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Page 1: Amendment to Stock Purchase Agreement 6-16-09 · AMENDMENT TO STOCK PURCHASE AGREEMENT THIS AMENDMENT (“Amendment”) to the STOCK PURCHASE AGREEMENT dated as of November 24, 2008

Page 2: Amendment to Stock Purchase Agreement 6-16-09 · AMENDMENT TO STOCK PURCHASE AGREEMENT THIS AMENDMENT (“Amendment”) to the STOCK PURCHASE AGREEMENT dated as of November 24, 2008

AMENDMENT TO STOCK PURCHASE AGREEMENT

THIS AMENDMENT (“Amendment”) to the STOCK PURCHASE AGREEMENT dated as of November 24, 2008 and amended December 30, 2008, and further amended on March 2, 2009 and March 30, 2009 (the “Agreement”) by and among Northwest Physicians Network of Washington, L.L.C., Physicians of Southwest Washington, L.L.C., Highline Medical Services Organization, Inc., and Puget Sound Health Partners, Inc. ( “PSHP”) is made as of June 15, 2009 by and among the aforesaid parties.

WHEREAS, the parties entered into the Agreement and now wish to amend it as provided below.

AGREEMENT

1. The third sentence of Section 5 of the Agreement is amended and restated to read as follows: “All regulatory requirements must be satisfied prior to sale, including but not limited to, the OIC’s approval of the Stock purchase transaction, on or before July 15, 2009 (or such other date as the parties may agree in writing).” 2. Except as specifically provided in Section 1 of this Amendment, the remaining provisions of the Agreement remain in full force and effect. 3. This Amendment may be signed in one or more counterparts, and by electronic facsimile signatures, the signature pages of which may be assembled together with one body of this Amendment, all of which together shall constitute a single agreement.

IN WITNESS WHEREOF, the parties have executed this Amendment as of the day and year first above written. NORTHWEST PHYSICIANS NETWORK OF WASHINGTON, L.L.C.

___ _____ By:__Patricia C. Briggs____________ Its:__Chief Executive Officer_______

HIGHLINE MEDICAL SERVICES ORGANIZATION, INC. ________________________________ By:_____________________________ Its:_____________________________

PHYSICIANS OF SOUTHWEST WASHINGTON, L.L.C. ________________________________

PUGET SOUND HEALTH PARTNERS, INC. ________________________________

PSW001 0002 jl298602.003CC 6/16/09

Page 3: Amendment to Stock Purchase Agreement 6-16-09 · AMENDMENT TO STOCK PURCHASE AGREEMENT THIS AMENDMENT (“Amendment”) to the STOCK PURCHASE AGREEMENT dated as of November 24, 2008

By:_____________________________ Its:_____________________________

By:_____________________________ Its:_____________________________

PSW001 0002 jl298602.003CC 6/16/09

Page 4: Amendment to Stock Purchase Agreement 6-16-09 · AMENDMENT TO STOCK PURCHASE AGREEMENT THIS AMENDMENT (“Amendment”) to the STOCK PURCHASE AGREEMENT dated as of November 24, 2008

Page 5: Amendment to Stock Purchase Agreement 6-16-09 · AMENDMENT TO STOCK PURCHASE AGREEMENT THIS AMENDMENT (“Amendment”) to the STOCK PURCHASE AGREEMENT dated as of November 24, 2008

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