Document:

Services and License Agreement

 SERVICES AND LICENSE AGREEMENT

  
 AGREEMENT made as of the 1st day of January, 2005 (“Effective Date”), by CareAdvantage, Inc. (“CareAdvantage” or “CAI”), a
Delaware corporation with its principal place of business at 485-C Route One South, Iselin, New Jersey 08830, and Kaiser Foundation Health Plan of the Northwest, (“Kaiser”), with its principal place of business at 500 NE Multnomah St.,
Suite 100, Portland, Oregon 97232. 
  
 WHEREAS,
CareAdvantage offers to process health care data through its proprietary RPNavigator software (which uses Clinical Risk Groups (“CRGs”) and to make the results available through its web-based RPNavigator Secure Information Portal
(“Portal”); 
  
 WHEREAS, CareAdvantage
also offers certain services with respect to health care data; 
  
 WHEREAS, Kaiser desires CareAdvantage to process certain health care data (e.g.., inpatient, outpatient, professional and pharmacy claims as well as physician encounter data), to license from CareAdvantage access to
CareAdvantage’s RPNavigator Secure Information Portal and to purchase from CareAdvantage certain consulting services; 
  
 WHEREAS, Kaiser affiliates may desire CareAdvantage to process data for them in the future, in which event the parties agree that, except
as provided below, additional agreements shall provide the terms and conditions of such undertakings; 
  
 WHEREAS, the parties have been operating under a Service Agreement dated as of February 9, 2004 (“Service Agreement”), which they
now desire to replace with the instant agreement; 
  
 NOW, THEREFORE, in consideration of the premises the parties agree as follows: 
  
 1. Services. 
  
 1.1. Generally. During the term of this Agreement, CareAdvantage shall perform the services (“Services”) described in Attachment 1.1.

  
 1.2. Additional Services. At Kaiser’s request,
CareAdvantage shall perform such additional services as the parties may agree. 
  
 2. License. 
  
 2.1. Definitions. As used
in this Agreement, the terms below are defined as follows: 
  
 (a) “Kaiser Data” means data provided to CareAdvantage by Kaiser pursuant to this Agreement. 
  

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 (b) “Information” means all information made available through the Portal,
including Kaiser Data that is categorized, aggregated, displayed, arrayed, or otherwise made available through the Portal. 
  
 (c) “PMPM” means Per Member Per Month. 
  

(d) “Covered Population” means the members eligible to participate in Kaiser’s or Kaiser Permanente Health
Alternative’s HMO, self funded, POS and other products.] 
  
 2.2. Grant of License. Subject to the terms and conditions of this Agreement, during the term of this Agreement CareAdvantage grants Kaiser the non-exclusive right to access and use CareAdvantage’s Portal. CareAdvantage will
provide Kaiser with accounts accessible solely by password for fifteen (15) concurrent users. Kaiser may purchase licenses for additional concurrent users for an additional annual fee of $* per additional concurrent user. 
  
 2.3. Portal Access. Kaiser shall be responsible for obtaining the
requisite common carrier communication lines and Internet connections to access the Portal. 
  
 2.4. Security. CareAdvantage requires and enforces 128 bit encryption for web access to the Portal. CareAdvantage will limit access to the Kaiser Data maintained at the Portal to those persons authorized by
Kaiser and provided a password by Kaiser. Kaiser shall be responsible for the confidentiality of passwords assigned to it and shall be solely responsible for any authorized or unauthorized access to Kaiser Data using such passwords. In addition,
Kaiser shall be responsible for the configuration and maintenance of the web browser software. CareAdvantage represents and warrants that its responses to Kaiser’s ASP Screening Questionnaire, transmitted via e-mail to Faith A. Long by Joshua
Stein on September 10, 2004 at 9:38 a.m. are true and correct, and that CareAdvantage complies with the Standard for Security for Protected Health Information, codified at 45 CFR parts 160 and 164, subpart C. Within one (1) hour of discovering any
security breach of the Portal or the Kaiser Data, CareAdvantage will notify Kaiser of the breach, its scope and CareAdvantage’s plan for remediation. 
  
 2.5. Ownership. Kaiser acknowledges that CareAdvantage represents that the Portal contains materials (including but not limited to programs,
methods, design and screen formats) proprietary to CareAdvantage and/or to third parties (“Third Party Suppliers”) and licensed to CareAdvantage (collectively, “CareAdvantage Materials”). CareAdvantage and Third Party Suppliers
retain title and ownership to the CareAdvantage Materials; provided, however, that in no event shall CareAdvantage Materials be deemed to include Kaiser Data, which shall remain the sole property of Kaiser. 
  

	*	Portions of this page have been omitted pursuant to Confidential Treatment request and filed separately with the Commission. 

  

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 2.6. Proprietary Rights; Corporate Names. Kaiser understands and agrees that CareAdvantage and its
Third Party Suppliers represent that they have proprietary rights in certain trademarks, service marks, trade names, corporate names and in the format of the reports used for displaying and arraying the Kaiser Data (the “Intellectual
Property”). Kaiser agrees not to use such Intellectual Property other than as permitted under this Agreement Kaiser agrees not to alter, remove, or obscure any copyright notices or other proprietary notices on and in any part of the Portal.

  
 2.7. Authorized Use of Portal and Information; Portal
Availability. 
  
 2.7.1 Kaiser is authorized to use the
Portal and Information solely in accordance with this Agreement. Kaiser is authorized to view the Kaiser Data in any of the reports available at the Portal, to print any such report, and to use any such report solely for its own purposes in
marketing, providing and administering health insurance and benefits (including but not limited to making copies of such reports and providing copies of such reports to its customers, prospective customers or regulatory or accreditation bodies). Any
other use of the Portal or Information by Kaiser is prohibited and except as authorized herein, Kaiser shall not transmit, divulge, or publish any part of the contents or substance of the Portal or in any way provide the Information, or any part
thereof, to any other person; provided, however, that the foregoing shall not in any way limit Kaiser’s use of the Kaiser Data. 
  
 2.7.2 CareAdvantage will use commercially reasonable efforts to ensure that the Portal is accessible for a minimum of 99% of scheduled uptime (the
“Portal Service Levels”). Scheduled uptime shall consist of 6:00 a.m. to 6:00 p.m. Pacific Time, Monday through Friday. Access to the Portal generally will be available at times other than scheduled uptime, except when CareAdvantge is
conducting maintenance, but CareAdvantage cannot guarantee the extent to which the Portal will be accessible at these other times. CareAdvantage will notify Kaiser at least five (5) days in advance of any maintenance that may be required during
scheduled uptime; provided, however, total down time for maintenance or other reasons shall not exceed 1% of scheduled uptime. Kaiser acknowledges and agrees that access to the Internet is subject to unexpected outages due to equipment failure that
can occur through a variety of external causes, and which may have an affect on CareAdvantage’s ability to satisfy the Portal Service Levels. Kaiser agrees that CareAdvantage is not responsible for any unexpected outages of the Portal caused by
external circumstances beyond CareAdvantage’s control. Kaiser may contact CareAdvantage to report problems with Portal access anytime twenty-four hours a day. CareAdvantage will use all commercially reasonable efforts in restoring unscheduled
outages of the Portal whenever they occur. If the Portal Service Levels fall below 99% of scheduled uptime in one or more monthly periods, CareAdvantage will (i) use all reasonable efforts to diagnose the problem(s) causing the excessive downtime,
as required, and (2) prepare and implement a remediation plan to resolve the issues. If, notwithstanding CareAdvantage’s remediation efforts, Portal Service Levels continue below 99% for a period of ninety (90) days or more, Kaiser may
terminate the Agreement for cause, providing no further cure period, and pursue all of its available remedies at law and equity. 
  

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 2.8. Warranties. 
  
 2.8.1. CareAdvantage warrants that it is the owner of the Portal and that it has the full power, authority and right to
license such Portal in the manner set forth in this Agreement. 
  
 2.8.2 CareAdvantage represents and warrants that it is duly organized in its state of formation, that it is authorized to enter into this Agreement; and that entry into and performance under this Agreement are not prohibited by law,
regulation, loan, security, financing, contractual or other agreement of any kind. 
  
 2.8.3 CareAdvantage warrants that the Portal as provided by CareAdvantage to Kaiser under this Agreement are CareAdvantage’ original work, or that CareAdvantage will have acquired all rights necessary to fulfill
its obligations under this Agreement, including granting the license hereunder. 
  
 2.8.4. CareAdvantage shall comply with all federal, state and local laws, statutes, regulations and ordinances applicable to its provision of the Portal. 
  
 2.8.5. CareAdvantage represents and warrants that the Services under this Agreement shall be provided in a diligent, prompt,
and professional manner by qualified individuals with the necessary knowledge and training to provide such Services. 
  
 2.9. Disclaimer of Warranty. EXCEPT AS PROVIDED ABOVE, CAREADVANTAGE HEREBY DISCLAIMS ANY AND ALL WARRANTIES WITH RESPECT TO THE PROGRAM AND
MATERIALS, WHETHER EXPRESS OR IMPLIED, INCLUDING THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT. 
  
 2.10. Limitation on Damages. THE PARTIES UNDERSTAND AND AGREE THAT UNDER NO CIRCUMSTANCES SHALL EITHER PARTY BE LIABLE TO THE OTHER FOR
CONSEQUENTIAL DAMAGES OR LOST PROFITS OR REVENUES RESULTING FROM OR IN ANY WAY RELATED TO ANY ACTION ARISING OUT OF THIS AGREEMENT, WHETHER IN CONTRACT, TORT, UNDER ANY WARRANTY THEORY, NEGLIGENCE, OR OTHERWISE, OR TERMINATION OF THIS AGREEMENT,
EVEN IF THE PARTY HAS BEEN PREVIOUSLY ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY LIMITED REMEDY HEREIN. 
  
 2.11. Intellectual Property Indemnification. CareAdvantage shall defend, indemnify and hold harmless Kaiser,
and Kaiser’s parents, subsidiaries, directors, officers, members, employees, agents, successors and assigns from and against any and all claims, liabilities, losses, judgments, fines, assessments, damages, penalties, awards and other expenses
of any kind or 
  

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 nature whatsoever, including, without limitation, reasonable attorney’s fees, expert witness fees, and costs of
investigation, litigation or dispute resolution (collectively “Claims”) arising out of or relating to any actual or alleged infringement or misappropriation (collectively “Infringement”) of any third party’s trade secrets,
trademarks, copyright, or other intellectual property rights to the extent such Claims arise in connection with Kaiser’s (a) use, reproduction, distribution or display of the Information or the Services. Such obligation of CareAdvantage is
contingent on (1) CareAdvantage being notified promptly in writing by Kaiser of any such Claim; (2) CareAdvantage having control of the defense and settlement of the Claim, provided that no settlement will be entered into that involves an admission
of culpability by Kaiser or imposes an affirmative obligation on Kaiser without Kaiser’s prior written approval; and (3) Kaiser cooperating with CareAdvantage, at CareAdvantage’s expense, in all reasonable respects to facilitate the
settlement or defense of the Claim. If CareAdvantage does not remedy the Infringement as set forth above, or is unable to make the allegedly infringing materials non-infringing, Kaiser may terminate this Agreement and its license granted hereunder
and CareAdvantage shall refund a pro rata refund of the unused portion of the license fees paid hereunder. 
  
 2.12 Insurance and General Indemnity. CareAdvantage shall maintain or cause to be maintained sufficient insurance coverage as shall be
necessary to insure CareAdvantage and its agents or subcontractors against any claim or claims for damages arising under this Agreement. Such insurance coverage shall apply to the Portal and to all services provided by CareAdvantage or its agents or
subcontractors under this Agreement. 
  
 CareAdvantage shall
indemnify, hold harmless and defend Kaiser and its affiliated entities from and against any and all claims, losses, liabilities, costs and other expenses (including reasonable attorneys’ fees and costs, and administrative penalties and fines)
incurred as a result of, or arising directly or indirectly out of or in connection with any negligent or intentional act or omission of CareAdvantage, its agents or subcontractors, under this Agreement. The indemnification obligation of
CareAdvantage shall survive termination of this Agreement. 
  
 3.
Business Associate Addendum. CareAdvantage agrees to comply with the requirements relating to business associates in HIPAA and regulations promulgated thereunder by the U.S. Department of Health and Human Services (“HIPAA
Regulations”). Such requirements as exist as of the Effective Date are set forth in Attachment 3, which is attached hereto and incorporated herein by reference. Attachment 3 may be modified periodically by the parties to accord with any
changes to the obligations imposed by HIPAA or the HIPAA Regulations, and such modification shall be deemed accepted by the parties and shall serve to amend this Agreement if no written objection is submitted by either party to the other party
within thirty (30) days of notice of such modification. 
  

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 4. Compensation. 
  
 4.1. Generally. Kaiser shall pay CareAdvantage for the services and license provided under this Agreement * for each member in the Covered
Population, commencing as of the Effective Date. Compensation shall be payable without invoice as of the last day of each month during the term of this Agreement. Payments made pursuant to the foregoing sentence shall be reconciled to the
eligibility data for the Covered Population Kaiser makes available to CareAdvantage each recurring update, and CareAdvantage shall pay any reconciling adjustment to Kaiser within thirty (30) days of its making a determination that such adjustment is
owing, and Kaiser shall pay any reconciling adjustment to CareAdvantage within thirty (30) days of CareAdvantage’s notifying it in writing that such adjustment is owing. 
  
 4.2. Additional Services. Kaiser shall pay CareAdvantage for Additional Services in accordance with Attachment 4.2,
or on such other terms as the parties may agree. 
  
 4.3.
Expenses. Kaiser shall reimburse CareAdvantage for CareAdvantage’s reasonable out-of-pocket expenses incurred in providing Services, including expenses for travel, lodging and meals. Kaiser shall pay CareAdvantage within thirty (30) days
of its receipt of CareAdvantage’s invoice for such expenses. 
  
 4.4. Adjustments. 
  
 4.4.1. On Account of
Changes in Kaiser Northwest’s Covered Population. CareAdvantage’s compensation under Section 4.1 has been determined by assuming that Kaiser Northwest will provide a Covered Population of at least 440,000 members. If the Covered
Population increases beyond 499,999 members or decreases below 400,000 members, then in lieu of the * rate provided by Section 4.1, the rate shall be determined in accordance with Attachment 4.4.1. 
  
 4.4.2 On Account of CareAdvantage’s Agreeing to License Access and
Use of the Portal for Additional Kaiser Divisions. In the event that CareAdvantage enters into an agreement with Kaiser to license access and use of the Portal with respect to members of an additional division of Kaiser, then CareAdvantage
agrees to negotiate with Kaiser in good faith for a downward revision in the PMPM rate provided to the Northwest Division under this Agreement pursuant to Section 4.1 (as modified, if appropriate, by Section 4.4.1). The amount of the downwardly
revised rate should reflect the number of new members from the additional Kaiser division for whom Kaiser provides data to CareAdvantage, the number of total members for whom Kaiser provides data to CareAdvantage, the number of new claims systems
employed by the additional Kaiser division providing data to CareAdvantage, and the complexity of the business rules of the additional Kaiser division. 
  

	*	Portions of this page have been omitted pursuant to Confidential Treatment request and filed separately with the Commission. 

  

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 4.5. Taxes. Kaiser shall be solely responsible for the payment of any taxes, charges or
assessments, and any penalties or interest thereon, relating to the services or Kaiser’s access to and use of the Portal (except for income taxes, if any, imposed on CareAdvantage). 
  
 5. Term and Termination. 
  
 5.1. Term. The term of this Agreement shall commence on the Effective Date and continue in effect until December 31, 2006. Subsequently,
this Agreement shall automatically renew for successive one-year terms unless either party provides the other with written notice of termination. 
  
 5.2 Termination. Either party may terminate this Agreement without cause by giving 90 days prior written notice; provided, however, that in the
event Kaiser reasonably determines that the financial viability of CareAdvantage is in jeopardy, then Kaiser may terminate this Agreement by giving CareAdvantage 30 days prior written notice. Except as provided in the last sentence of Section 2.7.2,
in the event that either party materially defaults in the performance of any of its duties or obligations under this Agreement and does not substantially cure such default or defaults within 10 business days after being given written notice
specifying the default or defaults, then the non-defaulting party may terminate this Agreement immediately by giving notice to that effect to the defaulting party. 
  
 6. Defense of Litigation Except as provided by Section 2.8.1, each party shall be responsible at its own expense for defending itself
in any litigation brought against it, whether or not the other party is also a defendant, arising out of any aspect of activities undertaken in connection with this Agreement. Each party agrees to provide the other party information in its
possession which is necessary to the other party’s defense in such litigation. 
  
 7. Additional Requirements. 
  
 7.1.
Independent Contractors. The relationship of the parties under this Agreement shall be that of independent contractors. Neither shall have any claim under this Agreement or otherwise against the other party as a joint venturer or partner.

  
 7.2. Proprietary Rights. Subject to Section 2.6,
neither party shall use the name, logos, trademarks, or servicemarks of the other without the other’s prior written consent, except that CareAdvantage may include the name Kaiser Foundation Health Plan of the Northwest in its listing of
clients. 
  
 7.3 Financial Statements. Within one (1)
business day of its filing an annual or quarterly report with the Securities and Exchange Commission, CareAdvantage shall provide Kaiser with a copy of such report. In each case, such report shall be sent to the attention of Kaiser’s Chief
Financial Officer by email at Frank.E.Hemeon@kp.org, or at such other email address Kaiser may specify in writing to CareAdvantage. 
  

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 8. Miscellaneous. 
  
 8.1. Compliance with Laws. Each party shall, throughout the term of this Agreement, use its best efforts to be in continuous compliance with all
applicable laws. 
  
 8.2. Notice. All notices and other
communications hereunder shall be in writing and shall be deemed to have been given upon receipt, and shall be addressed as follows: 
  

					
	If to Kaiser:	 	Kaiser Permanente	 	 
	 	 	500 NE Multnomah St., Suite 100,	 	 
	 	 	Portland, Oregon 97232	 	 
		
	 	 	Attention:             Frank Hemeon
	 	 	                              Vice President Finance and Chief Financial
Officer
			
	If to CareAdvantage:	 	CareAdvantage, Inc.	 	 
	 	 	Metropolitan Corporate Center	 	 
	 	 	485-C Route One South	 	 
	 	 	Iselin, New Jersey 08830	 	 
		
	 	 	Attention:             Dennis Mouras,
	 	 	                              President & Chief Executive Officer

  
 8.3. Governing
Law. This Agreement shall be construed in accordance with and governed by the laws of the State of Oregon without giving effect to the principles of conflicts of laws. 
  
 8.4. Entire Agreement. Except as provided herein, this Agreement and its attachments constitutes the entire agreement
between the parties with respect to the subject matter hereof and supersedes all previous proposals, both oral and written, negotiations, representations, commitments, writings and all other communications between the parties. It may not be
released, discharged, or modified except by an instrument in writing signed by a duly authorized representative of each of the parties. As of the Effective Date, the Service Agreement shall terminate. 
  
 8.5. Binding Agreement; Assignability. This Agreement shall be binding
upon and shall inure to the benefit of the parties hereto and their respective successors and permitted assigns and subcontractors. No party hereto shall sell, assign, transfer, convey, subcontract or otherwise dispose of its rights or obligations
under, title to, or interest in, this Agreement, in whole or in part, to a third party other than a wholly-owned subsidiary without the prior written consent of the other party, which consent shall not be unreasonably withheld. 
  

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 8.6. Severability. If any provision of this Agreement is determined by a court of competent
jurisdiction to be invalid or unenforceable, such determination shall not affect the validity or enforceability of any other part or provision of this Agreement. 
  
 8.7. Disputes. In the event of any dispute between the parties hereto arising out of or concerning this Agreement,
the parties agree to use their reasonable best efforts to resolve any such dispute amicably, in good faith, and expeditiously prior to resorting to litigation. 
  

8.8. Injunctive Relief. The parties acknowledge that in the event of the breach of certain provisions of this Agreement, including Sections 2.6,
2.7 and 7.2, they may not have an adequate remedy at law and will suffer irreparable damage and injury. Therefore, in addition to any other remedy available, each party agrees that if it violates any of such provisions, the non-breaching party shall
be entitled to injunctive relief, without bond, from a court of competent jurisdiction. 
  
 8.9. Waiver. No waiver by any party of any breach of any provision of this Agreement shall constitute a waiver of any other breach of that or any other provision of this Agreement. 
  
 8.10. Impossibility of Performance. No party shall be deemed to be in
violation of this Agreement if prevented from performing any obligation hereunder due to matters that are beyond its control, including without limitation acts of war or terrorism, strikes, riots, floods, storms, earthquakes, other elements or acts
of God or the public enemy, labor disputes, strikes, or shortages. 
  
 8.11. Counterparts. This Agreement may be executed in several counterparts, each of which is an original but all of which shall constitute one and the same instrument. 
  
 IN WITNESS WHEREOF, the parties have executed this Agreement as of the date set
forth above. 
  

							
	CAREADVANTAGE, INC.	 	KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
				
	BY:	 	 /s/ Dennis Mouras

	 	BY:	 	 /s/ Frank Hemeon

	TITLE:	 	 CEO

	 	TITLE:	 	 CFO

  
  

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 ATTACHMENT 1.1 
  
 On a quarterly basis, at the conclusion of each three (3) month period, Kaiser will provide CareAdvantage with paid claims data for all claims in the Covered Population.
Within approximately four weeks of CareAdvantage’s receipt of this data, CareAdvantage will: 
  

	 	•	 	Load data into data processing environment 

  

	 	•	 	Conduct technical and initial clinical review of data (review for completeness) 

  

	 	•	 	Run data through conversion program 

  

	 	•	 	Validate data conversion 

  

	 	•	 	Prepare\run data files though CRG algorithms 

  

	 	•	 	Validate CRG assignments (validity check) 

  

	 	•	 	Program reports to generate analyses with updated data elements 

  

	 	•	 	Review RPNavigator analyses results 

  

	 	•	 	Move into production environment 

  

	 	•	 	Deliver observations summary report (which would address significant changes from previous periods) 

  
 Thereafter, CareAdvantage will conduct at least one day of on-site consulting per quarter, including data analytical and operational
integration reviews. 
  
 During the term of this Agreement, CareAdvantage will
maintain telephone support for technical and clinical inquiries 6:00 a.m. through 6:00 p.m., Pacific Time, Monday through Friday. 
  
 (The four-week schedule provided by this Attachment assumes that there will be no change in Kaiser’s claims system(s) and business rules from those provided by
Kaiser to CareAdvantage on or before September 1, 2004. In the event of any such change, the four-week schedule is subject to adjustment, and any additional services required by CareAdvantage on account of such changes will be billed in accordance
with Attachment 4.2.) 
  
  

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 ATTACHMENT 3 
  
 ARTICLE I: DEFINITIONS 
  

	1.1	General Rule. Capitalized terms not otherwise defined in this BA Exhibit shall have the same meaning as those terms in the Privacy Rule and the Security Rule.

  

	1.2	HIPAA means the Health Insurance Portability & Accountability Act of 1996, P.L. 104-191. 

  

	1.3	HIPAA Regulations means the regulations promulgated under HIPAA by the U.S. Department of Health and Human Services, including but not limited to, the Privacy Rule.

  

	1.4	KP OHCA means the Organized Health Care Arrangement formed by the Covered Entities comprising Kaiser Permanente’s integrated health care organization in the
Northwest Region, including, as of the date of execution of this BA Exhibit, Kaiser Foundation Health Plan, Inc., Kaiser Foundation Health Plan of the Northwest, Kaiser Foundation Hospitals, and Northwest Permanente. P.C. Physicians & Surgeons.

  

	1.5	Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information, codified at 45 CFR parts 160 and 164, Subparts A and E, as currently in
effect. 

  

	1.6	Protected Information means Protected Health Information (“PHI”) provided by KP to Business Associate, or created or received by Business Associate on
KP’s behalf. 

  

	1.7	Protected Health Information (PHI) shall have the meaning given to the term under the Privacy Rule, including by not limited to, 45 CFR Section 164.501.

  

	1.8	Security Rule means the Standards for Security for the Protection of Electronic Protected Health Information, codified at 45 CFR parts 160 and 164, Subpart C, as will
be in effect April 20, 2005. 

  
 ARTICLE II: OBLIGATIONS OF
BUSINESS ASSOCIATE 
  

	2.1	General Requirements. Except as otherwise limited in this BA Exhibit, Business Associate may use or disclose Protected Information to perform functions, activities, or
services for, or on behalf of, KP as described in Attachment A, attached hereto and incorporated herein, provided that such Use or Disclosure would not violate the Privacy Rule if done by KP. Business Associate and its agents and subcontractors
shall only request, use, and disclose the minimum amount of Protected Information necessary to accomplish the purpose of the permitted Use or Disclosure. Business Associate agrees to comply with all applicable HIPAA Regulations.

  

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	2.2	Uses Permitted By Law. As permitted by the Privacy Rule, Business Associate may use or disclose Protected Information: (a) as is necessary for the proper management
and administration of Business Associate’s organization, or (b) to carry out the legal responsibilities of Business Associate; provided, however, that any permitted Disclosure to a third party must be either Required By Law or subject to
reasonable assurances obtained by Business Associate from the third party that the Protected Information will be held confidentially, and securely, and used or disclosed only as Required By Law or for the purposes for which it was disclosed to such
third party, and that any breaches of confidentiality of the Protected Information which become known to such third party will be immediately reported to Business Associate. Business Associate shall notify KP in a timely manner prior to making any
Disclosure of Protected Information Required By Law, to afford KP the opportunity to respond to the request for such a Disclosure. 

  

	2.3	Data Aggregation. Business Associate may provide Data Aggregation services relating to the Health Care Operations of KP. 

  

	2.4	Disclosures to Agents and Subcontractors. Business Associate shall ensure that any agent or subcontractor to whom it provides Protected Information agrees in writing
to the same terms set forth herein regarding the Use and Disclosure and security of Protected Information, including, but not limited to, implementation of administration, physical and technical safeguards, notice of prohibited Use or Disclosure,
mitigation of harmful effects, responses to requests for access and Amendment, and a term permitting immediate termination of the agent’s or subcontractor’s agreement with Business Associate for improper Use or Disclosure of Protected
Information. Business Associate shall terminate its agreement with any agent or subcontractor to whom it provides Protected Information if such agent or subcontractor fails to abide by any material term of such agreement. 

 

	2.5	Safeguards. Business Associate shall implement and use appropriate safeguards as necessary to prevent the Use or Disclosure of Protected Information in any manner that
is not permitted by this BA Exhibit, including but not limited to, safeguards designed to limit incidental Uses or Disclosures made pursuant to an otherwise permitted or required Use or Disclosure. 

  

	2.6	Notice of Prohibited Uses or Disclosures. Business Associate shall provide written notice to KP of any Use or Disclosure of Protected Information that is in violation
of this BA Exhibit, the Privacy Rule, or other applicable federal or state law within five (5) business days of becoming aware of such Use or Disclosure. Business Associate shall also notify KP in writing within five (5) business days of receipt of
any complaint that Business Associate receives concerning the handling of Protected Information or compliance with this BA Exhibit. 

  

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	2.7	Mitigation. Business Associate shall mitigate promptly, to the extent practicable, any harmful effect that is known to Business Associate of a Use or Disclosure of
Protected Information by Business Associate in violation of this BA Exhibit, the Privacy Rule, or other applicable federal or state law. 

  

	2.8	Access and Amendment. To enable KP to fulfill its obligations under the Privacy Rule, Business Associate shall make Protected Information in Designated Record Sets
that are maintained by Business Associate or its agents or subcontractors available to KP for inspection, copying or amendment within ten (10) days of a request by KP. If an Individual requests inspection, copying or amendment of Protected
Information directly from Business Associate or its agents or subcontractors, Business Associate shall notify KP in writing within five (5) business days of receipt of the request, and shall defer to, and comply with, KP’s direction in a timely
manner regarding the response to the Individual regarding the request for inspection, copying or amendment. 

  

	2.9	Accounting. Business Associate shall implement a process for recording certain Disclosures of Protected Information by Business Associate (“Accounting
Information”) in order to enable KP to comply timely with its obligations under the Privacy Rule including, but not limited to, 45 CFR Section 164.528. At a minimum, this Accounting Information shall include for each Disclosure not excepted
from an individual’s right to an accounting under 45 CFR Section 164.528 recordation of (a) the name and date of birth of the Individual whose Protected Information was the subject of the Disclosure; (b) the date of Disclosure; (c) the name and
address of the recipient of the Protected Information; (d) a brief description of the Protected Information disclosed; and (e) a brief statement of the purpose for the Disclosure that reasonably informs the Individual of the basis for the
Disclosure. Within ten (10) days of notice from KP of a request for an accounting of Disclosures of Protected Information, Business Associate shall make available to KP this Accounting Information. In addition, for any month in which Business
Associate makes a Disclosure of Protected Information, Business Associate shall provide Accounting Information during the subsequent month pertaining to KP, in a format and medium specified by KP. If an Individual requests an accounting directly
from Business Associate or its agents or subcontractors, Business Associate must notify KP in writing within five (5) business days of the request, and shall defer to, and comply in a timely manner with, KP’s direction regarding the response to
the Individual regarding the request for an accounting. Within thirty (30) days of receipt of notice that KP has implemented an electronic, web-based or other automated Disclosure accounting system, Business Associate shall begin recording all of
Business Associate’s Accounting Information using KP’s system. Use of KP’s system in compliance with all applicable policies and procedures shall satisfy Business Associate’s obligation to implement the process required by this
Section 2.9, or may be used in addition to Business Associate’s own process. KP shall provide Business Associate with information necessary to access and use KP’s system. Business Associate shall comply with KP’s policies and
procedures applicable to the system, including, without limitation, the requirement that Business Associate record each Disclosure within a specified time period after the 

  

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 Disclosure is made, and that without regard to the date on which KP’s system is implemented,
Business Associate promptly must load all Disclosures made on or after the Effective Date into KP’s system. Upon determination by KP that Business Associate has successfully implemented KP’s system, Business Associate may discontinue the
monthly submission of Accounting Information otherwise required by this Section 2.9. 
  

	2.10	Government Officials. Business Associate shall make its internal practices, books and records relating to the Use and Disclosure of Protected Information available to
the Secretary of the U.S. Department of Health and Human Services (“Secretary”) for purposes of determining KP’s compliance with the Privacy Rule. Business Associate shall notify KP regarding any Protected Information that Business
Associate provides to the Secretary concurrently with providing such Protected Information to the Secretary, and upon KP’s request, shall provide KP with a duplicate copy of such Protected Information. 

  

	2.11	Insurance and Indemnity. Business Associate shall maintain or cause to be maintained sufficient insurance coverage as shall be necessary to insure Business Associate
and its agents or subcontractors against any claim or claims for damages arising under this BA Exhibit. Such insurance coverage shall apply to all site(s) of Business Associate and to all services provided by Business Associate or its agents or
subcontractors under this BA Exhibit. 

  
 Business
Associate shall indemnify, hold harmless and defend KP and its affiliated entities from and against any and all claims, losses, liabilities, costs and other expenses (including reasonable attorneys’ fees and costs, and administrative penalties
and fines) incurred as a result of, or arising directly or indirectly out of or in connection with any negligent or intentional act or omission of Business Associate, its agents or subcontractors, under this BA Exhibit. The indemnification
obligation of Business Associate shall survive termination of this Agreement. 
  

	2.12	Disclosure. To the extent that Business Associate creates, receives, maintains, or transmits electronic PHI, Business Associate shall also, effective April 20, 2005,
implement administrative, physical and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of any electronic Protected Information that may be transmitted in conformity with the
requirements of the Security Rule. 

  

	2.13	Reporting of Security Incidents. Effective April 20, 2005, if the Business Associate creates, receives, maintains, or transmits electronic PHI, Business Associate
shall appropriately report any security incident, as defined by the Security Rule. 

  

	2.14	Mitigation. Effective April 20,2005, or such other date on which compliance with the Security Rule is required (“Security Rule Effective Date”) Business
Associate shall mitigate promptly, to the extent practicable, any harmful effect of a security incident for 

  

 14 

 which Business Associate is responsible, or of which Business Associate is aware, that involves
electronic Protected Information and is in violation of this BA Agreement, the Security Rule, or other applicable federal or state law. 
  
 ARTICLE III: OBLIGATIONS OF KP 
  

	3.1	Notice of Privacy Practices. KP shall notify Business Associate of limitation(s) in its notice of privacy practices in accordance with 45 CFR Section 164.520, to the
extent such limitation affects Business Associate’s permitted Uses or Disclosures. 

  

	3.2	Individual Permission. KP shall notify Business Associate of changes in, or revocation of, permission by an Individual to use or disclose Protected Information, to the
extent such changes affect Business Associate’s permitted Uses or Disclosures. 

  

	3.3	Restrictions. KP shall notify Business Associate of restriction(s) in the Use or Disclosure of Protected Information that KP has agreed to in accordance with 45 CFR
Section 164.522, to the extent such restriction affects Business Associate’s permitted Uses or Disclosures. 

  

	3.4	Prohibited Requests. KP shall not request Business Associate to use or disclose Protected Information in any manner that would not be permissible under the Privacy
Rule if done by KP. 

  

	3.5	OHCA. The provisions of this BA Exhibit regarding the obligations and rights of KP, and the obligations owed by Business Associate to KP, shall be deemed to extend to
every entity in the KP OHCA as if each such entity was a party to this BA Exhibit. 

  
 ARTICLE IV: TERM AND TERMINATION 
  

	4.1	Term. This BA Exhibit shall commence as of the Effective Date and shall continue in effect unless and until terminated by KP under this Section 4.1 or Section 4.2,
below. KP may terminate this BA Exhibit, without cause, on five (5) days’ prior written notice to Business Associate. 

  

	4.2	Termination for Cause. If KP determines that Business Associate, or any of its agents or subcontractors, has breached any material provision of this BA Exhibit, which
may include a pattern of activity or practice that constitutes a material breach, then KP, in its sole discretion, may (a) notify Business Associate of the material breach and request that it be cured; (b) terminate this BA Exhibit and KP’s
business relationship with Business Associate immediately or upon such notice as KP may determine; or (c) report the material breach to the Secretary of the Department of Health and Human Services, if KP determines in its sole discretion that
termination of its business relationship with Business Associate is infeasible. In the event that KP notifies Business Associate of the material breach and requests that it be cured under (a) above, but KP subsequently determines in

  
  

 15 

 its sole discretion that Business Associate has failed to cure the material breach to the reasonable
satisfaction of KP, then KP may in its sole discretion follow the procedures set forth in (b) or (c) above without further notice. 
  

	4.3	Effects of Termination. Upon termination of the business relationship between the parties and/or the BA Exhibit for any reason, Business Associate shall, at KP’s
direction, return or destroy all Protected Information that Business Associate or its agents or subcontractors still maintain in any form, and shall retain no copies of such Protected Information. Upon KP’s request, Business Associate shall
certify in writing that such return or destruction has occurred. If Business Associate determines that return or destruction is not feasible, Business Associate shall explain to KP in writing why conditions make the return or destruction of such
Protected Information not feasible. If KP agrees that the return or destruction of Protected Information is not feasible, Business Associate shall retain the Protected Information, subject to all of the protections of this BA Exhibit, and shall make
no further Use or Disclosure of the Protected Information, except as for those purposes that make the return or destruction of the Protected Information not feasible. In any event, upon termination of the business relationship between the parties
and/or the BA Exhibit, Business Associate shall retain for no less than six (6) years the Accounting Information compiled by Business Associate pursuant to section 2.9 of this BA Exhibit, and shall make such Accounting Information available to KP
within five (5) business days of a request. 

  

	4.4	Survival. The obligations of Business Associate under this Article IV shall survive the termination of the business relationship between the parties and/or the BA
Exhibit. 

  
 ARTICLE V: MISCELLANEOUS 
  

	5.1	Assistance. In the event of an administrative or judicial action commenced against KP where Business Associate may be at fault, in whole or in part, as the result of
its performance under this BA Exhibit, Business Associate agrees to defend or to cooperate with KP in the defense against such action. 

  

	5.2	Subcontracts and Assignment. Business Associate shall not subcontract its obligations, assign its rights, or delegate its duties under this BA Exhibit without
the express written consent of KP. 

  

	5.3	Amendment. If any modification to this BA Exhibit is required for conformity with federal or state law or if KP reasonably concludes that an amendment to this BA
Exhibit is required because of a change in federal or state law, or by reason of KP’s status as a business associate of another covered entity, KP shall notify Business Associate of such proposed modification(s) (“Required
Modifications”). Such Required Modifications shall be deemed accepted by Business Associate and this BA Exhibit so amended, if Business Associate does not, within thirty (30) calendar days following the date of the notice, deliver to KP its
written rejection of such Required Modifications. If Business Associate submits a written rejection of the Required Modification, KP may terminate its business 

  
  

 16 

 relationship with Business Associate upon thirty (30) days written notice, or such longer period as may
be required by law. Other modifications to this BA Exhibit may be made on mutual agreement of the parties. 
  

