Document:

Exhibit 10.63a

 

1st AMENDMENT TO THE LEKSELL
GAMMA KNIFE PERFEXION PURCHASED

SERVICES AGREEMENT 

 

This 1ST AMENDMENT TO THE
LEKSELL GAMMA KNIFE PERFEXION PURCHASED SERVICES AGREEMENT ("Amendment") is effective as of October 10, 2011,
by and between Jacksonville GK Equipment, LLC ("JGKE") and St. Vincent's Medical Center, Inc ("Medical
Center").

 

RECITALS

 

WHEREAS, JGKE and Medical Center entered into that certain
Leksell Gamma Knife Perfexion Purchased Services Agreement dated August 5, 2011 (the "Agreement"); and

 

WHEREAS, under Section 6 of the
Agreement, Medical Center agreed, at its cost, to prepare, construct and improve the Site and install the Equipment provided, however,
such cost would not exceed * (the "Cap"); and

 

WHEREAS, the cost to prepare, construct and improve the
Site and install the Equipment exceeded the Cap by *; and

 

WHEREAS, JGKE agrees to pay the *; and

 

WHEREAS, for both equitable and
regulatory compliance purposes the parties desire to Amend the Purchased Services Payment percentages pursuant to the existing
methodology to take into account JGKE' s contribution of the additional * to the program.

 

NOW, THEREFORE, JGKE and Medical Center agree as follows:

 

		1.	JGKE shall contribute * to the preparation, construction and improvement of the Site and installation of the Equipment.

 

		2.	Schedule 1 of the Agreement is hereby deleted and replaced with the attached Schedule 1.

 

		3.	All capitalized terms that are not specifically defined in this Amendment are defined in the Agreement.

 

IN WITNESS WHEREOF, the parties have executed this Amendment
as of the date indicated below.

 

	Jacksonville GK Equipment, LLC	 	St. Vincent’s Medical Center, Inc.
	 	 	 
	By: /s/ Ernest A. Bates, M.D.	 	By: /s/ Moody Chisholm
	Ernest A. Bates, Manager	 	President & CEO
	Date: 11/15/11	 	Date: 11/15/11

  

    	 

    	 

    

 

Schedule 1

 

The Purchased Service Payment percentage and pro-rata share
for capital expenditures are as follows:

 

	Purchased Service Payment	Pro-rata Share for
	Percentage	Capital Expenditures
	 	 
	*	Medical Center = *
	 	 
	  	JGKE = *Exhibit 10(xlii)

 

SEPARATION AND RELEASE AGREEMENT 

 

This Separation and
Release Agreement (this “Agreement”) is made as of this 30th day of January, 2012, by and among Crescent Financial
Bancshares, Inc. (the “Company”), a Delaware corporation and successor to Crescent Financial Corporation, a North Carolina
corporation; Crescent State Bank (the “Bank”), a North Carolinas chartered bank (the Company and the Bank are collectively
referred to herein as the “Employer”); and Michael G. Carlton, a resident of the State of North Carolina (the “Executive”).

 

Introduction

 

Crescent Financial
Corporation, the Bank and the Executive previously entered into that certain employment agreement dated February 23, 2011, as amended
by that certain letter agreement among the parties dated November 2, 2011 (the “Employment Agreement”). The Executive
has continued to be employed by the Employer pursuant to the terms of the Employment Agreement through the Termination Date, as
set forth below. The parties now mutually desire to enter into this Agreement for the purpose of terminating the Employment Agreement
and the employment relationship between the parties on mutually satisfactory terms.

 

NOW, THEREFORE, in
consideration of the premises and terms and conditions contained herein and for other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:

 

		1.	Termination of Employment Relationship. The Employment Agreement and the employment relationship
between the parties is hereby terminated effective as of the close of business on December 30, 2011 (the “Termination Date”).
The parties acknowledge that Executive’s termination from employment will result in a “separation
from service” as defined in Section 409A of the Internal Revenue Code and further acknowledge that the circumstances
of the termination of the employment relationship are contemplated by the terms of the Employment Agreement. Executive further
agrees that he has resigned from all of his positions as an officer and director of the Employer and any and all affiliates of
the Employer on or before the Termination Date.

