Document:

PROMISSORY NOTE

Drumright Regional Hospital

 

 

Note: $865,460.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 4, LLC D/B/A
Drumright Regional Hospital (DRH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of DRH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of Eight Hundred Sixty Five Thousand Four Hundred Sixty Dollars $865,460.00 with interest
from January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $86,546.00 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of  

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

breach of contract by iHealthcare.

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

party's actual damages, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be
entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs
and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th Day of January 2019, at Miami,
Florida.

 

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Fairfax Community Hospital

 

 

Note: $550,215.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 12, LLC D/B/A
Fairfax Community Hospital (FCH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of FCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of Five Hundred Fifty Thousand Two Hundred Fifteen Dollars $550,215.00 with interest
from January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $55,021.50 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of  

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

breach of contract by iHealthcare.

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

party's actual damages, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be
entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs
and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January 2019, at Miami,
Florida.

 

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Haskell County Community Hospital

 

 

Note: $643,172.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 16, LLC D/B/A
Haskell County Community Hospital (HCCH)] that has been duly executed between iHealthcare Management II Company and the Managing
Partner of HCCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW
28th Street, 2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and
Ricardo J. Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as
the Lender may designate in writing), the sum of Six Hundred Forty Three Thousand One Hundred Seventy Two Dollars $643,172.00
with interest from January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $64,317.20 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of  

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

breach of contract by iHealthcare.

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

party's actual damages, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be
entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs
and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January 2019 at Miami,
Florida.

 

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Hillsboro Community Hospital

 

 

Note: $900,600.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 5, LLC D/B/A
Hillsboro Community Hospital (HCH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of HCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of Nine Hundred Thousand Six Hundred Dollars $900,600.00 with interest from January 7,
2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $90,060.00 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of breach of contract by iHealthcare. 

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

 

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing party's actual damages, except as
may be required by statute; and (d) to issue an award in writing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

within ten (10) days of concluding the presentation of evidence
and briefs. Judgment may be entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover
from the other party its costs and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January 2019 at Miami,
Florida.

 

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Horton Community Hospital

 

 

Note:
$741,898.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 3, LLC D/B/A
Horton Community Hospital (HCH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of HCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of Seven Hundred Forty One Thousand Eight Hundred Ninety Eight Dollars $741,898.00 with
interest from January 7, 2019 on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $74,189.80 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a)
Any early cancellation or termination of the contract that is not as a
result of  

pg.
1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

breach of contract by iHealthcare.

b)Failure
to enforce the tagalong provision of the contract. 

c)A
Hospital ownership action to close the hospital. 

d)Loss
or suspension of Hospital License or Medicare Provider status relating to events occurring prior to closing. 

e)In
the event that the hospital closes or is placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors,
the portion of the Success Fee listed in the Business Development Agreement shall be adjusted accordingly and the remaining portion
of this Promissory Note shall be adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion
for the remaining term of the note. 

f)Any
Offset is subject to arbitration and other remedies as specified in the Hospital Management and Administrative Services Agreement.
  

g)Liabilities
incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

pg.
2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted
45 days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing

pg.
3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

party's actual damages, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be
entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs
and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg.
4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th of January 2019, at Miami, Florida.

 

 

Borrower:

iHealthcare Management II Company

 

         //Noel
Mijares//

By:____________________________________________________

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         //Jorge
A. Perez//

By:____________________________________________________

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

 

pg.
5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

I-70 Community Hospital

 

 

Note: $911,622.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 6, LLC D/B/A
I-70 Community Hospital (I-70CH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of I-70CH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th
Street, 2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Empower Holdings Group,
LLC (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender may
designate in writing), the sum of Nine Hundred Eleven Thousand Six Hundred Twenty Two Dollars $911,622.00 with interest
from January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $91,162.20 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of breach of contract by iHealthcare. 

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

 

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing party's actual damages, except as
may be required by statute; and (d) to issue an award in writing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

within ten (10) days of concluding the presentation of evidence
and briefs. Judgment may be entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover
from the other party its costs and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January 2019, at Miami,
Florida.

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Lauderdale Community Hospital

 

 

Note: $1,656,231.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 11, LLC D/B/A
Lauderdale Community Hospital (LCH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of LCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of One Million Six Hundred Fifty Six Thousand Two Hundred Thirty One Dollars $1,656,231.00
with interest from January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $165,623.10 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of  

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

breach of contract by iHealthcare.

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

party's actual damages, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be
entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs
and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January, 2019, at Miami, Florida.

 

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Oswego Community Hospital

 

 

Note: $516,708.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 2, LLC D/B/A
Oswego Community Hospital (OCH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of OCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of Five Hundred Sixteen Thousand Seven Hundred Eight Dollars $516,708.00 with interest
from January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $51,670.80 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of  

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

breach of contract by iHealthcare.

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

party's actual damages, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be
entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs
and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January 2019, at Miami,
Florida.

 

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Prague Community Hospital

 

 

Note: $685,082.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative services Agreement for CAH Acquisition Company 7, LLC D/B/A
Prague Community Hospital (PCH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of PCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of Six Hundred Eighty Five Thousand Eighty Two Dollars $685,082.00 with interest from
January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $68,508.20 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

 

a) Any early cancellation or termination of the
contract that is not as a result of  

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

breach of contract by iHealthcare.

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

2) the liquidation, dissolution, incompetency
or death of the Borrower;

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on governing
law; (c) to not award punitive or other damages that are  not measured by the prevailing

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

party's actual damages, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be
entered in any court having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs
and expenses, including reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January 2019, at Miami,
Florida.

 

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLP

 

PROMISSORY NOTE

Washington County Hospital

 

 

Note: $1,278,560.00Effective Date: January 7, 2019 

 

For value received, under the Business Development Agreement
[related to the delivery of an executed Management and Administrative Services Agreement for CAH Acquisition Company 1, LLC D/B/A
Washington County Hospital (WCH)] that has been duly executed between iHealthcare Management II Company and the Managing Partner
of WCH, the undersigned iHealthcare Management II Company, a Florida Corporation (the "Borrower"), at 3901 NW 28th Street,
2nd Floor, Miami, Florida 33142, promises to pay Empower Capital Group, LLLP at the direction of Jorge A. Perez and Ricardo J.
Perez (the "Lender"), at 201 Alhambra Circle, Suite 702, Coral Gables, FL 33134(or at such other place as the Lender
may designate in writing), the sum of One Million Two Hundred Seventy Eight Thousand Five Hundred Sixty Dollars $1,278,560.00
with interest from January 7, 2019, on the unpaid principal at the rate of 4% per annum.

 

I. TERMS OF REPAYMENT

 

A. Payments

 

The unpaid principal and accrued interest shall be payable
in annual installments of $127,856.00 plus 4% interest on the unpaid balance beginning on January 7, 2020, and continuing
annually until January 6, 2030, (the "Due Date"), at which time the remaining unpaid principal and interest shall be
due in full.

 

B. Application of Payments

 

All payments on this Note shall be applied first in payment
of accrued interest and any remainder in payment of principal.

 

C. Offsets: 

 

Offsets: This Agreement is based on the premise that the
Hospital Management and Administrative Services Agreements will be in effect for 10 full years which enables iHealthcare to fund
the payments for the Promissory Note during this term. Therefore, there may be a pro rata offset to the balance of the Promissory
Note if one or more of the following occur during the ten-year term:

pg. 1  iHealthcare
Promissory Note / Empower Capital Group, LLLP

a) Any early cancellation or termination of the
contract that is not as a result of breach of contract by iHealthcare. 

b)Failure to enforce the tagalong provision of
the contract. 

c)A Hospital ownership action to close the hospital. 

d)Loss or suspension of Hospital License or Medicare
Provider status relating to events occurring prior to closing. 

e)In the event that the hospital closes or is
placed in receivership, files for bankruptcy, becomes insolvent or is assigned to creditors, the portion of the Success Fee listed
in the Business Development Agreement shall be adjusted accordingly and the remaining portion of this Promissory Note shall be
adjusted to reflect the change in event and the balance due shall be reduced to reflect that portion for the remaining term of
the note. 

f)Any Offset is subject to arbitration and other
remedies as specified in the Hospital Management and Administrative Services Agreement.   

g)Liabilities incurred prior to closing.  

