Exhibit 10.24
                              EMPLOYMENT AGREEMENT
                              --------------------

                  THIS  EMPLOYMENT  AGREEMENT (the  "Agreement") is entered into
effective  as of the 15th day of  October,  2002,  by I-TRAX  HEALTH  MANAGEMENT
SOLUTIONS,  INC., a Delaware  corporation  with its principal  business  offices
located at One Logan  Square,  Suite  2615,  130 N. 18th  Street,  Philadelphia,
Pennsylvania 19103 (the "Company"),  and JOHN PALUMBO, an individual residing at
509 Hansen Drive, West Chester, PA 19380 ("Executive").

                  The Company desires to employ Executive, and Executive desires
to be employed by the Company,  commencing with the date hereof on the terms set
forth herein.

                  In   consideration   of  the  mutual  covenants  and  premises
contained  herein,  and other good and  valuable  consideration  the receipt and
sufficiency of which are hereby  acknowledged by the parties hereto, the parties
agree as follows:

      1. Term of Employment. The Company hereby agrees to employ Executive and
Executive hereby accepts employment with the Company, upon the terms set forth
in this Agreement, for the period commencing on the date hereof and ending on
the date which is the third (3rd) anniversary of the date hereof (such period
being called the "Original Term"), unless sooner terminated in accordance with
the provisions of Section 4 below. Upon the expiration of the Original Term, the
term of the Executive's employment shall automatically extend for successive
one-year periods (each such period, an "Additional Term") unless any such
Additional Term is sooner terminated in accordance with the provisions of
Section 4 below or unless on or before ninety (90) days prior to the end of the
Original Term or the then applicable Additional Term the Executive has notified
the Company in writing that the Executive's employment under this Agreement will
not be extended beyond the then current term.

      2. Title and Capacity. Executive shall serve as the Vice Chairman of the
Company and shall perform the duties commensurate with such positions and such
other duties as the Company's Board of Directors (the "Board") may determine.
Executive shall devote attention and energies on a full-time basis to the above
duties, and Executive shall not, during the term of this Agreement, actively
engage in any other for profit business activity.

      3. Salary; Benefits.

                 3.1 Base Salary and Discretionary Compensation.

                                 (a) Executive shall receive a base salary at
the rate of $200,000 per annum and such discretionary stock options, if any, as
the Compensation Committee of the Board (the "Compensation Committee") or the
Board, in each case in its sole discretion, may determine. The base salary for
any Additional Term, if any, shall be determined by mutual agreement of the
Executive and the Compensation Committee or the Board.

                                 (b) Executive may earn a bonus under the
Company's Variable Compensation Program in the amount of up to $100,000 per
calendar year beginning with calendar year 2003 if Executive achieves the goals
established for Executive by the Compensation Committee for the applicable
calendar year, which goals shall be reasonably acceptable to Executive.

                  3.2 Payment in Installments. Executive's annual base salary
shall be paid in periodic installments in accordance with the Company's general
payroll practices, after withholding for all federal, state and local taxes and
required deductions. Any discretionary bonus or stock options shall be paid or
granted at such time or times as determined by the Compensation Committee or the
Board, in each case in its sole discretion.

                  3.3 Stock Options.

                                 (a) The parties hereto acknowledge that
effective as of the date hereof, Executive is receiving from the Company a grant
of options to acquire 400,000 shares of the Company's Common

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Stock at an exercise price of $0.55 per share pursuant to the Company's 2001
Equity Compensation Plan (the "Plan Options"). The Plan Options shall be
exercisable as follows: 180,000 shares on December 30, 2002; 73,333 on October
15, 2003; 18,333 shares on each of January 15, 2004, April 15, 2004, July 15,
2004, October 15, 2004, January 15, 2005, April 15, 2005, July 15, 2005 and
18,336 shares on October 15, 2005. Other than as set forth in this Section
3.3(a) and in Sections 5.3 and 5.5 below, the terms of the Plan Options shall,
in all respects, be subject to the terms of the Option Agreement ("Plan Options
Agreement") effective as of the date hereof between the Company and Executive.
100% of the Plan Options shall immediately accelerate and be vested and
exercisable in full in accordance with the terms of the Plan Option Agreement in
the event of a "Change of Control," as such term is defined in the 2001 Equity
Compensation Plan.

                                 (b) The parties hereto acknowledge that
effective as of the date hereof, Executive is receiving from the Company a grant
of options to acquire 400,000 shares of the Company's Common Stock at an
exercise price of $0.55 per share outside of any plan (the "Non-Plan Options").
The Non-Plan Options shall be exercisable as follows: 133,333 shares on October
15, 2003; 33,333 shares on each of January 15, 2004, April 15, 2004, July 15,
2004, October 15, 2004, January 15, 2005, April 15, 2005, July 15, 2005 and
33,336 shares on October 15, 2005. Other than as set forth in this Section
3.3(b) and in Sections 5.3 and 5.5 below, the terms of the Non-Plan Options
shall, in all respects, be subject to the terms of the Option Agreement
("Non-Plan Options Agreement") effective as of the date hereof between the
Company and Executive. 100% of the Non-Plan Options shall immediately accelerate
and be vested and exercisable in full in accordance with the terms of the
Non-Plan Option Agreement in the event of a "Change of Control," as such term is
defined in the 2001 Equity Compensation Plan.

                  3.4 Fringe Benefits. Executive shall be entitled during the
term of this Agreement to participate in and receive only the rights and
benefits available under any health, disability, life insurance, pension or
other benefit plans now or hereafter provided by the Company for its employees.
Executive shall be entitled to receive a car allowance of $500 per month.

                  3.5 Vacation. Executive shall be entitled to 20 days paid
vacation per year to be taken at such times as may be approved by the
Compensation Committee, the Board or any of their designees.

                  3.6 Reimbursement of Expenses. The Company shall reimburse
Executive in accordance with the Company's policies and procedures for all
reasonable travel, entertainment and other expenses incurred or paid by
Executive in connection with, or related to, the performance of his duties,
responsibilities or services under this Agreement, upon presentation by
Executive of documentation, expense statements, vouchers and/or such other
supporting information as the Company may request; provided, however, that the
amount available for such travel, entertainment and other expenses may be fixed
in advance by the Board, the Compensation Committee or any of their designees.

      4. Employment Termination. The employment of Executive by the Company
pursuant to this Agreement shall terminate upon the occurrence of any of the
following:

                  4.1 Expiration of Term. At the election of Executive upon the
expiration of the Original Term or the then applicable Additional Term if
Executive notified the Company pursuant to Section 1 above that Executive's
employment under this Agreement will not be extended beyond the then current
term for any reason whatsoever.

                  4.2 Cause. At the election of the Company, for "cause",
immediately upon written notice by the Company to Executive. For the purposes of
this Agreement, "cause" for termination shall be deemed to exist by reason of
(a) any action by Executive resulting in the conviction of Executive of, or the
entry of a plea of guilty or nolo contendere by Executive to, any crime
involving moral turpitude, any felony, or any misdemeanor involving misconduct
or fraud in business activities, (b) any breach of a fiduciary duty involving
personal profit, (c) the willful failure of Executive to perform his duties
hereunder, (d) Executive's willful misconduct, recklessness or gross negligence
in the performance of his duties hereunder, (e) any action by Executive that
violates Section 6 below, (f) repeated refusals by Executive to comply with the
reasonable directives of the Board; provided, however, that the Company may
terminate Executive's employment pursuant to Subsections 4.2(c), (e) or (f)
above only after the failure by Executive to correct or cure, or to commence and
continue to pursue the correction or curing of, such

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refusals within ten (10) days after receipt by Executive of written notice of
the Board of each specific claim of any such refusal and to complete such
correction or cure within forty-five (45) days after receipt of such notice.

                  4.3 Without Cause. At the election of the Company, at any
time, upon thirty (30) days written notice for any reason whatsoever other than
for cause.

                  4.4 Death or Disability. Upon the death of, or thirty (30)
days after the disability of, Executive. As used in this Agreement, the term
"disability" shall mean the inability of Executive, due to a physical or mental
disability, to perform the services contemplated under this Agreement for a
period of three (3) consecutive months or for a cumulative period of four (4)
months within any six (6) consecutive months. A determination of disability
shall be made by a physician satisfactory to both Executive and the Company,
provided that if Executive and the Company do not agree on a physician,
Executive and the Company shall each select a physician and these two together
shall select a third physician, whose determination as to disability shall be
binding on all parties.

