Document:

Exhibit 10.14

 

EQUIPMENT LEASE AGREEMENT

 

THIS EQUIPMENT
LEASE AGREEMENT (“Agreement”) is made and entered into on March 21, 2003, by and between GK FINANCING, LLC,
a California limited liability company (“GKF”), and Northern Westchester Hospital Center, a not for profit corporation
(“Hospital”), with reference to the following facts:

 

RECITALS

 

WHEREAS, Hospital wants to lease a Leksell Stereotactic
Gamma Unit, model C with Automatic Positioning System manufactured by Elekta Instruments, Inc., (hereinafter referred to as the
“Equipment”); and

 

WHEREAS, GKF is willing to lease the Equipment
which GKF has acquired from Elekta Instruments, Inc., a Georgia corporation (hereinafter referred to as “Elekta”),
to Hospital, pursuant to the terms and conditions of this Agreement.

 

AGREEMENT

 

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

 

1. Lease.
Subject to and in accordance with the covenants and conditions set forth in this Agreement, GKF hereby leases to Hospital, and
Hospital hereby leases from GKF, the Equipment. The Equipment to be leased to Hospital pursuant to this Agreement shall include
the Gamma Knife technology as specified in Exhibit 1, including all hardware and software related thereto.

 

2. LGK
Agreement. Simultaneously with the execution of this Agreement, Hospital and Elekta shall enter into that certain LGK Agreement
(the “LGK Agreement”), a copy of which is attached hereto as Exhibit 1. Hospital shall perform, satisfy and fulfill
all of its obligations arising under the LGK Agreement when and as required thereunder. Hospital acknowledges that GKF is a third
party beneficiary of the LGK Agreement and, in that capacity, GKF shall be entitled to enforce Hospital’s performance, satisfaction
and fulfillment of its obligations thereunder.

 

3. Term
of the Agreement. The initial term of this Agreement (the “Term”) shall commence as of the date hereof and, unless
earlier terminated or extended in accordance with the provisions of this Agreement, shall continue for a period of ten (10) years
following the date of the performance of the first clinical Gamma Knife procedure (the “First Procedure Date”) at the
Site. Hospital’s obligation to make the rental payments to GKF for the Equipment described in Section 8 below shall commence
as of the date of performance of the first clinical Gamma Knife procedure (the “First Procedure Date)”.

 

4. 
User License.

 

4.1 Hospital
shall apply for and obtain in a timely manner a User License from the Nuclear Regulatory Commission and, if necessary, from the
applicable state agency authorizing it to take possession of and maintain the Cobalt supply required in connection with the use
of the Equipment during the term of this Agreement. Hospital also shall apply for and obtain in a timely manner all other licenses,
permits, approvals, consents and authorizations which may be required by state or local governmental or other regulatory agencies
for the development, construction and preparation of the Site, the charging of the Equipment with its Cobalt supply, the conduct
of acceptance tests with respect to the Equipment, and the use of the Equipment during the Term, as more fully set forth in Article
2.1 of the LGK Agreement. The effectiveness of the agreement is subject to the prior approval of the installation of the Equipment
by the New York State Department of Health and the satisfaction by the Hospital of all its remaining obligations to obtain approvals
set forth in this Section 4. Hospital, at its cost and expense, shall obtain all permits, certifications, approvals or authorizations
required by applicable federal, state or local laws, rules or regulations necessary to construct and improve the Site for the installation,
use and operation of the Equipment.

 

    	 	 	 

     

      

5. 
Delivery of Equipment; Site.

 

5.1 GKF
shall coordinate with Elekta and Hospital to have the Equipment delivered to Hospital at 400 East Main Street Mt. Kisco NY (the
“Site”) on or prior to the delivery date agreed upon by Hospital and Elekta in writing. GKF makes no representations
or warranties concerning delivery of the Equipment to the Site or the actual date thereof.

 

5.2 Hospital,
at its cost and expense, shall provide a safe, convenient and properly prepared Site for the Equipment in accordance with Elekta’s
guidelines, specifications, technical instructions and site planning criteria (which site planning criteria are attached as Exhibit
B to the LGK Agreement) (collectively the “Site Planning Criteria”). GKF has reviewed and approved the “Site
Planning Criteria” and the location of the site.

 

6. 
Site Preparation and Installation of Equipment.

 

6.1 Hospital,
at its cost, expense and risk, shall prepare all plans and specifications required to construct and improve the Site for the installation,
use and operation of the Equipment during the Term (“Hospital Plan”, as set forth on Exhibit 6.1 of this agreement)
The Hospital Plan, to the best of GKF’s knowledge comply in all respects with the Site Planning Criteria. With respect
to the Hospital Plan, GKF makes no representations regarding the compliance with applicable federal, state or local laws or regulations,
including building codes, or those portions of the Site Planning Criteria relating to the load bearing capacity of the floor of
the treatment room and to radiation protection.

 

The Hospital Plan has been reviewed and approved
by GKF and Elekta and all material changes thereto shall be subject to the written approval of GKF and Elekta. Hospital shall provide
GKF and Elekta with a reasonable period of time for the review and consideration of all material changes to the Hospital Plan following
submission thereof for approval.

 

6.2 Based
upon the Hospital Plan approved by GKF and Elekta, Hospital, at its cost, expense and risk, shall prepare, construct and improve
the Site as necessary for the installation, use and operation of the Equipment during the Term, including, without limitation,
providing all temporary or permanent shielding required for the charging of the Equipment with the Cobalt supply and for its subsequent
use, selecting and constructing a proper foundation for the Equipment and the temporary or permanent shielding, aligning the Site
for the Equipment, and installing all electrical systems and other wiring required for the Equipment. In connection with the construction
of the Site, Hospital, at its cost and expense, shall select, purchase and install all radiation monitoring equipment, devices,
safety circuits and radiation warning signs required at the Site in connection with the use and operation of the Equipment, all
in accordance with applicable federal, state and local laws, rules, regulations or custom.

 

6.3 In
addition to construction and improvement of the Site, Hospital, at its cost, expense and risk, shall be responsible for the installation
of the Equipment at the Site, including the positioning of the Equipment on its foundation at the Site in compliance with the Site
Planning Criteria.

 

6.4 Upon
completion of construction, the Site shall (a) comply in all material respects with the Hospital Plan and all applicable federal,
state and local laws, rules and regulations, and (b) be safe and suitable for the ongoing use and operation of the Equipment during
the Term.

 

    	 	 	 

     

     

6.5 Hospital
shall use its reasonable efforts to satisfy its obligations under this Section 6 in a timely manner. Hospital shall provide information
to GKF as reasonably requested by GKF concerning site preparation, the progress in the design of the Site, the preparation of plans
and specifications, the construction and improvement of the Site, and the satisfaction of its other obligations under this Section
6. In all events, Hospital shall complete all construction and improvement of the Site required for the installation, positioning
and testing of the Equipment on or prior to the delivery date described in Section 5.1 above. If the Site is not complete as of
the delivery date described in Section 5.1 above plus a sixty (60) day grace period (other than by reasons of force majeure as
provided in Section 23.16 below) (the “late completion date”), Hospital shall reimburse GKF for its out-of-pocket financing
costs incurred with respect the Equipment at the Bank of America prime interest rate (which rate is sometimes referred to by the
Bank as its “reference rate”) plus 2% based upon GKF’s cost of the Equipment for the period between the late
completion date and the date that the Site is completed to the extent necessary to allow for the installation, positioning and
testing of the Equipment.

 

6.6 During
the Term, Hospital, at its cost and expense, shall maintain the Site in a good working order, condition and repair, reasonable
wear and tear excepted.

 

6.7 Hospital
shall be liable for, and shall indemnify GKF in the manner described in Section 22 below from and against, all damage to the Equipment
caused by (a) defects in construction of the Site or in installation or positioning the Equipment at the Site ; (b) defects
arising out of materials or parts provided, modified or designed by Hospital for or with respect to the Site, except any defects
rising from the Equipment ; (c) negligent or wrongful acts or omissions by Hospital or any of its officers, directors, agents,
contractors (or their subcontractors), or employees in connection with the construction and preparation of the Site ; and
(d) negligent or wrongful operation of the Equipment at the Site. Further, neither the review and approval of Site plans, specifications
and/or positioning plans by GKF and/or Elekta, nor the construction of any other Site preparation, shall relieve Hospital for liability
for damages to the Equipment caused by the failure to comply with applicable federal, state or local laws or regulations, including
building codes, or those portions of the Site Planning Criteria relating to the load bearing capacity of the floor of the treatment
room and to radiation protection.

 

7. Educational
Support. Hospital shall provide community education (e.g.,seminars) to physicians concerning the Equipment and Gamma Knife
procedures and community education to physicians. Not less than ninety (90) days prior to the First Procedure Date and the commencement
of each succeeding twelve (12) month period during the Term, GKF and Hospital shall develop a mutually agreed upon educational
budget and plan for the succeeding twelve (12) month period of the Term. Once approved, the educational budget and plan shall be
implemented by Hospital in accordance with its terms. As funds are expended by Hospital in accordance with the educational budget
and plan, Hospital shall submit invoices (together with documentary evidence supporting the invoices) for its expenditures and,
promptly following the receipt of such invoices, GKF shall reimburse Hospital for fifty percent (50%) of the expenditures up to
an annual maximum of Fifty Thousand Dollars ($50,000). It is acknowledged by the parties that such expenses to be reimbursed by
GKF as provided in this Section 7 have been included in GKF’s calculation of Hospital’s Lease Payments so as to allow
GKF to recover such GKF reimbursed expenses during the Term of this Agreement.

 

8. 
Payment Terms

 

8.1 Per
Procedure Payments. As rent for the lease of the Equipment to Hospital pursuant to this Agreement, Hospital shall pay to GKF
the sum as set forth in Exhibit 8 of this Agreement. (the “Lease Payment”). Hospital shall pay the Lease Payment for
each “Procedure” that is completed by the Hospital or its representatives or affiliates at the Site, as defined in
Section 5.1, irrespective of whether the Procedure is performed on the Equipment or using any other equipment or devices. As used
herein, the term a “Procedure” means any treatment using external, single fraction, conformal radiation, commonly called
stereotactic radiosurgery, that may include one or more isocenters during the patient treatment session, delivered to any site(s)
superior to the foramen magnum. Hospital’s obligation to make Lease Payments pursuant to this Section shall be expressly
limited by Section 8.2, 8.3 and 8.4 hereof.

 

    	 	 	 

     

     

If no Procedures are performed by Hospital or
any other person utilizing the Equipment or any other equipment devices at the Hospital, Hospital shall not owe any Lease
Payment to GKF. GKF shall submit an invoice to Hospital on the fifteenth (15th) and the last day of each calendar month (or portion
thereof) for the actual number of Procedures performed during the first and second half of the calendar month, respectively. The
Hospital shall pay invoices received during the initial three (3) months following the First Procedure Date within sixty (60) days
after receipt of such invoices by the Hospital. For invoices received by the Hospital following the initial three (3) months following
the First Procedure Date, the Hospital shall pay invoices within thirty (30) days after submission by GKF to Hospital. All or any
portion of an invoice which is not paid in full within forty-five (45) days after submission (with respect to invoices provided
after the initial three (3) months following the First Procedure Date) or seventy (75) days after submission (with respect to invoices
provided during the initial three (3) months following the First Procedure Date) shall bear interest at the rate of the lesser
of one percent (1.0%) per month (or the maximum monthly interest rate permitted to be charged by law between an unrelated, commercial
borrower and lender, if less) until the unpaid rent invoice together with all accrued interest thereon is paid in full. If GKF
shall at any time accept a Lease Payment from Hospital after it shall become due, such acceptance shall not constitute or be construed
as a waiver of any or all of GKF’s rights under this Agreement, including the rights of GKF set forth in Section 20 hereof.

 

Within ten (10) days after Hospital’s
receipt of written request by GKF, GKF shall have the right to audit Hospital’s books and records (including, without limitation,
the books and records pertaining to any other radiosurgery equipment or devices) relating solely to the Hospital’s provision
of Procedures to verify the number of Procedures that have been performed by Hospital, and Hospital shall provide GKF with access
to such books and records; provided that any patient names or identifiers shall not be disclosed. GKF shall not have access
to nor shall it directly or indirectly access any “Patient Health Information” as such terms are defined by HIPAA.
GKF agrees that it shall execute such documents and agreements as may be reasonably required by Hospital to assure compliance with
HIPAA.

 

In the event a Procedure is not completed due
to a technical problem with the Equipment, the Hospital will not be charged a Lease Payment for such Procedure.

 

8.2 Adjustment
to Lease Payment Due to Increase/Decrease in the Reimbursement Rate.

 

(a) If
the “Reimbursement Rate” in effect on any “Reset Date” is fifteen (15%) less than the “Base Rate”
(as such quoted terms are defined in Section 8.2(e) below), Hospital shall inform GKF in writing within ninety (90) days after
the applicable Reset Date and shall provide GKF with the information used in calculating such Reimbursement Rate. Within thirty
(30) days after GKF’s receipt of such notice, the parties shall meet to renegotiate in good faith the Lease Payments payable
by Hospital under this Agreement.

 

In determining the renegotiated Lease Payment,
any reduction or increase thereto may or may not be (and is not required to be) in proportion to the reduction to the Reimbursement
Rate. Furthermore, any reduction to the Lease Payment will be calculated to provide Hospital with “Operating Income”
(as defined below) at a break even level as a result of such reduction (i.e., any reduction shall not exceed the amount required
to achieve such “Break Even Level”. The term “Break Even Level” is defined herein as zero dollars ($0)
in Operating Income (as defined in Section 8.2(e) hereof) arising from the operation of the Equipment; provided that no Lease
Payment reduction shall be imposed that would result in negative Operating Income to GKF in accordance with subsection 8.2(e) below.
If the Lease Payment proposed by Hospital would result in negative Operating Income to GKF, then (i) Hospital shall have the recourse
to arbitration as provided in Section 8.2(c) below, and (ii) this Agreement shall remain unchanged and in full force and effect
until outcome of arbitration, if any.

 

    	 	 	 

     

     

(b) Each
of GKF and Hospital shall permit the other party and its representatives to inspect its books and records pertaining to the Equipment
in order to verify such Operating Income. All HIPAA regulations will be applied in the inspection of Hospital’s books and
GKF agrees that it shall execute such documents and agreement as may be reasonably required by Hospital to assure compliance with
HIPAA.

 

(c) If the Hospital and GKF are unable to reach
an agreement on the new Lease Payment rate, then GKF and Hospital shall within ten (10) days of their failure to reach an agreement
in accordance with the last sentence of Section 8.2(a), then GKF and Hospital shall each appoint an arbitrator within ten (10)
days of their failure to reach an agreement in accordance with the time frames set forth in Section 8.2(a). Such arbitrators shall
appoint a third arbitrator within ten (10) days after their appointment. The arbitrators shall have not less than ten (10) years
experience in medical equipment financing, be in good standing with the American Arbitration Association or other comparable organization,
and have no prior relationship, attorney/client or otherwise, with any of the parties. The parties shall present all necessary
information concerning the dispute to the arbitrators within thirty (30) days following the arbitrator’s appointment. Such
arbitrators shall review the information presented by both parties and shall render a decision within thirty (30) days of his of
her appointment. The arbitrator’s decision, which shall be made by majority or unanimously, shall be based on a determination
of an equitable apportioning of the economic losses resulting to the Hospital as a result of the decrease in the Reimbursement
Rate among the Hospital and GKF, and taking into account the capital investment made by the parties. The arbitrators’ decision
shall be binding upon the parties and non-appealable. The fees and expenses of the arbitrator shall be shared equally between the
parties. The foregoing arbitration procedure shall apply only to disagreements arising from this Section 8.2 and not to any other
disputes or disagreements arising from this Agreement.

 

(d) If
the parties mutually agree on a renegotiated Lease Payment or if a renegotiated Lease Payment is determined by the arbitrator as
set forth above, then such renegotiated Lease Payment shall become effective on the date that is three (3) months following the
applicable Reset Date, and Exhibit 8.2 hereto shall be deemed automatically amended as of such date.

