exv10w41







Exhibit 10.41




SECOND AMENDMENT TO LEASE




     THIS SECOND AMENDMENT TO LEASE (this “Amendment”) is made as of
this 1st day of November, 2009, by and between HILL MANAGEMENT SERVICES, INC., a Maryland corporation, agent for the owner
(“Landlord”), and PRACTICE MANAGEMENT PARTNERS, INC., a Maryland corporation (“Tenant”).



Recitals




     A. Landlord and Tenant entered into a Lease dated April 12, 2007 and a First
Amendment To Lease dated January 15, 2008, collectively (the “Lease”), for Suites LL4, 500, 600 and 702 deemed to
consist of 33,482 square feet
(the “Leased Premises”), which has an address of 11350 McCormick Road, Hunt Valley, Maryland
21031 in Executive
Plaza IV in Baltimore County, Maryland (the “Property”).



     B. Landlord and Tenant now desire to amend certain provisions of the Lease to provide Tenant
with an extension
of its Initial Lease Term.





Agreements


     NOW, THEREFORE, in consideration of the mutual covenants contained herein, and other good
and valuable consideration, the receipt and sufficiency of which are hereby acknowledged,
Landlord and Tenant agree as follows:



     Section 1. Amendment of Lease. The provisions of the Lease are amended as follows:




1.1. Term. Commencing June 1, 2010, the term of the Lease shall be extended for two (2) years and the
Expiration Date as set forth in Section 1.A. of the Lease, shall be amended to delete June 30, 2012 and
substitute, in lieu thereof, June 30, 2014.




1.2. Rent. Commencing on June 1, 2010 and continuing through June 30, 2014, Tenant shall pay to Landlord
annual basic rent of Six Hundred Two Thousand Six Hundred Seventy-Six and 00/100 Dollars ($602,676.00),
payable in equal monthly installments of Fifty Thousand Two Hundred Twenty-Three and 00/100 Dollars
($50,223.00).




1.3. Expansion Rent. In the event Tenant expands, during the Initial Lease Term, into additional office space
within Executive Plaza I, II, III or IV (the “Additional Leased Premises”) the annual basic rent for the Additional
Leased Premises shall be as per the following schedule and shall remain at the corresponding rental rate through
June 30, 2014.



	 	 	 
	Year Of Tenant’s Office Expansion	 	Additional Leased Premises Rental Rate
	 	 	 
	6/1/2010 - 5/31/2011
	 	$18.00 per square foot
	6/1/2011 - 5/31/2012
	 	$18.54 per square foot
	6/1/2012 - 5/31/2013
	 	$19.10 per square foot
	6/1/2013 - 5/31/2014
	 	$19.67 per square foot







Landlord and Tenant agree that the above rental rate schedule is based upon Tenant receiving
possession of the Additional Leased Premises in as-is condition.



1.4. Electric Submeter. Commencing June 1, 2010 and continuing through the Lease
Term, provided Tenant is
not in default of the Lease, Landlord agrees to reduce Tenant’s electric cost for Suite LL4
of the Leased Premises
in an amount equal to Four Thousand Five Hundred and 00/100 Dollars ($4,500.00) per month or
Thirteen
Thousand Five Hundred and 00/100 Dollars ($13,500.00) per quarter. For example, in the event
the electric costs



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for Suite LL4 are less than $4,500 per month, Tenant shall have no responsibility for
said costs associated with Suite LL4. In the event the electric costs for Suite LL4 exceed
$4,500 per month, Tenant shall be responsible for the balance of said costs.



     Section 2. Titles of Sections. The section titles used in this Amendment are for convenience
of reference only, and shall not constitute a part of this Amendment nor shall they affect the
meaning, construction or effect of this Amendment or the Lease.



     Section 3. Definitions. Unless otherwise set forth in this Amendment, all capitalized terms
shall have the same meaning ascribed to them in the Lease.



     Section 4. Interpretation. All other terms, covenants and conditions of the Lease
shall remain unchanged and continue in full force and effect except as such terms, covenants and
conditions have been amended or modified by this Amendment, and this Amendment shall, by this
reference, constitute a part of the Lease.



     Section 5. Representations. Tenant hereby represents and warrants to Landlord that,
as of the date hereof, it (i) is the sole legal and beneficial owner of all of the right, title
and interest granted to it by the provisions of the Lease, (ii) has not sold, transferred or
encumbered any or all of such right, title or interest, and (iii) has the full and sufficient
right at law and in equity to execute and deliver this Amendment as the owner of such right,
title, and interest, without the necessity of having any other person’s consent thereto or
joinder therein.



     Section 6. Successors and Assigns. This Amendment and the terms, covenants and
conditions herein contained shall inure to the benefit of and be binding upon Landlord and its
successors and assigns, and Tenant and its permitted successors and assigns.



     IN WITNESS WHEREOF, Landlord and Tenant have caused this Amendment to be duly executed under
seal on their behalf by their duly authorized representative, as of the date first above written.



	 	 	 	 	 	 	 	 	 	 	 

	WITNESS/ATTEST:	 	 	 	Landlord:	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	HILL MANAGEMENT SERVICES, INC.

agent for the owner	 	 	 	 
	
	 	 	 	 	 	 	 	 	 	 
	 	 	 	By:
	 	/s/ Anthony E. Giulio 	 	(SEAL)	 	 
	 

	 	 	 	 	 	 	 	 	 	 
	 

	 	 	 	 	 	Anthony E. Giulio, President	 	 	 	 
	 	 	 	 	Date: 11/30/09	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	WITNESS/ATTEST:	 	 	 	Tenant:	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	PRACTICE MANAGEMENT PARTNERS, INC.	 	 	 	 
	
	 	 	 	 	 	 	 	 	 	 
	 	 	 	By:
	 	/s/ Donald S. Good Jr. 	 	(SEAL)	 	 
	 

	 	 	 	 	 	 	 	 	 	 
	 

	 	 	 	 	 	Printed Name:  Donald S. Good Jr.	 	 	 	 
	 

	 	 	 	 	 	Title: President	 	 	 	 
	 	 	 	 	Date: 11-25-09	 	 	 	 






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