                  4.5 Termination by Executive. At the election of Executive:
(a) at any time if his health should become impaired to an extent that makes the
continued performance of his duties hereunder hazardous to his physical or
mental health or his life, as certified by a physician designated by Executive
and reasonably acceptable to the Company; (b) for "good reason" upon delivery of
written notice of such "good reason" to the Company; or (c) upon giving ninety
(90) days written notice of termination, which termination shall be deemed a
breach by Executive of his obligations under this Agreement. For purposes of
Section 4.5(b) above, "good reason" shall mean (i) the failure by the Company to
continue Executive in the position of Vice Chairman (or such other senior
executive position as may be offered by the Company and which Executive may in
his sole discretion accept); (ii) material diminution by the Board or a senior
executive officer of the Company of Executive's responsibilities, duties or
authority as Vice Chairman of the Company (or such other senior executive
position as may be offered by the Company and which Executive may in his sole
discretion accept) or assignment to Executive of any duties inconsistent with
Executive's position as Vice Chairman of the Company (or such other senior
executive position as may be offered by the Company and which Executive may in
his sole discretion accept); (iii) failure by the Company to pay and provide to
Executive the compensation provided in Section 3.1 above, which failure is not
cured within thirty (30) days after written notice of such failure is delivered
by Executive to the Company; (iv) requiring Executive to be permanently based
anywhere other than within 25 miles of his present office location in
Philadelphia, Pennsylvania (excluding business related travel); or (v) any other
material breach of this Agreement by the Company, which breach is not cured
within thirty (30) days after written notice of such breach is delivered by
Executive to the Company.

      5. Effect of Termination.

                  5.1 Expiration of Term. In the event Executive's employment is
terminated for any reason whatsoever pursuant to Section 4.1 above, the Company
shall pay to Executive the base salary and benefits otherwise payable to him
under Sections 3.1, 3.2 and 3.4 above, pro rata through the last day of his
actual employment by the Company.

                  5.2 Termination for Cause. In the event Executive's employment
is terminated for cause pursuant to Section 4.2 above, the Company shall pay to
Executive the base salary and benefits otherwise payable to him under Sections
3.1, 3.2 and 3.4 above, pro rata through the last day of his actual employment
by the Company.

                  5.3 Termination Without Cause. In the event Executive's
employment is terminated for any reason whatsoever other than for cause pursuant
to Section 4.3 above: (a) the Company shall pay to Executive the base salary and
benefits otherwise payable to him under Sections 3.1, 3.2 and 3.4 above, at such
times and in such installments as would be the case if there had been no
termination of employment pursuant to Section 4.3 above through the day which is
the one year anniversary of Executive's last day of employment by the Company
(such date, the "Cause Anniversary Date"); (b) on and as of the Cause
Anniversary Date, Executive shall be excused from complying with the restrictive
covenants set forth in Section 6.1 below; and (c) 100% of the Plan Options and
the Non-Plan Options shall immediately accelerate and be vested and exercisable
in full in accordance with the terms of the Plan Option Agreement and the
Non-Plan Option Agreement, as applicable. Executive hereby acknowledges and
agrees that if Executive's employment is terminated without cause pursuant to
Section 4.3 above,

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then the payment in full of compensation and the provisions of the other rights
described in this Section 5.3 shall represent the total obligation of the
Company to Executive under this Agreement.

                  5.4 Termination for Death or Disability. In the event
Executive's employment is terminated by death or because of disability pursuant
to Section 4.4 above, the Company shall pay to the estate of Executive or to
Executive, as the case may be, the base salary and benefits otherwise payable to
him under Sections 3.1, 3.2 and 3.4 above through the end of the month in which
the termination of his employment because of death or disability occurs.

                  5.5 Termination by Executive. If Executive terminates this
Agreement pursuant to Section 4.5(a) above, the Company shall pay to Executive
the base salary and benefits otherwise payable to him under Sections 3.1, 3.2
and 3.4 above through the date of termination. If Executive terminates this
Agreement pursuant to Section 4.5(b) above: (a) the Company shall pay to
Executive the base salary and benefits otherwise payable to him under Sections
3.1, 3.2 and 3.4 above, at such times and in such installments as would be the
case if there had been no termination of employment pursuant to Section 4.5(b)
above through the day which is the one year anniversary of Executive's last day
of employment by the Company (such date, the "Good Reason Anniversary Date");
(b) on and as of the Good Reason Anniversary Date, Executive shall be excused
from complying with the restrictive covenants set forth in Section 6.1 below;
and (c) 100% of the Plan Options and the Non-Plan Options shall immediately
accelerate and be vested and exercisable in full in accordance with the terms of
the Plan Option Agreement and the Non-Plan Option Agreement, as applicable.
Executive hereby acknowledges and agrees that if Executive terminates this
Agreement for good reason pursuant to Section 4.5(b) then the payment in full of
compensation and the provisions of the other rights described in the preceding
sentence shall represent the total obligation of the Company to Executive under
this Agreement. If Executive terminates this Agreement pursuant to Section
4.5(c) above, the Company shall pay to Executive the base salary and benefits
otherwise payable to him under Sections 3.1, 3.2 and 3.4 pro rata through the
last day of his actual employment by the Company, and the Company shall have the
right to assert a claim for damages caused to the Company by reason of
Executive's termination in breach of his obligations under this Agreement.

