LaSalle Medical Associates, Inc .
ANCILLARY SERVICES AGREEMENT
THIS ANCILLARY SERVICES AGREEMENT (this “Agreement”) is made this 1st day of March
2005 by and between the following parties:
LaSalle Medical Associates, Inc. (IPA), a California professional corporation, located at 1860 Colorado
Blvd., #200, Los Angeles, CA 90041
Effective Health, Inc., dba Sespe Pharmacy (PROVIDER), a California Corporation, located at 552
Sespe Ave., Unit D, Fillmore, CA 93015
This Agreement is made with reference to the following facts:
IPA has entered into and will enter into Managed Care Agreements with the Payers that
require IPA to provide or arrange to provide professional medical, surgical and related ancillary services to the
IPA contracts with duly qualified Physician Contractors and qualified health care facilities to
furnish professional medical, surgical and related professional ancillary services to the Enrollees.
PROVIDER operates at Children’s Hospital of Los Angeles. The Facility is duly licensed (or
exempt from licensure) under the Licensure Act, and the Facility is certified for participation in the Medicare
program by JCAHO, or other national accreditation agency accepted by IPA.
IPA desires to contract with PROVIDER to furnish the Professional Ancillary Services on an
inpatient or outpatient basis to Enrollees properly referred by the Physician Contractors and PROVIDER desires
to furnish the Professional Ancillary Services to Enrollees so referred by the Physician Contractors.
NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein, and for
other good and valuable consideration the receipt and sufficiency of which are hereby acknowledged, the parties
hereby agree as follows:
For purposes of this Agreement, the capitalized terms below shall have the following meanings: