Exhibit 10 (m) November 10, 1995 Mr. Hue Thomas III Vice President Owens & Minor, Inc. The Innsbrook Corporate Center 4800 Cox Road Glen Allen, VA 23060 Dear Hue, Attached are the amendments to the Enhanced Authorized Distribution Agency Agreement, dated as of November 16, 1993, which will be effective as on November 1, 1995. In addition the affected Schedules will be replaced and/or added effective November 1, 1995: 1) Schedule 1 Reflecting assigned health care organizations 2) Schedule 6 Base Cost + Plus Matrix 6A Payment Terms Outline 6B System Definition and Pricing 6BI System Definition Blended Worksheet 6C EOE/EDI Requirements 6D Initial Implementation Process 3) Schedule 7 ADA Utilization Acknowledgement Form 7A ADA Notification Form Changes to the Services Menu 4) Schedule 8 Payment Terms Options 5) Schedule 12A Distribution and Pricing of Non-Traditional Products 12B List of Non-Traditional Manufacturers and Products 6) Schedule 15 Service Menu 15A Service Menu Definitions 7) Schedule 20 ADA Responsibilities 8) Schedule 22A Service Requirements 22B Service Requirements Notification In the past, VHA has developed action plans with ADA's to address issues of non performance or breach of the ADA Agreement terms. VHA no longer intends to utilize such an action plan process and will simply provide notice of breach in accordance with Section 12 of the ADA Agreement. Please sign the original of this letter to acknowledge your agreement and acceptance of these amendments and return the originals to my attention. If you have any questions or need additional information please do not hesitate in contacting me at your convenience. Sincerely, Larry Dooley Senior Director, Distribution Services cc: Bill Elliott Richard Heard AGREED and ACCEPTED as of this ______ day of November _______, 1995 Owens and Minor, Inc. By: Title: Date: NOVEMBER 1, 1995 AMENDMENT TO ENHANCED AUTHORIZED DISTRIBUTION AGENCY AGREEMENT DATED AS OF NOVEMBER 16, 1993 Replace Section 1 (7) in its entirety as follows: (7) "Cost" refers to the lowest of (a) (in the case of a Contract Product) the amount provided in the applicable Purchasing Agreement as the price to be billed to the Designated VHA Member and Affiliates without subtraction for cash discounts allowed by Vendors for prompt payment and prior to the addition of the Base Price Matrix, (b) ADA's [this confidential information has been omitted and filed separately with the Commission] in obtaining the products, including actual inbound freight charges not paid or credited by manufacturer and actually paid by ADA not reflected on invoices from manufacturers, distributors or others (such [this confidential information has been omitted and filed separately with the Commission] shall be reduced to reflect proportionately: [this confidential information has been omitted and filed separately with the Commission] and, except for (i) [this confidential information has been omitted and filed separately with the Commission] allowed and rebates paid or credited by vendors for prompt payment and (ii) [this confidential information has been omitted and filed separately with the Commission] provided by ADA to Vendors, any and all value received by ADA or from which ADA derives any direct or indirect benefit related in any way to the product where ADA's cost affected), or (c) the net distributor cost of any product pursuant to any agreement between the Designated VHA Member or Affiliate and the Vendor of such products. In addition to the foregoing, after October 31, 1995, Cost for any product may be increased by the amount equal to the decrease in prompt payment or cash payment discount terms offered by a manufacturer and actually taken on a consistent basis by ADA. In Section (6) (A) in the last sentence in Section (A) change [this confidential information has been omitted and filed separately with the Commission] to [this confidential information has been omitted and filed separately with the Commission] Delete Section (6) (A) (1) Initial Implementation: in its entirety and replace with the following: (1) Initial Implementation: See Schedule 6D for implementation process for new Designated VHA Members or Affiliates In Section (6) (A) (2) Annual Price Matrix Slotting; replace "On or before April 1 of each year after 1994 during the term of this Agreement" with "On or before July 1 of each year after 1995 during the term of this Agreement" NOVEMBER 1, 1995 AMENDMENT TO ENHANCED AUTHORIZED DISTRIBUTION AGENCY AGREEMENT DATED AS OF NOVEMBER 16, 1993 Delete Section (6) (A) (3) Quarterly Performance Bonus: in its entirety with the following: (3) Semiannual Performance Bonus: Commencing with June 30, 1996, and for each six month period thereafter, each Designated VHA Member or Affiliate whose performance qualifies for a lower cost + plus in the Price Matrix than its current Annual Slotting will receive a Semiannual Performance Bonus from the ADA within thirty (30) days after final sales figures are available from the prior semiannual period in the form of either a check or a credit to the account, at the Designated VHA Member or Affiliate's election. The amount of Semiannual Performance Bonus shall be calculated by taking the difference between the cost + plus percentage of the Designated VHA Member or Affiliate's current Annual Slotting and the cost + plus percentage applicable to the Designated VHA Member or Affiliate's actual performance for the semiannual period multiplied by the total amount of purchases through ADA for that quarter. Semiannual Performance Bonus will not be available for Hospitals who are on a fixed-fee-for- service basis. In these cases, the Pricing Matrix will be used for the purpose of determination of the VHA fee only. Replace Section 6 (A) (4) "Failure to Maintain Slotting: in its entirety with the following: (4) Failure to Maintain Slotting" Any Designated VHA Member or Affiliate which fails to maintain actual semiannual performance at least equal to its current Annual Slotting for any semiannual period shall have its Price Matrix location adjusted immediately to reflect actual performance for the most recently completed semiannual period. NOVEMBER 1, 1995 AMENDMENT TO ENHANCED AUTHORIZED DISTRIBUTION AGENCY AGREEMENT DATED AS OF NOVEMBER 16, 1993 Replace Section 6 (E) Fill Rate, in its entirety with the following: (E) Fill Rate, ADA shall maintain for each Designated VHA Member or Affiliate an unadjusted fill rate of 96% for all "A" items. "A" items are defined as those items that are stock items and are ordered by the Designated VHA Member or Affiliate not less than two times per month in accordance with the usage guidelines provided in Schedule 22A. ADA will provide to VHA Member or Affiliate by 2/1 of each year commencing with 2/1/96 and each year after the VHA Members or Affiliate's "A" items list and the ADA and VHA Member or Affiliate will mutually agree to the "A" list by 3/15 of same year. ADA shall maintain for such Designated VHA Member or Affiliate an unadjusted fill rate of 92% on all "Formulary Items." "Formulary Items" are defined as mutually agreed upon stock items ordered by Designated VHA Members or Affiliates at least once per month (other than "A" Items" and in accordance with usage guidelines provided in Schedule 22A. needs to be provided to the VHA Member or Affiliate by the ADA by 2/1/96 and each year after and agreed to by the ADA and VHA Member of Affiliate by 3/15 of same year. Unadjusted fill rate shall be calculated by total number of lines ordered fully delivered, divided by total number of lines ordered. NOVEMBER 1, 1995 AMENDMENT TO ENHANCED AUTHORIZED DISTRIBUTION AGENCY AGREEMENT DATED AS OF NOVEMBER 16, 1993 Replace Section 6 (J) Delivery of Non-Traditional Products, in its entirety with the following: (J) Delivery of Non-Traditional Products, See Schedule 12, 12A and 12B for additional terms of including Non- Traditional Products. "The inclusion of Non- Traditional Products if agreed to be distributed by the ADA to a Designated VHA Member or Affiliate the volume is mandatory and the price is determined as follows: - VHA Members or Affiliate's base cost + plus + - Mandatory Non-Traditional Service Fee of [this confidential information has been omitted and filed separately with the Commission] + - Service Matrix Fees (if applicable) = - Effected Cost + Plus + - Actual inbound freight if not paid by manufacturer The Non-Traditional Product List is in Schedule 12B, Each ADA must provide a list of Non-Traditional Manufacturer's and their products. Each month a separate line item report due on the 10th with all other reports, ADA shall provide to VHA and VHA Member or Affiliate with the following detail: - Manufacturer Name - Product Name and Description - Price Charged to VHA Member or Affiliate - How price was derived to VHA Member or Affiliate See Schedule 12, 12A and 12B for Delivery of Non- Traditional Products NOVEMBER 1, 1995 AMENDMENT TO ENHANCED AUTHORIZED DISTRIBUTION AGENCY AGREEMENT DATED AS OF NOVEMBER 16, 1993 Add a new Section 6 (M) as follows: (M) ADA Service Responsibilities as set forth in Schedule 22, lists the responsibilities of the ADA and the requirements of the Designated VHA Member of Affiliate, with Penalties and rewards for the ADA upon failure to perform or for exceeding service responsibilities expectation. Replace Section (7) (B) Patient Charge-Item Labelling, in its entirety with the following: (B) Patient Charge Labelling ADA shall charge [this confidential information has been omitted and filed separately with the Commission] per label regardless who supplies the label. In Section 7 (E) Emergency Deliveries, at the end of the paragraph add the following: "ADA may charge [this confidential information has been omitted and filed separately with the Commission] for providing product for emergency deliveries" In Section 7 (F) Barcoding, at the end of the paragraph add the following: "ADA may charge [this confidential information has been omitted and filed separately with the Commission] it occurs in providing Barcoding labels" In Section 11 (R) Favored Customer Pricing, at the end of the paragraph add the following: "Upon written request by VHA, each ADA shall provide written verification that the terms and conditions of the ADA Agreement, and in particular the cost + plus and service matrix pricing, provides value to VHA Members of Affiliates no less than the lowest price and greatest value offered by ADA to any other customer other than the government. As competitive situations arise during the term of this Agreement, it will be necessary for VHA and ADA to mutually agree on meeting specific competitive situations that are strategically important to VHA and ADA, in particular with regards to Designated VHA Members or Affiliates request for proposal (RFP), VHA and ADA mutually agree to notify each other within five (5) business days upon receipt of RFP from Designated VHA Member or Affiliate and ADA agrees that any response to the RFP shall be in the context of and pursuant to the terms of this Agreement. SCHEDULE 1 DESIGNATED VHA MEMBERS AND AFFILIATES [List of Members and Affiliates assigned to ADA] SCHEDULE 6 COST-PLUS MATRIX (Medical/Surgical Distribution) Monthly $ Volume of Purchases Utilization 0- 150,001- 400,001- 750,001- 150,000 400,000 750,000 And > 31- [*] [*] [*] [*] 84% 85- 100% [*] [*] [*] [*] All Health Care Organizations participating at or below 30% utilization will be charged cost + [this confidential information has been omitted and filed separately with the Commission] notwithstanding performance for monthly volume. * [This confidential information has been omitted and filed separately with the Commission.] SCHEDULE 6A PAYMENT TERMS OUTLINE Payment Terms [*]-Day Prepay: [*] Credit Net [*] Days: [*] Credit Standard Terms: [*] purchases due [*] [*] purchases due [*] Net [*] Days: Add [*] Net [*] Days: Add [*] Net [*] Days: Add [*] Over [*] Days: Add additional [*] for each 15 days beyond [*] days No Designated VHA Member or Affiliate can be put on credit hold by their ADA without the ADA notifying in writing the Designated VHA Member or Affiliate and VHA fifteen (15) days prior to credit hold. VHA and ADA will work collectively to remedy the issue with the Designated VHA Member or Affiliate prior to loss of credit privileges. If credit privileges are rescinded to the Designated VHA Member or Affiliate, the Designated Member or Affiliate may be entitled to a C.O.D. relationship with their ADA. Days Sales Outstanding ("DSO") is reviewed quarterly and all adjustments to the base cost+plus will be made prospectively on a quarterly basis. DSO is based on the previous quarter's actual quarterly DSO average. No Designated VHA Member or Affiliate will be assessed to a higher DSO charge if the disputed portion of an invoice is not paid due to invoice discrepancies. All invoice discrepancies noted by the Designated VHA Member or Affiliate must be brought to the attention of the ADA by the Designated VHA Member or Affiliate within three (3) business days of receipt of invoice. A service charge is due at a monthly rate of the lesser of 1.5% (18% annual) or the maximum legally allowable rate by state/local law on all invoices not paid within the agreed upon payment terms. * [This confidential information has been omitted and filed separately with the Commission.] SCHEDULE 6B SYSTEM DEFINITION PRICING The following system definitions and pricing scenarios are for acute- care systems. Systems cannot add their other health-care provider sites' utilization and volume into the pricing equation. Designated VHA Members or Affiliates that are not part of a system as defined below will otherwise be slotted pursuant to the Agreement. (1) If a VHA Shareholder/Partner controls (owns, manages or leases) the related VHA institutions in its system and the system has a minimum utilization of [this confidential information has been omitted and filed separately with the Commission] , and if the system offers centralized ordering and billing, the system may combine its utilization and dollar volume as long as it meets the minimum stated above and may be slotted according to its actual combined utilization and volume. The system will be entitled to [this confidential information has been omitted and filed separately with the Commission] deliveries per week to each institution up to a maximum of [this confidential information has been omitted and filed separately with the Commission] per week per system. All other deliveries will be charged as per the service menu. All other service fees will be charged according to the system's actual combined utilization and volume slot. Delivery sites of the system that are further than one hundred (100) miles from the ADA branch will pay a [this confidential information has been omitted and filed separately with the Commission] per-mile, one-way surcharge on all deliveries. (2) If a VHA Shareholder/Partner controls (owns, manages or leases) the related VHA institutions in its system and the system has a combined minimum utilization of [this confidential information has been omitted and filed separately with the Commission], and if the system does not offer centralized ordering and billing, then the system may be slotted by its combined utilization and dollar volume; however, the system will add a [this confidential information has been omitted and filed separately with the Commission] charge to its combined base matrix slot if it does not have centralized ordering and [this confidential information has been omitted and filed separately with the Commission] if it does not have centralized billing, for all institutions in the system. The system will be entitled to [this confidential information has been omitted and filed separately with the Commission] deliveries per week to each institution up to a maximum of [this confidential information has been omitted and filed separately with the Commission] per week per system. All other deliveries will be charged according to the service menu. All other service fees will be charged according to the system's combined actual slotted position. Delivery sites of the system that are further than one hundred (100) miles from the ADA branch will pay a [this confidential information has been omitted and filed separately with the Commission] per-mile, one-way surcharge on all deliveries. (3) If a VHA Shareholder/Partner does not control (own, manage or lease) the related VHA institutions, then the system cannot combine its utilization and dollar volume to be slotted. However, it may blend its utilization and volume to be slotted. Blended slotting occurs by each VHA health-care organization ("HCO") in the system being slotted by its own utilization and dollar volume. Then the base matrix mark up for each VHA HCO is averaged together on a weighted basis to give the system its actual slot. If the system does not offer centralized ordering, it must add [this confidential information has been omitted and filed separately with the Commission] to its base cost+plus slot; and if it does not have centralized billing, then the system will add a [this confidential information has been omitted and filed separately with the Commission] onto its base cost+plus slot. The system will receive [this confidential information has been omitted and filed separately with the Commission] deliveries per week to each organization up to a maximum of [this confidential information has been omitted and filed separately with the Commission] per week per system. All other deliveries will be charged according to the service menu. All other service charges will be based on the individual organization's pre- blended base matrix mark up. All Delivery sites that are further than one hundred (100) miles from the ADA branch will pay a [this confidential information has been omitted and filed separately with the Commission] per-mile, one-way surcharge on all deliveries. (4) For free-standing VHA HCOs or systems that need to develop a different type of relationship with their ADA partners, the VHA HCO, ADA and VHA will work together to develop the relationship outside of the existing matrix concept. This process will be in lieu of the "Distribution Supply Chain Containment Program" that was on the base matrix. Examples of this are Fee-For-Service Programs and Activity-Based Costing Programs. No ADA can enter into an off-matrix program without prior approval from VHA. SCHEDULE 6B1 MED/SURG ADA SYSTEM BLENDING FEE WORKSHEET SYSTEM NAME:______________________________________________________________ (1) (2) (3) (4) (5) (6) (7) (8) MONTHLY MONTHLY BASE DISTRIBUTION FACILITY NAME CITY VOLUME DSO EOE UTILIZATION COST PLUS CHARGE [*] CENTRALIZED ORDERING? IF NO, ADD [*]. CENTRALIZED BILLING? IF NO, ADD [*] DIVIDE TOTAL FOR COLUMN (7) ________________________ BY TOTAL FOR COLUMN (3) ____________________________. THE RESULT IS THE BLENDED COST+PLUS __________________ PLUS ADDED CHARGES FOR CENTRALIZED ORDERING AND BILLING __________________. THE RESULT IS THE SYSTEM MONTHLY BLENDED COST+PLUS OF ___________________. Affiliates which are located further than 100 miles from the ADA branch will incur a [*] per-mile surcharge on all deliveries. Monthly volume, DSO, EOE and utilization will be reviewed quarterly. * [This confidential information has been omitted and filed separately with the Commission.] SCHEDULE 6C EOE/EDI REQUIREMENTS EOE: All Designated VHA Members or Affiliates must be at [this confidential information has been omitted and filed separately with the Commission] electronic order entry ("EOE") for all their orders. EOE is calculated as number of lines ordered by EOE, divided by number of lines ordered. If the Designated VHA Member or Affiliate is not at [this confidential information has been omitted and filed separately with the Commission], the following charges will be added to the Designated VHA Member or Affiliate's base cost+plus: - EOE [*] [*] add-on to base cost+plus - EOE [*] [*] add-on to base cost+plus EOE is reviewed quarterly and is determined by the previous quarterly average. EDI: Effective July 1, 1996, all Designated VHA Members and Affiliates will be required to use the following EDI transaction sets: - Electronic Invoices (810) - Electronic Fund Transfer (820 and 823) - Electronic Price Catalog (832) For each of the above three EDI transaction sets that the Designated VHA Member or Affiliate does not perform, a [this confidential information has been omitted and filed separately with the Commission] charge will be added to the base cost+plus for each of the EDI transaction sets up to a total of [this confidential information has been omitted and filed separately with the Commission]. This will be measured on a quarterly basis and calculated based on the previous quarterly averages for the three transaction sets. A 95% quarterly average must be maintained on all three transaction sets. *[This confidential information has been omitted and filed separately with the Commission]. SCHEDULE 6D REVISED INITIAL IMPLEMENTATION Each Designated VHA Member or Affiliate will go through a revised initial implementation process, outlined as follows: 1) Each ADA will report the following information to VHA for each Designated VHA Member or Affiliate: a) hospital name/LIC # b) complete address c) utilization based on Distributor Profile Form on file with VHA (1995) d) volume e) current slot from original base cost+plus matrix f) current EOE (Electronic Order Entry) g) current DSO (Days Sales Outstanding) exclusive of invoices that are in discrepancy h) number of deliveries and current charge if over two per week i) complete list of other distribution services and the current charges for those services j) current total cost+plus price inclusive of base, EOE, DSO and additional services k) new base cost+plus matrix price as determined by revised base cost+plus matrix in Schedule 6 l) total new cost+plus inclusive of all add-on fees 2) VHA, upon receipt of Designated VHA Member or Affiliate information, will verify information for accuracy and make any necessary changes per the revised Enhanced ADA Agreement. 3) VHA, upon completion of each Designated VHA Member or Affiliate's information, will send out a re-launch package that will provide each Designated VHA Member or Affiliate with all the details on how the Designated VHA Member or Affiliate's distribution service costs were determined. 4) VHA will, upon revision of Designated VHA Member or Affiliate's distribution cost structure, notify the Designated VHA Member or Affiliate's ADA, who will immediately load the revised Designated VHA Member or Affiliate's distribution cost structure into the ADA's systems and prepare revised price books that will be inclusive of all changes that the revised Enhanced ADA Agreement contains. 5) Revised distribution cost structure for each Designated VHA Member and Affiliate will go into effect on December 1, 1995. 6) Any new Designated VHA Member or Affiliate that joins VHA or the medical-surgical ADA program after the completion of the roll out of the revised Enhanced ADA Agreement will follow the steps as outlined here: a) If the Designated VHA Member or Affiliate is currently using its declared ADA partner, the Designated VHA Member or Affiliate will follow steps 1-5 as outlined in the revised initial implementation process. b) If the Designated VHA Member or Affiliate is not currently using its declared ADA partner, then it must follow these steps: (1) declare an ADA partner from the ADAs that serve the Designated VHA Member or Affiliate's marketplace (2) complete a Distributor Profile Form and return it to VHA (3) complete a Utilization Acknowledgment Form (4) follow steps 2-5 of the revised initial implementation process c) Any requests for variation to the steps outlined in the revised initial implementation need to be reviewed and approved by VHA. SCHEDULE 7 MED/SURG ADA UTILIZATION ACKNOWLEDGMENT FORM HOSPITAL: LIC # City: ST Declared ADA: Branch/DC: HCO PURCHASING INFORMATION Annualized Total Distribution: Annualized 3rd Quarter through ADA: Monthly Volume: HCO Base Cost Plus: Utilization Percentage: 3rd QTR DSO: Days 3rd QTR DSO Charge: 3rd QTR EOE: 3rd QTR EOE Charge: HCO SERVICE MENU INFORMATION Service Menu Fee Charge Customized Invoices: Customized Packing Slip: Combined Packing Slip and Invoice: Custom Pallet Architecture-Basic: Custom Pallet Architecture-Expanded: Extra Weekly Deliveries (each): Bulk Picked by Department, Delivered to Dock: LUM Picked by Department, Delivered to Dock*: LUM Picked by Department, Delivered to Dept*: LUM Picked by Department, Put Away*: Total Service Menu Fees: TOTAL HCO COST PLUS FEE: *cumulative services, applied to affected sale SCHEDULE 7A ADA NOTIFICATION FORM: CHANGES TO THE SERVICE MENU HCO COST PLUS FEE INFORMATION Current Slotting Information New Slotting Information ACTUAL COST PLUS FEE ACTUAL COST PLUS FEE Cost Plus Customized YES or NO [*] YES or NO [*] Service Menu Invoices Options: Customized YES or NO [*] YES or NO [*] Packing Slips Combined YES or NO [*] YES or NO [*] Packing/Invoice Custom Pallet YES or NO [*] YES or NO [*] Architecture- Basic Custom Pallet YES or NO [*] YES or NO [*] Architecture- Expanded Extra Weekly YES or NO YES or NO Deliveries (.25%) Bulk pick/dept., YES or NO [*] YES or NO [*] dlvr/dock *cumulative LUM pick/dept., YES or NO [*] YES or NO [*] (applies to dlvr/dock* affected sales) LUM pick/dept., YES or NO [*] YES or NO [*] dlvr/dock* LUM pick/dept., YES or NO [*] YES or NO [*] put away* % % TOTAL SERVICE MENU COST PLUS FEES ADDITIONAL SERVICES BILLED SEPARATELY BY ADA Affix Patient Charge Labels @ [*] per label Bar Coded Shelf Labels @ [*] Emergency Delivery @ [*] Line Charge of [*] per line, if average order is less than [*] per line Note: All of the above charges are in addition to the base pricing matrix charges. Health Care Organization VHA - System Services ADA VHA - Distribution Services * [This confidential information has been omitted and filed separately with the Commission.] SCHEDULE 8 PAYMENT TERMS OPTIONS ADA shall invoice each Designated VHA Member and Affiliate once each month, unless more frequent invoices are requested by Designated VHA Member or Affiliate. Each Designated VHA Member or Affiliate shall select from the following payment options (all deductions or additions are made to the annual slotting locations on the price matrix for that Designated VHA Member or Affiliate): _______ [*]-day prepay: [*] credit _______ Net [*] days: [*] credit _______ Standard terms: [*] purchases due [*] [*] purchases due [*] _______ Net [*] days: Add [*] _______ Net [*] days: Add [*] _______ Net [*] days: Add [*] _______ Over [*] days: Add additional [*] for each 15 days beyond [*] days All invoice terms run from the date of invoice. Credit for prepay shall be no more than the percent of the amount on deposit with ADA, not the percent of the total monthly/quarterly purchases. Taxes, where applicable, will be added to the invoice price of products. No Designated VHA Member or Affiliate can be put on credit hold by their ADA without the ADA notifying the Designated VHA Member or Affiliate and VHA in writing fifteen (15) days prior to credit hold. VHA and the ADA will work collectively to remedy the issue with the Designated VHA Member or Affiliate prior to loss of credit privileges. If credit privileges are rescinded to the Designated VHA Member or Affiliate, then the Designated VHA Member or Affiliate is entitled to continue to purchase their products and services from the ADA on a C.O.D. basis. DSO is reviewed quarterly, and all adjustments to the base cost+plus will be made only on a quarterly basis. The DSO will be determined by the previous quarter's average DSO, excluding any disputed portions of invoices noted by the Designated VHA Member or Affiliate as in discrepancy. No Designated VHA Member or Affiliate will be charged a higher cost+plus for DSO due to invoices that are in discrepancy. All invoice discrepancies need to be reported to the ADA by the Designated VHA Member or Affiliate within three (3) business days of receipt of the invoice. A service charge may be added by the ADA to the Designated VHA Member or Affiliate's monthly outstanding balance of the lesser of 1.5% (18% annually) or the maximum legally allowable rate by local law, on all invoices not paid within the agreed-upon payment terms. *[This confidential information has been omitted and filed separately with the Commission.] SCHEDULE 12A DISTRIBUTION OF NON-TRADITIONAL PRODUCTS When ADAs are requested to distribute Non-traditional Products for the Designated VHA Member or Affiliate, the process for distributing these Products is as follows: 1) The Designated VHA Member or Affiliate requests the ADA to distribute a Non-traditional Product. 2) The ADA and Non-traditional Product manufacturer agree to put the Non-traditional Product through distribution. 3) If the ADA agrees to distribute the Non-traditional Product, the process for pricing the Non-traditional Product will be as follows: a) Non-traditional Product volume is added to Price Matrix. b) Non-traditional Product assumes the Designated VHA Member or Affiliate's base cost+plus. c) A Non-traditional Product service charge of [this confidential information has been omitted and filed separately with the Commission] is added to the base cost+plus. d) All applicable service fees are added. e) Actual inbound freight is added, if not prepaid by manufacturer. 4) The ADA must provide a list of Non-traditional Product manufacturers and their products, product descriptions and prices charged to each Designated VHA Member or Affiliate and how the prices were determined. 5) Each month, the ADA must provide VHA with a line-item-detail report on all Non-traditional Products sold and prices charged to each Designated VHA Member or Affiliate. 6) A list of Non-traditional Product manufacturers and Products is in Schedule 12B. 7) VHA determines that Non-traditional Products are those products of which sixty percent (60) of the products are sold on a direct basis from the manufacturer to the Designated VHA Member or Affiliate. SCHEDULE 12B NON-TRADITIONAL PRODUCT MANUFACTURERS AND PRODUCTS [This list will be sent to each VHA organization at a later date.] SCHEDULE 15 SERVICE MENU SERVICE CHARGE Customized Invoices [*] Customized Packing Slip [*] Combined Packing Slip and Invoice [*] Custom Pallet Architecture, Basic [*] Custom Pallet Architecture, Expanded [*] Extra Weekly Deliveries [*] per extra delivery Bulk Picked by Department, Delivered to [*] Dock LUM Picked by Department, Delivered to [*] Dock* LUM Picked by Department, Delivered to [*] Dept* LUM Picked by Department, Put Away* [*] Affix Patient Charge Labels [*] per label Bar Coded Shelf Labels [*] Emergency Delivery [*] Line Charge [*] per line, if average line order is less than [*] per line NOTE: Service charges can be included in the HCO's base cost+plus or billed as a separate line item or invoice. *[This confidential information has been omitted and filed separately with the Commission.] SCHEDULE 15A CUSTOM PALLET ARCHITECTURE Custom pallet architecture is separated into two types of services: basic and expanded. The defined activities included under these two services are: CUSTOM PALLET ARCHITECTURE BASIC - items separated on pallet by department or purchase order - items arranged in purchase order input sequence CUSTOM PALLET ARCHITECTURE EXPANDED - items palletized in reverse storeroom location - separate pallet for each department - separate pallet for non-stock items - separate pallet for stock items - pallet clearly marked with description and internal routing information The following services are provided free of charge and are not included in custom pallet architecture: - box/case labels facing out on pallet - shrink-wrapped pallets - pallets arranged to meet HCO weight and/or dimension requirements SCHEDULE 20 PRODUCTS ON WHICH NO VHA FEE IS DUE 1. All VHA PLUS(R) products 2. Abbott I.V. solutions and sets, if distributed by the ADA SCHEDULE 22A ADA SERVICE LEVELS AND RESPONSIBILITIES SERVICE ADA PERFORMANCE VHA HCO ADA PENALTY FOR ADA REWARD FOR RESPONSIBILITY REQUIREMENTS PERFORMANCE FAILURE TO MEET EXCEEDING REQUIREMENTS PERFORMANCE PERFORMANCE REQUIREMENTS REQUIREMENTS 1) FILL RATES 1) "A" LIST 96% FILL 1) "A" LIST 96% FILL 1) "A" LIST 96% FILL 1) "A" LIST FILL 96% FILL a) ADA needs to a) Needs to be a) 1 point 94.0 - 95.5% a) 1 point 96.1 - 97.5% provide "A" approved by list by 2/1 of Designated VHA b) 2 points 92.0 - 93.5% b) 2 points each year. Member or Affiliate (greater than) 98.0% by 3/15 of each year. c) 3 points (less than)91.5% b) ADA needs to b) All usage for new d) ADA will reimburse provide Designated products or changes Designated VHA member VHA Member or to current products or Affiliate for every Affiliate with fill must be provided to product from "A" List report by 15th of ADA 30 days in that the Designated each month. advance. VHA Member or Affiliate needs to purchase from c) ADA is responsible c) All usage provided alternative sources, to for keeping the must be within 10%(+-) include product price and List current. of actual usage. distribution service costs of different than purchased d) "A" Items are those d) If "A" List is not from ADA. that Designated VHA provided to ADA by Member or Affiliate 3/15, Designated VHA and ADA mutually agree Member or Affiliate upon; "A" items are needs to notify VHA. defined as those items that are stock items e) All product numbers and are ordered by the must be provided to Designated VHA Member ADA at time of order. or Affiliate not less than two times per f) All orders need to month. include correct product numbers. e) Measured lines ordered vs. lines filled g) All orders must be placed (unadjusted). prior to normal orde cutoff time as communicated f) Measured on a monthly by local ADA branch to the average. Designated VHA Member or Affiliate. ADA PERFORMANCE VHA HCO PERFORMANCE ADA PENALTY FOR FAILURE ADA REWARD FOR SERVICE RESPONSIBILITY REQUIREMENTS REQUIREMENTS TO MEET PERFORMANCE EXCEEDING REQUIREMENTS PERFORMANCE REQUIREMENTS 2) FORMULARY ITEM FILL 2) FORMULARY ITEM FILL 2) FORMULARY ITEM FILL 2) FORMULARY ITEM FILL 2) FORMULARY ITEM FILL a) 92% Fill on a) Needs to be a) 1 point 90 - 91.5% a) 1 point 92.5 - Formulary Items approved by 94.0% Designated VHA b) 2 points 88 - 89.5% b) Fill will be Member or Affiliate b) 2 points measured monthly by 3/15 of each c) 3 points (greater than) based on lines year. (less than) 87.5% 94.0% ordered vs. lines fill (unadjusted) b) All usage for new products, additional c) ADA responsible products or changes for keeping the to existing products Formulary Items must be submitted current. 30 days in advance with usage 10%(+-). d) Formulary Items are defined as c) Designated VHA Member mutually agreed or Affiliate must notify upon stock items VHA by 3/15 if list has that the Designated not been received to VHA Member or accepted. Affiliate orders at least once per d) All product numbers month (other than must be provided to "A" Items). ADA at the time of order. e) All orders need to include correct product numbers. f) All orders need to be placed prior to normal ADA branch cutoff times as provided to Designated VHA Member or Affiliate by ADA branch. SERVICE ADA PERFORMANCE VHA HCO ADA PENALTY FOR ADA REWARD FOR RESPONSIBILITY REQUIREMENTS PERFORMANCE FAILURE TO MEET EXCEEDING REQUIREMENTS PERFORMANCE PERFORMANCE REQUIREMENTS REQUIREMENTS 3) INVOICE ACCURACY 3) INVOICE ACCURACY 3) INVOICE ACCURACY 3) INVOICE ACCURACY 3) INVOICE ACCURACY a) 98% of all a) Designated VHA a) 1 point 96 - 97.5% a) 1 point 98.5 - invoices (100% Member or Affiliate 99.0% after 810 and 832 needs to provide b) 2 points 94.5 - 96.0% go into effect). to ADA with correct b) 2 points 99.1 - information 30 days c) 3 points (less than) 100% b) Measured on a in advance on all 94.0% monthly average non-contract product of line items pricing. ordered versus line items invoiced b) All product numbers correctly. must be provided to ADA at time of order. c) All orders need to include the correct product numbers. d) All orders need to be placed prior to normal ADA branch cutoff time. Normal ADA branch cutoff time needs to be provided to Designated VHA Member or Affiliate by ADA branch. SERVICE ADA PERFORMANCE VHA HCO ADA PENALTY FOR ADA REWARD FOR RESPONSIBILITY REQUIREMENTS PERFORMANCE FAILURE TO MEET EXCEEDING REQUIREMENTS PERFORMANCE PERFORMANCE REQUIREMENTS REQUIREMENTS 4) PICKING ERRORS 4) PICKING ERRORS 4) PICKING ERRORS 4) PICKING ERRORS 4) PICKING ERRORS a) 98% of all orders a) Designated VHA a) 1 point 96 - 97.5% a) 1 point 98.1 received. Member or Affiliate - 99.0% needs to provide b) 2 points 94.5 - 95.5% b) Measured monthly product numbers at b) 2 points 99.1 based on line items time of order. c) 3 points (less than) - 100% ordered versus line 94.4% items picked b) All orders need to correctly. provide correct product numbers. c) Designated VHA Member or Affiliate needs to report to ADA by end of same business day order errors, and ADA cannot take orders into system prior to product numbers being received. d) All orders must be placed prior to normal ADA branch cutoff time. ADA branch needs to provide to Designated VHA Member or Affiliate the order cutoff time. The point system works as follows: 1) Each point is worth [this confidential information has been omitted and filed separately withthe Commission]; points are not rolled from month to month. 2) Measurement is as follows: a) "A" Fill Rate is measured on monthly average. b) "Formulary Fill Rate" is measured on monthly average. c) Invoice Accuracy is measured as a monthly average of line items ordered versus line items invoiced correctly. d) Picking Errors are measured as a monthly average of line items ordered versus line items picked correctly. 3) Each Category is measured on its own merit. 4) Invoice Accuracy and Picking Errors measurements begin on 12/1/95. 5) "A" and Formulary Item Fill Rate measurement will begin based on time line established in Schedule 22A. SCHEDULE 22B ADA Service Responsibilities Penalty Notification HEALTH CARE ORGANIZATION ________________________________________________ CITY, STATE ________________________________________________ ADA PARTNER ________________________________________________ ADA BRANCH/DC ________________________________________________ This serves as official 30-day notification that the HCO intends to monitor the ADA under Schedule 22 of the VHA ADA agreement for service responsibilities. Specifically, the HCO is concerned with the following service responsibility criteria (check all that apply): __________ "A" Item Fill Rate __________ Formulary Fill Rate __________ Invoice Accuracy __________ Picking Errors The ADA partner will be accountable to the HCO for the service penalties outlined in Schedule 22A beginning the first month after the 30-day notification. __________________________________________________________ ________________ Health Care Organization Date ________________________________ Effective Date