      6. Non-Compete; Confidentiality.

                  6.1 During the Original Term and any Additional Term
(regardless whether the Original Term or any Additional Term are terminated,
under Section 4 above, prior to the scheduled expiration [i.e., the date to
which such term would have continued if there had been no acceleration of the
end of such term] of the relevant period) and for a period of one (1) year after
the expiration thereof, Executive will not, directly or indirectly, including
through an Affiliate (as defined in Rule 12b-2 promulgated pursuant to the
Securities Exchange Act of 1934, as amended), engage in the health care
enterprise software and disease information management industry and such other
activities in which the Company or any of its wholly owned entities are engaged
in on the date hereof (the "Business") in the United States. For purposes of
this Section 6, each of the following activities, without limitation, shall be
deemed to constitute conducting the Business: engaging in, working with,
maintaining an interest in (other than interests of less than 1% in companies
with securities traded either on the New York Stock Exchange, the American Stock
Exchange, the Nasdaq National Market, the Nasdaq SmallCap Market or traded
over-the-counter and quoted on the Bulletin Board), advising for a fee or other
consideration, managing, operating, lending money to (other than loans by
commercial banks), guaranteeing the debts or obligations of, or permitting one's
name or any part thereof to be used in connection with an enterprise or
endeavor, either individually, in partnership or in conjunction with any
individual, partnership, corporation, limited liability company, association,
joint stock company, trust, joint venture or any other form of business
organization, unincorporated organization or governmental entity (or any
department, agency or subdivision thereof) (each, a "Person"), whether as
principal, director, agent, shareholder, partner, employee, consultant,
independent contractor or in any other manner whatsoever, any Person in the
Business.

                  6.2 Executive also covenants and agrees that, during the
Original Term and any Additional Term (regardless whether the Original Term or
any Additional Term are terminated, under Section 4 above, prior to the
scheduled expiration of the relevant period) and for a period of one (1) year
after the expiration thereof, he will not, directly or indirectly, and no Person
(including an Affiliate) over which he exercises control (whether as an officer,
director, individual proprietor, holder of debt or equity securities,
consultant, partner, member or otherwise) (i) solicit or engage or employ or
otherwise enter into any agreement or understanding,

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written or oral, relating to the services of any Person who is known or should
be known by Executive to be then employed or to have been employed within the
preceding six (6) months by the Company or its Affiliates, (ii) take any action
which could be reasonably expected to lead any Person to cease to deal with the
Company or (iii) solicit the business of, enter into any written or oral
agreement with or otherwise deal with any suppliers of goods, products,
materials or services in competition with the Company or solicit the business of
customers of the Company who were such at any time during the two (2) year
period preceding the date hereof, except on behalf of businesses in which such
party would then be permitted to engage directly without violating this Section
6.

                  6.3 Executive also covenants and agrees that, during the
Original Term and any Additional Term (regardless whether the Original Term or
any Additional Term are terminated, under Section 4, prior to the scheduled
expiration of the relevant period) and for a period of five (5) years after the
expiration thereof, Executive shall treat as trade secrets all Confidential
Information (as hereinafter defined) known or acquired by him in the course of
any affiliation Executive shall have had with the Company and will not disclose
any Confidential Information to any Person not affiliated with the Company
except as authorized in writing by the Company. The term "Confidential
Information" shall mean: information relating to the relationship of the Company
to its customers (including, without limitation, the identity of any customer),
the research, design, development, manufacturing, marketing, pricing, costs,
capabilities, capacities and business plans related to the Business, the
financing arrangements of the Company, or the financial condition or prospects
of the Company; inventions, products, processes, methods, techniques, formulas,
compositions, compounds, projects, developments, plans, research data, clinical
data, financial data, personnel data, computer programs, Software (as defined
below) and customer and supplier lists and any other confidential information
relating to the assets, condition or business of the Company. Notwithstanding
the foregoing, Executive shall have no obligation with respect to (i)
information disclosed to Executive by a Person who does not owe a duty of
confidentiality to the Company or any Affiliate thereof; or (ii) information
which is in the public domain and is readily available; or (iii) information
where disclosure is required by law or is necessary in connection with a claim,
dispute or litigation to which Executive is or becomes a party and the Company
is given ten (10) business days prior written notice of the intent to make
disclosure. For purposes hereof, "Software" shall mean all software owned,
engineered, developed, licensed or sold by the Company, including the following:
(A) all modifications, enhancements, fixes, updates, upgrades, bypasses and
work-arounds; (B) the source code and object code for any of the foregoing; and
(C) all operating systems, bridgeware, firmware, middleware or utilities.

