SPECIALTY LABORATORIES
S-1/A, EX-10.19, 2000-10-10
MEDICAL LABORATORIES
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                                                                   EXHIBIT 10.19

CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR CERTAIN REDACTED PROVISIONS OF
THIS AGREEMENT. THE REDACTED PROVISIONS ARE IDENTIFIED BY THREE ASTERISKS
ENCLOSED BY BRACKETS AND UNDERLINED. THE CONFIDENTIAL PORTION HAS BEEN FILED
SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.


Manufacturer Agreement between MHA
And Specialty Laboratories



                                    AGREEMENT


                                     BETWEEN


                      MANAGED HEALTHCARE ASSOCIATES, INC.


                                       AND


                          SPECIALTY LABORATORIES, INC.

THIS AGREEMENT is made between Managed Healthcare Associates, Inc. of
Louisville, Kentucky (hereinafter collectively referred to as MHA) and Specialty
Laboratories of Santa Monica, CA, hereinafter called Manufacturer. MHA and
Specialty Laboratories agree as follows:

PRODUCT CATEGORY

Reference Laboratory

PRODUCTS COVERED

Reference Laboratory Services
Please include Tests and Pricing as Exhibit A.

PERIOD OF AGREEMENT

The initial term of the Agreement will be three (3) years beginning June 1, 2000
and expiring on May 31, 2003. An option to renew for a successive two (2) year
period (June 1, 2003 through May 31, 2005) will be considered upon mutual
written agreement by both parties.

TERMS AND CONDITIONS

          1.   PRICING (Check one or both if applicable)

                  /X/    Net price to an account
                  / /    Other

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               The prevailing list price for the term of the agreement shall be
               derived from the current Specialty Laboratories 2000 Directory of
               Services.

          2.   PRICE PROTECTION AND ESCALATOR GUARANTEE

               Price protection shall be firm for the duration of the initial
               Agreement. If the Agreement is extended for the optional two (2)
               year period, pricing will increase by no more than [***]* for the
               subsequent period.

<TABLE>
<CAPTION>

                                                                      LENGTH OF                    MAX % OF
                                                                     PROTECTION               ESCALATOR INCREASE
<S>                                                                  <C>                      <C>
                 1st period of price protection                        [***]*                       [***]*
                                                                     ---------                    ---------
                 2nd period of price protection                        [***]*                       [***]*
                                                                     ---------                    ---------
                 3rd period of price protection                        [***]*                       [***]*
                                                                     ---------                    ---------

                 ----------------------------------------------
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          3.   CONTRACT IMPLEMENTATION

                  The Manufacturer will endeavor to implement this agreement
                  within forty-five (45) days of signing. This implementation
                  will include contacting MHA facilities and/or jointly
                  providing contract information to all of the MHA authorized
                  members listed on Attachment B, if indicated. Failure to
                  comply to this condition may result in the cancellation of the
                  agreement.

          4.   CONVERSION INCENTIVES

               At this time, SPECIALTY reserves the right to not offer any
               Conversion Incentives.

          5.   VOLUME INCENTIVES

               / /  Improved pricing if group totals exceed projections
               / /  Discounts for large users from individual facilities or
                    integrated groups.
               / /  Improved pricing for teaching facilities
               /X/  None of the above. However, in addition to the pricing
               provided in Exhibit A, an [***]* reduction in standard list
               price, as published in the Price List current at the time the
               testing is ordered, will be granted for all tests not listed in
               Attachment A. Tests that are unique to SPECIALTY are not included
               in the [***]* reduction in standard list price. Further, the
               [***]* reduction in standard list price does not apply to any
               tests that are referred out and any new tests introduced by
               SPECIALTY after the effective date of this Agreement. In
               addition, SPECIALTY may, at its sole discretion, offer further
               price reductions of up to [***]*, to MHA members that agree to
               consistently commit at least [***]* of their total available
               referral volume. The selection of these additional tests must be
               made prior to executing SPECIALTY'S "Member Agreement" and the
               pricing will remain fixed for

----------------------
         * PORTIONS OF THIS PAGE HAVE BEEN OMITTED PURSUANT TO A REQUEST FOR
CONFIDENTIAL TREATMENT AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE
COMMISSION.

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               the term of the Agreement. No additional price reductions will be
               considered during the term of the Agreement.

          6.   NEW PRODUCTS/TECHNOLOGY

               All new procedures and technology will be added under the terms
               and conditions of this agreement. Manufacturer is obligated to
               maintain technological parity with other Manufacturers to insure
               that MHA members are offered state of the art testing methods.

               In the event SPECIALTY plans to make a change to a test
               (methodology, specimen, reference ranges, etc.), we attempt to
               give clients thirty (30) days advance notice. An assessment is
               made concerning the necessity and advisability of the change in
               terms of our client's needs and ease of use. The completion of a
               TIF (Test Information Form) form sets off a series of activities
               that result in: (1) the test performance and validation data
               being comprehensively reviewed, (2) the test being changed in the
               computer with a note appended which clearly announces the change,
               (3) letters notifying clients of the change being sent via fax,
               autodial printer and/or mail, (4) follow-up to insure that the
               test is being performed and results reported as indicated in the
               change letter.

               Tests not previously listed in the Directory of Services (DOS) or
               as sendouts, do not require lead-time for notification. We will
               send out informational materials to clients and can send a sample
               report to those clients who typically build the test in their own
               computers for their sendouts.

          7.   RETURN GOODS POLICY

               The Manufacturer must provide a formal policy to MHA members for
               reporting of incorrect results or errors in testing. The policy
               should include the contact person's name and phone number
               responsible for maintaining this policy. In addition, full credit
               will be issued for incorrectly reported tests. Please include
               policy as Exhibit B.

          8.   ENVIRONMENTAL POLICY

               The Manufacturer agrees to recognize and support environmental
               policies and procedures of MHA members pursuant to local, state
               and federal guidelines.

          9.   VALUE-ADDED SERVICES

               If indicated, Manufacturer will provide educational programs to
               MHA members at no charge. Please list services as separate
               Exhibit C.

          10.  PRODUCT RECALL - NOT APPLICABLE

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          11.  MATERIAL SAFETY DATA SHEET (MSDS) - SPECIMEN HANDLING PROCEDURES

               Manufacturer will provide MHA members Material Safety Data Sheets
               and procedures relative to specimen handling and transportation,
               as applicable. Submit as Exhibit D.

          12.  TESTING SITES

               / X / Primary Testing Site

               Company Name                  Specialty Laboratories, Inc.
               Address                       2211 Michigan Avenue
                                             -------------------------------
               City/State/Zip                Santa Monica, CA 90404
                                             -------------------------------
               Telephone                     (310) 828-1492
                                             -------------------------------
               Contact Name                  Michael K. Bond, Director, Contract
                                             -------------------------------
                                             Administration
                                             -------------------------------

                /   /    Regional Sites-Supply a list - NOT APPLICABLE


          13.  MINIMUM ORDER

               Direct:     / X / None        / / Other
                                                        ---------------

               / /  Through distribution. Per servicing distributor's policy.

          14.  TESTING TURNAROUND AND FREQUENCY OF TESTING

               Enclosed as Exhibit F, a copy of Manufacturers frequency of
               testing and any other polices relating to special test batching
               or turnaround time.

          15.  SAMPLES

               Manufacturer will maintain a policy for rejecting unacceptable
               specimen. Attach a copy of Manufacturers policy for specimen
               rejection and a method of notification to members in Exhibit G.

          16.  PAYMENT TERMS

               Direct:   / X / Net 30 days    / / Other
                                                          ---------------

               Explain any exceptions to direct account billing as Exhibit K.
               There are no exceptions to direct account billing, except when
               required by regulatory guidelines.

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          17.  INSURANCE

               Manufacturer will be required to maintain product liability
               insurance for a minimum of $1,000,000. Please provide a statement
               of coverage in Exhibit H.

          18.  INDEMNIFICATION, WARRANTIES, SPECIFICATIONS

               Each party agrees to mutually indemnify and hold harmless, their
               directors, officers, employees, and agents from and against any
               and all claims, actions, or liabilities of any nature which may
               be assessed against them by third parties in connection with the
               performance of services under this Agreement.