 

(e) As
used in this Section 8.2, (i) the “Reimbursement Rate” means the average aggregate technical component reimbursement
for Gamma Knife Procedures received by Hospital from all payor sources in effect as of any Reset Date; (ii) the “Base
Rate” means the average aggregate technical component reimbursement for Gamma Knife Procedures received by Hospital from
all payor sources in effect on the date which is one (1) year after the First Procedure Date; provided that, if the
Lease Payment is renegotiated by the parties at any time or from time-to-time pursuant to this Section 8.2, then, immediately following
the implementation of the renegotiated Lease Payment, the Base Rate shall become the Reimbursement Rate in effect as of the Reset
Date that immediately precedes the implementation of such renegotiated Lease Payment; (iii) the “Reset Date” means
the date which is two (2) years after the First Procedure Date of this Agreement and each annual anniversary date thereafter and
(iv) “Operating Income” with respect to either party, means the revenues generated by such party from the Equipment
less such party’s corresponding direct operating expenses related to the Equipment, including, without limitation, applicable
interest and depreciation expenses on the Equipment and Site improvements, but excluding physician professional fees and direct
or indirect administrative overhead expenses.

 

    	 	 	 

     

     

(f) If
the Lease Payment is reduced at any time or from time-to-time pursuant to this Section 8.2, and thereafter, the Reimbursement Rate
in effect on any Reset Date increases by fifteen percent (15%) or more over the then-effective Base Rate, then, for each such increase,
the Lease Payment shall also be increased in proportion to the percentage increase in the Reimbursement Rate; provided that
in no event shall the increased Lease Payment exceed the Lease Payment in effect on the First Procedure Date.

 

8.3 New
Technology. Except for Section 8.3(d) below, this Section 8.3 shall only become applicable (i) on or after the date that is
five (5) years after the First Procedure Date (the “Five Year Date”), and (ii) if the average number of Procedures
actually performed using the Equipment during the twelve (12) month period immediately preceding the Five Year Date was not less
than one hundred fifty (150) Procedures (collectively, the “New Technology Preconditions”). If both of the New Technology
Preconditions have been satisfied, the following provisions shall apply:

 

(a) If
at any time on or after the Five Year Date, “New Technology” becomes commercially available to perform Procedures which
Hospital desires to purchase or lease, Hospital shall, promptly provide written notice thereof to GKF (the “New Technology
Notice”). As used herein, “New Technology” shall mean a treatment modality for providing Procedures which uses
medical technology not commercially available as of the First Procedure Date, but which subsequently becomes commercially available.

 

(b) If,
within ninety (90) days following GKF’s receipt of the New Technology Notice, the parties are unable to agree in good
faith on the lease payment or sale price or other material terms for the New Technology, Hospital may lease or purchase the
New Technology from any other person or entity; provided that, prior to entering into any lease or purchase agreement
with another person or entity for the New Technology, Hospital shall first provide written notice to GKF setting forth the
equipment to be used, the amount to be paid, the payment of and (if applicable) the term of such proposal transaction (the
“Option Notice”). GKF shall have thirty (30) days following its receipt of the Option Notice (the “Option
Period”) within which to agree or decline to lease or sell the New Technology to Hospital on the same terms as stated
in the Option Notice. If GKF agrees to lease or sell the New Technology to Hospital on the same terms as stated in the Option
Notice, GKF shall provide written notice of the same to Hospital, and the parties shall promptly enter into a lease or sale
of the New Technology on such terms as stated in the Option Notice. If GKF declines to lease or sell the New Technology to
Hospital on the terms as stated on the Option Notice, GKF shall provide written notice of, same to Hospital (or, if GKF fails
to provide such written notice, GKF shall be deemed to have declined to lease or sell such New Technology) and Hospital shall
have one hundred twenty days (120) days following its receipt of GKF’s notice of declination (the “Post-Option
Period”) within which to enter into a lease or purchase of the New Technology in accordance with the terms of the
Option Notice. Hospital shall provide GKF with a certification of its officer promptly following the full execution of such
lease or purchase agreement which certification shall set forth that Hospital has entered into a lease or purchase agreement
for the New Technology which lease or purchase agreement contains the terms set forth in the Option Notice, as well as any
and all additional terms not noted in the Option Notice and contains no additional substantive terms not stated in the Option
Notice. If Hospital does not enter into a lease or purchase agreement for the New Technology containing the terms
substantially similar to the terms set forth in the Option Notice within the Post-Option Period, or if any of the terms set
forth in the Option Notice are supplemented, deleted, changed or otherwise modified in any way, the process of requiring
a new Option Notice, Option Period and Post-Option Period shall be repeated in accordance with the terms set forth in this
Section 8.3(b)

 

    	 	 	 

     

     

(c) From
and after the date on which the Hospital first uses the New Technology, Hospital will not be obligated to pay Lease Payments to
GKF for Procedures that are performed on the New Technology. In consideration for the foregoing concession made by GKF, Hospital
agrees to guarantee a minimum payment (the “Minimum New Technology Payment”) to GKF for each 365-day period during the
Term of this Agreement commencing from and after the date on which the first procedure is performed on the New Technology, the
New Technology order date (each such 365-day period is referred to as a “New Technology Payment Period”). The Minimum
New Technology Payment shall be equal to the Lease Payment then in effect multiplied by seventy-five (75). Thus, for each New Technology
Payment Period, GKF shall be entitled to the greater of: (a) the Lease Payment then in effect, multiplied by the number of Procedures
that are performed using the Equipment and any other equipment or devices (other than the New Technology) during such New Technology
Payment Period, or (b) the Minimum New Technology Payment (the “New Technology Lease Payment”). The foregoing
shall apply irrespective of whether 75 Procedures are actually performed using the Equipment during the New Technology Payment
Period, and/or whether the New Technology is acquired by Hospital through purchase or lease (from GKF or any other entity). To
the extent applicable, within thirty (30) days following the close of each New Technology Payment Period, Hospital shall pay to
GKF the shortfall between the Lease Payments made to GKF during such New Technology Payment Period and the Minimum New Technology
Payment.

 

(d) Nothing
set forth in this Section 8.3 shall be deemed or construed to prohibit the purchase or lease by Hospital of any New Technology
at any time prior to or after the Five Year Date or otherwise require the Hospital to comply with Section 8.3 (a) or (b). Subject
to Section 8.4(b) below, if Hospital purchases or leases any New Technology without first having satisfied all of the New Technology
Preconditions, then, Hospital’s obligation set forth in Section 8.1 above to pay Lease Payments for all Procedures, irrespective
of whether the Procedure is performed on the Equipment or using any other equipment or devices, including, without limitation,
the New Technology, shall remain in full force and effect until the expiration or termination of this Agreement.

 

8.4 Obsolescence.

 

(a) If
at any time on or after the Five Year Date, should the Equipment at any time be deemed to be obsolete (as determined in accordance
with Section 8.4(d) below), the Hospital shall only be required to pay GKF the greater of the following : (i) the then current
Lease Payment (as may be modified on each Reset Date as set forth in Section 8.2) for each Procedure performed on the Equipment,
or (ii) an amount, on an annual basis, equal to seventy-five (75) multiplied by the then effective Lease Payment ( as may be modified
on each Reset Date as set forth in Section 8.2). Payments owed under clause (ii) of the immediately prior sentence shall be paid
by the Hospital within thirty (30) days following each annual anniversary of the date on which the first Procedure is performed
on new equipment after it was determined that the Equipment is obsolete.

 

Notwithstanding the foregoing, in the event
the Equipment is deemed to be obsolete hereunder, if GKF and the Hospital enter into an agreement whereby GKF provides Alternative
Equipment to the Hospital, then from and after the date on which the Hospital first uses the Alternative Equipment provided by
GKF, the Hospital’s payment obligation shall be limited to the Hospital’s obligation to pay GKF an equal amount to
(i) the then effective Lease Payment (as may be modified on each Reset Date as set forth in Section 8.2) for those Procedures performed
using the Equipment plus (ii) the payments required to be made for the use of the Alternative Equipment in accordance with the
agreement governing such Alternative Equipment between the Hospital and GKF.

 

(b) Notwithstanding
the foregoing, if the Equipment becomes obsolete on or after the Five Year Date, and Hospital has already purchased or leased (or
subsequently purchases or leases) New Technology, the Obsolescence Lease Payment shall supersede Hospital’s obligation to
pay Lease Payments for all Procedures (whether performed on the Equipment or on any other equipment or devices, including, without
limitation, the New Technology).

 

    	 	 	 

     

     

(c) If
at any time on or after the Five Year Date, the Equipment becomes obsolete as determined above, GKF shall have the option in its
sole discretion to terminate this Agreement by giving a written notice thereof to Hospital not less than ninety (90) days prior
to the effective date of the termination designated in GKF’s written notice. In the event GKF elects to terminate the Agreement
based on such obsolescence, GKF will be responsible at its sole cost and expense for removing the Equipment and transporting it
from the Hospital.

 

(d) A
determination as to whether the Equipment is obsolete may be requested in writing by Hospital at any time on or after the Five
Year Date and not more than once during any twelve-month period commencing from the Five Year Date. The Equipment shall be deemed
to be obsolete if it is determined that another piece of equipment (but not a combination of different types of equipment) is more
medically appropriate to use than the Equipment to perform Procedures to treat 65% or greater of the following indications : metastatic
brain tumors (solitary and multiple), meningiomas, arteriovenous malformations, acoustic neuromas, pituitary tumors, craniopharyngiomas,
gliomas, glioblastomas, nasopharyngeal carcinomas, ocular melanomas and trigeminal neuralgia. If GKF does not agree that the Equipment
is obsolete, it shall, within ten (10) days following its receipt of such request, notify the other party in writing of the same.
Within (10) ten days thereafter, each party shall designate a practicing neurosurgeon or radiation oncologist who shall have not
less than ten (10) years experience in the performance of radiosurgical procedures using various radiosurgical devices, including
the Gamma Knife. Within ten (10) days of such designation, each such designee shall mutually agree upon and designate a third neurosurgeon
or radiation oncologist having the same qualifications as described above and who shall have no relationship or medical staff privileges
with either Hospital, GKF or any of GKF’s members. The three designated physicians shall have thirty (30) days within which
to determine whether the Equipment is obsolete based on the standard set forth above in this subsection (d). Any determination
of obsolescence must state in writing that the Equipment is obsolete reciting the standard set forth above in this subsection (d),
and must be signed by each designee. The determination of two of the three designated physicians shall be required to determine
whether the Equipment is obsolete. Each party shall pay their own costs or expenses incurred in connection with any determination
under this Section 8.4(d).

 

9. 
Use of the Equipment.

 

9.1 The
Equipment shall be used by Hospital only at the Site and shall not be removed therefrom. Hospital shall use the Equipment only
in the regular and ordinary course of Hospital’s business operations and only within the capacity of the Equipment as determined
by Elekta’s specifications. Hospital shall not use nor permit the Equipment to be used in any manner nor for any purpose
which, in the reasonable opinion of Elekta or GKF, the Equipment is not designed or reasonably suitable.

 

9.2 This
is an agreement of lease only. Nothing herein shall be construed as conveying to Hospital any right, title or interest in or to
the Equipment, except for the express leasehold interest granted to Hospital for the Term. All Equipment shall remain personal
property (even though said Equipment may hereafter become attached or affixed to real property) and the title thereto shall at
all times remain exclusively in GKF.

 

9.3 During
the Term, upon the request of GKF, Hospital shall promptly affix to the Equipment in a prominent place, or as otherwise directed
by GKF, labels, plates, insignia, lettering or other markings supplied by GKF indicating GKF’s ownership of the Equipment,
and shall keep the same affixed for the entire Term. Hospital hereby authorizes GKF to cause this Lease or any statement or other
instrument showing the interest of GKF in the Equipment to be filed or recorded, or refiled or re-recorded, with all governmental
agencies considered appropriate by GKF, at Hospital’s cost and expense. Hospital also shall promptly execute and deliver,
or cause to be executed and delivered, to GKF any statement or instrument requested by GKF for the purpose of evidencing GKF’s
interest in the Equipment, including financing statements and waivers with respect to rights in the Equipment from any owners or
mortgagees of any real estate where the Equipment may be located.

 

    	 	 	 

     

     

9.4 At
Hospital’s cost and expense, Hospital shall (a) protect and defend GKF’s ownership of and title to the Equipment from
and against all persons claiming against or through Hospital, (b) at all times keep the Equipment free from any and all liens,
encumbrances, attachments, levies, executions, burdens, charges or legal processes imposed against Hospital, (c) give GKF immediate
written notice of any matter described in clause (b), and (d) in the manner described in Section 22 below indemnify GKF harmless
from and against any loss, cost or expense (including reasonable attorneys’ fees) with respect to any of the foregoing.

 

10. Additional
Covenants of Hospital. In addition to the other covenants of Hospital contained in this Agreement, Hospital shall, at its cost
and expense:

 

10.1 Provide
properly trained professional, technical and support personnel and supplies required for the proper performance of Gamma Knife
procedures utilizing the Equipment. In this regard, Hospital shall maintain a minimum of one (1) Gamma Knife trained team comprised
of one (1) neurosurgeon, one (1) radiation oncologist and one (1) physicist. Hospital will use its reasonable efforts to maintain
two teams. In the event the Hospital experiences the loss of physician teams on staff, Hospital will utilize Locum Tenens or temporary
physicians (in the same specialty as the replaced physicians) to be trained to operate the Equipment and cover in the interim period.
In the Hospital shall be provided with six (6) Elekta Gamma Knife training slots for the training of its two Gamma Knife teams.
All travel and entertainment expenses related to training are the responsibility of the Hospital. The Gamma Knife shall be available
for use by all credentialed neurosurgeons and radiation oncologists. GKF will provide assistance with additional physicians training
on the Equipment as mutually agreed upon by Hospital and GKF.

 

10.2 Direct,
supervise and administer the provision of all services relating to the performance of Procedures utilizing the Equipment in accordance
with all applicable laws, rules and regulations.

 

10.3 Keep
and maintain the Equipment and the Site fully protected, secure and free from unauthorized access or use by any person.

 

11. Additional
Covenants of GKF. In addition to the other covenants of GKF contained in this Agreement, GKF, at its cost and expense, shall:

 

11.1 Use
its best efforts to require Elekta to meets its contractual obligations to GKF and Hospital upon delivery of the Equipment and
put the Equipment, as soon as reasonably possible, into good, safe and serviceable condition and fit for its intended use in accordance
with the manufacturer’s specifications, guidelines and field modification instructions.

 

11.2 Cause
Hospital to enjoy the use of the Equipment, free of the rights of any other persons except for those rights reserved by GKF or
granted to Elekta under the LGK Agreement.

 

11.3 Restrictive
Convenant

 

(a) During
the initial three (3) year period following the First Procedure Date, none of GKF or American Shared Radiosurgery Services (“ASRS”)
shall directly or indirectly, within Westchester County lease, sell and/or otherwise own any interest in any Gamma Knife system,
whether directly or as a shareholder, partner, equity holder, manager or otherwise

 

(b) GKF
and ASRS acknowledge that: (i) the terms contained in this Section are necessary for the commercially reasonable and proper protection
of the Hospital’s interests including without limitation, the Hospital’s substantial investment in the construction
and improvement of the Site to accommodate the installation of the Equipment; (ii) each and every covenant and restriction
contained in this Section is reasonable in respect of such matter, length of time and geographical area; and (iii) the Hospital
is relying on the representations of the parties contained in this Section that they shall abide by and be bound by each of the
aforesaid covenants and restrictions.

 

    	 	 	 

     

     

(c) If
any court or tribunal of competent jurisdiction determines that the duration, geographical limit or any other aspect of the provisions
of this Section is unenforceable in accordance with its terms in a particular jurisdiction, the provisions of this Section shall
not terminate, but shall be deemed amended to the extent required to render them valid and enforceable in such jurisdiction and
such court or tribunal is hereby authorized and directed to amend this Agreement only to the extent that such court or tribunal
determines such an amendment is necessary to make it valid and enforceable in said jurisdiction.

 

(d) Each
of GKF and ASRS further agree that damages at law would be an insufficient remedy for the Hospital in the event that any of them
violate the provisions of this Section, and that the Hospital shall be entitled to, among other remedies, make an application to
a court of competent jurisdiction to obtain injunctive relief. Nothing contained herein shall be construed as prohibiting the Hospital
from pursuing any other remedies available to the Hospital for a breach or threatened breach of the provisions of this Section,
including the recovery of damages from any of GKF and/or ASRS.

 

(e) The
unsuccessful party in judicial proceedings to enforce its rights under this Section shall reimburse the successful party for the
reasonable legal fees, costs and disbursements which it incurs as a result of such proceedings.

 

(f) The
restrictive covenants contained in this Section shall automatically terminate and be of no further force and effect upon the termination
of this Agreement for any reason.