                  6.4 The restrictions contained in this Section 6 are necessary
for the protection of the business and goodwill of the Company and are
considered by Executive to be reasonable for such purpose. Executive
acknowledges and agrees that a breach or threatened breach by Executive of the
covenants contained in this Section 6 would cause the Company irreparable harm
and that the extent of damages to the Company would be impossible to ascertain
and that there is and will be available to the Company no adequate monetary
damages or other remedy at law to compensate it in the event of any such breach.
Consequently, Executive agrees that, in the event of a breach of any such
covenant, in addition to any other relief to which the Company is or may be
entitled, the Company shall be entitled, as a matter of course, to an injunction
or other equitable relief, including the remedy of specific performance, to
enforce any or all of such covenants by Executive, his or her employer,
employees, partners, agents or any of them.

                  6.5 In the event it shall be determined by any arbitrator,
court or governmental agency or authority that any provision of Section 6 is
invalid by reason of the length of any period of time or the size of any area
during or in which such provision is effective, such period of time or area
shall be considered to be reduced to the extent required to cure such
invalidity.

                  6.6 In the event that there should be a violation of the
restrictions contained in Section 6.1, the duration of such restriction shall be
extended for a period of time equal to the period of time during which such
breach or breaches shall occur.

                  6.7 The existence of any claim or cause of action by Executive
against Company, whether predicated on this Agreement or otherwise, shall not
constitute a defense to the enforcement by the Company of the restrictions
contained in this Section 6 above, but shall be litigated separately including,
without limitation, any claim by Executive that Executive has not been
terminated for cause pursuant to Section 4.2 above, unless the claim and defense
arise out of the same event and joinder would be required.


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      7. Inventions, Patents and Intellectual Property.

                  7.1 Executive agrees that all inventions, discoveries,
computer programs, data, Software, technology, designs, innovations and
improvements (whether or not patentable and whether or not copyrightable)
(individually, an "Invention," and collectively, "Inventions") related to the
business of the Company which are made, conceived, reduced to practice, created,
written, designed or developed by Executive, solely or jointly with others and
whether during normal business hours or otherwise, during the Original Term, any
Additional Term or thereafter if resulting or directly derived from Confidential
Information, shall be the sole property of the Company. Executive hereby assigns
to the Company all Inventions and any and all related patents, copyrights,
trademarks, trade names, and other industrial and intellectual property rights
and applications therefor, in the United States and elsewhere and appoints any
officer of the Company as his duly authorized attorney to execute, file,
prosecute and protect the same before any government agency, court or authority.
Upon the request of the Company and at the Company's expense, the Executive
shall execute such further assignments, documents and other instruments as may
be necessary or desirable to fully and completely assign all Inventions to the
Company and to assist the Company in applying for, obtaining and enforcing
patents or copyrights or other rights in the United States and in any foreign
country with respect to any Invention.

                  7.2 Executive shall promptly disclose to the Company all
Inventions and will maintain adequate and current written records (in the form
of notes, sketches, drawings and as may be specified by the Company) to document
the conception and/or first actual reduction to practice of any Invention. Such
written records shall be available to and remain the sole property of the
Company at all times.

      8. Return of Confidential Information. Executive agrees that all files,
letters, memoranda, reports, records, data, sketches, drawings, laboratory
notebooks, program listings or other written, photographic or other tangible
material, in each event, containing Confidential Information, whether created by
Executive or others, which shall come into his custody or possession, shall be
and are the exclusive property of the Company to be used by Executive only in
the performance of his duties for the Company.

