EXHIBIT 10.5

                                 AMENDMENT NO. 1
                        TO REGISTRATION RIGHTS AGREEMENT

         This is an Amendment No. 1("Amendment") to the Registration Rights
Agreement dated October 22, 2003 entered into by and among Silver Key Mining
Company, Inc., a Nevada corporation, now known as Health Systems Solutions, Inc.
(the "Company"), and the holders (the "Investors") of the Company's capital
stock and Warrants set forth on the signature page hereof (collectively, the
"Parties").

         WHEREAS, the Parties entered into a Registration Rights Agreement dated
October 22, 2002 and the Parties wish to amend the Registration Rights
Agreement;

         NOW, THEREFORE, in consideration of other good and valuable
consideration, the receipt and sufficiency of which is hereby acknowledged by
the Parties. The Parties, intending to be legally bound, agree as follows:

         A. Amendment. Section 4(a) of the Registration Rights agreement is
deleted in its entirety and replaced with the following:

         "4. REGISTRATION RIGHTS WITH RESPECT TO THE REGISTRABLE SECURITIES

         (A) The Company agrees that it will prepare and file with the
Commission, (i) on or before December 31, 2003 (on Form S-1 or SB-2, or other
appropriate registration statement form) under the Securities Act (the
"Registration Statement"), and (ii) if at least 20% of the Registrable
Securities covered under the Registration Statement filed under (i) remain
unsold during the effective period of such Registration Statement, then within
20 days following receipt of a written notice from the holders representing a
majority of such unsold Registrable Securities, another Registration Statement
so as to permit a resale of the Securities under the Securities Act by the
Holders as selling stockholders and not as underwriters."

         B. Continuing Effect of Registration Rights Agreement. Unless expressly
modified by the provisions of this Amendment, the terms of the Registration
Rights Agreement, remain in full force and effect and are expressly ratified
herein.

         C. Counterparts. This Agreement may be executed in one or more
counterparts, each of which will be deemed an original and all of which together
will constitute one and the same instrument.


                          REMAINDER OF PAGE LEFT BLANK

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         IN WITNESS WHEREOF, the parties have respectively caused this Amendment
to be executed as of this 14th day of March, 2003.

                                         COMPANY
                                         HEALTH SYSTEMS SOLUTIONS, INC.

                                         By:/s/ B.M. Milvain
                                         -------------------
                                         Name: B.M. Milvain
                                         Title: President

                                         INVESTORS:

                                         STANFORD VENTURE CAPITAL HOLDINGS, INC.

                                         By: /s/ James Davis
                                         -------------------
                                         Name: James Davis
                                         Title: President

                                         /s/ Daniel Bogar
                                         -------------------
                                         DANIEL BOGAR

                                         /s/ Ronald Stein
                                         -------------------
                                         RONALD STEIN

                                         /s/ Osvaldo Pi
                                         -------------------
                                         OSVALDO PI

                                         /s/ William Fusselmann
                                         -------------------
                                         WILLIAM FUSSELMANN


                                         DELUXE INVESTMENT COMPANY

                                         By: /s/ Ian Markofsky
                                         -------------------
                                         Ian Markofsky




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