January 7, 2019

To My Patients:

As you are aware, I have been affected by pancreatic cancer forcing me to stop practicing my craft. I have tried to maintain the practice by using a temporary physician, however, this model is not financially viable for me. I have enacted an alternative solution.

I have SOLD the practice as of today, JANUARY 7, 2019 to DR. RICK HIRSCH.

Dr. Hirsch has been in practice in Upland for over 15 years. He admits to San Antonio Regional Hospital and has been admitting and providing in-patient care for my patients since March 2018. He also goes to Several Nursing Home Facilities.

Dr. Hirsch has offered me an opportunity to return to the practice in some capacity following my recovery.

I thank each and every patient for their confidence in my ability to provide medical services over the past 29 years. I truly believe Dr. Hirsch's philosophical approach to patient care, medical knowledge, communication skills, and availability will provide continuity and familiarity in the manner in which I provided patient care.

Please give Dr. Hirsch his chance to continue to offer his skills and concerns for your ongoing or new healthcare needs.

Sincerely,

Arnold I. Roth, MD