Mary’s Medical Center
St. Mary’s Medical Center of Evansville, Inc.
St. Mary’s Medical Clinic West Allis
St. Thomas Heart Institute
St. Thomas Hospital
St. Thomas Hospital Guardian Eye Center
St. Vincent Clay Hospital
St. Vincent Hospital & Health Services
St. Vincent Women’s Hospital
St. Vincent’s Hospital
St. Vincent’s Occupational Health

A-5


 

SETTLEMENT AGREEMENT AND GENERAL RELEASE
ATTACHMENT A
Ascension Health (cont.)
Standish Community Hospital Inc
Travis Quality Management Western
Maryland Health System
Bayonne Medical Center
Bayonne Medical Center
Bon Secours Health System, Inc.
Bon Secours Community Hospital
Bon Secours Hospital Baltimore, Inc.
Maryview Hospital
Bon Secours St. Francis Health System Inc
Bon Secours — St. Francis Medical Center, Inc.
Bon Secours — St. Mary’s Hospital of Richmond, Inc.
Good Samaritan Hospital of Suffern NY
Mary Immaculate Hospital, Inc.
Our Lady of Bellefonte Hospital, Inc.
St. Anthony Community Hospital
South Broward Hospital District
Memorial Hospital Pembroke
Memorial Hospital West
Memorial Regional Hospital
University of Colorado Hospital Authority
University of Colorado Hospital
University of Colorado Hospital Family Medicine Clinics

A-6


 

WIRING INSTRUCTIONS
The Citibank Private Bank
TRUST ACCOUNT

(Washington, D.C. office)
           TO:
           The Citibank Private Bank
           1101 Pennsylvania Ave., NW, 13th Floor
           Washington, D.C. 20004
           ABA ###-###-####
           FOR CREDIT TO:
           GREENBERG TRAURIG TRUST ACCOUNT
           ACCOUNT NO. 37402366
           REFERENCE:
           CLIENT
            NAME:                                                                                       
                   FILE NUMBER:                                                                                     
                   ATTORNEY NAME:                                                                                     
NOTE: PLEASE NOTIFY THE DC ACCOUNTING DEPARTMENT AT ***@*** WHEN A WIRE IS EXPECTED SO, UPON RECEIPT OF THE WIRE, PROPER IDENTIFICATION CAN BE MADE.
ATTACHMENT B