Exhibit 10.1

   

  December 8, 2021

   

  Jackson Acquisition Company 

  2655 Northwinds Parkway 

  Alpharetta, GA 30009 

   

  Re: Initial Public Offering

   

  Ladies and Gentlemen:

   

  This letter (this “Letter Agreement”)
    is being delivered to you in accordance with the Underwriting Agreement (the “Underwriting Agreement”) to be
    entered into by and between Jackson Acquisition Company, a Delaware corporation (the “Company”), and BofA Securities,
    Inc., as underwriter (the “Underwriter”), relating to an underwritten initial public offering (the “Public
      Offering”) of up to 23,000,000 of the Company’s units (the “Units”) (including up to 3,000,000
    units that may be purchased to cover over-allotments, if any, at the option of the Underwriter (the “over-allotment option”)),
    each comprised of one share of the Company’s Class A common stock, par value $0.0001 per share (the “Common Stock”),
    and one-half of one redeemable warrant. Each whole warrant (a “Warrant”) entitles the holder thereof to purchase
    one share of Common Stock at a price of $11.50 per share, subject to adjustment. The Units will be sold in the Public Offering
    pursuant to a registration statement on Form S-1 and prospectus (the “Prospectus”) filed by the Company
    with the U.S. Securities and Exchange Commission (the “Commission”), and the Company has applied to have the
    Units listed on the New York Stock Exchange. Certain capitalized terms used herein are defined in paragraph 11 hereof.

   

  In order to induce the Company and the Underwriter
    to enter into the Underwriting Agreement and to proceed with the Public Offering and for other good and valuable consideration,
    the receipt and sufficiency of which are hereby acknowledged, RJ Healthcare SPAC, LLC (the “Sponsor”) and each
    of the undersigned individuals, each of whom is a member of the Company’s board of directors and/or an officer of the Company
    (each, an “Insider” and collectively, the “Insiders”), each hereby severally (and not jointly)
    agrees with the Company as follows:

   

  1.          The Sponsor and each Insider agrees that if the Company seeks stockholder
    approval of a proposed Business Combination, then
    in connection with such proposed Business Combination, it, he or she shall (i) vote any shares of Capital Stock owned by it,
    him or her in favor of any proposed Business Combination and (ii) not redeem any shares of Capital Stock owned by it, him
    or her in connection with such stockholder approval. If the Company seeks to consummate a proposed Business Combination by engaging
    in a tender offer for Common Stock, the Sponsor and each Insider agrees that it, he or she will not sell or tender any shares of
    Capital Stock owned by it, him or her in connection therewith. As used in this Letter Agreement, references to Capital Stock, Warrants
    or other securities “owned” by any person or entity and similar references mean any direct or indirect legal, record
    or beneficial ownership.

   

  2.          The Sponsor and each Insider hereby agrees that in the event that the
    Company fails to consummate its initial Business Combination
    within 18 months from the closing of the Public Offering (or within 21 months from the closing of the Public Offering if the Sponsor
    exercises its option to extend the period of time to complete the initial Business Combination in accordance with the terms of
    the Charter (as defined below)), or such later period approved by the Company’s stockholders in accordance with the Company’s
    amended and restated certificate of incorporation (the “Charter”), the Sponsor and each Insider shall take all
    reasonable steps to cause the Company to (i) cease all operations except for the purpose of winding up, (ii) as promptly as reasonably
    possible but not more than 10 business days thereafter, subject to lawfully available funds therefor, redeem 100% of the Common
    Stock sold as part of the Units in the Public Offering (the “Offering Shares”), at a per-share price, payable
    in cash, equal to the aggregate amount then on deposit in the Trust Account, including interest (less up to $100,000 of interest
    to pay dissolution expenses and which interest shall be net of taxes payable), divided by the number of then issued and outstanding
    Offering Shares, which redemption will completely extinguish all Public Stockholders’ rights as stockholders (including the
    right to receive further liquidation distributions, if any), subject to applicable law, and (iii) as promptly as reasonably possible
    following such redemption, subject to the approval of the Company’s remaining stockholders and the Company’s board
    of directors, dissolve and liquidate, subject in each case to the Company’s obligations under Delaware law to provide for
    claims of creditors and the requirements of other applicable law. The Sponsor and each Insider agree to not propose any amendment
    to the Charter (A) that would modify the substance or timing of the Company’s obligation to allow redemption of the Offering
    Shares in connection with the Company’s initial Business Combination or to redeem 100% of the Offering Shares if the Company
    does not complete its initial Business Combination within 18 months from the closing of the Public Offering (or within 21 months
    from the closing of the Public Offering if the Sponsor exercises its option to extend the period of time to complete the initial
    Business Combination in accordance with the terms of the Charter), or (B) with respect to any other provision relating to stockholders’
    rights or pre-initial Business Combination activity, unless the Company provides its Public Stockholders with the opportunity to
    redeem their Offering Shares upon approval of any such amendment at a per-share price, payable in cash, equal to the aggregate
    amount then on deposit in the Trust Account, including interest (which interest shall be net of taxes payable), divided by the
    number of then issued and outstanding Offering Shares.

   

  

  
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  The Sponsor and each Insider acknowledges
    and agrees that it, he or she has no right, title, interest or claim of any kind in or to any monies held in, or any liquidating
    distributions from, the Trust Account as a result of any liquidation of the Company with respect to the Founder Shares held by
    it, him or her at any time and, without limitation of the foregoing, waives any such right, title, interest or claim. The Sponsor
    and each Insider hereby further waives, with respect to any shares of Capital Stock held by it, him or her, if any, at any time,
    any redemption rights it, he or she may have in connection with (x) the consummation of a Business Combination, including, without
    limitation, any such rights available in the context of a stockholder vote to approve such Business Combination or in the context
    of a tender offer made by the Company to purchase shares of Common Stock and (y) a stockholder vote to approve an amendment
    to the Charter (i) to modify the substance or timing of the Company’s obligation to allow redemption of Offering Shares in
    connection with the Company’s initial Business Combination or to redeem 100% of the Offering Shares if the Company does not
    complete a Business Combination within 18 months from the closing of the Public Offering (or within 21 months from the closing
    of the Public Offering if the Sponsor exercises its option to extend the period of time to complete the initial Business Combination
    in accordance with the terms of the Charter) or (ii) with respect to any other provision relating to stockholders’ rights
    or pre-initial Business Combination activity (although the Sponsor, the Insiders and their respective affiliates shall be entitled
    to redemption and liquidation rights with respect to any Offering Shares it or they hold if the Company fails to consummate a Business
    Combination within 18 months from the closing of the Public Offering (or within 21 months from the closing of the Public Offering
    if the Sponsor exercises its option to extend the period of time to complete the initial Business Combination in accordance with
    the terms of the Charter)).

   

  3.          Without limitation to the provisions set forth in paragraphs 7(a) and (b)
    below, during the period beginning on and including
    the date of the Underwriting Agreement through and including the day that is 180 days after such date, the Sponsor and each Insider
    will not, without the prior written consent of the Underwriter, directly or indirectly, (i) offer, pledge, sell, contract to sell,
    sell any option or contract to purchase, purchase any option or contract to sell, grant any option, right or warrant to purchase,
    lend or otherwise transfer or dispose of any Units, shares of Capital Stock, Warrants, Working Capital Warrants, Private Placement
    Warrants or other warrants of the Company or any securities convertible into, or exercisable or exchangeable for, Units, shares
    of Capital Stock, Warrants, Working Capital Warrants, Private Placement Warrants or other warrants of the Company, or file or confidentially
    submit or cause to be filed or confidentially submitted any registration statement under the Securities Act of 1933, as amended
    (the “Securities Act”), with respect to any of the foregoing securities or register any of the foregoing securities
    pursuant to a registration statement filed under the Securities Act , or publicly disclose any intention to undertake any of the
    foregoing, or (ii) enter into any swap or any other agreement or any transaction that transfers, in whole or in part, directly
    or indirectly, any of the economic consequences of ownership of any Units, shares of Capital Stock, Warrants, Working Capital Warrants,
    Private Placement Warrants or other warrants of the Company, whether any such swap, agreement or transaction described in clause
    (i) or (ii) above is to be settled by delivery of Units, shares of Capital Stock, Warrants, Working Capital Warrants, Private Placement
    Warrants, other warrants of the Company or other securities, in cash or otherwise. The foregoing sentence shall not apply to (A)
    the forfeiture of Founder Shares if the Underwriter does not exercise its over-allotment option in full, (B) any transfer of Founder
    Shares to any current or future independent directors of the Company (so long as each such current or future independent director
    is , at the time of such transfer, a party to this Letter Agreement or a written agreement (which may be an amendment or supplement
    to this Letter Agreement or a substantially identical agreement) delivered to the Company prior to such transfer agreeing to be
    bound by and comply with all of the terms and provisions of this Letter Agreement that are applicable to Insiders (including, without
    limitation, the transfer restrictions set forth in this paragraph 3 and paragraph 7 hereof), and making the representations and
    warranties set forth in this Letter Agreement that are made by Insiders; (C) any offer of securities that may be issued by the
    Company in connection with a Business Combination if such offer is made on behalf of the Company, or (D) any transfer of Founder
    Shares or Private Placement Warrants, or any shares of Common Stock issued or issuable upon the conversion of Founder Shares, to
    any Permitted Transferee (as defined below) described in, and in accordance with any of clauses (c), (d), (e), (f) or (h) of paragraph
    7(c) hereof (provided, however, that , in the case of any transfer pursuant to any of clauses (c)-(e) of paragraph 7(c), the transferee
    is, at the time of such transfer, a party to this Letter Agreement or enters into and delivers to the Company, at or prior to the
    time of such transfer, a written agreement (which may be an amendment or supplement to this Letter Agreement or a substantially
    identical agreement) agreeing to be bound by and comply with all of the terms and provisions of this Letter Agreement that are
    applicable to Insiders (or, if such transferee is the Sponsor, that are applicable to the Sponsor) (including, without limitation,
    the transfer restrictions set forth in this paragraph 3 and paragraph 7 hereof), and, if such transferee is the Sponsor or an officer
    or director of the Company, making applicable representations and warranties set forth in this Letter Agreement; provided, however,
    that, to the extent that any reporting obligation under Section 16 of the Securities Exchange Act of 1934, as amended, is triggered
    as a result of any transfer described in clause (A), (B) or (D) of this sentence, any related filing under such Section 16 includes
    a practical explanation as to the nature of the transfer). “Working Capital Warrants” means any warrants to purchase
    capital stock issued by the Company upon the conversion of working capital loans (“Working Capital Loans”) made
    to the Company by the Sponsor, any Insiders, or their respective affiliates.

   

  

  
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  4.          In the event of the liquidation of the Trust Account, the Sponsor (which
    for purposes of clarification shall not extend
    to any other shareholders, members, officers or managers of the Sponsor) agrees to indemnify and hold harmless the Company against
    any and all loss, liability, claim, damage and expense whatsoever (including, but not limited to, any and all legal or other expenses
    reasonably incurred in investigating, preparing or defending against any litigation, whether pending or threatened, or any claim
    whatsoever) to which the Company may become subject as a result of any claim by (i) any third party for services rendered (other
    than the Company’s independent registered public accountants) or products sold to the Company or (ii) a prospective target
    business with which the Company has discussed entering into a transaction agreement (a “Target”); provided,
    however, that such indemnification of the Company by the Sponsor shall apply only to the extent necessary to ensure that such claims
    by a third party for services rendered (other than the Company’s independent registered public accountants) or products sold
    to the Company or a Target do not reduce the amount of funds in the Trust Account to below (i) $10.15 per Offering Share or
    (ii) such lesser amount per Offering Share held in the Trust Account as of the date of the liquidation of the Trust Account due
    to reductions in the value of the trust assets (in each case, net of the amount of interest earned on the property in the Trust
    Account which may be withdrawn to pay taxes), except as to any claims by a third party who executed a waiver of any and all rights
    to seek access to the Trust Account and except as to any claims under the Company’s indemnity of the Underwriter against
    certain liabilities, including liabilities under the Securities Act of 1933, as amended, pursuant to the Underwriting Agreement.
    In the event that any such executed waiver is deemed to be unenforceable against such third party, the Sponsor shall not be responsible
    to the extent of any liability for such third party claims. The Sponsor shall have the right to defend against any such claim with
    counsel of its choice reasonably satisfactory to the Company if, within 15 days following written receipt of notice of the claim
    to the Sponsor, the Sponsor notifies the Company in writing that it shall undertake such defense. For the avoidance of doubt, none
    of the Company’s officers of directors will indemnify the Company for claims by third parties, including, without limitation,
    claims by vendors and prospective Targets.

   

  5.          To the extent that the Underwriter does not exercise in full its
    over-allotment option to purchase up to an additional 3,000,000
    Units within 45 days from the date of the Prospectus (as further described in the Prospectus), the Sponsor agrees to forfeit, at
    no cost, a number of Founder Shares in the aggregate equal to the product of 750,000 multiplied by a fraction, (i) the numerator
    of which is 3,000,000 minus the number of Units, if any, purchased by the Underwriter upon the exercise of its over-allotment option,
    and (ii) the denominator of which is 3,000,000. The forfeiture will be adjusted to the extent that the over-allotment option is
    not exercised in full by the Underwriter so that the aggregate number of outstanding Founder Shares will equal 20.0% of the Company’s
    total issued and outstanding shares of Capital Stock after the Public Offering. To the extent that the size of the Public Offering
    is increased or decreased, the Company will effect a recapitalization or share repurchase, redemption or stock split or other appropriate
    mechanism, as applicable, immediately prior to the consummation of the Public Offering in such amount as to maintain the number
    of outstanding Founder Shares at 20.0% of the total number of issued and outstanding shares of Capital Stock upon the consummation
    of the Public Offering. In connection with such increase or decrease in the size of the Public Offering, (A) references to 3,000,000
    in the numerator and denominator of the formula in the first sentence of this paragraph shall be changed to a number equal to 15%
    of the number of shares of Common Stock included in the Units issued in the Public Offering (assuming no exercise of the over-allotment
    option), and (B) the reference to 750,000 in the formula set forth in the first sentence of this paragraph shall be adjusted to
    such number of Founder Shares that the Sponsor would have to return to the Company in order to hold (with all of the other holders
    of Founder Shares) an aggregate of 20.0% of the total number of issued and outstanding shares of Capital Stock upon consummation
    of the Public Offering (assuming no exercise of the over-allotment option).

   

  

  
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  6.          The Sponsor and each Insider hereby agrees and acknowledges that: (i) the
    Underwriter and the Company would be irreparably
    injured in the event of a breach by such Sponsor or an Insider of its, his or her obligations under paragraphs 1, 2, 3, 4, 5, 7(a),
    7(b), and 9, as applicable, of this Letter Agreement, (ii) monetary damages may not be an adequate remedy for such breach and (iii)
    the non-breaching party shall be entitled, to the extent permitted by applicable law, injunctive relief, in addition to any other
    remedy that such party may have in law or in equity, in the event of such breach.

   

  7.          (a)
    The Sponsor and each Insider agree that it, he or she shall not Transfer (as defined below) any Founder Shares (or shares of Common
    Stock issued or issuable upon conversion thereof) until the earlier of (A) one year after the completion of the Company’s
    initial Business Combination and (B) subsequent to the initial Business Combination, (x) if the last reported sale price of the
    Common Stock equals or exceeds $12.00 per share (as adjusted for stock splits, stock dividends, consolidations, reorganizations,
    recapitalizations and other similar transactions) for any 20 trading days within any 30-trading day period commencing at least
    150 days after the Company’s initial Business Combination or (y) the date on which the Company completes a liquidation,
    merger, capital stock exchange, reorganization or other similar transaction that results in all of the Public Stockholders having
    the right to exchange their shares of Common Stock for cash, securities or other property (the “Founder Shares Lock-up
      Period”).

   

  (b)       The
    Sponsor and each Insider agree that it, he or she shall not Transfer any Private Placement Warrants (or shares of Common Stock
    issued or issuable upon the exercise of the Private Placement Warrants) until 30 days after the completion of the initial Business
    Combination (the “Private Placement Warrants Lock-up Period”, together with the Founder Shares Lock-up Period,
    the “Lock-up Periods”).

