Document:

AMENDED AND RESTATED CONSULTING AGREEMENT
                                     BETWEEN
                              HC INNOVATIONS, INC.
                                       AND
                      STRATEGIC GROWTH INTERNATIONAL, INC.

THIS  CONSULTING  AGREEMENT  (THE  "AGREEMENT")  IS MADE AND ENTERED  INTO AS OF
THE DATE SET OUT BELOW BY AND BETWEEN HC  INNOVATIONS, INC., A DELAWARE
CORPORATION  (THE "COMPANY") AND STRATEGIC GROWTH INTERNATIONAL, INC.,
A DELAWARE CORPORATION ("SGI").

                                     WHEREAS

         WHEREAS, the Company and SGI have entered into that certain Consulting
Agreement, dated July 1, 2005 ("2005 Agreement"), a copy of which is attached
hereto as Exhibit A;

         WHEREAS, pursuant to the terms and conditions of the 2005 Agreement,
the Company issued shares of its Common Stock in consideration for services
rendered as provided therein (the "SGI Stock");

         WHEREAS, the Company desires to engage SGI in connection with
consulting with the Company with a certain financing and SGI desires to accept
such engagement, all on the terms and conditions hereinafter set forth; and

         WHEREAS, the Company and SGI wish to amend and restate the 2005
Agreement as provided herein to provide for the terms and conditions of the new
engagement

                  NOW, THEREFORE, in consideration of the premises and of the
mutual covenants set forth in this Agreement, the parties hereto agree as
follows:

I.       DUTIES

1.       SGI will assist the Company in determining a strategy to raise funds in
         the aggregate amount of $1,000,000 ("Offering Amount") through a
         private placement of debt, equity or convertible securities (the
         "Offering"). It is agreed that any such Offering shall be conducted
         pursuant to Regulation D of the Securities Act of 1933, as amended.

2.       SGI will conduct and attend meetings with the professional financial
         community to discuss the feasibility of any Offering and shall solicit
         interest

                                       1
<PAGE>

         in assisting THE COMPANY to meet these financing goals.

3.       SGI will assist the Company with presentations in connection with any
         such Offering, including the preparation of power points, website
         content and other information that provides general information about
         the Company to the financial community.

4.       SGI will advise THE COMPANY regarding the structure of any resulting
         transactions.

II.  RELATIONSHIP AMONG THE PARTIES

SGI acknowledges that it is not an officer, director or agent of the Company, it
is not, and will not, be responsible for any management decisions on behalf of
the Company, and may not commit the Company to any action. The Company
represents that SGI does not have, through stock ownership or otherwise, the
power to control the Company, nor to exercise any dominating influence over its
management.

SGI understands and acknowledges that this Agreement shall not create or imply
any agency relationship among the parties, and SGI will not commit the Company
in any manner except when a commitment has been specifically authorized in
writing by the Company. The Company and SGI agree that the relationship among
the parties shall be that of independent contractor. SGI agrees that its
employees and subcontractors will be bound by the terms herein.

III. COMPENSATION

Unless sooner terminated as provided herein, the Company shall pay to SGI a cash
consulting fee of 10% of the gross proceeds (excluding the $50,000 below) raised
for the Offering. In the event that the Company raises less than the Offering
Amount, the Company shall pay to SGI a pro rata portion of such fee adjusted to
reflect the amount actually sold in the Offering. The Company shall pay such fee
simultaneously with any closings of the Offering or as soon as practicable
thereafter.

The Company additionally agrees to pay SGI an initial retainer of $50,000 for
services pursuant to this Agreement. SGI agrees to receive such fee from the
gross proceeds of any offering raised.

The Company agrees to revise the lock-up provision pursuant to Section IV of the
2005 Agreement to the following.

IV.  RESTRICTIONS ON SGI STOCK/LOCK-UP

The SGI Principals each agree that prior to June 9, 2007 they will not, without
the prior written consent of the Company, sell assign, hypothocate, pledge,
transfer, or otherwise dispose of, directly or indirectly, any of their
respective SGI Stock. In the event that the SGI Stock is included in a
Registration Statement that is declared effective by the Securities and Exchange
Commission prior to June 9, 2007, each of the SGI Principals agree that any and
all sales of the SGI Stock shall be restricted by new a

                                       2
<PAGE>

lock-up as required by the Company. Furthermore, the SGI Principals agree that
(i) all certificates representing the SGI Stock received shall be endorsed with
an appropriate restrictive legend setting forth the restriction on transfer as
provided herein, (ii) in event that the SGI Stock becomes registered, stop
orders shall be placed by the Company's transfer agent against the certificates
representing the SGI Stock, and (iii) the Company and the Company's transfer
agent shall decline to effectuate the transfer and re-registration of any shares
of SGI Stock transferred in violation of this Agreement.