	5.4	Business Relationship. Except as specifically required to implement the purposes of this BA Exhibit, and except to the extent inconsistent with this BA Exhibit, all
terms of the business relationship between the parties shall remain in full force and effect. In the event of a conflict between the terms of the business relationship between the parties and this BA Exhibit, this BA Exhibit shall control.

  

	5.5	Ambiguity. Any ambiguity in this BA Exhibit relating to the Use and Disclosure of Protected Information shall be resolved in favor of a meaning that furthers the
obligations to protect the privacy and security of the Protected Information, whether electronic or other medium, in accordance with the Privacy Rule. 

  

	5.6	State Law. In addition to HIPAA and all applicable HIPAA Regulations, Business Associate shall comply with all applicable state and federal security and privacy laws.

  

	5.7	Third Party Beneficiaries. Except as expressly provided for in this BA Exhibit or the Privacy Rule, there are no third party beneficiaries to this BA Exhibit.

  

	5.8	Counterparts. This BA Exhibit and any attachments hereto may be executed in one or more counterparts; each counterpart shall be deemed an original.

  

	5.9	Notices. All notices required or permitted to be given under this BA Exhibit shall be in writing and shall be sufficient in all respects if delivered personally, by
nationally recognized overnight delivery service, or by registered or certified mail, postage prepaid, addressed as provided in Section 8.2 of this Agreement, and in the case of KP, to the attention of the Privacy Officer as well as to the Chief
Financial Officer. Notice shall be deemed to have been given upon transmittal thereof as to those personally delivered, upon the first day after mailing as to those sent by nationally recognized overnight delivery service, and upon the third day
after mailing as to those sent by United States Mail. The above addresses may be changed by giving notice in the manner provided for above. 

  
  

 17 

 ATTACHMENT A 
  

	1.	Description of Business Relationship Between KP and Business Associate: 

  
 Business Associate is an application service provider that processes health care data from Kaiser Foundation Health Plan
of the Northwest and makes results available through a web portal, all as set forth in that certain Services and License Agreement to which this Business Associate Agreement is Attachment 3.3. 
  

	2.	Permitted Uses and Disclosures of Protected Information by Business Associate: 

  
 None other than those specifically authorized in that certain Services and License Agreement to which this Business
Associate Agreement is Attachment 3.3 
  
 .

  
  

 18 

 ATTACHMENT 4.2 
  
 FEES FOR ADDITIONAL SERVICES 
  

				
	 CAI Standard Rates
	 	 	 
		
	 Consulting Level

	 	Daily Rates

	 Analyst
	 	$	 *
	 Consultant
	 	$	 *
	 Sr. Consultant
	 	$	 *
	 Manager
	 	$	 *
	 Sr. Manager
	 	$	 *
	 Director
	 	$	 *
	 Sr. Medical Director
	 	$	 *
	 Vice President
	 	$	 *
	 VP, National Medical Director
	 	$	 *

	*	Portions of this page have been omitted pursuant to Confidential Treatment request and filed separately with the Commission.

  
  

 19 

 ATTACHMENT 4.4.1 
  

PMPM FEES FOR CHANGES IN COVERED POPULATION 
  

				
	 Covered Population

	 	PMPM Fees

	 100,000-199,999
	 	$	 *
	 200,000-299,999
	 	$	 *
	 300,000-399,999
	 	$	 *
	 400,000-499,999
	 	$	 *
	 500,000-599,999
	 	$	 *
	 600,000-699,999
	 	$	 *
	 700,000-799,999
	 	$	 *
	 800,000-899,999
	 	$	 *
	 900,000-999,999
	 	$	 *
	 1,000,000-1,499,999
	 	$	 *
	 1,500,000-1,999,999
	 	$	 *
	 2,000,000-2,499,999
	 	$	 *

	*	Portions of this page have been omitted pursuant to Confidential Treatment request and filed separately with the Commission.

  

 20Form of Employment Agreement with Stephen M. Watters

 EMPLOYMENT AGREEMENT 
  
 THIS EMPLOYMENT AGREEMENT, dated effective as of February 1, 2005 (the “Agreement”), is by and between
Vertical Health Solutions, Inc., a Florida corporation (the “Company”), and Stephen M. Watters (the “Employee”). 
  
 WHEREAS, the Company is a full-line custom-label manufacturer and distributor of nutritional supplements for veterinarians in the companion animal sector.

  
 WHEREAS, the Company wishes to assure itself of the services
of Employee for the period provided in this Agreement and Employee is willing to serve in the employ of the Company for such period upon the terms and conditions hereinafter set forth. 
  
 NOW THEREFORE, in consideration of the mutual covenants herein contained, the parties, intending to be legally bound, hereby
agree as follows: 
  
 1. EMPLOYMENT. The Company hereby agrees to
employ Employee upon the terms and conditions herein contained, and Employee hereby accepts such employment for the term described below. Employee agrees to serve as the Chief Executive Officer of the Company during the term of this Agreement and
shall report to the Company’s Board of Directors. In such capacity, Employee shall have such powers and responsibilities consistent with Employee’s position as the Chief Executive Officer. Throughout the term of this Agreement, Employee
shall devote Employee’s best efforts and substantially all of Employee’s business time and services to the business and affairs of the Company. 
  
 2. TERM OF AGREEMENT. The three (3) year initial term of the employment under this Agreement shall commence as of the date set forth above (the
“Effective Date”). After the expiration of such initial three-year period, the term of Employee’s employment hereunder shall automatically be extended without further action by the parties for successive one (1) year renewal
terms, provided that if either party gives the other party at least thirty (30) days advance written notice prior to the expiration of the then current term of such party’s intention to not renew this Agreement for an additional term, the
Agreement shall terminate upon the expiration of the current term. 
  
 3.
SALARY AND BONUS 
  
 a. Employee shall receive an annual base
salary during the the term of this Agreement of $165,000 payable in installments consistent with the Company’s normal payroll schedule; provided that the annual base salary shall be subject to periodic review and adjustment by the Compensation
Committee and/or the Board of Directors of the Company in its discretion. 
  
 b.
Employee shall also be eligible to participate in any executive bonus plan created by the Board of Directors in the same manner and to the same extent as the other executives of the Company in the discretion of the Board of Directors as set forth by
the Compensation Committee. 
  
 4. WELFARE AND FRINGE BENEFITS.

  
 a. Life Insurance. The Company shall purchase a redeemable life
insurance policy on the life of Employee, 60% of the proceeds which shall be payable to Employee’s family and 40% to the Company. Upon either termination or non-renewal of employment, the Company will transfer ownership of policy to employee.

  
 b. Automobile and Other Allowances. During the term hereof, the Company
shall also provide Employee with an automobile allowance of up to $600.00 per month and shall pay the dues on behalf of Employee for one airline club membership per year. 
  
 c. Expenses. The Company shall reimburse Employee for all reasonable expenses he incurs in promoting the Company’s business,
including expenses for travel, entertainment of business associates, service and usage charges for business use of cellular phones and similar items, upon presentation by Employee from time to time of an itemized account of such expenditures in a
form acceptable to the Company. 

 d. Vacation. Employee shall be entitled to an annual vacation of not less than four weeks, during which time his
compensation shall be paid in full. 
  
 e. General. Employee shall be
eligible to participate in such welfare benefit plans, programs, practices and policies of the Company as are generally applicable to other employees. Without limiting the foregoing, Employee shall be entitled to such other benefits as the Board of
Directors and/or the Compensation Committee of the Board of Directors may from time to time approve for him. 
  
