AMENDMENT TO THE AGREEMENT BETWEEN THE COUNTY OF SAN MATEO AND GAMBRO HEALTHCARE RENAL CARE, INC.,

A NEVADA CORPORATION

 
 

THIS AGREEMENT, entered into this ______ day of _______________, 2004, by and between the COUNTY OF SAN MATEO (hereinafter called "County") and GAMBRO HEALTHCARE RENAL CARE, INC., A NEVADA CORPORATION, (hereinafter called "Contractor"),

 

W I T N E S S E T H:

 

WHEREAS, on September 9, 2003, the parties hereto entered into an agreement (hereinafter referred to as the "Original Agreement") for the furnishing of certain services by Contractor to County as set forth in that Original Agreement; and

 

WHEREAS, it is now the mutual desire and intent of the parties hereto to amend and clarify that Original Agreement;

 
 

NOW, THEREFORE, IT IS HEREBY AGREED between the parties that the Original Agreement is amended as follows:

 
 

1.

Exhibit B, of the Original Agreement is hereby amended to read as follows:

 
EXHIBIT B
 

In consideration of the services provided by Contractor in Exhibit “A”, County shall pay Contractor based on the following fee schedule. The fees listed in the schedule set forth below include services provided to non-admitted persons who are kept at SMMC for observational purposes for a period of less than twenty-four (24) hours without being admitted at that time:

 

1.

Hemodialysis (HD (Up to 4 hours duration)

$350 per treatment

 

2.

Extended Therapies (HD treatment greater than 4 hours)

$100 per hour

 

3.

Peritoneal Dialysis Therapies (CAPD and CCPD) (Includes up to 2 nursing visits per day)

$350 per day

 

4.

Non-normal operating hours surcharge (7 p.m. through 7 a.m. Monday through Saturday, and all day Sundays and Holidays)

$100 per treatment

 

5.

Continuous Renal Replacement Therapy (Includes set-up and up to 3 nursing visits per day)

$1000 per day

 

6.

CRRT Cartridge change (In excess of 1 per day)

$250 each

 

7.

Other Nursing Support Services (As authorized by the Hospital)

$100 per hour

 

8.

Removal of Non-Tunneled Central Venous Catheters

$150 per procedure

 

9.

Declotting of Central Venous Catheters (Hospital-supplied Activase)

$100 per hour

 

10.

Aborted Hemodialysis

$200 per procedure

 
   
 

NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES that:

 
 

1.

These amendments are hereby incorporated and made a part of the Original Agreement and subject to all provisions therein.

 
 

2.

All provisions of the Original Agreement, including all references to audit and fiscal management requirements unless otherwise amended hereinabove, shall be binding on all the parties hereto.

 
 

3.

All provisions of the Original Agreement, including all monitoring and evaluation requirements, shall be applicable to all amendments herein.

 

NOW, THEREFORE, IT IS HEREBY AGREED BY THE PARTIES that the Agreement of September 9, 2003, be amended accordingly.

 
 
 
 
 
 
 
 
 

IN WITNESS WHEREOF, the parties hereto, by their duly authorized representatives, have affixed their hand on the day and year first above written.

 
 
 

COUNTY OF SAN MATEO

GAMBRO HEALTHCARE RENAL CARE, INC.

 
 
 

By:

 

Mark Church, President,

Board of Supervisors
San Mateo County

 
 
 

Date:

Date:

 

ATTEST:

 
 
 

By:

Clerk of Said Board

 
 

Date: