MEGA CARE INC

TO ACT AS A MEMBER OF VNA HEALTH GROUP OF NEW JERSEY, LLC ("VNA"). VNA ARRANGES FOR THE PROVISION OF THE HIGHEST QUALITY OF PATIENT HEALTHCARE, WITH REDUCED COST AND STREAMLINE DELIVERY, FOR, AND WITH ACCOUNTABILITY TO, RESIDENTS OF THE COMMUNITIES IT SERVICES. IN ADDITION, VNA MAY PARTICIPATE IN SHARED SAVINGS, PAY-FOR-PERFORMANCE, ENHANCED FEE-FOR-SERVICES AND OTHER ARRANGEMENTS THAT MAY BE DEVELOPED IN THE FUTURE WITH THIRD PARTY PAYORS, INCLUDING MEDICARE, MEDICAID, COMMERCIAL INSURANCE COMPANIES, HEALTH MAINTENANCE ORGANIZATIONS, PREFERRED PROVIDER ORGANIZATIONS AND PRIVATE HEALTH BENEFIT PLANS. VNA SHALL BE OPERATED IN A MANNER THAT PROVIDES ACCESS TO PATIENT CARE SERVICES BASED ON MEDICAL NECESSITY, WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, GENDER, PAYOR SOURCE OR ABILITY TO PAY, AND TO INDIVIDUALS COVERED BY MEDICARE AND MEDICAID. IN FURTHERANCE OF THIS PROVISION, VNA OR ITS MEMBERS MAY FROM TIME TO TIME FORMULATE AND IMPLEMENT POLICIES AND PROCEDURES FOR TH