Full Program Details — Web Edition

VRC Partner Deck

Your invitation to join a mission-driven partnership. Everything below is the complete partner deck — program overview, tiers, scheduling, FAQs, the sample agreement, and Exhibit A.

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On This Page

Why We Created This Program What Makes This Program Different Partner Tier Options across all Tiers Real Cost Comparisons: Why This Program Saves You Money How Scheduling Works Operations Logistics What’s NOT Included (Scope Limitations) Parvo Support: Lifesaving Access When You Need It Most Why This Program Is Financially Sustainable Your Responsibilities as a Partner Quarterly Reviews and Tier Adjustments What Happens If Things Go Wrong? Medical Decision-Making How to Apply What a Typical Partner Month Looks Like ROI Calculator: How Each Tier Pays for Itself Frequently Asked Questions Competitive Comparison: VRC Program vs. Other Options Sample Partner Agreement Ready to Join?

Why We Created This Program

Always & Furever Midwest Animal Sanctuary has always been driven by one mission: to provide lifesaving care to animals who need it most. For years, we’ve cared for approximately 300 animals daily at our sanctuary and in foster care while also supporting rescue partners across the Kansas City region. But we faced a persistent challenge: unpredictable, high-cost external veterinary expenses that made it difficult to plan, budget, and scale our impact.

Last year alone, we spent $739,352 on external veterinary services—money that flowed out to emergency clinics, specialty practices, and overcrowded veterinary hospitals where our animals often waited for days or weeks for routine procedures.

We knew there had to be a better way.

So we built one.

The Veterinary Rescue Collaboration (VRC) Program is our solution: a mission-aligned, invitation-only veterinary partnership program through which veterinary services are provided by St. Francis Outreach, LLC in Kansas and by Always & Furever in Kansas City, Missouri, while extending predictable, affordable access to select rescue partners who share our values and our commitment to animal welfare.

This isn’t a traditional veterinary practice. This is a collaboration built on trust, predictability, and shared mission.¹

And we’re inviting you to be part of it.

What Makes This Program Different

1. Predictable Access, Not Per-Procedure Pricing

Most veterinary clinics charge per service, which creates financial uncertainty and makes it nearly impossible for rescues to plan ahead. You never know what a case will cost until it’s over, and emergency surgeries can wipe out your budget in a single day.

The VRC Program works differently.

You pay a flat monthly retainer based on your tier, you’re guaranteed monthly access to veterinary procedures. No surprise bills. No per-service invoicing. In other words, it’s reliable, predictable capacity you can count on every month.

This allows you to:

• Budget with confidence

• Plan your rescue operations around reliable veterinary access

• Save more animals because you know the care will be there when you need it

• Reduce or eliminate costly emergency room visits for routine procedures

2. Cost Transparency and No Profit Motive

We don’t mark up medications. We don’t charge hidden fees. We don’t operate this program to generate profit.

Here’s what you pay:

• Flat monthly retainer based on your tier

• Medications, lab work, heartworm treatment, and parvo drugs billed at direct cost with no markup

• X-rays billed as program fees: $10 per X-ray, per view

• Ultrasound billed as a program fee: $25 per ultrasound, subject to service availability

• Sedation costs absorbed by Always & Furever (no separate billing)

Everything else—the veterinary expertise, surgical time, medical oversight, post-operative monitoring, and coordination—is included in your monthly retainer.

3. Mission-Aligned, Not Transactional

This program is invitation-only. We’re not trying to maximize volume or scale as quickly as possible. We’re building a network of trusted rescue partners who:

• Share our commitment to animal welfare

• Operate transparently and ethically

• Communicate clearly and professionally

• Understand that partner access remains subject to patient welfare, medical judgment, regulatory requirements, and overall program capacity

• Want to collaborate, not just transact

If your organization aligns with those values, we want to talk to you.

4. Flexibility Built Around Real Rescue Operations

We know rescue work is unpredictable. Animals don’t arrive on a schedule. Emergencies happen. Outbreaks occur. Capacity fluctuates.

That’s why the VRC Program is designed with flexibility in mind:

• Monthly procedure allocations instead of fixed calendar appointments

• Partners only program access

• Emergency buffers built into every week

• Vacation planning that maintains access even during staff time off

• Discretionary parvo support when capacity allows (and parvo cases don’t count toward your monthly surgical procedure limits)

You are not purchasing rigid appointment slots; you are participating in a flexible capacity-based access model built for the realities of rescue medicine. If a scheduled opening becomes available unexpectedly, St. Francis Outreach, LLC, with administrative support from Always & Furever, will make reasonable efforts to reassign that capacity in real time.

5. Regional Impact Without Mission Drift

This program exists to expand lifesaving capacity across the Kansas City region—but not at the expense of our own animals or our staff.

We’ve built strict guardrails to ensure sustainability:

• Access remains subject to patient welfare, medical judgment, regulatory requirements, and overall program capacity

• Veterinarian vacations are never concurrent, so coverage is always available

• We intentionally leave some capacity open each month so we can respond to emergencies, disease outbreaks, and more complex cases without overloading the Medical Team or jeopardizing scheduled care

• Final scheduling authority rests with the VRC Operations Lead.

• Partner access flexes around animal welfare, staffing, and safety considerations

This program scales responsibly. We will never grow to a point where quality, staff sustainability, or mission integrity is compromised.

St. Francis Outreach, LLC will provide VRC veterinary services in Kansas through Shawnee and Osawatomie locations, and Always & Furever will provide VRC veterinary services in Kansas City, Missouri. Once the Missouri location is open, partner Allocation Units may be used interchangeably across all participating VRC clinics in Kansas and Missouri.** **We’ll also be able to offer health certificates at a flat $10 cost.

Partner Tier Options across all Tiers

Routine veterinary procedures generally include:

• Standard spay surgeries

• Standard neuter surgeries

• Other straightforward high-volume surgical cases approved by the Medical Team

Specialty veterinary procedures generally include:

• Dentals with extractions

• Mass removals and tumor excisions

• Amputations

• Foreign body surgeries

• Complex wound repairs

• Enucleation

• Cherry Eye

• Cystotomies

• C-Section

• Pyometra

• Sedated diagnostics or other cases designated by the Medical Team based on complexity, anesthesia time, staffing needs, or recovery requirements

Medical treatments billed separately at direct cost may include:

• Heartworm treatment protocols / Heartworm injections

• Infectious disease-related diagnostics, medical management, and supportive care, including cases involving FeLV, FIP, panleukopenia, or other conditions designated by the Medical Team

• Other non-surgical treatments designated by the Medical Team

Capacity Use: Medical treatments may count toward a partner’s monthly allocation when they require scheduled appointment time, veterinary oversight, or staff capacity. The Medical Team retains sole discretion to determine whether a case is counted toward monthly allocation.

Parvo treatment is generally classified as a medical support service, not a routine or specialty surgical procedure. Because parvo cases require isolation capacity, monitoring, and intensive staff time, access is discretionary and capacity-dependent. Parvo medications and related treatment costs are billed separately at direct cost or through a designated parvo care bundle when available

Included support services:

• Protocol-based medical triage, case intake review, post-operative follow-up guidance, and care coordination, with veterinarian escalation when medically necessary.

• Medications, lab work, heartworm treatment, parvo drugs: billed at direct cost, no markup

• X-rays: $25 each

• Ultrasounds: $50 each subject to service availability

• Sedation: absorbed by Always & Furever (no charge)

STRATEGIC PARTNER TIER: $10,000/month

Monthly Veterinary Procedure Allocation: Up to 40 Allocation Units per month

Included Specialty Veterinary Procedures: Up to 10 specialty services per month

Specialty procedures are included within the total monthly procedure allocation, not in addition to it. Commitment: 12-month term

Who This Is For:

Larger rescue organizations or shelters with high monthly intake

Organizations managing 40–60+ animals per month

Partners with proven operational maturity and strong scheduling discipline

Rescues needing substantial, reliable veterinary capacity to reduce euthanasia at scale

Value Proposition:

At private-practice and rescue-access rates, a fully utilized Strategic Partner tier can still represent substantial monthly veterinary value, especially when the case mix includes dentals, mass removals, foreign body surgeries, wound repairs, enucleation, cherry eye, cystotomies, and other higher-complexity procedures. Strategic Partners gain predictable access, reduced emergency dependence, and meaningful monthly savings through a mission-aligned collaboration model.

Example Monthly Mix:

• 30 spay/neuter surgeries at $150 = $4,500

• 3 dentals with extractions at $900 = $2,700

• 3 mass removals at $1,200 = $3,600

• 2 foreign body surgeries at $3,000 = $6,000

• 2 wound repairs at $400 = $800

Total private-practice value: $17,600+ Your cost: $10,000 Savings: $7,600+

The greatest value in this tier is not routine spay/neuter volume alone, but reliable access to higher-complexity procedures that are difficult to obtain quickly and affordably through traditional veterinary channels.

CORE PARTNER TIER: $5,000/month

Monthly Veterinary Procedure Allocation: Up to 20 Allocation Units per month

Included Specialty Veterinary Procedures: Up to 4 specialty services per month

Specialty procedures are included within the total monthly procedure allocation, not in addition to it. Commitment: 12-month term

Who This Is For:

Established rescue organizations with consistent surgical needs

Organizations managing 15–30+ animals per month

Rescues seeking predictable, reliable veterinary access

Partners ready to commit to structured scheduling and communication

Value Proposition:

At realistic rescue-market rates, a fully utilized Core Partner tier can still represent strong monthly veterinary value, especially when the case mix includes dentals, mass removals, wound repairs, enucleation, cherry eye, cystotomies, sedated diagnostics, and other higher-complexity procedures. Core Partners gain predictable access, reduced emergency dependence, and meaningful monthly savings through a rescue-focused veterinary partnership.

Example Monthly Mix:

• 14 spay/neuter surgeries (avg. $150 each = $2,100)

• 2 dentals with extractions (avg. $900 each = $1,800)

• 2 mass removals (avg. $1,200 each = $2,400)

• 2 wound repairs (avg. $400 each = $800)

Total private-practice value: $7,100+ Your cost: $5,000 Savings: $2,100+

LIMITED PARTNER TIER: $2,500/month

Monthly Procedure Allocation: Up to 10 Allocation Units per

Specialty Procedures: Up to 2 specialty veterinary procedures per month

Specialty veterinary procedures are included within the total monthly procedure allocation, not in addition to it. Commitment: 12-month term

Who This Is For:

Smaller or emerging rescue organizations

Foster-based networks with moderate surgical needs

Rescues managing 5–15 animals per month

Organizations looking for reliable access without high monthly volume

Value Proposition:

The Limited Partner Tier is designed for rescue organizations that need reliable veterinary access without committing to high monthly volume. Its value is not just in discounted routine procedures, but in predictable scheduling, access to higher-complexity care when needed, and the ability to avoid delays, emergency referrals, and case-by-case pricing uncertainty. For partners with a mix of routine and more involved medical or surgical needs, this tier often delivers significantly stronger value than spay/neuter volume alone would suggest.

Example Monthly Mix:

• 8 spay/neuter surgeries (avg. $150 each = $1,200)

• 2 dentals with extractions (avg. $900 each = $1,800)

Total private-practice value: $3,000+ Your cost: $2,500 Savings: $500+

The Limited Partner Tier is best understood as an access-and-stability tier, not just a low-cost spay/neuter tier. Its strongest value appears when partners need a mix of routine procedures and occasional higher-complexity care, while still benefiting from predictable pricing.

Real Cost Comparisons: Why This Program Saves You Money

Emergency Foreign Body Surgery

Private Emergency Vet Cost: $1,500–$5,000+ (often $3,000–$4,000 for exploratory surgery, hospitalization, pain management, monitoring)

VRC Program Cost: Included in your monthly retainer (no additional charge beyond direct-cost medications)

One emergency foreign body case can cost more than an entire month of VRC partnership—and you avoid the stress, delays, and unpredictability of emergency hospital access.

Dental Cleaning with Extractions

Private Practice Cost: $600–$1,200+ depending on number of extractions and sedation time

Low-Cost Clinic Cost: $300–$500 (often limited availability, long wait times, may not handle complex cases)

VRC Program Cost: Included in your monthly retainer

Two dentals alone can justify a significant portion of your monthly retainer, and you get scheduling without the weeks-long wait times common at low-cost clinics.

Mass or Tumor Removal

Private Practice Cost: $800–$2,500+ depending on size, location, and complexity

VRC Program Cost: Included in your monthly retainer (surgical time and medical oversight included; biopsy/pathology billed at cost if needed)

A single mass removal can cost as much as half your monthly retainer at a private practice. VRC partners get priority access without the price markup.

Emergency Hospitalization (One Night)

Emergency Vet Cost: $600–$800+ per night for monitoring, IV fluids, and supportive care (does not include surgery or diagnostics)

VRC Program Benefit: By having predictable surgical access, many rescues avoid emergency hospitalization altogether. When animals receive timely spay/neuter, dental care, and wound management, enucleation, cherry eye, cystotomies the need for emergency intervention drops significantly.

The VRC Program isn’t just about saving money on individual procedures—it’s about preventing the costly emergencies that happen when routine care is delayed.

How Scheduling Works

Monthly Capacity, Coordinated Scheduling

Your tier gives your organization access to a set number of veterinary procedures each month. Those procedures are scheduled on actual clinic and surgery days in coordination with our VRC Operations Lead.

This means you are not assigned the same fixed appointment day every week. Instead, your cases are scheduled across available operating days based on your monthly allocation, animal flow, case type, staffing, and medical priority.

How It Works in Practice

As a VRC partner:

• Your monthly retainer reserves your access to the schedule

• You work directly with the VRC Operations Lead to request dates and submit cases

• Cases are placed on actual calendar days that fit available medical capacity

• Your procedures can be spread throughout the month based on your needs and our operating schedule

Example: Core Partner Tier

If you are a Core Partner:

• You may schedule up to 20 Allocation Units per month

• Those 20 Allocation Units do not have to occur on the same day or in the same week

• For example, you might schedule 8 Allocation Units one week and 12 Allocation Units the next

• That is acceptable as long as your total monthly usage stays within your tier limit and scheduling capacity is available

Scheduling Requirements

To maintain efficiency and protect medical quality:

• Appointments should be requested at least 7 days in advance

• Cancellations require at least 48 hours’ notice

• Medical records and case summaries must be submitted at least 24 hours before the appointment

• St. Francis Outreach, LLC, with administrative support from Always & Furever, may defer or reschedule cases based on staffing, emergencies, case complexity, animal welfare needs, and overall program capacity

In other words, you are reserving monthly veterinary capacity, and our team works with you to convert that capacity into scheduled appointment dates throughout the month.

No-Shows and Late Cancellations

• Cancellations made 48 or more hours in advance generally will not count toward your monthly allocation.

• Cancellations made with less than 48 hours’ notice may count toward your monthly allocation if the appointment slot cannot be reassigned.

• Same-day cancellations and no-shows will generally count toward your monthly allocation unless Always & Furever is able to fill the opening.

• Repeated no-shows, same-day cancellations, or chronic late cancellations may result in scheduling restrictions, probation, or termination of the partnership.

Operations Logistics

To keep scheduling efficient and protect medical quality, partners should be prepared for the following operational workflow:

• Routine appointments are generally requested at least 7 days in advance.

• Medical records and case summaries must be submitted at least 24 hours before the appointment.

• Partners are responsible for transporting animals to and from Always & Furever.

• Animals must arrive appropriately identified, medically disclosed, and safe to handle and transport.

• Same-day discharge should be expected unless the Medical Team communicates otherwise.

• Partners are responsible for post-operative placement, monitoring, medication administration, and recovery after discharge.

• Animals requiring emergency or overnight care outside program scope must be referred to an appropriate outside provider.

• Animals remain the legal property and responsibility of the partner organization at all times while receiving care through the VRC Program. Neither St. Francis Outreach, LLC nor Always & Furever assumes ownership, custody, or legal responsibility for partner animals except as expressly provided in the agreement.

What’s NOT Included (Scope Limitations)

To protect medical quality, staff sustainability, and mission alignment, the following services are not included in the VRC Program:

• 24/7 hospitalization or intensive care (emergency referrals required)

• Chemotherapy or oncology treatment (referral to specialists)

• Advanced orthopedic procedures (referral to specialists)

• Long-term boarding or convalescent care (partners manage post-op recovery)

If a case exceeds our scope, we’ll assist the Parter by providing a list of appropriate specialty providers; selection and engagement remain the Partner’s responsibility..

Parvo Support: Lifesaving Access When You Need It Most

We understand that parvovirus outbreaks can devastate small rescues. That’s why parvo support is available when capacity allows and parvo cases do not count toward your monthly surgical procedure limits.

Parvo Billing Options:

Option 1: Medication-at-Cost Model You pay only the direct cost of parvo medications (monoclonal antibodies, fluids, inoculations, supportive drugs). Medical oversight is included.

Option 2: Parvo Care Bundle (when isolation capacity is available) Flat per-case bundle covering hospitalization, monitoring, and supportive care. Medications billed separately at cost.

Option 3: Dedicated Parvo Isolation Capacity (future expansion) Once our Homestead East facility is fully operational, we may offer dedicated parvo isolation housing. Access will remain discretionary and subject to staffing and safety.

Important: Parvo support is discretionary and capacity-dependent. It is not guaranteed but is prioritized whenever possible for active VRC partners. Pricing TBD.

Why This Program Is Financially Sustainable

Why We’re Offering This Program to Our Partners

We created this program to deliver reliable veterinary capacity for rescued animals in need of care, yours and ours, while ensuring longterm financial sustainability for animal welfare operations.

Built on Proven, Responsible Economics

Historically, Always & Furever relied heavily on external emergency clinics and specialty hospitals, resulting in unpredictable availability and fluctuating costs. By thoughtfully investing in inhouse veterinary staffing, we’ve built a model that is both operationally dependable and financially sound.

Predictable Capacity, Not Crisis-Driven Care

By employing dedicated veterinarians and technicians, we’ve shifted care from reactive, lastminute referrals to planned, dependable access. This allows us to offer partners something that is often hard to find: consistent affordable veterinary capacity you can count on month after month.

A Stable Model That Benefits Everyone

Partner retainers play a key role in sustaining this model. Your monthly commitment helps support staffing and infrastructure, ensuring the program remains available, reliable, and responsive—without relying on emergency pricing or overextended clinics.

In return, partners gain:

*Predictable access to veterinary procedures

*Reduced uncertainty around scheduling and availability

*A collaborative relationship built on transparency and shared planning

Reinvestment in Mission, Not Profit

Any surplus generated through the program is reinvested directly into charitable operations—supporting veterinary staff, medical supplies, emergency care, facility improvements, and expanded animal welfare capacity.

The result is a program that is financially responsible, operationally dependable, and mission-aligned—designed to support both our partners and the animals we collectively serve.

Your Responsibilities as a Partner

To maintain program quality, partner organizations are expected to:

1. Communication and Coordination

• Submit medical records and case summaries 24 hours prior to appointments

• Provide accurate animal histories, including known behavioral or medical risks

• Respond promptly to scheduling requests and medical updates

• Maintain professional, respectful communication with St. Francis Outreach, LLC and Always & Furever personnel, as applicable

2. Case Preparation

• Ensure animals are presented in safe, transportable condition

• Disclose any known risks (aggression, contagious disease, medical complications)

• Provide appropriate transport and handling for animals before and after procedures

• Partners acknowledge that incomplete or inaccurate medical or behavioral disclosure may result in complications, delays, or case refusal, and accept full responsibility for consequences arising from such omissions.

3. Insurance and Liability

• Maintain general liability and animal bailee insurance

• Provide proof of insurance

• Indemnify and hold harmless St. Francis Outreach, LLC and Always & Furever, together with their respective staff, contractors, and volunteers as applicable, from claims arising from transport, foster care, or post-operative complications

4. Utilization and Accountability

• Use your monthly allocation appropriately and consistently

• Communicate capacity needs transparently so we can adjust tiers if necessary

5. Mission Alignment

• Operate ethically and transparently

• Maintain animal welfare standards consistent with the values and standards of the VRC Program

• Understand that Always & Furever animals always take priority

• Respect program boundaries and scope limitations

Quarterly Reviews and Tier Adjustments

Partner participation and tier alignment are reviewed quarterly by Always & Furever VRC Operations Lead. However, partners may request an earlier adjustment if intake, utilization, or medical needs change materially between review periods. Early adjustments are not automatic and remain subject to Always & Furever approval based on staffing, capacity, and scheduling demands.

Evaluation Focus Areas:

• Utilization patterns – ensuring allocated capacity is being used appropriately

• Communication quality – responsiveness, professionalism, and clarity

• Scheduling practices – adherence to advance notice and cancellation guidelines

• Mission alignment – operating in a manner consistent with shared values

If utilization is persistently low, we may recommend a tier adjustment to better align your access with actual needs.

If performance concerns arise, we’ll work with you to address them. If concerns persist, we may recommend probation, pause, or termination of the partnership.

This isn’t punitive—it’s protective. We need to ensure every partner is using access responsibly so the program remains sustainable for everyone.

What Happens If Things Go Wrong?

Immediate Termination Grounds

The partnership may be immediately terminated if:

• Repeated no-shows or failure to provide required notice

• Failure to disclose known medical or behavioral risks

• Nonpayment or breach of agreement terms

• Conduct that endangers staff, volunteers, or animals

Standard Termination

Either party may terminate the agreement with 30 days written notice.

Medical Decision-Making

Medical leadership retains sole and final discretion over medical decision-making, case acceptance, referrals, and clinical prioritization, which will be exercised through designated veterinarians and the clinical team. Partners may not direct concerns or requests regarding clinical decisions to individual Medical Team members outside the designated escalation process.We reserve the right to:

• Decline cases that exceed our scope or capacity

• Refer cases to specialists when appropriate

• Defer procedures based on staffing, emergencies, or animal welfare

• Adjust scheduling or tier access during staff vacations, outbreaks, or surge periods

There are no guarantees of outcomes. Veterinary medicine involves inherent risk, and St. Francis Outreach, LLC is not liable for complications, adverse events, or outcomes beyond its control, and Always & Furever acts only in a non-clinical administrative role where applicable.

Force Majeure: St. Francis Outreach, LLC may suspend or modify scheduling, capacity, or access, with related administrative coordination by Always & Furever where applicable, due to circumstances beyond its control, including disease outbreaks, facility disruptions, severe weather, or staffing emergencies.

How to Apply

Step 1: Review This Document Thoroughly

Make sure you understand:

• The tier structure and what’s included

• Your responsibilities as a partner

• Scheduling requirements and flexibility

• Scope limitations and what’s not included

Step 2: Assess Your Organization’s Fit

Ask yourself:

• Does your mission align with Always & Furever’s values?

• Can you commit to professional communication and scheduling discipline?

• Do you have the operational capacity to transport animals and manage post-op care?

• Are you prepared to maintain insurance and meet partner obligations?

Step 3: Submit an Expression of Interest

Contact the VRC Operations Lead to express interest. Be prepared to share:

• Your organization’s mission and history

• Estimated monthly surgical volume

• Current veterinary providers and pain points

• Why you believe this partnership is a good fit

Step 4: Participate in an Intake Call

If your organization is a potential fit, we’ll schedule a call to discuss:

• Your specific needs and capacity

• Which tier makes the most sense

• Scheduling logistics and communication protocols

• Next steps for onboarding

Step 5: Onboarding and Agreement Signing

Selected partners will:

• Complete onboarding orientation

• Review and sign the formal Partner Agreement

• Submit required insurance documentation

• Receive access to scheduling systems and communication channels

What a Typical Partner Month Looks Like

1. Forecasting and case planning At the beginning of the month, your team reviews expected intake, pending medical needs, and anticipated surgical or diagnostic cases. Based on your tier, you identify which animals are likely to need scheduling during the upcoming weeks.

2. Date requests and case submission Your team communicates with the VRC Operations Lead to request available scheduling dates and identify the cases you hope to place. Requests should be made as early as possible, and routine procedures should generally be submitted at least 7 days in advance.

3. Schedule confirmation

St. Francis Outreach, LLC reviews case type, medical priority, staffing, and calendar capacity, with administrative support from Always & Furever for scheduling coordination, then confirms which animals are scheduled on which dates. Cases are placed on actual clinic or surgery days based on available capacity rather than fixed recurring appointment slots.

4. Records and pre-visit preparation At least 24 hours before the appointment, your team submits medical records, case summaries, and any relevant behavioral or handling information. Partners are responsible for ensuring animals arrive in safe, transportable condition and for disclosing known medical or behavioral risks in advance.

5. Procedure day

On the scheduled day, animals are transported for VRC services provided through St. Francis Outreach, LLC in Kansas and through Always & Furever in Kansas City, Missouri. The Medical Team performs the scheduled care, communicates about any significant findings or unexpected complexity, and provides discharge instructions as appropriate.

6. Discharge and return to partner care After the procedure, animals are discharged back to the partner organization with post-operative guidance, medications if needed, and follow-up recommendations. Partners remain responsible for transport, foster placement, recovery oversight, and ongoing convalescent care after discharge.