   

  (c)       Notwithstanding
    the provisions set forth in paragraphs 7(a) and (b), Transfers of the Founder Shares, Private Placement Warrants and shares of
    Common Stock issued or issuable upon the exercise or conversion of the Private Placement Warrants or Founder Shares and that are
    held by the Sponsor, any Insider or any of their Permitted Transferees (that have complied with this paragraph 7(c)), are permitted
    (a) to the Company’s officers or directors, any affiliates or family members of any of the Company’s officers or directors,
    the Sponsor, any members of the Sponsor, or any affiliates of the Sponsor; (b) in the case of an individual, by gift to a member
    of the individual’s immediate family, or to a trust, the beneficiary of which is a member of the individual’s immediate
    family or an affiliate of such person, or to a charitable organization; (c) in the case of an individual, by virtue of laws of
    descent and distribution upon death of the individual; (d) in the case of an individual, pursuant to a qualified domestic relations
    order; (e) by private sales or transfers made in connection with the consummation of the initial Business Combination at prices
    no greater than the price at which the securities were originally purchased; (f) in the event of the Company’s liquidation
    prior to the completion of an initial Business Combination; (g) by virtue of the laws of the State of Delaware or the Sponsor’s
    limited liability company agreement upon dissolution of the Sponsor; or (h) in the event of the Company’s completion of a
    liquidation, merger, capital stock exchange, reorganization or other similar transaction which results in all of the Company’s
    Public Stockholders having the right to exchange their shares of Common Stock for cash, securities or other property subsequent
    to the completion of the initial Business Combination (the transferees referred to in clauses (a)-(h) above are called “Permitted
      Transferees”); provided, however, that, in the case of clauses (a)-(e) and clause (g) above, these Permitted Transferees
    must enter into and deliver to the Company, at or prior to the time of the applicable Transfer, a written agreement agreeing to
    be bound by the transfer restrictions set forth in paragraph 3 and this paragraph 7 and the other provisions of this Letter Agreement
    applicable to Insiders.

   

  

  
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  8.          The Sponsor and each Insider represent and warrant that it, he or she has
    never been suspended or expelled from membership
    in any securities or commodities exchange or association or had a securities or commodities license or registration denied, suspended
    or revoked. Each Insider’s biographical information furnished to the Company (including any such information included in
    the Prospectus) is true and accurate in all material respects and does not omit any material information with respect to the Insider’s
    background necessary to make such biographical information, in light of the circumstances in which such information is being presented
    in the Prospectus, not misleading. Each Insider’s questionnaire furnished to the Company is true and accurate in all material
    respects. Each Insider represents and warrants that: he or she is not subject to or a respondent in any legal action for, any injunction,
    cease-and-desist order or order or stipulation to desist or refrain from any act or practice relating to the offering of securities
    in any jurisdiction; he or she has never been convicted of, or pleaded guilty to, any crime (i) involving fraud, (ii) relating
    to any financial transaction or handling of funds of another person, or (iii) pertaining to any dealings in any securities
    and he or she is not currently a defendant in any such criminal proceeding.

   

  9.          Except as disclosed in, or as expressly contemplated by, the Prospectus,
    neither the Sponsor nor any Insider nor any affiliate
    of the Sponsor or any Insider, nor any director or officer of the Company, shall receive from the Company any finder’s fee,
    reimbursement, consulting fee, monies in respect of any repayment of a loan or other compensation prior to, or in connection with,
    any services rendered in order to effectuate the consummation of the Company’s initial Business Combination (regardless of
    the type of transaction that it is). In the event that the Company shall issue any Working Capital Warrants upon conversion of
    any Working Capital Loans, not more than $1.5 million of such loans may be converted into Working Capital Warrants, such conversion
    shall only occur at or after the time the Business Combination is completed, the conversion price shall be $1.00 per Working Capital
    Warrant and such Working Capital Warrants shall be identical to the Private Placement Warrants, including, without limitation,
    as to exercise price, exercisability and exercise.

   

  10.        The Sponsor and each Insider has full right and power, without violating
    any agreement to which it, he or she is bound (including,
    without limitation, any non-competition or non-solicitation agreement with any employer or former employer), to enter into this
    Letter Agreement and, as applicable, to serve as an officer and/or a director on the board of directors of the Company and hereby
    consents to being named in the Prospectus as an officer and/or a director of the Company.