 5. TERMINATION 
  
 a.
Involuntary Termination. The Company may terminate Employee’s employment hereunder at any time by giving written notice to Employee of termination. However, if Employee’s employment is terminated by the Company during the term of
this Agreement pursuant to this Section 5(a), Employee shall be entitled to receive Employee’s base salary accrued through the date of termination plus one additional year of base salary payable in the same manner as base salary
was previously paid to Employee. 
  
 b. Disability. The Company shall be
entitled to terminate Employee’s employment immediately if Employee becomes disabled (as defined below). Upon such termination, the amount Employee shall be entitled to receive from the Company shall be limited to Employee’s base salary
accrued through the date of termination and any payments as may be provided under any long-term disability plan or other disability program or insurance policies maintained or provided by the Company. “Disabled” shall mean that for
a period of three (3) consecutive months or an aggregate of four (4) months in any twelve (12) month period Employee is incapable of fulfilling the duties of his or her position because of physical, mental or emotional incapacity, injury, sickness
or disease. Any question as to the existence or extent of the disability upon which Employee and the Company cannot agree shall be determined by a qualified, independent physician selected by the Company. The determination of any such physician
shall be final and conclusive for all purposes. 
  
 c. Termination for
Cause. The Company may terminate Employee’s employment hereunder for Cause (as defined below) immediately without notice. If Employee’s employment is terminated by the Company for Cause, the amount Employee shall be entitled to receive
from the Company shall be limited to Employee’s base salary accrued through the date of termination. 
  
 For purposes of this Agreement, the term “Cause” shall be limited to (i) embezzlement, fraud, misappropriation of corporate assets or a
breach of the covenants set forth in Sections 9, 10 and 11 below; (ii) Employee being arrested or indicted in connection with a felony; (iii) Employee being arrested or indicted of any lesser crime or offense committed in connection
with the performance of Employee’s duties hereunder or involving moral turpitude; (iv) the habitual failure or refusal by Employee to perform Employee’s duties hereunder after being provided with written warnings and a reasonable period to
cure; or (v) chronic absenteeism. 
  
 d. Voluntary Termination by Employee.
If Employee resigns or otherwise voluntarily terminates Employee’s employment before the end of the current term of this Agreement, other than pursuant to the provisions of Section 5(e) of this Agreement, the amount Employee shall
be entitled to receive from the Company shall be limited to Employee’s base salary accrued through the date of termination. 
  
 e. Termination for Good Reason by Employee. Employee may terminate this Agreement for “Good Reason” (as defined below), provided that he shall first
provide the Company with prior written notice, which notice shall state with specificity the reason for the termination and provide the Company with thirty (30) days from and after the giving of such notice to cure the breach. If the Company fails
to cure the breach within such thirty days, Employee shall be entitled to receive Employee’s base salary accrued through the date of termination plus one additional year of base salary payable in the same manner as base salary was previously
paid to Employee. For purposes of Section 5(e), the Executive shall have “Good Reason” to terminate his employment hereunder if such termination shall be the result of: 
  
 (i) any material demotion regarding Employee’s status, title, authorities or
responsibilities (including reporting responsibilities) under this Employment Agreement; or 

 (ii) the reassignment of Employee to a location more than thirty (30) miles from the location where he presently works.

  
 6. DEATH. If Employee dies during the term of this Agreement,
the Company shall pay to Employee’s estate a lump sum payment equal to the sum of Employee’s base salary accrued through the date of death plus the total unpaid amount of any bonuses earned. In addition, the death benefits payable by
reason of Employee’s death under any retirement, deferred compensation or other employee benefit plan maintained by the Company shall be paid to the beneficiary designated by Employee in accordance with the terms of the applicable plan or
plans. 
  
 7. CHANGE OF CONTROL. 
  
 a. Salary. Upon a Change in Corporate Control (as defined below), if there is a
reduction in the Employee’s base salary, the Employee shall have the option to terminate his Employment and should Employee elect to terminate his Employment, the Company shall be obligated to make a series of twelve (12) monthly payments to
the Employee. Each monthly payment shall be equal to the sum of one-twelfth (1/12th) of the Employee’s annual
base salary, as in effect on the date of termination, provided that if the Employee obtains a replacement position with any new employer (including a position as an officer, employee, consultant, or agent, or self-employment as a partner or
sole proprietor), the payments shall be reduced by all amounts the Employee receives as compensation for services performed during such period. 
  
 b. Restricted Stock. Further, upon a Change in Corporate Control, the vesting of any restricted stock granted to the Employee under the terms of the Company’s
Employee Restricted Stock Plan shall become immediately vested in full and exercisable in full. 
  
 c. Definition. For purposes of this Agreement, a “Change in Corporate Control” shall include any of the following events: i. The acquisition in one or more transactions of more than thirty percent
(30%) of the Company’s outstanding Common Stock by any corporation, or other person or group (within the meaning of Section 14(d)(3) of the Securities Exchange Act of 1934, as amended). 
  

	 	i.	Any merger or consolidation of the Company into or with another corporation in which the Company is not the surviving entity, or any transfer or sale of substantially all of the
assets of the Company or any merger or consolidation of the Company into or with another corporation in which the Company is the surviving entity and, in connection with such merger or consolidation, all or part of the outstanding shares of Common
Stock shall be changed into or exchanged for other stock or securities of any other person, or cash, or any other property. 

  

	 	ii	Any person, or group of persons, announces a tender offer for at least thirty percent (30%) of the Company’s Common Stock. 

  
 d. Limitation. Notwithstanding anything else in this Agreement, the amount of
severance compensation payable to the Employee as a result of a Change in Corporate Control under this Section 7, or otherwise, shall be limited to the maximum amount the Company would be entitled to deduct pursuant to Section 280G of
the Internal Revenue Code of 1986, as amended. 
  
 8. WITHHOLDING.
The Company shall, to the extent permitted by law, have the right to withhold and deduct from any payment hereunder any federal, state or local taxes of any kind required by law to be withheld with respect to any such payment. 
  
 9. PROTECTION OF CONFIDENTIAL INFORMATION. Employee agrees that Employee shall
keep all confidential or proprietary information of the Company or relating to its business (including, but not limited to, information regarding the Company’s customers, vendors, pricing policies, methods of operation, proprietary computer
programs and trade secrets) confidential, and that Employee shall not (except with the Company’s prior written consent), while in the employ of the Company or thereafter, 

 
disclose any such confidential information to any person, firm, corporation, association or other entity, other than in furtherance of Employee’s duties
hereunder, and then only to those with a need to know. Employee shall not make use of any such confidential information for Employee’s own purposes or for the benefit of any person, firm, corporation, association or other entity (except the
Company) under any circumstances during or after the term of Employee’s employment. The foregoing shall not apply to any information which, is generally disclosed to the public by the Company or is otherwise in the public domain at the time of
disclosure. 
  
 Employee recognizes that because Employee’s
work for the Company shall bring Employee into contact with confidential and proprietary information of the Company, the restrictions of this Section 9 are required for the reasonable protection of the Company and its investments and
for the Company’s reliance on and confidence in Employee. 
  
 Further, Employee agrees that upon request or upon termination of this Agreement (for any reason), Employee shall deliver to the Company any and all drawings, notes, documents and other materials which he has received from the Company or
which have originated from the employment activity. 
  