7. Follow-up and next scheduling

Additional care, rechecks, or outside referral is needed, St. Francis Outreach, LLC, with administrative support from Always & Furever, will communicate recommendations and help coordinate next steps within program scope. Throughout the month, your team continues working with the VRC Operations Lead to schedule remaining cases within your tier allocation.

ROI Calculator: How Each Tier Pays for Itself

(Illustrative Examples)

Limited Partner Tier ($2,500/month)

Conservative utilization (8 routine + 2 specialty):

8 spay/neuter surgeries @ $150 avg = $1,200

2 dentals with extractions @ $900 avg = $1,800

Total private-practice value: $3,000

Your cost: $2,500

Monthly savings: $500

Annual savings: $6,000

ROI: 120% (you receive $3,000 in value for $2,500 invested)

Core Partner Tier ($5,000/month)

Moderate utilization (14 routine + 4 specialty):

14 spay/neuter surgeries @ $150 avg = $2,100

2 dentals with extractions @ $900 avg = $1,800

2 mass removals @ $1,200 avg = $2,400

2 wound repairs @ $400 avg = $800

Total private-practice value: $7,100

Your cost: $5,000

Monthly savings: $2,100

Annual savings: $25,200

ROI: 142% (you receive $7,100 in value for $5,000 invested)

Strategic Partner Tier ($10,000/month)

High utilization (30 routine + 10 specialty/other):

30 spay/neuter surgeries @ $150 avg = $4,500

3 dentals with extractions @ $900 avg = $2,700

3 mass removals @ $1,200 avg = $3,600

2 foreign body surgeries @ $3,500 avg = $7,000

2 amputations @ $1,800 avg = $3,600

Total private-practice value: $21,400

Your cost: $10,000

Monthly savings: $11,400

Annual savings: $136,800

ROI: 214% (you receive $21,400 in value for $10,000 invested)

Frequently Asked Questions

Financial Questions

Q: What if I can’t use my full allocation in a given month?

A: Monthly allocations do not roll over. However, if you’re consistently underutilizing your tier, we can discuss a tier adjustment during quarterly reviews to better match your needs.

Q: Can I upgrade or downgrade my tier mid-year?

A: Tier alignment is formally reviewed on a quarterly basis to ensure your selected tier matches your organization’s actual utilization and needs. However, if your intake, case volume, or medical demand changes significantly between review periods, you may request an earlier tier adjustment. Any mid-quarter change is discretionary and subject to approval based on staffing, facility capacity, scheduling availability, and existing partner commitments.

Q: Can I pay monthly or do I need to pay annually up front?

A: Monthly invoicing is standard. Payment is due at the beginning of each month for that month’s access.

Q: What happens if I’m late on a payment?

A: We understand rescue finances can be unpredictable. If you’re experiencing cash flow challenges, communicate early. We may be able to work with you on a short-term payment plan. However, persistent nonpayment is grounds for termination.

Q: Are there any setup fees or hidden costs?

A: No. There are no setup fees, enrollment fees, or hidden costs. You pay your monthly retainer plus direct-cost medications and diagnostics as used.

Q: What if I need to pause my partnership temporarily (financial hardship, intake slow-down)?

A: We understand rescue operations fluctuate. If you need to pause temporarily, contact us to discuss. We may be able to accommodate a pause for 1-3 months depending on program capacity and your situation.

Scheduling and Operations

Q: How far in advance do I need to schedule procedures?

A: At least 7 days in advance for routine procedures. If you have urgent needs, contact us as early as possible and we’ll do our best to accommodate within available capacity.

Q: What happens if I need to cancel an appointment?

A: Provide 48-hour notice for cancellations. We’ll make reasonable efforts to reassign that capacity to another partner. If the slot cannot be filled, it may still count toward your monthly allocation.

Q: What happens if Always & Furever has to cancel an appointment?

A:  If Always & Furever cancels a partner’s confirmed appointment with less than 48 hours’ notice due to staffing changes, medical emergencies, outbreaks, or other operational constraints, that appointment will not count against the partner’s monthly allocation. Always & Furever will make reasonable efforts to offer a priority make-up slot within the same month, subject to available capacity. If same-month rescheduling is not possible due to medical or operational limitations, the unused capacity will carry over to the following month..

Q: Can I schedule all my procedures at the beginning of the month or do they need to be spread out?

A: We work with you to schedule based on actual animal flow and medical capacity. Concentrating all procedures in one week may not always be feasible, but we’ll work to accommodate your intake patterns within our scheduling framework.

Q: What if I have an emergency case that exceeds my monthly allocation?

A: Contact us immediately. We’ll assess capacity and do our best to help. Depending on the situation, we may be able to accommodate the case, refer to emergency services, or discuss a temporary tier upgrade.

Q: Do I need to transport animals to Always & Furever or do you provide transport?

A: Partners are responsible for transport to and from the applicable VRC service location. You provide safe, appropriate transport and handling for animals before and after procedures.

Medical and Clinical Questions

Q: What counts as one procedure or one treatment slot?

A: In general, one scheduled surgical case, sedated diagnostic case, or qualifying medical treatment visit counts as one allocation unit. The Medical Team determines classification based on complexity, staff time, anesthesia needs, and clinical resources required

Q: What if a procedure is more complex than expected and takes longer?

A: Our veterinarians will communicate with you if a case becomes more complex. The procedure still counts as one procedure toward your allocation (unless it’s a multi-step case requiring separate visits). You would only pay direct-cost medications and any additional diagnostics needed.

Q: Can I request a specific veterinarian?

A: You may express a preference, but we cannot guarantee a specific veterinarian for every case. Our veterinarians are highly skilled and experienced.

Q: What if my animal needs overnight monitoring?

A: Our program does not include 24/7 hospitalization. If overnight monitoring is medically necessary, we’ll help you coordinate a referral to an appropriate emergency or specialty hospital.

Q: What if there’s a surgical complication?

A: Veterinary medicine involves inherent risk. Our veterinarians will provide appropriate medical care and communicate with you about any complications. However, Always & Furever is not liable for adverse events or outcomes beyond our control.

Q: Can you handle behavioral cases or aggressive animals?

A: Safety is our top priority. You must disclose any known behavioral risks when scheduling. We reserve the right to decline cases that pose safety risks to our staff. For severe behavioral cases, we may recommend sedation protocols or referral to a facility better equipped for those cases.

Q: What if we disagree with a veterinarian’s decision?

A: The Medical Team retain final authority over case acceptance, timing, treatment recommendations, safety decisions, and referrals. If a partner has a concern, it must be raised through the VRC Operations Lead, who will coordinate review with the Medical Team when appropriate. Partners may not pressure veterinary staff to change a clinical decision, and veterinarians may decline cases or referrals without pushback when medical judgment, safety, legal compliance, or capacity requires it.

Insurance and Liability

Q: What type of insurance do I need?

A: You must maintain general liability insurance and animal bailee insurance. Proof of insurance must be provided on execution of the agreement.

Q: What happens if an animal escapes or is injured during transport?

A: Partners are responsible for safe transport and handling. You agree to indemnify and hold harmless Always & Furever from claims arising from transport, foster care, or post-operative complications outside our direct medical care.

Q: What if there’s a dispute about medical care or outcomes?

A: We encourage open communication. If concerns arise, contact the VRC Operations Lead or Medical Director immediately. We’ll work to resolve issues collaboratively. If resolution is not possible, the Partner Agreement includes dispute resolution provisions.

Program Sustainability and Access

Q: How do I know this program will still exist in a year?

A: The VRC Program is designed to be financially self-sustaining. Partner revenue combined with avoided external veterinary spend fully covers staffing costs in the steady-state model. The program is not dependent on grants or donations. It is built to last.

Q: Can I visit the facility and meet the veterinary team before committing?

A: Yes. We encourage prospective partners to schedule a site visit and meet our team as part of the intake process.

Q: Is this program available to rescues outside the Kansas City metro area?

A: Currently, the VRC Program focuses on the Kansas City region and surrounding areas where transport logistics are manageable. Rescues farther away may be considered case-by-case

Q: Can I refer another rescue to the program?

A: Yes! We welcome referrals from trusted partners. However, participation is invitation-only and all prospective partners go through our standard intake and evaluation process.

Partnership Terms

Q: What is the commitment period?

A: All tiers require a 12-month commitment. This allows both parties to plan effectively and ensures program stability.

Q: Can I terminate early if my organization’s situation changes?

A: Either party may terminate with 30 days written notice. However, we encourage partners to communicate early if challenges arise so we can explore solutions before termination.

Q: What are grounds for immediate termination?

A: Immediate termination may occur for repeated no-shows, failure to disclose medical/behavioral risks, nonpayment, breach of agreement terms, or conduct that endangers staff, volunteers, or animals.

Q: Can I share my allocation with another rescue organization?

A: No. Access is non-transferable. Each partner’s allocation is specific to that organization and cannot be shared, sold, or sublicensed.

Q: What happens after hours if one of my animals has a post-operative concern or medical complication?

A: At this time, the VRC Program does not provide after-hours veterinary technician triage, overnight monitoring, or 24/7 emergency support. If an animal experiences an urgent post-operative concern outside normal operating hours, partners should seek care from an appropriate emergency veterinary provider. During business hours, St. Francis Outreach, LLC, with administrative support from Always & Furever where applicable, will provide follow-up guidance within program scope and help coordinate next steps when appropriate. As the program grows, we may add expanded after-hours support, including veterinary technician triage, if staffing and infrastructure allow.

Q: Who is responsible for post-operative recovery and follow-up care?

A: Partners are responsible for transport, foster placement, recovery monitoring, medication administration, and general post-operative care after discharge. St. Francis Outreach, LLC provides discharge instructions, medical recommendations, and follow-up guidance within program scope, with administrative support from Always & Furever where applicable, but the VRC Program does not currently provide overnight hospitalization, long-term boarding, or after-hours recovery monitoring.

Competitive Comparison: VRC Program vs. Other Options

Sample Partner Agreement

VETERINARY RESCUE COLLABORATION AGREEMENT

St. Francis Outreach, LLC

And

[Partner Organization Name]

This Agreement is entered into as of [DATE] (the “Effective Date”) by and between St. Francis Outreach, LLC, a Kansas limited liability company owned solely by licensed veterinarians (“SFO”) and [Partner Organization Name] (“Partner”).

1. Program Overview

1.1 Purpose

The Veterinary Rescue Collaboration Program (the “VRC Program”) is a mission-aligned, invitation-only program through which SFO, as an independent veterinarian-owned veterinary practice, provides veterinary services to select rescue partners. Certain nonclinical administrative and operational support services for the VRC Program may be performed on SFO’s behalf by SFO’s designated Administrative Agent. For the avoidance of doubt, all veterinary services under the VRC Program are rendered solely by SFO through its licensed veterinarians.

1.2 Charitable Program; Non-Commercial Nature

(a) The VRC Program is a mission-driven charitable collaboration designed to expand access to veterinary care for rescue animals and to support animal welfare outcomes. Participation is by invitation only and may be modified, limited, suspended, or revoked based on capacity, animal welfare priorities, regulatory considerations, program alignment, or operational constraints. Capacity may be limited by surgical time, case complexity, anesthesia requirements, staffing levels, facility constraints, equipment availability, or prioritization of urgent animal welfare cases.

Monthly retainers are intended to reserve access to VRC Program capacity and support program infrastructure, staffing, and operational readiness. They do not constitute payment in exchange for any guaranteed volume of services, specific procedures, or access within any defined timeframe. All services remain subject to medical judgment, regulatory compliance, and operational availability. The parties acknowledge that, under normal operating conditions, SFO intends to make good-faith efforts to provide access to Partner’s allocated capacity each month, subject to the limitations described in this Agreement.

(b) Program Intent. The VRC Program is not intended to function as a high-volume spay-and-neuter model. It is designed as a rescue-exclusive veterinary collaboration focused on higher-touch medical, surgical, and specialty-support care delivered through a premium operational system at rescue-accessible pricing. The parties acknowledge that SFO’s goal is to expand sustainable access to advanced and hard-to-source veterinary care for rescue organizations as staffing, licensure, and scheduling capacity continue to grow.

1.3 Priority

Partner access remains subordinate to patient welfare, SFO’s medical judgment, regulatory requirements, and overall program capacity.

1.4 Program Structure

1. The VRC Program is structured around defined monthly capacity tiers, predictable monthly retainers, and direct-cost billing for certain medications, diagnostics, and pass-through items. It is not offered to the general public as an open-access fee-for-service clinic. SFO intends to operate the VRC Program as a collaborative partnership and will make reasonable efforts to work with Partner to address scheduling, utilization, and operational needs within program constraints.

Any scheduling-related reasonable efforts under the VRC Program are subject to Section 5 and do not constitute a guarantee of specific appointment timing or date availability.

