Second Amendment to Management Services Agreement between California Radiation Therapy Management Services, Inc. and 21st Century Oncology of California, a Medical Corporation

Summary

This amendment updates the Management Services Agreement between California Radiation Therapy Management Services, Inc. and 21st Century Oncology of California, a Medical Corporation. The Manager will handle general management and administrative operations at specified office locations but will not provide medical services. The amendment also specifies that the Manager will receive 77% of net collected dollars from three listed office locations. The agreement clarifies the division of responsibilities and compensation structure between the parties.

EX-10.3 4 dex103.htm SECOND AMENDMENT TO MANAGEMENT SERVICES AGREEMENT DATED NOVEMBER 1, 2006 Second Amendment to Management Services Agreement dated November 1, 2006

Exhibit 10.3

SECOND ADDENDUM TO MANAGEMENT SERVICES AGREEMENT

This Second Addendum (the “Addendum”) is entered into as of November 1, 2006, by and between CALIFORNIA RADIATION THERAPY MANAGEMENT SERVICES, INC., a California corporation (“Manager”) and 21^STCENTURY ONCOLOGY OF CALIFORNIA A MEDICAL CORPORATION, a California medical corporation (“Medical Group”). This Addendum amends Sections 1.(a) of the Management Services Agreement dated May 1, 2006, as set forth below.

From and after the date here of,

(i) Section 1.(a) shall be amended to read as follows:

“(a) Management. The Manager will be responsible for general management and administration operations of the Office locations, excluding the provision of medical services, set forth on Exhibit B hereto. The Manager shall not engage in the practice of medicine.”


Accepted:	CALIFORNIA RADIATION THERAPY
	MANAGEMENT SERVICES, INC.

	By:	/s/ David M. Koeninger
		David M. Koeninger
		Chief Financial Officer

Accepted:
	21^ST CENTURY ONCOLOGY OF CALIFORNIA, A MEDICAL CORPORATION

	By:	/s/ Daniel E. Dosoretz
		Daniel E. Dosoretz, M.D.
		Vice President

EXHIBIT B

ADDENDUM TO MANAGEMENT SERVICES AGREEMENT

Office Locations and Manager Compensation


Office Location	Manager Compensation as a % of Net Collected Dollars
Palm Desert 77840 Flora Road Palm Desert, CA 92211	77	%
Santa Monica 2428 Santa Monica Boulevard Suite 103 Santa Monica, CA 90404	77	%
Beverly Hills Radiation Oncology 150 N. Robertson Blvd. Suite 160 Beverly Hills, CA 90221	77	%