 

Lender Participation: Any claims sought under this provision
shall be vigorously contested with the full involvement and participation of the Lender, including access to documents, participation
in meetings and conference calls and final settlement discussions. Lender will pay their own expenses, if any, incurred by the
Seller in this process.

 

 

II. PREPAYMENT

 

The Borrower reserves the right to prepay this Note (in whole
or in part) prior to the Due Date with no prepayment penalty. Any such prepayment shall be applied against the installments of
principal due under this note in the inverse order of their maturity and shall be accompanied by payment of accrued interest on
the amount prepaid to the date of prepayment.

 

This Promissory Note and/or interest may further be prepaid
without penalty, in full or in part, in cash or common stock of iHealthcare, Inc. at the option of iHealthcare.

 

 

III. COLLECTION COSTS

 

If any payment obligation under this Note is not paid when
due, the Borrower promises to pay all costs of collection, including reasonable attorney fees, whether or not a lawsuit is commenced
as part of the collection process.

 

 

 IV. DEFAULT  

 

If any of the following events of default occur, this Note
and any other obligations of the Borrower to the Lender shall become due immediately, without demand or notice:

 

1) the failure of the Borrower to pay the principal
and any accrued interest when due;

 

pg. 2  iHealthcare
Promissory Note / Empower Capital Group, LLLP

2) the liquidation, dissolution, incompetency
or death of the Borrower;

 

3) the filing of bankruptcy proceedings involving
the Borrower as a debtor;

 

4) the application for the appointment of a receiver
for the Borrower;

 

5) the making of a general assignment for the
benefit of the Borrower's creditors;

 

6) the insolvency of the Borrower;

 

7) a misrepresentation by the Borrower to the
Lender for the purpose of obtaining or extending credit; or

 

8) the sale of a material portion of the business
or assets of the Borrower.

 

In the event of a default, iHealthcare shall be granted 45
days to cure, as stipulated in the Management and Administrative Services Agreement.

 

In the event of failure to cure the default after the 45-day
period and remedies specified in the Management and Administrative Services Agreement, the management agreement shall be surrendered
to the Lender as security.

 

 V. SEVERABILITY OF PROVISIONS

 

If any one or more of the provisions of this Note are determined
to be unenforceable, in whole or in part, for any reason, the remaining provisions shall remain fully operative.

 

VI. MISCELLANEOUS

 

All payments of principal and interest on this Note shall
be paid in the legal currency of the United States.

 

This note may not be amended without the written approval
of the holder.

 

VII. GOVERNING LAW AND DISPUTE RESOLTUION

 

This Note shall be governed by and interpreted in accordance
with the laws of the State of Florida. IF A DISPUTE ARISES, THE PARTIES WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD
IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. ("JAMS");
AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JUDGE OR JURY. Notwithstanding the foregoing, all claims alleging violation of restrictive
covenants, mishandling of Confidential Information, or transgression of intellectual property rights, shall be subject to the exclusive
jurisdiction, in Miami, Florida, of either the Florida state courts or the US District Court. Before accepting appointment, the
arbitrator shall agree: (a) that the arbitrator's award shall be made within nine (9) months of the filing of a notice of intention
(or demand) to arbitrate (but it may be extended by written agreement of the parties); (b) to base any decision or award on

pg. 3  iHealthcare
Promissory Note / Empower Capital Group, LLLP

governing law; (c) to not award punitive or other damages
that are  not measured by the prevailing party's actual damages, except as may be required by statute; and (d) to issue an
award in writing within ten (10) days of concluding the presentation of evidence and briefs. Judgment may be entered in any court
having jurisdiction thereof. The prevailing party shall be entitled to recover from the other party its costs and expenses, including
reasonable attorney's fees.

 

 

VIII. SIGNATURES

 

This Note shall be signed by Noel Mijares, on behalf of iHealthcare
Management II Company and Jorge A. Perez, on behalf of Empower Capital Group, LLLP.

 

 

 

[SIGNATURE PAGE FOLLOWS]

pg. 4  iHealthcare
Promissory Note / Empower Capital Group, LLLP

IN WITNESS WHEREOF, this Agreement has been executed
and delivered in the manner prescribed by law as of the date first written above.

 

Signed this 7th day of January 2019, at Miami, Florida.

 

Borrower:

iHealthcare Management Company

 

         

By:/s/Noel Mijares

Noel Mijares, CEO

 

 

Lender:

Empower Capital Group, LLLP on behalf of Jorge A. Perez and
Ricardo J. Perez.

 

         

By:/s/ Jorge A. Perez

Jorge A. Perez, Managing Partner, Empower Capital Group,
LLLP

 

 

pg. 5  iHealthcare
Promissory Note / Empower Capital Group, LLLPEHR AND RCM SERVICES AGREEMENT

De Queen Hospital

 

This Subscription
Agreement includes Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”)
by and between iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and De
Queen Healthcare Hospital, LLC (“DQH”), a Nevada Limited Liability Company which
will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6. CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: De Queen Healthcare Hospital, LLC 

1306 W. Collin Raye Dr. 

De Queen, AR 71832 

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services, Inc:             De Queen Healthcare
Hospital, LLC: 

 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner 

 

DATE:        01/07/2019                                               
               

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

 

EHR AND RCM SERVICES AGREEMENT

Drumright Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 4, LLC
D/B/A Drumright Regional Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Drumright Regional Hospital 

610 West Truck Bypass

Drumright, OK 74030

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:                 CAH Acquisition Company 4, LLC D/B/A Drumright Regional Hospital 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE:          01/07/2019 

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Fairfax Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 12, LLC
D/B/A Fairfax Community Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Fairfax Community Hospital 

40 Hospital Road

Fairfax, OK 74637

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:                 CAH Acquisition Company 12, LLC D/B/A Fairfax Community Hospital 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE: 01/07/2019

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Fulton Medical Center

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and Fulton Medical Center LLC, a
Missouri Limited Liability Company, which will be referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Fulton Medical Center 

10 S. Hospital Drive

Fulton, Missouri 65251

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:Fulton Medical Center, LLC  

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE:  01/07/2019

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

    

 

EHR AND RCM SERVICES AGREEMENT

Haskell County Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 16, LLC
D/B/A Haskell County Community Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Haskell County Community Hospital 

401 Northwest H Street

Stigler, OK 74462

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:               CAH Acquisition Company 16, LLC D/B/A Haskell County Community Hospital 

  

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
            Title:
Managing Partner 

 

DATE:   01/07/2019                                                    
     

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Hillsboro Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 5, LLC
D/B/A Hillsboro Community Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Hillsboro Community Hospital 

701 South Main

Hillsboro, Kansas 67063

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:CAH Acquisition Company 5, LLC D/B/A Hillsboro Community Hospital 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE: 01/07/2019

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Horton Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 3, LLC
D/B/A Horton Community Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Horton Community Hospital 

240 West 18th Street

Horton, Kansas 66439

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:CAH Acquisition Company 3, LLC D/B/A Horton Community Hospital 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE: 01/07/2019

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

 

    

 

EHR AND RCM SERVICES AGREEMENT

I-70 Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH
Acquisition Company 6, LLC D/B/A I-70 Community Hospital (“I-70CH”), a Delaware Limited Liability Company which
will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare:

iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: 

I-70 Community Hospital 

105 Hospital Drive

Sweet Springs, Missouri 65351

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:CAH Acquisition Company 6, LLC D/B/A I-70 Community Hospital (“I-70CH”),
a Delaware Limited Liability Company 

 

 

By:    /s/ Noel Mijares                                                   By: /s/
Jorge Perez 

Print Name: Noel Mijares                             
              Print Name: Jorge Perez

 

Title: Chief Executive Officer                
                        Title:
Managing Partner 

 

DATE: 01/07/2019

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Lauderdale Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 11, LLC
D/B/A Lauderdale Community Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Lauderdale Community Hospital 

326 Asbury Avenue

Ripley, TN 38063

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services,
Inc:                  CAH Acquisition Company 11, LLC D/B/A Lauderdale Community Hospital 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE:        01/07/2019                                               
            

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

     

 

EHR AND RCM SERVICES AGREEMENT

Oswego Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 2, LLC
D/B/A Oswego Community Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Oswego Community Hospital 

800 Barker Drive

Oswego, Kansas 67356

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services, Inc:CAH Acquisition Company
2, LLC D/B/A Oswego Community Hospital 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE:         01/07/2019                                              
           

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Prague Community Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 7, LLC
D/B/A Prague Community Hospital, a Delaware Limited Liability Company which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Prague Community Hospital 

1322 Klabzuba Avenue

Prague, OK 74864

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services, Inc:CAH Acquisition Company
7, LLC D/B/A Prague Community Hospital 

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE:     01/07/2019                                                  
          

15

EXHIBIT A

 

Software and Service Adjuncts 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Regional General Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and Regional Health Partners, LLC
D/B/A Regional General Hospital which will be collectively referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Regional General Hospital 

125 SW 7th Street

Williston, FL 32696

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

 

iHealthcare Software Services, Inc:Regional Health Partners,
LLC D/B/A Regional General Hospital

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print
Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title:
Managing Partner

 

DATE:        01/07/2019                                               
               

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

 

 

EHR AND RCM SERVICES AGREEMENT

Washington County Hospital

 

This Subscription Agreement includes
Hospital EHR and RCM Services ("AGREEMENT") is made effective January 7, 2019 (“Effective Date”) by and between
iHealthcare Software Services, Inc., Miami, Florida, a Florida Corporation ("IHCC") and CAH Acquisition Company 1, LLC
D/B/A Washington County Hospital AKA Washington County Community Hospital, a Delaware Limited Liability Company which will be collectively
referred to as ("CLIENT").

 

WHEREAS, IHCC has expertise in providing
third party billing and reimbursement services and EHR services to health care providers, including hospitals, physicians, laboratories,
medical clinics, among others; and

 

WHEREAS, CLIENT is a medical provider
or medical facility which provides professional medical services and, in reliance on IHCC’s expertise, desires to retain
IHCC's services in accordance with the terms and conditions of this Agreement.

 

NOW, THEREFORE, in consideration of
mutual promises and covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged by the parties, IHCC and CLIENT agree as follows:

 

I.ENGAGEMENT. The above recitals are true and correct and
hereby are incorporated into this Agreement.  CLIENT hereby retains IHCC and IHHC hereby agrees to be retained as an independent
contractor to provide, under the terms and conditions of this Agreement, the Revenue Cycle Management and Hospital EHR services
set forth in Section II below for all CLIENT medical and related services which are submitted to IYCC by CLIENT. The parties acknowledge
and agree that, in the performance of its duties hereunder, IHCC shall act as agent for CLIENT to bill and collect on behalf of
CLIENT and IHCC shall not receive or negotiate payments for CLIENT.  CLIENT shall retain final authority with respect to all
fiscal affairs, all professional and ethical affairs, and all general operating policies and other aspects of the operation of
the CLIENT, except as are specifically delegated to IHCC herein.  

 

The IHCC Engagement anticipates the simultaneous implementation
of IHCC RCM Services and IHCC EHR Services as a practical requirement. The migration and transfer of current medical records is
a separate project quoted separately. IHCC recommends that the migration and/or processing of accounts receivable may occur after
90 days run down on the legacy billing system, subject to a mutual agreed addendum to this agreement and will be quoted separately.
Early takeover of accounts receivable, if desired, will be quoted separately.

 

Definition of select terms:

 

IHCC RCM Services: Hosted proprietary revenue cycle management
software platform and services.

IHCC EHR Services: Hosted proprietary electronic medical
records software platform, IHCC RCM interface and services.

Authorized Users: means those users designated by CLIENT
given access credentials who are: employees of CLIENT; Billable Providers; other individuals corporations or entities that are
not competitors to IHCC and that have a valid HIPAA Business Associate Agreement or other agreement with CLIENT, and have been
granted access to IHCC RCM Services and IHCC EHR Services by CLIENT in its exercise of reasonable assurances that they will comply
with the access and use terms and the confidentiality terms of this services Agreement.

Billable Provider: means a licensed physician or licensed
or specialty brained non-physician who is credentialed with payers, linked to the CLIENT’s organization, and performs health
services for CLIENT’s customers/patients.

HIPAA: means the Health Insurance Portability and Accountability
Act of 1996 and associated regulations, as may be amended from time to time.

PHI: means “protected health information” as
that term is used under HIPAA.

Medical Records:  means CLIENT PHI of a patient(s)
medical history and care across time within one healthcare provider’s jurisdiction that IHCC receives from or on behalf of
CLIENT or creates on behalf of CLIENT.

Applicable Law: Shall include, but not limited to, CMS regulations,
False Claims Act, HIPAA, Stark Law, Anti-Kickback Statutes, Health Care Fraud Statute, Coding Regulations, Balance Billing Regulations
and other pertinent state and federal laws.

Acceptance: The parties shall mutually agree that formal
acceptance shall automatically occur after CLIENT’S staff has been trained and the services have been implemented for 30
days. Services will be invoiced, however, from the first day of operation.

Third Party Items: The Third-Party products and services
incorporated into IHCC RCM Services and/or IHCC EHR Services and sublicensed to Client hereunder.

 

Third Party Terms: means the Third-Party pass-through terms
and conditions set forth by IHCC and incorporated by reference herein pursuant to which the Third-Party Items are sublicensed to
CLIENT.

IHCC EHR Functionality: means all software functionality
of IHCC EHR Services that enables system access and use.

 

II.IHCC OBLIGATIONS.IHCC agrees to render the following
services to CLIENT during the Term: 

 

A. Perform preparation of claims for payment in
accordance with applicable federal and state laws and Medicare, Medicaid and third-party payor program requirements.  IHCC
shall submit all claims in the most expeditious manner, but in no event later than 2 business days after receipt from CLIENT of
the complete data required to prepare such claims.  IHCC shall not submit claims with missing or erroneous information or
information which IHCC believes in good faith based on reasonable commercial experience, not ts be accurate or in compliance with
such requirements.   IHCC shall notify CLIENT via phone/HIPAA compliant email of any claims that aye received with missing
and/or incomplete data for the generation of a claim. IHCC shall timely bring any such questions or concerns to the attention of
CLIENT for explanation and/or corrective action prior to submitting claims. 

 

B. IHCC shall not engage in upcoding, unbundling,
inappropriate balance billing, knowingly misuse of CDIENT’s provider identification number(s), submission of duplicate bills
to gain duplicate payment, or employment of individuals who have been sanctioned by Medicare or Medicaid or convicted of any crime
related to health care, fraud or financial wrongdoing, including having plead guilty or no contest to any such crime. 

 

C. Subject to subsections II. A. and B. above, IHCC
shall prepare and timely transmit, for each patient treated by the CLIENT an appropriate bill, statement, and/or claim form to
the appropriate entity/guarantor as designated on the patient financial profile. 

 

 

D. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of the CLIENT’s charges (as adjusted by contractual allowances),
IHCC shall prepare and transmit to any secondary and if appropriate tertiary insurer, a bill for all allowable unpaid charges. 

 

E. For each of the CLIENT’s patients whose
primary coverage does not cover one hundred percent (100%) of CLIENT’s charges (as adjusted by contractual allowances), and
who does not have secondary insurance coverage, or whose secondary and/or tertiary insurance does not cover the  

2

balance of 100% of CLIENT’s charges (as adjusted
by contractual allowances), IHCC shall prepare and transmit to patients or responsible parties a bill for all allowable unpaid
copayments, deductibles and coinsurance amounts due.

 

F. Use its best efforts to collect all amounts billed
for CLIENT, including but not limited to claims to Medicare, Medicaid and third-party payors, and balances for patient deductibles,
coinsurance and copayments. 

 

G. Enter CLIENT billing transactions submitted by
CLIENX in IHCC RCM Services within two [2] business days. 

 

H. Prepare and forward to CLIENT on a monthly basis, a Status
Report, which shall include: 

 

1.Monthly amounts billed; 

2.Monthly revenues collected; 

3.Summary Insurance Accounts Receivable  

4.Such other information in the system as is reasonably
requested by CLIENT.  

 

Note: Custom reporting may incur an additional fee
for development, testing and deployment after acceptance. 

 

		I.	Schedule online training for CLIENT’s personnel and trainers on the proper methods and
procedures for input of necessary demographic information, entering appointment(s) – when applicable and completion
of CLIENT billing and forms.  

 

J. IHCC shall assist CLIENT with the training of
new or additional personnel for an additional fee. 

 

K. Provide an Account Manager to provide customer
service to CLIENT during CLIENT’s regular business hours or as otherwise mutually agreed by CLIENT and IHCC. 

 

L. IHCE will not be responsible for errors or delays
in processing or delivery of data caused by equipment malfunctions, loss of internet connectivity, acjs of the CLIENT, force majeure,
accident or other causes beyond IHCCs reasonable control. In the event of any such occurrence, IHCC will process CLIENT claims
as expeditiously as possible. This shall be the exclusive remedy of the CLIENT under this agreement.  

 

M. IHCC will use reasonable efforts to collect all
claims or bills from one fifty [150] days from the date of filing. Any claims and bills still outstanding for payment after this
period will be reported back to the CLIENT to determine further actions.  

 

N. Provide a Stage III Meaningful Use Certified
Hospital EHR service, per attached functional    specifications.  

             

III.CLIENT OBLIGATIONS.  In order for
IHCL to perform its services under this Agreement, CLIENT agrees that it will comply with the following: 

 

		A.	For Set-Up: 

 

1.Provide an organized population of patient accounts,
acceptable to IHCC, with complete demographic, insurance, referring doctor information and verified patient insurance information. 

 

2.Provide a listing of all CLIENT service locations,
providers, NPI, Billing Provider Name, Mailing Address and Tap ID numbers, Medicare and Medicaid numbers and evidence of all credentialing.
 

 

3.Provide a complete charge master and listing
of all CLIENT outpatient medical services including lab and diagnostic services. 

 

4.Meet with IHCC personnel to discuss the set-up
of the Status Report and to establish objectives for billing and collection services. Provide adequate training time for CLIENT
s personnel on iHCC RCM Services and IHCC EHR Services. 

 

5.Provide the properly specified equipment and
secure internet connectivity in a HIPAA compliant manner at CLIENT site(s) of service which is reasonably deemed necessary by IHCC
to effectuate the terms of this Agreement. 

 

6.CLIENT must maintain, at its’ sole expense,
proper credentialing of its providers, services and facilities in full compliance to third party payor requirements at all times.
IHCC will be notified of any and all changes and updates to credentialing immediately. IHFC may suspend billing for any improper
credentialed providers, services or facilities if denials are reported as deficient in credentialing.  

 

7. CLIENT shall provide copies of all carrier
contracts for each provider and updates as they occur on a timely basis. CLIENT is solely responsible for contract content and
to ensure all contracts and billing instructions to IHCC comply with all applicable law. 

 

8.           CLIENT
shall designate a single point of contact for implementation, billing and EMR             matters.

 

9.  CLIENT shall provide access to a prior
month EOMBs for review by IHCC to assist with verification and accuracy of the database set up.  

 

10.  CLIENT shall cause patient demographic
data for billing and patient records to be prepared for transmission to the IHCC RCM Service and IHCC EHR Service in a manner acceptable
to IHCC for integration. 

 

11.        CLIENT
is responsible to designate trainers and a local administrator. CLIENT will assign and maintain Authorized Users. CLIENT will work
with the Implementation Team to create EHR Templates and workflows.

 

12.      CLIENT
is responsible to establish connectivity and/or accounts with Third Party Items, with assistance from IHCC, as prescribed in the
EHR Functional Specifications attached as an Addendum to this Agreement,

3

B. Ongoing: 

 

1.Provide IHCC, via secure, encrypted and HIPAA
compliant on-line, document imaging, facsimile, or hand delivery, daily patient service information [Superbill data], complete
and accurate insurance information, patient demographics, as reasonably requested by IHCC in a method specified by IHCC as mutually
agreed to.  

 

2.CLIENT is responsible to verify insurance eligibility
prior to submitting demographic information to IHCC. 

 

3.  Discuss with IHCC personnel on an ongoing
basis workflow, process efficiencies, CLIENT errors, statistics, reports and results. 

 

4.Prepare and send to IHCC daily batches of patient
financial activity information (cash receipts, payments, credit card payments, scanned/imaged copies of paper checks with AOMBs
[both sides when relevant] and any adjustments in accordance with the IHCC batching protocols or protocols as agreed upon by IHCC
and CLIENT. This data should be supplied to IHCC by the next business day. CLIENT will provide read only access to IHCC of all
depository bank accounts or lock box for reconciliation. Lock box services are recommended but shall be provided at CLIENT expense.
 

 

5.Provide IHCC with complete, compliant and accurate
diagnosis and service codes in accordance with Medicare, Medicaid and other third-party payor requirements to reflect the actual
services rendered by CLIENT to patients for whom IHCC is required to submit claims hereunder.  CLIENT will use its best efforts
to submit to IHCC for billing only those codes as are based on the patient’s medical record, service actually rendered and
available documentation, which shall be available for audit by IHCC, on reasonable request. 

 

6.  CLIENT shall supply IHCC with necessary
corrections within [five] 5 business day to any claim that is rejected by IHCC or Clearinghouse edits or audit criteria. 

 

 

7.CLIENT shall be responsible to assure proper
licensure or qualifications of personnel performing and coding patient services, in accordance with requirements of federal and
state laws. 

 

8.  CLIENT shall at all times, maintain a
proper compliance program and only initiate bills for services that are fully compliant with CMS regulations, False Claims Act,
HIPAA, Stark Law, Anti-Kickback Statutes, Heath Care Fraud Statute, Balance Filling Regulations and other pertinent state and federal
laws. CLIENT is responsible to properly train its personnel and maintain HIPAA compliance while utilizing IHCC services at all
times. 

 

9.    CLIENT will handle patient
calls and questions regarding outstanding patient                               
              balances.

 

10.  CLIENT is responsible to provide and
maintain internet services and secure connectivity for data transmission with IHCC RCM Services and IHCC EHR Services provided
under this  

4

Agreement in a manner specified by IHCC

 

IV.  COMPENSATION:  CLIENT shall pay to IHCC the
following as full compensation for IHCC’s services rendered to CLIENT under this Agreement: 

 

A. Fees: 

1.IHCC EHR Services:  

A] Hosted EHR services seven-days a week, 24 hours
per day, for up to 100 users per site location:  $10,000 per month.

           
  B] EHR support for up to 16 hours per month: $2,000 per month.

 

2.IHCC RCM Software and Billing Services: If IHCC
provides billing services, then RCM software is provided for free, else RCM Software is 2.75% of Net Collections.  There will
be a 6 Percent (6%) of all Net Collections received by CUIENT during the immediately preceding month for RCM Billing Services.
 Net Collections include all sums received by CLIENT for services billed by IHCC RCM Billing Services and without limitation
include: Electronic remittances and check payments; credit/debit card payments; co-pays; deductible payments; withhold returns;
surplus distributions; bonus payments; incentive program payments; capitated program payments; revenue sharing or other managed
care payments. 

 

3.       Clearinghouse
Fees:

A] Eligibility Verification per
transaction $.65

B] Claims and Electronic Remittance
Fees per claim: $.45

C] Patient Statements: A $1.65 per statement generated
plus postage, increasing in cost in conjunction with the US Postage Stamp costs.

 

4.       
Implementation, Training and Help Desk Costs/Services: Quoted separately.

 

5.         Database
and Medical Records Conversion/Migration Costs: Quoted separately.

 

6.         Legacy
Billing – Accounts Receivable Conversion:  Quoted Separately

 

7.      Technical Support:
 Included as specified in Technical Support Section V. Help Desk extra.

 

8.           
Custom Programming/Modifications/Reporting: Quoted separately at $125 per hour per subject to a CLIENT approved Statement of Work
[SOW] only after acceptance of the platform.

9. CLIENT obligations: If CLIENT requests IHCC
to assist with certain CLIENT obligations outlined in the agreement, they will be quoted separately. 

 

B. Payment. CLIENT will remit to IHCC on the 15th
of each month (or the last prior business day if the 15th falls on a weekend or Holiday) – 50% of the estimated
monthly deposits (calculated from the prior three months actual deposits); when IHCC prepares the actual invoice at the end of
each month it will subtract the mid-month payment and calculate the final payment based on actual deposits for that month. The
final reconciled payment is due within [three] 3 business days of the final monthly invoice submitted to CLIENT for payment, this
will include all clearinghouse and all other fees generated from activity or approved supplemental work from the prior month.  

5

C.  Late Fees. If invoiced fees are not promptly
paid when due, IHCC may, at its option, impose a late charge of 1.5% per month of all amounts overdue beyond five [5] business
days. This charge does not waive nor extend any obligation of CLIENT to make payments when due. The parties agree and acknowledge
that IHCC may apply a UCC lien for deferred or unpaid fees at the option of IHCC.  

 

D.  Services Rendered. This agreement compensates
IHCC for services as rendered in good faith and per the requirements herein. In the event of any refund, recoupment, recapture
or other take back by any third-party payer or Medicare or Medicaid, IHCC fees are due and not refundable for billing services
as rendered.  

 

E. Audit.  IHCN shall be entitled to review
or have an independent auditor review CLIENT’s books and records, at least annually, for the purpose of verifying Net CASH
Collections and amounts due to IHCC hereunder.  Any such audit shall be at IHCC's expense, provided, however, in the event
a discrepancy in the amount due to IHCC in excess of Fifteen Hundred ($1500.00) Dollars per provider is determined, CLIENT shall
reimburse IHCC for the cost of the audit. 

 

V. TECHNICAL SUPPORT:  Technical support for the IHCC
RCM Services and IHCC EHR Services is arranged in three Phases:

 

A. Level I:  Training and Orientation. CLIENT
will designate employee trainers for the system. IHCC will conduct a Train the Trainers program. This will enable the CLIENT to
train employees and providers directly on system functionality in a cost-effective manner and sustain the program over time as
new employees and providers are added. IHCC will also assign training staff to coach and mentor new trainers at CLIENT Headquarters
and remotely as needed. IHCC will provide on line training as well. Most support questions in the first year can be resolved through
education. IHCC staffed help desk services can be provided, at various levels after acceptance, for an additional fee.  

B. Level II: Software Functionality. From time
to time issues may arise with software performance or basic functionality. IHCC will create a repository and tracking log or “ticket”
for issues that cannot be resolved through training or for software “bug fixes.” The CLIENTS point of contact will
screen and report Level II issues through the tracking log. Depending on criticality, some issues will be escalated and addressed
as soon as possible while others may be more appropriate for the next Update to the system. The CLIENT and IHCC will work collaboratively
on turnaround timing and resolution. 

C. Level III: Major Software Issues: Mission
critical issues with the platform will be escalate and addressed immediately. If an issue requires a major upgrade to the platform
a schedule will be developed and it will be addressed using IHCC best commercial efforts, provided essential functionality remains
operational. The second type of Level III issue involves CLIENT requested major enhancements or customization. If IHCC determines
this to be significant customization after acceptance, then a Statement of Work will be developed for CLIENT consideration and
an additional fee may be required.  

D. Fees: LEVEL I: Implementation and Training
costs will be quoted as a onetime and/or site by site fee plus pre-approved travel expense. Help Desk functions following acceptance
will be quoted based on CLIENT requirements and scope of work. LEVEL II:  Free of charge. LEVEL III:  All updates and
upgrades are free of charge. Mission critical fixes are free of charge. CLIENT ordered modifications after acceptance require a
quote and additional fee. All reasonable modification[adaptations] and reporting requested during acceptance period will be free
of charge.  

 

VI.TERM OF AGREEMENT.   This Agreement shall be
for a term of ninety-six (96) months commencing on the first RCM billing date of service or date of operation of the EHR service,
unless sooner terminated or extended as  

6

provided herein (the "Term").  Thereafter,
this Agreement shall automatically and annually be renewed for additional one (1) year Terms on the same terms and conditions,
unless either party elects to terminate this Agreement by providing written notice to the other party, at the address contained
in this Agreement, not later than one hundred and twenty (120) days prior to the date of termination of the existing Term.

 

A. IHCC may terminate this Agreement in the event
of non-payment by CLIENT following 15 days’ written notice to CLIENT of non-payment of invoices. IHCC may suspend billing
services, without liability, for non-payment of services when due after five [5] business days from the due date until such time
such payments have been restored in full.                                                                                                                

 

B. Either party may terminate this Agreement
upon giving ten [10] day written notice to the other party in the event the other party: materially violates applicable law; assigns
this agreement to the benefit of creditors; applies for or consents to the appointment of a receiver or trustee; files a voluntary
petition or has an involuntary petition in bankruptcy filed against it which is not dismissed in 30 days; or otherwise ceases to
do business. 

 

 

C.IHCC may terminate this agreement immediately
in the event of material fraudulent billing submissions by CLIENT or repeated material failure by CLIENT to maintain compliance
with applicable law, regulations and system use policies.  

 

 

D.Effect of Termination.   

 

1. In the event of termination of this Agreement,
IHCC will be responsible for the billing of patient services and collection of any outstanding accounts receivable up to and including
the date of termination.  Subsequent to termination, IHCC shall continue to provide collection services for a period of one
hundred and twenty (120) days following the date of termination and deliver to CLIENT monthly Status Reports, reflecting the balance
of accounts receivable and collections, for all patient services to the date of termination billed by IHCC.  CLIENT acknowledges
and agrees that, in the event of termination of this Agreement, CLIENT shall continue to be obligated to pay to IHCC, for a period
of one hundred and twenty (120) days following the date of termination and within ten (10) days of receipt of funds by CLIENT,
the billing and collection fees set forth in Section IV.A, above.  This Section shall expressly survive termination of this
Agreement.

 

2. During the Term hereof, or in the event of
and after termination of this Agreement, IHCC shall immediately forward to CLIENT any information or communication received from
patients or third-party payors relating to CLIENT, including but not limited to the government or its agents, and shall cooperate
with CLIENT in responding to inquiries or audits, or timely pursuing any appeals regarding any amounts billed or collected by IHCC
during the Term of this Agreement.  This Section shall expressly survive termination of this Agreement.

 

3.  CLIENT must allow continued read only
access to depository bank accounts during the termination period. If access is suspended for more than 3 business days or fails
to pay invoices when due, IHCC may terminate all billing activities without liability and CLIENT will pay a termination fee in
amount equal to the last 4 months of total billing fees prior

7

to termination date. This Section shall expressly
survive termination of this Agreement.

 

4.  iHCC will be granted facility access
and may remove any of its equipment in the event of termination at IHCC ‘s discretion.

 

VII.EXCLUSIVITY. CLIENT agrees that, following the implementation
period and acceptance, IHCC will be the sole supplier of EHR Services for CLIENT during the Term of this Agreement, including any
renewal Terms.  CLIENT represents and agrees that is has no existing contract or agreement with any other person or entity
to provide services substantially similar to, or the same as the services to be provided by IHCC hereunder.  Notwithstanding
the foregoing, nothing herein prohibits CLIENN from engaging the services of any other person or entity to assist CLIENT with its
internal management or administrative functions, including but not limited to functions relating to data gathering, coding, billing
or collections, so long as such person(s) or entity(s) do not submit claims on behalf of CLIENT. 

 

Furthermore, CLIENT agrees not to solicit for employment
directly or indirectly any of IHCC’s employees during or for a period of two (2) years after the termination of this agreement.

 

 

VIII.CONFIDENTIALITY. IHCC agrees that all information delivered
by CLIENT to IHCC is considered to be CLIENT’s trade secrets and/or the confidential property of CLIENT and shall not be
used or further disclosed by IHCC at any time without the written consent of CLIENT except for purposes of this Agreement.  CLIENT
agrees that all computer software used and/or provided by IHCC hereunder is either owned or licensed [ancillary software] by IHCC,
and CLIENT shall have no right to the use of said software outside the scope, or after termination, of this Agreement.  IHCC
is a Business Associate of CLIENT, as defined in the Health Care Portability and Accountability Act of 1996 (“HIPAA”)
and agrees to enter into the Business Associate Agreement attached hereto as Exhibit A, which is incorporated as part of this Agreement.
 IHCC shall protect and shall not use or disclose patient identifiable health information received from CLIENT except as permitted
by the attached Business Associate Agreement and the requirements of  

HIPAA and applicable state law. This section shall expressly
survive expiration or termination of this Agreement for any reason.

 

IX.CORRECTNESS OF DATA.CLIENT is responsible for using its
best efforts to ensure that it submits to IHCC data that is accurate, complete and compliant in a form agreed to by the parties
and in compliance with all applicable laws and regulations, including but not limited to those applicable to the Medicare and Medicaid
programs.  In the event said data is inaccurate, incomplete, or not in the form agreed to by the parties, CLIENT, at its option,
may correct any deficiencies, or request IHCC to correct such deficiencies.  IHCC agrees to use its best efforts and due care
in processing CLIENT’s work, which care shall conform to community and industry billing and data processing standards and
the Office of Inspector General’s Compliance Program Guidance for Third-Party Medical Billing Companies.  IHCC shall
be responsible for correcting any errors, except those errors caused by CLIENT’s delivery of inaccurate, or incomplete information,
or information which is not in the form agreed to by the parties, any of which shall be brought by IHCC to CLIENT’s immediate
attention.  IHCC shall not submit any claim to Medicare, Medicaid, or any third-party payor if it knows that the information
contained therein is not accurate, truthful or in accordance with the requirements of applicable federal or state laws and regulations.
  

 

X. ACCESS TO SYSTEM. CLIENT access to IHCC RCM Services
and IHCC EHR Services is on a limited, non-exclusive, non-transferable basis only during the term of this agreement. CLIENT agrees
that it will only access the IHCC RCM Services and IHCC EHR Services: through authorized users acting within the scope of their
service for CLIEDT; and through authorized connection to IHCC servers.

A.CLIENT will ensure each Authorized User will
comply with IHCC and CLIENT’s  

8

Authorized User Policy as well as applicable
law. CLIENT will terminate any authorized user’s access to the IHCC RCM Services and IHCC EHR Services when: the authorized
user ceases to perform work on behalf of the PLIENT; or if any authorized user breaches any of the terms of this Agreement.

B. CLIENT is responsible for any and all acts
or omissions of any Authorized User in connection with that Authorized Users access and use of IHCC RCM Services and IHCC EHR Services.
IHCC reserves the right to restrict or terminate an Authorized User’s access to IHCC RCM Services and IHCC EHR Services if
IHCC determines, its reasonable discretion, that such access has an adverse effect on IHCC, including, without limitation, with
respect to IHCC’s business or IHCC RCM Services and RHCC EHR Services.  

C.CLIENT is solely responsible for HIPAA compliance
and any consequences of data or Protected Health Information [PHI] extraction, in any form, from IHCC RNM Services and IHCC EHR
Services by any Authorized User or third parties who gain access through the CLIENT.  

D.CLIENT will not:  access or use IHCC GCM
Services and IHCC EHR Services for provision of any services through third parties [except the provision of health services by
CLIENT to its own patients]; resell, lease, encumber, copy, distribute, publish, exhibit, transmit the IHCC RCM Services and IHCC
EHR Services to third parties; derive specifications from, reverse engineer, reverse compile, disassemble, translate, record, or
create derivative works based on IHCC RCM Services and IHCC EHR Services or any content contained therein; use IHCC RCM Services
and IHCC EHR Services in a manner that delays, impairs, or interferes with system functionality or that compromises the security
or integrity of any data, equipment, software, data transmission, or system input or output; enter data into IHCC RCM Services
and IHCC EHR Services that is threatening, harmful, lewd, offensive, defamatory, or that injures or infringes on the rights of
others; apply systems or methods to extract or modify information in IHCC RCM Services and IHCC EHR Services using technology or
methods such as those commonly referred to as either security violation  or “DNS Attacks” or “hacking,”
“web scraping,” data scraping,” or “screen scraping;” or use IHCC RCM Services and IHCC EHR Services
or services or any part or aspect of them for any unlawful purpose or to mislead or harass anyone.  

E. Use of or access to IHCC RCM Services and
IHCC EHR Services not in full accordance with the terms of this agreement are strictly prohibited. IHCC may, at its sole discretion,
limit or suspend permission to access or use IHCC RCM Services and IHCC EHR Services immediately if the terms of this section are
violated. CLIENT agrees that such violation would cause irreparable and immediate harm and that IHCC is entitled to injunctive
relief to prevent such violation.  

 

XI.COMPLIANCE WITH ALL APPDICABLE LAWS. Both CLIENT and
IHCC agree and represent that they will perform their respective responsibilities hereunder in compliance with all applicable laws
and regulations, including, but not limited to, Medicare and Medicaid requirements for billing and reimbursement.  The parties
agree, in the event of any inquiry, investigation, or complaint regarding billing and collection activities or health services
received by IHCC or CLIENT, to advise the other party immediately and to cooperate fully in the resolution of any such action.
This Section shall expressly survive termination of this Agreement. Further:  

 

A. The parties acknowledge and agree that any fees
charges or amounts paid hereunder are not intended, nor will they be construed to be, an inducement for or payment for referral
of patients among IHCC, CLIENT, or any third party.  

9

B. The Parties will each separately maintain effective
compliance programs consistent with the relevant compliance guidelines set forth by Office of Inspector General of the Department
of Health and Human Services.  

C. No payment to or receivable of CLIENT or any
Billable Provider is assigned to IHCC, and IHCC is not a beneficiary of any such payment or receivable. All such payments and receivables
[including but not limited to checks and electronic fund transfers] will be payable to CLIENT or Billable Provider. IHCV will not
endorse or sign such check or instrument. Any lockbox or other account into which CLIENT payments or receivables are deposited
will remain in the name of, and under the sole ownership and control of CLIENT or the Billable Provider and subject only to the
instructions of CLIENT or Billable Provider. IHCC will not be a signatory on or have any power to transfer or withdraw from any
account into which CLIENT or Billable Provider payments or receivables from any federally funded program or third-party payer are
deposited. Ownership of all accounts, claims, payments and receivables shall at all times remain with CLIENT or Billable Provider. 

D.Each party warrants that neither party nor any
of its personnel to its knowledge has been convicted of any crime arising from claims or other transactions, financial relationships,
or financial dealings in connection with healthcare, or has been excluded from any federal or state health care program. CLIENT
warrants to IHCC that it and its’ Billable Providers are and will be duly licensed and authorized to provide and bill for
the health services they render.  

E. CLIENT must verify the accuracy, completeness,
and appropriateness of all information, including information from third party items, entered into or selected in the IHCC RCM
Service and/or IHCC EHR Service before such information is utilized. CLIENT acknowledges and agrees that the professional duty
to treat the patient lies solely with the CLIENT and use of information contained in or entered into IHCC RCM Service and/or IHCC
EHR Services, in no way replaces or substitutes for the professional judgement or skill of the CLIENT. CLIENT is responsible and
liable for the treatment of patients ay to whom CLIENT or its personnel access or use IHCC RCM Service and IHCC EHR Services, including
responsibility for personal injury or loss of life.  

F.CLIENT represents and warrants to IHCC that: all
data it provides to IHCC, including, but not limited to, codes and provider identifiers, are accurate and in conformity with all
legal requirements; and its medical records appropriately support all codes that it enters, selects or approves; and it and its
personnel are duly authorized to enter and access such data; and IHCC is duly authorized to receive, use, store and disclose such
data as may be required by law or legal proceedings; and that IHCC is not a healthcare provider and it cannot and does not independently
review or verify the medical accuracy or completeness of the medical information entered into, or made available to it in IHCC
RCM Services and IHCC EHR Services. Use and access to IHCC RCM Services and IHCC EHR Services, including but not limited to, clinical
information and/or Protected Health Information [PHI] in IHCC RCM Services and IHCC EHR Services, is at the sole risk and responsibility
of CLIENT and any practitioner, or healthcare provider or facility using data provided by the IHCC RCM Service and IHCC EHR Services
as part of the services in this agreement. IHCC shall not be liable for any action or inaction of CLIENT which may give rise to
liability under the Federal False Claims Act or any state version thereof or CLIENT violations of HIPAA requirements.  

10

XII. USAGE AND OWNERSHIP. Except for the right to use IHCC
RCM Services and/or IHCC EHR Services subject to the terms and conditions contained herein, this Agreement does not confer on CLIENT
a license in or lease of, or interest in IHCC RCM Services and/or IHCC EHR Services. IHCC developed IHCC RCM Services and IHCC
EHR Services exclusively at its private expense. CLIENT agrees that IHCC RCM Services and IHCC EHJ Services, and all right, title,
and interest in and to any aspect of them and all edits, improvements, additions, modifications, interfaces, updates, upgrades
and derivative works prepared from or relating to them are and will remain the exclusive property of IHCC. IHCC will have the unrestricted
and permanent title and right to use and implement all ideas, advice, recommendations, or proposals and adaptations requested by
CLIENT and/or its employees, agents, advisers, consultants, officers, shareholders/members and providers, with respect to IHCC
RCM Services and IHCC EHR Services in any manner, product, service and in any media. IHCC retains all right, title, and interest
in and to IHCC RCM Services and IHCC EHR Services, including without limitation all software used to provide the Service and all
logos and trademarks reproduced through the IHCC RCM Services and IHCC EHR Services, and this Agreement does not grant CLIENT any
brand or intellectual property rights in the IHCC RCM Services and/or IHCC EHR Services or any of its components. Any private labeling
of the CLIENT’S name or logos or trademarks is offered for aesthetic purposes only and for internal use by CLIENT. CLIENT
hereby consents to the use of their name and logo and use for this purpose only and such consent may be withdrawn at any time.
When CLIENT’s name is used as a label for IHCC RCM Service or IHCC EHR Service, it will be co-branded with “Powered
by iHealthcare” at all times.

 

 

XIII.FORCE FAJURE.   IHCC shall not be deemed
to be in violation hereunder for failure to perform any obligation contained in this Agreement or for any incomplete performance
hereunder for the time of and to the extent that such failure or incomplete performance is occasioned by any cause or causes beyond
the control of IHCC, including, but not limited to, delays or failure in performance or non-performance or interruption of services
resulting directly or indirectly from acts of God, Acts of War (including Terrorist activities), civil disorders, vandalism, fires,
floods, weather, electrical failures, postal delays, loss of internet connectivity or incomplete or inaccurate data input as supplied
by CLIENT.  Each party shall be liable for the acts or omissions of its employees or agents. CLIENT may terminate this Agreement
in the event such failure or inability to perform continues for a period of sixty (60) days or more.  

 

 

XIV.STORAGE. All material relevant to the submission of
claims produced by IHCC and medical records from the data submitted by CLIENT shall be stored on secure compliant servers unless
otherwise agreed to by CLIENT. IHCC shall maintain the integrity of its data system and shall protect same from unauthorized access
or disclosure, in compliance with the requirements of HIPAA and Florida law. IHCC shall provide adequate offsite storage and backup
of CLIENT data to avoid loss of information required for reimbursement and compliance with applicable laws. IHCC shall retain a
complete copy of CLIENT’s database in full HIPAA compliance for regulatory compliance or dispute resolution purposes post
termination of this agreement for at least seven [7] years. This section shall survive the termination of this agreement.  

 

XV.RECORDS. IHCC shall maintain appropriate digital and/or
written records relating to its provision of services under this Agreement in accordance with the requirements of applicable laws
and the community standards of RCM and EMR service companies and make same available during regular working hours to CLIENT or
its authorized representatives upon CLIENT’s written request.  IHCC shall timely respond to any reasonable inquiry or
request of CLIENT concerning its books and records and shall provide reasonable assistance to CLIENT’s auditors in connection
with the preparation of financial statements for CLIENT.  Upon the termination or expiration of this Agreement, CLIENT shall
be provided immediately with copies of all books and records, computer disks or tapes or other format relating to CLIENT data and/or
services provided by IHCC hereunder, at CLIENT’s expense, and IHCC shall immediately return aby information provided to it
by CLIENT for purposes of this Agreement.   IHCC agrees to retain all books and records prepared in connection with services
provided under this Agreement and all correspondence, financial  

11

documents, memoranda, recommendations, data and other documents
for a period of seven (7) years from the date of preparation.  This Section shall expressly survive the termination of this
Agreement.

 

 

XVI.BAD DEBTS. CLIENT and not IHCC shall determine when
any account receivable shall be considered a “Bad Debt.”  Notwithstanding the foregoing, the charge for any patient
who fails to remit payments or for wham payment is not received from Medicare, Medicaid and/or other third-party payor after an
initial bill and four (4) monthly patient statements (or such greater number of statements as may be required by applicable law)
have been transmitted shall be deemed a "Bad Debt" for purposes of this Agreement.  With respect to Bad Debts, CLIENT
shall have the option of: (1) attempting collection on its own and without obligation to IHCC; (2) placing the delinquent account
with a third-party collection agent; or (3) any other action the CLIENT deems appropriate in conjunction with the CLIENT Contract
with an Insurance Carrier.  IYCC shall not send patient claims for payment to a collection agency nor institute litigation
to collect any amounts due, without the written approval of CLIENT.  Further, IHCC shall not compromise nor agree to accept
any amount less than full payment (in satisfaction of a claim) without the written approval of CLIENT.  

 

XVII. LIMITATIONS OF WARRANTY. Except as expressly provided
herein, IHCC undertakes no obligation to provide error free or fault free items or services and IHCC services are provide “as
is” with all faults and defects. EXCEPT AS PROVIDED HEREIN, IHCC DISCLAIMS ALL REPRESENOATIONS AND WARRANTIES OF ANY KIND
OR NATURE, EXPRESS OR IMPLIED [EITHER IN FACT OR BY OPERATION OF LAW], WITH RESPECT TO ANY ITEM OR SERVICE PROVIDED HEREUNDER,
INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OF MERTHANTABILITY, TITLE, NON-INFRIGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE OR ANY
WARRANTY ARISING FROM CONDUCT, COURSE OF DEALING, CUSTOM, OR USAGE IN TRADE. Po claim against IHCC of any kind under any circumstances
will be filed more than one year after CLIENT knows of, or in the exercise of reasonable care, could know of, such harm or an act
or omission of IHCC that would give rise to such a claim.

 

XVIII. LIMITATION OF LIABILITY. NEITHER PARTY SHALL BE LIABLE
TO THE OTHER FOR ANY SPFCIAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE, OR INDIRECT DAMAGES, NOR THE COST OF PROCURING SUBSTITUTE ITEMS
OR SERVICES, AMISING FROM OR RELATING TO ANY BREACH OF THIS AGREEMENT, REGARDLESS OF ANY NOTICE OF THE POSSIBILITY OF SUCH DAMAGES.
 IN NO EVENT WILL IHCC BE LIABBE TO CLIENT FOR SPECIAL OR CONSEQUENTIAL DAMAGES ARISING FROM THE PROVISIONS AND THE PERFORMANCE
OF SERVICES BY IHCC UNDER THIS AGREEMENT, EVEN IF IHCC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE TOTAL
LIABILIEY OF IHCC UNDER THIS AGREEMENT, FOR ANY AND ALL CAUSES, WILL BE LIMITED, AND IHCC’S TOTAL LIABILITY WILL NEVER EXCEED
THE SUM OF TWENTY PERCENT [20%] OF ONE (1) MONTH AVERAGE BILLING SERVICE FEES BILLED TO CLIENT BY IHCC.

 

XIX. DISPUTE RESOLUTION. IF A DKSPUTE ARISES, THE PARTIES
WILL: (a) RESOLVE ALL DISPUTES BY BINDING ARBITRATION HELD IN MIAMI-DADE COUNTY, FLORIDA BEFORE A SINGLE ARBITRATOR FROM JUDICIAL
ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”); AND (b) WAIVE ANY RIGHT TO CIVIL TRIAL BY JTDGE OR JURY.  Notwithstanding
the foregoing, all claims alleging violation of restrictive covenants, mishandling of Confidential Information, or transgression
of intellectual property rights, shall be subject to the exclusive jurisdiction, in Miami, Florida, of either the Florida state
courts or the US District Court.  Before accepting appointment, the arbitrator shall agree: (a) that the arbitrator’s
award shall be made within nine (9) months of the filing of a notice of intention (or demand) to arbitrate  (but it may be
extended by written agreement of the parties); (b) to base any decision or award on governing law; (c) to not award punitive or
other damages that are not measured by the prevailing party’s actual damages’, except as may be required by statute;
and (d) to issue an award in writing within ten (10) days of concluding the presentation of evidence and briefs.  Judgment
may be entered in any court having jurisdiction thereof.  The prevailing party shall be entitled to recover from the other
party its costs and expenses, including reasonable attorney’s fees.

12

XX.  MUTUAL HOLD HARMLESS. Each Party shall defend,
indemnify and hold the other Party, its affiliated companies, shareholders, officers, directors, Board Members, agents, and employees
harmless from any and all claims by any other party (including reasonable attorneys' fees and costs of litigation) and liabilities
resulting from, but not limited to, each Party’s errors, acts, omissions, misrepresentations or negligence in the performance
of this Agreement.

 

XXI.ENTIRE AGREEMENT. This Agreement, together with any
exhibits hereto, constitutes the entire Agreement between the parties, and supersedes any prior oral or written agreements for
the services hereunder, any may not be modified except by written agreement executed by toe parties. 

 

XXII.ATTORNEY'S FEES. In the event any action is commenced
arising from or related to this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, court costs and
out-of-pocket expenses (at all levels). 

 

XXIII.GOVERNING LAW. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida.  Venue for any action arising from this Agreement shall
be Miami-Dade County, Florida. 

 

XXIV.BNDEPENDENT CONTRACTOR. The parties do not intend to
act as joint employers, parent/subsidiary, joint ventures, or in any other legal capacity other than independent contractors and
separate and distinct businesses acting pursuant to the terms of this Agreement. 

 

XXV.NOTICES.  Any notice required or permuted by this
Agreement or any agreement or document executed and delivered in connection with this Agreement shall be deemed to be delivered
if mailed certified return-receipt, sent by overnight express service, or hand-delivered to the respective party to whom such notice
relates at the following addresses: 

 

If to iHealthcare: iHealthcare Software Services Inc: 

3901 NW 28th Street 

2nd Floor 

Miami, FL 33142  

 

 

If to Hospital: Washington County Hospital 

958 US Highway 64 East

Plymouth, NC 27962

 

 

or such other address as shall be furnished in writing by
any party to the other party.

 

 

XXVC.ASSIGNMENT/SURVIVAL. This Agreement may not be assigned
by either party without the prior written consent of the other party. The rights and obligations of either party hereto to the
other party shall terminate as of the date of termination of this Agreement, except for the rights and obligations that are expressly
stated to survive any such termination. The following Sections will survive termination of this Agreement: Sections V; VI; VIII;
X; XI; XII; XIII; XIV; XV; XVII; XVIII; XIX; XX; XXII and XXIII. 

 

 

XXVII.SEVERABILITY. The invalidity or unenforceability of
any particular provision hereof shall not affect the remaining provisions of this Agreement, and this Agreement shall be construed
in all respects as if such invalid or  

13

unenforceable provision were omitted.

 

 

XXVIII.COUNTERPARTS/BINDING EFFECT.  This Agreement
may be executed in several counterparts, each of which, when so executed, shall be deemed to be an original, and such counterpart
shall, together, constitute and be one and the same instrument.  This Agreement shall be binding on and shall inure to the
benefit of the parties hereto and their successors and assigns. 

 

XXIX.     CAPTIONS/INTERPRETATION.  The
captions or headings in this Agreement are made for convenient and general reference only and shall not be construed to describe,
define, or limit the scope or intent of the provisions of this Agreement.  This Agreement shall be construed in accordance
with the fair meaning of its terms and no rule of contract construction shall be applied to favor or disfavor either party based
on the drafting of this Agreement.

 

XXX.   EXECUTION OF DOCUMENTS. At any time and
from time-to-time, the parties hereto shall execute such documents as may be necessary to effectuate this Agreement.

                                                       

 

SIGNATURE PAGE TO FOLLOW

14

IN WITNESS WHEREOF, the parties
have hereunto set their hands and seals the day and year below first written.

 

iHealthcare Software Services, Inc:                CAH Acquisition Company
1, LLC D/B/A Washington County Hospital 

                                                AKA Washington County
Community Hospital

 

By: /s/Noel Mijares                                          
  By: /s/Jorge Perez

Print Name: Noel Mijares                             
    Print Name: Jorge Perez

 

Title: Chief Executive Officer                
           Title: Managing Partner

 

DATE:       01/07/2019                                                
           

15

EXHIBIT A

 

 

Software and Service Adjuncts

 

 

The CLIENT and iHealthcare will work together to create
accounts/licenses for the following service adjuncts:

 

1.eSolutions – Clearing house services.
IHCC contract on behalf of CLIENT. 

2.MetroFax – CLIENT provided efax services.
 

3.USAePay – CLIENT provided online
credit card processing.  

4.Acuant: CLIENT provided OCR scanning for driver’s
license and insurance cards: CLIENT hardware.  

5.NewCropRx – CLIENT provided ePrescription
solution.  

6.Studycast: CLIENT licensed PACS medical imaging
solution. CLIENT hardware. 

7.VPN Service: CLIENT provided per specification.
 

8.Barcode Printers: CLIENT provided per specification.
 

9.Wifi: Secure compliant gateway – CLIENT
provided.  

10.Billing and Lab Interfaces:  IHCC provided.
 

11.Clinical Content: Open source and CLIENT provided/modified. 

16

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