Document:

Exhibit 10.17

FIRST SURGICAL PARTNERS INC. 

2011
Physician Purchase Plan

 

This First Surgical Partners
Inc. 2011 Physician Purchase Plan (the "Plan") is designed to provide Physicians with the ability to invest
with the Company in compliance with the Patient Protection and Affordable Care Act. These objectives are accomplished by providing
Participants with the ability to make long-term investment in the Company under the Plan.

 

1.     Definitions.

 

(a)   "Board"
- The Board of Directors of the Company.

 

(b)   "Committee"
- The Compensation Committee of the Company's Board, or such other committee of the Board that is designated by the Board to administer
the Plan, composed of not less than two members of the Board all of whom are disinterested persons, as contemplated by Rule 16b-3
("Rule 16b-3") promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act").
If no such Committee is formed or appointed, then the Board shall act as such Committee.

 

(b)   "Company"
- FIRST SURGICAL PARTNERS INC. and its subsidiaries including subsidiaries of subsidiaries.

 

(c)   "Exchange
Act" - The Securities Exchange Act of 1934, as amended from time to time.

 

(d)   "Participant"
– Any Physician in good standing with the local governing medical board or oversight authority. The parties eligible to participate
under the Plan shall be determined by the Board or Committee in its sole discretion.

 

(e)   "Stock
Sale" – The sale of a specified number of shares of Stock to a Participant pursuant to a written agreement issued
under the Plan.

 

(f)   "Securities
Act" - The Securities Act of 1933, as amended from time to time.

 

(g)   "Stock"
- Authorized and issued or unissued shares of common stock of the Company.

 

2.     Administration.
The Plan shall be administered by the Board, provided however, that the Board may delegate such administration to the Committee.
Subject to the provisions of the Plan, the Board and/or the Committee shall have authority to enter into and close the Stock Sales
with any Participant. The price per share for each Stock Sale shall be determined by the Board or Committee in their sole and absolute
discretion. The interpretation and construction by the Board of any provisions of the Plan or selection of Participants shall be
conclusive and final. No member of the Board or the Committee shall be liable for any action or determination made in good faith
with respect to the Plan or any Stock Sale made thereunder.

 

3.     Stock.

 

(a)    Authorized
Stock: Stock subject to issuance under the Plan may be either unissued or reacquired Stock.

 

(b)    Number
of Shares: Subject to adjustment herein, the total number of shares of Stock which may be issued under this Plan shall
not exceed 3,000,000.

 

(c)    Reservation
of Shares: The Company shall reserve and keep available at all times during the term of the Plan such number of shares as shall
be sufficient to satisfy the requirements of the Plan. If, after reasonable efforts, which efforts shall not include the registration
of the Plan under the Securities Act, the Company is unable to obtain authority from any applicable regulatory body, which authorization
is deemed necessary by legal counsel for the Company for the lawful issuance of shares hereunder, the Company shall be relieved
of any liability with respect to its failure to issue and sell the shares for which such requisite authority was so deemed necessary
unless and until such authority is obtained.

 

(d)    Application
of Funds: The proceeds received by the Company from the sale of Stock pursuant to the Plan will be used for general corporate
purposes.

 

4.     Terms
and Conditions of Stock Sales.

 

(a)    Subscriptions
by Participants hereunder shall be evidenced by agreements between the Company and the respective Participant, in such form and
substance as the Board or Committee shall from time to time approve, an initial form of which is attached hereto as Exhibit
A. In addition, each Participant will be required to execute a Lock Up Agreement and Non-Competition, Non-Disclosure and Non-Solicitation
Agreement attached hereto as Exhibit B and Exhibit C, respectively. Each of the agreements executed by Participants
shall be deemed to be approved by the Board and need not be identical, and in each case may include such provisions as the Board
or Committee may determine. Shares of Stock which Participants receive may include such restrictions as the Board or Committee,
as applicable, shall determine, including restrictions on transfer, repurchase rights, right of first refusal, and forfeiture provisions.
When transfer of Stock is so restricted or subject to forfeiture provisions it is referred to as "Restricted Stock".
The price per share for each Stock Sale shall be determined by the Board or Committee in their sole and absolute discretion.

 

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(b)   Unless
approved by the Board or Committee or as set forth in the Lock Up Agreement, the Stock acquired under the Plan by the Participants
shall not be assignable or transferable. Where a Participant breaches the Lock Up Agreement or Non-Competition, Non-Disclosure
and Non-Solicitation Agreement, all such Stock purchased by the Participant must be returned to the Company for cancellation. Upon
receipt of the Stock, the Company shall deliver the purchase price to the Participant. The Board or Committee may waive such cancellation
in certain instances within their discretion.

 

5.     Investment
Intent. All issuances under the Plan are intended to be exempt from registration under the Securities Act provided by Rule 701,
Rule 506 of Regulation D or Section 4(2) thereunder. Each issuance under the Plan shall provide that the purchases thereunder shall
be for investment purposes and not with a view to, or for resale in connection with, any distribution thereof. Further, each issuance
shall provide that no Stock shall be purchased unless and until (i) all then applicable requirements of state and federal laws
and regulatory agencies shall have been fully complied with to the satisfaction of the Company and its counsel, and (ii) if requested
to do so by the Company, the Participant shall (i) give written assurances as to knowledge and experience of such person (or a
representative employed by such person) in financial and business matters and the ability of such person (or representative) to
evaluate the merits and risks of such Stock Sale, and (ii) execute and deliver to the Company a letter of investment intent and/or
such other form related to applicable exemptions from registration, all in such form and substance as the Company may require.

  

6.     Amendment,
Modification, Suspension or Discontinuance of the Plan. The Board may, insofar as permitted by law, from time to time, suspend
or terminate the Plan or revise or amend it in any respect whatsoever. In the event of any change in the outstanding Stock by reason
of a stock split, stock dividend, combination or reclassification of shares, recapitalization, merger, or similar event, the Board
or the Committee may adjust proportionally the number of shares of Stock reserved under the Plan. In the event of any other change
affecting the Stock or any distribution (other than normal cash dividends) to holders of capital stock, such adjustments as may
be deemed equitable by the Board or the Committee, including adjustments to avoid fractional shares, shall be made to give proper
effect to such event.

 

7.     Notice.
Any written notice to the Company required by any of the provisions of the Plan shall be addressed to the chief financial officer
or to the chief executive officer of the Company, and shall become effective when it is received by the office of the chief personnel
officer or the chief executive officer.

 

8.     Indemnification
of Board. In addition to such other rights or indemnifications as they may have as directors or otherwise, and to the extent allowed
by applicable law, the members of the Board and the Committee shall be indemnified by the Company against the reasonable expenses,
including attorneys' fees, actually and necessarily incurred in connection with the defense of any claim, action, suit or proceeding,
or in connection with any appeal thereof, to which they or any of them may be a party by reason of any action taken, or failure
to act, under or in connection with the Plan or any issuance thereunder, and against all amounts paid by them in settlement thereof
(provided such settlement is approved by independent legal counsel selected by the Company) or paid by them in satisfaction of
a judgment in any such claim, action, suit or proceeding, except in any case in relation to matters as to which it shall be adjudged
in such claim, action, suit or proceeding that such Board or Committee member is liable for negligence or misconduct in the performance
of his or her duties; provided that within sixty (60) days after institution of any such action, suit or Board proceeding the member
involved shall offer the Company, in writing, the opportunity, at its own expense, to handle and defend the same.

 

9.     Governing
Law. The Plan and all determinations made and actions taken pursuant hereto, to the extent not otherwise governed by the securities
laws of the United States, shall be governed by the law of the State of Delaware and construed accordingly.

 

The foregoing 2011 Physician Purchase Plan was duly adopted
and approved by the Board of Directors on October 6, 2011.

 

	 	FIRST SURGICAL PARTNERS INC.
	 	 	a Delaware corporation
	 	 	 
	 	By:	/s/ Anthony F. Rotondo
	 	 	Name: Anthony F. Rotondo
	 	 	Title: CEO

 

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Exhibit A

 

SUBSCRIPTION AGREEMENT

 

SUBSCRIPTION AGREEMENT
(this “Agreement”) made as of the last date set forth on the signature page hereof between First Surgical Partners
Inc., a Delaware corporation (the “Company”), and the undersigned (the “Subscriber”).

WITNESSETH:

 

WHEREAS, the Board of
Directors of the Company has adopted that certain 2011 Physician Purchase Plan (the “Plan”) providing that participants
designated by the Board of Directors (or such duly appointed committee) may purchase shares of common stock, $0.001 par value per
share (the “Common Stock”);

 

WHEREAS, the Board of
Directors has determined that it is in the best interest of the Company to provide the Subscriber with the ability to purchase
such number of shares of Common Stock as set forth on the signature page (the “Securities”);

 

WHEREAS, the sale of
the Securities shall be made pursuant to the exemption from registration provided under Section 4(2) of the Securities Act of 1933,
as amended (the “Securities Act”) and/or Rule 506 promulgated thereunder; and

 

WHEREAS, the Subscriber
desires to purchase that number of Securities set forth on the signature page hereof on the terms and conditions hereinafter set
forth (the “Offering”); and

 

NOW, THEREFORE, in consideration
of the premises and the mutual representations and covenants hereinafter set forth, the parties hereto do hereby agree as follows:

 

I.           SUBSCRIPTION
FOR SHARES AND REPRESENTATIONS AND COVENANTS BY SUBSCRIBER

 

1.1           Subject
to the terms and conditions hereinafter set forth, the Subscriber hereby irrevocably subscribes for and agrees to purchase from
the Company, and the Company agrees to sell to the Subscriber, the Securities for the aggregate purchase price as is set forth
on the signature page hereof. The purchase price is payable by check or wire transfer, to be submitted directly to the Company
according to the following instructions:

 

	Name of Account:	First Surgical Texas, Inc.
	Bank:	Bank of River Oaks
	 	Houston, Texas
	 	 
	ABA:	113025231
	Account #:	1115310

 

The “Closing”
shall occur upon receipt of the payment for the Securities.

 

1.2           The
Subscriber recognizes that the purchase of the Securities involves a high degree of risk including, but not limited to, the following:
(a) the Company has limited operating history; (b) an investment in the Company is highly speculative, and only investors who
can afford the loss of their entire investment should consider investing in the Company and the Securities; (c) the Subscriber
may not be able to liquidate its investment; (d) transferability of the Securities is extremely limited; (e) in the event of a
disposition, the Subscriber could sustain the loss of its entire investment; and (f) there is no escrow or minimum offering in
connection with this offering. Without limiting the generality of the representations set forth in Section 1.5 below, the Subscriber
represents that the Subscriber has carefully reviewed the “Risk Factors” disclosed throughout the Company’s filings
with the Securities and Exchange Commission.

 

    	 

    	 

    

 

1.3           The
Subscriber acknowledges that (i) the Company, under the Plan or otherwise, may issue securities, including shares of Common Stock,
at any price in its sole discretion; (ii) the Board of Directors of the Company have elected to issue shares of Common Stock under
the Plan at a price initially at $0.62; and (iii) it waives any right with respect to any claim to have its purchase price set
forth herein reduced to reflect any lower priced issuance.

 

1.4           The
Subscriber represents that the Subscriber is an “accredited investor” as such term is defined in Rule 501 of Regulation
D (“Regulation D”) promulgated under the Securities Act, as indicated by the Subscriber’s responses to
the questions contained in Article VII hereof, and that the Subscriber is able to bear the economic risk of an investment in the
Securities.

 

1.5           The
Subscriber hereby acknowledges and represents that (a) the Subscriber has knowledge and experience in business and financial matters,
prior investment experience, including investment in securities that are non-listed, unregistered and/or not traded on a national
securities exchange nor on the National Association of Securities Dealers, Inc. automated quotation system (“NASDAQ”),
or the Subscriber has employed the services of a “purchaser representative” (as defined in Rule 501 of Regulation D),
attorney and/or accountant to read all of the documents furnished or made available by the Company both to the Subscriber and to
all other prospective investors in the Securities to evaluate the merits and risks of such an investment on the Subscriber’s
behalf; (b) the Subscriber recognizes the highly speculative nature of this investment; and (c) the Subscriber is able to bear
the economic risk that the Subscriber hereby assumes.

 

1.6           The
Subscriber hereby acknowledges receipt and careful review of this Agreement and all filings the Company has filed with the Securities
and Exchange Commission (the “Filings”) including Risk Factors in the Filings and all other exhibits thereto,
and any documents which may have been made available upon request as reflected therein (collectively referred to as the “Offering
Materials”) and hereby represents that the Subscriber has been furnished by the Company with all information regarding
the Company, the terms and conditions of the sale of the Securities and any additional information that the Subscriber has requested
or desired to know, and has been afforded the opportunity to ask questions of and receive answers from duly authorized officers
or other representatives of the Company concerning the Company and the terms and conditions of the sale of the Securities.

 

1.7           (a)          In
making the decision to invest in the Securities the Subscriber has relied solely upon the information provided by the Company in
the Offering Materials. To the extent necessary, the Subscriber has retained, at its own expense, and relied upon appropriate professional
advice regarding the investment, tax and legal merits and consequences of this Agreement and the purchase of the Securities hereunder.
The Subscriber disclaims reliance on any statements made or information provided by any person or entity in the course of Subscriber’s
consideration of an investment in the Securities other than the Offering Materials.

 

(b)          The
Subscriber represents that (i) the Subscriber was contacted regarding the sale of the Securities by the Company (or an authorized
agent or representative thereof) with whom the Subscriber had a prior substantial pre-existing relationship and (ii) no Securities
were offered or sold to it by means of any form of general solicitation or general advertising, and in connection therewith, the
Subscriber did not (A) receive or review any advertisement, article, notice or other communication published in a newspaper or
magazine or similar media or broadcast over television or radio, whether closed circuit, or generally available; or (B) attend
any seminar meeting or industry investor conference whose attendees were invited by any general solicitation or general advertising.

 

1.8           The
Subscriber hereby represents that the Subscriber, either by reason of the Subscriber’s business or financial experience or
the business or financial experience of the Subscriber’s professional advisors (who are unaffiliated with and not compensated
by the Company or any affiliate or selling agent of the Company, directly or indirectly), has the capacity to protect the Subscriber’s
own interests in connection with the transaction contemplated hereby including any tax implications.

 

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1.9           The
Subscriber hereby acknowledges that the Offering has not been reviewed by the United States Securities and Exchange Commission
(the “SEC”) nor any state regulatory authority since the Offering is intended to be exempt from the registration
requirements of Section 5 of the Securities Act, pursuant to Regulation D. The Subscriber understands that the Securities have
not been registered under the Securities Act or under any state securities or “blue sky” laws and agrees not to sell,
pledge, assign or otherwise transfer or dispose of the Securities unless they are registered under the Securities Act and under
any applicable state securities or “blue sky” laws or unless an exemption from such registration is available.

 

1.10         The
Subscriber understands that the Securities have not been registered under the Securities Act by reason of a claimed exemption under
the provisions of the Securities Act that depends, in part, upon the Subscriber’s investment intention. In this connection,
the Subscriber hereby represents that the Subscriber is purchasing the Securities for the Subscriber’s own account for investment
and not with a view toward the resale or distribution to others. The Subscriber, if an entity, further represents that it was not
formed for the purpose of purchasing the Securities.

 

1.11         The
Subscriber understands that the Common Stock is NOT listed on any national securities exchange but is quoted on the over-the-counter
market or the OTC Markets and that there is only a limited market for the Common Stock. The Subscriber understands that even if
a public market develops for the Common Stock, Rule 144 (“Rule 144”) promulgated under the Securities Act requires
for non-affiliates, among other conditions, a holding period prior to the resale (subject to certain limitations) of securities
acquired in a non-public offering without having to satisfy the registration requirements under the Securities Act. The Subscriber
understands and hereby acknowledges that the Company is under no obligation to register any of the Securities under the Securities
Act or any state securities or “blue sky” laws.

 

1.12         The
Subscriber consents to the placement of a legend on any certificate or other document evidencing the Securities that such securities
(i) are subject to that certain Lock Up Agreement dated as of the date hereof and (ii) have not been registered under the Securities
Act or any state securities or “blue sky” laws and setting forth or referring to the restrictions on transferability
and sale thereof contained in this Agreement. The Subscriber is aware that the Company will make a notation in its appropriate
records with respect to the restrictions on the transferability of such Securities. The legend to be placed on each certificate
shall be in form substantially similar to the following:

 

“THE SECURITIES REPRESENTED
HEREBY HAVE NOT BEEN REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”) OR ANY STATE
SECURITIES OR “BLUE SKY LAWS,” AND MAY NOT BE OFFERED, SOLD, TRANSFERRED, ASSIGNED, PLEDGED OR HYPOTHECATED ABSENT
AN EFFECTIVE REGISTRATION THEREOF UNDER SUCH ACT OR COMPLIANCE WITH RULE 144 PROMULGATED UNDER SUCH ACT, OR UNLESS THE COMPANY
HAS RECEIVED AN OPINION OF COUNSEL, REASONABLY SATISFACTORY TO THE COMPANY AND ITS COUNSEL, THAT SUCH REGISTRATION IS NOT REQUIRED.”

 

1.13         It
is agreed that the Company, at its sole discretion, reserves the unrestricted right, without further documentation or agreement
on the part of the Subscriber, to reject or limit any subscription, to accept subscriptions for fractional Shares and to close
the Offering to the Subscriber at any time and that the Company will issue stop transfer instructions to its transfer agent with
respect to such Securities.

 

1.14         The
Subscriber hereby represents that the address of the Subscriber furnished by Subscriber on the signature page hereof is the Subscriber’s
principal residence if Subscriber is an individual or its principal business address if it is a corporation or other entity.

 

1.15         The
Subscriber represents that the Subscriber has full power and authority (corporate, statutory and otherwise) to execute and deliver
this Agreement and to purchase the Securities. This Agreement constitutes the legal, valid and binding obligation of the Subscriber,
enforceable against the Subscriber in accordance with its terms.

 

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1.16         If
the Subscriber is a corporation, partnership, limited liability company, trust, employee benefit plan, individual retirement account,
Keogh Plan, or other tax-exempt entity, it is authorized and qualified to invest in the Company and the person signing this Agreement
on behalf of such entity has been duly authorized by such entity to do so.

 

1.17         The
Subscriber acknowledges that if he or she is a Registered Representative of a FINRA member firm, he or she must give such firm
the notice required by the FINRA’s Rules of Fair Practice, receipt of which must be acknowledged by such firm in Section
7.4 below.

 

1.18         The
Subscriber acknowledges that at such time, if ever, as the Securities are registered, sales of the Securities will be subject to
state securities laws.

 

1.19         The
Subscriber agrees not to issue any public statement with respect to the Subscriber’s investment or proposed investment in
the Company or the terms of any agreement or covenant between them and the Company without the Company’s prior written consent,
except such disclosures as may be required under applicable law or under any applicable order, rule or regulation.

 

1.20         The
Subscriber agrees to hold the Company and its directors, officers, employees, affiliates, controlling persons and agents and their
respective heirs, representatives, successors and assigns harmless and to indemnify them against all liabilities, costs and expenses
incurred by them as a result of (a) any sale or distribution of the Securities by the Subscriber in violation of the Securities
Act or any applicable state securities or “blue sky” laws; or (b) any false representation or warranty or any breach
or failure by the Subscriber to comply with any covenant made by the Subscriber in this Agreement (including the Confidential Investor
Questionnaire contained in Article VII herein) or any other document furnished by the Subscriber to any of the foregoing in connection
with this Agreement.

 

II.          REPRESENTATIONS
BY AND COVENANTS OF THE COMPANY

 

The Company hereby represents
and warrants to the Subscriber that:

 

2.1           Organization,
Good Standing and Qualification. The Company is a corporation duly organized, validly existing and in good standing under the
laws of the State of Delaware and has full corporate power and authority to own and use its properties and its assets and conduct
its business as currently conducted. Each of the Company’s subsidiaries (the “Subsidiaries”) is an
entity duly organized, validly existing and in good standing under the laws of the jurisdiction of its incorporation with the
requisite corporate power and authority to own and use its properties and assets and to conduct its business as currently conducted.