The Company agrees to exchange the existing certificates reflecting the legend
above.

V. OUT OF POCKET EXPENSES

THE COMPANY will reimburse SGI for all reasonable out of pocket disbursements,
including travel expenses, made in the performance of its duties under the
agreement; provided, however, that SGI must receive prior written approval from
the Company for any out of pocket expenses that exceed $500. Items, such as
luncheons with the professional community, graphic design and printing, postage,
long distance telephone calls, etc., will be billed as expenses are incurred.

VI. LIABILITY

THE COMPANY agrees to indemnify and hold harmless from and against any and all
losses, claims, damages, expenses or liabilities which SGI may incur based upon
information, representations, reports or data furnished by THE COMPANY to the
extent that such material is furnished, prepared or approved by THE COMPANY for
use by SGI; provided, however, the Company shall not be liable for any gross
negligence or willful misconduct on the part of SGI.

VII. TERMINATION UNDER CERTAIN CIRCUMSTANCES
If SGI shall fail, for a period of more than thirty (30) consecutive days, or
for thirty (30) days within any sixty (60) day period, to perform any of SGI's
duties under this Agreement, Company may, at its option, upon notice to SGI,
terminate SGI's engagement effective on the date of that notice.

If SGI shall breach or violate any of the provisions of this Agreement, or fail
to perform in a manner reasonably satisfactory to Company any of the duties
required of SGI and such breach, violation or failure shall continue for a
period of ten (10) days after Company shall have given SGI written notice
specifying the nature thereof in reasonable detail, Company may, at its option,
upon notice to SGI, terminate SGI's engagement effective on the date of that
notice.

                                       3
<PAGE>

VIII. CONFIDENTIAL INFORMATION
SGI shall maintain in strict secrecy all Confidential Information (as defined
below) obtained by SGI in the course of SGI's engagement, and SGI shall not,
unless first authorized in writing by Company, disclose to, or use for SGI's
benefit or for the benefit of any person, firm or entity at any time either
during or subsequent to the term of SGI's engagement, any Confidential
Information, except as required in the performance of SGI's duties on behalf of
Company. For purposes hereof, "Confidential Information" means all material
information about the Company's business disclosed to the SGI or known by SGI as
a consequence of or through his service to the Company (including information
conceived, originated, discovered or developed by SGI) after the date hereof,
and not generally known.

IX. COVENANT NOT TO COMPETE
During the term of this Agreement, SGI warrants, represents and agrees that it
will not directly participate in the information developed for and by the
Company, and will not compete directly with the Company in the Company's primary
industry or related fields.

X. RETURN OF BOOKS AND PAPERS

Upon the termination of SGI's engagement with Company for any reason, SGI shall
deliver promptly to Company all written or printed materials which are the
property of Company (and any copies of them); and all other materials which may
contain Confidential Information relating to the business of Company, which SGI
may then have in his possession whether prepared by SGI or not.

XI. EQUITABLE RELIEF

In the event a violation of any of the restrictions contained in this paragraph
is established, Company shall be entitled to preliminary and permanent
injunctive relief as well as damages and an equitable accounting of all
earnings, profits and other benefits arising from such violation, which right
shall be cumulative and in addition to any other rights or remedies to which
Company may be entitled.

XII. TERM

The term of this Agreement shall be for six months commencing on the date set
out below and ending on March 25, 2007.

XIII. BINDING NATURE OF AGREEMENT

This Agreement shall be binding upon and inure to the benefit of the parties
hereto and their respective heirs, personal representatives, successors and
assigns except that no party may assign or transfer such party's rights or
obligations under this Agreement without the prior written consent of the other
party.

                                       4
<PAGE>

XIV. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of
the State of Connecticut.

XV. ENTIRE AGREEMENT

This Agreement contains the entire understanding between the parties hereto with
respect to the subject matter hereof, and supersedes all prior and
contemporaneous agreements and understandings, inducements and conditions,
express or implied, oral or written, except as herein contained. The express
terms hereof control and supersede any course of performance and/or usage of the
trade inconsistent with any of the terms hereof. This Agreement may not be
modified or amended other than by an agreement in writing.

