SECOND AMENDMENT TO SECOND LIEN CREDIT AGREEMENT, WAIVER AND CONSENT

This Waiver Agreement involves

ALTA HOLLYWOOD HOSPITALS, INC | ALTA HOSPITALS SYSTEM, LLC | ALTA LOS ANGELES HOSPITALS, INC | ANTELOPE VALLEY MEDICAL ASSOCIATES, INC | APAC MEDICAL GROUP, INC | BANK OF AMERICA, N.A. | NUESTRA FAMILIA MEDICAL GROUP, INC | PEGASUS MEDICAL GROUP, INC | POMONA VALLEY MEDICAL GROUP, INC | PROMED HEALTH SERVICES COMPANY | PROSPECT ADVANTAGE NETWORK, INC | PROSPECT HEALTH SOURCE MEDICAL GROUP, INC | PROSPECT HOSPITAL ADVISORY SERVICES, INC | PROSPECT HOSPITALS SYSTEM, LLC | PROSPECT MEDICAL GROUP, INC | PROSPECT MEDICAL HOLDINGS, INC | PROSPECT MEDICAL SYSTEMS, INC | PROSPECT NWOC MEDICAL GROUP, INC | PROSPECT PROFESSIONAL CARE MEDICAL GROUP, INC | SANTA ANA/TUSTIN PHYSICIANS GROUP, INC | SIERRA MEDICAL MANAGEMENT, INC | SIERRA PRIMARY CARE MEDICAL GROUP | SOUTHERN CALIFORNIA, INC | STARCARE MEDICAL GROUP, INC | UPLAND MEDICAL GROUP

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