Document:

Exhibit 10.2a

 

ADDENDUM TWO

TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT

 

This ADDENDUM TWO TO LEASE
AGREEMENT FOR A GAMMA KNIFE UNIT (this “Addendum Two”) is dated effective as of October 31, 2012, and is entered into
between GK Financing, LLC, a California limited liability company (“GKF”) or its wholly owned subsidiary whose obligation
under this Agreement shall be guaranteed by GKF, and OSF Healthcare System, an Illinois not for profit corporation, owner and operator
of St. Francis Medical Center (“Medical Center”), with reference to the following recitals:

 

Recitals:

 

WHEREAS, on February 18,
2000, GKF and Medical Center executed a Lease Agreement for a Gamma Knife Unit, as amended by a certain Addendum to Lease Agreement
for a Gamma Knife Unit dated as of April 13, 2007 (as amended, the “Lease”); and

 

WHEREAS, the parties desire
to amend the terms and provisions of the Lease as set forth herein.

 

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

 

Agreement:

 

		1.	Defined Terms. Unless otherwise defined herein, the capitalized terms used herein
shall have the same meanings set forth in the Lease.

 

		2.	Extend System.

 

		a.	It is acknowledged that the Medical Center wishes to add the Extend system to the Perfexion Model.

 

		b.	Subject to the terms and conditions set forth in Section 3 (Per Procedure Payment) below, (i) GKF
at GKF’s cost and expense shall add the Extend system to the Perfexion Model; and (ii) GKF shall use its commercially reasonable
efforts to perform the Extend system addition in fourth quarter 2013.

 

		3.	Per Procedure Payment. 

 

		a.	Without modifying, amending or otherwise affecting the per procedure payments payable by Medical
Center for the Perfexion Model under the Lease, commencing from and after the first clinical use of the Extend system, Medical
Center shall pay to GKF a per treatment payment for using the Extend system, which payment shall be in the amount of Ten Thousand
Dollars ($10,000) per treatment, irrespective of the number of treatments performed using the Extend system. As used in this Addendum
Two, the term “treatment” shall mean each course of treatment (two to five fractions), whether performed on an inpatient
or outpatient basis, during which a patient receives treatment using the Extend and/or any other equipment or devices that are
used in lieu of, or as an alternative to, the Extend system. Medical Center shall be billed on the fifteenth (15th) and the last
day of each month for the actual number of treatments performed using the Extend system during the first and second half of the
month, respectively. Medical Center shall pay the treatments invoiced within thirty (30) days after being invoiced. Interest shall
begin to accrue at the rate of 1-112% per month on all invoices remaining unpaid after 45 days.

 

     

     

    

 

		4.	Captions. The captions and paragraph headings used herein are for convenience only
and shall not be used in construing or interpreting this Addendum Two.

 

		5.	Full Force and Effect. Except as amended by this Addendum Two, all of the terms and
provisions of the Lease shall remain in full force and effect and shall be applicable to the Extend system, where appropriate;
provided that, nothing set forth in this Addendum Two shall modify, amend or otherwise affect any of the parties respective obligations
under the Lease with respect to the Perfexion Model.

 

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

 

	GK FINANCING, LLC	 	OSF HEALTHCARE SYSTEM, 

owner and operator of Saint Francis 

Medical Center
	 	 	 	 	 
	By:	/s/ Ernest A. Bates	 	By:	/s/ Kevin D. Schocplein
	 	 	 	 	 
	Name:	Ernest A. Bates, M.D.	 	Name:	Kevin D. Schocplein
	 	 	 	 	 
	Title:	GKF Policy Committee Member	 	Title:	CEO

 

    - 2 -Exhibit 10.2b

 

CONFIDENTIAL TREATMENT REQUESTED UNDER 17
C.F.R. SECTIONS 200.80(b)(4) AND 240.24b-2. [*****] INDICATES OMITTED MATERIAL THAT IS THE SUBJECT OF A CONFIDENTIAL TREATMENT
REQUEST FILED SEPARATELY WITH THE COMMISSION. THE OMITTED MATERIAL HAS BEEN FILED SEPARATELY WITH THE COMMISSION.

 

ADDENDUM THREE

TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT

 

This ADDENDUM THREE TO
LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this “Addendum Three”) is dated effective as of June 7, 2016, and is entered
into between GK Financing, LLC, a California limited liability company (“GKF”), and OSF Healthcare System, an Illinois
not for profit corporation, owner and operator of St. Francis Medical Center (“Medical Center”), with reference to
the following recitals:

 

Recitals:

 

WHEREAS, on February 18,
2000, GKF and Medical Center executed a Lease Agreement for a Gamma Knife Unit, as amended by (i) a certain Addendum to Lease Agreement
for a Gamma Knife Unit (incorrectly referenced therein as Addendum Two to Lease Agreement) dated effective as of April 13, 2007
(“Addendum One”); and (ii) a certain Addendum Two to Lease Agreement for a Gamma Knife Unit dated effective as of October
31, 2012 (“Addendum Two”) (such Lease Agreement, as amended by Addendum One and Addendum Two, is referred to herein
as the “Lease”); and

 

WHEREAS, the parties desire
to further amend the terms and provisions of the Lease as set forth herein.

 

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

 

Agreement:

 

		1.	Defined Terms. Unless otherwise defined herein, the capitalized terms used herein
shall have the same meanings set forth in the Lease.

 

		2.	Extension of Lease Term. Notwithstanding anything to the contrary set forth in the
Lease, in consideration of the “Second Reload” described below, the Term of the Lease (as extended by the First Extension)
shall be automatically extended for a period of four (4) years (the “Second Extension”), which Second Extension shall
commence on the date the first “procedure” is performed immediately following the completion of the Second Reload.
In no event shall the Term of the Lease be extended beyond October 14, 2020.

 

		3.	Second Cobalt Reload of the Equipment. Section 15.2 of the Lease (Second Reload)
(as set forth in Section 3 of Addendum One) is hereby deleted in its entirety and replaced with the following:

 

“15.2 Second Reload. Subject
to the terms and conditions set forth below, (a) GKF shall at its sole cost and expense, reload the Perfexion Model with new cobalt-60
(the “Second Reload”), which Second Reload shall be performed at the Site; and (b) GKF shall use its commercially reasonable
efforts to perform the Second Reload during third/fourth quarter 2016. GKF also agrees to be responsible for all insurance, rigging,
site modifications and installation costs related to the Second Reload. All references in this Agreement to the “Second Reload”
shall be deemed to refer to the Second Reload as defined above.”

 

     

     

    

 

CONFIDENTIAL TREATMENT REQUESTED UNDER 17
C.F.R. SECTIONS 200.80(b)(4) AND 240.24b-2. [*****] INDICATES OMITTED MATERIAL THAT IS THE SUBJECT OF A CONFIDENTIAL TREATMENT
REQUEST FILED SEPARATELY WITH THE COMMISSION. THE OMITTED MATERIAL HAS BEEN FILED SEPARATELY WITH THE COMMISSION.

 

		4.	Per Procedure Payment. Effective May 15, 2016, the first paragraph of Section 7 of
the Lease (as amended by Section 4.a of Addendum One) shall be deleted in its entirety and replaced with the following:

 

“7. Per Procedure Payments.
Medical Center shall schedule use of the Equipment at its sole discretion and shall be obligated to no minimum number of procedures.
Commencing from and after May 15, 2016 (the “2016 Per Procedure Rate Adjustment Date”), Medical Center shall pay to
GKF a per procedure payment equal to (i) [*****] per procedure for procedures [*****] performed in each year of the Agreement for
the use of the Equipment, and (ii) [*****] per procedure for procedures [*****] and above during each year of the Agreement for
the use of the Equipment. For purposes of the foregoing per procedure calculation, procedure counts are not cumulative and the
procedure count reverts to zero (0) on the 2016 Per Procedure Rate Adjustment Date and on each anniversary date thereafter. As
used in this Agreement, the term “procedure” shall mean each individual treatment session (fraction), whether performed
on an inpatient or outpatient basis, during which a patient receives treatment, imaging or other procedures, including, without
limitation, treatment planning and delivery, imaging and other ancillary services, using the Equipment and/or any other equipment
or devices that are used in lieu of, or as an alternative to, the Equipment. Medical Center shall be billed on the fifteenth (15th)
and the last day of each month for the actual number of procedures performed during the first and second half of the month, respectively.
Medical Center shall pay the procedures invoiced within thirty (30) days after being invoiced. Interest shall begin to accrue at
the rate of one and one-half percent (1.5%) per month on all invoices remaining unpaid after forty-five (45) days.”

 

		5.	Captions. The Captions and paragraph headings used herein are for convenience only
and shall not be used in construing or interpreting Addendum Three.

 

		6.	Full Force and Effect. Except as amended by this Addendum Three, all of the terms
and provisions of the Lease shall remain in full force and effect, including, without limitation, Medical Center’s obligation
to pay the per treatment payment for using the Extend system as set forth in Addendum Two.

 

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

 

	GKF:	 	Medical Center:
	 	 	 
	GK FINANCING, LLC	 	OSF HEALTHCARE SYSTEM, owner and operator of Saint Francis Medical Center
	 	 	 	 
	By:	/s/ Ernest A. Bates	 	 	 
	Name:	Ernest A. Bates, M.D.	 	By:	/s/ Sister Diane Marie McGrew, OSF
	Title:	GKF Policy Committee Member	 	 	 
	 	 	 	Name:	Sister Diane Marie McGrew, OSF
	 	 	 	 	 
	 	 	 	Title:	President

 

    - 2 -

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