 

12. 
Maintenance of Equipment; Damage or Destruction of Equipment.

 

12.1 During
the Term and except as otherwise provided in this Agreement, GKF, at its cost and expense, shall (a) maintain the Equipment in
good operating condition and repair, reasonable wear and tear excepted, and (b) maintain in full force and effect a Service Agreement
with Elekta and any other service or other agreements required to fulfill GKF’s obligation to repair and maintain the Equipment
under this Section 12. Hospital shall promptly notify GKF in the event of any damage or destruction to the Equipment or of any
required maintenance or repairs to the Equipment, regardless of whether such repairs or maintenance are covered or not covered
by the Service Agreement. GKF shall pursue all remedies available to it under the Service Agreement and under any warranties made
by Elekta with respect to the Equipment so that the Equipment will be free from defects in design, materials and workmanship and
will conform to Elekta’s technical specifications concerning the Equipment.

 

12.2 GKF
and Elekta shall have the right to access the Equipment for the purpose of inspection and the performance of repairs at all reasonable
times, upon reasonable advance notice and with a minimum of interference or disruptions to Hospital’s regular business operations.
GKF will comply with HIPPA patient privacy regulations.

 

12.3 Hospital
shall be liable for, and in the manner described in Section 22 below shall indemnify GKF from and against, any damage to or destruction
of the Equipment caused by the misuse, improper use or wrongful or negligent acts or omissions of Hospital’s officers, employees,
agents, contractors and physicians. In the event the Equipment is damaged as a result of the misuse, improper use, or other wrongful
or negligent acts or omissions of Hospital’s officers, employees, agents, contractors and physicians, to the extent such
damage is not covered by the Service Agreement or any warranties or insurance, GKF may service or repair the Equipment as needed
and the cost thereof shall be paid by Hospital to GKF promptly upon written request together with interest thereon at the rate
of one (1.0%) per month (or the maximum monthly interest rate permitted to be charged by law between an unrelated, commercial borrower
and lender, if less) and reasonable attorneys’ fees and costs incurred by GKF in collecting such amount from Hospital. Any
work so performed by GKF shall not deprive GKF of any of its rights, remedies or actions against Hospital for such damages.

 

    	 	 	 

     

     

12.4 If
the Equipment is rendered unusable as a result of any physical damage to or destruction of the Equipment, Hospital shall give GKF
written notice thereof. GKF shall determine, within thirty (30) days after it is given written notice of such damage or destruction,
whether the Equipment can be repaired. In the event GKF determines that the Equipment cannot be repaired (a) GKF, at its cost and
expense, shall replace the Equipment as soon as reasonably possible taking into account the availability of replacement equipment
from Elekta, Elekta’s other then existing orders for equipment, and the then existing limitations on Elekta’s manufacturing
capabilities, and (b) this Agreement shall continue in full force and effect as though such damage or destruction had not occurred.
In the event GKF determines that the Equipment can be repaired, GKF shall cause the Equipment to be repaired as soon as reasonably
possible thereafter. Hospital shall fully cooperate with GKF to effect the replacement of the Equipment or the repair of the Equipment
(including, without limitation, providing full access to the Site) following the damage or destruction thereof. In the event the
Hospital is unable to use the equipment after providing written notice to GKF as set forth in this section, the Hospital shall
not be obligated to pay any Lease Payment to GKF for Procedures not provided on the Equipment until GKF has remedied the problems
set forth in the written notice.

 

13. Alterations
and Upgrades to Equipment.

 

13.1 Hospital
shall not make any modifications, alterations or additions to the Equipment (other than normal operating accessories or controls)
without the prior written consent of GKF. Hospital shall not, and shall not permit any person other than representatives of Elekta
or any other person authorized by GKF to, effect any inspection, adjustment, preventative or remedial maintenance, or repair to
the Equipment without the prior written consent of GKF. All modifications, alterations, additions, accessories or operating controls
incorporated in or affixed to the Equipment (herein collectively called “additions” and included in the definition
of “Equipment”) shall become the property of the GKF upon termination of this Agreement.

 

13.2 The
necessity and financial responsibility for modifications, additions or upgrades to the Equipment, including the reloading of the
Cobalt-60 source, shall be mutually agreed upon by GKF and Hospital. In the event GKF and Hospital agree to reload the Cobalt-60
source (i.e., in approximately the seventh (7th) year of the Term), and GKF pays the costs associated therewith, notwithstanding
any provisions to the contrary herein, the initial Term shall be automatically extended for a period of two (2) years. It is the
intent of the parties that GKF shall be responsible for Equipment related costs and expenses and that Hospital shall be responsible
for Site related costs and expenses for modifications, additions or upgrades to the Equipment, including the reloading of the Cobalt-60
source that are mutually agreed upon by GKF and Hospital. GKF shall be responsible for upgrading the Gamma Knife to its most current
version or at least to within one release of the current version. In the event Equipment is upgraded, Hospital and GKF will mutually
agree to extend the term of contract and/or increase the fee per procedure rate to offset the additional expense to GKF.

 

14. Financing
of Equipment by GKF. GKF, in its sole discretion, may finance the Equipment. Financing may be in the form of an installment
loan, a capitalized lease or other commercially available debt or financing instrument. If GKF finances the Equipment through an
installment loan, GKF shall be required to provide the Equipment as collateral for the loan. If GKF finances the Equipment through
a capitalized lease, title shall vest with the lessor until such time as GKF exercises its buy-out option under the lease, if any.
If required by the lender, lessor or other financing entity (the “Lender”), GKF may assign its interest under this
Agreement as security for the financing. Hospital’s interest under this Agreement shall be subject to the interests of the
Lender.

 

15. Equipment
Operational Costs. Except as otherwise expressly provided in this Agreement, Hospital shall be responsible and liable for all
costs and expenses incurred, directly or indirectly, in connection with the operation and use of the Equipment during the Term,
including, without limitation, the costs and expenses required to provide trained physicians, professionals, and technical and
support personnel, supplies and other items required to properly operate the Equipment and perform Gamma Knife procedures.

 

    	 	 	 

     

     

16. Taxes.
GKF shall pay all sales or use taxes imposed or assessed in connection with the purchase of the Equipment and all personal property
taxes imposed, levied or assessed on the ownership and possession of the Equipment during the Term. All other taxes, assessments,
licenses or other charges imposed, levied or assessed on the Equipment during the Term shall be paid by Hospital before the same
shall become delinquent, whether such taxes are assessed or would ordinarily be assessed against GKF or Hospital; provided,
however, Hospital shall not be required to pay any federal, state or local income, franchise, corporation or excise taxes imposed
upon GKF’s net income realized from the lease of the Equipment. In case of a failure by Hospital to pay any taxes, assessments,
licenses or other charges when and as required under this Section, GKF may pay all or any part of such taxes, in which event the
amount paid by GKF shall be promptly payable by Hospital to GKF upon written request together with interest thereon at the rate
of at the rate of one percent (1.0%) per month (or the maximum monthly interest rate permitted to be charged by law between an
unrelated, commercial borrower and lender, if less) and reasonable attorneys’ fees and costs incurred by GKF in collecting
such amount from Hospital.

 

17. No
Warranties by GKF. Hospital warrants that as of the First Procedure Date, it shall have (a) thoroughly inspected the Equipment,
(b) determined that the Equipment is consistent with the size, design, capacity and manufacture selected by it, and (c) satisfied
itself that to the best of its knowledge the Equipment is suitable for Hospital’s intended purposes and is good working order,
condition and repair. GKF SUPPLIES THE EQUIPMENT UNDER THIS AGREEMENT IN ITS “AS IS” CONDITION. GKF, NOT BEING THE
MANUFACTURER OF THE EQUIPMENT OR THE MANUFACTURER’S AGENT, MAKES NO WARRANTY OR REPRESENTATION, EITHER EXPRESSED OR IMPLIED,
AS TO THE EQUIPMENT’S MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR USE, DESIGN, CONDITION, DURABILITY, CAPACITY,
MATERIAL OR WORKMANSHIP OR AS TO PATENT INFRINGEMENT OR THE LIKE. As between GKF and Hospital, Hospital shall bear all risks with
respect to the foregoing warranties. GKF shall not be liable for any direct, indirect and consequential losses or damages suffered
by Hospital or by any other person, and Hospital expressly waives any right to hold GKF liable hereunder for, any claims, demands
and liabilities arising out of or in connection with the design, manufacture, possession or operation of the Equipment, including
injury to persons or property resulting from the failure of, defective or faulty design, operation, condition, suitability or use
of the Equipment. All warranty or other similar claims with respect to the Equipment shall be made by Hospital solely and exclusively
against persons other than GKF, including Elekta or any other manufacturers or suppliers. In this regard and with prior written
approval of GKF, Hospital may, in GKF’s name, but at Hospital’s sole cost and expense, enforce all warranties, agreements
or representations, if any, which may have been made by Elekta or manufacturers, suppliers or other third parties regarding the
Equipment to GKF or Hospital. GKF shall not be responsible for the delivery, installation or operation of the Equipment or for
any delay or inadequacy of any or all of the foregoing. GKF will enforce any warranties provided to it by Elekta.

 

18. Termination
for Economic Justification. If, following the initial twenty four (24) months after the First Procedure Date and following
each subsequent 12 month period thereafter during the Term, based upon the utilization of the Equipment within a reasonable period
of time after GKF’s written request, Hospital does not provide GKF with a reasonable economic justification to continue this
Agreement and the provision of Gamma Knife services at the Hospital, then and in that event, GKF shall have the option to terminate
this Agreement by giving a written notice thereof to Hospital not less than ninety (90) days prior to the effective date of the
termination designated in GKF’s written notice. In the event GKF exercises this Economic Justification clause or terminates
the Agreement for any reason other than that the Hospital is in breach of the Agreement, GKF will be responsible at its sole cost
and expense for removing the Equipment and transporting it from the Hospital.

 

    	 	 	 

     

     

19. 
Options to Extend Agreement. As of the end of the Term, Hospital shall have the option either to:

 

19.1 Extend
the Term of this Agreement for a specified period of time and upon such other terms and conditions as may be agreed upon by GKF
and Hospital: or shall automatically terminate unless extended by the Hospital in writing.

 

19.2 At
the end of the Term, the Hospital shall have the option to extend the Term of the Agreement for a specified period of time and
upon such other terms and conditions as may be agreed upon by GKF and the Hospital. Should the Hospital not exercise such option,
this Agreement shall automatically terminate. The Hospital shall exercise such option by giving an irrevocable written notice thereof
to GKF at least nine (9) months prior to the expiration of the initial term. Any such notice shall be sufficient if it states in
substance that Hospital elects to exercise its option and GKF and Hospital can agree upon the terms of the extension. If Hospital
fails to exercise the option granted herein at least nine (9) months prior to the expiration of the initial Term, the option shall
lapse and this Agreement shall expire as of the end of the initial Term. Further, if Hospital exercises the option set forth in
the first sentence of this Section 19 and the parties are unable to mutually agree upon the length of the extension of the Term
or any other terms or conditions applicable to such extension prior to the expiration of the Term, this Agreement shall expire
as of the end of the initial Term. At the end of the term, this Agreement shall automatically terminate unless it is extended upon
the written agreement of GKF and Hospital.

 

20. 
Events of Default by Hospital and Remedies.

 

20.1 The
occurrence of any one of the following shall constitute an event of default under this Agreement (an “Event of Default”):

 

20.1.1 Hospital
fails to pay any rent payment when due pursuant to Paragraph 8 above and such failure continues for a period of thirty (30) days
after written notice thereof is given by GKF or its assignee to Hospital; however, if Hospital cures the rent payment default
within the applicable thirty (30) day period, such default shall not constitute an Event of Default.

 

20.1.2 Hospital
attempts to remove, sell, transfer, encumber, assign, sublet or part with possession of the Equipment or any items thereof, except
as expressly permitted herein.

 

20.1.3 Hospital
fails to observe or perform any of its material covenants, duties or obligations arising under this Agreement or the LGK Agreement
and such failure continues for a period of thirty (30) days after written notice thereof by GKF to Hospital; however, if Hospital
cures the default within the applicable thirty (30) day period or if the default reasonably requires more than thirty (30) days
to cure, Hospital commences to cure the default during the initial thirty (30) day period and Hospital diligently completes the
cure as soon as reasonably possible following the end of the thirty (30) day period, such default shall not constitute an Event
of Default.

 

20.1.4 Hospital
ceases doing business as a going concern, makes an assignment for the benefit of creditors, admits in writing its inability to
pay its debts as they become due, files a voluntary petition in bankruptcy, is adjudicated a bankrupt or an insolvent, files a
petition seeking for itself any reorganization, arrangement, composition, readjustment, liquidation, dissolution or similar arrangement
under any present or future statute, law or regulation or files an answer admitting the material allegations of a petition filed
against it in any such proceeding, consents to or acquiesces in the appointment of a trustee, receiver, or liquidator of it or
of all or any substantial part of its assets or properties, or it or its shareholders shall take any action looking to its dissolution
or liquidation.

 

    	 	 	 

     

     

20.1.5 Within
sixty (60) days after the commencement of any proceedings against Hospital seeking reorganization, arrangement, readjustment, liquidation,
dissolution or similar relief under any present or future statute, law or regulation, such proceedings shall not have been dismissed,
or if within thirty (30) days after the appointment without Hospital’s consent or acquiescence of any trustee, receiver or
liquidator of it or of all or any substantial part of its assets and properties, such appointment shall not be vacated.

 

20.1.6
Hospital is suspended or terminated from participation in the Medicare program.

 

20.2 Upon
the occurrence of an Event of Default with respect to Hospital, GKF may at its option do any or all of the following:

 

20.2.1 By
written notice to Hospital, immediately terminate this Agreement as to the Equipment, wherever situated. As a result of the termination,
GKF may enter upon the Site and remove the Equipment without liability of any kind or nature for so doing or GKF may demand that
Hospital remove and return the Equipment to GKF, all at Hospital’s sole cost and expense.

 

20.2.2 Recover
from Hospital as liquidated damages for the loss of the bargain represented by this Agreement and not as a penalty an amount equal
to the present value of the unpaid estimated future rent payments to be made by Hospital to GKF through the end of the Term discounted
at the annual rate of nine percent (9%), which liquidated damages shall become immediately due and payable. Notwithstanding the
foregoing, if the Event of Default occurs at any time after the fifth (5th) anniversary of the First Procedure Date, then, the
liquidated damages shall be an amount equal to the present value of the unpaid estimated future rent payments to be made by Hospital
to GKF for a two (2) year period commencing from and after the date on which the subject Event of Default occurred, or through
the end of the Term, whichever time period is less, the sum of which payments shall be discounted at the annual rate of nine percent
(9%) and shall be immediately due and payable in full. The unpaid estimated future lease payments shall be based on the prior twelve
(12) months rent payments made by Hospital to GKF hereunder with an annual five (5%) percent increase thereof through the end of
the Term or the two (2) year measuring period, as the case may be. Hospital and GKF acknowledge that the liquidated damages formula
set forth in this Section 20.2.2 constitutes a reasonable method to calculate GKF’s damages resulting from an Event of Default
under the circumstances existing as of the date of this Agreement. The liquidated damages remedy available under this Section 20.2.2
shall apply if and only to the extent an Event of Default has occurred under Sections 20.1.1 and/or 20.1.2 above.

 

20.2.3 Sell,
dispose of, hold, use or lease the Equipment, as GKF in its sole and absolute discretion may determine (and GKF shall not be obligated
to give preference to the sale, lease or other disposition of the Equipment over the sale, lease or other disposition of similar
Equipment owned or leased by GKF).

 

20.2.4 Exercise
any other right or remedy which may be available to GKF under the Uniform Commercial Code or any other applicable law or proceed
by appropriate court action, without affecting GKF’s title or right to possession of the Equipment, to enforce the terms
hereof or to recover damages for the breach hereof or to cancel this Agreement as to the Equipment.

 

20.2.5 In
addition to the foregoing remedies, Hospital shall be liable to GKF for all reasonable attorneys fees, costs and expenses incurred
by GKF as a result of the Event of Default or the exercise of GKF’s remedies.

 

    	 	 	 

     

     

20.3 Upon
termination of this Agreement or the exercise of any other rights or remedies under this Agreement or available under applicable
law following an Event of Default, Hospital shall, without further request or demand, pay to GKF all accrued and unpaid rent payments
and other sums owing under this Agreement. In the event that Hospital shall pay the liquidated damages referred to in Section 20.2.2
above to GKF, GKF shall pay to Hospital promptly after receipt thereof all rentals or proceeds received from the reletting or sale
of the Equipment during the balance of the initial Term (after deduction of all costs and expenses, including reasonable attorneys
fees and costs, incurred by GKF as a result of the Event of Default), said amount never to exceed the amount of the liquidated
damages paid by Hospital. However, Hospital acknowledges that GKF shall have no obligation to sell the Equipment. Hospital shall
in any event remain fully liable for all damages as may be provided by law and for all costs and expenses incurred by GKF on account
of such default, including but not limited to, all court costs and reasonable attorneys’ fees. The rights and remedies afforded
GKF under this Agreement shall be deemed cumulative and not exclusive, and shall be in addition to any other rights or remedies
to GKF provided by law or in equity.