XVI.     EXECUTION IN COUNTERPARTS

This Agreement may be executed in any number of counterparts, each of which
shall be deemed to be an original as against any party whose signature appears
thereon, and all of which shall together constitute one and the same instrument.
This Agreement shall become binding when one or more counterparts hereof,
individually or taken together, shall bear the signatures of the parties
reflected hereon as the signatories.

IN WITNESS WHEREOF, the undersigned have executed this Agreement as of the date
set out below

HC INNOVATIONS, INC.

BY:  /s/ Jeffrey Zwicker            DATE:   SEPTEMBER 22, 2006
------------------------

STRATEGIC GROWTH INTERNATIONAL, INC.

BY:  Strategic Growth International, Inc.            DATE:    SEPTEMBER 22, 2006
-------------------------------------------

SGI PRINCIPALS:

/s/ Stanley Altschuler
Stanley Altschuler

/s/ Richard Cooper
Richard Cooper

                                       5Exhibit 10.9

                             MEMORANDUM OF AGREEMENT

      This  Memorandum  of  Agreement  is  entered  into as of this  20th day of
October,  2006,  and is by and among OHIO  NURSE  PRACTITIONERS,  INC.,  an Ohio
corporation with a mailing address at 2718 Mount Holyoke,  Columbus,  Ohio 43221
("ONP"),  KAYLEEN  BERGER,  an Ohio resident with a mailing  address at the same
address  ("BERGER"),  KATHRYN  MAXWELL,  also an Ohio  resident  with a  mailing
address  at the same  address  ("Maxwell"),  and NP CARE OF OHIO,  LLC,  an Ohio
limited liability  company with a mailing address at Six Corporate Drive,  Suite
420, Shelton,  Connecticut 06484 ("NPC").  The transactions  contemplated herein
shall be effective on November 6, 2006 (the "Effective Date").

                                   BACKGROUND

      ONP is engaged in the business of providing  advance  practice  registered
nurse  services to residents of nursing  homes.  Berger and Maxwell are the only
shareholders  of ONP. They have decided to terminate the business  activities of
ONP, wind-up its affairs, and dissolve ONP at an appropriate time.  Accordingly,
ONP intends to terminate its existing  service  agreements with the nursing home
facilities  identified  on SCHEDULE A hereto.  ONP also intends to terminate its
employment  relationship  with the Advance Practice  Registered Nurses listed on
SCHEDULE B hereto.

        NPC is intends to in provide  such  services in the State of Ohio and to
engage Maxwell and Berger as employees in connection therewith.

      This  Memorandum of Agreement sets forth the agreements  among the parties
with  respect to the  covenants  of Berger and  Maxwell to provide  services  to
NPC-Ohio. The parties intend that the Memorandum of Agreement constitute a valid
and binding agreement  enforceable  against the respective parties in accordance
with its terms.

      NOW, THEREFORE, in consideration of the mutual covenants contained herein,
and intending to be bound legally, the parties hereto agree as follows:

      1.    EMPLOYMENT  OF  BERGER.  Berger  hereby  agrees  to  enter  into  an
employment  agreement  with NPC with the  following  terms and  conditions:  (a)
Berger shall be employed in an executive  capacity as the Director of Operations
of NPC with specific duties as set forth by NPC; (b) Berger shall be compensated
at the rate of One  Hundred  Thousand  Dollars  ($100,000)  per year,  with such
company-paid benefits as NPC shall provide to similarly situated management with
NP Care, LLC of  Connecticut;  (c) Berger shall have the  opportunity to earn an
annual bonus not to exceed Twenty Thousand Dollars ($20,000) based upon equaling
or exceeding  mutually  agreed  growth  targets;  (d) Berger will be eligible to
participate  in future stock option or stock purchase plans at the same level as
similarly situated management with NP Care, LLC of Connecticut, (e)Berger agrees
to a nominal employment term of approximately  three (3) years commencing on the
Effective  Date and ending on September 30, 2009, but either party

                                       - 1 -
<PAGE>

may terminate the employment  relationship  at any time with a minimum of thirty
(30) days prior notice and may terminate  immediately for good cause; and (f) in
addition to any other restrictive covenants set forth herein, Berger agrees that
during the term of her employment and for two years  following  termination  for
any reason she will not solicit any employees or any facilities or other clients
that,  during her employment or at the time of termination,  as the case may be,
were  employed by or either were being  serviced by NPC-Ohio or any affiliate or
were being actively  pursued by NPC or any  affiliate.  At the request of either
party,  Berger and NPC shall enter into a separate  agreement  incorporating the
terms  of  this  Section  1 with  such  other  provisions  as are  customary  in
agreements  of this type.  In the event  that  Berger is  terminated  by NPC for
reasons other than for good cause, NPC will provide  severance pay for the three
(3) months  following  said  termination.  The parties agree to negotiate  these
provisions in good faith, and to settle any disagreements by arbitration.

      2.    EMPLOYMENT  OF  MAXWELL.  Maxwell  hereby  agrees  to enter  into an
employment  agreement  with  NPC,  when  formed,  with the  following  terms and
conditions:  (a) Maxwell shall be employed by NPC or an affiliate on a part-time
basis  (twenty-four  (24) hours per week) with  specific  duties as set forth by
NPC,  but which will  include  working  with  senior  management  of NPC and its
affiliates to define  projects for  implementation  by NPC or its  affiliates in
Tennessee and Illinois, and establishing priorities and timelines for additional
projects; (b) Maxwell shall be compensated at sixty-percent (60%) of a full time
equivalent  annual  salary of One  Hundred  Thousand  Dollars  or Five  Thousand
Dollars  ($5,000)  per month,  with such  company-paid  benefits  as provided to
similarly  situated  management  with NP Care,  LLC of Connecticut ; (c) Maxwell
shall be required to travel as necessary  based on project  needs up to four (4)
days per month on average and shall be  reimbursed  in  accordance  with company
policy; (d) Maxwell's  position  description and FTE status will be evaluated at
the end of six months;(e) Maxwell shall be eligible for bonus compensation based
upon a company wide bonus structure to be determined by NPC; (f) Maxwell will be
eligible to  participate  in future stock option or stock  purchase plans at the
same level as similarly  situated  management  with NP Care, LLC of Connecticut,
(g) Maxwell agrees to a nominal employment term of approximately three (3) years
commencing  on the Effective  Date and ending on September 30, 2009,  but either
party may terminate the  employment  relationship  at any time with a minimum of
thirty (30) days prior notice and may terminate  immediately for good cause; and
(f) in addition to any other  restrictive  covenants set forth  herein,  Maxwell
agrees  that  during  the term of her  employment  and for two  years  following
termination  for any reason she will not solicit any employees or any facilities
or other clients that,  during her employment or at the time of termination,  as
the case may be, were  employed  by or either were being  serviced by NPC or any
affiliate or were being actively pursued by NPC or any affiliate. At the request
of  either  party,  Maxwell  and  NPC  shall  enter  into a  separate  agreement
incorporating  the terms of this  Section 1 with such  other  provisions  as are
customary in agreements of this type. In the event that Maxwell is terminated by
NPC for reasons  other than for good cause,  NPC will provide  severance pay for
the three (3) months following said termination.  The parties

                                     - 2 -
<PAGE>

agree  to  negotiate  these   provisions  in  good  faith,  and  to  settle  any
disagreements by arbitration.

      3.    AGREEMENT  WITH ONP.  (a) ONP,  acting  through  Berger and Maxwell,
shall be  retained  as a  consultant  to NPC for the  period  commencing  on the
Effective  Date and ending on September  30, 2009.  ONP's  specific  duties with
respect to this consulting  arrangements  shall be the following:  (i) ONP shall
use its best efforts to assist NPC in securing and retaining for NPC contractual
service agreements with the facilities identified on SCHEDULE A hereto; and (ii)
ONP shall use its best efforts to assist NPC in hiring the nurses  identified on
SCHEDULE B hereto.

      (b)   In consideration of ONP's consulting  services,  ONP shall be paid a
consulting fee in the amount of Two Hundred  Thousand  Dollars  ($200,000)  (the
"ONP Consulting Fee");

      (c)   Subject  to the  offset  set  forth  in  paragraph  (d)  below,  the
consulting fee shall be paid to ONP as follows:  (a) three (3)  installments  of
Thirty Three Thousand Three Hundred Thirty-Three and 33/100 Dollars ($33,333.33)
each  payable on the  Effective  Date and on  December  6, 2006 and on or before
December 31, 2006; and (b)  twenty-four  (24)  installments of Four Thousand One
Hundred  Sixty Six and 67/100  Dollars on the first day of January,  2007 and on
the first day of each month thereafter through December 1, 2008.

      (d)   In light of the diminished  obligations of ONP in the event that not
all of the  facilities  identified  on  SCHEDULE A become  clients  of NPC,  the
consulting  fee set forth in paragraph (c) above shall be reduced at the rate of
$7,692.30  ($200,000  divided  by 26  current  facilities)  times the  number of
facilities  that  are not a  client  of NPC at the end of six  months  from  the
Effective  Date (e.g. if only 16 facilities are being serviced by NPC on the six
month  anniversary of the Effective  Date, the offset will be $7,692.30 times 10
or $76,923.00).

      (e)   In addition to any other  restrictive  covenants  set forth  herein,
ONP, Berger and Maxwell agree that during the period commencing on the Effective
Date and ending on September  30, 2009,  neither ONP,  Berger nor Maxwell  shall
solicit  either the  facilities  identified  on  SCHEDULE A hereto or the nurses
identified on SCHEDULE B hereto except on behalf of NPC.

      4.    NO  ASSIGNMENT.  It is  specifically  agreed and  understood  by all
parties  hereto  that  neither  ONP,  Berger nor  Maxwell is making,  and NPC is
receiving, any assignment or other transfer of any of the ONP service agreements
listed on SCHEDULE A or any employment agreements, whether oral or written, with
any of the individuals listed on SCHEDULE B.

      5.    NO  ASSUMPTION  OF  LIABILITIES.   It  is  specifically  agreed  and
understood  by all parties that neither  NPC,  NPC, nor any  affiliate of either
shall  assume,  or  shall  have

                                     - 3 -
<PAGE>

any  liability  for,  any  debts,  liabilities,  obligations,  expenses,  taxes,
contracts or commitments of ONP,  Berger or Maxwell,  of any kind,  character or
description,  whether accrued, absolute, contingent or otherwise, arising out of
any act or omission of ONP,  Berger or Maxwell,  other than actions or omissions
of Berger or Maxwell  reasonably taken pursuant to their  respective  employment
agreements  or  consulting  agreements  with NPC,  and within the scope of their
respective activities  thereunder.  Without limiting the foregoing,  ONP, Berger
and  Maxwell  shall  retain all  liability  for any and all  obligations  to the
employees  of ONP  arising  out  of  their  employment  relationship  with  ONP,
including but not limited to any obligations  with respect to accrued  vacation,
sick or personal  days,  any  obligations  under any qualified or  non-qualified
retirement income plan or any other employee welfare benefit plan, or any rights
under COBRA or any similar  federal or state law,  and any  obligations  arising
under  any   employment   agreement,   written  or  oral,   or  any   employment
relationships.  ONP,  Berger and Maxwell agree to satisfy,  when due, all of the
liabilities, indebtedness and obligations of ONP other than obligations due from
ONP to Berger or Maxwell.  Berger and Maxwell agree that they will not cause ONP
to file any voluntary  petition in bankruptcy and will promptly take all efforts
necessary to discharge any involuntary petition in bankruptcy.

      6.    COMPLIANCE WITH LAWS. ONP, Berger and Maxwell  represent and warrant
that:  (a) ONP is in  compliance in all material  respects  with all  applicable
federal,  state and local laws,  regulations,  orders,  judgments  and  decrees,
including,   without  limitation,   matters  relating  to  fraud  and  abuse  or
prohibition on  self-referrals  in any government paid or sponsored  health care
program,   the   environment,    antitrust   and   anti-competitive   practices,
discrimination,  employment and health and safety;  and (b) neither ONP,  Berger
nor Maxwell have received any notice of any material,  un-remedied  violation of
any applicable law, rule, regulation,  order, writ or decree or any court or any
governmental agency or instrumentality.

      7.    SURVIVAL  OR   REPRESENTATIONS,   WARRANTIES  AND   COVENANTS.   All
representations, warranties and covenants made by any party to this Agreement or
pursuant  hereto  shall  survive  the closing of the  transactions  contemplated
hereunder. The representations,  warranties and covenants hereunder shall not be
affected or diminished by any  investigation  at any time by or on behalf of the
party for whose benefit such  representations,  warranties  and  covenants  were
made. All statements contained herein or in any schedule,  certificate,  exhibit
or  other  document   delivered  pursuant  hereto  or  in  connection  with  the
transactions   contemplated  hereby  shall  be  deemed  to  be  representations,
warranties and covenants made pursuant to this Agreement.  Without  limiting the
foregoing,  the  respective  covenants  of ONP,  Berger and Maxwell set forth in
Sections 1, 2 and 3 are  separate and  independent  and shall each be subject to
enforcement in accordance with their respective terms.

      8.    INDEMNIFICATION BY ONP, BERGER AND MAXWELL.  ONP, Berger and Maxwell
(collectively,  the "Indemnitors")  agree, jointly and severally,  to indemnify,
defend and hold  harmless  NPC, and each of its members,  affiliates,  officers,
directors,  agents and assigns (the "Indemnified Parties") from against, for and
in respect of: (a) any

                                     - 4 -
<PAGE>

and all damages,  losses,  settlement  payments,  obligations,  liabilities,
claims,  actions  or causes of action,  encumbrances  and  reasonable  costs and
expenses suffered, sustained, incurred or paid by any of the Indemnified Parties
because  of (i) the  assertion  against  any of the  Indemnified  Parties of any
claims against any of the Indemnitors or any other liabilities of an Indemnitor,
whether absolute or contingent,  known or unknown, matured or unmatured; or (ii)
the untruth, inaccuracy or breach of any representation,  warranty, agreement or
covenant of any of the Indemnitors  contained in or made in connection with this
Agreement;  and  (b) all  reasonable  costs  and  expenses  (including,  without
limitation, attorneys' fees, interest and penalties) incurred by any indemnified
party in connection with any action,  suit,  proceeding,  demand,  assessment or
judgment incident to any of the matters indemnified against in this Section 9.

      9.    TERMINATION  OF AGREEMENT.  Notwithstanding  anything  herein to the
contrary, NPC may unilaterally terminate this Agreement in the event that, on or
before the Effective  Date, NPC concludes in good faith that: (a) there has been
a material  adverse  change in the  business  or  properties  of ONP,  Berger or
Maxwell;  (b) any  representation  of ONP,  Berger  or  Maxwell  is false in any
material  respect;  or (c) ONP,  Berger or Maxwell  have  failed to perform  any
covenant  required to be performed  by them prior to the  Effective  Date.  Upon
termination of this  Agreement  pursuant to this Section 10, no party shall have
any  further  obligation  to  the  other  parties  except  with  respect  to the
obligation  to maintain  the  confidentiality  of any  confidential  information
received from the other party.

      10.   ARBITRATION.  Except for the  pursuit  of  equitable  remedies  with
respect  to the  breach of any  noncompetition  agreement  or other  restrictive
covenant set forth  herein,  the parties  hereto agree that any dispute  arising
hereunder  shall be settled by  arbitration  under the  auspices of the American
Arbitration  Association.  The venue for the  arbitration  shall be in Columbus,
Ohio. Each party shall bear its respective costs of the arbitration  proceeding,
including attorney's fees, except that the arbitrator shall have th e discretion
to award costs and reasonable  attorneys'  fees, in addition to any other relief
granted, to the prevailing party.

      11.   NOTICES.  All notices under this  Agreement  shall be in writing and
shall be  delivered  by  personal  service  overnight  mail or by  certified  or
registered mail, postage prepaid,  return receipt  requested,  to the parties at
the addresses set forth in the preamble to this Agreement.  Notices delivered by
personal  service or overnight mail shall be deemed  received on the date of the
signed receipt and notices sent by certified or registered  mail shall be deemed
received three (3) days after deposit in the mail.

      12.   FORCE MAJEURE.  No party shall be liable nor deemed to be in default
for  any  delay  or  failure  in  performance  under  this  Agreement  or  other
interruption of service which is caused, directly or indirectly, by acts of God,
military  authority,  acts of public enemy, war, accidents,  fires,  explosions,
earthquakes,   floods,   failure  of  transportation,   machinery  or  supplies,
vandalism,  strikes or other work interruptions beyond the reasonable control of
either  party.  However,  all parties  shall make good faith  efforts to

                                     - 5 -
<PAGE>

perform their  respective  obligations  under this Agreement in the event of any
such circumstances.

      13.   EXPENSES. Each party hereto shall bear all expenses incurred by such
party in connection with the negotiation, preparation, execution and performance
of this  Agreement  and any  other  Agreement  contemplated  hereby,  except  as
otherwise specified herein.

      14.   NO THIRD-PARTY  BENEFICIARIES.  This Agreement  shall not confer any
rights or  remedies  upon any  person  other than the  parties  hereto and their
respective successors and permitted assigns.

      15.   AMENDMENTS  AND  WAIVERS.  No  amendment  of any  provision  of this
Agreement,  and no  postponement  or  waiver  of any  such  provision  or of any
default, misrepresentation, or breach of warranty or covenant hereunder, whether
intentional or not, shall be valid unless such amendment, postponement or waiver
is in writing and signed by the party against whom such  enforcement  is sought.
No such amendment, postponement or waiver shall be deemed to extend to any prior
or  subsequent  matter,  whether or not  similar to the  subject  matter of such
amendment,  postponement or waiver unless explicitly stated. No failure or delay
on the part of any party in exercising any right,  power or privilege under this
Agreement  shall  operate  as a waiver  thereof  nor shall any single or partial
exercise  of any  right,  power or  privilege  hereunder  preclude  any other or
further exercise thereof or the exercise of any other right, power or privilege.

      16.   SUCCESSION AND ASSIGNMENT.  This Agreement shall be binding upon and
inure to the benefit of the parties hereto and their  respective  successors and
permitted  assigns.  No party may assign this  Agreement  or any of such party's
rights,  interests or  obligations  hereunder  without the prior approval of the
other party hereto; provided,  however, that NPC may assign its rights hereunder
in   connection   with  any   merger,   consolidation,   business   combination,
reorganization, recapitalization, or sale of assets.

      17.   MATTERS OF  CONSTRUCTION,  INTERPRETATION,  ETC.  The  parties  have
participated  jointly in the negotiation  and drafting of this Agreement.  If an
ambiguity or question of intent or interpretation  arises,  this Agreement shall
be construed as if drafted jointly by the adverse parties, and no presumption or
burden of proof shall arise favoring or  disfavoring  any of them because of the
authorship of any of the  provisions  of this  Agreement.  The word  "including"
shall mean "including  without  limitation." Each  representation,  warranty and
covenant  contained herein shall have independent  significance.  The rights and
remedies  expressly  specified  in this  Agreement  are  cumulative  and are not
exclusive of any rights or remedies  which any party would  otherwise  have. The
section  headings  hereof  are for  convenience  only and shall not  affect  the
meaning or interpretation of this Agreement.

      18.   SEVERABILITY.  The invalidity or  unenforceability of one or more of
the provisions of this Agreement in any situation in any jurisdiction  shall not
affect the

                                     - 6 -
<PAGE>

validity or  enforceability  of any other  provision  hereof or the  validity or
enforceability   of  the   offending   provision  in  any  other   situation  or
jurisdiction.

      19.   ENTIRE AGREEMENT; COUNTERPARTS. This Agreement (and any supplemental
agreement as  contemplated  by Sections 1 thru 4 as well as any  confidentiality
agreement) constitutes the entire agreement among the parties and supersedes any
prior  understandings,  agreements or  representations  by or among the parties,
written or oral, to the extent they relate to the subject  matter  hereof.  This
Agreement  may be executed in one or more  counterparts,  each of which shall be
deemed an original but all of which together  shall  constitute one and the same
instrument.

      20.   GOVERNING LAW. This Agreement  shall be governed by and construed in
accordance  with the laws of the  State of Ohio  without  giving  effect  to any
choice or conflict of law provision or rule (whether of the State of Ohio or any
other  jurisdiction)  that  would  cause  the  application  of the  laws  of any
jurisdiction other than the State of Connecticut.

      IN WITNESS  WHEREOF,  the  parties  hereto  have set forth their hands and
seals as of the date set forth above.

Ohio Nurse Practitioners, Inc.            NP Care of Ohio, LLC

By: Kathryn Maxwell                       By:/s/ David Chess
    ---------------                          ---------------
    Its President, duly authorized           Its Member, duly authorized

/s/ Kayleen Berger
------------------
Kayleen Berger

/s/ Kathryn Maxwell
-------------------
Kathryn Maxwell

                                     - 7 -

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00114-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00114-of-00352.parquet"}]]