          19.  SALES DEVELOPMENT PROGRAM

               In consideration of the administrative and sales development
               services provided by MHA, Manufacturer will pay MHA a sales
               development fee in an amount equal to [***]* of the net purchases
               made by members, as determined from distributor records. MHA
               represents and warrants that fees or other amounts received from
               manufacturers are disclosed in accordance with the requirements
               of 42 CFR Part 1001.952(j). The purpose of this fee is to support
               MHA sales and marketing efforts in connection with this
               agreement. The fee will be computed and paid monthly within
               thirty (30) days after the last day of the month (payment due
               date). If fee cannot be reported and paid by payment due date, an
               estimated payment equal to 100% of prior payment will be required
               within 15 days after payment due date.

               CHECKS FOR SALES DEVELOPMENT PAYMENTS SHOULD BE MADE PAYABLE AND
               MAILED TO MHA, 25-A VREELAND ROAD, SUITE 203, FLORHAM PARKLAND NJ
               07932.

               In order to assist MHA and its representatives, Manufacturer
               agrees that a qualified Manufacturer sales representative will
               call on MHA members as needed. Furthermore, Manufacturer will
               provide MHA monthly reports showing total purchases in units and
               dollars by product code. These reports will be provided in an
               electronic format as outlined on Attachment C, unless an
               alternative format is mutually agreeable.

          20.  MANAGEMENT REPORTS

               Manufacturer will be expected to submit on a monthly basis in the
               format described in Attachment C. Further, the information data
               must be provided as indicated below:

               1)   Combined sales for each facility. (Totaled for group)
               2)   Sales by product for each facility, subtotaled by facility.
                    (Totaled for group)

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         * PORTIONS OF THIS PAGE HAVE BEEN OMITTED PURSUANT TO A REQUEST FOR
CONFIDENTIAL TREATMENT AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE
COMMISSION.


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               NOTE: IN AN EFFORT TO BETTER SERVE OUR HEALTHCARE FACILITIES AND
               OUR CONTRACT VENDORS, MHA WILL UTILIZE THE "HEALTH INDUSTRY
               NUMBER" (HIN) AS DESCRIBED BY THE HEALTH INDUSTRY BUSINESS
               COMMUNICATION COUNCIL (HIBCC). MHA WILL USE THIS NUMBER SYSTEM
               FOR ALL DATA INTERCHANGE WITH VENDORS AND MEMBERS.

               Currently using the HIN? ( ) Yes ( X ) No

          21.  RECORDS

               a.   It is agreed that, in the event the value or cost of the
                    services rendered to the MHA member under this contract
                    equals or exceeds the sum of $10,000 in any twelve (12)
                    month period, Manufacturer shall maintain and preserve all
                    books, records and documents pertaining to its performance
                    of services for the MHA member for four (4) full years
                    following performance of those services and during that time
                    shall make available upon request of the Secretary of the
                    Department of Health and Human Services or the Comptroller
                    General of the United States or their duly authorized
                    representative this contract and all books, records and
                    documents necessary to verify the nature and extent of such
                    costs.

               b.   It is further agreed that should Manufacturer carry out any
                    of its obligations under this contract through a subcontract
                    having a value or cost equal to or exceeding S 10,000 over
                    any twelve (12) month period, with a related organization,
                    said subcontract shall require the related organization to
                    maintain and preserve all books, records and documents
                    pertaining to its performance and services for Manufacturer
                    for four (4) full years following performance of those
                    services and during that time, to make available upon
                    request of the Secretary of the Department of Health and
                    Human Services or the Comptroller General of the United
                    States or their duly authorized representative, the
                    subcontract and all books, records and documents necessary
                    to verify the nature and extent of such costs.

     22.  CANCELLATION

               In the event that either Manufacturer or MHA believes that the
               other is in default in performance of the terms of this
               agreement, thirty (30) days written notice shall be given to such
               party specifying the nature of the default and specifying that if
               such default is not cured within thirty (30) days of the date of
               notice, the other party shall have the right to cancel the
               agreement by giving sixty (60) days written notice of its intent
               to cancel.

     23.  ELIGIBILITY TO PARTICIPATE

          This proposal is extended to all MHA members and to Veterans
          Administration facilities on MHA membership listing with the exception
          of those type or facilities you list below:

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          Non eligible facilities: NO EXCEPTIONS

          1)                                4)
             -----------------------            -----------------------
          2)                                5)
             -----------------------            -----------------------
          3)                                6)
             -----------------------            -----------------------

          IF YOU LISTED ANY TYPE OF FACILITY TO WHICH THIS PRICING WOULD NOT BE
          EXTENDED, PLEASE SUBMIT AN ALTERNATE PROPOSAL FOR THOSE FACILITIES. BE
          SURE TO CLEARLY IDENTIFY WITHIN YOUR PROPOSAL THE TYPES OF FACILITIES
          (I.E., HMO, NURSING HOME) WHICH ARE ELIGIBLE FOR YOUR ALTERNATE
          PRICING.

          MHA reserves the right to add or delete members during the period of
          this agreement by providing the Manufacturer THIRTY (30) DAYS WRITTEN
          NOTICE.

          SPECIALTY WILL NOT AUTOMATICALLY IMPLEMENT CONTRACT COVERAGE TO NEW
          PARTICIPATING FACILITIES, BUT CONTACT THE NEW MEMBER(S) IN AN EFFORT
          TO OBTAIN COMMITMENT.

     NOTE: PROPOSAL/AGREEMENT ENCOMPASSES ALL MHA MEMBERS AND THE SELECTED VA
     FACILITIES ON THE MHA MEMBERSHIP LISTING. NO EXCEPTIONS. SPECIALTY WILL NOT
     ACCEPT PENALTY FOR INCORRECT INVOICES AFTER THE EFFECTIVE DATE OF
     PARTICIPATION, CONTINGENT UPON CREDIT APPROVAL AND MHA MEMBER SIGNING
     MEMBER AGREEMENT. A COPY OF THE MEMBER AGREEMENT IS ATTACHED AS EXHIBIT I.

     24.  REVIEW OF MANUFACTURER RECORDS

          a.   At any time while this agreement is in effect, MHA reserves the
               right upon giving reasonable notice to review the records of the
               Manufacturer for the purpose of verifying reported sales to
               members and the calculation of the sales development fee outlined
               in Paragraph 21. These records should be made available at the
               Manufacturer's business office during normal business hours. The
               cost associated with this review will be the responsibility of
               MHA unless it is determined that the sales development fee
               payment has been understated by twenty-five percent (25% ) or
               more.

          b.   MHA acknowledges that records and information received during any
               audit are confidential in nature, and MHA agrees not to disclose
               same to persons or parties not participating in this or MHA
               programs.

          25.  TRANSFERABILITY

               In the event that MHA and/or Specialty Laboratories, Inc.
               transfers ownership and/or marketing rights of products listed on
               Exhibit A to another entity during the term of this agreement,
               either party's rights and privileges as expressed by the terms
               and conditions contained herein shall also be transferred upon
               the agreement and consent of MHA and Specialty Laboratories Inc.

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          26.  SUBMISSION OF DOCUMENT

               Submission of this document constitutes a legal offer. Therefore,
               should any or all of said document be accepted and in exchange
               for being designated as a contracted Manufacturer, said
               Manufacturer hereby agrees to be legally bound to provide each
               MHA facility, present and future on an as desired basis, any
               items encompassed in said document pursuant to the terms of the
               respective agreement. This will be subject to credit approval and
               execution of Member Agreement.

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<CAPTION>

ACCEPTED BY:                                               ACCEPTED FOR:
MANAGED HEALTHCARE ASSOCIATES                              SPECIALTY LABORATORIES

<S>            <C>                                         <C>   <C>

By                        Kenneth L. Flood                 By                   Michael K. Bond
              -------------------------------------              ------------------------------------
                            Please Print                                          Please Print


By                      /s/ KENNETH L. FLOOD               By                 /s/ MICHAEL K. BOND
              -------------------------------------              ------------------------------------
                             Signature                                             Signature

Title        Vice President-Laboratory Services            Title    Director, Contract Administration
              -------------------------------------              ------------------------------------

Date                            5/31/00                    Date                       6/7/00
              -------------------------------------              ------------------------------------
</TABLE>


SIGNATURE BY BOTH PARTIES CONSTITUTES A LEGAL AND BINDING AGREEMENT







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