Document:

Exhibit
10.15

 

A Medical Corporation

 

HOSPITALIST PARTICIPATION SERVICE AGREEMENT

 

This HOSPITALIST PARTICIPATION SERVICE AGREEMENT
(“Agreement”) is

made and entered into this 1st day of May,
2009 by and between ApolloMed Hospitalists, A Medical Corporation (Group), a California professional corporation located at P.O.
Box 4555, Glendale, CA 91222 and Adrian C. Vazquez, a physician (Provider), having its principal place of business at 1420 S. Central
Ave, Glendale, CA 91202.

 

RECITALS

 

WHEREAS, Group intends to enter into agreements with,
but not limited to, Independent Physician Associations (IPA’s), private community physicians (Physicians) and contracted
hospitals (Hospital(s)) for the provision of inpatient medical services to persons enrolled as Enrollees (Enrollees) of IPA’s
or patients assigned to group as attending physician or consultant by Physician(s) or Hospital(s).

 

WHEREAS, Group and Provider desire to enter into
a contract whereby Provider agrees to provide Covered Inpatient Intensive Medicine Services on behalf of Group to Enrollees of
IPA’s or patients assigned to group as a locum tenens attending physician or consultant by, but not limited to, Hospital(s)
and Physician(s) which contract with Group.

 

NOW, THEREFORE, in consideration of the mutual covenants
and promises

contained herein, the parties agree as follows:

 

RETENTION
OF PROVIDER

 

		1.	Provider shall, at all times, be deemed an, employee. It is the express intention of the parties that Provider is an employee,
agent, owner, joint venturer and partner of Group. Both parties acknowledge that Provider is an employee for any and all purposes,
including state and federal tax withholdings and that: (1) Provider will not incur business expenses that are not reimbursed by
the Group except as otherwise expressly stated in this Agreement, (3) Provider will exercise independent discretion in and control
the performance of services that Provider renders pursuant to this Agreement, and (4) Group may supply Provider with the tools
and instrumentalities used in the performance of such services at Group’s discretion. This Agreement is primarily to achieve
the result of the service Provider will render, not the means by which the service will be accomplished.

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		2.	Provider will devote high professional standards and very good effort and attention to the performance of services pursuant
to this Agreement. Provider will use good judgment, adhere to high ethical standards, and avoid situations that create an actual
or perceived conflict between Provider’s interests and the interests of Group. While providing services to Group, Provider
will respect Group’s procedures and policies so as not to create unsafe situations, hinder Group’s patient, employee
or vendor relations, expose Group to undue risks or losses or cause dissension among the Group’s employees.

 

		3.	Provider agrees to indemnify Group and all of its officers, directors, employees, shareholders, and agents and hold them all
harmless for any injuries, damages, or losses (including reasonable attorney’s fees and legal costs) to Provider or to Provider’s
agents or employees arising from or relating to this Agreement. Provider further agrees to indemnify Group, and all of its officers,
directors, employees, shareholders and agents, free and hold them all harmless from and against any and all claims, demands, damages
or liabilities (including reasonable attorney’s fees and legal costs) of Group arising from or relating to the performance
by Provider and Provider’s agents and employees of Provider’s obligations and duties pursuant to this Agreement.

 

ARTICLE
I

SERVICES
TO BE PERFORMED BY PROVIDER

 

Provider agrees to be available to provide and/or
arrange coverage for Covered

Inpatient Intensive Medicine Services to Enrollees
of IPA’s, or patients assigned to group as attending physician by Hospital(s) or Physician(s) on an as-needed basis. Said
Covered Inpatient Intensive Medicine Services as referenced in Exhibit “A” shall be provided to Enrollees of each and
every IPA which has (1) contracted with the Group and (2) has accepted Group to provide Covered Inpatient Intensive Medicine Services
to its Enrollees and to patients assigned to Group as attending physician by Hospital(s) or Physician(s). Provider agrees to provide
said Covered Inpatient Intensive Medicine Services at Group’s Participating Hospitals as referenced in Exhibit “B”.
IPA’s contracted with Group are listed in Exhibit “C.”

 

ARTICLE
II

REPRESENTATIONS

 

GROUP hereby warrants and represents that it is a
California medical professional corporation that is in good standing with the California Secretary of State.

 

PROVIDER hereby warrants and represents that he or
she is duly licensed to practice medicine in the State of California and is in good standing with the Medical Board of California.
Provider further warrants and represents that he or she is currently either Board Certified or Board Eligible, and that for the
duration of this Agreement shall remain in good standing with the Medical Board of California and with the medical staff of the
Primary Hospital(s) with privileges in Inpatient Intensive Medicine.

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ARTICLE
III

COMPENSATION

 

Group shall compensate Provider for Covered Inpatient
Intensive Medicine Services as referenced in Exhibit A at an annualized rate of four hundred fiftteen thousand Dollars ($415,000.00)
per year, where three hundred sixty thousand Dollars ($360,000.00) are payable as a taxable and direct salary in bimonthly installments
and prorated on a daily basis for any portion of a month in which the terms of this Agreement do not apply or have been suspended
by agreement of the Parties or terminated pursuant to the termination provisions of this Agreement and the remaining fifty five
thousand Dollars ($55,000.00) as nontaxable benefits, paid either directly from Group or remitted to Group by Provider for costs
incurred on a monthly basis, for the purpose of carrying out and performing duties related to employment with Group which include
the following: (1) automobile expenses including (a) automobile lease (b) gasoline and (c) automobile repairs and maintenance,
(2) meals, (3) travel expenses including (a) automobile rental (b) airline fees and (c) hotels, (4) communication expenses including
(a) cellular phone and accessories and (b) cellular phone fees. In the event the amount of nontaxable benefits incurred by Provider
is less than the fifty five thousand Dollars ($55,000.00) allocated to Provider by Group, Group shall pay the difference to Provider
as a taxable salary at the end of the calendar year and prorated on a daily basis for any portion of the year in which the terms
of this Agreement do not apply or have been suspended by agreement of the Parties or terminated pursuant to the termination provisions
of this Agreement. In the event the amount of nontaxable benefits incurred by Provider is greater than the fifty five thousand
Dollars ($55,000.00) allocated to Provider by Group, Group shall convert said amount to a loan against Provider which shall be
repaid by Provider to Group within the following quarter in the form of bimonthly deductions from Provider’s expected salary.
In addition to the aforementioned compensation, Group shall compensate Provider fifty percent (80%) of collections for revenues
generated by Provider in excess of the aforementioned annualized compensation of Four Hundred Fifteen Thousand Dollars ($415,000.00)
in the twelve (12) month period corresponding with Group’s fiscal year. Provider shall be paid this additional compensation
within sixty days after such collections are reasonably calculable after the end of the Group’s fiscal year. As Provider
is an employee, agent, owner, joint venturer and partner of Group, it is understood that Provider may at times be required to perform
additional services, due to acquisition of new contracts or modifications of existing contracts, which may not be part of or in
excess of those services agreed upon in current Agreement; changes to current Agreement describing said changes in Groups current
contracts and method of compensation to Provider for additional services provided may be amended or modified only by a written
document signed by both parties hereto.

 

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ARTICLE IV

OBLIGATIONS
OF GROUP

 

		1.	Group will secure throughout the entire term of this Agreement a policy of professional malpractice liability insurance on
behalf of Provider with an insurance company admitted and licensed in the State of California. The minimum coverage amount must
be One Million Dollars ($1,000,000) per claim and Three Million Dollars ($3,000,000) in the annual aggregate. Group shall supply
evidence of current insurance upon the Provider’s demand at any time. Should Provider elect to obtain such coverage through
an insurance other than that arranged by the Group, Group will remit the costs of the premiums on a monthly basis to the Provider
as invoiced to Group by the Provider.
	 	 	 
	 	2.	Group
also agrees to maintain or purchase a tail policy for a period of not less than five (5) years following the effective termination
date of the foregoing policy. Said tail policy shall have the same policy limits as the primary professional liability policy.
Should Provider elect to obtain such coverage through an insurance other than that arranged by the Group, Group shall fully reimburse
Provider for the cost of said tail policy.
	 	 	 
	 	3.	Group
will secure throughout the entire term of this Agreement a policy ofhealth insurance on behalf of Provider with an insurance company
admitted and licensed in the State of California. Said insurance policy shall provide coverage for Provider and all his dependents
at no additional cost to Provider. Group shall supply evidence of current insurance upon the Provider’s demand at any time.
Should Provider elect to obtain such coverage through an insurance other than that arranged by the Group, Group will remit the
costs of the premiums on a monthly basis to the Provider as invoiced to Group by the Provider.
	 	 	 
	 	4.	Group
will secure throughout the entire term of this Agreement a policy of disability insurance and on behalf of Provider with an insurance
company admitted and licensed in the State of California. The minimum coverage shall be in the amount equal to Provider’s
current salary. Group shall supply evidence of current insurance upon the Provider’s demand at any time. Should Provider
elect to obtain such coverage through an insurance other than that arranged by the Group, Group will remit the costs of the premiums
on a monthly basis to the Provider as invoiced to Group by the Provider.
	 	 	 
	 	5.	Group
will secure throughout the entire term of this Agreement a policy ofterm life insurance on behalf of Provider with an insurance
company admitted and licensed in the State of California. The minimum coverage shall be in the amount of one million dollars ($1,000,000).
Group shall supply evidence of current insurance upon the Provider’s demand at any time. Should Provider elect to obtain
such coverage through an insurance other than that arranged by the Group, Group will remit the costs of the premiums on a monthly
basis to the Provider as invoiced to Group by the Provider.
	 	 	 

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ARTICLE V

OBLIGATIONS
OF PROVIDER

 

		1.	During the entire term of this Agreement, Provider shall remain in good standing of the medical staff of the Primary Hospital(s)
as referenced in Exhibit “B” with privileges in Inpatient Intensive Medicine. Loss of such medical staff membership
or loss, impairment, suspension or reduction in privileges shall result in immediate termination of this Agreement.

 

		2.	Provider shall advise Group of each malpractice claim filed against Provider and each settlement or judgment of malpractice
within fifteen (15) days following said filing, settlement, or judgment. Provider represents and warrants that no claims of malpractice
have been made against Provider except as previously indicated in writing to the Group.

 

		3.	Provider has agreed to provide Covered Inpatient Intensive Medical Services as referenced in Exhibit “A,” Exhibit
“B,” and Exhibit “C.”

 

		4.	Provider shall maintain active licenses and DEA numbers in the State of California. Group shall pay all associated licensing
fees and expenses. Provider may also maintain active or inactive licenses in other states at Provider’s sole expense.
	 	 	 

		5.	Provider shall cooperate with independent quality review and improvement organization activities pertaining to provision of
services. Provider shall comply with M+CO medical policies, quality assurance programs and medical management programs. Provider
shall fully cooperate with and adhere to Medicare's appeals, expedited appeals and expedited review procedures for M+CO Members,
including gathering and forwarding information on appeals to M+CO as necessary.
	 	 	 

		6.	Provider shall abide by all standards specified by the Healthcare Facilities Accreditation Program (the “HFAP”)
or the Joint Commission on Accreditation of Healthcare Organizations (“JCAHO”) (whichever is applicable), or any comparable
deemed status organization in the current accreditation manual for hospitals and all regulations set forth in Title 22, Division
5 of the California Code of Regulations, with respect to the provision of the Services.
	 	 	 

		7.	As to those patients assigned to Provider, Provider shall:
	 	 	 

		(a)	Timely assess all newly admitted patients in accordance with the following timelines:
	 	 	 

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		(1)	Admissions to Units Other Than ICU – In accordance
with existing hospital policy, unless the clinical status of the patient warrants an earlier assessment;

		(2)	Admission to ICU - In accordance with existing hospital
policy, unless the clinical status of the patient warrants an earlier assessment; and

		(3)	Emergency Department – Within thirty (30) minutes
of request from Emergency Department.

		(b)	Communicate with the patient’s Primary Care Physician, where applicable, regarding the patient’s medical condition
and treatment plan within twenty-four (24) hours of admission, at least every forty-eight (48) hours during the patient’s
inpatient stay, and within twenty-four (24) hours of discharge.
	 	 	 

		(c)	Provide encounter data on all services rendered at Hospital as requested by Hospital;
	 	 	 

		(d)	Communicate with Hospital’s Case Management Staff on a daily basis regarding the patient’s medical condition, treatment
plan, and discharge status;
	 	 	 

		(e)	Obtain consultations with specialists and other members of the Medical Staff as may be required by the patient’s medical
condition.

		(f)	Cooperate in promptly transitioning care back to the Patient’s primary care physician upon discharge, by, among other
things:
	 	 	 

		(1)	Preparing discharge instructions (i.e., the discharge
sheet) to be faxed or submitted to the primary care physician on the day of discharge; and

		(2)	Timely completing the discharge summary, as required
by hospital rules.

 

		8.	Provide consultations to those staff physicians who have elected to admit patients to the Hospital.
	 	 	 

		9.	In the event a patient requests his/her own primary care physician, Provider will provide such care as may be immediately required
under the circumstances, and shall promptly call and inform the primary care physician of the patient’s request.
	 	 	 

 

ARTICLE
VI

CONFIDENTIALITY/NONDISCLOSURE

 

		1.	Provider understands that, in connection with his or her engagement with Group, he or she may receive, produce, or otherwise
be exposed to trade secrets, Group Information and/or Confidential Information, in addition to all information Group receives from
others under an obligation of confidentiality.

 

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		2.	Provider acknowledges that trade secrets, Group Information and Confidential Information are the sole, exclusive and extremely
valuable property of Group. Accordingly, Provider agrees to segregate all trade secrets, Group Information and/or Confidential
Information from information of other companies and agrees not to reproduce any trade secrets, Group Information and/or Confidential
Information without Group’s prior written consent, not to use trade secrets, Group Information and/or Confidential Information
except in the performance of this Agreement, and not to divulge all or any part of any trade secrets, Group Information and/or
Confidential Information in any form to any third party, either
during or after the term of this Agreement. Upon termination or expiration of this Agreement for any reason, Provider agrees
to cease using and to return to Group all whole and partial copies and derivatives of any trade secrets, Group Information
and/or Confidential Information, whether in Provider’s possession or under Provider’s direct or indirect control,
including any computer access codes and/or nodes.

		3.	Provider shall not disclose or otherwise make available to Group in any manner any confidential and proprietary information
received by Provider from third parties. Provider warrants that his or her performance of all the terms of this Agreement does
not and will not breach any agreement entered into by Provider with any other party, and Provider agrees not to enter into any
agreement, oral or written, in conflict with this Agreement. In addition, Provider recognizes that Group has proprietary information
subject to a duty on Group’s part to maintain the confidentiality of such information and to use such information only for
certain limited purposes. Provider agrees that he or she owes to Group and such third parties, during the term of the Provider’s
relationship with Group and thereafter, regardless for the reason of termination of the relationship, a duty to hold all such confidential
or proprietary information in the strictest of confidence and not to disclose such information to any person, Group or corporation
(except as necessary in carrying our his or her work for Group consistent with Group’s agreement with such third party) or
to use such information for the benefit of anyone other than for Group or such third party (consistent with Group’s agreement
with such third party).
	 	 	 
	 	4.	Provider
shall comply with all state, federal and other government requirements regarding medical records, including requirements regarding
completion of records, retention of records, access to records, confidentiality of records, and submission of reports, including
but not limited to HIPAA. Attached as Exhibit “D” and incorporated herein by reference, is Group’s HIPAA privacy
policy. As a condition of and in consideration for this Agreement, Provider shall execute and be subject to Group’s HIPAA
Business Associate Agreement, attached as Exhibit “E.”
	 	 	 
	 	5.	The provisions of this Article shall remain enforceable regardless of any termination of the Agreement.

 

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ARTICLE
VII

RESTRICTION
ON SOLICITATION

 

Provider shall not, for as long as Provider is providing
services to Hospital hereunder and for a period of six months after the termination of this Agreement, directly or indirectly,
promote, participate, or engage in any business activity that would interfere with the performance of Group’s business. By
way of example only and not by way of limitation, Provider shall not solicit, attempt to solicit, or cause to be solicited any
customers or clients of Group, nor will Provider solicit, attempt to solicit, or cause to be solicited any employees, agents or
independent contractors of Group to cease their relationship with Group. The parties expressly acknowledge that remedies at law
shall be deemed to be inadequate for any breach of any of the covenants of this section, and Group shall be entitled to injunctive
relief in addition to any other remedies it may have in law or in equity in the event of such breach. This section shall remain
enforceable regardless of any termination of the Agreement.

 

ARTICLE
VIII

INDEMNIFICATION

 

Provider hereby indemnifies and holds harmless Group
and its directors, officers, employees, shareholders and agents from and against any claim, loss, damage, cost, expense (including
reasonable attorney’s fees) or liability arising out of or related to the performance or non-performance by Provider of any
services to be performed or

provided by Provider under this Agreement, as well
as all other acts or omissions of Provider. This and all other indemnification provisions in the Agreement shall remain enforceable
regardless of any termination of the Agreement.

 

ARTICLE
IX

MISCELLANEOUS

 

		1.	This Agreement reflects the entirety of the Agreement of the Parties and may be amended or modified only by a written document
signed by both parties hereto.

 

		2.	All notices required by this Agreement shall be sufficient if delivered in writing by United States mail, postage prepaid and
return receipt requested, addressed to the party at the addresses set forth above.

 

		3.	The rights and benefits of Group under this Agreement shall be fully assignable and transferable, and all provisions herein
shall inure to the benefit of and be enforceable by or against its successors and assigns.
	 	 	 

 

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		4.	Nothing contained in this Agreement shall be construed to permit assignment by Provider of any rights under this Agreement
and any such assignment is expressly prohibited. Group may assign its rights and obligations under this Agreement.

 

		5.	If any provision in this Agreement is held by a court or arbitrator of competent jurisdiction to be invalid, void, or unenforceable,
the remaining provisions will nevertheless continue in full force without being impaired or invalidated in any way.

 

		6.	In case of enforcement action arising under or related to this Agreement, the prevailing party shall be entitled to reasonable
attorney’s fees, costs, and necessary disbursements in addition to any other relief to which he or she may be entitled. This
provision shall be construed as applicable to the entire Agreement.

 

		7.	This Agreement will be governed by and construed in accordance with the laws of the State of California.

 

		8.	Provider acknowledges that he or she had the opportunity to consult an attorney regarding the terms of this Agreement and has
either received or waived such advice.