 

2.2           Capitalization
and Voting Rights. The authorized, issued and outstanding capital stock of the Company is as set forth in the Memorandum hereto
and all issued and outstanding shares of capital stock of the Company are validly issued, fully paid and nonassessable.

 

2.3           Authorization;
Enforceability. The Company has all corporate right, power and authority to enter into, execute and deliver this Agreement
and each other agreement, document, instrument and certificate to be executed by the Company in connection with the consummation
of the transactions contemplated hereby, including, but not limited to the Offering Materials and to perform fully its obligations
hereunder and thereunder.

 

2.4           No
Conflict; Governmental Consents.

 

(a)          The
execution and delivery by the Company of this Agreement and the Offering Materials and the consummation of the transactions contemplated
hereby will not (i) result in the violation of any material law, statute, rule, regulation, order, writ, injunction, judgment or
decree of any court or governmental authority to or by which the Company is bound, (ii) conflict with or violate any provision
of the Company’s Articles of Incorporation (the “Articles”), as amended or the Bylaws, (and collectively
with the Articles, the “Charter Documents”) of the Company, and (iii) will not conflict with, or result in a
material breach or violation of, any of the terms or provisions of, or constitute (with or without due notice or lapse of time
or both) a default or give to others any rights of termination, amendment, acceleration or cancellation (with or without due notice,
lapse of time or both) under any agreement, credit facility, lease, loan agreement, mortgage, security agreement, trust indenture
or other agreement or instrument to which the Company is a party or by which it is bound or to which any of its properties or assets
is subject, nor result in the creation or imposition of any lien upon any of the properties or assets of the Company.

 

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(b)          No
approval by the holders of Common Stock, or other equity securities of the Company is required to be obtained by the Company in
connection with the authorization, execution and delivery of this Agreement or the Offering Materials or in connection with the
authorization, issue and sale of the Securities, except as has been previously obtained,

 

(c)          No
consent, approval, authorization or other order of any governmental authority is required to be obtained by the Company in connection
with the authorization, execution and delivery of this Agreement or the Transaction Documents or in connection with the authorization,
issue and sale of the Securities, except such filings as may be required to be made with the SEC, FINRA, NASDAQ and with any state
or foreign blue sky or securities regulatory authority.

 

2.5           Privacy.
The Company agrees not to disclose the names, addresses or any other information about the Subscribers, except as required by law.

 

2.6           No
Additional Agreements. The Company does not have any agreement or understanding with any Subscribers with respect to the transactions
contemplated by this Agreement other than as specified in this Agreement.

 

III.         TERMS
OF SUBSCRIPTION

 

3.1           All
funds shall be submitted directly to the Company’s account identified in Section 1.1 hereof.

 

3.2           The
Securities purchased by the Subscriber pursuant to this Agreement will be prepared for delivery to the Subscriber as soon as practicable
following the Closing at which such purchase takes place. The Subscriber hereby authorizes and directs the Company to deliver the
Securities purchased by the Subscriber pursuant to this Agreement directly to the Subscriber’s residential or business or
brokerage house address indicated on the signature page hereto.

 

IV.          CONDITIONS
TO OBLIGATIONS OF THE SUBSCRIBERS

 

4.1           The
Subscriber’s obligation to purchase the Securities at the Closing at which such purchase is to be consummated is subject
to the fulfillment on or prior to such Closing of the following conditions, which conditions may be waived at the option of each
Subscriber to the extent permitted by law:

 

(a)          Covenants.
All covenants, agreements and conditions contained in this Agreement to be performed by the Company on or prior to the date of
such Closing shall have been performed or complied with in all material respects.

 

(b)          No
Legal Order Pending. There shall not then be in effect any legal or other order enjoining or restraining the transactions contemplated
by this Agreement.

 

(c)          No
Law Prohibiting or Restricting Such Sale. There shall not be in effect any law, rule or regulation prohibiting or restricting
such sale or requiring any consent or approval of any person, which shall not have been obtained, to issue the Securities (except
as otherwise provided in this Agreement).

 

(d)          Adverse
Changes. Since the date of execution of this Agreement, no event or series of events shall have occurred that reasonably could
have or result in a material adverse effect.

 

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(e)          Blue
Sky. The Company shall have completed qualification for the Securities under applicable Blue Sky laws.

 

		V.	COVENANTS OF THE COMPANY

 

5.1           
Integration. The Company shall not, and shall ensure that no affiliate of the Company shall, sell, offer for sale or solicit offers
to buy or otherwise negotiate in respect of any security (as defined in Section 2 of the Securities Act) that would be integrated
with the offer or sale of the Securities in a manner that would require the registration under the Securities Act of the sale of
the Securities to the Subscriber, or that would be integrated with the offer or sale of the Securities for purposes of the rules
and regulations of any trading market in a manner that would require stockholder approval of the sale of the securities to the
Subscribers.

 

5.2           Rescission
and Withdrawal Right. Notwithstanding anything to the contrary contained in (and without limiting any similar provisions of)
this Agreement, whenever any Subscriber exercises a right, election, demand or option under this Agreement and the Company does
not timely perform its related obligations within the periods therein provided, then such Subscriber may rescind or withdraw, in
its sole discretion from time to time upon written notice to the Company, any relevant notice, demand or election in whole or in
part without prejudice to its future actions and rights.

 

5.3           Replacement
of Securities. If any certificate or instrument evidencing any Securities is mutilated, lost, stolen or destroyed, the Company
shall issue or cause to be issued in exchange and substitution for and upon cancellation thereof, or in lieu of and substitution
therefor, a new certificate or instrument, but only upon receipt of evidence reasonably satisfactory to the Company of such loss,
theft or destruction and customary and reasonable indemnity, if requested. The applicants for a new certificate or instrument under
such circumstances shall also pay any reasonable third-party costs associated with the issuance of such replacement Securities.
If a replacement certificate or instrument evidencing any Securities is requested due to a mutilation thereof, the Company may
require delivery of such mutilated certificate or instrument as a condition precedent to any issuance of a replacement.

 

VI.          MISCELLANEOUS

 

6.1           Any
notice or other communication given hereunder shall be deemed sufficient if in writing and sent by registered or certified mail,
return receipt requested, or delivered by hand against written receipt therefor, addressed as follows:

 

	if to the Company, to it at:
	 
	First Surgical Partners Inc.
	
        411 First Street

        Bellaire, Texas 77401

	Attn: Anthony F. Rotondo, CEO
	 
	With a copy to (which shall not constitute notice):
	 
	Fleming PLLC
	49 Front Street, Suite 206
	Rockville Centre, New York 11570
	Attn: Stephen M. Fleming

 

if to the Subscriber, to the Subscriber’s
address indicated on the signature page of this Agreement.

 

Notices shall be deemed to have been given
or delivered on the date of receipt.

 

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6.2           No
provision of this Agreement may be waived, modified, supplemented or amended except in a written instrument signed, in the case
of an amendment, by the Company and the Subscriber. No waiver of any default with respect to any provision, condition or requirement
of this Agreement shall be deemed to be a continuing waiver in the future or a waiver of any subsequent default or a waiver of
any other provision, condition or requirement hereof, nor shall any delay or omission of any party to exercise any right hereunder
in any manner impair the exercise of any such right

 

6.3           This
Agreement shall be binding upon and inure to the benefit of the parties hereto and to their respective heirs, legal representatives,
successors and assigns. This Agreement sets forth the entire agreement and understanding between the parties as to the subject
matter hereof and merges and supersedes all prior discussions, agreements and understandings of any and every nature among them.

 

6.4           Upon
the execution and delivery of this Agreement by the Subscriber and the Company, this Agreement shall become a binding obligation
of the Subscriber with respect to the purchase of Securities as herein provided, subject, however, to the right hereby reserved
by the Company to enter into the same agreements with other subscribers and to reject any subscription, in whole or in part, provided
the Company returns to Subscriber any funds paid by Subscriber with respect to such rejected subscription or portion thereof, without
interest or deduction.

 

6.5           NOTWITHSTANDING
THE PLACE WHERE THIS AGREEMENT MAY BE EXECUTED BY ANY OF THE PARTIES HERETO, THE PARTIES EXPRESSLY AGREE THAT ALL THE TERMS AND
PROVISIONS HEREOF SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAWS OF THE STATE OF TEXAS WITHOUT REGARD TO SUCH STATE’S
PRINCIPLES OF CONFLICTS OF LAW. IN THE EVENT THAT A JUDICIAL PROCEEDING IS NECESSARY, THE SOLE FORUM FOR RESOLVING DISPUTES ARISING
OUT OF OR RELATING TO THIS AGREEMENT IS THE COURTS STATE OF TEXAS IN AND FOR THE COUNTY OF HOUSTON OR THE FEDERAL COURTS FOR SUCH
STATE AND COUNTY, AND ALL RELATED APPELLATE COURTS, THE PARTIES HEREBY IRREVOCABLY CONSENT TO THE JURISDICTION OF SUCH COURTS AND
AGREE TO SAID VENUE. IN ANY ACTION, SUIT, OR PROCEEDING IN ANY JURISDICTION BROUGHT BY ANY PARTY AGAINST ANY OTHER PARTY, THE
PARTIES EACH KNOWINGLY AND INTENTIONALLY, TO THE GREATEST EXTENT PERMITTED BY APPLICABLE LAW, HEREBY ABSOLUTELY, UNCONDITIONALLY,
IRREVOCABLY AND EXPRESSLY WAIVES FOREVER TRIAL BY JURY

 

6.6           In
order to discourage frivolous claims the parties agree that unless a claimant in any proceeding arising out of this Agreement succeeds
in establishing his claim and recovering a judgment against another party (regardless of whether such claimant succeeds against
one of the other parties to the action), then the other party shall be entitled to recover from such claimant all of its/their
reasonable legal costs and expenses relating to such proceeding and/or incurred in preparation therefor.

