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Details of One Hospital Deal with Doctor With PM-Doctors for Sale II

October 15, 1990

SIMI VALLEY, Calif. (AP) _ When Darwin Remboldt, head of Simi Valley Adventist Hospital, gave a loan to Dr. Vahe Azizian, he spelled out the terms in a letter.

Here is the text of the letter, written July 17, 1985, on hospital stationery. Amortized means written off:

″This letter will confirm that Simi Valley Adventist Hospital will loan you $25,000 under the following conditions. Acceptance of these conditions will be shown by your signature at the bottom of this letter.

″A. The loan will be amortized over 5 years at $5,000.00 a year. Should you leave the Simi Valley area or change your admitting practices, the balance will immediately become due and payable.

″B. You will continue to work towards becoming an active staff member at Simi Valley Adventist Hospital, attend the OB/GYN Department Meetings, and be active in Medical Staff Activities.

″C. You will attempt to bring 100% of your deliveries to this hospital.

″D. You will attempt to bring the vast majority of your elective GYN cases to this hospital.

″We both realize that much of what you have agreed to is being supportive of the hospital and giving your time on medical staff activities and supporting the hospital with your patients. There is no other way for me to know exactly where your patients are going other than your word and your desire to establish a good relationship with this hospital.

″I hope that we have a long and beneficial relationship between yourself and Simi Valley Adventist Hospital. I trust that this arrangement will be kept confidential for various reasons.″

The hospital may have had second thoughts about the deal after investigators began looking into the way it did business.

Azizian, in a sworn affidavit connected to another physician’s lawsuit, said Remboldt later asked him to sign a document stating the $25,000 Azizian received was for his emergency room services.

″I refused to sign the document at the time ... because the statements in the document were not true,″ he said.

Remboldt declined to be interviewed about the letter.

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