 10. COVENANT NOT TO
COMPETE 
  
 a. Employee hereby agrees that Employee shall not, either
during the employment term or during a period of one (1) year from the time Employee’s employment under this Agreement ceases or is terminated (for whatever reason), engage in any business activities on behalf of any enterprise which competes
with the Company. Employee shall be deemed to be engaged in such competitive business activities if Employee participates in such a business enterprise as an employee, officer, director, consultant, agent, partner, proprietor, or other participant;
provided that the ownership of no more than 2 percent of the stock of a publicly traded corporation engaged in a competitive business shall not be deemed to be engaging in competitive business activities. 
  
 11. OWNERSHIP OF DEVELOPMENTS 
  
 a. All copyrights, patents, trade secrets, or other intellectual property rights associated
with any ideas, concepts, techniques, inventions, processes, or works of authorship develop or created by Employee during the course of performing work for the Company or its clients (collectively, the “Work Product”) shall belong
exclusively to the Company and shall, to the extent possible, be considered a work made by Employee for hire for the Company within the meaning of Title 17 of the United States Code. To the extent the Work Product may not be considered work made by
Employee for hire for the Company, Employee agrees to assign and automatically assigns to the Company at the time of creation of the Work Product, without any requirement of further consideration, any right, title, or interest Employee may have in
such Work Product. Upon the request of the Company, Employee shall take such further actions, including execution and delivery of instruments of conveyance, as may be appropriate to give full and proper effect to such assignment. 
  
 b. Solely for purposes of Sections 9, 10, 11 and 12 hereof only, the term
“Company” also shall include any existing or future subsidiaries of the Company that are operating during the time periods described herein and any other entities that directly or indirectly, through one or more intermediaries,
control, are controlled by or are under common control with the Company during the periods described herein. 
  
 12. INJUNCTIVE RELIEF 
  
 a.
Employee acknowledges and agrees that it would be difficult to fully compensate the Company for damages resulting from the breach or threatened breach of the covenants set forth in Sections 9, 10 and 11 of this Agreement and
accordingly agrees that the Company shall be entitled to temporary and injunctive relief, including temporary restraining orders, preliminary injunctions and permanent injunctions, to enforce such provisions in any action or proceeding instituted in
any court having subject matter jurisdiction, without having to post a bond or other security. This provision with respect to injunctive relief shall not, however, diminish the Company’s right to claim and recover damages. Employee agrees to
pay to the Company all costs and expenses incurred by the Company relating to the enforcement of the terms of 

 
Sections 9, 10 and 11 hereof, including reasonable fees and disbursements of counsel (both at trial and appellate proceedings). 
  
 b. It is expressly understood and agreed that although the parties consider the restrictions
contained in this Agreement to be reasonable, if a court determines that the time or territory or any other restriction contained in this Agreement is an unenforceable restriction on the activities of Employee, no such provision of this Agreement
shall be rendered void but shall be deemed amended to apply as to such maximum time and territory and to such extent as such court may judicially determine or indicate to be reasonable. 
  
 c. Employee acknowledges and confirms that (a) the restrictive covenants contained in Sections 9 and 10 hereof are reasonably
necessary to protect the legitimate business interests of the Company, and (b) the restrictions contained in Sections 9 and 10 hereof (including without limitation the length of the term of the provisions of Sections 9 and
10 hereof) are not overbroad, overlong, or unfair and are not the result of overreaching, duress or coercion of any kind. Employee further acknowledges and confirms that Employee’s full, uninhabited and faithful observance of each of
the covenants contained in Sections 9 and 10 hereof shall not cause Employee any undue hardship, financial or otherwise, and that enforcement of each of the covenants contained herein shall not impair Employee’s ability to obtain
employment commensurate with Employee’s abilities and on terms fully acceptable to Employee or otherwise to obtain income required for the comfortable support of Employee and Employee’s family and the satisfaction of the needs of
Employee’s creditors. Employee acknowledges and confirms that Employee’s special knowledge of the business of the Company is such as would cause the Company serious injury or loss if Employee were to use such ability and knowledge to the
benefit of a competitor or were to compete with the Company in violation of the terms of Sections 9 and 10 hereof. Employee further acknowledges that the restrictions contained in Sections 9 and 10 hereof are intended to
be, and shall be, for the benefit of and shall be enforceable by, the Company’s successors and assigns. 
  
 d. If Employee shall be in violation of any provision of Sections 9 and 10, then each time limitation set forth in the applicable section shall be extended for a period of time equal to the period of
time during which such violation or violations occur. If the Company seeks injunctive relief from such violation in any court, then the time limitations shall be extended for a period of time equal to the pendency of such proceeding including all
appeals by Employee. 
  
 13. SEPARABILITY. If any provision of this
Agreement shall be declared to be invalid or unenforceable, in whole or in part, such invalidity or unenforceability shall not affect the remaining provisions hereof which shall remain in full force and effect. 
  
 14. ASSIGNMENT. This Agreement shall be binding upon and inure to the benefit
of the heirs and representatives of Employee and the assigns and successors of the Company, but neither this Agreement nor any rights hereunder shall be assignable or otherwise subject to hypothecation by Employee. 
  
 15. ENTIRE AGREEMENT. This Agreement represents the entire agreement of the
parties and shall supersede any and all previous contracts, arrangements or understandings between the Company and Employee. The Agreement may be amended at any time by mutual written agreement of the parties hereto. 
  
 16. GOVERNING LAW; VENUE. This Agreement shall be construed, interpreted, and
governed in accordance with the laws of the State of Florida, other than the conflict of laws provisions of such laws. Hillsborough or Pinellas County, Florida shall be the proper venues for any litigation arising out of this Agreement. 

 
 17. COUNTERPARTS. This Agreement may be executed in one or more counterparts
all of which taken together shall constitute one and the same instrument. 
  
 18.
NOTICE. Any notice or other communication which is required or permitted under this Agreement shall be in writing and shall be deemed to have been given, delivered, or made, as the case may be (notwithstanding lack of actual receipt by
the addressee) (i) on the date sent if delivered personally or by cable, telecopy, telegram, telex, or facsimile (which is confirmed), (ii) three (3) business days after having been deposited in the United States mail, certified or registered,
return receipt requested, sufficient postage 

 
affixed and prepaid, or (iii) one (1) business day after having been deposited with a nationally recognized overnight courier service (such as by way of
example, but not limitation, U.S. Express Mail, Federal Express, or Airborne), to the parties at the following addresses (or at such other address for a party as shall be specified by like notice): 
  

			
	 If to the Company:
	 	 Vertical Health Solutions, Inc.
 855 Dunbar
Avenue
 Oldsmar, FL 34677
 Attention:
President

		
	 	 	 Tel: (727) 548-8345
 Fax: (727)
548-7134

		
	 With a copy to Counsel:
	 	 Sichenzia, Friedman & Ross
 1065 Avenue of the
Americas
 New York, NY 10018
 Attention: Tom
Rose

		
	 If to the Employee:
	 	 Stephen M. Watters
 855 Dunbar Ave.
 Oldsmar, FL 34677

  
 IN WITNESS WHEREOF,
the Company has caused this Agreement to be duly executed, and the Employee has hereunto set Employee’s hand, as of the day and year first above written. 
  

			
	VERTICAL HEALTH SOLUTIONS, INC.
		
	 By:
	 	 /S/ Brian T. Nugent

	 Name:
	 	Brian T. Nugent
	 Title:
	 	President and Director
		
	 Date:
	 	  

	
	EMPLOYEE:
		
	 	 	 /S/ Stephen M. Watters

	 Name:
	 	Stephen M. Watters
		
	 Date:

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