2. Pilot Phase; Program Adjustments The parties acknowledge that this Agreement is being entered into during the pilot phase of the VRC Program. During this pilot phase, SFO will actively monitor realworld case mix, capacity, costs, and operational demands to evaluate the longterm sustainability of the program model. The parties agree that, based on data and experience gathered during the pilot phase, the program structure, capacity allocations, and pricing model may be refined by mutual written agreement of the parties. Any such refinements will be implemented through a written amendment to this Agreement signed by both parties in accordance with Section 11.6. The parties further acknowledge that SFO’s intent is, once sufficient utilization and cost data are available, to propose an amended agreement that reflects a more permanent program structure and pricing model for participating partners.

1.5 Definitions

For purposes of this Agreement:

(a) “Add-On Procedure” means an additional procedure identified day-of or intraoperatively that was not included in the original scheduled service request.

(b) “Administrative Support Services” means non-clinical support services performed by Administrative Agent on SFO’s behalf, including billing support, invoicing support, payment processing support, scheduling administration, intake administration, communications support, and other non-clinical operational services performed.

(c) “Allocation Unit” means the standard unit of measure used to track monthly Partner utilization of VRC Program capacity. Unless otherwise specified in this Agreement or Exhibit A, one scheduled routine veterinary service Encounter counts as one (1) Allocation Unit.

(d) “Anesthesia Event” means any instance of general anesthesia or deep sedation administered for a procedure.

(e) “Bundled Procedure” means two or more procedures performed during the same Encounter or Anesthesia Event.

(f) “Business Day” means any day other than a Saturday, Sunday, or holiday on which banks are generally open in Kansas.

(g) “De-identified Data” means data and information that has been aggregated or stripped of names, logos, patient identifiers, case-specific identifying details, and other information reasonably likely to identify Partner, any individual animal, foster, adopter, donor, veterinarian, or specific case source. Data shall not be considered de-identified if a reasonable person familiar with the surrounding facts could readily determine the identity of the affected Partner or case from the information disclosed.

(h) “Direct-Cost Item” means any medication, diagnostic, pathology, laboratory test, supply, or similar pass-through item billed to Partner at SFO’s actual acquisition cost, without markup, when this Agreement expressly provides that such item is billed at direct cost.

(i) “Encounter” means a scheduled appointment block requiring veterinary team time, whether in-person or otherwise requiring reserved clinical capacity.

(j) “Good Standing” means that Partner, as of the date the determination is made: (i) is current on all retainers, invoices, buyback payments, and other amounts due under this Agreement beyond any applicable cure period; (ii) is not subject to a current suspension, probation, corrective action status, or material unresolved compliance concern under this Agreement; (iii) has materially complied with scheduling, communication, records-submission, transport, discharge, and case-preparation requirements; (iv) has not engaged in repeated no-shows, chronic late cancellations, abusive communications, or conduct that threatens staff safety, animal welfare, facility operations, or regulatory compliance; and (v) remains otherwise approved by SFO for continued participation in the VRC Program. SFO shall determine Good Standing in good faith based on the operational and clinical record of Partner under this Agreement. Determinations may consider patterns of conduct over time, but a single serious event that materially threatens staff safety, animal welfare, facility operations, or regulatory compliance may also be sufficient to affect Good Standing.

(k) “Included Follow-Up” means a follow-up service that counts as zero (0) Allocation Units only when expressly identified as included under this Agreement or Exhibit A or otherwise approved by SFO’s Medical Leadership under this Agreement.

(l) “Medical Leadership” means SFO’s Medical Director, attending veterinarian, or other licensed veterinarian designated by SFO to exercise clinical authority under this Agreement.

(m) “Normal Operating Hours” means Monday through Friday, 8:00 a.m. to 5:30 p.m., unless otherwise designated in writing by SFO. Any services provided outside these hours are considered afterhours services and are offered only if staff are available, in SFO’s sole discretion; afterhours services are not guaranteed under any circumstances.

(n)** “Program Fee”** means a fixed fee established under this Agreement or Exhibit A for a designated service, access category, imaging service, BuyBack, or other program charge that is not billed at actual acquisition cost. Program Fees are not Direct-Cost Items.

(o) “Specialty Service” means a service category involving higher complexity, anesthesia burden, staffing intensity, surgical time, patient risk, or operational demand, as identified in this Agreement or Exhibit A or otherwise classified by SFO’s Medical Leadership. Specialty Services are counted in Allocation Units and are also subject to any applicable monthly Specialty Service caps.

1.6 Administrative Services Agent.

SFO hereby designates Always & Furever Midwest Animal Sanctuary, Inc. (“Administrative Agent”) to perform certain non-clinical administrative and operational support functions on SFO’s behalf in connection with the VRC Program, including billing support, invoicing, payment processing, scheduling administration, intake administration, communications support, record-routing, and related non-clinical operational services (collectively, “Administrative Support Services”).

Administrative Agent acts solely in an administrative capacity on behalf of SFO, is not a provider of veterinary services, is not a party to this Agreement, and assumes no independent clinical or contractual obligation to Partner under this Agreement. Administrative Agent is, however, an intended third-party payee and notice recipient solely for administrative convenience as expressly provided in Sections 4.1 and 12.

All invoices, billing communications, scheduling communications, operational communications, and formal notices to SFO under this Agreement may be issued by, routed through, or delivered to Administrative Agent on SFO’s behalf. Delivery to Administrative Agent in accordance with Section 12 constitutes valid and effective delivery to SFO for all purposes under this Agreement. Administrative Agent’s authority is limited strictly to non-clinical administrative functions and does not extend to any matter within SFO’s exclusive clinical authority under Section 1.7.

1.7 Independent Veterinary Practice; VCPR; Medical Control

For all veterinary services provided under this Agreement, the veterinarian-client-patient relationship is established between SFO’s attending veterinarian and Partner, as the legal custodian of the animal, in accordance with applicable law and veterinary regulations.

Partner acknowledges that it acts as the client for purposes of veterinary care and is authorized to consent to examination, diagnostics, treatment, surgery, and euthanasia where medically indicated.

SFO is and shall remain the sole provider of veterinary services under this Agreement and retains exclusive authority over all clinical, professional, and regulated matters, including without limitation case acceptance, triage, prioritization, diagnosis, treatment planning, referral decisions, anesthesia and analgesia protocols, prescribing (including controlled substances), medical records, discharge timing, standards of care, and humane euthanasia determinations. Partner may not direct, control, or override SFO’s clinical judgment or require SFO to provide, withhold, or modify care in a manner inconsistent with SFO’s medical judgment or professional obligations.

Administrative Agent acts solely in a non-clinical, administrative capacity on SFO’s behalf and is not a provider of veterinary services, is not a party to the VCPR, and assumes no independent clinical obligation to Partner. Administrative Agent has no authority to diagnose, prescribe, determine treatment plans, make patient-specific medical decisions, or practice veterinary medicine, and nothing in this Agreement shall be construed to authorize it to do so.

SFO shall create and maintain medical records in accordance with applicable law. Copies of records may be shared with Partner for continuity of care upon request and in accordance with law and SFO policy. Partner may not represent Administrative Agent as a veterinary provider or imply that Administrative Agent is providing veterinary services through the VRC Program. Partner may describe services as being provided through the VRC Program by SFO, with administrative support provided by Administrative Agent.

1.8 Custody and Control of Animals

Partner retains sole legal ownership, custody, and control of all animals presented under this Agreement at all times. Nothing in this Agreement shall be construed to transfer ownership, legal custody, or long-term control of any animal to either SFO or Administrative Agent.

Animals may be temporarily housed, handled, or treated at facilities used in connection with the VRC Program solely for purposes of veterinary services and related intake, discharge, or support processes. Such temporary presence does not create a bailment, custodial relationship, or assumption of ongoing responsibility beyond the scope of the specific services being provided.

Partner remains responsible for all decisions regarding placement, foster care, adoption, and long-term welfare of the animal.

1.9 No Surrender; No Transfer of Responsibility. Presentation of an animal under this Agreement does not constitute surrender of the animal to SFO or Administrative Agent and does not transfer rescue responsibility, placement responsibility, holding responsibility, foster responsibility, or end-of-life decision-making authority except as expressly authorized for emergency humane intervention under this Agreement. Partner remains solely responsible for reclaiming the animal promptly after discharge and for all disposition decisions not expressly delegated to SFO’s attending veterinarian for immediate medical necessity.

2. Partner Tier And Pricing

2.1 Selected Tier

Each partner may elect one of the available participation tiers described in this Agreement or in a written pricing or enrollment schedule approved by SFO.

All monthly Partner utilization under the VRC Program shall be measured in Allocation Units as set forth in Exhibit A. Specialty Services are included within, and not in addition to, the monthly Allocation Unit limit for the selected tier.

2.2 Monthly Retainer

Partner agrees to pay the applicable monthly retainer on or before the first day of each month for that month’s access to VRC Program capacity. If any monthly retainer is not received within ten (10) days after its due date, such amount will be considered past due and may be subject to late charges, suspension of scheduling for new services, or other remedies as set forth in this Agreement.

2.3 Evergreen Term; Initial Commitment Period.

This Agreement begins on the Effective Date and will continue until terminated in accordance with Section 10. During the first twelve (12) months after the Effective Date, Partner is deemed to be in its Initial Commitment Period, subject to any express early-termination rights stated in this Agreement.

2.4 No Rollover

Except as expressly provided in Section 5.3(c), Monthly Allocation Units do not roll over and are not banked. Unused Allocation Units expire at the end of each calendar month.

2.5 No Refunds or Credits

Except as expressly provided in Section 5.3(c), monthly retainers reserve dedicated access to VRC Program capacity and are non-refundable once the applicable month begins. Unused allocation does not create any refund, credit, offset, or carryforward right unless expressly approved in writing by SFO.

2.6 Excess Utilization

Requests beyond Partner’s monthly Allocation Unit limit or any applicable Specialty Service cap are subject to available capacity and may be declined, deferred, counted in a future month, require a tier change, require a BuyBack where expressly permitted in Exhibit A, or be separately priced under a written addendum, in SFO’s sole discretion.

2.7 Tier Changes

Partner may request a tier upgrade at any time, subject to SFO capacity approval. Partner may request a tier downgrade without penalty upon thirty (30) days’ written notice if Partner experiences a material, sustained reduction in animal intake or funding. Unless otherwise approved in writing, any tier change will take effect on the first day of the next calendar month following the notice period. SFO may also independently recommend a tier adjustment based on sustained under- or over-utilization during quarterly reviews.

2.8 Founding Partner Price Guarantee. In recognition of Partner’s commitment to the launch of the VRC Program, Partner is designated as a “Founding Partner.” As a Founding Partner, the monthly retainer fee for the specific tier selected on the Effective Date (as set forth in Exhibit A) is permanently locked and shall never increase for the duration of this Agreement.

(a) Tier-Specific Guarantee Only; Termination Upon Any Tier Change. This Founding Partner Price Guarantee applies strictly and exclusively to the specific tier selected by Partner on the Effective Date. If Partner’s tier changes for any reason, whether at Partner’s request, by mutual written agreement, or following SFO’s recommended or required tier adjustment based on utilization, scheduling, program fit, or corrective action, the Founding Partner Price Guarantee shall immediately terminate. After any tier change, Partner shall be subject to SFO’s then-current pricing for the newly selected tier and for any future tier.

(b) Scope of Guarantee. This guarantee applies only to the monthly retainer fee. Pass-through items billed at direct cost (such as medications, lab work, and imaging) are not locked and remain subject to actual acquisition costs.

3. Scope Of Services

3.1 Included Services

Subject to capacity, scheduling availability, medical appropriateness, and SFO’s clinical judgment, Partner’s monthly retainer includes access to the categories of veterinary services described in this Agreement and Exhibit A. The Allocation Unit value assigned to each included service category shall be governed by Exhibit A.

Standalone sedation visits for handling, imaging, minor procedures, or patient-safety management may be offered in SFO’s discretion and shall be counted in Allocation Units as set forth in Exhibit A.

3.2 Specialty Veterinary Procedures

Specialty Services are included within, and not in addition to, the monthly Allocation Unit limits and applicable Specialty Service caps for the selected tier, as set forth in Exhibit A. A Specialty Service may consume one (1) or more Allocation Units depending on actual case complexity, anesthesia duration, staffing intensity, isolation burden, patient risk, recovery demands, and other factors identified in Section 3.5, even if the case counts as only one Specialty Service use for cap purposes unless Exhibit A expressly states otherwise.** **SFO’s Medical Leadership shall determine whether a case is classified as a Specialty Service and the corresponding Allocation Unit count applicable to that case.

