ADDENDUM TO MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This is an Addendum to the Memorandum of Agreement executed on January 1, 2018 by and

between the same parties named herein:

-WITNESSETH-

WHEREAS, it is the basic right of all patients to receive, and the primary responsibility of the Medical
Specialist to render, hospital services of the highest quality, equitable, cost-effective;

WHEREAS, all admitted patients in the Hospital are under the direct care of resident physicians who
are, in turn, under the direct supervision of the different Medical Specialists;

WHEREAS, the Hospital recognizes the inviolable right of every patient confined in its Pay
Ward/Private Room to contract and engage the services of any hospital-accredited Medical Specialist of their
choice;

WHEREAS, the Hospital equally recognizes that it has the moral, ethical and legal responsibility to
safeguard that the professional relationships between the patients and the Medical Specialists would not be
detrimental to the interests of the parties, the Hospital and its staff;

WHEREAS, the Medical Specialist has agreed to render service in the Hospital as a Visiting/Part
Time/Full Time Medical Specialist;

WHEREAS, the Medical Specialist is a visiting consultant for the Department of Diagnostic and
Radiologic Sciences;

WHEREAS, the Medical Specialist is capable of performing interventional procedures being a Fellow of
the Philippine Society of Vascular and Interventional Radiology;

WHEREAS, the Medical Specialist and wishes to manage patients and be given admission privileges, in
addition to the Medical Specialist’s existing agreement with the Hospital;

WHEREAS, the Hospital is willing and amendable to the proposal of the Medical Specialist for the
benefit of the patients;

NOW THEREFORE, for and in consideration of the foregoing premises, the Medical Specialist agrees to
the following terms and conditions:

1. Only hospital-accredited Medical Specialists (whether Visiting, Part-Time or Full Time), practicing
their respective specific specialties, are allowed to enter into a contract for professional services
with patients confined or seeking confinement to the Pay Ward/ Private Rooms in the Hospital.

2. Whenever available, all diagnostic and therapeutic procedures shall be performed within the
Hospital and the Medical Specialist must prescribe drugs and medicines that are available in the
Hospital’s pharmacy.

3. Payment of hospital bill shall, at all times, take precedence over the professional fees of the Medical
Specialist. In case the patient does not have sufficient funds for professional fees, he/she shall be
referred to the Medical Specialist for settlement of the payable. If they fail to settle the issue, the
matter should be elevated to the Hospital Committee on Fees composed of the Chief Medical
Professional Staff, Administrative Office and Chief Medical Social Service for disposition and
resolution.

If the conflict is not resolved at the Committee’s level, the Medical Chief shall have the right to
resolve all conflicts regarding professional fees and hospital bills and his decision shall be final.
4. Patients with insurance benefits/HMO privileges shall shoulder all bills in excess of these
benefits/privileges.
5. Any patient who signifies his/her intention to transfer from the Pay Ward/Private Room to the
charity ward shall be allowed to do so, provided;

a. It is not on the day of discharge.

b. He/she settles all bills before transfer

c. He/she undergoes proper patient re-classification following Administrative Order No.

6. A patient who signifies his intention to be transferred from the charity ward to the Pay
Ward/Private Room shall be allowed to do so, provided:

a. He/she agrees to be billed as private patient from the day of admission (not transfer).

b. He/she agrees to be under the care of the same Medical Specialist.

7. No patient shall be refused discharge because of unpaid or unsettled professional bills.

8. This agreement shall be effective starting _____________until ______________and an early termination or

renewal of the same is an exclusive prerogative of the management. Any party intending to
renew/extend this agreement shall notify the other party of his/its intention to do so in writing
within thirty (30) days prior to the date of expiry.

IN WITNESS WHEREOF, we have set our signatures this ______ day of _____________________, 20____
in Bacolod City, Philippines.