      9. Cooperation. At any time during the term of this Agreement or
thereafter, Executive shall reasonably cooperate with the Company in any
litigation or administrative proceedings involving any matters with which
Executive was involved during his employment by the Company. The Company shall
reimburse Executive for reasonable expenses, if any, incurred in providing such
assistance.

      10. Notices. All notices, requests, demands and other communications
required or permitted under this Agreement shall be in writing, and may be given
by a party hereto by (a) personal service (effective upon delivery), (b) mailed
by registered or certified mail, return receipt requested, postage prepaid
(effective five business days after dispatch), (c) reputable overnight delivery
service, charges prepaid (effective the next business day) or (d) telecopy or
other means of electronic transmission (effective upon receipt of the telecopy
or other electronic transmission in complete, readable form), if confirmed
promptly by any of the methods specified in clauses subparagraphs (a)-(c) of
this Section 10, to the other party at the address shown above, or at such other
address or addresses as either party shall designate to the other in accordance
with this Section 10.

      11. Non-Disparagement. During the term of Executives's employment
hereunder and for five (5) years thereafter, Executive shall not disparage,
deprecate, or make any negative comment with respect to the Company or its
Affiliates or their respective businesses, operations, or properties.

      12. Pronouns. Whenever the context may require, any pronouns used in this
Agreement shall include the corresponding masculine, feminine or neuter forms,
and the singular forms of nouns and pronouns shall include the plural and vice
versa.

      13. Entire Agreement. This Agreement, the Plan Option Agreement, the
Non-Plan Option Agreement and such other agreements, schedules and exhibits as
are referenced therein or herein, constitute the entire agreement between the
parties and supersede all prior agreements and understandings, whether written
or oral, relating to the subject matter of this Agreement.


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      14. Amendment. This Agreement may be amended or modified only by a written
instrument executed by both the Company and Executive.

      15. Governing Law; Consent to Jurisdiction.

                  15.1 This Agreement shall be construed, interpreted and
enforced in accordance with the laws of the State of Delaware, notwithstanding
any contrary application of conflicts of laws principles.

                  15.2 Each party hereto consents to the jurisdiction of all
Federal and State courts located in the Commonwealth of Pennsylvania which have
jurisdiction over any disputes arising under this Agreement and agrees that
service of process in any action or proceeding commenced in a court located in
the Commonwealth of Pennsylvania may be made by written notice as provided in
Section 10 hereof.

      16. Successors and Assigns. This Agreement shall be binding upon and inure
to the benefit of both parties and their respective successors and assigns,
including any corporation with which or into which the Company may be merged or
which may succeed to its assets or business; provided, however, that the
obligations of Executive are personal and shall not be assigned by him.

      17. Miscellaneous.

                  17.1 No delay or omission by the Company in exercising any
right under this Agreement shall operate as a waiver of that or any other right.
A waiver or consent given by the Company on any one occasion shall be effective
only in that instance and shall not be construed as a bar or waiver or any right
on any other occasion.

                  17.2 The captions of the sections of this Agreement are for
convenience of reference only and in no way define, limit or affect the scope or
substance of any section of this Agreement.

                  17.3 In case any provision of this Agreement shall be invalid,
illegal or otherwise unenforceable, the validity, legality and enforceability of
the remaining provisions shall in no way be affected or impaired thereby.


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         IN WITNESS WHEREOF, the parties hereto,  intending to be legally bound,
have executed this Agreement as of the day and year set forth above.

                                        COMPANY:

                                        I-TRAX HEALTH MANAGEMENT
                                        SOLUTIONS, INC.


                                        By:  /s/ Frank A. Martin
                                             ------------------------
                                            Name:  Frank A. Martin
                                            Title:


                                        Attest: /s/ Roseann Maillie
                                                ---------------------
                                            Name:  Roseann Maillie
                                            Title: Assistant Secretary


                                        EXECUTIVE:

Witness: /s/ Yuri Rozenfeld                  /s/ John Palumbo
         ------------------                  -----------------



                            JOINDER OF I-TRAX, INC.


      The undersigned I-trax, Inc., a Delaware corporation, hereby executes this
Joinder to this Employment Agreement to guaranty and to act as a surety for the
performance by I-trax Health Management Solutions, Inc. (the "Company") of all
covenants and agreements of the Company made in the Employment Agreement; and

                  The undersigned intends to be legally bound hereby.

                                         I-TRAX, INC.

                                         By:  /s/ Frank A. Martin
                                              -------------------
                                         Name: Frank A. Martin
                                        Title: CEO


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