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DEPARTMENT OF VETERANS AFFAIRS PAGE 1 OF 16 Department of Veterans Affairs On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage! a menu-driven database system. INTERNET address for GSA Advantage! is: http://gsaadvantage.gov Federal Supply Schedule 621I for Professional and Allied Healthcare Staffing Service Product Service Code Q NAICS: 561320 Contract Number V797P- 4645a For more information on ordering from Federal Supply Schedules click on the FSS Schedules button at http://www.fss.gsa.gov Contract Period: April 12, 2004 to April 11, 2009 Contractor: C&A Industries/Aureus Medical Mgmt. Svces 13609 California Street Omaha, NE 68154 Web Address: www.aureusmedical.com Contract Administration Source: Roxanne Stanard Phone: (402) 891-1118, Ext. 6009 Fax: ( 402) 895-7812 Email: rstanard@aureusmedical.com Business Size: Large DUNS# 12-834-2859 TIN #45-049-1769 Contractor is registered in the Central Contractor Registration database CCR Reference#: CAGE/NCAGE Code - 3YPK0

DEPARTMENT OF VETERANS AFFAIRS PAGE 2 OF 16 Customer Information 1. Awarded Special Item Numbers: AUREUS RADIOLOGY, LLC 621-034 Respiratory Therapist 621-035 Physical Therapist 621-037 Occupational Therapist 621-046 Clinical Laboratory Science/ Medical Technology - Medical Technologist 621-050 Cardiovascular Technologist (includes General, Interventional, Echo, & Cath Lab) 621-050 Computed Tomography (CT) Technologist 621-050 Magnetic Resonance Imaging (MRI) Technologist 621-050 Mammographer 621-050 Nuclear Medicine Technologist 621-050 Radiation Therapist 621-050 Diagnostic Imaging Radiographer/X-Ray 621-050 Sonography/Ultrasound (OB/GYN, Vascular, Cardiac) AUREUS NURSING, LLC 621-025 Registered Nurse - General 621-025 Registered Nurse - Operating Room 621-025 Registered Nurse - Medical Surgical 621-025 Registered Nurse - Intensive Care 621-025 Registered Nurse - Coronary Care 621-025 Registered Nurse - Pediatric 621-025 Registered Nurse - OB/GYN Clinical 621-025 Registered Nurse - Psychiatric 621-025 Registered Nurse - Emergency Room 621-025 Registered Nurse - Geriatric 621-025 Registered Nurse - Oncology 621-025 Registered Nurse - Long Term Care 621-025 Registered Nurse - Radiology / Cath Lab 621-025 Registered Nurse - Telemetry 621-025 Registered Nurse - NICU / PICU 621-025 Registered Nurse - L & D 621-025 Registered Nurse - Dialysis 621-038 Licensed Practical / Vocational Nurse 621-049 Surgical Technologist

DEPARTMENT OF VETERANS AFFAIRS PAGE 3 OF 16 AUREUS ADVANCED PRACTICE, LLC 621-030 Physician Assistants 621-053 Certified Registered Nurse Anesthesist (CRNA) 621-054 Nurse Practitioner 2. Maximum Order Threshold: $1 million per order. 3. Minimum Order/Assignment: 36 Work Hours No permanent placement fees or lead times. Exceptions: If Aureus has a pre-qualified employee in the geographic area of the facility, we are able to accept a minimum order of 16 Work Hours. 4. Geographic Coverage: All 50 United States including Washington, D.C, Alaska, and Hawaii; and US territories and possessions. 5. Prompt Payment Terms and Discounts: Net 30 days from receipt of invoice. 6. Government Commercial Credit Card: Accepted 7. Ordering Address: C&A Industries, Inc/Aureus Medical Mgmt. Svcs. 13609 California Street Omaha, NE 68154 8. Payment Address: C&A Industries, Inc/Aureus Medical Mgmt. Svcs. 13609 California Street Omaha, NE 68154 9. Prices shown herein are net ceiling prices-not to exceed rates. The net ceiling rates include malpractice insurance for non-personal services task-orders and excludes travel and lodging. Personal Services task-orders will also be accepted. See pages 4 & 5. 10. : See pages 7 17. 11. Medical Liability Insurance: One million ($1,000,000) per occurrence; Three million ($3,000,000) aggregate. 12. Ordering Procedures: For services, the ordering procedures, information on Blanket Purchase Agreements (BPA s), reference the Federal Acquisition Regulation (FAR) 8.405-3.