 

21. 
Insurance.

 

21.1 During
the Term, GKF shall, at its cost and expense, purchase and maintain in effect an all risk property and casualty insurance policy
covering the Equipment. The all risk property and casualty insurance policy shall be for an amount not less than the replacement
cost of the Equipment. Hospital shall be named as an additional insured party on the all risk property and casualty insurance policy
to the extent of its interest in the Equipment arising under this Agreement. The all risk property and casualty insurance policy
maintained by GKF shall be evidenced by a certificate of insurance or other reasonable documentation which shall be delivered by
GKF to Hospital upon request following the commencement of this Agreement and as of each annual renewal of such policy during the
Term.

 

21.2 During
the Term, Hospital shall, at its cost and expense, purchase and maintain in effect general liability and professional liability
insurance policies covering the Site (together with all premises where the Site is located) and the use or operation of the Equipment
by Hospital or its officers, directors, agents, employees, contractors or physicians. The general liability and professional liability
insurance policies shall provide coverage in amounts not less than One Million Dollars ($1,000,000.00) per occurrence and Three
Million Dollars ($3,000,000.00) annual aggregate. GKF shall be named as additional insured party on the general liability and professional
liability insurance policies to be maintained hereunder by Hospital. The policies to be maintained by Hospital hereunder shall
be evidenced by a certificate of insurance or other reasonable documentation which shall be delivered by Hospital to GKF no later
than the First Procedure Date and as of each annual renewal of such policies during the Term. Subject to compliance with the requirements
set forth in this section, the general liability and professional insurance may be insured through Hospital’s self-insurance
program.

 

21.3 During
the construction of the Site and prior to the First Procedure Date, Hospital, at its cost and expense, shall purchase and maintain
a general liability insurance policy which conforms with the coverage amounts and other requirements described in Section 21.2
above and which names GKF as an additional insured party. The policy to be maintained by Hospital hereunder shall be evidenced
by a certificate of insurance or other reasonable documentation which shall be delivered by Hospital to GKF prior to the commencement
of any construction at the Site.

 

21.4 During
the Term, Hospital shall purchase and maintain all workers compensation insurance to the maximum extent required by applicable
law.

 

    	 	 	 

     

     

22. 
Indemnification.

 

22.1 Hospital
shall indemnify, defend, protect and hold GKF and its members, managers, officers, employees, agents and contractors (collectively
“GKF”) harmless from and against all losses, claims, damages, liabilities, assessments, deficiencies, actions, proceedings,
orders, judgments, liens, costs and other expenses (including reasonable attorney’s fees) of any nature or kind whatsoever
asserted against or incurred by GKF (collectively “Damages”) which in any manner arise out of or relate to (a) the
failure by Hospital to fully perform, observe or satisfy its covenants, duties or obligations contained in this Agreement or in
the LGK Agreement; (b) the use and operation of the Equipment during the Term; (c) the design, construction and preparation
of the Site by Hospital or the maintenance of the Site during the Term by Hospital; (d) Damages to the Equipment from the
defective, faulty or improper design, construction or preparation of the Site or the installation and positioning of the Equipment;
(e) Damages to the Equipment (including any Damages arising out of or related to violations by Hospital, its agents, officers,
physicians, employees or contractors of the Service Agreement) caused by the negligent or wrongful acts or omissions of Hospital,
its agents, officers, physicians, employees or contractors (in the event the Equipment is destroyed or rendered unusable, subject
to Section 22.6 below, this indemnity shall extend up to (but not exceed) the full replacement value of the Equipment at the time
of its destruction less salvage value, if any); and (f) the events or occurrences described in Article 7.3 of the LGK Agreement
to the same extent that Hospital agrees to indemnify Elekta thereunder. The Hospital shall not indemnify GKF for any costs, expenses,
losses, etc. incurred by GKF arising out of the Hospital’s compliance with the Site Planning Criteria provided by GKF, instructions
from GKF concerning the use of the Equipment or any instructions from GKF concerning the repair and maintenance of the Equipment.

 

22.2 Upon
the occurrence of an event for which GKF is entitled to indemnification under this Agreement, GKF shall give written notice thereof
to Hospital setting forth the type and amount of Damages. If the indemnity relates to a Third Party Claim (as defined in Section
22.3 below), the matter shall be subject to Section 22.3 below. If the indemnity relates to any Damages other than a Third Party
Claim, not more than thirty (30) days after GKF’s written notice is given, Hospital either shall acknowledge in writing to
GKF its obligation to indemnify hereunder and pay the Damages in full to GKF or dispute its obligation to indemnify in a written
notice delivered to GKF. If Hospital disputes the obligation to indemnify, the parties shall meet and negotiate in good faith to
mutually resolve the disagreement regarding indemnification.

 

22.3 GKF
shall give written notice to Hospital as soon as reasonably possible after it has knowledge of any third party claim or legal proceedings
(“Third Party Claim”) for which GKF is entitled to indemnification under this Section 22. Hospital shall (a) immediately
assume, at its sole cost and expense, the defense of the Third Party Claim with legal counsel approved by GKF (which approval will
not be unreasonably withheld, delayed or conditioned), and (b) as soon as reasonably possible after GKF’s written notice
is given to Hospital, acknowledge in writing to GKF its obligation to indemnify GKF in accordance with the terms of this Agreement.
If Hospital fails to assume the defense of a Third Party Claim or fails to timely acknowledge in writing its obligation to indemnify
GKF, GKF may assume the defense of the Third Party Claim in the manner described in Section 22.4 below. GKF shall cooperate with
Hospital in the defense of any Third Party Claim. Any settlement or compromise of a Third Party Claim to which GKF is a party shall
be subject to the express written approval of GKF, which approval shall not be unreasonably withheld, delayed or conditioned as
long as an unconditional term of the settlement or compromise is the full and absolute release of GKF from all Damages arising
out of the Third Party Claim. GKF, at its own cost and expense, may participate on its own behalf with legal counsel of its own
selection in the defense of any Third Party Claim which may have a material impact on GKF.

 

22.4 If
Hospital fails to promptly assume the defense of any Third Party Claim, GKF may assume the defense of the Third Party Claim with
legal counsel selected by GKF, all at Hospital’s cost and expense. The defense of an action by GKF under this Section 22.4
shall not impair, limit or otherwise restrict Hospital’s indemnification obligations arising under this Section 22 or GKF’s
right to enforce such obligations.

 

22.5 The
indemnity obligations under this Section 22 shall survive the termination of this Lease with respect to events occurring during
or relating to the Term.

 

    	 	 	 

     

     

22.6 The
indemnification obligations set forth in this Agreement are intended to supplement, and not supersede, supplant or replace, any
coverage for Damages which may be available under any insurance policies that may be maintained by GKF or Hospital. In the event
any Damages may be covered by insurance policies, the parties shall exercise good faith and use their best efforts to obtain the
benefits of and apply the available insurance coverage to the Damages subject to indemnification under this Agreement. In the event
that an insurer provides coverage under an insurance policy on the basis of a “reservation of rights”, the indemnification
obligations under this Agreement shall apply to all Damages which are finally determined as not being covered under the insurance
policy.

 

22.7 Hospital
and GKF each hereby covenants and agrees that it will defend, indemnify and hold the other party and their respective officers,
directors, members, employees and agents at all times harmless from and against any loss, damage and expense (including reasonable
attorneys’ fees and other costs of defense) caused by or arising out of: (i) any liability or obligation related to the business
of the indemnifying party prior to the date hereof and the commencement of the Program; (ii) any obligation or liability arising
from services provided under this Agreement or in connection with the Program by the indemnifying party to the extent any such
liability or obligation directly results from the negligence or intentional misconduct of the indemnifying party; or (iii)
any obligation or liability resulting from a breach of any provision of this Agreement by the indemnifying party. The obligations
of the parties under this Section survive the expiration or earlier termination of this Agreement.

 

22.8 Any
party that intends to enforce an indemnity obligation under this Agreement shall give the indemnifying party written notice of
any claim promptly after such claim is made, but the failure to give such notice shall not constitute a waiver or release of the
indemnifying party and shall not affect the rights of the indemnified party to recover under this indemnity, except to the extent
the indemnified party is materially prejudiced thereby. In connection with any claim giving rise to indemnity under this Section
22 resulting from or arising out of any claim or legal proceeding by a person who is not a party to this Agreement, the indemnifying
party, at its sole cost and expense, may, upon written notice to the indemnified party, assume control of the defense of such claim
or legal proceeding, to the extent that the indemnifying party admits in writing its indemnification liability to the indemnified
party with respect to all material elements thereof. If the indemnifying party assumes the defense of any such claim or legal proceeding,
the obligations of the indemnifying party hereunder as to such claim or legal proceeding shall be to take all steps necessary in
the defense or settlement thereof and to hold the indemnified party harmless from and against any losses, damages, expenses or
liability caused by or arising out of any settlement approved by the indemnifying party and the indemnified party or any judgment
in connection with such claim or legal proceeding. Each indemnified party shall cooperate with the indemnifying party in the defense
of any such action, the defense of which is assumed by the indemnifying party. Except with the consent of the indemnified party,
which consent may be withheld at the indemnified party’s sole discretion, the indemnifying party shall not consent to any
settlement or the entry of any judgment arising from any such claim or legal proceeding which, in each case, does not include as
an unconditional term thereof the delivery by the claimant or the plaintiff to the indemnified party of a release from all liability
in respect thereof. If the indemnifying party does not assume the defense of any claim or litigation, any indemnified party may
defend against such claim or litigation in such manner as it may deem appropriate, including but not limited to settling such claim
or litigation, after giving notice of the same to the indemnifying party, on such terms as the indemnified party may deem appropriate.
The indemnifying party will, promptly after any of the same is incurred, reimburse the indemnified party in accordance with the
provisions hereof for all damages, losses, liabilities, costs and expenses incurred by the indemnified party.

 

    	 	 	 

     

     

23. 
Miscellaneous.

 

23.1 Binding
Effect. This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors
and assigns. Hospital shall not assign this Agreement or any of its rights hereunder or sublease the Equipment without the prior
written consent of GKF, which consent shall not be unreasonably withheld. An assignment or sublease shall not relieve Hospital
of any liability for performance of this Agreement during the remainder of the Term. Any purported assignment or sublease made
without GKF’s prior written consent shall be null, void and of no force or effect.

 

23.2 Agreement
to Perform Necessary Acts. Each party agrees to perform any further acts and execute and deliver any further documents which
may be reasonably necessary or otherwise reasonably required to carry out the provisions of this Agreement.

 

23.3 Validity.
If for any reason any clause or provision of this Agreement, or the application of any such clause or provision in a particular
context or to a particular situation, circumstance or person, should be held unenforceable, invalid or in violation of law by any
court or other tribunal of competent jurisdiction, then the application of such clause or provision in contexts or to situations,
circumstances or persons other than that in or to which it is held unenforceable, invalid or in violation of law shall not be affected
thereby, and the remaining clauses and provisions hereof shall nevertheless remain in full force and effect.

 

23.4 Attorney’s
Fees and Costs. In the event of any action, arbitration or other proceedings between or among the parties hereto with respect
to this Agreement, the non-prevailing party or parties to such action, arbitration or proceedings shall pay to the prevailing party
or parties all costs and expenses, including reasonable attorneys’ fees, incurred in the defense or prosecution thereof by
the prevailing party or parties. The party which is a “prevailing party” shall be determined by the arbitrator(s) or
judge(s) hearing the matter and shall be the party who is entitled to recover his, her or its costs of suit, whether or not the
matter proceeds to a final judgment, decree or determination. A party not entitled to recover his, her or its costs of suit shall
not recover attorneys’ fees. If a prevailing party or parties shall recover a decision, decree or judgment in any action,
arbitration or proceeding, the costs and expenses awarded to such party may be included in and as part of such decision, decree
or judgment.

 

23.5 Entire
Agreement; Amendment. This Agreement together with the Exhibits attached hereto constitutes the full and complete agreement
and understanding between the parties hereto concerning the subject matter hereof and shall supersede any and all prior written
and oral agreements with regard to such subject matter. This Agreement may be modified or amended only by a written instrument
executed by all of the parties hereto.

 

23.6 Number
and Gender. Words in the singular shall include the plural, and words in a particular gender shall include either or both additional
genders, when the context in which such words are used indicates that such is the intent.

 

23.7 Effect
of Headings. The titles or headings of the various paragraphs hereof are intended solely for convenience or reference and are
not intended and shall not be deemed to modify, explain or place any construction upon any of the provisions of this Agreement.

 

23.8 Counterparts.
This Agreement may be executed in one or more counterparts by the parties hereto. All counterparts shall be construed together
and shall constitute one agreement.

 

23.9 Governing
Law. This Agreement shall be interpreted and enforced in accordance with the internal laws, and not the law of conflicts, of
the State of New York applicable to agreements made and to be performed in that State. The venue shall be in New York Courts in
Westchester County without regard to conflict of law rules.

 

23.10 Exhibits.
All exhibits attached hereto and referred to in this Agreement are hereby incorporated by reference herein as though fully set
forth at length.

 

    	 	 	 

     

     

23.11 Ambiguities.
The general rule that ambiguities are to be construed against the drafter shall not apply to this Agreement. In the event that
any provision of this Agreement is found to be ambiguous, each party shall have an opportunity to present evidence as to the actual
intent of the parties with respect to such ambiguous provision.

 

23.12 Representations.
Each of the parties hereto represents (a) that no representation or promise not expressly contained in this Agreement has been
made by any other party hereto or by any of its agents, employees, representatives or attorneys; (b) that this Agreement is
not being entered into on the basis of, or in reliance on, any promise or representation, expressed or implied, other than such
as are set forth expressly in this Agreement; (c) that it has been represented by counsel of its own choice in this matter
or has affirmatively elected not to be represented by counsel; (d) it is duly organized, validly existing and in good standing
under the laws of the jurisdiction of its organization, (e) it has full power and authority to execute, deliver and perform this
Agreement, and (f) the execution, delivery and performance of this Agreement has been duly authorized by all necessary corporate
or other similar action.

 

23.13 Non-Waiver.
No failure or delay by a party to insist upon the strict performance of any term, condition, covenant or agreement of this Agreement,
or to exercise any right, power or remedy hereunder or under law or consequent upon a breach hereof or thereof shall constitute
a waiver of any such term, condition, covenant, agreement, right, power or remedy or of any such breach or preclude such party
from exercising any such right, power or remedy at any later time or times.

 

23.14 Notices.
All notices, requests, demands or other communications required or permitted to be given under this Agreement shall be in writing
and shall be delivered to the party to whom notice is to be given either (a) by personal delivery (in which case such notice shall
be deemed to have been duly given on the date of delivery), (b) by next business day air courier service (e.g., Federal Express
or other similar service) (in which case such notice shall be deemed given on the business day following deposit with the air courier
service), or (c) by United States mail, first class, postage prepaid, registered or certified, return receipt requested (in which
case such notice shall be deemed given on the third (3rd) day following the date of mailing), and properly addressed as follows:

 

	To GKF:	Craig K. Tagawa
	 	Chief Executive Officer 
	 	GK Financing, LLC
	 	Two Embarcadero Hospital, 
	 	Suite 2370 San Francisco, CA 94111
	 	 
	To Hospital:	Warren Geller Administration
	 	Northern Westchester 
	 	Hospital Center 400 
	 	East Main Street
	 	Mt. Kisco, NY 10549

 

A party to this Agreement may change his, her or its address for
purposes of this Section by giving written notice to the other parties in the manner specified herein.

 

23.15 
Special Provisions Respecting Medicare and Medicaid Patients

 

23.15.1 Hospital
and GKF shall generate such records and make such disclosures as may be required, from time to time, by the Medicare, Medicaid
and other third party payment programs with respect to this Agreement in order to meet all requirements for participation and payment
associated with such programs, including but not limited to the matters covered by Section 1861(v) (1) (I) of the Social Security
Act.

 

    	 	 	 

     

     

23.15.2 For
the purpose of compliance with Section 1861(v)(1)(I) of the Social Security Act, as amended, and any regulations promulgated pursuant
thereto, both parties agree to comply with the following statutory requirements (a) Until the expiration of four (4) years after
the termination of this Agreement, both parties shall make available, upon written request to the Secretary of Health and Human
Services or, upon request, to the Comptroller General of the United States, or any of their duly authorized representatives, the
contract, and books, documents and records of such party that are necessary to certify the nature and extent of such costs, and
(b) if either party carries out any of the duties of the contract through a subcontract with a value or cost of $10,000 or more
over a twelve month period, with a related organization, such subcontract shall contain a clause to the effect that until the expiration
of four (4) years after the furnishing of such services pursuant to such subcontract, the related organization shall make available,
upon written request to the Secretary, or upon request to the Comptroller General, or any of their duly authorized representatives
the subcontract, and books, documents and records of such organization that are necessary to verify the nature and extent of such
costs.

 

23.16 Force Majeure. Failure to perform
by either party will be excused in the event of any delay or inability to perform its duties under this Agreement directly or indirectly
caused by conditions beyond its reasonable control, including, without limitation, fires, floods, earthquakes, snow, ice, disasters,
acts of God, accidents, riots, wars, operation of law, strikes, governmental action or regulations, shortages of labor, fuel, power,
materials, manufacturer delays or transportation problems. Notwithstanding the foregoing, all parties shall make good faith efforts
to perform under this Agreement in the event of any such circumstance. Further, once such an event is resolved, the parties shall
again perform their respective obligations under this Agreement.

 

IN WITNESS WHEREOF, the parties hereto
have caused this Agreement to be executed as of the date first set forth above.

 

	“GKF”	GK Financing, LLC,
	 	a California limited liability company
	 	 
	 	By:     /s/ Craig K. Tagawa 
	 	Craig K. Tagawa,
	 	Chief Executive Officer
	 	 
	“Hospital”	Northern Westchester Hospital Center, 
	 	 
	 	By:     /s/ Joel Seligman
	 	Joel Seligman 
	 	President & CEO

 

    	 	 	 

     

     

Exhibit 8

 

As rent for the lease of the Equipment to Hospital pursuant to this
Agreement, Hospital shall pay to GKF the sum of $8,500 for each Gamma Knife Procedure one (1) through and including Procedure one
hundred (100) and Seven thousand seven hundred fifty dollars ($7,750.00) for each procedure one hundred one (101) through and including
one hundred fifty (150) and Seven thousand dollars ($7,000.00) for each Procedure greater the one hundred fifty (150) preformed
by Hospital or its representatives or affiliates. The calculation for the number of Procedures will run in twelve (12) month cycles
starting with the First Procedure Date. Each twelve-month period following the First Procedure Date will begin calculating Procedures
from zero (0).

 

	“GKF”	GK Financing, LLC,
	 	a California limited liability company
	 	 
	 	By:     /s/ Craig K. Tagawa 
	 	Craig K. Tagawa,
	 	Chief Executive Officer
	 	 
	“Hospital”	Northern Westchester Hospital Center, 
	 	 
	 	By:     /s/ Joel Seligman
	 	Joel Seligman 
	 	President & CEO

 

    	 	 	 

     

     

HIPAA BUSINESS ASSOCIATE ADDENDUM

 

This Addendum, dated as of March 21, 2003 (“Addendum”),
supplements and is made a part of the Services Agreement (as defined below) by and between Northern Westchester Hospital Center
(“Covered Entity”) and GK Financing, LLC (“Business Associate”).

 

WHEREAS, Covered Entity and Business Associate
are parties to the Service Agreement pursuant to which Business Associate provides certain services to Covered Entity. In connection
with Business Associate’s services, Business Associate creates or receives Protected Health Information from or on behalf
of Covered Entity, which information is subject to protection under the Federal Health Insurance Portability and Accountability
Act of 1996, Pub. L. No. 104-191 (“HIPAA”) and related regulations promulgated by the Secretary (“HIPAA Regulations”).

 

WHEREAS, in light of the foregoing and
the requirements of the HIPAA Regulations, Business Associate and Covered Entity agree to be bound by the following terms and conditions:

  

	 	1.	Definitions.

 

1. General.
Terms used, but not otherwise defined, in this Addendum shall have the same meaning as those terms in the Privacy Rule.

 

2. Specific.

 

	 	a.	Individual. “Individual” shall have the same meaning as the term “individual” in 45 CFR 164.501 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

 

	 	b.	Privacy Rule. “Privacy Rule” shall mean the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

 

	 	c.	Protected Health Information. “Protected Health Information” shall have the same meaning as the term “protected health information” in 45 CFR 164.501, limited to the information created or received by Business Associate from or on behalf of Covered Entity.

 

	 	d.	Required By Law. “Required by Law “shall have the same meaning as the term “required by law” in 45 CFR 164.501.

 

	 	e.	Secretary. “Secretary” shall mean the Secretary of the Department of Health and Human Services or his designee.

 

	 	f.	Services Agreement. “Services Agreement” shall mean any present or future agreements, either written or oral, between Covered Entity and Business Associate under which Business Associate provides services to Covered Entity which involve the use or disclosure of Protected Health Information.

 

	 	2.	Obligations and Activities of Business Associate.

 

	 	a.	Use and Disclosure. Business Associate agrees to not use or disclose Protected Health Information other than as permitted or required by the Services Agreement or as Required By Law.

 

    	 	 	 

     

     

	 	b.	Appropriate Safeguards. Business Associate agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by the Services Agreement. Without limiting the generality of the foregoing, Business Associate agrees to protect the integrity and confidentiality of any Protected Health Information it electronically exchanges with Covered Entity.

 

	 	c.	Mitigation. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of Protected Health Information by Business Associate in violation of the requirements of this Addendum.

 

	 	d.	Reporting. Business Associate agrees to report to Covered Entity any use or disclosure of the Protected Health Information not provided for by the Services Agreement of which it becomes aware.

 

	 	e.	Agents. Business Associate agrees to ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by Business Associate on behalf of Covered Entity agrees to the same restrictions and conditions that apply through this Addendum to Business Associate with respect to such information.

 

	 	f.	Access to Designated Record Sets. To the extent that Business Associate possesses or maintains Protected Health Information in a Designated Record Set, Business Associate agrees to provide access, at the request of Covered Entity, and in the time and manner designated by the Covered Entity, to Protected Health Information in a Designated Record Set, to Covered Entity or, as directed by Covered Entity, to an Individual in order to meet the requirements under 45 CFR 164.524.

 

	 	g.	Amendments to Designated Record Sets. To the extent that Business Associate possesses or maintains Protected Health Information in a Designated Record Set, Business Associate agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Covered Entity directs or agrees to pursuant to 45 CFR 164.526 at the request of Covered Entity or an Individual, and in the time and manner designated by the Covered Entity.

 

	 	h.	Access to Books and Records. Business Associate agrees to make internal practices, books, and records, including policies and procedures and Protected Health Information, relating to the use and disclosure of Protected Health Information received from, or created or received by Business Associate on behalf of, Covered Entity available to the Covered Entity, or to the Secretary, in a time and manner designated by the Covered Entity or designated by the Secretary, for purposes of the Secretary determining Covered Entity’s compliance with the Privacy Rule.

 

	 	i.	Accountings. Business Associate agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for Covered Entity to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

 

	 	j.	Requests for Accountings. Business Associate agrees to provide to Covered Entity or an Individual, in the time and manner designated by the Covered Entity, information collected in accordance with Section 2.i. of this Addendum, to permit Covered Entity to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

 

    	 	 	 

     

     

	 	3.	Permitted Uses and Disclosures by Business Associate.

 

	 	a.	Services Agreement. Except as otherwise limited in this Addendum, Business Associate may use or disclose Protected Health Information to perform functions, activities, or services for, or on behalf of, Covered Entity as specified in the Services Agreement, provided that such use or disclosure would not violate the Privacy Rule if done by Covered Entity or the minimum necessary policies and procedures of the Covered Entity.

 

	 	b.	Use for Administration of Business Associate. Except as otherwise limited in this Addendum, Business Associate may use Protected Health Information for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate.

 

	 	c.	Disclosure for Administration of Business Associate. Except as otherwise limited in this Addendum, Business Associate may disclose Protected Health Information for the proper management and administration of the Business Associate, provided that disclosures are Required by Law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as Required by Law or for the purpose for which it was disclosed to the person, and the person notifies the Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached.

 

	 	4.	Permissible Requests by Covered Entity. Except as set forth in Section 3 of this Addendum, Covered Entity shall not request Business Associate to use or disclose Protected Health Information in any manner that would not be permissible under the Privacy Rule if done by Covered Entity.

 

	 	5.	Miscellaneous.

 

	 	a.	Regulatory References. A reference in this Addendum to a section in the Privacy Rule means the section as in effect or as amended.

 

	 	b.	Amendment. The Parties agree to take such action as is necessary to amend the Services Agreement from time to time as is necessary for Covered Entity to comply with the requirements of the Privacy Rule and HIPAA.

 

	 	c.	Survival. The respective rights and obligations of Business Associate under Section 5.c. of this Addendum shall survive the termination of the Services Agreement.

 

	 	d.	Interpretation. Any ambiguity in this Addendum shall be resolved to permit Covered Entity to comply with the Privacy Rule.

 

	 	e.	Indemnity. Business Associate agrees to indemnify, defend and hold harmless Covered Entity and its employees, directors/trustees, members, representatives and agents (collectively, the “Indemnitees”) from and against any and all claims (whether in law or in equity), obligations, actions, causes of action, suits, debts, judgments, losses, fines, penalties, damages, expenses (including attorney’s fees), liabilities, lawsuits or costs incurred by the Indemnities which arise or result from a breach of the terms and conditions of this Agreement by Business Associate or its employees or agents.

 

    	 	 	 

     

     

	 	f.	Miscellaneous. The terms of this Addendum are hereby incorporated into the Services Agreement. Except as otherwise set forth in Section 6.d. of this Addendum, in the event of a conflict between the terms of this Addendum and the terms of the Services Agreement, the terms of this Addendum shall prevail. The terms of the Agreement which are not modified by this Addendum shall remain in full force and effect in accordance with the terms thereof. The Services Agreement together with this Addendum constitutes the entire agreement between the parties with respect to the subject matter contained herein.

 

IN WITNESS WHEREOF, the parties have
executed this Addendum as of the date set forth above.

 

	NORTHERN WESTCHESTER 
HOSPITAL CENTER	GK FINANCING, 
LLC

 

	By:	/s/ Joel Seligman	 	By:	/s/ Craig K. Tagawa
	Name: 	Joel Seligman	 	Name:  	Craig K. Tagawa
	Title:	President & CEO	 	Title:	CEOExhibit 10.15

 

EQUIPMENT LEASE AGREEMENT

 

THIS EQUIPMENT LEASE AGREEMENT (“Agreement”)
is made and entered into on May 28, 2004, by and between GK FINANCING, LLC, a California limited liability company (“GKF”),
and Mercy Health Center, an Oklahoma not for profit corporation (“Hospital”), with reference to the following facts:

 

RECITALS

 

WHEREAS, Hospital wants to lease
a Leksell Stereotactic Gamma Unit, model C with Automatic Positioning System, manufactured by Elekta Instruments, Inc., as specified
in Exhibit A of the LGK Agreement (hereinafter referred to as the “Equipment”) ; and

 

WHEREAS, GKF is willing to lease
the Equipment which GKF has acquired from Elekta Instruments, Inc., a Georgia corporation (hereinafter referred to as “Elekta”),
to Hospital, pursuant to the terms and conditions of this Agreement.

 

AGREEMENT

 

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

 

1. Lease. Subject to and in accordance
with the covenants and conditions set forth in this Agreement, GKF hereby leases to Hospital, and Hospital hereby leases from GKF,
the Equipment. The Equipment to be leased to Hospital pursuant to this Agreement shall include the latest approved Gamma Knife
technology available as of the date of this Agreement (i.e., model C with Automatic Positioning System), including all standard
hardware and software related thereto.

 

2. LGK Agreement. Simultaneously
with the execution of this Agreement, Hospital and Elekta shall enter into that certain LGK Agreement (the “LGK Agreement”),
a copy of which is attached hereto as Exhibit A. Hospital shall perform, satisfy and fulfill all of its obligations arising under
the LGK Agreement when and as required thereunder. Hospital acknowledges that GKF is a third party beneficiary of the LGK Agreement
and, in that capacity, GKF shall be entitled to enforce Hospital’s performance, satisfaction and fulfillment of its obligations
thereunder.

 

3. Term of the Agreement. The initial
term of this Agreement (the “Term”) shall commence as of the date hereof and, unless earlier terminated or extended
in accordance with the provisions of this Agreement, shall continue for a period of ten (10) years following the date of the performance
of the first clinical Gamma Knife procedure (the “First Procedure Date”) at the Site. Hospital’s obligation to
make the payments to GKF for the Equipment described in Section 8 below shall commence as of the First Procedure Date.

 

     

     

    

 

4. User License.

 

4.1 Hospital shall apply for and
obtain in a timely manner a User License from the Nuclear Regulatory Commission and, if necessary, from the applicable state agency
authorizing it to take possession of and maintain the Cobalt supply required in connection with the use of the Equipment during
the term of this Agreement. Hospital also shall apply for and obtain in a timely manner all other licenses, permits, approvals,
consents and authorizations which may be required by state or local governmental or other regulatory agencies for the development,
construction and preparation of the Site, the charging of the Equipment with its Cobalt supply, the conduct of acceptance tests
with respect to the Equipment, and the use of the Equipment during the Term, as more fully set forth in Article 2.1 of the LGK
Agreement. GKF shall reimburse Hospital for its direct costs to obtain a User License and any other licenses, permits, approvals,
consents and authorizations required by this Section 4 upon presentation of invoices. In the event Hospital’s application
to obtain a User License and any other licenses, permits, approvals, consents and authorizations required to operate the Equipment
is denied after Hospital has used its best efforts, this Agreement shall automatically terminate and all parties shall be released
from the further performance of any obligations or duties arising under this Agreement. Costs under this Section 4 shall be defined
as “Startup Costs”.

 

5. Delivery of Equipment;
Site.

 

5.1 GKF shall coordinate with Elekta
and Hospital to have the Equipment delivered to Hospital at (the “Site”) on or prior to the delivery date agreed upon
by Hospital and Elekta in the LGK Agreement. GKF makes no representations or warranties concerning delivery of the Equipment to
the Site or the actual date thereof.

 

5.2 Subject to Section 6 below,
Hospital at its cost and expense, shall provide a safe, convenient Site for the Equipment. The location of the Site shall be subject
to the prior approval of GKF.

 

6. Site Preparation and
Installation of Equipment.

 

6.1 GKF, at its cost and expense,
shall prepare all plans and specifications required to prepare, construct and improve the Site for the installation, use and operation
of the Equipment during the Term. The plans and specifications (i) shall be approved by Hospital, which approval shall not be unreasonably
withheld or delayed; (ii) shall comply in all respects with the Site Planning Criteria attached as Exhibit E to the LGK Agreement
(collectively the “Site Planning Criteria”) ; and (iii) to the extent required by applicable law, shall be submitted
to all state and federal agencies for their review and approval. GKF, at its cost and expense, shall obtain all permits, certifications,
approvals or authorizations required by applicable federal, state or local laws, rules or regulations necessary to prepare, construct
and improve the Site as provided above.

 

6.2 GKF, at its cost and expense,
shall prepare, construct and improve the Site as necessary for the installation, use and operation of the Equipment during the
Term, including, without limitation, providing all temporary or permanent shielding required for the charging of the Equipment
with the Cobalt supply and for its subsequent use, selecting and constructing a proper foundation for the Equipment and the temporary
or permanent shielding, aligning the Site for the Equipment, and installing all electrical systems and other wiring required for
the Equipment. In connection with the construction of the Site, GKF, at its cost and expense, shall select, purchase and install
all radiation monitoring equipment, devices, safety circuits and radiation warning signs required at the Site in connection with
the use and operation of the Equipment. GKF shall be responsible for the shipment, storage, placement and removal of all Cobalt
and depleted Cobalt in accordance with all State and Federal regulations. Any depleted Cobalt supply shall be properly disposed
of by GKF at such time as GKF shall deem necessary, in GKF’s sole and absolute judgment.

 

6.3 In addition to construction
and improvement of the Site, GKF, at its cost and expense, shall be responsible for the installation of the Equipment at the Site,
including the positioning of the Equipment on its foundation at the Site in compliance with the Site Planning Criteria.

 

     

     

    

 

6.4 During the Term, GKF, at its
cost and expense, shall maintain the Site in a good working order, condition and repair, reasonable wear and tear excepted.

 

7. Marketing Support. Not
less than ninety (90) days prior to the First Procedure Date and the commencement of each succeeding twelve (12) month period during
the Term, GKF and Hospital shall jointly develop an annual marketing plan, budget and timeline, which shall be implemented by Hospital
with the support of GKF, based on the approved budget and timeline. Hospital’s approval of such plan, budget and timeline
shall not be unreasonably withheld or delayed. If Hospital has not approved or disapproved the same within thirty (30) days following
its receipt, Hospital shall be deemed to have approved the same. GKF shall be solely responsible for any out-of-pocket marketing
expenses paid to unrelated third parties that are included in the marketing plan budget. Any marketing efforts conducted independently
by Hospital shall be at Hospital’s expense, and subject to coordination with GKF. Hospital’s approval of such plan,
budget and timeline shall not unreasonably withheld or delayed.

 

8. Lease Payments.

 

8.1 In consideration for and as
compensation to GKF for (i) the lease of the Equipment by GKF to Hospital pursuant to this Agreement; (ii) payment of Startup
Costs; (iii) the preparation by GKF of all plans and specifications required to prepare, construct and improve the Site for
the installation, use and operation of the Equipment; (iv) the preparation, construction and improvement of the Site as necessary
for the installation, use and operation of the Equipment; (v) the installation by GKF of the Equipment at the Site; (vi)
the marketing of the services to be provided using the Equipment; (vii) the cost of the individual referenced in Section 11.3
below; and (viii) the maintenance by GKF of the Site in a good working order, condition and repair, on a monthly basis, Hospital
shall pay the “Lease Payment” to GKF for each “Procedure” that is performed on any and all patients admitted
to Hospital, on an inpatient or outpatient basis, irrespective of whether (a) the Procedure is performed on the Equipment or using
any other equipment or devices; or (b) the Procedure is performed by Hospital, its representatives or affiliates or by any
other person or entity.

 

(1) The “Lease Payment”
shall be equal to (a) eighty percent (80%) of the “Technical Component Collections” relating to each Procedure, less
(b) Hospital’s aggregate “Additional Cost Component,” if any, relating to those Procedures performed using the
Equipment during the corresponding month.

 

(2) “Technical Component
Collections” means (a) the total amount actually collected by Hospital or its representatives or affiliates during each month
from any and all payor sources, including, without limitation, patients, insurance companies, state or federal government programs
or any other third party payors, as reimbursement for the technical component of each Procedure performed on the Equipment or using
any other equipment or devices, plus (b) any and all other amounts actually collected by Hospital or its representatives
or affiliates during such month from any and all payor sources, including, without limitation, patients, insurance companies, state
or federal government programs or any other third party payors, which amounts are related to “Extended Inpatient Days”
(as defined below) following a Procedure that is performed using the Equipment or using any other equipment or devices, including,
without limitation, any outlier payments. The technical fees to be billed for Procedures performed utilizing the Equipment during
the Term of this Agreement shall be an amount which is economically justifiable based upon GKF’s direct operating expenses
and its total project costs, together with a return thereon. Hospital shall consult and mutually agree with GKF from time to time
regarding the amount of the technical fees to be billed by Hospital for Procedures that are performed utilizing the Equipment and
any revisions thereto. Subject to compliance with the standard described in the preceding sentence, Hospital and GKF shall mutually
agree on the setting or revision of the amount of the technical fees on no less than an annual basis, and the acceptance of the
technical fee component amounts with third party payors prior to their implementation.

 

     

     

    

 

(3) An Additional Cost Component
shall apply and be calculated if (a) unexpected complications arise (e.g., stroke, heart attack) during the performance
of a Procedure using the Equipment such that the patient remains hospitalized for Extended Inpatient Days; and (b) the Extended
Inpatient Days and the Procedure are included as part of the same reimbursement claim. Where applicable, the “Additional
Cost Component” relating to a Procedure utilizing the Equipment shall be equal to (i) the number of covered (by third
party payor) Extended Inpatient Days for that Procedure, multiplied by (ii) the “Additional Cost Per Diem.”
Notwithstanding anything to the contrary contained herein, there shall be no deduction from the Lease Payment for any Additional
Cost Component incurred where the Procedure is performed using any equipment or devices other than the Equipment.

 

(4) The “Additional Cost
Per Diem” shall be equal to the quotient of (i) fifty percent (50%) of the Technical Component Collections from the subject
Procedure performed on the Equipment that results in Extended Inpatient Days, divided by (ii) the then-current Medicare Geometric
Mean Length of Stay for the Diagnostic Related Group (DRG) under which such discharge was billed (or could have been billed to
Medicare), as such Geometric Mean Length of Stay is set forth in the Federal Register.

 

(5) “Procedure” shall
mean any treatment, whether performed on an inpatient or outpatient basis, that involves stereotactic, external, single fraction,
conformal radiation, commonly called Radiosurgery, that may include one or more isocenters during the patient treatment session,
delivered to any site(s) superior to the foramen magnum.

 

(6) “Extended
Inpatient Days” shall mean the number of days after the date of Procedure during which the patient was properly classified
as an inpatient, where all services performed during such period are included as part of the same reimbursement claim. The date
of discharge shall not be included in the number of Extended Inpatient Days.

 

No Lease Payment for any Procedure
shall be payable by Hospital to GKF unless and until the Technical Component Collections corresponding to such Procedure have been
actually collected by the Hospital and/or its representatives or affiliates. On a monthly basis and by the 25th of the following
month, Hospital shall remit GKF’s aggregate Lease Payment for the preceding month.

 

It is acknowledged that the portion
comprised of twenty percent (20%) of the Technical Component Collections relating to each Procedure that is not paid as part of
the Lease Payment is a good faith estimate of the costs and expenses that will be incurred by Hospital during the corresponding
month for services and personnel associated with the performance of Procedures, including, without limitation, costs and expenses
for registered nurses, radiation technicians, recovery room, Hospital daily charges, ventilator daily charges, MRI procedures,
CT procedures, angiography procedures, the physicist, laboratory services, pharmacy items, billing and collection services, other
direct operating costs, and physical space. Such costs and expenses shall not include (i) Lease Payments, (ii) physician and other
professional fees, and/or (iii) direct or indirect administrative overhead expenses. Such percentage shall not be increased, reduced
or otherwise modified regardless of whether Hospital’s actual costs and expenses are higher or lower than the amount estimated.

 

     

     

    

 

Notwithstanding the foregoing,
on each anniversary date of this Agreement, the parties shall meet to review the percentage of the Technical Component Collections
that are payable as part of the Lease Payment, and any adjustments thereto must be mutually agreed upon by the parties in writing.
Upon request by GKF, Hospital shall promptly furnish GKF with written documentation substantiating Hospital’s costs.

 

8.2 Within thirty (30) days following
the end of each month (or portion thereof) during the term of this Agreement, Hospital shall pay the Lease Payments to GKF and
shall concurrently inform GKF in writing as to the number of Procedures performed during that month utilizing the Equipment and
any other equipment or devices. To facilitate Hospital’s billing and collection for Procedures performed, within three (3)
business days after any Procedure using the Equipment is performed, the administrative support individual referenced in Section
11.3 below shall provide Hospital with written confirmation of the names of the patients treated. Hospital shall submit claims
for reimbursement to the appropriate payors for each Procedure within thirty (30) days after the patient receiving the treatment
is discharged. Such claims shall be submitted under Hospital’s provider numbers and license, Hospital shall also diligently
follow up any unpaid or denied claims and re-bill and/or contest the same where appropriate so as to maximize Technical Component
Collections. All or any portion of any Lease Payment which is not paid in full within sixty (60) days after its due date shall
bear interest at the annual rate of five percent (5%) in excess of the Federal Reserve Discount Rate then in effect as published
in the Wall Street Journal or similar publication (or the maximum monthly interest rate permitted to be charged by law between
an unrelated, commercial borrower and lender, if less) until the unpaid Lease Payment, together with all accrued interest thereon
is paid in full. If GKF shall at any time accept a Lease Payment from Hospital after it shall become due, such acceptance shall
not constitute or be construed as a waiver of any or all of GKF’s rights under this Agreement, including the rights of GKF
set forth in Section 20 hereof.

 

8.3 Within thirty (30) days after
the close of each month, Hospital shall provide GKF with a written report indicating the status of billings and collections for
each Procedure performed during that month, including, without limitation, the amount of the claim submitted, the amount received
or denied for each such procedure, and copies of the corresponding Explanation of Benefits (“EOB”). Upon request by
GKF, Hospital shall furnish to GKF information regarding reimbursement rates from any or all payor sources for Procedures (applicable
to Procedures performed either on an inpatient or outpatient basis). If such reimbursement rates should change at any time or from
time to time after the date hereof, in each instance, Hospital shall provide written notice thereof to GKF within five (5) days
of Hospital receiving notice thereof. Prior to entering into or renewing any third party payor contracts for the provision of Procedures
utilizing the Equipment, Hospital shall consult with GKF regarding the terms and provisions thereof, including the technical component
reimbursement rates. GKF shall maintain the confidentiality of all information provided to GKF by Hospital with regard to Procedure
charges, billing and reimbursement rates.

 

8.4 The parties acknowledge that
the Lease Payments payable to GKF and Hospital’s Cost Component reflect their respective fair market value and are not determined
in a manner that takes into account the volume or the value of any referral or other business generated between the parties.

 

     

     

    

 

8.5 Within ten (10) days after
Hospital’s receipt of written request from GKF, GKF shall have the right to audit Hospital’s books and records (including,
without limitation, the books and records pertaining to any other Radiosurgery equipment and devices) during normal business hours
to verify the Technical Component Collections and Hospital’s Cost Component, and Hospital shall provide GKF with access to
such books and records.

 

8.6 New Technology. Notwithstanding
anything to the contrary set forth in Section 8 of this Agreement, if, at any time during the term of this Agreement, Hospital
purchases or leases “New Technology,” then, from and after the “New Technology Effective Date,” no Lease
Payment shall be payable by Hospital to GKF for any Procedures performed using the New Technology; provided that Hospital
shall continue to be responsible for making Lease Payments to GKF for all other Procedures performed on the Equipment or using
any other equipment or devices as set forth in this Section 8. Hospital shall provide GKF with not less than one hundred and eighty
(180) days prior written notice of Hospital’s intention to purchase or lease New Technology, which written notice shall include
any and all documentation evidencing compliance with the definition of New Technology, and which documentation shall be subject
to the prior written approval of GKF in its sole but reasonable judgment. As used herein:

 

(a) “New Technology”
shall mean a treatment modality for performing Procedures which (a) uses medical technology not commercially available as of the
date of this Agreement; (b) consists of a single device and not a combination of different types of equipment; and (c)
has been documented in at least (3) articles published in peer-reviewed journals in the United States, using five-year minimum follow-up
studies, to be more medically appropriate than the Equipment to perform Procedures in treating 65% or greater of the currently
treatable Gamma Knife indications.

 

(b) “New Technology Effective
Date” shall mean the later to occur of (a) the date that is seven (7) years after the First Procedure Date, or (b) the date
on which the first clinical Procedure is performed using the New Technology on a patient admitted to Hospital on an inpatient or
outpatient basis.

 

9. Use of the Equipment.

 

9.1 The Equipment shall be used
by Hospital only at the Site and shall not be removed therefrom. Hospital shall use the Equipment only in the regular and ordinary
course of Hospital’s business operations and only within the capacity of the Equipment as determined by Elekta’s specifications.
Hospital shall not use nor permit the Equipment to be used in any manner nor for any purpose which, in the opinion of Elekta or
GKF, the Equipment is not designed or reasonably suitable.

 

9.2 This is an agreement of lease
only. Nothing herein shall be construed as conveying to Hospital any right, title or interest in or to the Equipment, except for
the express leasehold interest granted to Hospital for the Term. All Equipment shall remain personal property (even though said
Equipment may hereafter become attached or affixed to real property) and the title thereto shall at all times remain exclusively
in GKF.

 

     

     

    

 

9.3 During the Term, upon the request
of GKF, Hospital shall promptly affix to the Equipment in a prominent place, or as otherwise directed by GKF, labels, plates, insignia,
lettering or other markings supplied by GKF indicating GKF’s ownership of the Equipment, and shall keep the same affixed
for the entire Term. Hospital hereby authorizes GKF to cause this Lease or any statement or other instrument showing the interest
of GKF in the Equipment to be filed or recorded, or refiled or re-recorded, with all governmental agencies considered appropriate
by GKF, at GKF’s cost and expense. Hospital also shall promptly execute and deliver, or cause to be executed and delivered,
to GKF any statement or instrument requested by GKF for the purpose of evidencing GKF’s interest in the Equipment, including
financing statements and waivers with respect to rights in the Equipment from any owners or mortgagees of any real estate where
the Equipment may be located.

 

9.4 At Hospital’s cost and
expense, Hospital shall (a) protect and defend GKF’s ownership of and title to the Equipment from and against all persons
claiming against or through Hospital, (b) at all times keep the Equipment free from any and all liens, encumbrances, attachments,
levies, executions, burdens, charges or legal processes imposed against Hospital, and (c) give GKF immediate written notice of
any matter described in clause (b).

 

10. Additional Covenants of
Hospital. In addition to the other covenants of Hospital contained in this Agreement, Hospital shall, at its cost and expense:

 

10.1 Provide properly trained professional,
technical and support personnel and supplies required for the proper performance of Gamma Knife procedures utilizing the Equipment.
In this regard, Hospital shall maintain on staff a minimum of two (2) Gamma Knife trained teams comprised of neurosurgeons, radiation
oncologists and physicists. Hospital shall be provided with six (6) one week Elekta Gamma Knife training sessions for the training
of its two (2) Gamma Knife teams. GKF shall also be responsible for the reasonable travel related expenses for the physicians and/or
physicists associated with the six (6) Gamma Knife training sessions.

 

10.2 Direct, supervise and administer
the diagnosis, treatment and care of all patients who receive Gamma Knife procedures.

 

10.3 In consultation with GKF,
provide reasonable and customary marketing support in terms of administrative and physician support for the Gamma Knife service
to be operated by the Hospital.

 

10.4 Keep and maintain the Equipment
and the Site fully protected, secure and free from unauthorized access or use by any person.

 

11. Additional Covenants of
GKF. In addition to the other covenants of GKF contained in this Agreement, GKF, at its cost and expense, shall:

 

11.1 Use its best efforts to require
Elekta to meets its contractual obligations to GKF and Hospital upon delivery of the Equipment and put the Equipment, as soon as
reasonably possible, into good, safe and serviceable condition and fit for its intended use in accordance with the manufacturer’s
specifications, guidelines and field modification instructions.

 

11.2 Ensure Hospital’s quite
enjoyment and use of the Equipment, free of the rights of any other persons except for those rights reserved by GKF or granted
to Elekta under the LGK Agreement or the Purchase Agreement.

 

11.3 GKF and Hospital shall mutually
select an individual to be located at the Site to provide Gamma Knife administrative and marketing support services. The individual’s
duties shall include but not be limited to scheduling Gamma Knife patients and coordinating professional and technical personnel
and support services to perform said Gamma Knife treatment. This individual shall also verify patient insurance. The individual
shall also assist with marketing activities on an as needed basis. This individual is provided by the Hospital and GKF shall reimburse
Hospital for the cost of the individual and payment made by GKF to Hospital by the end of the following month. GKF and Hospital
shall mutually agree on individual.

 

     

     

    

 

12. Maintenance of Equipment;
Damage or Destruction of Equipment.

 

12.1 During the Term and except
as otherwise provided in this Agreement, GKF, at its cost and expense, shall (a) maintain the Equipment in good operating condition
and repair, reasonable wear and tear excepted, (b) subject to Hospital’s compliance with its obligations under the LGK Agreement
and under Sections 4, 5, 9, 10, 12, 13, and 16 hereunder, cause the equipment to be in compliance with all applicable state and
federal regulations, and (c) maintain in full force and effect a Service Agreement with Elekta and any other service or other agreements
required to fulfill GKF’s obligation to repair and maintain the Equipment under this Section 12. Hospital shall promptly
notify GKF in the event of any damage or destruction to the Equipment or of any required maintenance or repairs to the Equipment,
regardless of whether such repairs or maintenance are covered or not covered by the Service Agreement. GKF shall pursue all remedies
available to it under the Service Agreement and under any warranties made by Elekta with respect to the Equipment so that the Equipment
will be free from defects in design, materials and workmanship and will conform to Elekta’s technical specifications concerning
the Equipment.

 

12.2 GKF and Elekta shall have
the right to access the Equipment for the purpose of inspection and the performance of repairs at all reasonable times, upon reasonable
advance notice and with a minimum of interference or disruptions to Hospital’s regular business operations.

 

12.3 Hospital shall be liable for,
and in the manner described in Section 22 below shall indemnify GKF from and against, any damage to or destruction of the Equipment
caused by the misuse, improper use, or other intentional and wrongful or negligent acts or omissions of Hospital’s officers,
employees, agents, contractors and physicians. In the event the Equipment is damaged as a result of the misuse, improper use, or
other intentional and wrongful or negligent acts or omissions of Hospital’s officers, employees, agents, contractors (other
than GKF and Elekta) and physicians, to the extent such damage is not covered by the Service Agreement or any warranties or insurance,
GKF may service or repair the Equipment as needed and the cost thereof shall be paid by Hospital to GKF immediately upon written
request together with interest thereon at the rate of one and one-half percent (1.50%) per month (or the maximum monthly interest
rate permitted to be charged by law between an unrelated, commercial borrower and lender, if less) and reasonable attorneys’
fees and costs incurred by GKF in collecting such amount from Hospital. Any work so performed by GKF shall not deprive GKF of any
of its rights, remedies or actions against Hospital for such damages.

 

12.4 If the Equipment is rendered
unusable as a result of any physical damage to or destruction of the Equipment, Hospital shall give GKF written notice thereof.
GKF shall determine, within thirty (30) days after it is given written notice of such damage or destruction, whether the Equipment
can be repaired. Subject to Section 12.3 above, in the event GKF determines that the Equipment cannot be repaired, at the election
of GKF in GKF’s sole and absolute discretion, (a) GKF, at its cost and expense, may replace the Equipment as soon as reasonably
possible taking into account the availability of replacement equipment from Elekta, Elekta’s other then existing orders for
equipment, and the then existing limitations on Elekta’s manufacturing capabilities, and (b) in such event, this Agreement
shall continue in full force and effect as though such damage or destruction had not occurred. If GKF elects not to replace the
Equipment, GKF shall provide written notice of such election to Hospital, and this Agreement shall terminate on the date that is
ninety (90) days following the date of such notice. In the event GKF determines that the Equipment can be repaired, GKF shall cause
the Equipment to be repaired as soon as reasonably possible thereafter. Hospital shall fully cooperate with GKF to effect the replacement
of the Equipment or the repair of the Equipment (including, without limitation, providing full access to the Site) following the
damage or destruction thereof.

 

     

     

    

 

13. Alterations and Upgrades
to Equipment. Hospital shall not make any modifications, alterations or additions to the Equipment (other than normal operating
accessories or controls) without the prior written consent of GKF. Hospital shall not, and shall not permit any person other than
representatives of Elekta or any other person authorized by GKF to, effect any inspection, adjustment, preventative or remedial
maintenance, or repair to the Equipment without the prior written consent of GKF. All modifications, alterations, additions, accessories
or operating controls incorporated in or affixed to the Equipment (herein collectively called “additions” and included
in the definition of “Equipment”) shall become the property of the GKF upon termination of this Agreement. The parties
agree that the necessity for the reloading of the cobalt-60 source, shall be discussed and mutually decided by GKF and Hospital.
If GKF reloads the Equipment at its cost, the initial Term of the Agreement shall be extended for three (3) years from a duration
of 10 to 13 years.

 

14. Financing of Equipment by
GKF. GKF, in its sole discretion, may finance the Equipment. Financing may be in the form of an installment loan, a capitalized
lease or other commercially available debt or financing instrument. If GKF finances the Equipment through an installment loan,
GKF shall be required to provide the Equipment as collateral for the loan. If GKF finances the Equipment through a capitalized
lease, title shall vest with the lessor until such time as GKF exercises its buy-out option under the lease, if any. If required
by the lender, lessor or other financing entity (the “Lender”), GKF may assign its interest under this Agreement as
security for the financing. Hospital’s interest under this Agreement shall be subject to the interests of the Lender and
Hospital shall execute such documentation as the Lender shall reasonably require in furtherance of this Section 14.

 

15. Equipment Operational Costs.
GKF shall be responsible for all costs and expenses for the operation and use of the Equipment. Significant costs and expenses
are enumerated in Exhibit 8.1. Between Hospital and GKF, Hospital shall be fully liable for all negligent, intentional or wrongful
acts or omissions of Hospital, its officers, directors, employees and agents.

 

16. Taxes. GKF shall pay
all sales or use taxes imposed or assessed in connection with the purchase of the Equipment and all personal property taxes imposed,
levied or assessed on the ownership and possession of the Equipment during the Term. All other taxes, assessments, licenses or
other charges imposed, levied or assessed on the Equipment during the Term shall be paid by Hospital before the same shall become
delinquent, whether such taxes are assessed or would ordinarily be assessed against GKF or Hospital; provided, however, Hospital
shall not be required to pay any federal, state or local income, franchise, corporation or excise taxes imposed upon GKF’s
net income realized from the lease of the Equipment. In case of a failure by Hospital to pay any taxes, assessments, licenses or
other charges when and as required under this Section, GKF may pay all or any part of such taxes, in which event the amount paid
by GKF shall be immediately payable by Hospital to GKF upon written request together with interest thereon at the rate of at the
rate of one and one-half percent (1.50%) per month (or the maximum monthly interest rate permitted to be charged by law between
an unrelated, commercial borrower and lender, if less) and reasonable attorneys’ fees and costs incurred by GKF in collecting
such amount from Hospital.

 

     

     

    

 

17. No Warranties by GKF.
Hospital warrants that as of the First Procedure Date, it shall have (a) thoroughly inspected the Equipment, (b) determined that
the Equipment is consistent with the size, design, capacity and manufacture selected by it, and (c) satisfied itself that to the
best of its knowledge the Equipment is suitable for Hospital’s intended purposes and is good working order, condition and
repair. GKF SUPPLIES THE EQUIPMENT UNDER THIS AGREEMENT IN ITS “AS IS” CONDITION. GKF, NOT BEING THE MANUFACTURER OF
THE EQUIPMENT OR THE MANUFACTURER’S AGENT, MAKES NO WARRANTY OR REPRESENTATION, EITHER EXPRESSED OR IMPLIED, AS TO THE EQUIPMENT’S
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR USE, DESIGN, CONDITION, DURABILITY, CAPACITY, MATERIAL OR WORKMANSHIP OR AS
TO PATENT INFRINGEMENT OR THE LIKE. As between GKF and Hospital, Hospital shall bear all risks with respect to the foregoing warranties.
GKF shall not be liable for any direct, indirect and consequential losses or damages suffered by Hospital or by any other person,
and Hospital expressly waives any right to hold GKF liable hereunder for, any claims, demands and liabilities arising out of or
in connection with the design, manufacture, possession or operation of the Equipment, including injury to persons or property resulting
from the failure of, defective or faulty design, operation, condition, suitability or use of the Equipment, or with the accuracy,
completeness or suitability of the Site Planning Criteria, including GKF’s good faith compliance therewith. All warranty
or other similar claims with respect to the Equipment or the Site Planning Criteria shall be made by Hospital solely and exclusively
against persons other than GKF, including Elekta or any other manufacturers or suppliers. In this regard and with prior written
approval of GKF, Hospital may, in GKF’s name, but at Hospital’s sole cost and expense, enforce all warranties, agreements
or representations, if any, which may have been made by Elekta or manufacturers, suppliers or other third parties regarding the
Equipment to GKF or Hospital. GKF shall not be responsible for the operation of the Equipment. However, it shall be GKF’s
responsibility that the Equipment be properly maintained.

 

18. Termination for Economic
Justification.

 

18.1 If, following the initial
twenty-four (24) months after the First Procedure Date and following each subsequent 12 month period thereafter during the Term,
based upon the utilization of the Equipment and other factors considered relevant by GKF in the exercise of its discretion, within
a reasonable period of time after GKF’s written request, Hospital does not provide GKF with a reasonable economic justification
to continue this Agreement and the provision of Gamma Knife services at the Hospital, then and in that event, GKF shall have the
option to terminate this Agreement by giving a written notice thereof to Hospital not less than ninety (90) days prior to the effective
date of the termination designated in GKF’s written notice.

 

18.2 Notwithstanding the provisions
of Section 18.1, if at any time during the term of this Agreement, Hospital is suspended or terminated from participation in the
Medicare program, GKF shall have the option to terminate this Agreement immediately by giving written notice thereof to Hospital.

 

18.3 As a result of any termination
of this Agreement pursuant to this Section 18, GKF may enter upon the Site and remove the Equipment and any improvements made by
GKF to the Site without liability of any kind or nature for so doing or GKF may demand that Hospital remove and return the Equipment
and such improvements to GKF, all at GKF’s sole cost and expense. GKF shall restore the Site to a similar pre-deinstallation
appearance and condition.

 

     

     

    

 

		19.	Options to Extend Agreement. As of the end of the Term, Hospital shall have the option either to:

 

19.1 Extend the Term of this Agreement
for a specified period of time and upon such other terms and conditions in writing as may be agreed upon by GKF and Hospital taking
into account the use (e.g., number of Gamma Knife procedures, etc.) of the Equipment at the Site during the initial Term and other
factors deemed relevant by the parties;

 

19.2 Terminate this Agreement
as of the expiration of the Term.

 

Hospital shall exercise one (1)
of the two (2) options referred to above by giving an irrevocable written notice thereof to GKF at least nine (9) months prior
to the expiration of the initial Term. Any such notice shall be sufficient if it states in substance that Hospital elects to exercise
its option and states which of the two (2) options referred to above Hospital is exercising. If Hospital fails to exercise the
option granted herein at least nine (9) months prior to the expiration of the initial Term, the option shall lapse and this Agreement
shall expire as of the end of the initial Term. Further, if Hospital exercises the option specified in Section 19.1 above and the
parties are unable to mutually agree upon the length of the extension of the Term or any other terms or conditions applicable to
such extension prior to the expiration of the Term, this Agreement shall expire as of the end of the initial Term.

 

20. Events of Default by Hospital
and Remedies.

 

20.1 The occurrence of any one
of the following shall constitute an event of default under this Agreement (an “Event of Default”):

 

20.1.1 Hospital fails to pay
any Lease Payment when due pursuant to Paragraph 8 above and such failure continues for a period of thirty (30) days after written
notice thereof is given by GKF or its assignee to Hospital; however, if Hospital cures the payment default within the applicable
thirty (30) day period, such default shall not constitute an Event of Default.

 

20.1.2 Hospital attempts to
remove, sell, transfer, encumber, assign, sublet or part with possession of the Equipment or any items thereof, except as expressly
permitted herein.

 

20.1.3 Hospital fails to observe
or perform any of its covenants, duties or obligations arising under this Agreement or the LGK Agreement and such failure continues
for a period of thirty (30) days after written notice thereof by GKF to Hospital; however, if Hospital cures the default within
the applicable thirty (30) day period or if the default reasonably requires more than thirty (30) days to cure, Hospital commences
to cure the default during the initial thirty (30) day period and Hospital diligently completes the cure as soon as reasonably
possible following the end of the thirty (30) day period, such default shall not constitute an Event of Default.

 

20.1.4 Hospital ceases doing
business as a going concern, makes an assignment for the benefit of creditors, admits in writing its inability to pay its debts
as they become due, files a voluntary petition in bankruptcy, is adjudicated a bankrupt or an insolvent, files a petition seeking
for itself any reorganization, arrangement, composition, readjustment, liquidation, dissolution or similar arrangement under any
present or future statute, law or regulation or files an answer admitting the material allegations of a petition filed against
it in any such proceeding, consents to or acquiesces in the appointment of a trustee, receiver, or liquidator of it or of all or
any substantial part of its assets or properties, or it or its shareholders shall take any action looking to its dissolution or
liquidation

 

     

     

    

 

20.1.5 Within sixty (60) days
after the commencement of any proceedings against Hospital seeking reorganization, arrangement, readjustment, liquidation, dissolution
or similar relief under any present or future statute, law or regulation, such proceedings shall not have been dismissed, or if
within thirty (30) days after the appointment without Hospital’s consent or acquiescence of any trustee, receiver or liquidator
of it or of all or any substantial part of its assets and properties, such appointment shall not be vacated.

 

20.2 Upon the occurrence of an
Event of Default with respect to Hospital, GKF may at its option do any or all of the following:

 

20.2.1 By written notice to Hospital,
immediately terminate this Agreement as to the Equipment, wherever situated. As a result of the termination, GKF may enter upon
the Site and remove the Equipment and any improvements made by GKF to the Site without liability of any kind or nature for so doing
or GKF may demand that Hospital remove and return the Equipment and such improvements to GKF, all at Hospital’s sole cost
and expense. GKF shall restore the Site to a similar predeinstallation appearance and condition.

 

20.2.2 Recover damages from Hospital
as may be awarded by a court of competent jurisdiction for the loss of the bargain represented by this Agreement. For purposes
of determining such damages, the parties agree that the following methodology shall be used: (a) the amount of such damages shall
be equal to the present value of the unpaid estimated future Lease Payments to be made by Hospital to GKF through the end of the
Term discounted at the rate of nine percent (9%) ; and (a) the unpaid estimated future Lease Payments shall be based on the
historical trend of payments made by Hospital to GKF hereunder taking into account known factors which could impact the historical
trend through the end of the Term. Hospital and GKF acknowledge that the methodology set forth in this Section 20.2.2 constitutes
a reasonable method to calculate GKF’s damages resulting from an Event of Default under the circumstances existing as of
the date of this Agreement. GKF shall use reasonable commercial efforts to mitigate its damages by attempting to sell or lease
the Equipment; provided that (i) GKF shall not be obligated to give preference to the sale or lease of the Equipment
over the sale, lease or other disposition of similar equipment or improvements owned or leased by GKF, (ii) GKF shall have no obligation
to sell or lease any improvements made by GKF to the Site, and (iii) GKF’s inability in good faith to mitigate damages shall
not limit or otherwise affect the foregoing methodology for determining damages as set forth in this Section.

 

20.2.3 Sell, dispose of, hold,
use or lease the Equipment or any improvements made by GKF to the Site, as GKF in its sole and absolute discretion may determine
(and GKF shall not be obligated to give preference to the sale, lease or other disposition of the Equipment or improvements over
the sale, lease or other disposition of similar Equipment or improvements owned or leased by GKF).

 

20.2.4 Exercise any other right
or remedy which may be available to GKF under the Uniform Commercial Code or any other applicable law or proceed by appropriate
court action, without affecting GKF’s title or right to possession of the Equipment or improvements, to enforce the terms
hereof or to recover damages for the breach hereof or to cancel this Agreement as to the Equipment.

 

     

     

    

 

In addition to the foregoing remedies, Hospital shall
be liable to GKF for all costs and expenses incurred by GKF as a result of the Event of Default or the exercise of GKF’s
remedies.

 

20.3 Upon termination of this Agreement
or the exercise of any other rights or remedies under this Agreement or available under applicable law following an Event of Default,
Hospital shall, without further request or demand, pay to GKF all Lease Payments and other sums owing under this Agreement. Hospital
shall in any event remain fully liable for all damages as may be provided by law and for all costs and expenses incurred by GKF
on account of such default, including but not limited to, all court costs. The rights and remedies afforded GKF under this Agreement
shall be deemed cumulative and not exclusive, and shall be in addition to any other rights or remedies to GKF provided by law or
in equity.

 

21. Events of Default by GKF
and Remedies.

 

21.1 The occurrence of any
one of the following shall constitute an Event of Default hereunder:

 

21.1.1 GKF shall fail to observe
or perform any of its covenants, duties or obligations arising under this Agreement and such failure shall continue for a period
of thirty (30) days after written notice thereof is given by Hospital to GKF; however, if GKF cures the default within the
applicable thirty (30) day period or if the default reasonably requires more than thirty (30) days to cure, GKF commences to cure
the default during the initial thirty (30) day period and GKF diligently completes the cure as soon as reasonably possible following
the end of the thirty (30) day period, such default shall not constitute an Event of Default.

 

21.1.2 GKF ceases doing business
as a going concern, makes an assignment for the benefit of creditors, admits in writing its inability to pay its debts as they
become due, files a voluntary petition in bankruptcy, is adjudicated a bankrupt or an insolvent, files a petition seeking for itself
any reorganization, arrangement, composition, readjustment, liquidation, dissolution or similar arrangement under any present or
future statute, law or regulation or files an answer admitting the material allegations of a petition filed against it in any such
proceeding, consents to or acquiesces in the appointment of a trustee, receiver, or liquidator of it or of all or any substantial
part of its assets or properties, or it or its shareholders shall take any action looking to its dissolution or liquidation.

 

21.1.3 Within sixty (60) days
after the commencement of any proceedings against GKF seeking reorganization, arrangement, readjustment, liquidation, dissolution
or similar relief under any present or future statute, law or regulation, such proceedings shall not have been dismissed, or if
within thirty (30) days after the appointment without GKF’s consent or acquiescence of any trustee, receiver or liquidator
of it or of all or any substantial part of its assets and properties, such appointment shall not be vacated.

 

21.2 Upon the occurrence of an
Event of Default involving GKF, Hospital may at its option do any or all of the following:

 

21.2.1 By written notice to GKF,
immediately terminate this Agreement as to the Equipment and, in such event, GKF shall remove the Equipment, the Cobalt and any
improvements made by GKF to the Site, at GKF’s sole cost and expense or, in the absence of removal by GKF within a reasonable
period of time after a written request therefore, Hospital may remove the Equipment, the Cobalt and such improvements with all
due care and store the same at GKF’s sole cost and expense.

 

21.2.2 Seek to recover from GKF
such loss as may be realized by Hospital in the ordinary course of events as a result of the Event of Default.

 

     

     

    

 

21.3 GKF shall in any event remain
fully liable for reasonable damages as provided by law and for all costs and expenses incurred by GKF on account of such default,
including but not limited to, all court costs (other than attorneys’ fees). However, GKF shall not in any manner be or become
liable to Hospital for any consequential or incidental damages that may be suffered by Hospital which arise out of or result from
the Event of Default.

 

21.4 Notwithstanding the occurrence
of an Event of Default with respect to GKF (including any claim which would otherwise be in the nature of a set-off), Hospital shall
fully perform and pay its obligations hereunder (including payment of all Lease Payments) without set-off or defense of any kind.
Upon termination of this Agreement or the exercise of any other rights or remedies under this Agreement or applicable law following
an Event of Default, Hospital shall, without further request or demand, pay to GKF all Lease Payments and other sums owing under
this Agreement when and as due.

 

22. Removal
of Equipment. Upon expiration of the Term, GKF, at its cost and expense, shall remove the Equipment from the Site not more
than ninety (90) days following the last day of the Term; provided that all of GKF’s right, title and interest
in and to the improvements made by GKF to the Site pursuant to Section 6 above shall thereupon transfer to Hospital.

 

23. Insurance.

 

23.1 During the Term, GKF shall,
at its cost and expense, purchase and maintain in effect an all risk property and casualty insurance policy covering the Equipment.
The all risk property and casualty insurance policy shall be for an amount not less than the replacement cost of the Equipment.
The all risk property and casualty insurance policy maintained by GKF shall be evidenced by a certificate of insurance or other
reasonable documentation which shall be delivered by GKF to Hospital upon request following the commencement of this Agreement
and as of each annual renewal of such policy during the Term.

 

23.2 During the Term, Hospital
shall, at its cost and expense, purchase and maintain in effect general liability and professional liability insurance policies
(or self-insurance coverage) covering the Site (together with all premises where the Site is located) and the use or operation
of the Equipment by Hospital or its officers, directors, agents, employees, contractors or physicians. The general liability and
professional liability insurance policies shall provide coverage (or self-insurance coverage) in amounts not less than One Million
Dollars ($1,000,000.00) per occurrence and Five Million Dollars ($5,000,000.00) annual aggregate. GKF shall be named as additional
insured party on the general liability and professional liability insurance policies to be maintained hereunder by Hospital. The
policies to be maintained by Hospital hereunder shall be evidenced by a certificate of insurance or other reasonable documentation
which shall be delivered by Hospital to GKF no later than the First Procedure Date and as of each annual renewal of such policies
during the Term.

 

23.3 During the construction of
the Site and prior to the First Procedure Date, GKF, at its cost and expense, shall purchase and maintain a general liability insurance
policy which conforms with the coverage amounts and other requirements described in Section 23.2 above and which names Hospital
as an additional insured party. The policy to be maintained by GKF hereunder shall be evidenced by a certificate of insurance or
other reasonable documentation which shall be delivered by GKF to Hospital prior to the commencement of any construction at the
Site.

 

     

     

    

 

		23.4	During the Term, Hospital shall maintain all workers compensation insurance as required by applicable law.

 

24. Indemnification

 

24.1 Hospital and GKF each hereby
covenants and agrees that it will defend, indemnify and hold the other party and the other party’s officers, directors, members,
employees and agents at all times harmless from and against any loss, damage, and expense (including reasonable attorneys’
fees and other costs of defense) caused by or arising out of: (i) any liability or obligation related to the business of the indemnifying
party prior to the date hereof; (ii) any obligation or liability arising from services provided under this Agreement by the
indemnifying party to the extent any such liability or obligation directly results from the negligence or intentional misconduct
of the indemnifying party, it’s employees or agents; or (iii) any obligation or liability resulting from a breach of
any provision of this Agreement by the indemnifying party, it’s employees or agents. The obligations of the parties under
this Section shall survive the expiration or earlier termination of this Agreement.

 

24.2 Any party that intends to
enforce an indemnity obligation shall give the indemnifying party notice of any claim as soon as possible, but the failure to give
such notice shall not constitute a waiver or release of the indemnifying party and shall not affect the rights of the indemnified
party to recover under this indemnity, except to the extent the indemnifying party is materially prejudiced thereby. In connection
with any claim giving rise to indemnity under this Section resulting from or arising out of any claim or legal proceeding by a
person who is not a party to this Agreement, the indemnifying party, at its sole cost and expense, may, upon written notice to
the indemnified party, assume control of the defense of such claim or legal proceeding, to the extent that the indemnifying party
admits in writing its indemnification liability to the indemnified party with respect to all material elements thereof. If the
indemnifying party assumes the defense of any such claim or legal proceeding, the obligation of the indemnifying party hereunder
as to such claim or legal proceeding shall be to take all steps necessary in the defense or settlement thereof and to hold the
indemnified party harmless from and against any losses, damages, expenses or liability caused by or arising out of any settlement
approved by the indemnifying party and the indemnified party or any judgment in connection with such claim or legal proceeding.
Each indemnified party shall cooperate with the indemnifying party in the defense of any such action, the defense of which is assumed
by the indemnifying party. Except with the consent of the indemnified party, which consent may be withheld at the indemnified party’s
sole discretion, the indemnifying party shall not consent to any settlement or the entry of any judgment arising from any such
claim or legal proceeding which, in each case, does not include as an unconditional term thereof the delivery by the claimant or
the plaintiff to the indemnified party of a release from all liability in respect thereof. If the indemnifying party does not assume
the defense of any claim or litigation, any indemnified party may defend against such claim or litigation in such manner as it
may deem appropriate, including but not limited to settling such claim or litigation, after giving notice of the same to the indemnifying
party, on such terms as the indemnified party may deem appropriate. The indemnifying party will, promptly after any of the same
is incurred, reimburse the indemnified party in accordance with the provisions hereof for all damages, losses, liabilities, costs
and expenses incurred by the indemnified party.

 

24.3 The indemnity obligations
under this Section shall survive the termination of this Agreement with respect to events occurring during or relating to the Term.

 

     

     

    

 

25. Miscellaneous.

 

25.1 Binding Effect. This
Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. Neither
party shall assign this Agreement nor any of its respective rights hereunder and Hospital shall not sublease the Equipment without
the prior written consent of the other party, which consent shall not be unreasonably withheld. An assignment or sublease shall
not relieve the assigning party or sublessor of any liability for performance of this Agreement during the remainder of the Term.
Any purported assignment or sublease made without the other party’s prior written consent shall be null, void and of no force
or effect.

 

25.2 Agreement to Perform Necessary
Acts. Each party agrees to perform any further acts and execute and deliver any further documents which may be reasonably necessary
or otherwise reasonably required to carry out the provisions of this Agreement.

 

25.3 Validity. If for any
reason any clause or provision of this Agreement, or the application of any such clause or provision in a particular context or
to a particular situation, circumstance or person, should be held unenforceable, invalid or in violation of law by any court or
other tribunal of competent jurisdiction, then the application of such clause or provision in contexts or to situations, circumstances
or persons other than that in or to which it is held unenforceable, invalid or in violation of law shall not be affected thereby,
and the remaining clauses and provisions hereof shall nevertheless remain in full force and effect.

 

25.4 Attorney’s Fees and
Costs. In the event of any action, mediation or other proceedings between or among the parties hereto with respect to this
Agreement, each party shall pay for their own attorneys’ fees and related costs and expenses, irrespective of which party
is deemed to be the prevailing party.

 

25.5 Entire Agreement;
Amendment. This Agreement together with the Exhibits attached hereto constitutes the full and complete agreement and understanding
between the parties hereto concerning the subject matter hereof and shall supersede any and all prior written and oral agreements
with regard to such subject matter. This Agreement may be modified or amended only by a written instrument executed by all of the
parties hereto.

 

25.6 Number and Gender.
Words in the singular shall include the plural, and words in a particular gender shall include either or both additional genders,
when the context in which such words are used indicates that such is the intent.

 

25.7 Effect of Headings.
The titles or headings of the various paragraphs hereof are intended solely for convenience or reference and are not intended and
shall not be deemed to modify, explain or place any construction upon any of the provisions of this Agreement.

 

25.8 Counterparts. This
Agreement may be executed in one or more counterparts by the parties hereto. All counterparts shall be construed together and shall
constitute one agreement.

 

25.9 Governing Law. This
Agreement shall be interpreted and enforced in accordance with the internal laws, and not the law of conflicts, of the State of
Oklahoma applicable to agreements made and to be performed in that State.

 

25.10 Exhibits. All exhibits
attached hereto and referred to in this Agreement are hereby incorporated by reference herein as though fully set forth at length.

 

25.11 Ambiguities. The general
rule that ambiguities are to be construed against the drafter shall not apply to this Agreement. In the event that any provision
of this Agreement is found to be ambiguous, each party shall have an opportunity to present evidence as to the actual intent of
the parties with respect to such ambiguous provision.

 

     

     

    

 

25.12 Representations. Each
of the parties hereto represents (a) that no representation or promise not expressly contained in this Agreement has been made
by any other party hereto or by any of its agents, employees, representatives or attorneys; (b) that this Agreement is not
being entered into on the basis of, or in reliance on, any promise or representation, expressed or implied, other than such as
are set forth expressly in this Agreement; (c) that it has been represented by counsel of its own choice in this matter or
has affirmatively elected not to be represented by counsel; (d) it is duly organized, validly existing and in good standing
under the laws of the jurisdiction of its organization, (e) it has full power and authority to execute, deliver and perform this
Agreement, and (f) the execution, delivery and performance of this Agreement has been duly authorized by all necessary corporate
or other similar action.

 

25.13 Non-Waiver. No failure
or delay by a party to insist upon the strict performance of any term, condition, covenant or agreement of this Agreement, or to
exercise any right, power or remedy hereunder or under law or consequent upon a breach hereof or thereof shall constitute a waiver
of any such term, condition, covenant, agreement, right, power or remedy or of any such breach or preclude such party from exercising
any such right, power or remedy at any later time or times.

 

25.14 Notices. All notices,
requests, demands or other communications required or permitted to be given under this Agreement shall be in writing and shall
be delivered to the party to whom notice is to be given either (a) by personal delivery (in which case such notice shall be deemed
to have been duly given on the date of delivery), (b) by next business day air courier service (e.g., Federal Express or other
similar service) (in which case such notice shall be deemed given on the business day following deposit with the air courier service),
or (c) by United States mail, first class, postage prepaid, registered or certified, return receipt requested (in which case such
notice shall be deemed given on the third (3rd) day following the date of mailing), and properly addressed as follows:

 

	To GKF:	Craig K. Tagawa
	 	Chief Executive Officer
	 	GK Financing, LLC
	 	Four Embarcadero Center, Suite 3700
	 	San Francisco, CA 94111
	 	 
	To Hospital:	Mark Nafziger
	 	Senior VP & CFO
	 	Mercy Health Center
	 	4120 W Memorial Road
	 	Oklahoma City, OK 73120

 

A party to this Agreement may change his, her or its
address for purposes of this Section by giving written notice to the other parties in the manner specified herein.

 

     

     

    

 

25.15 Special Provisions
Respecting Medicare and Medicaid Patients

 

25.15.1 Hospital and GKF shall
generate such records and make such disclosures as may be required, from time to time, by the Medicare, Medicaid and other third
party payment programs with respect to this Agreement in order to meet all requirements for participation and payment associated
with such programs, including but not limited to the matters covered by Section 1861(v) (1) (I) of the Social Security Act.

 

25.15.2 For the purpose of compliance
with Section 1861(v)(1)(I) of the Social Security Act, as amended, and any regulations promulgated pursuant thereto, both parties
agree to comply with the following statutory requirements (a) Until the expiration of four (4) years after the termination of this
Agreement, both parties shall make available, upon written request to the Secretary of Health and Human Services or, upon request,
to the Comptroller General of the United States, or any of their duly authorized representatives, the contract, and books, documents
and records of such party that are necessary to certify the nature and extent of such costs, and (b) if either party carries out
any of the duties of the contract through a subcontract with a value or cost of $10,000 or more over a twelve month period, with
a related organization, such subcontract shall contain a clause to the effect that until the expiration of four (4) years after
the furnishing of such services pursuant to such subcontract, the related organization shall make available, upon written request
to the Secretary, or upon request to the Comptroller General, or any of their duly authorized representatives the subcontract,
and books, documents and records of such organization that are necessary to verify the nature and extent of such costs.

 

25.16 Force Majeure. Failure
to perform by either party will be excused in the event of any delay or inability to perform its duties under this Agreement directly
or indirectly caused by conditions beyond its reasonable control, including, without limitation, fires, floods, earthquakes, snow,
ice, disasters, acts of God, accidents, riots, wars, operation of law, strikes, governmental action or regulations, shortages of
labor, fuel, power, materials, manufacturer delays or transportation problems. Notwithstanding the foregoing, all parties shall
make good faith efforts to perform under this Agreement in the event of any such circumstance. Further, once such an event is resolved,
the parties shall again perform their respective obligations under this Agreement.

 

25.17 Independent Contractor
Status. With respect to the performance of the duties and obligations arising under this Agreement, nothing in this Agreement
is intended nor shall be construed to create a partnership, an employer/employee relationship, a joint venture relationship, or
a lease or landlord/tenant relationship between GKF and Hospital.

 

     

     

    

 

25.18 Mediation. Except
as provided herein, no civil action with respect to any dispute, claim or controversy arising out of or relating to this Agreement
may be commenced until the matter has been submitted for non-binding mediation to the Judicial Arbitration and Mediation Services,
Inc. (“JAMS”), except that if JAMS is no longer in existence or is otherwise unable to appoint a neutral mediator,
the parties shall submit the matter for non-binding mediation to the American Arbitration Association (“AAA”), subject
to the provisions in this section. Either party may commence mediation by providing to the other party a written request for mediation,
setting forth the subject of the dispute and the relief requested. The parties will cooperate with one another in selecting a mediator
and in scheduling the mediation proceedings. The parties covenant that they will participate in the mediation in good faith, and
that they will share equally in its costs. All offers, promises, conduct and statements, whether oral or written, made in the course
of the mediation by any of the parties, their agents, employees, experts and attorneys, and by the mediator, are confidential,
privileged and inadmissible for any purpose, including impeachment, in any litigation or other proceeding involving the parties,
provided that evidence that is otherwise admissible or discoverable shall not be rendered inadmissible or non-discoverable
as a result of its use in the mediation. Either party may seek equitable relief prior to the mediation to preserve the status quo
pending the completion of that process. Except for such an action to obtain equitable relief, neither party may commence a civil
action with respect to the matters submitted to mediation until after the completion of the initial mediation session, or 45 days
after the date of filing the written request for mediation, whichever occurs first. Mediation may continue after the commencement
of a civil action, if the parties so desire. The provisions of this Section may be enforced by any court of competent jurisdiction,
and the party seeking enforcement shall be entitled to an award of all costs, fees and expenses, including attorney’s fees,
to be paid by the party against whom enforcement is ordered.

 

IN WITNESS WHEREOF, the
parties hereto have caused this Agreement to be executed as of the date first set forth above.

 

	“GKF”	 	“Hospital”
	 	 	 
	GK FINANCING, LLC,	 	MERCY HEALTH CENTER,
	a California limited liability company	 	an Oklahoma not for profit corporation
	 	 	 	 	 
	By:	/s/ Craig K. Tagawa	 	By:	/s/ Mark Nafziger
	Craig Tagawa	 	Mark Nafziger
	Chief Executive Officer	 	Senior VP & CFO

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