 

		2.	Effective Date. This Agreement shall be effective as of the Termination Date.

 

		3.	Consideration. The Executive is required to enter into this Agreement pursuant to the express
terms of the Employment Agreement as a condition to receiving the severance benefits set forth below:

 

		a.	a lump sum cash payment equal to Nine Hundred Sixty Thousand Dollars ($960,000), payable without
interest in one installment of Four Hundred and Fifty-three Thousand Dollars ($453,000) on the first payroll date after this Agreement
and the release contained herein becomes final and irrevocable and a second installment of Five Hundred Seven Thousand Dollars
($507,000) on the first payroll date to occur on or after July 1, 2012;

 

		b.	accelerated, full vesting of the shares of Company common stock subject to that certain restricted
stock grant agreement dated April 27, 2010; and

 

		c.	provision by the Employer of an after-tax subsidy for the cost of COBRA health continuation coverage
for which the Executive and his dependents are eligible at the subsidy rate provided by the Employer to similarly situated active
employees, such subsidy to be provided on or before the date Employer is required to make any corresponding premium payment under
COBRA

 

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If Executive fails or refuses
to execute this Agreement, or if Executive revokes this Agreement as provided herein, Executive will not be entitled to the consideration
set forth in this Section. Whether or not Executive executes this Agreement, the Employer will pay Executive any and all wages
for all hours worked up to and through the Termination Date within the appropriate time frame required by applicable law.

 

Federal, state and local tax
withholdings may be applied to all of the above consideration as determined by Employer in its sole discretion consistent with
applicable law. The consideration will be paid, or commence, as applicable, in the time and manner contemplated by Section 5 of
the Employment Agreement, subject to Section 5 below.

 

		4.	Release.

 

		a.	In consideration of the amounts being paid to the Executive in Section 3 above, Executive, for
himself, his attorneys, heirs, executors, administrators, successors and assigns, fully, finally and forever releases and discharges
the Employer, all parent, subsidiary and/or affiliated companies, as well as its and their successors, assigns, officers, owners,
directors, agents, representatives, attorneys, and employees (all of whom are referred to throughout this Agreement as the “Employer”
or the “Releasees”), of and from all claims, demands, actions, causes of action, suits, damages, losses, and expenses,
of any and every nature whatsoever, as a result of actions or omissions occurring through the date Executive signs this Agreement.

 

			Specifically included in this waiver and release are, among other things, any and all claims related
to any severance pay plan, any and all claims related to Executive’s employment and separation from employment or otherwise,
including without limitation: (1) Title VII of the Civil Rights Act of 1964, as amended by the Civil Rights Act of 1991 (race,
color, religion, sex, and national origin discrimination); (2) the Americans with Disabilities Act, as amended (disability discrimination);
(3) 42 U.S.C. § 1981 (discrimination); (4) the Age Discrimination in Employment Act (29 U.S.C. §§ 621-624);
(5) the Equal Pay Act ( 29 U.S.C. § 206(d)(1)); (6) Executive Order 11246 (race, color, religion, sex, and national
origin discrimination); (7) Executive Order 11141 (age discrimination); (8) Section 503 of the Rehabilitation Act of
1973 (disability discrimination); (9) the Employee Retirement Income Security Act of 1974, as amended (“ERISA”); (10)
the Occupational Safety and Health Act; (11) the Worker Adjustment and Retraining Notification (“WARN”) Act; (12) the
Family and Medical Leave Act; (13) the Ledbetter Fair Pay Act; and (14) other federal, state and local discrimination laws, including
those of the State of North Carolina.

 

			Executive further acknowledges that Executive is releasing, in addition to all other claims, any
and all claims based on any tort, whistle-blower, personal injury, defamation, invasion of privacy or wrongful discharge theory;
retaliatory discharge theory; any and all claims based on any oral, written or implied contract or on any contractual theory (including
the Employment Agreement); any claims based on a severance pay plan; and all claims based on any other federal, state or local
Constitution, regulation, law (statutory or common), or other legal theory, as well as any and all claims for punitive, compensatory,
and/or other damages, back pay, front pay, fringe benefits and attorneys’ fees, costs or expenses.

 

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		b.	The release in this Agreement does not apply to (1) base salary accrued (whether or not paid)
up to the Termination Date; (2) the Employer’s indemnification obligations to the Executive pursuant to that certain Indemnification
Agreement originally among Crescent Financial Corporation, the Bank and the Executive, dated February 23, 2011; (3) the Employer’s
tax gross up obligations under Section 5(b) of the Employment Agreement; (4) subject to applicable law, all benefits and awards
which pursuant to the terms of any employee benefit plans were earned on or before the Termination Date (including but not limited
to continuation through the Executive’s death of the benefits provided under the Endorsement Split Dollar Insurance Agreement
entered into as of October 1, 2003, as amended); (5) the transfer to Executive of title to the Employer-owned automobile in use
by the Executive as of the Termination Date; (6) unreimbursed business expenses incurred prior to the Termination Date for
which Executive is entitled to reimbursement under the Employer’s policies; and (7) Executive’s rights (if any) as
a shareholder of the Company and/or as a customer of the Bank. Finally, the above release does not waive claims that Executive
could make, if available, for unemployment or workers’ compensation or claims that cannot be released by private agreement.