   

  11.        As used herein, (i) “Business Combination” shall mean a merger,
    capital stock exchange, asset acquisition,
    stock purchase, reorganization or similar business combination, involving the Company and one or more businesses; (ii) “Capital
      Stock” shall mean, collectively, the Common Stock and the Founder Shares; (iii) “Founder Shares”
    shall mean the 5,750,000 outstanding shares of the Company’s Class B common stock, par value $0.0001 per share (up to 750,000
    of which shares are subject to forfeiture if the Underwriter’s over-allotment option is not exercised by the Underwriter
    in whole or in part) (subject to adjustment to the numbers of shares in this clause (iii) pursuant to paragraph 5 of this Letter
    Agreement if the size of the Public Offering is increased or decreased); (iv) “Initial Stockholders” shall mean
    the Sponsor, the Insiders and any other holder of Founder Shares immediately prior to the consummation of the Public Offering;
    (v) “Private Placement Warrants” shall mean the warrants to purchase 9,560,000 shares of Common Stock (or up
    to 10,610,000 shares of Common Stock if the over-allotment option is exercised in full) that the Sponsor has agreed to purchase
    from the Company for an aggregate purchase price of $9,560,000 in the aggregate (or up to $10,610,000 if the over-allotment option
    is exercised in full), or $1.00 per warrant, in a private placement that shall occur simultaneously with the consummation of the
    Public Offering (subject to possible adjustment to the numbers of shares and dollar amounts (other than $1.00 per warrant) set
    forth in this clause (v) if the size of the Public Offering is increased or decreased); (vi) “Public Stockholders”
    shall mean the holders of Offering Shares; (vii) “Trust Account” shall mean the trust fund into which a portion
    of the net proceeds of the Public Offering and the sale of the Private Placement Warrants shall be deposited; and (viii) “Transfer”
    shall mean the (a) sale, transfer or assignment of, offer to sell, contract or agreement to sell, hypothecation, pledge, grant
    of any option to purchase or otherwise dispose of or agreement to dispose of, directly or indirectly, any Capital Stock, Private
    Placement Warrants or other securities of the Company, or the establishment or increase of a put equivalent position or liquidation
    with respect to or decrease of a call equivalent position within the meaning of Section 16 of the Securities Exchange Act of 1934,
    as amended, with respect to any Capital Stock, Private Placement Warrants or other securities of the Company, (b) entry into any
    swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of any
    Capital Stock, Private Placement Warrants or other securities of the Company, whether any such transaction described in clause
    (a) or (b) above is to be settled by delivery of Capital Stock, Private Placement Warrants or other securities, in cash or otherwise,
    or (c) public announcement of any intention to effect any transaction specified in clause (a) or (b).

   

  

  
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  12.        This Letter Agreement constitutes the entire agreement and understanding of
    the parties hereto in respect of the subject
    matter hereof and supersedes all prior understandings, agreements, or representations by or among the parties hereto, written or
    oral, to the extent they relate in any way to the subject matter hereof or the transactions contemplated hereby. This Letter Agreement
    may not be changed, amended, modified or waived (other than to correct a typographical error) as to any particular provision, except
    by a written instrument executed by (1) each Insider that is the subject of any such change, amendment, modification or waiver,
    (2) the Sponsor and (3) the Company.

   

  13.        Except as otherwise provided herein, no party hereto may assign either this
    Letter Agreement or any of its rights, interests,
    or obligations hereunder without the prior written consent of the other parties. Any purported assignment in violation of this
    paragraph shall be void and ineffectual and shall not operate to transfer or assign any interest or title to the purported assignee.
    This Letter Agreement shall be binding on the Company, the Sponsor and each Insider and their respective successors, heirs and
    assigns and Permitted Transferees.

   

  14.        Nothing in this Letter Agreement shall be construed to confer upon, or give
    to, any person or entity other than the parties
    hereto any right, remedy or claim under or by reason of this Letter Agreement or of any covenant, condition, stipulation, promise
    or agreement hereof. All covenants, conditions, stipulations, promises and agreements contained in this Letter Agreement shall
    be for the sole and exclusive benefit of the parties hereto and their successors, heirs, personal representatives and assigns and
    Permitted Transferees.