Dental procedures, amputations, foreign body surgeries, mass removals, enucleation, cherry eye procedures, cystotomies, complex oral surgeries, and other higher-complexity services designated by SFO may be classified as Specialty Services. Complexity classifications, staged treatment rules, and reclassification rules are set forth in Exhibit A.

(a) Surgical and Anesthesia Authority. SFO’s attending veterinarian shall determine whether a patient is an appropriate anesthetic or surgical candidate on the scheduled date of service. SFO may postpone, modify, abbreviate, or decline any procedure due to patient condition, body condition, age, infectious-disease concerns, heat cycle, pregnancy, cryptorchid status, brachycephalic risk, aggression, equipment limitations, staffing limitations, or any other medical or safety concern. In making those determinations, SFO will apply professional standards of care and patient-safety practices appropriate to the setting, which may include pre-anesthetic history review, physical examination, review of available records, patient-risk assessment, selective laboratory screening or other diagnostics when clinically indicated, establishment of an anesthetic and analgesia plan, appropriate intraoperative monitoring as determined by the attending veterinarian, and perioperative pain-control measures consistent with the procedure and patient condition. SFO may defer or decline anesthesia or surgery where minimum patient-safety conditions, monitoring capability, staffing support, recovery support, or post-discharge care reliability are not reasonably satisfied in SFO’s clinical judgment.

(b) Pathology and Specimen Handling. If masses, tissues, teeth, foreign material, or other specimens are removed during treatment, SFO shall determine whether submission for pathology, culture, or other laboratory review is medically indicated. Unless expressly included in writing, pathology, histopathology, culture, and outside laboratory review are billed to Partner at direct cost. SFO may retain, submit, release, or discard specimens in accordance with medical judgment, law, and ordinary veterinary practice

(c) Case Mix and Scheduling Discretion. SFO retains sole discretion to manage the mix, timing, and distribution of specialty procedures to maintain appropriate surgical balance, staffing capacity, and patient safety. SFO may defer, stage, or refer cases as necessary based on overall case complexity and program demands.

4. In-heat and pregnant spay cases may involve increased anesthetic, surgical, staffing, bleeding, and recovery burden. SFO may accept, defer, reclassify, or decline such cases in its clinical discretion based on gestational stage as reasonably estimated, patient condition, anticipated surgical complexity, facility readiness, staffing, and animal-welfare considerations. If SFO accepts such a case, the applicable Allocation Unit value and any Specialty Service treatment shall be governed by Exhibit A. Partner is responsible for accurate disclosure of known or suspected pregnancy or heat status before scheduling and again at intake.

3.3 Excluded Services

The following are not included in the VRC Program and may require referral, outside care, or separate written arrangements:

• 24/7 hospitalization or intensive care

• Chemotherapy or oncology treatment

• Advanced orthopedic procedures

• Long-term boarding or convalescent care

• Emergency services outside Normal Operating Hours

• Drop-off day-hospital care, routine day-boarding, overnight hospitalization, or convalescent boarding not expressly approved in writing.

3.4 Parvo Support

Parvovirus treatment support may be available on a discretionary, capacity-dependent basis. Parvo support is not guaranteed and is subject to SFO’s clinical judgment, facility capacity, isolation availability, and staffing.

(a) Allocation. The Allocation Unit value for initial parvovirus support visits, follow-up visits, rechecks, and additional treatment administration appointments shall be governed by Exhibit A.

(b) Medication and Supply Billing. All medications, fluids, IV supplies, diagnostics, and other direct-cost items associated with parvo treatment are billed to Partner at direct cost with no markup, in addition to the allocation counted under subsection (a). SFO may offer a written parvo care bundle at a flat rate in lieu of itemized direct-cost billing if SFO elects to do so, but no such bundle is guaranteed.

(c) Protocol and Isolation Compliance. Partner is responsible for ensuring that all isolation, transport, and post-treatment care protocols prescribed by SFO are strictly followed. SFO may decline, defer, or discontinue parvo support if Partner cannot demonstrate ability to comply with isolation requirements or post-discharge care instructions. Failure to comply may result in reclassification of subsequent visits as new allocation units or referral to an outside provider.

(d) No Guarantee of Completion. SFO may suspend or discontinue parvo support at any time based on clinical judgment, facility outbreak risk, staffing, or program capacity. Partial treatment does not create any refund, credit, or carryforward right for procedures already allocated.

3.5 Allocation Unit Determination

For purposes of monthly utilization tracking, SFO’s Medical Leadership shall determine the Allocation Unit value assigned to any service, subject to Exhibit A. All clinical determinations are governed by Section 1.7.

(a) Tier Capacity Rule. Each selected tier includes a maximum monthly Allocation Unit limit and, where stated, a maximum monthly Specialty Service cap. A Specialty Service counts against both the monthly Allocation Unit limit.

(b) Inclusion Rule. Specialty Services are included within, and not in addition to, the monthly Allocation Unit limit applicable to Partner under the Agreement.

(c) Classification Authority. SFO’s Medical Leadership has sole and final authority to determine the Allocation Unit value assigned to any service, including whether a service is routine, a Specialty Service, an Included Follow-Up, staged treatment, or a new Allocation Unit event. That determination may be based on complexity, anesthesia event, staffing requirements, patient safety, infectious-disease concerns, isolation burden, operational demands, time requirements, or scope of care. If a case is not expressly listed in this Exhibit A, or if actual case demands differ materially from the preliminary classification, SFO may assign the Allocation Unit count that most closely reflects the service actually provided. For clarity, classification as a Specialty Service does not by itself require a fixed Allocation Unit value of one (1); the Allocation Unit count may increase where objective case demands materially exceed a routine or lower-burden specialty encounter.

(d) Allocation Unit Scheduling Conventions. For scheduling, utilization, and monthly capacity tracking purposes, Allocation Units shall be applied according to the following rules unless otherwise expressly stated in this Agreement or Exhibit A or determined by SFO’s Medical Leadership:

(i) Scheduled Encounter Rule. One scheduled routine veterinary service encounter generally counts as one (1) Allocation Unit. This default rule applies only where the service is routine, performed as a standalone scheduled encounter, and does not materially increase anesthesia burden, staffing intensity, surgical time, patient risk, isolation burden, or operational demands.

(ii) Same-Day Add-On Services. If additional services are identified or requested on the same scheduled date of service, SFO may determine whether those services are included within the originally assigned Allocation Unit count or should be counted as one or more additional Allocation Units based on the actual time, staffing, anesthesia, complexity, and operational burden created by the added services.

(iii) Combined Procedures Under One Anesthesia Event. When multiple procedures are performed during a single anesthesia event or surgical session, SFO may treat the case as a single combined Allocation Unit event or assign multiple Allocation Units if the combined procedures materially increase complexity, anesthesia duration, staffing intensity, monitoring burden, recovery demands, specialty involvement, or overall scope of care. The fact that services occur under one anesthesia event does not require them to be counted as only one Allocation Unit.

(iv) Staged Cases. If a case is completed over multiple treatment dates, multiple visits, or separate anesthesia events, each separate date or event may be counted as one or more Allocation Units in the month in which the applicable services are actually performed.

(v) Intraoperative or Same-Day Reclassification. If examination findings, diagnostics, or intraoperative findings materially change the anticipated complexity or scope of care, SFO may reclassify the case and adjust the Allocation Unit count accordingly. Where medically appropriate, SFO may complete the procedure and invoice or track the adjusted Allocation Unit count after the fact.

(e) No-Show, Late Arrival, and Cancellation Impact. If Partner cancels, arrives late, or fails to present an animal for a scheduled service in a manner that prevents the appointment block from being reasonably reused, SFO may count the missed or materially disrupted appointment against Partner’s monthly Allocation Units in accordance with the Agreement. SFO may establish reasonable operational thresholds for late arrival, incomplete intake, missing records, failure to follow fasting or transport instructions, or other readiness failures that materially impair use of the reserved time block.

(f) Reserved Scheduling Block Rule. For purposes of monthly utilization tracking, Allocation Units are intended to reflect not only the service ultimately performed, but also the clinical and operational capacity reserved for that case. Accordingly, SFO may consider reserved doctor time, anesthesia time, staffing, isolation needs, equipment use, and schedule displacement in determining the final Allocation Unit count for a scheduled encounter.

(g) Specialty Service Flex Rule. Subject to SFO’s scheduling discretion and available capacity, SFO may allow Partner to apply available Specialty Service capacity to a service that would otherwise count only as a regular Allocation Unit service. If SFO allows that election, the service shall continue to count against the monthly Allocation Unit limit and shall also consume the corresponding Specialty Service capacity as determined by SFO. However, regular Allocation Units may not be converted into Specialty Service capacity, and unused regular Allocation Units do not authorize Partner to schedule a Specialty Service once the applicable Specialty Service cap has been exhausted.

(h) SFO-Sponsored Allocation Units. SFO may establish donor-funded or sponsor-funded Allocation Units or tier support for participating Partners and, in its discretion, may designate certain sponsored Allocation Units for charitable community-access use. All such sponsored capacity shall remain subject to the Agreement, SFO’s medical judgment, and the same Allocation Unit tracking framework unless SFO expressly states otherwise in writing.

(i) Partner-Designated Community Use. Subject to SFO approval, scheduling discretion, and applicable law, Partner may designate that one or more of its own available Allocation Units be used for a community animal or community member in need. Any such use shall count against Partner’s monthly Allocation Unit limit, and if the service is classified as a Specialty Service, it shall also count against the applicable Specialty Service cap. Before services are rendered, the community client must complete all client intake, consent, waiver, financial responsibility acknowledgment, discharge, and other documentation required by SFO, and a veterinarian-client-patient relationship must be established in the manner required by applicable law and SFO policy. Unless SFO expressly agrees otherwise in writing, Partner’s designation of an Allocation Unit for community use does not transfer to SFO or Administrative Agent any rescue intake obligation, ownership responsibility, boarding responsibility, placement responsibility, follow-up custody responsibility, or financial responsibility for the animal outside the specific approved service encounter. SFO may decline any proposed community-use case that does not meet program criteria, documentation requirements, safety requirements, or clinical appropriateness standards.

3.6 Heartworm Treatment; Allocation and Billing

Heartworm treatment is a multi-stage medical protocol that requires veterinary oversight, scheduled appointments, and dedicated staff time. Due to the staged nature of treatment, heartworm cases are subject to the following rules:

(a) Allocation. The Allocation Unit value assigned to heartworm injection appointments, pre-treatment diagnostics, staging, candidacy review, follow-up care, adverse-event evaluations, and complication management shall be governed by Exhibit A.

(b) Medication Billing. All heartworm treatment medications — including but not limited to melarsomine (Immiticide/Diroban), doxycycline, prednisone/prednisolone, and any related injectable or oral agents — are billed to Partner at direct cost with no markup, in addition to the procedure allocation counted under subsection (a).

(c) Protocol Compliance. Partner is responsible for ensuring that all pre-treatment and post-treatment protocols prescribed by SFO are strictly followed, including activity restriction, isolation requirements, and medication administration after discharge. SFO may decline to proceed with or continue a heartworm treatment protocol if Partner cannot demonstrate ability to comply with post-treatment care requirements. Failure to follow prescribed exercise restriction, confinement, medication, recheck, or transport instructions may result in postponement, discontinuation, referral, or reclassification of subsequent services as separately billable or new allocation units.

(d) No Guarantee of Completion. Heartworm treatment protocols may be deferred, suspended, or discontinued at any time based on SFO’s clinical judgment, patient condition, or program capacity. Partial treatment does not create any refund, credit, or carryforward right for procedures already allocated.

(e) Pre-Treatment Diagnostics; Staging; Candidacy. Before initiating heartworm treatment, SFO may require examination, confirmatory testing, laboratory work, imaging, and any other diagnostics or staging measures that SFO determines are medically appropriate. Such services may count toward Partner’s monthly Allocation Unit when they require scheduled veterinary time and may also include direct-cost items billed separately. SFO retains sole discretion to determine whether a patient is an appropriate candidate for in-program heartworm treatment, whether treatment should be delayed or modified, and whether outside referral is medically indicated.

(f) Follow-Up; Complications; Referral. Recheck visits, adverse-event evaluations, additional diagnostics, and treatment of complications related to heartworm disease or heartworm treatment may count toward monthly Allocation Unit and may include separately billed direct-cost items, as determined by SFO’s medical leadership. If SFO determines that a patient requires emergency care, hospitalization, specialty care, or services outside program scope, Partner shall be responsible for obtaining and paying for such outside care.

3.7 FIV/FeLV Diagnostics and Management. FIV and FeLV diagnostics, medical management, and supportive care are billed at direct cost and may count toward monthly Allocation Unit when they require scheduled veterinary time.

3.8 Euthanasia Aftercare and Cremation

Partner shall be solely responsible for all cremation, aftercare, transport, and related disposition costs for any animal euthanized under the VRC Program, unless Partner elects to retain the animal’s remains where legally permitted. If Partner does not retain the remains, any cremation or aftercare shall be coordinated through a crematory provider designated by SFO. SFO may require written disposition instructions at or before the time of service. Any private cremation, communal cremation, ashes-return option, special handling request, or related aftercare service shall be billed to Partner separately unless otherwise agreed by SFO in writing.

3.9 Premium Communications Channel; Discretionary After-Hours Triage and Animal Management Support (Strategic Founding Partners Only)

After-hours support is an occasional, discretionary courtesy and not a standard or expected component of the VRC Program.

1. The VRC Program does not include emergency services outside Normal Operating Hours, and Partner remains solely responsible for arranging 24/7 emergency care for its animals through outside providers. Notwithstanding the foregoing, if Partner is (i) enrolled in the Strategic Partner Tier, (ii) designated as a Founding Partner under Section 2.8, and (iii) in good standing, SFO may, from time to time and in its sole discretion, make available a shared electronic communication channel designated by SFO (such as a group text thread or secure messaging platform) for limited discretionary support (the “Premium Communications Channel”).

2. Through the Premium Communications Channel, veterinarians expressly designated by SFO may, at their discretion, provide: (i) brief after-hours telephone or electronic triage for urgent situations involving qualifying Partner animals, including guidance on whether an animal should be presented for emergency care, monitored until Normal Operating Hours, or scheduled for later VRC evaluation; and (ii) limited general operational guidance regarding sanitation practices, infectious-disease isolation practices, transport considerations, and non-pharmaceutical behavioral support measures for animals previously examined by the responding SFO veterinarian. Communications through the Premium Communications Channel do not constitute a full examination, diagnosis, prescription, definitive treatment plan, or ongoing case management, and may be based on incomplete or second-hand information provided by Partner. No veterinarian responding through the Premium Communications Channel is required to diagnose, prescribe, authorize medication use, or direct treatment without an examination or other information the veterinarian deems sufficient. SFO may direct Partner at any time to seek emergency or specialty care, present the animal for examination, or defer non-emergent issues until Normal Operating Hours.

3. Premium Support is strictly voluntary on the part of participating veterinarians and is contingent on their individual availability, workload, safety considerations, and clinical judgment. No response time, availability, or acceptance of any particular question or case is guaranteed. Partner acknowledges and agrees that Premium Support is capacitydependent, may be unavailable at any given time, and shall not be relied upon as a substitute for independent emergency coverage or scheduled veterinary care.

4. Participation in the Premium Communications Channel is limited to veterinarians and other team members expressly designated by SFO for that purpose. Nothing in this Agreement shall be construed to obligate any SFO veterinarian to participate in the Premium Communications Channel or to respond to messages sent through it, and no Partner may request, pressure, or expect responses from any veterinarian who has not been so designated. SFO may modify, suspend, or discontinue the Premium Communications Channel or Premium Support at any time, in whole or in part, without such change constituting a breach of this Agreement.

5. Founding Strategic Partner agrees to use the Premium Communications Channel responsibly, to provide accurate and complete information in any message, and to limit after-hours outreach to situations reasonably believed to involve urgent patient-care decisions. Partner acknowledges that any response through the Premium Communications Channel is preliminary, limited, and provided in reliance on the information supplied by Partner at that time. Partner shall not rely on Premium Support as a substitute for in-person evaluation, diagnostics, emergency care, or legally required veterinary examination. To the extent Premium Support results in a specific clinical recommendation, instruction to present for care, or other patient-specific direction that SFO determines should be memorialized, SFO will document the substance of that communication in the medical record, communication log, or other business record consistent with applicable law and SFO policy. Failure of SFO to respond, delay in response, or provision of only limited guidance through the Premium Communications Channel shall not create liability or expand the scope of services under this Agreement.

3.10 Discretionary After-Hours Triage and Services (Founding Strategic Partners Only).

If SFO elects to provide in-person after-hours veterinary services for a qualifying Founding Strategic Partner under this Section, such services shall be reserved for urgent or emergent cases that, in SFO’s clinical judgment, cannot reasonably wait until Normal Operating Hours. The applicable Allocation Unit value and Specialty Service usage for any such visit shall be governed by Exhibit A. Routine or elective procedures are not eligible for after-hours treatment.

3.11 Emergency Specialty “BuyBack” (Founding Strategic Partners Only). This Buy-Back applies only to specialty procedures used for after-hours emergency visits.

If SFO elects to offer an Emergency Specialty BuyBack, the eligibility requirements, pricing, restored-unit limits, and related conditions shall be governed by Exhibit A.

4. Billing And Administrative Support

4.1 Administrative Agent’s Role

1. Administrative Support

Administrative Agent may provide billing, invoicing, payment processing, intake administration, scheduling administration, reminder communications, record-routing, and other non-clinical administrative support services for the VRC Program. All such services are administrative only, shall be performed solely in accordance with SFO’s written policies, fee schedules, scripts, and protocols, and shall not give Administrative Agent authority over case acceptance, clinical prioritization, diagnosis, treatment, pricing of veterinary services, or any other medical or professional determination.

Administrative Agent is authorized as SFO’s administrative collection agent for invoicing and receipt of payment, and payment to Administrative Agent shall constitute payment to SFO for amounts properly due under this Agreement. Administrative Agent is also an intended third-party payee solely for administrative convenience and shall have no independent right to alter pricing, waive charges, settle disputes, or modify this Agreement.

Administrative Agent shall not supervise SFO clinical personnel, establish veterinary staffing ratios, set clinical protocols, determine medical-product selection, control medical record content, or direct the manner in which veterinary services are rendered.

2. Billing Structure; Administrative Collection

All veterinary services under this Agreement are provided solely by SFO. All fees, retainers, and passthrough charges are determined exclusively by SFO in accordance with its professional judgment.

Administrative Agent, in its nonclinical administrative capacity, will issue and process invoices under the VRC Program name and receive Partner payments for administrative processing. Partner acknowledges that all such payments are made solely in payment of amounts owed to SFO for veterinary services and not for veterinary services provided by Administrative Agent.

Any billing forms, scripts, collection practices, partner-facing pricing schedules, or payment plans used by Administrative Agent in connection with the VRC Program shall be subject to SFO’s approval to the extent they relate to veterinary services or veterinary charges.

4.2 Direct-Cost Billing

Medications, laboratory testing, heartworm treatment, parvovirus treatment medications, and other designated pass-through items may be billed to Partner at direct cost with no markup unless otherwise specified in a written schedule.

4.3 Imaging Program Fees

Imaging services are billed as fixed Program Fees and not as Direct-Cost Items unless this Agreement expressly states otherwise in writing. X-ray services are billed at $10 per X-ray, per view. Ultrasound services, subject to service availability, are billed at $25 per ultrasound, unless modified by written amendment to Exhibit A or other signed written amendment to this Agreement as applicable.

4.4 Routine Surgical Costs Absorbed.

Routine surgical costs associated with included veterinary procedures performed under this Agreement are absorbed within the program retainer and are not billed separately unless otherwise stated in writing. For clarity, this includes ordinary surgical time, routine surgical supplies, and standard intraoperative support customarily required for included procedures. Direct-Cost Items, Program Fees, non-routine medications, pathology, outside laboratory services, imaging fees, complication-related treatment, and any other separately billable items expressly identified in this Agreement remain billable to Partner as provided herein.

4.5 Payment Terms

Monthly retainer payments are due on or before the first day of each month. Additional charges for Direct-Cost Items, Program Fees, imaging fees, BuyBack charges, and other approved separately billable items are invoiced monthly and due within thirty (30) days of invoice date unless this Agreement requires prepayment for a specific category.

4.6 Late Payment

Payments not received when due may result in suspension of scheduling access, withholding of future appointment confirmations, denial of BuyBack requests, or a requirement that future retainers, direct-cost items, and/or scheduled procedures be prepaid in whole or in part. Amounts not paid when due may accrue interest at the lesser of one percent (1.0%) per month or the maximum rate permitted by law.

If any amount remains unpaid for more than ten (10) days after written notice of delinquency, SFO may suspend scheduling access until the account is brought current. If Partner has repeated late payments, returned payments, unresolved invoice disputes raised in bad faith, or any pattern of nonpayment, SFO may require automatic payment, retainers in advance, procedure-specific prepayment, or direct-cost deposits as a condition of continued participation in the VRC Program.

Suspension or prepayment requirements under this Section do not waive any other remedy available under this Agreement, and Partner remains responsible for all amounts accrued before, during, or after any suspension. SFO may, in its sole discretion, continue to provide or complete urgent patient care already underway where medically appropriate, but no such decision shall waive Partner’s payment obligations or limit SFO’s right to suspend future access.

4.7 Invoice Disputes

Partner must notify SFO in writing, through its Administrative Agent in accordance with Section 12, of any good-faith invoice dispute within 10 days after receipt of invoice, with reasonable detail regarding the disputed amount. Undisputed amounts remain due and payable.

4.8 Fee Review and Adjustment

The parties may review utilization, case mix, pass-through pricing, scheduling assumptions, and operational assumptions from time to time. For clarity, a Founding Partner’s locked monthly retainer for its original selected tier shall not be increased while the Partner remains continuously enrolled in that same tier.

Changes to Direct-Cost Items or other pass-through pricing that are billed at actual acquisition cost may be implemented by SFO upon written notice and shall not require an amendment, unless this Agreement expressly provides otherwise.

Any change to monthly retainers, Program Fees, imaging fees, BuyBack pricing, included services, Allocation Unit schedules, Specialty Service caps, or other Exhibit A pricing or unit-allocation mechanics shall require a written amendment in accordance with Section 11.6. No notice-only change under this Section may modify any term that Section 11.6 requires to be amended in writing.

4.9 Monthly Utilization and Billing Summary.

Within a reasonable time after the end of each calendar month, Administrative Agent shall make available to Partner a monthly summary reflecting, to the extent tracked by the VRC Program: (a) Allocation Units used during the month; (b) Specialty Service uses during the month, if applicable; (c) Emergency Specialty BuyBacks, if applicable; (d) direct-cost items billed; (e) amounts invoiced, paid, and outstanding; and (f) any notable allocation adjustments made under this Agreement or Exhibit A.

5. Scheduling And Access

5.1 Monthly Capacity Model

Partner’s selected tier reserves access to a defined amount of VRC Program capacity during each calendar month, measured in Allocation Units, rather than guaranteeing any specific appointment date, day-of-week preference, turnaround time, or number of appointment blocks in any particular week. SFO will use reasonable efforts, during normal operating conditions, to make scheduling opportunities available on a recurring basis sufficient to allow participating Partners in good standing to utilize their reserved monthly capacity, subject to medical priority, case mix, staffing, facility constraints, equipment availability, legal compliance, and overall program operations. Unless otherwise designated by SFO, appointment blocks for routine scheduling will generally be released on a weekly or biweekly rolling basis. The timing, number, type, and release of such appointment blocks may vary based on patient needs, specialty load, anesthesia demands, outbreaks, staffing availability, holidays, and other operational considerations, and no specific release cadence creates a guarantee of any particular appointment availability.** **

5.2 Advance Scheduling

Appointments should be scheduled at least 7 days in advance for routine procedures unless otherwise approved.

5.3 Cancellation Policy

1. Partner Cancellations. Cancellations require 48-hour notice. SFO and Administrative Agent will make reasonable efforts to reassign cancelled capacity. If capacity cannot be reassigned, the cancelled Allocation Unit may still count toward Partner’s monthly allocation.

2. Program Cancellations. If a scheduled Allocation Unit is cancelled for operational, medical, safety, or regulatory reasons, the Allocation Unit will not count toward Partner’s monthly allocation unless otherwise agreed in writing.

(c) Prolonged Program Disruption. If SFO materially suspends or is unable to provide Partner’s ordinary scheduling access for more than seven (7) consecutive Business Days during a calendar month due to a facility outbreak, emergency veterinary staffing shortage, regulatory shutdown, equipment failure materially affecting surgical or treatment capacity, or other comparable internal operational disruption beyond routine day-to-day scheduling variation, Partner may elect, as its sole and exclusive remedy for that disruption, one of the following: (i) rollover into the immediately following calendar month of the unused portion of the disrupted month’s Allocation Units; or (ii) a pro-rated credit against the next month’s retainer corresponding to the disrupted portion of the month. For purposes of this subsection, the “unused portion” means the number of Allocation Units remaining unused as of the first day of the qualifying disruption period, reduced by any Allocation Units that were reasonably made available or used during the remainder of that month despite the disruption. This remedy applies only to prolonged internal operational disruptions materially affecting ordinary scheduling access and does not apply to isolated appointment changes, case-specific medical deferrals, holidays, routine staggered veterinarian vacations where minimum program capacity is maintained, partner-caused cancellations, no-shows, incomplete records, patient unsuitability, or other case-specific scheduling limitations. Election of rollover or credit under this subsection shall be Partner’s sole and exclusive remedy for the applicable disruption, and Partner shall not be entitled to any additional refund, offset, damages, or carryforward rights arising from the same event except as expressly provided elsewhere in this Agreement.