 

		9.	This Agreement may be executed in separate counterparts, each of which is deemed to be an original and all of which taken together
constitute one and the same Agreement.
	 	 	 

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ARTICLE
X

VOLUNTARY
AND OPTIONAL AGREEMENT TO ARBITRATE DISPUTES

 

Any controversy or claim arising out of or relating
to this Agreement, or breach thereof, shall be settled by binding arbitration pursuant to the following terms and conditions, which
shall remain enforceable regardless of any termination of the Agreement:

 

1.                       
Voluntary Agreement.

 

The purpose of arbitration is
to resolve any disputes in a timely, fair and individualized manner. Provider’s agreement to Arbitrate is not a mandatory
condition of this Agreement, and if Provider rescinds his or her acceptance of the agreement to Arbitrate within the time specified
below, this Article shall not be enforceable. At the written request of either Party, the Parties agree to consider, in good faith,
any reasonable proposal to modify or amend the terms proposed by the other Party, or previously agreed upon in writing by the Parties.
Provider is free to consult an attorney of his or her choice in connection with this process. If the Provider wishes to rescind
his or her acceptance of the agreement to Arbitrate, he or she may do so at any time within 30 days of signing the Agreement by
delivering and maintaining proof of delivery (such as a return receipt of certified mailing) of a signed written notice to the
Group that Provider’s acceptance of the agreement to arbitrate pursuant to this Article has been rescinded. In the absence
of a written, mutually executed amendment, this Article shall set forth the full and complete agreement between the Parties concerning
the matters addressed within the scope of this Article and shall supersede all prior oral or written agreements concerning these
matters.

 

2.                       
Covered Disputes.

 

These arbitration
provisions shall apply to any claim or dispute alleging liability that arises from or relates to this Agreement, including, but
not limited to, claims of wrongful employment termination, breach of contract, respondeat superior or vicarious liability, harassment
or discrimination in employment, disputes concerning wage laws that are applicable only to employees, and all other similar employment
relationship, contract, and principle-agent claims. The Arbitrator selected by the Parties shall be solely responsible for resolving
any disputes over the interpretation or application of this Arbitration Agreement. Any arbitrable claims that, standing alone,
would not be subject to these arbitration provisions shall be included within the scope of these standards if they arise from the
same transaction or occurrence as claims that are independently subject to these arbitration provisions.

 

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3.                       
Dispute Resolution Procedures.

 

The parties
agree that each of them shall attempt to provide timely notice to the other party of any actual or perceived claim against the
other and that they shall attempt to informally resolve any dispute that arises between them.

 

If a dispute
cannot be resolved informally, the parties agree that it shall be submitted to final and binding arbitration before a single neutral
arbitrator (the “Arbitrator”), selected from the then-current panel of the American Arbitration Association (“AAA”)
that is most appropriate for the nature of the dispute as determined by mutual agreement of the parties or, if such agreement cannot
be reached, by AAA. Except as otherwise expressly provided in this Agreement, the arbitration shall be conducted in accordance
with the AAA Rules corresponding to the nature of the dispute. Should the nature of the dispute be deemed to fall within the Employment
Rules, the Employment Rules of the AAA shall apply except as otherwise expressly provided by this Agreement. The AAA Employment
Rules are attached as Exhibit “D.” Other than in conjunction with a properly instituted arbitration, the parties shall
not be required to adhere to mediation procedures prescribed by any AAA Rules except upon mutual agreement.

 

Except
as otherwise expressly provided in this Agreement, the interpretation, scope and enforcement of these arbitration provisions and
all procedural issues shall be governed by the procedural and substantive provisions of the Federal Arbitration Act, 9 U.S.C. §
1 et seq. (the “FAA”), the federal decisional law construing the FAA, and the AAA Rules, provided the AAA Rules
do not conflict with the FAA. In the event of a conflict, the terms of this Article and the FAA will prevail over the AAA Rules.

 

The arbitration
fees incurred pursuant to these arbitration provisions will be borne as determined by the AAA Rules, unless the Employment Rules
apply, in which case they shall be paid exclusively by the Group. Except as otherwise permitted by law and awarded by the arbitrator,
each party shall bear her, his, or its own attorney fees and costs. In submitting their disputes to final and binding resolution
by the Arbitrator, THE PARTIES VOLUNTARILY AND KNOWINGLY WAIVE ANY RIGHT
THEY HAVE TO A JURY TRIAL OR COURT TRIAL.

 

4.                       
Small Claims Procedures.

 

If either Party asserts that
a dispute involves an amount in controversy that is too small to warrant resolution by standard arbitration procedures, the claim
may be resolved by a summary small claims procedure (the “Small Claims Procedure”). The Parties shall meet and confer
to agree on whether the use of a Small Claims Procedure is appropriate in light of the nature and amount of the claim and, if so,
what dispute resolution procedures are most appropriate. To the extent the Parties are unable to agree, the Arbitrator shall decide
whether and to what extent a Small Claims Procedure shall apply. The Small Claims Procedure may involve relaxed rules of evidence,
the use of broad principles of equity in place of strict application of law, telephonic hearings, and such other economic procedures
as the Arbitrator deems appropriate under the circumstances of the dispute and consistent with due process. In no event, however,
shall the Arbitrator utilize a Small Claims Procedure for a dispute involving a claim in excess of $50,000.

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5.                       
Claims of Non-Parties Excluded From Arbitration.

 

The Parties wish to resolve
any disputes between them in an individualized, informal, timely, and inexpensive manner and to eliminate, to the maximum extent
possible, any resort to litigation in a court of law. Consequently, the Arbitrator shall not consolidate or combine the resolution
of any claim or dispute between the Parties pursuant to these arbitration provisions with the resolution of any claim by any other
party or parties, including but not limited to any other actual or claimed employee of the Group. Nor shall the Arbitrator have
the authority to certify a class under Federal Rule of Civil Procedure Rule 23, analogous state rules, or AAA rules pertaining
to class arbitration, and the Arbitrator shall not decide claims on behalf of any other party or parties.

 

ARTICLE
XI

TERM OF
AGREEMENT

 

This Agreement will become effective on the 1st day
of January, 2009, and shall be effective for a period of twelve (12) months thereafter, unless sooner terminated pursuant to the
terms of this Agreement. This Agreement shall automatically be renewed for successive periods of twelve (12) months, each on the
same terms and conditions contained herein, unless sooner terminated pursuant to the terms of the Agreement.

 

ARTICLE
XII

TERMINATION
OF THE AGREEMENT

 

Notwithstanding any other provision of this Agreement
to the contrary, Group shall have the right to terminate this Agreement for cause. In the event Provider is terminated by the Group
for cause, termination shall be effective immediately following the giving of notice of termination by Group. For purposes of this
section, cause shall include, but shall not be limited to, the following:

 

		1.	Provider repeatedly denies Covered Medical Services to Enrollees inappropriately, as determined by the Group.

 

		2.	Provider repeatedly fails to comply with Group’s quality improvement and utilization management policies and accessibility
and availability standards.

 

		3.	Provider fails to comply with Obligations as referenced in Article IV.

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		4.	Provider breaches any other term of this Agreement.

 

		5.	Loss, restriction or suspension of Provider’s professional license to practice medicine in the State of California.

 

		6.	Provider’s suspension or exclusion from the Medicare program.

 

		7.	Provider violates the State Medical Practice Act.

 

		8.	Provider’s services place the safety of patients in imminent jeopardy.

 

		9.	Provider is convicted of a felony or crime or moral turpitude under State or Federal law.

 

		10.	Provider violates ethical and professional codes of conduct of the workplace as specified under State and Federal law.

 

		11.	Provider’s medical staff privileges at any Primary Hospital are revoked, cancelled, suspended or limited.

 

12.             
Provider work product is unsatisfactory as measured by criteria set in the discretion of the Group.

 

Notwithstanding any other provision in this Agreement
to the contrary, this Agreement may be terminated by Group, at any time, without cause, by the giving of ninety (90) days prior
written notice to Provider.

 

Notwithstanding any other provision in this Agreement
to the contrary, this Agreement may be terminated by Provider, at any time, without cause, by the giving of ninety (90) days prior
written notice to Group.

 

Notwithstanding anything to the contrary contained
in this Agreement, this Agreement may be terminated at any time by mutual written consent of the parties to this Agreement.

 

Notwithstanding any other provision of this Agreement,
in the event that any IPA contracting with Group notifies Group that said IPA wishes to remove Group from the IPA’s roster
of participating physicians, Group shall have the right to terminate this Agreement by the giving of ninety (90) days prior written
notice to Provider.

 

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ENTIRE AGREEMENT

 

This Agreement constitutes the entire agreement between
the Group and Provider with respect to matters relating to Provider’s retention, and it supersedes all previous oral or written
communications, representations, or agreements between the parties.

 

THIS AGREEMENT CONTAINS PROVISIONS FOR
THE ARBITRATION OF DISPUTES AND WAIVER OF THE RIGHT TO TRIAL BY JURY OR COURT.

 

Executed at Glendale, California
on May 1, 2009.

 

	GROUP:	 PROVIDER:
	 	 
	 	 
	By: /s/ Warren Hosseinion, M.D. _	By: _/s/ Adrian Vazquez______.
	(Signature)	(Signature)
	 	 
	 	 
	      Warren Hosseinion, M.D.	 Adrian C. Vazquez, M.D.
	      Chief Executive Officer	 
	      ApolloMed Hospitalists	 
	 	 
	 	 
	 	 

    	Page 14 of 14February 7, 2011

 

 

 

Mr. Edwin S. Barton, III

306 Rumstick Road

Barrington, RI 02806

 

 

Re: Employment 

 

 

Dear Ned:

 

It is my pleasure to send you this letter
for your consideration. As we have discussed, this letter is a formal offer of employment by Powerdyne, Inc. (PDI) as well as by
any successor corporation. PDI does not have any formal employee handbook or formal hiring mechanism developed as yet. Therefore,
this letter is offered in lieu thereof.

 

First, I am pleased to advise you that
you were elected Vice President and the Chief Operating Officer of PDI at its February 3, 2011 annual meeting of the stockholder
and directors.

 

Your employment will be as a full time
employee and based on a 40 hour work week, 52 weeks of the year. Starting date is expected to be in March 2011. The place of employment
is 1 Pullman Avenue, Worcester, Massachusetts or other location as may be designated as the company expands. You will receive four
(4) weeks paid vacation shall be per year starting at the 50th week of employment with an additional week added every
successive year thereafter, up to eight (8) weeks maximum. In light of your responsibilities, you are to take vacations only if
it does not interfere with your business obligations. It may be that your duties will not permit you to take a vacation. Sick days
and time off will be granted as needed. Sick days are compensated. Time off is uncompensated. Unusual circumstances shall be considered
on a case by case basis at my discretion only.

 

Your responsibilities will be to supervise,
coordinate, oversee and manage PDI’s business, which is to design and construct self-contained generator sets using radial
aircraft engines to be leased as prime movers in independent electrical generating systems of our own unique design.

 

Stephen L. Caromile has been elected Vice
President of Production and Lead Engineer of PDI. Although he will report directly to me, you will be working closely with Mr.
Caromile and he will also report to you. As Chief Operating Officer you will be his superior.

 

ESB

 

    	 

    	 	

    
 

 

Mr. Edwin S. Barton, III

February 7, 2011

Page 2 of 4

 

 

This letter is not intended to be exclusive
and, generally, it will be your duty to see that whatever must be done is done and is done in a timely fashion. As a corporate
executive and a crucial member of the leadership team, it is expected that you will take responsibility without direction to accomplish
the company’s goals which I will communicate to you.

 

Your work week is not limited to forty
hours. You are expected to do the job regardless of the number of hours per week that you work and you will therefore be paid a
salary and not paid on a commission or hourly basis.

 

Your base salary will be one hundred twenty-five
thousand ($125,000.00) dollars per year, paid weekly. We will withhold all necessary taxes and trust fund charges. In addition
you may be paid a cash bonus of as much as fifty thousand ($50,000.00) dollars per year, in my sole discretion. Its payment will
depend not only upon superior performance but the financial success of the company. Your salary will be paid to you effective upon
you winding up your business of Imperial Cabinet and assuming your duties at PDI on a full-time basis.

 

Until that time, you will work on a part-time
basis, as needed, and as available. I have asked you to keep a record of the hours you worked during that period and you will be
paid for that work at the rate of sixty ($60.00) dollars per hour. However, because the company is currently unable to make
such payments to you, the wages earned will not be paid until cash flow and profitability allow but will be accrued as our accountant
advises.

 

You will have the following paid vacation
days: New Year’s Day, Presidents’ Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans’ Day,
Thanksgiving Day and Christmas Day.

 

As further inducement to you to accept
this offer, you will receive 6,000,000 shares of the company’s common stock at a par value of $0.0001. As the company is
in the midst of merging with another public corporation, the terms of this contract will become binding upon the successor corporation
whose name is expected to be Powerdyne International, Inc.

 

We do not have a profit sharing, 401(k)
or other retirement account plans or medical or life insurance for our employees. If the company becomes profitable and later offers
these benefits to its employees, you will be offered the same benefit as they will.

 

It may be that your duties will require
you to relocate. In that case, the company will either pay or reimburse your reasonable costs of relocation.

 

 

ESB

 

    	 

    	 	

    
 

Mr. Edwin S. Barton, III

February 7, 2011

Page 3 of 4 

 

 

It is expected that you will require a
motor vehicle and so you will be provided with a motor vehicle suitable to your position and responsibilities and a company gasoline
card with which to pay for gasoline and maintenance as soon as PDI is financially able to do so and as it becomes necessary. The
company does not have a secure facility to garage the vehicle and, as you will be expected to have a modest home office, you are
expected to report to your home office first thing every morning to check for emails or to attend to other business, and to then
drive to whatever facility you are working at that day. You are expected to garage the company motor vehicle provided to you at
your residence at your expense. You may use the vehicle for private use. If the vehicle is leased you will have the first option
to buy the vehicle at the end of the lease term. If the vehicle is owned by the company, you will have the first right to purchase
the vehicle at the end of its useful life to the company.

 

In addition to the above cited duties,
you will develop, train and manage the executive staff. You, Mr. Caromile and I will be principally responsible for engineering,
sales and development. Our Vice President and General Counsel, Mr. Arthur M. Read, II, will be principally responsible for overseeing
all legal matters, administrative and “back office” functions.

 

It is anticipated that as the company grows,
your duties will increase. It is my expectation that you will train yourself to become President as well as Chief Operating Officer
as I assume the role of Chairman of the Board and Chief Executive Officer. It is my hope and expectation that you will become Chief
Executive Officer at some time in the future but that is a function of performance. I will expect you to find, train and develop
promising individuals with executive abilities and to eventually recommend one to replace yourself upon your assumption of more
senior positions.

 

Any patentable ideas, designs, drawings
or processes of any kind which you work on or develop during your employment with the company will be the property of the company.
Should the company receive any royalties for the licensing or the other use of any patent which you were the principal of, you
will be paid a percentage of the royalties received, not to exceed twenty (20%) percent.

 

Tools and equipment needed for the shop
will be purchased and owned by the company. Personal tools and equipment may be used on the premises provided that they are clearly
identified as yours and a written record of such kept by you and provided to the company, Mr. Caromile and me. This requirement
is necessary because of the company’s use of Bigelow Electric’s tools and equipment as well as the use of my own, Mr.
Caromile’s and other employees’ personal equipment. Therefore, specific identification is intended to avoid
confusion. You will also have complete access to the Bigelow Electric shop.

 

 

ESB 

 

    	 

    	 	

    
 

Mr. Edwin S. Barton, III

February 7, 2011

Page 4 of 4 

 

 

Ned, this outline is a comprehensive letter
that identifies the parameters under which the company would like to engage you. Please let me know if I have left out anything
important and we can proceed from there. If this offer is acceptable to
you, please indicate your acceptance by initializing each page and by signing the duplicate originals of this letter enclosed where
indicated and returning two to the company keeping one for your records.

 

As you know, we are very excited not only
about the business opportunities that we see but with the prospect of formalizing your relationship with the company.

 

 

	 	Yours truly,
	 	 
	 	
/s/ Dale P. Euga
	 	 
	 	Dale P. Euga
	 	President

 

 

AMR/lhm

 

Enclosures (2)

Cc: Arthur M. Read II, Esq.

Vice President and General Counsel

 

 

 

 

 

Acceptance

 

I acknowledge having received and read
the foregoing prior to signing it in triplicate originals.

 

I confirm and accept these arrangements,
freely and voluntarily.

 

 

 

 

 

/s/ Edwin S. Barton, III 
            

Edwin S. Barton, III  

Date: February 7, 2011

 

ESB  

 

    	 

    	 	

    
 

 

 

June 1, 2011

 

Mr. Edwin S. Barton, III

306 Rumstick Road

Barrington, RI 02806

 

Dear Ned;

 

You entered into an engagement letter with
Powerdyne, Inc. (now Powerdyne International, Inc.) on February 7, 2011.

 

This letter will serve to amend that earlier
letter.

 

Under the terms of your letter, you were
to be paid a salary. In the event that the corporation was unable to pay that salary immediately, it was to accrue to be paid to
you when the corporation’s financial situation permitted such payment, in the corporation’s sole discretion.

 

Because of the fragility of the corporation’s
finances, it is necessary to end that accrual effective April 1, 2011. Accrual and payment will only occur when the Company determines
that it has appropriate positive cash flow and/or profitability. This is in the best interest of the corporation and takes into
account unforeseen adverse tax consequences which flow to the corporation as a result of the accrual.

 

In addition, accrual and payment for expenses
and time incurred during the fiscal year ended December 31, 2010 will cease as well. If and or when the Company experiences positive
cash flow and/or profitability, the Company will address these past service items through performance bonuses at its discretion.

 

Please acknowledge your acceptance of this
modification of your letter agreement by signing the duplicate of this letter and returning it to Linda Madison and keeping the
original for your records.

 

 

	 	Yours truly,
	 	 
	 	/s/ Arthur M. Read, II, Esq.
	 	
	 	Arthur M. Read, II, Esq.
	 	Vice President, Director and General Counsel

 

AMR/lhm

Enclosure

ESB 

  

    	 

    	 	

    

 

Mr. Edwin S. Barton, III

June 1, 2011

Page 2 of 2

 

 

 

Acceptance

 

 

I acknowledge having received and read the
foregoing prior to signing it in duplicate originals.

 

I confirm and accept these agreements, freely
and voluntarily.

 

 

 

 

 

/s/ Edwin S. Barton, III
            

Edwin S. Barton, III

 

 

Date: June 3, 2011

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ESB

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