 

6.7           The
holding of any provision of this Agreement to be invalid or unenforceable by a court of competent jurisdiction shall not affect
any other provision of this Agreement, which shall remain in full force and effect. If any provision of this Agreement shall be
declared by a court of competent jurisdiction to be invalid, illegal or incapable of being enforced in whole or in part, such provision
shall be interpreted so as to remain enforceable to the maximum extent permissible consistent with applicable law and the remaining
conditions and provisions or portions thereof shall nevertheless remain in full force and effect and enforceable to the extent
they are valid, legal and enforceable, and no provisions shall be deemed dependent upon any other covenant or provision unless
so expressed herein.

 

6.8           The
Company agrees to execute and deliver all such further documents, agreements and instruments and take such other and further action
as may be necessary or appropriate to carry out the purposes and intent of this Agreement.

 

6.9           Nothing
in this Agreement shall create or be deemed to create any rights in any person or entity not a party to this Agreement.

 

    	7

    	 

    

 

6.10         
In addition to being entitled to exercise all rights provided herein or granted by law, including recovery of damages, the Subscribers
and the Company will be entitled to specific performance under this Agreement. The parties agree that monetary damages may not
be adequate compensation for any loss incurred by reason of any breach of obligations described in the foregoing sentence and hereby
agrees to waive in any action for specific performance of any such obligation the defense that a remedy at law would be adequate.

 

6.12         The
parties agree that each of them and/or their respective counsel has reviewed and had an opportunity to revise the Offering Materials
and, therefore, the normal rule of construction to the effect that any ambiguities are to be resolved against the drafting party
shall not be employed in the interpretation of the Offering Materials or any amendments hereto.

 

6.13         The
headings herein are for convenience only, do not constitute a part of this Agreement and shall not be deemed to limit or affect
any of the provisions hereof.

 

6.14         This
Agreement may be executed in two or more counterparts, all of which when taken together shall be considered one and the same agreement
and shall become effective when counterparts have been signed by each party and delivered to the other party, it being understood
that both parties need not sign the same counterpart.

 

VII.         CONFIDENTIAL
INVESTOR QUESTIONNAIRE

 

7.1           The
Subscriber represents and warrants that he, she or it comes within one category marked below, and that for any category marked,
he, she or it has truthfully set forth, where applicable, the factual basis or reason the Subscriber comes within that category.
ALL INFORMATION IN RESPONSE TO THIS SECTION WILL BE KEPT STRICTLY CONFIDENTIAL. The undersigned agrees to furnish any additional
information which the Company deems necessary in order to verify the answers set forth below.

 

	Category A ___	The undersigned is an individual (not a partnership, corporation, etc.) whose individual net worth, or joint net worth with his or her spouse, presently exceeds $1,000,000.

 

	 	Explanation. In calculating net worth you may include equity in personal property and real estate (excluding your principal residence), cash, short-term investments, stock and securities. Equity in personal property and real estate should be based on the fair market value of such property less debt secured by such property.

 

	Category
    B ___	The undersigned is an individual (not a partnership, corporation, etc.) who had an income in excess of $200,000 in each of the two most recent years, or joint income with his or her spouse in excess of $300,000 in each of those years (in each case including foreign income, tax exempt income and full amount of capital gains and losses but excluding any income of other family members and any unrealized capital appreciation) and has a reasonable expectation of reaching the same income level in the current year.

 

	Category C ___	The undersigned is a director or executive officer of the Company which is issuing and selling the Securities.

 

	Category D ___	The undersigned is a bank; a savings and loan association; insurance company; registered investment company; registered business development company; licensed small business investment company (“SBIC”); or employee benefit plan within the meaning of Title 1 of ERISA and (a) the investment decision is made by a plan fiduciary which is either a bank, savings and loan association, insurance company or registered investment advisor, or (b) the plan has total assets in excess of $5,000,000 or (c) is a self directed plan with investment decisions made solely by persons that are accredited investors. (describe entity)
	 	 

 

    	8

    	 

    

 

	Category E ___	
        The undersigned is a private business
development company as defined in section 202(a)(22) of the Investment Advisors Act of 1940. (describe entity) 

	 	 
	 	 

 

	Category
    F ___	The undersigned is either a corporation, partnership, Massachusetts business trust, or non-profit organization within the meaning of Section 501(c)(3) of the Internal Revenue Code, in each case not formed for the specific purpose of acquiring the Securities and with total assets in excess of $5,000,000. (describe entity)
	 	 
	 	 

 

	Category
    G ___	The undersigned is a trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the Securities, where the purchase is directed by a “sophisticated investor” as defined in Regulation 506(b)(2)(ii) under the Act.

 

	Category H ___	The undersigned is an entity (other than a trust) in which all of the equity owners are “accredited investors” within one or more of the above categories. If relying upon this Category alone, each equity owner must complete a separate copy of this Agreement. (describe entity)
	 	 
	 	 
	 	 

 

	Category I ___	The undersigned is not within any of the categories above and is therefore not an accredited investor.

 

	 	The undersigned agrees that the undersigned will notify the Company at any time on or prior to the Closing in the event that the representations and warranties in this Agreement shall cease to be true, accurate and complete.

 

7.2           SUITABILITY
(please answer each question)

 

(a)          For
an individual Subscriber, please describe your current employment, including the company by which you are employed and its principal
business:

	 
	 
	 
	 

 

(b)          For
an individual Subscriber, please describe any college or graduate degrees held by you:

	 
	 
	 
	 

 

(c)          For
all Subscribers, please list types of prior investments:

	 
	 

 

    	9

    	 

    

 

	 
	 

 

(d)          For
all Subscribers, please state whether you have participated in other private placements before:

 

	YES ___	NO ___

 

(e)          If
your answer to question (d) above was “YES”, please indicate frequency of such prior participation in private placements
of:

 

	 	 	 	 	 	 	Public or Private Companies
	 	 	Public	 	Private	 	with no, or insignificant,
	 	 	Companies	 	Companies	 	assets and operations
	Frequently	 	 	 	 	 	 
	Occasionally	 	 	 	 	 	 
	Never	 	 	 	 	 	 

 

 

(f)          For
individual Subscribers, do you expect your current level of income to significantly decrease in the foreseeable future:

 

	YES ___	NO ___

 

(g)          For
trust, corporate, partnership and other institutional Subscribers, do you expect your total assets to significantly decrease in
the foreseeable future:

 

	YES ___	NO ___

  

(h)          For
all Subscribers, do you have any other investments or contingent liabilities which you reasonably anticipate could cause you to
need sudden cash requirements in excess of cash readily available to you:

 

	YES ___	NO ___

 

(i)          For
all Subscribers, are you familiar with the risk aspects and the non-liquidity of investments such as the securities for which you
seek to subscribe?

 

YES  ̈NO
 ̈

 

(j)          
For all Subscribers, do you understand that there is no guarantee of financial return on this investment and that you run the risk
of losing your entire investment?

 

	YES ___	NO ___

  

7.3           MANNER
IN WHICH TITLE IS TO BE HELD. (circle one)

 

	(a)	Individual Ownership	 
	(b)	Community Property	 
	(c)	Joint Tenant with Right of	 
	 	Survivorship (both parties
 must sign)	 
	(d)	Partnership*	 
	(e)	Tenants in Common	 
	(f)	Company*	 
	(g)	Trust*	 
	(h)	Other*	 

 

    	10

    	 

    
 

*If Securities are being
subscribed for by an entity, the attached Certificate of Signatory must also be completed.

 

7.4           FINRA
AFFILIATION.

 

Are you affiliated or associated with an
FINRA member firm (please check one):

 

	YES ___	NO ___

 

If Yes, please describe:

	 
	 
	 

 

*If Subscriber is a Registered Representative
with an FINRA member firm, have the following acknowledgment signed by the appropriate party:

 

The undersigned FINRA member firm acknowledges
receipt of the notice required by Article 3, Sections 28(a) and (b) of the Rules of Fair Practice.

 

	 	 
	Name of FINRA Member Firm	 
	 	 
	By:	 	 
	 	Authorized Officer	 
	 	 	 
	Date:	 	 

 

7.5           The
undersigned is informed of the significance to the Company of the foregoing representations and answers contained in the Confidential
Investor Questionnaire contained in this Article VII and such answers have been provided under the assumption that the Company
will rely on them.

 

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

 

    	11

    	 

    

 

SUBSCRIPTION
FUNDS                     = $_________

 

PER SHARE
PURCHASE PRICE      = $0.62

 

NUMBER
OF SHARES                        = _________

 

	 	 	 
	Signature	 	Signature (if purchasing jointly)
	 	 	 
	Name Typed or Printed	 	Name Typed or Printed
	 	 	 
	Title (if Subscriber is an Entity)	 	Title (if Subscriber is an Entity)
	 	 	 
	Entity Name (if applicable)	 	Entity Name (if applicable
	 	 	 
	 	 	 
	Address	 	Address
	 	 	 
	City, State and Zip Code	 	City, State and Zip Code
	 	 	 
	Telephone-Business	 	Telephone-Business
	 	 	 
	Telephone-Residence	 	Telephone-Residence
	 	 	 
	Facsimile-Business	 	Facsimile-Business
	 	 	 
	Facsimile-Residence	 	Facsimile-Residence
	 	 	 
	Tax ID # or Social Security #	 	Tax ID # or Social Security #

 

Name in which securities should be issued:                                                                                     

 

Dated:_____________ , 201_

 

This Subscription Agreement is agreed
to and accepted as of _______________, 201_.

 

	 	FIRST SURGICAL PARTNERS INC.
	 	 
	 	By:	 
	 	Name:
	 	Title:

 

    	12

    	 

    

 

CERTIFICATE OF SIGNATORY

 

(To be completed if Securities are

being subscribed for by an entity)

 

I, _________________________, am the
_______________________ of ____________________________________ (the “Entity”).

 

I certify that I am empowered and duly
authorized by the Entity to execute and carry out the terms of the Subscription Agreement and to purchase and hold the Securities,
and certify further that the Subscription Agreement has been duly and validly executed on behalf of the Entity and constitutes
a legal and binding obligation of the Entity.

 

IN WITNESS WHEREOF, I have set my hand
this ________ day of _________________, 20__

 

	 	 
	 	(Signature)

 

    	13

    	 

    

 

Evhibit B

 

LOCK-UP AGREEMENT

 

THIS
LOCK-UP AGREEMENT (this “Agreement”) is made and entered into as of ________ ___, 2011, by and among First Surgical
Partners Inc., a Delaware corporation (the "Company") and _________ (the “Holder”), including the Holder’s
successors and permitted assigns.

 

WHEREAS,
on ________ _, 2011 the Holder, entered into a Subscription Agreement (the “Purchase Agreement”) as provided for under
the 2011 Physician Purchase Plan;

 

WHEREAS,
at the effective time of the Purchase Agreement, the Holder shall receive shares of the Company's common stock (the “Shares”);

 

WHEREAS,
the execution and delivery of this Agreement is a condition precedent to the consummation of the Purchase Agreement;

 

WHEREAS,
the Holder understands and agrees that the agreements, covenants, restrictions and responsibilities set forth in this Agreement
shall remain binding upon Holder and in full effect with respect to the Shares of the Company that the Holder receives in Purchase
Agreement.

 

NOW,
THEREFORE, in consideration of the foregoing and of the mutual covenants and agreements set forth herein, and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, there parties hereto agree as follows:

 

1.      Lock-up
Agreement; Clawback.

 

(a)
The Holder agrees that it shall not transfer, offer, pledge, sell, contract to sell, grant any options for the sale of or otherwise
dispose of, directly or indirectly, any Shares held by such Holder through October 6, 2020. If requested by an underwriter of Common
Stock, each Holder will reaffirm the agreement set forth in this Section 1 in a separate writing in a form satisfactory to such
underwriter. The Company may impose stop-transfer instructions with respect to the Shares.

 

(b)
Notwithstanding the foregoing, the restrictions set forth in Section 1(a) above shall not apply to (A) the sale by the Holder
of up to 10% of the Holder’s Shares per year, (B) transfers (i) as a bona fide gift or gifts, provided that the donee
or donees thereof agree to be bound in writing by the restrictions set forth herein, or (ii) to any trust for the direct or indirect
benefit of the undersigned or the immediate family of the undersigned, provided that the trustee of the trust agrees to be bound
in writing by the restrictions set forth herein, and provided further that any such transfer shall not involve a disposition for
value, (C) with the prior written consent of the Board of Directors of the Company. For purposes of this Agreement, “immediate
family” shall mean any relationship by blood, marriage or adoption, not more remote than first cousin.

 

    	 

    	 

    

 

(c)
The Shares shall be returned to the Company for cancellation upon the Holder’s (A) breach of this Agreement, (B) breach of
the Non-Compete Agreement entered by and between the Company and Holder, (C) failure to maintain the required medical license by
Holder or Holder’s affiliates, (D) the commencement, whether voluntary or involuntary, of any bankruptcy documentation by
the Holder.

 

2.       Intentionally
left blank.

 

3.      
Restrictive Legend. All certificates representing the Shares deliverable to the Holder pursuant to the Purchase Agreement and any
certificates subsequently issued with respect thereto or in substitution therefor shall bear a legend substantially as follows,
in addition to any legend the Company determines is required pursuant to any applicable legal requirement including the standard
legend required under the Shares Act of 1933, as amended:

 

"The
shares represented by this certificate may not be offered, sold, pledged, transferred or otherwise disposed of except in accordance
with the requirements of the Securities Act of 1933, as amended, and the other conditions specified in that certain Lock-Up Agreement
dated as of ___________ __, 2011, copies of which agreements the Company will furnish, without charge, to the holder of this certificate
upon written request therefor."

 

The Company, at its discretion,
may cause a stop transfer order to be placed with its transfer agent(s) with respect to the certificates representing the Shares.

 

4.     
Miscellaneous.

 

(a)
Amendments and Waivers. The provisions of this Agreement, including the provisions of this sentence, may not be amended, modified
or supplemented, and waivers or consents to departures from the provisions hereof may not be given without the written consent
of the Company and the Holder.

 

(b)
Notices. All notices and other communications provided for or permitted hereunder shall be made in writing by hand-delivery, registered
first- class mail, telex, telecopier, or any courier guaranteeing overnight delivery to the addresses for the Holder and the Company
set forth in the Purchase Agreement. All such notices and communications shall be deemed to have been duly given: at the time delivered
by hand, if personally delivered; five business days after being deposited in the mail, postage prepaid, if mailed; when answered
back, if telexed; when receipt is acknowledged, if telecopied; or at the time delivered if delivered by an air courier guaranteeing
overnight delivery.

 

(c)
Successors and Assigns. This Agreement shall inure to the benefit of and be binding upon the successors and permitted assigns as
permitted hereunder of each of the parties. Specifically, the Holder understands and agrees that the agreements, covenants, restrictions
and responsibilities set forth in this Agreement shall remain binding upon Holder and in full effect with respect to the Shares.

    	 

    	 

    

 

(d)
Counterparts. This Agreement may be executed in any number of counterparts and by the parties hereto in separate counterparts,
each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same
agreement.

 

(e)
Headings. The headings in this Agreement are for convenience of reference only and shall not limit or otherwise affect the meaning
hereof.

 

(f)
Governing Law. This agreement shall be governed by and construed in accordance with the laws of the State of Delaware without giving
effect to the conflicts of law provisions thereof. Each of the parties hereby unconditionally and irrevocably waives the
right to a trial by jury in any action, suit or proceeding arising out of or relating to this Agreement or the transactions contemplated
hereby. Each of the parties unconditionally and irrevocably consents to the exclusive jurisdiction of the courts of the State of
Texas located in the City of Houston and the Federal district court for the Southern District of Texas located in Harris County
with respect to any suit, action or proceeding arising out of or relating to this Agreement or the transactions contemplated hereby,
and each of the parties hereby unconditionally and irrevocably waives any objection to venue in any such court.

 

(g)
Specific Performance. The parties hereto acknowledge that there would be no adequate remedy at law if any party fails to perform
any of its obligations hereunder, and accordingly agree that each party, in addition to any other remedy to which it may be entitled
at law or in equity, shall be entitled to compel specific performance of the obligations of any other party under this Agreement
in accordance with the terms and conditions of this Agreement in any court of the United States or any State thereof having jurisdiction.

 

(h)
Entire Agreement. This Agreement is intended by the parties as a final expression of their agreement and intended to be a complete
and exclusive statement of the agreement and understanding of the parties hereto in respect of the subject matter contained herein.
This Agreement supersedes all prior agreements and understandings between the parties with respect to such subject matter.

 

(i)
Additional Actions and Documents. The parties hereto shall take or cause to be taken such further actions, shall execute, deliver
and file, or cause to be executed, delivered or filed, such further documents and instruments, and shall obtain such consents as
may be necessary or as the other party may reasonably request, without the payment of further consideration, in order fully to
effectuate the purposes, terms and conditions of this Agreement.

 

IN
WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above.

 

	COMPANY:	HOLDER:

 

First Surgical Partners
Inc.

 

    	 

    	 

    

 

	By:	 	 	 
	Name:	 	 
	Title:	 	 

 

    	 

    	 

    

 

Exhibit C

 

 

NON-COMPETITION, NON-DISCLOSURE,

AND NON-SOLICITATION AGREEMENT

 

                This
Non-Competition, Non-Disclosure and Non-Solicitation Agreement (“Agreement”), dated this _______ day of
_______ 2011 (the “Effective Date”), by and between ___________________________________ (“Holder”) and
First Surgical Texas, Inc., a Nevada corporation (the “First Surgical”), a wholly owned subsidiary of first
Surgical Partners Inc., a Delaware corporation.

 

RECITALS

 

NOW, THEREFORE, in consideration of the
foregoing premises and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,
the parties hereto agree as follows:

 

1.            Non-Competition;
Non-Solicitation. Commencing on the date hereof and ending on the last day of the Restricted Period (as defined below),
Holder covenants and agrees that he will not, without the First Surgical’s prior written consent, directly or indirectly,
either on behalf of himself or on behalf of any business venture, as an employee, consultant, partner, principal, stockholder,
officer, director, trustee, agent, or otherwise (other than on behalf of the First Surgical or its Affiliates):

 

(A)         be
employed by, engage or participate in the ownership, management, operation or control of, or act in any advisory, expert, consulting
or other capacity for, any entity or individual that owns, operates, manages or controls a medical facility (the “Competing
Facility”) that competes with the First Surgical or its Affiliates and that is located in a county in which one of First
Surgical’s or First Surgical’s Affiliate’s facilities is located or a county immediately adjacent to a county
in which one of First Surgical’s or First Surgical’s Affiliate’s facilities is located;

 

(B)           solicit or divert
any business or any customer from the First Surgical or its Affiliates or assist any person, firm, corporation or other entity
in doing so or attempting to do so;

 

(C)           cause or seek to
cause any person, firm or corporation to refrain from dealing or doing business with the First Surgical or its Affiliates or assist
any person, firm, corporation or other entity in doing so; or

 

(D)hire, solicit or divert from the First
Surgical or its Affiliates any of their respective employees, consultants or agents who have, at any time during the immediately
preceding one (1) year period from the date hereof or during the Restricted Period, been engaged by the First Surgical or its Affiliates,
nor assist any person, firm, corporation or other entity in doing so.

 

As used in this Agreement, the term “Affiliates”
shall mean any entity controlling, controlled by or under the common control of the First Surgical. For the purpose of this Agreement,
“control” shall mean the direct or indirect ownership of thirty (30%) percent or more of the outstanding shares or
other voting rights of an entity or possession, directly or indirectly, of the power to direct or cause the direction of management
and policies of an entity.

 

As used in this Agreement, “Restricted
Period” means the period commencing on the date hereof and ending two (2) years from the date that the Holder ceases to be
a shareholder of the Company or its successors.

 

2.          Nondisclosure.
Holder understands and agrees that the business of the First Surgical and its Affiliates is based upon specialized work and Confidential
Information (as hereinafter defined). Holder agrees that during the Restricted Period, he shall keep secret all such Confidential
Information and that he will not, directly or indirectly, use for his own benefit or for the benefit of others nor Disclose (as
hereinafter defined), without the prior written consent of the First Surgical, any Confidential Information. At any time upon the
First Surgical’s request, Holder shall turn over to the First Surgical all books, notes, memoranda, manuals, notebooks, records
and other documents made, compiled by, delivered to, or in the possession or control of Holder containing or concerning any Confidential
Information, including all copies thereof, in any form or format, including any computer hard disks, wherever located, containing
any such information, it being agreed that the same and all information contained therein are at all times the exclusive property
of the First Surgical and its Affiliates.

 

    	 

    	 

    

 

Exhibit C

 

As used in this Agreement, the term “Confidential
Information” means any information or compilation of information not generally known to the public or the industry, that
is proprietary or confidential to the First Surgical, its Affiliates and/or those doing business with the First Surgical and/or
its Affiliates, including but not limited to know-how, process, techniques, methods, plans, specifications, trade secrets, patents,
copyrights, supplier lists, customer lists, mailing lists, financial information, business plans and/or policies, methods of operation,
sales and marketing plans and any other information acquired or developed by Holder in the course of his past, present and future
dealings with the First Surgical and its Affiliates, which is not readily available to the public.

 

“Confidential Information”
does not include any information, datum or fact: (a) currently available to the public as of the date hereof; (b) after it becomes
available to the public other than as a result of a breach hereof or other wrongful conduct by Executive; (c) after it becomes
available to Executive on a non-confidential basis from a source other than the Company or its Affiliates or a person or entity
breaching his or its confidentiality agreement or other relationship of confidence with the Company or its Affiliates; or (d) developed
independently by Executive without any reference to or use whatsoever of any Confidential Information of the Company or its Affiliates.

 

As used in this Agreement, the term “Disclose”
means to reveal, deliver, divulge, disclose, publish, copy, communicate, show, allow or permit access to, or otherwise make known
or available to any third party, any of the Confidential Information.

 

3.          Blue
Pencil Doctrine. In the event that the restrictive covenants contained in Section 1 and/or Section 2 of this Agreement
shall be found by a court of competent jurisdiction to be unreasonable by reason of such restrictive covenants extending for too
great a period of time or over too great a geographic area or by reason of such restrictive covenants being too extensive in any
other respect, then such restrictive covenant shall be deemed modified to the minimum extent necessary to make such restrictive
covenant reasonable and enforceable under the circumstances.

 

4.          Injunctive
Relief. If Holder shall breach or threaten to breach any of the provisions of Section 1 and/or Section 2, in addition to
and without limiting any other remedies available to the First Surgical at law or in equity, the First Surgical shall be entitled
to seek immediate injunctive relief in any court to restrain any such breach or threatened breach and to enforce the provisions
of Section 1 and/or Section 2, as the case may be. Holder acknowledges and agrees that there is no adequate remedy at law for any
such breach or threatened breach and, in the event that any proceeding is brought seeking injunctive relief, Holder shall not use
as a defense thereto that there is an adequate remedy at law.

 

5.          Reasonableness
of Covenants. Holder acknowledges and agrees that the restrictive covenants contained in this Agreement are a necessary
inducement to First Surgical purchasing Holder’s ownership interests in the Entities, and that the scope (geographic and
otherwise) and period of duration of the restrictive covenants contained in this Agreement are both fair and reasonable and that
the interests sought to be protected by the First Surgical are legitimate business interests entitled to be protected. Holder further
acknowledges and agrees that the First Surgical would not have purchased Holder’s ownership interests in the Entities pursuant
to the Contribution Agreement unless Holder entered into this Agreement.

 

6.          General
Provisions.

 

(A)         Entire
Agreement. This Agreement, together with the Contribution Agreement and any other agreements contemplated thereby, contain
the entire agreement of the parties hereto with respect to the subject matter hereof, and supersede all prior or contemporaneous
agreements and understandings, oral or written, among the parties hereto and thereto with respect to the subject matter hereof
and thereof.

 

(B)         Amendment;
Waiver. No amendment or waiver of any provision of this Agreement shall be effective unless the same shall be in writing and
signed by all of the parties and then such waiver shall only be effective in the specific instance and for the specific purpose
for which it was given.

 

(C)         Notices.
All notices and other communications under this Agreement shall be in writing and shall be given in accordance with the notice
provisions of the Contribution Agreements.

 

	Non-Competition,Non-disclosure and Non-Solicitation
    agreement	Page 19

 

    	 

    	 

    

 

(D)         Assignment.
This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective heirs, personal representative(s),
successors and permitted assigns. This Agreement may be assigned to, and thereupon shall inure to the benefit of, any organization
which succeeds to substantially all of the business or assets of the First Surgical, whether by means of merger, consolidation,
acquisition of all or substantially all of the assets of the First Surgical or otherwise, including, without limitation, by operation
of law.

 

(E)         Governing
Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Texas applicable to agreements
made and to be performed in that state, without regard to any of its principles of conflicts of laws or other laws that would result
in the application of the laws of another jurisdiction. This Agreement shall be construed and interpreted without regard to any
presumption against the party causing this Agreement to be drafted. Each of the parties hereby unconditionally and irrevocably
waives the right to a trial by jury in any action, suit or proceeding arising out of or relating to this Agreement or the transactions
contemplated hereby. Each of the parties unconditionally and irrevocably consents to the exclusive jurisdiction of the courts of
the State of Texas located in the City of Houston and the Federal district court for the Southern District of Texas located in
Harris County with respect to any suit, action or proceeding arising out of or relating to this Agreement or the transactions contemplated
hereby, and each of the parties hereby unconditionally and irrevocably waives any objection to venue in any such court.

 

(F)         Recovery
of Attorneys’ Fees and Costs. If any action for breach of or to enforce the provisions of this Agreement is commenced,
the court in such action shall award to the party in whose favor a judgment is entered, a reasonable sum as attorneys’ fees
and costs. Such attorneys’ fees and costs shall be paid by the non-prevailing party in such action.

 

(G)         Headings.
The headings to the paragraphs of this Agreement are intended for the convenience of the parties only and shall in no way be held
to explain, modify, amplify or aid in the interpretation of the provisions hereof.

 

(H)         Severability.
The provisions of this Agreement shall be deemed severable and if any portion hereof shall be held invalid, illegal or unenforceable
for any reason by a court of competent jurisdiction, the remainder shall not thereby be invalidated but shall remain in full force
and effect.

 

(I)         Counterparts.
This Agreement may be executed in counterparts, each of which shall be deemed an original but all of which together shall constitute
one and the same agreement.

 

(J)         Referrals.
Nothing in this Agreement limits the ability of Holder refer patients to any facility.

 

(K)         Compliance
with Business and Commerce Code. To the extent that this agreement does not qualify for an exception from the provisions of
Tex. Bus. & Comm. Code § 15.50(b) pursuant to Tex.
Bus. & Comm. Code § 15.50(c): (i) this Agreement will not deny Holder access to a list of Holder’s patients
whom Holder had seen or treated within one year of termination of the contract or employment; (ii) Holder shall have access to
medical records of Holder’s patients upon authorization of the patient and any copies of medical records for a reasonable
fee as established by the Texas Medical Board under Section 159.008, Occupations Code; (iii) any access to a list of patients or
to patients’ medical records after termination of the contract or employment shall not require such list or records to be
provided in a format different than that by which such records are maintained except by mutual consent of the parties to the contract;
(iv) Holder will not be prohibited from providing continuing care and treatment to a specific patient or patients during the course
of an acute illness even after the contract or employment has been terminated; and (v) the covenant not to compete of this Agreement
may be bought out by Holder for a reasonable price determined by a mutually agreed upon arbitrator or, in the case of an inability
to agree, an arbitrator of the court whose decision shall be binding on the parties.

 

[REMAINDER
OF PAGE INTENTIONALLY LEFT BLANK]

  

	Non-Competition,Non-disclosure and Non-Solicitation
    agreement	Page 20

 

    	 

    	 

    
 

In Witness Whereof, the parties hereto have executed this Agreement as of the date first set forth above.

 

	Holder:	 	First Surgical:
	 	 	 
	 	 	
        FIRST SURGICAL TEXAS, INC.

         

	 	 	 
	By:	 	 	By:	 
	Name:	 	 	Name:	 
	Title:	 	 	Title:	 

 

	Non-Competition,Non-disclosure and Non-Solicitation
    agreement	Page 21Exhibit 10.18

 

First Surgical
Woodlands, L.P.

 

Management Agreement Addendum

 

THEMANAGEMENT AGREEMENT
ADDENDUM (the “Agreement”) is executed and delivered this 1st day of February 2012 by First Surgical Partners, L.L.C
(the “General Partner”) and First Surgical Woodlands, L.P. (the “Company”).

 

WHEREAS, the Company
owns a multispecialty ambulatory surgical center in Shenandoah, TX. (the “Center”); and

 

WHEREAS, the General
Partner is the general partner of the Company; and

 

WHEREAS, the Company
desires to retain the services of the General Partner to assist the Company in managing, and conducting the day-to-day business
and services of the Center, and the General Partner desires to provide such services, upon the terms and conditions set forth herein;

 

NOW THEREFORE, in consideration
of the foregoing and mutual agreements and covenants contained herein, and for other good and valuable consideration, the receipt
and sufficiency of which is hereby acknowledged, the parties agree as follows:

 

		1.	DEFINITIONS

 

1.1           Certain Defined Terms
– As used in this Agreement, the following terms shall have the following meaning unless otherwise provided.

 

“Management
Period” – The Term of this Agreement which is the period commencing on the date this agreement is executed
and ending as set forth hereafter in Section 2.

 

“Company”
– First Surgical Woodlands, L.P.

 

“Center”
– The multi-specialty ambulatory surgery center located at 111 Vision Park Blvd., Shenandoah, TX 77384.

 

“Physician
Investors” – Those Physicians that are limited partners in the Company.

 

    	1

    	 

    

Exhibit 10.18

 

		2.	GENERAL

 

		2.1	APPOINTMENT

 

The Company
hereby appoints the General Partner, and the General Partner hereby accepts such appointment, to act as the exclusive manager of
the Center during the Management Period pursuant to the provisions hereof and to carry out and implement the desires and directions
of the Company with respect to thereto. While it is the intent of this Agreement to vest in the managing partner the authority
for all ordinary “day-to-day” management decisions (the “Day-to-Day” Decisions), and not withstanding anything
to the contrary elsewhere in this Agreement, the Company reserves the right to make final policy decisions that the Company feels
will impact the overall performance of the Center or the financial value of the Center. The Company and General partner agree that
they will act in good faith regarding management of the Center and the Company will endeavor to assist the General Partner’s
management, as needed, with effective and efficient management of the Center.

 

During the
Management Period, the General Partner shall devote appropriate time, attention, efforts, abilities and energy to the business
of the Center for profit, benefit and advantage of the Company. The General Partner agrees to perform its duties hereunder faithfully
and loyally and to the best of his abilities, and shall use commercially reasonable efforts to promote the business of the Center,
preserve the business and organization of the Center, keep available to the Center the services of it’s employees, to preserve
the business relations of the Center with suppliers, distributors, patients and others and to otherwise perform the Day-to-Day
Decisions. The General Partner agrees that he will not knowingly commit any act that might be reasonable be expected to injure
the business of the Center or members of the Company.

 

		2.2	Appointment as Attorney-in-Fact

 

The Company
appoints the General Partner its attorney-in-fact with full power on its behalf and in its name, or in the name of the Center,
(a) to enter into contracts relating to the operation of the Center, (b) to procure licenses, permits, and other approvals relating
to the operation of the Center, and (c) to take any and all other actions necessary, appropriate or useful to the General Partner
in connection with the services provided pursuant to this Agreement.

 

		2.3	Authority and Control

 

The General
Partner acknowledges that ultimate control of the business and operations of the Center shall remain with Company, and that Company,
by entering into this Agreement, is not relinquishing any of the powers, duties and responsibilities vested in it by law.

 

    	2

    	 

    

 

Exhibit 10.18

 

		2.4	Patient Referrals

 

It is not
a purpose expressed or implied of this Agreement to induce or encourage the referral of patients or the payment directly or indirectly
of any remuneration to Company in violation of applicable laws, rules or regulations. The parties agree that the Management Fee
set forth herein was arrived at through arms-length negotiations and reflects to their knowledge the fair market value of General
Partner’s services hereunder.

 

		2.5	No Sharing of Professional Fees

 

Payment of
the fees specified herein is not intended to be and shall not be interpreted or construed as permitting General Partner to share
in Company’s or Physician Investor’s fees for medical services or any other services, but is market value of the services
provided by General Manager pursuant to this Agreement.

 

		2.6	Term

 

This Agreement
shall continue in force and effect for an initial period from February 1, 2005 for five (5) years, and shall automatically renew
for one additional (2) year period on the 5th anniversary, and annually thereafter, automatically renew for a (1) year
period each anniversary date, unless otherwise terminated in writing by either party pursuant to the terms hereof, or until termination
by mutual consent of both the General Partner and the Company as hereinafter set forth.

 

		2.7	Termination

 

Notwithstanding
anything to the contrary in the provisions of the foregoing Section 2.6, early termination of this agreement may occur only pursuant
to the following provisions.

 

		2.7.1	Automatic Termination

 

This Agreement
shall automatically terminate if either party shall file or have filed against it a petition in bankruptcy or any petition seeking
reorganization, arrangement, composition, readjustment, liquidation, dissolution or relief under the present or any future federal
bankruptcy act or any similar present or future applicable federal, state or other statue or law, or seeking or consenting to acquiescing
in the appointment of any trustee, receiver, or liquidation of all or any substantial part of its properties and such filing remains
unresolved or is not dismissed within ninety (90) days.

 

    	3

    	 

    

 

Exhibit 10.18

 

		2.7.2	Termination by Regulatory Change

 

If there
shall be a change in laws, regulations or general instructions, the adoption of new legislation, or a change in any third party
reimbursement system, any of which materially affects the manner in which either party may perform or be compensated for its services
under this Agreement, the parties shall immediately propose a new service arrangement or basis for compensation for the services
furnished pursuant to this Agreement. If such notice of new service arrangement or basis for compensation is given, and if the
Company and the General Partner are unable within thirty (30) days thereafter to agree upon a new service arrangement or basis
for compensation, either party may terminate this Agreement by providing the other party with written notice at least thirty (30)
days prior to the specified termination date.

 

		2.7.3	Termination for Cause

 

This Agreement
may be terminated immediately by either party if either the General Partner, the Company or the Physician Investors do any of the
following: (a) commit a material breach of fiduciary duty, fraud, misappropriation or embezzlement involving the Company’s
property or assets; (b) commit an intentional wrongful act which materially impairs the goodwill or business of the Company or
causes material damage to the Company’s property, goodwill or business; (c) commits a criminal act; or (d) acts with gross
negligence. With respect to the Physician Investors, any criminal acts or gross negligence referenced in (c) and (d) above, must
materially impair the goodwill or business of the Company or cause damage to the Company or cause damage to the Company’s
property assets.

 

		2.7.4	Effects of Termination

 

Upon termination
of this Agreement, as hereinabove provided, neither party shall have any further obligations under this Agreement except for (i)
obligations accruing prior to the date of termination, including, without limitation, payment of the Management Fee and all reasonable
direct expenses relating to services provided prior to the termination of this Agreement, and (ii) obligations, promises, or covenants
set forth in this Agreement that are expressly made to extend beyond the Term, including, without limitation, indemnity and confidentiality
provision, which provisions shall survive the expiration or termination of this Agreement. In addition, upon termination or expiration
of this Agreement, each party shall immediately deliver, or cause its employees or agents to deliver, in good condition, all property
in its possession which belongs to the other party, ordinary wear and tear and damage by any cause beyond the reasonable control
of either party excepted.

 

    	4

    	 

    

 

Exhibit 10.18

 

		3.	ORGANIZATIONAL AND DEVELOPMENTAL SERVICES

 

		3.1	General Services

 

The General
Partner shall render all services, direction advice, supervision and assistance necessary to assure the Center adequately performs
its ordinary and usual Day-to-Day Services (“Day-to-Day Services”). These Day-to-Day Services include, but are not
limited to, acting as general agent on behalf of the Company during the Center’s development and organization, and those
services specifically enumerated in this Section 3.

 

It
is specifically agreed that purposes of this Agreement and the General Partner duties and activities hereunder, to the extent that
the General Partner, in the performance of his duties hereunder, needs to provide to the Company or the Center any goods, property,
equipment or services of third parties then the same shall be provided on an arm’s length basis at fair market value thereof.

 

		3.2	Bankers, Vendors and Third Party Financing

 

The General
Partner shall deal directly with bankers, vendors, and other third parties on behalf of the Company as necessary, to arrange any
financing or refinancing for the Center, but may not commit to any financing in excess of $10,000.00 without the Physician Investors’
consent. Furthermore, the General Partner shall act as the procurement agent in obtaining any and all appropriate non-leased equipment
and supplies for the Center.

 

		3.3	Permits and Licenses

 

The General
Partner shall apply and maintain in full force and affect all necessary licenses and permits required in connection with the operation
of the Center. All such licenses and permits shall be issued in the name of the Company. The Company shall pay for the actual fees
or expenses of any permits and licenses.

 

		3.4	Other Services

 

The General
Partner may retain legal counsel and other professional services on behalf of the Company as reasonably necessary for the proper
organization and management of the Company. Any expenses of such third parties related to such services shall be paid by the Company.

 

    	5

    	 

    

 

Exhibit 10.18

 

		4.	MANAGEMENT SERVICES

 

		4.1	General

 

Throughout
the Management period, the General Partner shall, in accordance with Section 3.1 hereof, render all services associated with the
day-to-day operation of the Center, including, but not limited to, the services described in this Section 4.

 

		4.2	Management Fee

 

The Company
shall pay General Partner for the services rendered under Sections 3 and 4 hereof, a monthly fee equal to a five (5%) percent of
the “net monthly collected revenues”, from the Centers’ cash collections, with said monthly fee to be paid on
the 15th day of each month following the month earned. For purposes of this Section 4.2, “net monthly collected
revenues” shall be defined as gross revenue minus all patient allowances, discounts, fixed fee write downs and bad debts,
actually collected and deposited. Such fee shall not be payable until the Center is actually in operation.

 

		4.3	Proration

 

In the event
this Agreement is executed on a day other than the first day of the calendar month or the center begins operations other than on
the first day of a calendar month, the monthly management fee payable hereunder shall be prorated for such month.

 

		4.4	Reimbursement of Expenses

 

The Company
shall reimburse the General Partner on a monthly basis for all reasonable, direct, out-of-pocket expenses incurred in connection
with the services provided pursuant to this Agreement. The General Partner shall prepare an itemization of such expenses on a monthly
basis to be submitted to the Company by the fifteenth (15th) day of the subsequent month. The Company shall reimburse
the General Partner for such properly documented expenses within ten (10) days after receipt of such itemization.

 

		4.5	Staff

 

The General
Partner, within the parameters of an guidelines established by the Company, shall hire, train, promote, discharge, set the salary
and benefit levels, and supervise the work of the staff and all other employees of the Center, all in the name of and on behalf
of the Company. All of such employees, including the Director of Nursing (“DON”) shall be employees of the Company
and shall be on the Company’s payroll, and the General Partner shall not be liable to such employees for their wages, compensation
or fringe benefits, as these employees are direct employees of the Company, and as employees of the Company, the Company is to
be responsible for all Company employee salaries, benefits, insurance, payroll taxes, ect.

 

    	6

    	 

    

 

Exhibit 10.18 

 

		4.6	Compliance with Laws and Representation

 

The General
Partner shall strive to ensure compliance in all material respect with applicable statutes, ordinances, laws, rules, regulations,
orders, and determinations affecting or issued in connection with the operation of the Center and make arrangements for any compliance
required thereby. Any fees or expenses owed to third parties as a result of such compliance activities shall be paid by the Company.
In addition, the General Partner shall, solely in connection with the management of the Center, employ attorneys and other professional
consultants to the extent reasonably necessary in the General Partner’s judgment to protect the interest of the Company,
the partners, and the employees of the Company in matters relating to and including, without limitation, EEOC claims, unemployment
compensation claims, collection of past due accounts, determination of property taxes and procurement of insurance. The reasonable
expense of said legal and other professional service shall be paid for by the Company. Furthermore, unless otherwise directed by
the managers, the General Partner, at the Company’s expense shall protest or litigate to final decision in any appropriate
court or forum any violations, order, rule or regulation adversely affecting the Center.

 

		4.7	Marketing

 

Commencing
with the execution of this Agreement and continuing through the Management Period, the General Partner shall supervise the design
of and implement a marketing program including preparation of marketing materials such as brochures, media advertising materials,
direct mail and press releases. The Company will be consulted during the development of this program. The marketing efforts of
the General Partner shall include active solicitation of third party managed care contracts, such as PPO’s and HMO’s.

 

		4.8	Accounting

 

The General
Partner shall coordinate all accounting functions through a licensed CPA. The CPA will engage to review the financial records on
a quarterly basis. The CPA’s reports shall be provided to the Physician Investors when completed.

 

    	7

    	 

    

 

Exhibit 10.18

 

		4.9	Insurance

 

The General
Partner shall acquire and maintain for the Company, at the Company’s expense and in the Company’s name, insurance of
such kinds, including general, liability, property and other necessary insurance coverage, as the Company will require and are
usually maintained by entities with businesses similar to the Center in such amounts as reasonably deemed sufficient by the Company;
provided, however, that all physicians on the Center’s medical staff shall be required by the Center’s Medical Staff
Bylaws to obtain and maintain at all times their own malpractice insurance. The Company and the General Partner agree that such
insurance shall be maintained with companies and through brokers offering the necessary coverage at the lowest cost.

 

		4.10	Bank Accounts and Flow of Funding

 

This Agreement
contemplates that the flow of funds received and disbursed in connection with the operation of the Center shall be conducted through
and controlled by a system of accounts established by agreement of the Company and the General Partner. The Company shall, if necessary,
establish such bank or other deposit accounts as the Company and the General Partner shall mutually agree are necessary for the
efficient operation of the Center and control of the flow of funds received and disbursed in connection with such operation, in
the Company’s name at a bank or other financial institution mutually agreed upon by the Company and the General Partner.
Any disbursement over $20,000 shall require two (2) signatures, one signature from an authorized Company designee and one from
the General Partner.

 

		4.11	Vendor’s Contracts

 

The General
Partner shall enter into contracts covering the ordinary day-to-day business of the Center, as reasonably necessary, and maintain
existing contracts assuring that these contracts are in the name of, and at the expense of the Company. These contracts shall include
but not be limited to all electricity, gas, water, telephone, cleaning services, air-conditioning maintainace, and other necessary
utilities or services, and purchase of materials and supplies in the name of, for the account of, the Company which are appropriate
for the operation of the Center.

 

		4.12	Repairs and Maintenance

 

The General
Partner shall arrange for the making or installing at the Company’s expense and in the name of the Company, at competitive
costs, such alterations, repairs, decorations and/or replacements of any non-leased equipment, deemed reasonable and necessary
by the General Partner and the Company.

 

    	8

    	 

    

 

		4.13	Billing and Collecting

 

General partner
shall be responsible, on behalf of the Company and as its agent, for billing and collecting payments for all Center related services,
services rendered by the Center to its patients (including collections from Medicare, Medicaid, insurance companies, HMOs, PPOs,
and other third-party payors), with all such billing and collecting to be done in the name of the Center. General Partner shall
maintain complete and accurate records of all fees, chages and billings of all services contemplated hereby. A schedule of fees
for all of the Center’s charges shall be proposed by the General Partner with the approval of the Company. The General Partner
shall comply with all applicable laws and regulations; and all applicable rules and regulations of insurance companies and other
third-party payors in discharging its duties to bill and collect payments hereunder.

 

		4.14	Information Systems

 

The General
Partner shall supervise and manage the use of all software and/or hardware for the management information system utilized in the
operations of the Center, provide modifications, enhancements and upgrades and provide new hardware and/or software to the extent
reasonably necessary or appropriate and as approved by the Company.

 

		4.15	License of the Center’s and the Company’s Name and Logo

 

The Company
hereby grants to the General Partner the nonexclusive right, license, and privilege to use the Center’s and Company’s
name and logo alone or with the corporate name of the General Partner during the Term and subject to the terms and conditions of
this Agreement. The General Partner may include its name and the name of the Company and/or the Center on any letterhead, professional
announcements, private placements, public offerings, and the like relating to the Center.

 

		4.16	No Practice of Medicine by Manager

 

The General
Partner shall have and exercise absolutely no control or supervision over the provision of medical services or the practice of
medicine for patients at the Center.

 

		5.	OWNERSHIP AND INSPECTION OF RECORDS

 

		5.1	Patient Records

 

At all times
during and after the Term of this Agreement, all patient medical records shall be and remain the sole property of the Company.
To the extent permitted by law, the General Partner shall be permitted to retain copies of such records, at its expense upon termination
of this Agreement. The parties acknowledge that the Center is a “covered entity” as that term is defined by the Privacy
and Security regulations promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”).
As such, the General Partner agrees to comply with the terms of the Business Associate Addendum attached hereto as Addendum A and
incorporated herein by reference.

 

    	9

    	 

    

 

Exhibit 10.18

 

		5.2	Manager Business Records

 

At all times
during and after the Term of this Agreement, all business records and information, including all books of account and general administrative
records and all information generated under or contained in the management information system relating to the business activities
of the General Partner shall be and remain the sole property of the General Partner.

 

		5.3	Inspections

 

The Company
shall, during and after the term of this agreement, make available to the General Partner for inspection by its authorized representatives,
during regular business hours, at the principal place of business of the Company, any Center records determined by the General
Partner to be necessary to perform its services and carry out its responsibilities hereunder or necessary for the defense of any
legal or administrative claim or action relating to said records.

 

		6.	MISCELLANEOUS

 

		6.1	Notices

 

All notices,
requests, demands or other communications pursuant to this Agreement or contemplated hereby shall be in writing and shall be deemed
to have been given when personally delivered or if mailed, by registered or certified US Mail, postage prepaid, return receipt
requested three (3) days after such mailing to the parties at the addresses set forth below. Any party may change the address to
which such notices are giving by giving notice in the manner provided herein.

 

Notice to the Company shall
be addressed as follows:

 

Dr. David Tomaszek

111 Vision Park Blvd.

Shenandoah, TX 77384

 

Notice to the General Partner
shall be addressed as follows:

 

Tony Rotondo

411 First Street

Bellaire, TX 77401

 

    	10

    	 

    

 

Exhibit 10.18 

 

		6.2	Entire Agreement

 

This agreement
represents the entire agreement between the parties hereto and all prior understandings and agreements are hereby merged into this
Agreement. This Agreement may not be modified except by an instrument in witting signed by the parties hereto.

 

		6.3	Binding Effect

 

This Agreement
shall insure to the benefit of and are binding upon the parties hereto and their respected heirs, representatives, successors and
permitted assigns.

 

		6.4	Severability

 

If any of
the provisions of this Agreement shall be constructed to be illegal or invalid, such construction shall nor affect the legality
or validity of any of the other provisions hereof and the illegal or invalid provisions hereof shall be deemed stricken and deleted
herefrom to the same extent as if never herein but all other provisions hereof shall remain in full force and effect.

 

		6.5	Captions

 

The captions
of various provisions of this Agreement are inserted for conveniece only, and are in no way to be construed as part of this Agreement
or as limitation of the scope of the particular provisions to which they refer.

 

		6.6	Assignability

 

This Agreement
may not be assigned by either party hereto without the prior written consent of the other party.

 

		6.7	Attorney’s Fees

 

The prevailing
party in any action arising under this Agreement may recover reasonable attorney’s fees and costs from the non-prevailing
party.

 

		6.8	Compliance with Laws

 

The intent
of the parties is to conduct their relationship in full compliance with all applicable laws including, but not limited to, the
Anti-Kickback Statute, the Stark Laws and any applicable fraud and abuse provisions. Not withstanding any unanticipated effect
of any of the provisions herein, neither party will intentionally conduct itself under the terms of this Agreement in a manner
which violates any laws.

 

    	11

    	 

    

 

Exhibit 10.18 

 

		6.9	Access to Books and Records of Subcontractor

 

Upon the
written request of the Secretary of Health and Human Services or the Comptroller General or any of their duly authorized representatives,
the General Partner will make available those contracts, books, documents, and records necessary to verify the nature and extent
of the costs of providing services under this Agreement. Such inspection shall be available up to four (4) years after the rendering
of such services. If the General Partner carries out any of the duties of this Agreement through a subcontract with a value of
$10,000 or more over a 12-month period with a related individual or organization, the General Partner agrees to include this requirement
in any such subcontract. This section is included pursuant to and is governed by the requirements of Public Law 96-499, Sec. 952
(Sec. 1861(v)(1)(i) of the Social Security Act) and the regulations promulgated thereunder. No attorney-client, accountant-client
or other legal privilege will be deemed to have been waived by the General Partner or the Company by virtue of this Agreement.

 

(Remainder of Page Intentionally
Left Blank – Signature Page Follows)

 

    	12

    	 

    

 

Exhibit 10.18

 

In WITNESS
WHEREOF, the parties have caused this instrument to be executed on the day and year first written above.

 

	 	First Surgical Partners, L.L.C.
	 	 
	 	By:	 /s/Tony Rotondo
	 	Name:  Tony Rotondo
	 	Title:    General Partner
	 	 
	 	First Surgical Woodlands, L.P.
	 	 
	 	By:	  /s/David Tomaszek, MD
	 	Name: David Tomaszek M.D.
	 	Title:  Medical Director

 

    	13

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