5.4 Medical Records Submission. Partner must submit complete medical records and case summaries at least 24 hours prior to scheduled appointments when requested. If required information is incomplete, inaccurate, or not timely submitted, SFO may defer, reschedule, or decline the case.

5.5 Scheduling Authority.

SFO’s Medical Leadership manages scheduling, prioritization, timing, sequencing of cases, and patient access decisions within the VRC Program, subject to Section 1.7. Administrative Agent may provide scheduling administration and communications support only. Allocation provides access to request services, not guaranteed timing, priority, or specific appointment dates. Partner may request scheduling priorities and provide relevant case information, but may not direct, override, or improperly pressure SFO personnel regarding scheduling decisions.

5.6 VRC Scheduling Access

(a) VRC access is limited to approved partner organizations and is not open to walk-ins or the general public, except during designated sponsored community events or other limited charitable programming approved by SFO.

Notwithstanding the foregoing, SFO may approve limited community-access services funded through SFO-sponsored Allocation Units or Partner-designated Allocation Units as expressly provided in Exhibit A

(b) Sponsored Community Day / Community Use: For any sponsored Community Day or similar charitable event open to non-partner animals, the individual presenting the animal shall be the legal client for VCPR purposes unless SFO designates in writing that a sponsoring organization is serving as client for specifically identified animals. SFO shall determine the required intake, consent, and payment workflow for each such event, including who signs treatment authorizations, who is responsible for approved charges, and whether services are limited to specified protocol-based procedures.

5.7 Complications, Rechecks, and Follow-Up Care

SFO will provide medically appropriate rechecks and follow-up care related to procedures performed under the VRC Program during Normal Operating Hours. Whether follow-up care is treated as an Included Follow-Up or as one or more additional Allocation Units shall be governed by Exhibit A and determined by SFO’s Medical Leadership. Diagnostics, medications, supplies, sedation, additional treatment, or other direct-cost items associated with complication care may still be billed separately if applicable. SFO’s Medical Leadership retains final discretion to classify follow-up care, determine staffing availability for rechecks, and require external referral for severe complications.

6. Partner Obligations

6.1 Case Preparation

Partner must present animals in a condition reasonably appropriate for the requested service, including safe handling status, accurate identification, required fasting where instructed, and disclosure of known medical, behavioral, infectious-disease, and bite-risk history. SFO may decline, defer, isolate, redirect, or require external referral for any animal that appears medically unstable, unsafe to handle, inadequately prepared, contagious, improperly transported, or otherwise inappropriate for treatment within available staffing, facility, or legal constraints.

(a) Infectious Disease and Isolation Disclosure. Partner must disclose known or suspected exposure to parvovirus, distemper, upper respiratory disease, dermatophytosis, mange, gastrointestinal outbreak, or other contagious conditions before transport. SFO may require testing, isolation precautions, rescheduling, redirection, or outside referral based on biosecurity, staffing, and facility limitations.

6.2 Transport

Partner is responsible for safe transport of animals to and from the facilities used for VRC services.

6.3 Post-Operative Care

Partner is responsible for post-operative monitoring, foster care, confinement, medication administration after discharge, and convalescence. The VRC Program does not include long-term boarding or overnight hospitalization unless separately arranged in writing.

Unless otherwise approved in writing by SFO, animals discharged from the VRC Program must be picked up promptly on the same day, and any failure to timely retrieve an animal may result in boarding, transfer, emergency handling fees, or suspension of scheduling access if permitted by law and program policy.

The VRC Program does not include drop-off day-hospital care, routine day-boarding, convalescent boarding, or overnight hospitalization unless SFO expressly agrees otherwise in writing for a specific case. Animals must be picked up promptly on the same day once discharge is authorized

6.4 Communication

1. Professionalism. Partner must maintain professional, respectful communication with SFO and Administrative Agent’s personnel and respond promptly to scheduling requests, billing questions, and medical updates.

2. Designated Point of Contact; Backup Contact. Partner shall designate in writing one primary point of contact and one backup point of contact for all routine operational communications under this Agreement, including scheduling, intake, records requests, transport coordination, discharge coordination, billing questions, follow-up communications, and non-emergency treatment-related communications. Each designated contact must be authorized by Partner to receive communications from SFO/Administrative Agent (as applicable), provide case information, communicate Partner decisions, and coordinate timely action on Partner’s behalf as appropriate to the matter presented.

Partner shall ensure that its designated contacts remain reasonably available during normal business operations and shall maintain current contact information for each, including name, title, mobile number, and email address. Partner shall promptly provide written notice of any change in a designated contact or that person’s authority. Until such written notice is received, SFO and Administrative Agent may rely in good faith on communications, instructions, consents, approvals, and other representations made by either designated contact within the scope of that person’s apparent authority.

If the primary point of contact is unavailable or non-responsive, SFO and Administrative Agent may communicate with and rely upon the backup contact. If neither designated contact is reasonably available when needed for scheduling, coordination, discharge, case management, or other operational matters, SFO may defer or reschedule non-emergency services, delay discharge pending safe coordination, require written confirmation of authority, or take other reasonable operational steps necessary to protect patient welfare, staff safety, and program integrity.

For clarity, designated contacts under this Section are for operational and program communications only and do not replace or modify the formal notice requirements set forth elsewhere in this Agreement. Nothing in this Section limits SFO’s authority to act in emergencies or urgent patient-care situations as otherwise provided in this Agreement.

6.5 Utilization

Partner must use monthly Allocation Unit appropriately and consistently. Persistent underutilization may trigger a tier review.

6.6 Mission Alignment

Partner must operate ethically and transparently, maintain animal welfare standards consistent with program expectations, and respect program boundaries and scope limitations.

6.7 Treatment Authorization

Partner represents and warrants that it has legal authority to present each animal for examination, treatment, surgery, sedation, diagnostics, transfer, or referral and to authorize all related veterinary services contemplated by this Agreement.

6.8 Emergency Treatment Authority; humane Intervention

 If an animal experiences an emergency, unexpected anesthetic complication, or unanticipated medical condition while in SFO’s care, and Partner or its designated contact cannot be reached after reasonable efforts, Partner authorizes SFO’s attending veterinarian to provide emergency stabilization, pain control, humane intervention, or referral deemed medically appropriate in the veterinarian’s professional judgment. For purposes of this Section, “reasonable efforts” means at least two (2) good-faith attempts using the primary contact information on file and at least one (1) good-faith attempt using the backup contact information on file, by call or text or both as available, over a period that is reasonable under the clinical urgency of the situation. If the attending veterinarian reasonably determines that delay would materially increase pain, suffering, risk of death, risk of irreversible deterioration, or risk to staff safety, animal welfare, or legal compliance, SFO shall not be required to wait for expiration of any fixed time period before acting. Where feasible under the circumstances, SFO will document the time, method, and outcome of attempted contacts in the medical record or related case log. Humane euthanasia without Partner’s contemporaneous approval may be performed only where the attending veterinarian reasonably determines that immediate euthanasia is necessary to relieve severe suffering, prevent imminent death with unmanaged distress, or address a grave and non-stabilizable condition for which delay is not medically appropriate.** **

6.9 Acknowledgment of Veterinary Risk and Informed Consent

Partner acknowledges that veterinary medicine and surgery involve inherent risks, including adverse reactions to medications, anesthetic complications, infection, unexpected surgical findings, treatment failure, injury, or death. By presenting an animal for care, Partner affirms that it has obtained or is authorized to provide informed consent for procedures performed under this Agreement. SFO will provide veterinary services consistent with applicable professional standards of care and VCPR requirements under Kansas law.

6.10 Non-Harassment; Non-Disparagement

Neither party shall engage in, authorize, or knowingly permit harassment, abusive conduct, disparagement, or public criticism of the other party or its personnel, volunteers, operations, services, or reputation, including by means of social media, online postings, or communications with third parties, except for truthful statements required by law or made in good faith to regulators, licensing bodies, or legal counsel.

7. Insurance And Liability

7.1 Insurance Requirements

Partner must maintain general liability insurance and animal bailee insurance with minimum coverage of $1,000,000 per occurrence and provide proof of insurance upon request. SFO shall maintain professional liability coverage for veterinary services provided within the scope of this Agreement.

7.2 Indemnification

Partner agrees to indemnify and hold harmless SFO, Administrative Agent, and their respective staff, directors, officers, volunteers, and agents from claims, damages, losses, or expenses arising from or related to Partner’s transport of animals, foster care or housing before or after procedures, incomplete or inaccurate disclosures, failure to follow discharge instructions, or breach of this Agreement, except to the extent caused by the gross negligence or willful misconduct of the indemnified party. SFO agrees to indemnify and hold harmless Administrative Agent from claims, damages, or losses arising directly from SFO’s clinical judgment, professional acts, or omissions in providing veterinary services under this Agreement, except to the extent caused by Administrative Agent’s own administrative negligence or willful misconduct.

7.3 Medical Decision-Making

All clinical determinations are governed by Section 1.7. Partner may not direct, override, or improperly pressure SFO personnel regarding medical or scheduling decisions under this Agreement.

7.4 Post-Discharge Responsibility

Except to the extent directly caused by the gross negligence or willful misconduct of SFO, Partner is solely responsible for transport, foster or shelter placement, monitoring, medication administration, confinement, follow-up care, and recovery after discharge.

7.5 Clinical and Operational Escalation

If Partner has a concern regarding case acceptance, referral, timing, clinical communication, billing administration, or other VRC Program operations, Partner must direct that concern first to the designated VRC operations contact of Administrative Agent. Clinical issues shall be reviewed by SFO’s Medical Director or designated attending veterinarian, whose determination on clinical appropriateness, referral status, timing, and scope of care shall be final for program purposes.

7.6 No Guarantee of Outcomes

Partner acknowledges that veterinary medicine involves inherent uncertainty and risk. SFO does not guarantee any particular diagnosis, treatment result, prognosis, recovery, or outcome.

7.7 Limitation of Liability

Except for claims arising from professional negligence, gross negligence, willful misconduct, fraud, or amounts that cannot be limited under applicable law, each party’s aggregate liability arising out of this Agreement shall not exceed the total monthly retainers paid by Partner during the three (3) months preceding the event giving rise to the claim.

8. Compliance, Records, And Controlled Substances

8.1 Regulatory Compliance

SFO shall be solely responsible for compliance with veterinary licensure, premises, professional, prescribing, controlled-substance, pharmacy, and medical-record requirements applicable to veterinary services under this Agreement. Administrative Agent may assist only with ministerial, administrative, or scheduling support and shall not hold itself out as the provider of veterinary services.

8.2 Controlled Substances

SFO shall be solely responsible for all controlled substances, prescription authority, ordering, storage, handling, inventory, security, and compliance with federal and state law. Partner may not possess, store, or administer controlled substances without appropriate licensure and lawful authority.

(a) Prescription and Refill Authority. All prescribing decisions, refill decisions, extra-label use decisions, and determinations regarding whether an in-person examination or recheck is required before prescribing or refilling medication shall be made solely by SFO in accordance with applicable law, professional judgment, and VCPR requirements. Neither Partner nor Administrative Agent may require SFO to prescribe, dispense, or refill any medication.

8.3 Medical Records and Confidentiality

SFO shall create and maintain medical records in the ordinary course of care. All medical records, charts, and veterinary practice data generated under this Agreement shall remain under the ownership and final control of SFO. Administrative Agent may access such information only to the limited extent necessary to perform authorized non-clinical administrative functions and only in accordance with SFO policy and applicable law.

Each party shall maintain the confidentiality of non-public business, operational, and medical information received from the others and shall use such information only for purposes of performing under this Agreement, except as required by law.

8.4 Mobile Operations and Service Locations

Any services delivered through a licensed mobile veterinary unit or at multiple facility locations shall be performed as an extension of SFO’s licensed veterinary operations and in compliance with the laws of the state of Kansas.

8.5 Regulatory Inquiries and Cooperation. Each party shall promptly notify the others of any written inquiry, complaint, investigation, subpoena, inspection request, board inquiry, or other regulatory or legal request relating to the VRC Program, veterinary services provided under this Agreement, or the parties’ respective roles under this Agreement, unless prohibited by law. The parties shall cooperate in good faith in responding to such matters, provided that nothing in this Section requires any party to waive privilege, disclose protected information beyond what is legally required, or assume another party’s legal fees or liabilities except as otherwise expressly provided in this Agreement.

8.6 Data Security; Unauthorized Disclosure. Each party shall use reasonable administrative, technical, and physical safeguards to protect non-public business, operational, and medical information accessed or maintained in connection with this Agreement from unauthorized access, use, disclosure, alteration, or loss. In the event of any material unauthorized access, disclosure, or loss of such information within a party’s possession or control, that party shall notify the others promptly after discovery and shall cooperate in good faith regarding reasonable containment, mitigation, and response measures, subject to applicable law.

9. Quarterly Reviews

9.1 Performance Review

 Partner participation and tier alignment may be reviewed quarterly by program leadership. Any tier change, whether upward or downward, voluntary or involuntary, shall terminate the Founding Partner Price Guarantee under Section 2.8.

9.2 Evaluation Criteria

Evaluation may include utilization patterns, communication quality, scheduling discipline, payment history, and mission alignment.

9.3 Tier Adjustments

If utilization is persistently low or high, SFO may recommend a tier adjustment to better align access with actual needs.

9.4 Corrective Action

If performance concerns arise, SFO may work with Partner to address them through a corrective action process before initiating termination. Corrective action may include written warning, required pre-payment for scheduled Allocation Units, temporary scheduling restrictions, tier reduction, or formal probation, depending on the nature and frequency of the concern.

10. Term And Termination

10.1 Evergreen Term. This Agreement is evergreen and shall continue in full force and effect from the Effective Date until terminated in accordance with this Section 10. No annual renewal or renewal amendment is required for continuation of the Agreement.

10.2 Standard Termination

After the Initial Commitment Period, either party may terminate this Agreement without cause upon sixty (60) days’ prior written notice. During the Initial Commitment Period, Partner may terminate early only as expressly permitted in this Agreement or with SFO’s written consent.

10.3 Immediate Suspension or Termination

SFO may immediately suspend scheduling access or terminate this Agreement if Partner’s conduct endangers staff, volunteers, animals, regulatory compliance, controlled-substance compliance, or facility safety, or if Partner fails to pay amounts due after notice and opportunity to cure as provided in this Agreement.

10.4 Termination for Cause

Either party may terminate this Agreement upon written notice if the other party materially breaches this Agreement and fails to cure such breach within 30 days after receiving written notice describing the breach in reasonable detail.

10.5 Effect of Termination

Upon termination, Partner must immediately cease representing itself as a VRC partner and return any property or materials of SFO or Administrative Agent. Partner remains liable for all amounts due through the termination date including without limitation unpaid retainers, directcost invoices, and any BuyBack amounts.

11. General Provisions

11.1 Non-Transferability

Partner’s access is non-transferable. Partner may not share, sell, or sublicense its allocation to other organizations.

11.2 No Third-Party Beneficiaries

This Agreement creates no third-party beneficiary rights except as expressly stated.

11.3 No Affiliation Misrepresentation

Partner may not publicly represent itself as an affiliate of SFO or Administrative Agent without prior written consent.

11.4 Governing Law; Venue

This Agreement is governed by the laws of the State of Kansas. Venue for any action arising out of or relating to this Agreement shall lie exclusively in the state or federal courts located in Kansas, unless otherwise required by law.

11.5 Entire Agreement

This Agreement constitutes the entire agreement among the parties regarding the VRC Program and supersedes prior discussions or understandings regarding its subject matter.

11.6 Amendments; Waiver

No amendment, modification, or waiver of this Agreement, including any refinement of the program model contemplated during the pilot phase under Section 1.4(b), will be effective unless in writing and signed by authorized representatives of the applicable parties.

Notwithstanding the foregoing, changes to Direct-Cost Items or other pass-through pricing billed at actual acquisition cost may be implemented by SFO and do not require a signed amendment.

The parties may revise Exhibit A by written amendment without revising the remainder of this Agreement, and upon effectiveness of such amendment, the updated Exhibit A shall replace and supersede the prior Exhibit A in its entirety.

11.7 Force Majeure

Neither party shall be liable for delay or failure to perform caused by events beyond its reasonable control, including disease outbreaks, quarantine restrictions, natural disasters, utility failures, labor shortages, supply disruptions, acts of government, pandemic, epidemic, government actions, civil unrest, or other force majeure events.

Notwithstanding the foregoing, force majeure does not excuse, defer, or reduce any payment obligation under this Agreement, including without limitation monthly retainer payments, direct-cost invoices, BuyBack payments, or any other amounts due. Partner’s obligation to pay all amounts when due is absolute and is not subject to force majeure relief. If Partner experiences a genuine financial hardship arising from a force majeure event, Partner may request a written payment accommodation from SFO, which SFO may grant or deny in its sole discretion. Partner may also request a temporary deferral; SFO may approve in writing.

11.8 No Joint Venture or Agency

Except for the limited administrative agency relationship expressly created between SFO and its Administrative Agent under Sections 1.6 and 1.7, nothing in this Agreement creates any partnership, joint venture, fiduciary, employment, franchise, or general agency relationship among the parties. Partner has no authority to bind SFO or Administrative Agent, and Administrative Agent has no authority to bind Partner except as expressly stated in this Agreement.

11.9 Severability

If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

11.10 Counterparts; Electronic Signatures

This Agreement may be executed in counterparts, each of which is deemed an original, and signatures delivered electronically shall be deemed effective as originals.

12. Notices

Any notice required or permitted under this Agreement must be in writing and delivered by email, nationally recognized overnight courier, or certified U.S. mail to the notice contacts designated by the parties.

If to SFO: St. Francis Outreach, LLC co/ Always & Furever Midwest Animal Sanctuary, Inc., as Administrative Agent Attn: VRC Program Chief Financial Officer, Jessica Thurlow Email: jthurlow@alwaysandfurever.org Address: 23595 W 223rd St, Spring Hill, KS 66083

SFO expressly authorizes Administrative Agent to receive notices, payments, and communications on SFO’s behalf under this Agreement for administrative convenience only, and delivery to Administrative Agent at the address above shall constitute effective delivery to SFO for all purposes under this Agreement. Administrative Agent is an intended third-party payee and notice recipient solely for administrative convenience and is not a party to this Agreement.

If to Partner: [Partner Legal Name] Attn: [Name / Title] Email: [email] Address: [address]

Operational, scheduling, billing, and clinical communications may occur through designated contacts; however, formal legal notices must comply with this Section.

13. Data Collection And Program Reporting

13.1 De-identified Data Use. Administrative Agent and/or SFO may collect, analyze, and use De-identified Data related to Allocation Units, outcomes, utilization, and program operations for operational improvement, reporting, fundraising, and animal welfare initiatives, provided no confidential Partner information is disclosed except as required by law or with consent.

13.2 Publicity; Names; Logos; Stories; Mutual Consent. Except for de-identified data use expressly permitted under Section 13.1, no party may use the name, logo, trademarks, service marks, photographs, identifiable case stories, testimonials, or other brand-identifying content of another party in external publicity, fundraising, donor materials, sponsorship materials, press releases, websites, social media, or promotional communications without the prior written consent of the party whose name, brand, or identifying content is to be used. Such consent may be granted, withheld, conditioned, or revoked in that party’s reasonable discretion.

For clarity, neither SFO nor Administrative Agent may publicly identify Partner, and Partner may not publicly identify SFO or Administrative Agent, as a collaborating, sponsoring, endorsing, or affiliated organization in fundraising or promotional materials without prior written consent, except for accurate factual statements that the parties are participating in the VRC Program if such reference has been expressly approved in writing.

If consent is granted for use of a name, logo, case story, photograph, or other identifying content, the receiving party shall use such content only in the approved form, for the approved purpose, and during the approved period, and shall promptly cease use upon expiration or revocation of consent. Nothing in this Section grants any ownership right, license, or continuing permission in another party’s intellectual property, brand identity, or goodwill.

IN WITNESS WHEREOF, the parties have executed this Veterinary Rescue Collaboration Agreement as of the dates set forth below.

ST. FRANCIS OUTREACH, LLC

By: ______________________________ Name: [Name] Title: [Title] Date: ____________________________

[PARTNER ORGANIZATION NAME]

By: ______________________________ Name: [Name] Title: [Title] Date: ____________________________

EXHIBIT A

ALLOCATION SCHEDULE AND UNIT DEFINITIONS

This Exhibit A (Allocation Schedule and Unit Definitions) is incorporated into and made part of the Veterinary Rescue Collaboration Agreement (the “Agreement”) between St. Francis Outreach, LLC (“SFO”) and Partner.

This Exhibit A establishes the Allocation Unit schedule, tier limits, and unit-counting mechanics used to measure monthly Partner capacity usage under the VRC Program. If this Exhibit A conflicts with the Agreement on policy, clinical authority, billing authority, scheduling discretion, or eligibility rules, the Agreement controls unless it expressly states otherwise.

SELECT ONE:

Strategic Partner Tier: $10,000 per month [ ]

• Monthly Allocation: up to 40 Allocation Units per month

• Included Specialty Service Cap: up to 10 Specialty Services per month

Core Partner Tier: $5,000 per month [ ]

• Monthly Allocation: up to 20 Allocation Units per month

• Included Specialty Service Cap: up to 4 Specialty Services per month

Limited Partner Tier: $2,500 per month [ ]

• Monthly Allocation: up to 10 Allocation Units per month

• Included Specialty Service Cap: up to 2 Specialty Services per month

A. Allocation Tables

The Allocation Tables below reflect typical Allocation Unit treatment for common case types under ordinary circumstances. Final classification and unit assignment remain subject to Section 3.5 of the Agreement. Reclassification from the typical allocation shown below should occur only when actual case demands materially differ.

1) Intake / Preventive / Wellness

2) Routine Surgery (Core High-Volume)

3) Sick Visits / Medical Management

4) Diagnostics & Imaging

5) Specialty Service Spay/Neuters

6) Specialty Service Soft Tissue

7) Disease Protocol Programs

8) Follow-Up Care

9) Excluded / Referral Services

10. Dental Services Allocation Unit

B. After-Hours Emergency Specialty Allocation

A qualifying after-hours emergency specialty visit approved under Section 3.9 of the Agreement counts as two (2) Allocation Units and two (2) Specialty Service uses. Direct-cost items associated with the visit are billed separately as applicable under the Agreement.

C. Emergency Specialty BuyBack

If Partner receives a qualifying after-hours emergency specialty visit counted at two (2) Allocation Units and two (2) Specialty Service uses, SFO may approve restoration of up to the same number of units for use during Normal Operating Hours in that same calendar month. Approved Emergency Specialty BuyBacks are priced at $3,000 per block of two (2) restored units, do not roll over, and must be used in the same month unless SFO approves otherwise in writing.

D. Included vs Direct-Cost Items.

Included in Allocation / Retainer Unless Otherwise Stated: routine exam time for the scheduled included service; routine surgical time; routine surgical supplies; standard monitoring; standard recovery; standard in-clinic pain control customarily used for the included procedure.

Separately billed at direct cost unless otherwise stated in the Agreement: vaccines; microchips; dewormer; flea/tick prevention; heartworm prevention; take-home medications; e-collars/cones; ear medications; pre-op bloodwork; outside laboratory testing; pathology; IV fluids; injectable or take-home antibiotics; special implants; and other medications, diagnostics, supplies, or pass-through items not expressly listed as included.

Imaging services are billed in accordance with Section 4.3 of the Agreement and are not treated as direct-cost items unless the Agreement expressly states otherwise.

If there is any conflict, the direct-cost rule controls unless this Agreement or Exhibit A expressly states that the item is included.

E. Amendment of Exhibit A

The parties acknowledge that case mix, staffing intensity, anesthesia burden, operational capacity, and program pricing may change over time.

Accordingly, the parties may revise this Exhibit A by written amendment without revising the remainder of the Agreement, and upon effectiveness of any such amendment, the updated Exhibit A shall replace and supersede the prior Exhibit A in its entirety.

Ready to Join?

If your organization is mission-aligned, operationally ready, and committed to ethical, transparent collaboration, we’d love to hear from you.

Contact: VRC Operations Lead Always & Furever Midwest Animal Sanctuary Kansas City Metro Area

Email: [contact email] Phone: [contact phone]

Let’s save more lives together.

Ready to Partner With Us?

If your organization is mission-aligned, operationally ready, and committed to ethical, transparent collaboration — let’s save more lives together.

Request Partnership Information

Always & Furever Midwest Animal Sanctuary · St. Francis Outreach, LLC · Kansas City Area

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