DEPARTMENT OF VETERANS AFFAIRS PAGE 4 OF 16 Contractor Name: C&A Industries/Aureus Medical Mgmt. Svces Contract # V797P- 4645a NOT TO EXCEED RATES AUREUS RADIOLOGY, LLC SIN Description Rate 621-034 Respiratory Therapist $52.00 621-035 Physical Therapist $58.00 621-037 Occupational Therapist $56.00 621-046 621-050 Clinical Laboratory science/ Medical Technology - Medical Technologist Cardiovascular Technologist (includes General, Interventional, Echo, & Cath Lab) $42.72 $63.65 621-050 Computed Tomography (CT) Technologist $63.65 621-050 Magnetic Resonance Imaging (MRI) Technologist $63.65 621-050 Mammographer $54.20 621-050 Nuclear Medicine Technologist $64.00 621-050 Radiation Therapist $65.65 621-050 Diagnostic Imaging Radiographer/X-Ray $60.00 621-050 Sonography/Ultrasound (OB/GYN, Vascular, Cardiac) $65.65

DEPARTMENT OF VETERANS AFFAIRS PAGE 5 OF 16 Contractor Name: C&A Industries/Aureus Medical Mgmt. Svces Contract # V797P- 4645a NOT TO EXCEED RATES AUREUS NURSING, LLC SIN Description Rate 621-025 Registered Nurse - General $44.00 621-025 Registered Nurse - Operating Room $46.75 621-025 Registered Nurse - Medical Surgical $48.00 621-025 Registered Nurse - Intensive Care $45.60 621-025 Registered Nurse - Coronary Care $45.60 621-025 Registered Nurse - Pediatric $58.00 621-025 Registered Nurse - OB/GYN Clinical $56.00 621-025 Registered Nurse - Psychiatric $52.00 621-025 Registered Nurse - Emergency Room $47.20 621-025 Registered Nurse - Geriatric $52.00 621-025 Registered Nurse - Oncology $58.00 621-025 Registered Nurse - Long Term Care $52.00 621-025 Registered Nurse - Radiology / Cath Lab $58.00 621-025 Registered Nurse - Telemetry $58.00 621-025 Registered Nurse - NICU / PICU $56.00 621-025 Registered Nurse - L & D $58.00 621-025 Registered Nurse - Dialysis $50.00 621-038 Licensed Practical / Vocational Nurse $46.00 621-049 Surgical Technologist $42.00

DEPARTMENT OF VETERANS AFFAIRS PAGE 6 OF 16 Contractor Name: C&A Industries/Aureus Medical Mgmt. Svces Contract # V797P- 4645a NOT TO EXCEED RATES AUREUS ADVANCED PRACTICE, LLC SIN Description Rate 621-030 Physician Assistants $66.25 621-053 Certified Registered Nurse Anesthesist (CRNA) $118.88 621-054 Nurse Practitioner $66.25 SHIFT DIFFERENTIALS: Evening/Night/ Weekend: Applicable only if desired by ordering facility. Overtime Rate: Double Time: Holiday Pay Rate: Workweek: On Call: Call Back: 1.3 x the normal hourly rate Overtime in excess 40 hrs per week per state and labor laws 2 x normal hourly rate. (If applicable) 1.5 x the normal hourly rate (For all Government Holidays) Sunday through Saturday $8 per hour rate for time provider is on call. On call is to carry a beeper or cell phone. The provider must be within 30 minutes radius of the facility or the approved radius from the hospital. 1.3 times the normal hourly rate for all hours worked on call back (minimum of 1hour).

DEPARTMENT OF VETERANS AFFAIRS PAGE 7 OF 16 Aureus Radiology, LLC 621-034 Respiratory Therapist Respiratory Therapy: Graduate of an accredited program; CRT required, RRT required. Applicable state requirements must be met for licensure. 621-035 Physical Therapist & Physical Therapy Assistant Checklist must be completed to match skill level proficiency to job assignment Physical Therapy: Graduate of an accredited program; 621-037 Occupational Therapist & Occupational Therapy Assistant Occupational Therapy: Graduate of an accredited program; 621-046 Medical Technologist Medical Technology: Graduate of an accredited program; ASCP, ABHI, or HEW/HHS certification required. Applicable state requirements must be met for licensure. Not required. Not required.

DEPARTMENT OF VETERANS AFFAIRS PAGE 8 OF 16 Aureus Radiology, LLC 621-050 Cardiovascular Technologist (includes General, Interventional, Echo, & Cath Lab) Radiologic Technology / Cardiovascular Technology: Graduate of an accredited program; Diploma, Associate Degree or greater ARRT and/or CCI certification required. Applicable state requirements must be met for licensure. 621-050 Computed Tomography (CT) Technologist Radiologic Technology / Computed Tomography: Graduate of an accredited program; Diploma, Associate Degree or greater ARRT certification required. Applicable state requirements must be met for licensure. 621-050 Magnetic Resonance Imaging (MRI) Technologist Radiologic Technology / Magnetic Resonance Imaging: Graduate of an accredited program; Diploma, Associate Degree or greater ARRT certification required. Any state requirements must be met for licensure. 621-050 Mammographer Radiologic Technology / Mammography: Graduate of an accredited program; ARRT certification required. Applicable state requirements must be met for licensure.