 

		5.	Advice of Counsel / Consideration and Revocation Periods. Executive hereby acknowledges
and agrees that this Agreement and the termination of Executive’s employment and all actions taken in connection therewith
are in compliance with the Age Discrimination in Employment Act and the Older Workers Benefit Protection Act and that the releases
set forth herein shall be applicable, without limitation, to any claims brought under these Acts.

 

Executive acknowledges that he
has been and is hereby advised by the Employer to consult with an attorney in regard to this matter. Executive understands that
Executive is responsible for the costs of any such legal services incurred in connection with such consultation.

 

Executive further acknowledges
that Executive has been given more than twenty-one (21) days from the time that Executive receives this Agreement to consider whether
to sign it. Executive shall have seven (7) days from the date Executive signs this Agreement to revoke the Agreement. To
revoke, Executive must ensure that written notice is delivered to Scott Custer, Chief Executive Officer, Crescent Financial Bancshares,
Inc., 1005 High House Road, Cary, North Carolina 27513-3586 by the end of the day on the seventh calendar day after Executive signs
this Agreement. If Executive does not revoke this Agreement within seven (7) days of signing, this Agreement will become
final and binding on the day following such seven (7) day period.

 

		6.	Non-Admission. This Agreement shall in no way be construed as an admission by the Employer
that it has acted wrongfully with respect to Executive or any other person or that Executive has any rights whatsoever against
the Employer. The Employer specifically disclaims any liability to or wrongful acts against Executive or any other person on the
part of itself, its employees or its agents.

 

		7.	No Filing of Claims. Executive represents and warrants that Executive has not filed, nor
assigned to others the right to file, nor are there currently pending, any complaints, charges, claims, grievances, or lawsuits
against Employer with any administrative, state, federal, or governmental entity or agency or with any court. Nothing herein is
intended to or shall preclude Executive from filing a complaint and/or charge with any appropriate federal, state, or local government
agency or cooperating with said agency in its investigation. Executive, however, shall not be entitled to receive any relief or
recovery in connection with any complaint or charge brought against the Employer, without regard as to who brought said complaint
or charge.

 

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		8.	Non-Disparagement.

 

		a.	By the Executive. Executive promises that Executive will not, from and after the date of
execution of this Agreement, directly or indirectly, in any capacity or manner, make, cause, encourage or assist to be made any
statements, comments, or remarks, whether oral, in writing, or electronically transmitted, which might reasonably be considered
to be derogatory, defamatory or critical of, or negative towards, or to malign, harm, defame, disparage or damage the reputation
of any of the Releasees. Executive agrees not to make any statements about any of the Releasees to anyone (including without limitation
the press, any newspaper, magazine, radio station, television station, website, blog, or chat room) without the prior written consent
of the Employer. Nothing contained in this Section is intended to prevent Executive from (a) complying with the requirements and
policies of any federal or state agency, (b) cooperating with any investigation or request for information from any state or federal
government agency, or (c) testifying truthfully in any legal or administrative proceeding.

 

		b.	By the Employer. Employer promises that, from and after
the date of execution of this Agreement, the members of their respective Boards of Directors and all
executive officers of the Company and the Bank (collectively, the “Persons to be Advised”) will not, directly or indirectly,
in any capacity or manner, make, cause, encourage or assist to be made any statements, comments or remarks, whether oral, in writing,
or electronically transmitted, which might reasonably be considered to be derogatory, defamatory or critical of, or negative towards,
or to malign, harm, defame, disparage or damage the reputation of the Executive, nor will they authorize, condone, or encourage
any such disparagement from others. Employer will advise the Persons to be Advised that a non-disparagement agreement is in effect,
and will use reasonable efforts to enforce compliance with this Agreement. Employer shall also direct the Persons to be Advised
not to make, cause, encourage or assist to be made any statements, comments, or remarks, whether oral, in writing or electronically
transmitted, which might reasonably be considered to be derogatory, defamatory, or critical of, or negative towards, or to malign,
harm, defame, disparage or damage the reputation of the Executive. Notwithstanding the foregoing agreement, the parties hereto
recognize and acknowledge that the Employer will not be liable for unauthorized remarks by individuals employed by or otherwise
associated with the Employer, other than the Persons to be Advised and if the Persons to be Advised are required by any applicable
law, regulation, statute, subpoena, court order, or other compulsory process to disclose information related to the Executive’s
employment, such disclosure of truthful information shall not constitute a breach of this Agreement. Moreover, this Section 8.b.
shall not apply to any communications: (1) between the Employer and its independent public auditors; (2) necessary to comply fully
with all applicable requirements and policies of federal and state laws; (3) necessary to cooperate fully with any investigation
or request for information from any state or federal governmental agency, stock exchange, or regulatory organization; (4) necessary
in the course of preparing and filing appropriate tax returns or dealing with federal or state taxing authorities; or (5) made
in connection with any judicial or administrative proceeding or arbitration with respect to which such communications are relevant.

 

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		9.	Executive and Employer Acknowledgments.

 

		a.	Executive acknowledges and agrees and understands that the consideration described in Section 3
is not required by the Employer’s policies and procedures and that the consideration in Section 3 exceeds any and all pay
and benefits to which Executive already may have been entitled by contract or law, other than pursuant to the Employment Agreement,
and constitutes good, valuable and sufficient consideration for Executive’s covenants and agreements contained in this Agreement.
Executive further acknowledges that payment of the amounts identified in Section 3 of the Agreement shall fully satisfy Employer’s
obligations to the Executive under the Employment Agreement.

 

		b.	Except as contemplated by Sections 3 and 4.b. above, Executive acknowledges, understands and agrees
that Executive has been paid in full for all hours that Executive has worked for the Employer and that Executive has been paid
any and all compensation or bonuses which have been earned by Executive through the date of execution of this Agreement.

 

		c.	Executive and Employer acknowledge and understand that, notwithstanding any provision of the Employment
Agreement or this Agreement to the contrary, the tax gross-up provision of Section 5(b) of the Employment Agreement, the restrictive
covenants under Sections 7, 8 and 9 of the Employment Agreement and the enforcement provisions of Section 10 of the Employment
Agreement shall remain in full force and effect.

 

		d.	With respect to the indemnification obligations of the Company described in Section 4.b. above,
Executive hereby affirms that he believes that he, at all times as an officer of the Employer, conducted himself in good faith
and reasonably believed his conduct was in the best interest of the Employer.

 

		e.	Executive acknowledges, understands and agrees that Executive has been notified of Executive’s
rights under the Family and Medical Leave Act (FMLA) and state leave laws. Executive further acknowledges, understands and agrees
that Executive has not been denied any leave requested under the FMLA or applicable state leave laws and that, to the extent applicable,
Executive has been returned to Executive’s job, or an equivalent position, following any FMLA or state leave taken pursuant
to the FMLA or state laws.

 

		f.	Executive acknowledges, understands and agrees that it is Executive’s obligation to make
a timely report, in accordance with the Employer’s policy and procedures, of any work related injury or illness. Executive
further acknowledges, understands and agrees that Executive has reported to the Employer’s management personnel any work
related injury or illness that occurred up to and including Executive’s last day of employment.

 

		g.	Executive acknowledges, understands, and agrees that Executive has no knowledge of any actions
or inactions by any of the Releasees or by Executive that Executive believes could possibly constitute a basis for a claimed violation
of any federal, state, or local law, any common law or any rule promulgated by an administrative body.

 

		h.	Executive acknowledges, understands and agrees that except to the
extent provided in Section 5(b) of the Employment Agreement, Executive is responsible for the payment of any and all local, state,
and/or federal taxes which may be attributable to the consideration set forth in Section 3 and indemnifies and holds Employer harmless
from such tax consequences, including interest and/or penalties, arising out of such payment to Executive. No representations have
been or are made herein by or to any signatory to this Agreement regarding the tax consequences of this Agreement.

 

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		i.	Executive affirms that the only consideration for his signing this Agreement is that set forth
in Section 3 and that no other promise or agreement of any kind has been made to or with Executive by any person or entity to cause
Executive to execute this document, and that Executive fully understands the meaning and intent of this Agreement, including but
not limited to, its final and binding effect.

 

		10.	Cooperation. Executive agrees that he will fully cooperate with the Employer and make himself
available to assist the Employer in transitioning any duties or responsibilities to other employees or vendors, if necessary. Executive
further agrees that he will fully cooperate and consult with the Employer, answer questions for the Employer, and provide information
as needed by the Employer from time to time on a reasonable basis, including but not limited to cooperation in connection with
litigation, audits, investigations, claims, or personnel matters that arise or have arisen over actions or matters that occurred
or failed to occur during Executive’s employment with the Employer. Executive agrees to assist the Employer as a witness
or during any audit, investigation, or litigation (including depositions, affidavits and trial) if requested by the Employer. Executive
agrees to meet at reasonable times and places with the Employer’s representatives, agents or attorneys for purposes of preparing
for such activities. To the extent practicable and within the control of the Employer, the Employer will use reasonable efforts
to schedule the timing of Executive’s participation in any such activities in a reasonable manner to take into account Executive’s
then current employment, and will pay the reasonable documented out-of-pocket expenses that the Employer pre-approves and that
Executive incurs for travel required by the Employer with respect to those activities. 

 

		11.	Return of Property. Executive acknowledges, understands, and agrees that Executive will
turn over to Scott Custer, Chief Executive Officer, Crescent Financial Bancshares, Inc., 1005 High House
Road, Cary, North Carolina 27513-3586 all documents, files, memoranda, records, Employer confidential information, credit
cards, records, books, manuals, computer equipment, computer software, pagers, cellular phones, facsimile machines, PDAs and any
other equipment or documents, and all other physical or electronic property of similar type that Executive received from the Employer
and/or that Executive used in the course of his employment with the Employer and that are the property of the Employer. Executive
agrees that Executive will not delete, destroy or erase any data stored on or associated with such property, including but not
limited to data stored on computers, phones, or other electronic devices. Executive further agrees to return to Mr. Custer any
and all hard copies of any documents which are the subject of a document preservation notice or other legal hold and to notify
Mr. Custer of the location of any electronic documents which are subject to a legal hold.

 

		12.	Confidentiality of Agreement. Executive acknowledges, understands and agrees that Executive
has kept and will keep the terms, amount, value, and nature of consideration paid to Executive, and the existence of this Agreement
completely confidential, and that Executive will not hereafter disclose any information concerning this Agreement to anyone other
than Executive’s immediate family, accountants, attorneys and other professional representatives who will be informed of
and bound by this confidentiality clause. Executive agrees that Executive is responsible for informing these persons of the confidential
nature of this Agreement and that any breach of this confidentiality provision by any of these persons shall be deemed a breach
by Executive.

 

		13.	Agreement Binding; Governing Law; Severability. The Employer and Executive agree that the
terms of this Agreement shall be final and binding and that this Agreement shall be interpreted, enforced and governed under the
laws of the State of North Carolina. The provisions of this Agreement can be severed, and if any part of this Agreement is found
to be unenforceable, the remainder of this Agreement will continue to be valid and effective.

 

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		14.	Entire Agreement. This Agreement sets forth the entire agreement between the Employer and
Executive and fully supersedes any and all prior agreements or understandings, written and/or oral, between the Employer and Executive
pertaining to the subject matter of this Agreement. Notwithstanding the foregoing, this Agreement does not supersede the restrictive
covenants under Sections 7, 8 and 9 of the Employment Agreement and the enforcement provisions of Section 10 of the Employment
Agreement, which provisions shall remain in full force and effect, except as the parties may otherwise hereafter mutually agree
in writing.

 

		15.	Executive’s Attorneys Fees. Executive is solely responsible for the payment of any
fees incurred as the result of an attorney reviewing this Agreement on behalf of Executive.

 

		16.	Legally Binding Agreement. Executive understands and acknowledges that this Agreement contains
a full and final release of claims against the Employer; and that Executive has agreed to its terms knowingly, voluntarily, and
without intimidation, coercion or pressure.

 

This Agreement includes a release of all
known and unknown claims through the date of this Agreement. Executive should carefully consider all of its provisions before signing
it. Executive’s signature below indicates Executive’s understanding and agreement with all of the terms in this Agreement.

 

 

 

 

[SIGNATURES
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IN WITNESS WHEREOF,
Executive and the Employer have executed this Agreement effective as of the Effective Date.

 

	 	CRESCENT FINANCIAL
    BANCSHARES, INC.:
	 	 	 
	 	 	 
	 	By:	/s/ Scott Custer
	 	Name:	Scott Custer
	 	Title:	Chief Executive Officer
	 	 	 
	 	 	 
	 	 	 
	 	 	 
	 	CRESCENT STATE BANK:
	 	 	 
	 	 	 
	 	By:	/s/ Scott Custer
	 	Name:	Scott Custer
	 	Title:	Chief Executive Officer
	 	 	 
	 	 	 
	 	 	 
	 	 	 
	 	/s/ Michael G. Carlton__
	 	Michael G. Carlton
	 	 	 
	 	 	 
	 	January 30, 2012
	 	Date Signed

 

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