Catholic Healthcare West Extends PivotHealth Contract.

NASHVILLE, Tenn. -- PivotHealth, LLC. a provider of physician practice management and consulting services nationwide, announced today that they have entered into a multi-year extension of their services contract with CHW Medical Foundation (CHWMF) in Sacramento, California. The contract extends PivotHealth's role of providing clinic operations and administrative services to CHW Medical Foundation and its multi-location Sacramento Clinic, also known as Mercy Medical Group (formerly the MedClinic of Sacramento) as it has since April of 2001.

"We are very pleased to extend our relationship with CHW Medical Foundation for the next several years. The Medical Foundation has achieved significant growth and success and is well positioned as one of the leading healthcare providers throughout the Sacramento region," said Mike McClintock, president of PivotHealth Management Company, a division of PivotHealth, LLC. "We are grateful for the opportunity to continue our work and partnership with CHW and their physicians to share in their continuing success. The strength of the CHWMF clinics, the high quality physicians and providers along with outstanding patient satisfaction provide a solid platform for the future, enabling us to better care for our patients."

"PivotHealth has been a major force in the development and success of CHW Medical Foundation. We are very pleased to continue our relationship with this talented team for the next several years," said Bill Hunt, President of Group Operations, Catholic Healthcare West and President/CEO, CHW Medical Foundation. "PivotHealth has exceeded our expectations. We are enthusiastic about their continued leadership for this important element of our physician services strategy in the communities we serve."

"PivotHealth has made all the difference in our Sacramento Clinics' turnaround. Their expertise in practice management has helped us navigate challenges, enabled us to grow and led our effort in becoming one of the top clinics in California," said Dr. Bill Hicks, President and Chairman of the Board of The Medical Clinic of Sacramento, Inc., the medical group that staffs CHWMF Clinic locations in Sacramento.

About PivotHealth

PivotHealth is a physician practice management company offering services to both hospital-affiliated physicians and independent medical groups nationwide. Based in Brentwood, Tennessee, PivotHealth works through management contracts, consulting engagements and providing products and services to enhance physician practices. For more information visit www.PivotHealth.com or call [phone].

About CHW Medical Foundation

Mercy Medical Group, a service of CHW Medical Foundation, is a multi-specialty clinic making available the services of more than 175 doctors at 9 clinic locations. CHW Medical Foundation's employees provide the nursing and management, office staff and ancillary services at Mercy Medical Group locations. The Mercy Medical Group Clinic serves 100,000 patients in the Sacramento area and is affiliated with the Sacramento area Mercy hospitals. The Mercy Medical Group Clinic currently has nine office locations, with three new state-of-the-art facilities to open in Fall 2006. For more information about Mercy Medical Group, a service of CHW Medical Foundation, visit www.mymercymedgroup.org.

About Catholic Healthcare West

Catholic Healthcare West (CHW), headquartered in San Francisco, is a system of 40 hospitals with more than 7,500 physicians and 40,000 employees throughout California, Nevada and Arizona. In the Sacramento area, CHW operates Mercy General Hospital, Mercy San Juan Medical Center, Methodist Hospital of Sacramento, Mercy Hospital of Folsom, Woodland Healthcare, Sierra Nevada Memorial Hospital and Mercy Medical Group (a service of CHW Medical Foundation), as well as Mercy Home Health, Hospice and Lifeline. In fiscal year 2004, CHW provided more than $566 million in charity care and un-sponsored community benefit. For more information, visit www.mercysacramento.org.