DEPARTMENT OF VETERANS AFFAIRS PAGE 9 OF 16 Aureus Radiology, LLC 621-050 Nuclear Medicine Technologist 621-050 Radiation Therapist Radiologic Technology / Nuclear MedicineTechnology: Graduate of an accredited program; Diploma, Associate Degree or greater ARRT, NMTCB, or NCT certification required. Applicable state requirements must be met for licensure. Radiation Oncology / Therapy: Graduate of an accredited program; ARRT certification required. Applicable state requirements must be met for licensure. 621-050 Diagnostic Imaging Radiographer/X-Ray 621-050 Sonography/Ultrasound (OB/GYN, Vascular, Cardiac) Radiologic Technology: Graduate of an accredited program; ARRT certification required. Applicable state requirements must be met for licensure. Radiologic Technology / Sonography: Graduate of an accredited program; ARRT or ARDMS certification required. Any applicable state requirements must be met for licensure.

DEPARTMENT OF VETERANS AFFAIRS PAGE 10 OF 16 Aureus Radiology, LLC 621-050 Dosimetrist 12 months within the past 2 years Dosimetry: Graduate of an accredited program; Bachelor s Degree or greater 621-050 Physicist 12 months within the past 2 years Dosimetry: Graduate of an accredited program; Bachelor s Degree or greater

DEPARTMENT OF VETERANS AFFAIRS PAGE 11 OF 16 Aureus Nursing, LLC 621-025 Registered Nurse - General 621-025 Registered Nurse - Operating Room 621-025 Registered Nurse - Medical Surgical 621-025 Registered Nurse - Intensive Care CCRN required. Applicable state requirements must be met for licensure.

DEPARTMENT OF VETERANS AFFAIRS PAGE 12 OF 16 Aureus Nursing, LLC 621-025 Registered Nurse - Coronary Care CCRN required. Applicable state requirements must be met for licensure. 621-025 Registered Nurse - Pediatric Bachelors of Science in Nursing is required. PALS or NALS required. Applicable state requirements must be met for licensure. 621-025 Registered Nurse - OB/GYN Clinical 621-025 Registered Nurse - Psychiatric

DEPARTMENT OF VETERANS AFFAIRS PAGE 13 OF 16 Aureus Nursing, LLC 621-025 Registered Nurse - Emergency Room CEN required. Applicable state requirements must be met for licensure. 621-025 Registered Nurse - Geriatric 621-025 Registered Nurse - Oncology Chemotherapy Certification required. Applicable state requirements must be met for licensure. 621-025 Registered Nurse - Long Term Care

DEPARTMENT OF VETERANS AFFAIRS PAGE 14 OF 16 Aureus Nursing, LLC 621-025 Registered Nurse - Radiology / Cath Lab ; Prefer additional completion of Cardiovascular Program 621-025 Registered Nurse - Telemetry 621-025 Registered Nurse - NICU / PICU NALS/PALS and/or NRP required as appropriate to position; 621-025 Registered Nurse - L & D

DEPARTMENT OF VETERANS AFFAIRS PAGE 15 OF 16 Aureus Nursing, LLC 621-025 Registered Nurse - Dialysis 621-038 Licensed Practical / Vocational Nurse Licensed Practical Nursing: Graduate of an accredited program; 621-049 Surgical Technologist Surgical Technology: Graduate of an accredited program; CST certified or certifiable. Any applicable state requirements must be met for licensure.

DEPARTMENT OF VETERANS AFFAIRS PAGE 16 OF 16 Aureus Advanced Practice, LLC 621-030 Physician Assistants 12 months in field and/or specialty area to be employed in within the past 2 years. Graduate of a medical education program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or equivalent. PA-C credential preferred - Conferred by the National Commission on Certification of Physician Assistants (NCCPA), the Physician Assistant-Certified (PA-C ) credential is required in all 50 states for initial licensure and in 19 states for licensure renewal. Applicable state requirements must be met for licensure. Minimum of 621-053 Certified Registered Nurse Anesthetist 12 months in field and/or specialty area to be employed in within the past 2 years. Graduate of an accredited nurse anesthesia educational program of 24-36 months, accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA). A Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree, and a current license as a registered nurse are common pre-requisites. Over 20 states have adopted the requirement for a Master s Degree. ACLS or equivalent required Minimum of 621-054 Nurse Practitioner 12 months in field and/or specialty area to be employed in within the past 2 years. Graduate of an accredited Nurse Practitioner or Advanced Nursing Practice program, usually Masters Degree level as a minimum (or higher). A Bachelor of Science in Nursing (BSN) or other appropriate baccalaureate degree, and a current license as a registered nurse are common prerequisites. Minimum of