Document:

PW Management Consulting Inc.
101 - 3495 Cambie Street
Vancouver, BC.  V5Z 4R3
Tel 604 649-2881 fax 604 648-8993

June 02, 2005

MEMORANDUM OF UNDERSTANDING

TotalMed Systems, Inc.
1200 SE Maynard Road, Suite 203
Cary, NC.  27511

Attention:  Mr. Brian Knight, President & CEO

Dear Sir:

Re	Territory License for TotalMed West, Inc. (TM West)

Further to our discussions, this letter sets out the agreement and
terms between the undersigned parties to establish TM West Inc., as a
Nevada corporation.  All funds herein are in US Dollars.

TotalMed Systems, Inc. a Florida corporation ("TM") shall grant a
"License" to TM West, under the terms and conditions set out herein
this letter.

1.	The License shall include the US states of Washington, Oregon,
California, Nevada, and Arizona (the "Territory").

2.	The License shall entitle TM West to 10% of the net income from
all Territory sales revenues attributed and booked to TM.  TM
shall conduct its sales and sales booking practices in such a
manner as to reasonably ensure maximum benefit to TM West.  Net
income is defined as Total Revenues less Cost of Sales less
Operating Expenses.  The 10% payments shall be advanced to TM
West on a quarterly basis, commencing at the end of the 1st
quarter after year 1.

3.	TM West (or its shareholders - hereinafter collectively referred
to as "TM West") shall advance $250,000 to TM on or before
October 15, 2005.

4.	TM shall pay a fee of 10% of the $250,000 to PWM for the License
Funding.

5.	The Funds shall be advanced by electronic wire transfer to
TotalMed Systems, Inc., at the Bank of America, 1200 W. Osceola
Parkway, Kissimmee, FL 34741, Account # 005503092866 ,
Routing/Transit #063100277 ,Wiring #026009593.

6.	TM shall repay to TM West, $250,000 plus $37,500 in charges (or
if less is received, the proportionate lesser amount), as
follows:
*	$18,750 within 180 days
*	$9,375 within 270 days
*	$259,375 within 365 days
*	Furthermore, TM shall establish a sinking fund and allocate
2% of gross sales revenues to ensure the above payments for
TM West.

7.	At the end of 10 years ("Year 10") from the date of the License
issuance, TM shall have the option to acquire the License from TM
West.  The acquisition price shall be the greater of:
*	the amount equal to 100% of the total payments paid and or
accrued to TM West at Year 10, or
*	the value of the License as assessed by a mutually agreed
upon certified valuator.

8.	PWM (or its appointee) shall administer the corporate functions
of TM West and attend to its shareholder responsibilities.

TM and PWM (on behalf of the TM West shareholders) shall formalize and
execute the License agreement between TM and TM West at the earliest
date possible, and such documentation shall reflect the purpose &
intent, and terms & conditions as set out above.

The undersigned hereby acknowledge and agree to the above terms and
conditions, and have received the necessary corporate authorizations
to enter into this arrangement and to fulfill its respective
obligations herein.

TotalMed Systems, Inc.					PW Management
Consulting Inc.

/s/ Brian Knight                                        /s/ Phil Wong
________________________				______________________
Brian Knight, President					Phil Wong, President

2Alberto M.
Hernandez, M.D.
Chairman

Gerardo F. Santos, M.D.
Director, Scientific Program

Vicente Rodriguez Coordinator

                                   Cuba USA

                         Miami Medical Convention

Executive Offices: 2695 LeJeune Road, Suite 300, Coral Gables, Florida 33134
P.O. Box 440629  Miami, Florida 33144-9922  Telephone: (305) 774-6040  Fax:
(305) 774-6041  mail:cubausamiamimed@aol.com

September 19, 2006

TotalMed Systems, Inc.
1200 SE Maynard Road
Suite 203
Cary, NC  27511

Attn:  Mr. Brian Knight, President

Dear Mr. Knight,

Cuba USA has completed its evaluation of the recent proposal submitted by
TotalMed Systems, Inc. for the use of TotalNotes as the Electronic Health
Record (HER) solution for our physician members.  We have thoroughly reviewed
the components of the proposal and found them to meet our requirements
concerning the secure transmission, management, and administration of both
medical and financial information relating to patients treated by Cuba USA
members.  As a result of this review, we therefore approve the proposal for
Cuba USA to become a Referral Organization of TotalMed Systems, Inc., and are
ready to assist in familiarizing our membership with the myriad advantages
that TotalNotes provides.

This letter will serve as a sole source agreement between CUBA USA and TotalMed
Systems, Inc.  TotalMed Systems, Inc. is hereby selected to exclusively provide
all products and services, including the TotalNotes EHR, TotalPM Practice
Management and Patient Billing system as outlined in the Referral Organization
Agreement.

Cuba USA is dedicated to the prevention and reduction of all diseases within
the community, with a particular emphasis on cardiovascular disease,
hypertension, stroke and diabetes.  Our primary goal in approving the
TotalMed Systems, Inc. proposal is to make available to our membership, mainly
comprised of solo practitioners and single and multi-specialty groups, a
method of electronically storing and sharing patient information.  Our
secondary goal is to develop a research capacity, using data from as many
practices as will participate, which will allow members as well as other
participating physicians to examine a wide variety of risk factors displayed
by all of our collective patients.  We particularly want to review those of
Hispanic ancestry who in many cases display abnormally high incidents of the
aforementioned diseases, and who are all too frequently not included or
examined in major clinical trials.

We envision this being accomplished through the use of your state-of-the art
TotalNotes EHR system that will not only be used to securely collect and
transmit data, but also to enhance Cuba USA member's productivity and
responsiveness to third party payers.  It is comforting to know that both
TotalNotes and TotalPM, individually and collectively, address many of our
members' HIPAA compliance issues relating to patient privacy.

Cuba USA is appreciative of your past Platinum Sponsorship at our Convention
and looks forward to working with TotalMed Systems, Inc. and to help
implement its suite of secure, user-friendly Hispanic software solutions
throughout our membership.

Sincerely,

/s/ Vicente Rogriguez
CoordinatorJune 30,
2006

Zechariah 4, LLC
Attn: Mark and Sonya Jennings
RE: Letter of Intent for total acquisition of the EMR
software

Dear Mark and
Sonya:

I would appreciate your joint consideration of this Letter of Intent,
between Zechariah 4, an Indiana LLC, of which you are co-owners
(hereinafter "Zech 4"), and TotalMed Systems, Inc., a Florida Corporation
(hereinafter 'TMS").

TMS proposes to acquire sole and complete ownership of the Electronic Medical
Record software program you have collectively developed (hereinafter "EMR
Software"). This Letter of Intent is intended to set forth the principal
business provisions between Zech 4 and TMS. It is not, however, intended to be
all inclusive. The parties to this Letter of Intent will be bound upon the
execution of an agreement in a form acceptable to both parties ("Final
Agreement"); however, the confidentiality and non-disclosure agreements made
in this Letter of Intent hereinafter set forth are fully binding on both
parties.

1) Purchasing sole and complete ownership. For the consideration stated herein
and fully set forth in the Final Agreement, Zech 4 will sell and TMS will
purchase sole and complete ownership of the EM R Software outright and free of
any existing liens or encumbrances. TMS will acquire legal title to the EMR
Software and after closing, TMS will have the sole and complete rights to
market, distribute and further license the use of the EMR Software through
its affiliates, direct sales representatives, master territory owners and
distributors in any geographic area TMS is marketing any of its other products.

2) Consideration for purchase. TMS agrees to pay a fee of $88,000 to
purchase sole and complete ownership of the EMR Software, $40,000 of which
will be payable upon execution of the Final Agreement. The remaining $48,000
will be paid out in monthly installments of $4,000 with the first payment due
in September, 2006. In addition, TMS agrees to issue a total of one million
shares of TMS stock in the name of Zech 4 for sole and complete ownership of
the EMR Software. Such shares of TMS stock will be restricted under the same
terms and conditions as the officers and directors of TMS restricted shares.
The shares will be issued at the formal closing of the Final Agreement which
is anticipated to occur within thirty (30) days of the signing of this Letter
Of Intent.

3) Appointment to medical advisory board. At closing, TMS will formally extend
to Dr. Mark Jennings a membership position on its Medical Advisory Board. Dr.
Mark Jennings will thereafter be entitled to all compensation and privileges
awarded to members of the Medical Advisory Board including participation in
stock issuances, if applicable. Such appointment shall be for the length of
time TMS remains a viable organization under current management. Such
appointment may be terminated at such time as TMS is sold to or acquired by
third party intent upon implementing its own management team and boards of
directors. If, for any reason, Dr. Mark Jennings is unable to fulfill his
obligations as a board member, then his wife, Sonya Jennings will fill the
allotted board position.

4) Distributorship. Zech 4 will be granted distributorship rights for all TMS
products for the state of Indiana. The costs of this distributorship, $75,000,
shall be waived. Zech 4 shall also receive a consultation fee of $6,000 per
month beginning in the month of September, 2006, and every month thereafter
for so long as the agreed upon services, primarily in the areas of EM R and
PM software functionality review. interface testing and evaluation are
rendered to TMS by Zech 4. Payment of the $6,000 per month consultation fee
will occur for a minimum of twelve (12) months, and will thereafter be renewed
annually if agreed to by both TMS and Zech4.

5)	Conditions to TMS obligations. The obligation of TMS to consummate
this transaction will be subject to the resolution of each of the following
conditions to the satisfaction of TMS:

	A)	Due Diligence. A thorough analysis shall be performed to
conclude, beyond reasonable doubt, that Mark and Sonya Jennings, the
developers of the EMR Software have complete, outright and unencumbered
ownership of all aspects of the EMR Software, free and clear of third party
claims. This analysis shall include, but is not limited to additional
information with respect to any licenses previously granted by Mark and Sonya
Jennings either as individuals or as part of any business entity. TMS shall not
be obligated to assume any responsibility associated with either previous or
current versions of the EMR Software, in any form. This includes software
versions that may be in the possession of an outside software developer,
medical distribution organization. third party user of any kind, or customer
associated with past clinical or field testing. As a point of clarification,
TMS will provide improvements and updates to the EMR Software as weB
as ongoing technical support to the medical practice of Dr. Jennings and his
primary beta site, Dr. Anderson, for so long as these two practices choose to
utilize the EMR Software.

      B) Agreement. The negotiation, execution and delivery of a Final
      Agreement shall be based upon terms and conditions acceptable to
      both parties.

2

6) Conditions to Zech 4 obligations. The obligation of Zech 4 to consummate the
transaction contemplated by this Letter of Intent will be subject to the
negotiation, execution and delivery of the Final Agreement with terms and
conditions acceptable to Zech 4.

7) Future Software Development Responsibilities. Zech 4 acknowledges that part
of the consideration for acquisition of sole and complete ownership of the EMR
Software will be its obligation to cooperate with TMS in the further
development of TMS products and services. The Final Agreement, the terms
of which will be agreed to by both parties, will set forth TMS and Zech 4
rights, responsibilities, obligations and penalties with respect to "Future
Software Development Responsibilities. II

8) Inspection and access to information. In order to permit TMS to exercise
its due diligence, after the date of execution of the Letter of Intent, Mark
and Sonya Jennings will permit TMS and its authorized representatives full
access to and make available to them for inspection and review all pertinent
books, records, agreements and documents of or relating to Mark and Sonya
Jennings, including the newly formed Zech 4, relative to the ownership,
development or marketing of the EMR Software which in the opinion of counsel
to TMS could impact their sale and unencumbered ownership of the EMR
Software. Any information reviewed by TMS pursuant to this paragraph will be
subject to the terms of the "Confidentiality Agreement" (as hereinafter
defined).

9) Expenses. Each of the parties agrees to pay its own expenses incident to the
performance of this Letter of Intent, the negotiation and execution of the
Final Agreement and closing of the transactions contemplated by this Letter of
Intent including all fees incurred by either party.

10) NON-DISCLOSURE OF CONFIDENTIAL INFORMATION. Mark and Sonya
Jennings and TMS recognize and acknowledge that through the exercise of due
diligence under this Letter of Intent they will have access to confidential
information concerning the structure and conduct of the businesses of Mark
and Sonya Jennings including the newly formed Zech 4, as well as TMS (including
but not limited to propitiatory information, list of customers, costs, and
financial information) which prior to and after the consummation of the
transaction will be valuable, special and unique property of Mark and Sonya
Jennings and TMS respectively. Mark and Sonya Jennings and TMS agree that they
will not disclose and that they will use their best efforts to prevent
disclosure by any other person of confidential information, except those
authorized by either Mark and Sonya Jennings or TMS. This limitation applies
whether or not the transaction is closed both before and after the dates
specified for closing. Mark and Sonya Jennings and TMS recognize and agree
that violation of any of the conditions contained in this paragraph will
cause irrefutable damage or injury to the other, the exact amount of which
may be impossible to ascertain, and the effected party will be entitled to an
injunction, without the necessity of posting a bond, to eliminate any further
violation.

The effective party's rights to an injunction will be in addition to, and not
in limitation of, any other rights or remedies that party may have against the
other.

11) Miscellaneous. This Letter of Intent has been prepared and is being
executed to serve as an aid to the negotiation, preparation and execution of
the Final Agreement. The terms described in this Letter of Intent have been
purposed without the benefit of a complete due diligence investigation
customary for transactions of this type, and each party understands that
certain terms hereof may be modified if either party believes that modification
is justified based upon its subsequent investigation.

12) Governing Law. The laws of the state of North Carolina will govern the
validity, interpretation. performance and enforcement of this Letter of Intent.
13) Terms of Agreement. Until executed by both parties this Letter of Intent
does not constitute an offer to purchase sole and complete ownership of the
EMR Software nor will it obligate Zech 4 to provide such sole and complete
ownership and will not bind either party until it is fully signed. If signed,
this Letter of Intent will become effective as of the date signed by both
parties and will remain in effect until the 1st of September of 2006, or this
Letter of Intent will terminate, unless extended by written agreement of the
parties. If you have any additional questions or comments, please feel free to
contact me.

Very truly yours,

/s/ James A. Sterling Chief Operating Officer

4

ACCEPTED:

TotalMed Systems, Inc.

/s/ James A. Sterling

Zechariah 4, LLC

/s/ Mark Jennings    /s/ Sonya Jennings
Date: June 30, 2006

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