FIRST AMENDMENT TO AMENDED AND RESTATED FORBEARANCE AGREEMENT

QuickLinks -- Click here to rapidly navigate through this document

Exhibit 10.3

FIRST AMENDMENT TO
AMENDED AND RESTATED FORBEARANCE AGREEMENT

        THIS FIRST AMENDMENT TO AMENDED AND RESTATED FORBEARANCE AGREEMENT (this " Amendment ") is made and entered into as of April 30, 2008, by and among Prospect Medical Holdings, Inc. (" Holdings ") and Prospect Medical Group, Inc. (" Prospect " and, collectively with Holdings, the " Borrowers " and each, individually, a " Borrower "), Bank of America, N.A., as Administrative Agent (in such capacity, the " First Lien Administrative Agent ") on behalf of itself and the other lenders party to the Credit Agreement defined below (the " First Lien Lenders ").

RECITALS

        WHEREAS, the Borrowers, the First Lien Lenders and the First Lien Administrative Agent have entered into that certain First Lien Credit Agreement dated as of August 8, 2007 (as amended, restated, supplemented or otherwise modified, the " First Lien Credit Agreement "), pursuant to which the First Lien Lenders have agreed to make the Loans (such term, together with each other capitalized term used in this Amendment but not defined in this Amendment, shall be defined in accordance with the First Lien Credit Agreement) and other extensions of credit, all upon the terms and conditions set forth in the First Lien Credit Agreement;

        WHEREAS, as of the date hereof, certain Defaults and Events of Default exist under the First Lien Credit Agreement and, which as a result of such Defaults and Events of Default, gave rise to the First Lien Lenders and the First Lien Administrative Agent having the right, among other things, to declare the commitment of each First Lien Lender to make Loans to be terminated and to exercise any and all other remedies available to the First Lien Lenders under the First Lien Credit Agreement;

        WHEREAS, the Borrowers, the First Lien Administrative Agent and the First Lien Lenders entered into an Amended and Restated Forbearance Agreement on April 10, 2008 (as amended hereby, and may be further amended, restated supplemented or otherwise modified, the " Forbearance Agreement ") pursuant to which the First Lien Lenders and the First Lien Administrative Agent agreed to forbear from exercising such rights for a limited period of time provided that Borrowers satisfied certain conditions contained within such Forbearance Agreement;

        WHEREAS, the Consultant has advised the First Lien Administrative Agent that it will not have had sufficient opportunity to complete, by April 30, 2008, its review of the financial statements delivered in accordance with Section 2.4 of the Forbearance Agreement or to deliver its report with respect thereto to the First Lien Lenders, and, accordingly, the Borrowers have requested an extension to the Forbearance Period to allow the Consultant a sufficient opportunity to do so;

        WHEREAS, the First Lien Lenders and the First Lien Administrative Agent are willing to grant such request on the terms and conditions set forth in this Amendment;

        NOW, THEREFORE, in consideration of the foregoing, the parties agree as follows:

ARTICLE I

AMENDMENT TO THE FORBEARANCE AGREEMENT AND COVENANTS

        Section 1.1     Definitions.     All capitalized terms used and not defined herein shall have the meanings assigned thereto in the Credit Agreement and/or the Forbearance Agreement, as applicable.

        Section 1.2     Amendment.     The first paragraph of Section 1.4 of the Forbearance Agreement is hereby amended by replacing the date "April 30, 2008" with "May 14, 2008" in such section.

        Section 1.3     Covenants.     The Borrowers and their Subsidiaries agree to fully cooperate, and shall direct each of their respective officers, employees and agents to fully cooperate, with the Consultant in accordance with Section 2.2 of the Forbearance Agreement. If the First Lien Administrative Agent

determines, in its sole discretion, that the Borrowers and/or their Subsidiaries have failed to cooperate and comply with Section 2.2 of the Forbearance Agreement, then the First Lien Administrative Agent shall, with the approval of Required Lenders under the First Lien Credit Agreement, notify the Borrowers in writing (which may be via e-mail, facsimile or other electronic format) of such failure to comply and breach of Section 2.2 of the Forbearance Agreement. If such failure to comply has not been cured to the satisfaction of the Required Lenders under the First Lien Credit Agreement within twenty-four (24) hours after delivery of such notice, such failure shall then become an Event of Default and shall result in the termination of the Forbearance Period.

ARTICLE II

CONDITIONS TO EFFECTIVENESS

        Section 2.1     Conditions Precedent.     This Amendment shall become effective as of the date first written above upon the satisfaction of each of the following conditions:

        (a)   the First Lien Administrative Agent shall have received duly executed counterparts of this Amendment from each of the Borrowers, the Guarantors and written confirmation of agreement to the terms hereof by the Required Lenders; and

        (b)   the Second Lien Administrative Agent and the Second Lien Lenders shall have consented in writing to this Amendment.

        (c)   the Second Lien Administrative Agent and the Second Lien Lenders shall have entered into an amendment, which shall be substantially similar to this Amendment, with the Borrowers on terms satisfactory to the First Lien Administrative Agent and the First Lien Lenders.

ARTICLE III

MISCELLANEOUS

        Section 3.1     Representations and Warranties.     Each Loan Party hereby represents and warrants to the First Lien Administrative Agent and the First Lien Lenders that (a) each Loan Party has the legal power and authority to execute and deliver this Amendment; (b) the officers of each Loan Party executing this Amendment have been duly authorized to execute and deliver the same and bind each Loan Party with respect to the provisions hereof; (c) the execution and delivery hereof by each Loan Party and the performance and observance by each Loan Party of the provisions hereof do not violate or conflict with any organizational document of any Loan Party or any law applicable to any Loan Party or result in a breach of any provision of or constitute a default under any other agreement, instrument or document binding upon or enforceable against any Loan Party; (d) except with respect to the Existing Events of Default, no Default or Event of Default exists under the First Lien Credit Agreement, nor will any occur immediately after the execution and delivery of this Amendment or by the performance or observance of any provision hereof; (e) no Loan Party is aware of any claim or offset against, or defense or counterclaim to, any Loan Party's obligations or liabilities under the First Lien Credit Agreement or any other Loan Document; (f) this Amendment and each document executed by each Loan Party in connection herewith constitute valid and binding obligations of the applicable Loan Party in every respect, enforceable in accordance with their terms; and (g) no Loan Party has received a notice of default of any kind from any material account debtor or any counterparty to a Material Contract and no material account debtor or counterparty to a Material Contract has asserted any right of set-off, deduction or counterclaim with respect to any account or such Material Contract, respectively.

        Section 3.2     Release.     Each Loan Party hereby waives and releases the First Lien A