   

  15.        This Letter Agreement may be executed in any number of counterparts and
    each of such counterparts shall for all purposes
    be deemed to be an original, and all such counterparts shall together constitute but one and the same instrument. The words “executed”,
    “execution,” “signed,” “signature,” and words of like import in this Letter Agreement or in
    any certificate, agreement or document related to this Letter Agreement shall include images of manually executed signatures transmitted
    by facsimile, email or other electronic format (including, without limitation, “pdf,” “tif” or “jpg”)
    but shall not include (nor shall this Letter Agreement be executed by means of) electronic signatures (including, without limitation,
    DocuSign and AdobeSign). The use of signatures transmitted electronically and electronic records (including, without limitation,
    any contract or other record created, generated, sent, communicated, received, or stored by electronic means) shall be of the same
    legal effect, validity and enforceability as a manually executed signature or use of a paper-based record-keeping system to the
    fullest extent permitted by applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the
    New York State Electronic Signatures and Records Act and any other applicable law, including, without limitation, any state law
    based on the Uniform Electronic Transactions Act or the Uniform Commercial Code.

   

  16.        This Letter Agreement shall be deemed severable, and the invalidity or
    unenforceability of any term or provision hereof
    shall not affect the validity or enforceability of this Letter Agreement or of any other term or provision hereof. Furthermore,
    in lieu of any such invalid or unenforceable term or provision, the parties hereto intend, to the extent permitted by applicable
    law, that there shall be added as a part of this Letter Agreement a provision as similar in terms to such invalid or unenforceable
    provision as may be possible and be valid and enforceable.

   

  17.        This Letter Agreement shall be governed by and construed and enforced in
    accordance with the laws of the State of New York,
    without giving effect to conflicts of law principles that would result in the application of the substantive laws of another jurisdiction.
    To the extent permitted by applicable law, the parties hereto (i) all agree that any action, proceeding, claim or dispute arising
    out of, or relating in any way to, this Letter Agreement shall be brought and enforced in the courts of New York City, in the State
    of New York, and irrevocably submit to such jurisdiction and venue, which jurisdiction and venue shall be exclusive and (ii) waive
    any objection to such exclusive jurisdiction and venue or that such courts represent an inconvenient forum.

   

  18.        Each party hereto shall not be liable for any breaches or
    misrepresentations contained in this Letter Agreement by any other
    party to this Letter Agreement (including, for the avoidance of doubt, any Insider with respect to any other Insider), and no party
    shall be liable or responsible for the obligations of another party, including, without limitation, indemnification obligations
    and notice obligations.

   

  

  
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  19.        Any notice, consent or request to be given in connection with any of the
    terms or provisions of this Letter Agreement shall
    be in writing and shall be sent by express mail or similar private courier service, by certified mail (return receipt requested),
    by hand delivery or facsimile or other electronic transmission.

   

  20.        This Letter Agreement shall terminate on the earlier of (i) the expiration
    of the Lock-up Periods or (ii) the liquidation
    of the Company; provided, however, that this Letter Agreement shall earlier terminate in the event that the Public Offering is
    not consummated and closed (other than any exercise of the over-allotment option) by March 31, 2022; provided further that paragraph
    4 of this Letter Agreement shall survive such liquidation for a period of six years.

   

  [Signature Page Follows]

   

  
    7 

    
      

    

  

   

  Sincerely,

   

  RJ Healthcare SPAC,
        LLC

   

  

  	By:	/s/ Richard L. Jackson	 
	 	Name: Richard L. Jackson
	 	Title: Managing Member	 


   

  Insiders

   

  

  	/s/ John Ellis “Jeb” Bush 	 
	Name: John Ellis “Jeb” Bush	 
	 	 
	/s/ Richard L. Jackson 	 
	Name: Richard L. Jackson	 
	 	 
	/s/ Douglas B. Kline 	 
	Name: Douglas B. Kline	 
	 	 
	/s/ David A. Perdue, Jr.  	 
	Name: David A. Perdue, Jr.	 
	 	 
	/s/ Marilyn B. Tavenner 	 
	Name: Marilyn B. Tavenner	 
	 	 
	/s/ Carlos A. Migoya 	 
	Name: Carlos A. Migoya	 


  

  

   

  [Signature Page to Letter Agreement] 

  

  
     

    
      

    

  

   

  Acknowledged and Agreed:

   

  JACKSON ACQUISITION COMPANY

   

  

  	By:	/s/ Richard L. Jackson	 
	 	Name: Richard L. Jackson
	 	Title: President and Chief Executive Officer


   

  [Signature Page to Letter Agreement]