Document:

Management Services and Leased Personnel Agreement

 EXHIBIT 10.3 
 EXECUTION COPY 
 MANAGEMENT SERVICES 
 AND LEASED PERSONNEL AGREEMENT 
 MANAGEMENT SERVICES and LEASED PERSONNEL AGREEMENT (the “Agreement”) made as of the
1st day of March, 2007 between 21st Century Oncology of New Jersey, Inc., a New Jersey corporation (“Manager”) and New Jersey Oncology Services, P.C., a New Jersey professional
corporation (the “P.C.”). 
 RECITALS: 
 1. Manager owns and operates certain ambulatory care facilities for the purposes of providing radiation oncology services in the State of New Jersey and in connection therewith employs board certified radiation
oncologists to provide such services. 
 2. P.C. is a New Jersey professional corporation engaged in the practice of medicine in the
specialty of radiation oncology. 
 3. P.C. has entered into a Radiation Oncology Services Agreement (the “Professional Services
Agreement”) dated March 1, 2007 with Kennedy Memorial Hospitals – University Health Center (the “Hospital”) whereby Hospital engaged P.C. to provide radiation oncology services to Hospital patients. 
 4. Manager has an expertise with certain administrative functions associated with the provision of radiation oncology services, as well as an excess
capacity of its employed physicians specializing in radiation oncology. 
 5. P.C. wishes to engage Manager to provide it with administrative
services to assist P.C. in the provision of radiation oncology services at the Hospital, and P.C. has requested that Manager make available, as further provided below, physicians specializing in the provision of radiation oncology services in order
to assist P.C. in providing such services to the Hospital. 
 6. The parties have elected to enter into this Agreement to memorialize their
obligations, as well as their agreements with respect to the provision of administrative services and the lease of personnel in accordance with the terms hereof. 
 NOW, THEREFORE, for good and valuable consideration, the parties agree as follows: 
 1. Management
Services. Manager agrees to provide the P.C. with certain administrative services as follows: 
 (a) General Management. Manager
shall have authority and responsibility to manage, conduct and administer the day-to-day administrative and non-professional operations of the Practice and shall perform those functions pursuant to the terms of this Agreement and consistent with
applicable laws, rules and regulations. 
 (b) Billing and Collections. Manager shall through its affiliate, Financial Services of
Southwest Florida, LLC (“FSS”), provide billing and collection services on behalf of the P.C for services performed at the Hospital pursuant to a Billing Services Agreement dated September 15, 2004. 

 (c) Accounting. Manager shall direct and maintain the operation of an appropriate accounting
system with respect to the operation of P.C. which shall perform all bookkeeping and accounting services required for the operation of P.C., including the maintenance, custody and supervision of business records, ledgers and reports; the
establishment, administration and implementation of accounting procedures, controls and systems. 
 (d) Reporting. Manager shall
provide P.C. with quarterly reports of operational performance with respect to radiation oncology services at the Hospital with recommendations, as appropriate, for improvement therein. 
 (e) Contract Negotiations. Manager shall advise P.C. with respect to and negotiate, on P.C.’s behalf all contractual arrangements with third
parties as are reasonably necessary and appropriate, including, without limitation, negotiated price agreements with managed care plans and third party payors, employees, labor unions, alternative delivery systems, or other purchasers of group
health care services. 
 (f) Licensing, Inspection and Regulatory Fees. Manager shall be responsible for all licensing, inspection and
regulatory fees incurred in connection with the services provided hereunder. 
 2. Leased Personnel. 
 (a) Manager shall provide P.C. with the use of the licensed physicians identified on Schedule A to provide professional medical services in the
specialty of radiation oncology at the Hospital (hereinafter “Leased Personnel”) on an as needed basis to supplement the professional medical services provided by Carolyn Horowitz, M.D., Ph.D. pursuant to the Professional Services
Agreement. The number of hours of service shall be mutually agreed from time to time by Manager and P.C. 
 (b) Leased Personnel shall remain
employees of Manager (or an independent contractor to Manager, as the case may be), and not an employee of P.C. Manager shall retain sole responsibility for the compensation and benefits of the Leased Personnel for their services hereunder,
including, without limitation, the setting, modification and payment thereof. As employer (or contractor, as the case may be), Manager shall be responsible for all deductions, payments and benefits required by law as the employer (or contractor) on
behalf of the Leased Personnel hereunder, including, without limitation, withholding taxes, Social Security, unemployment insurance, workers’ compensation and disability. At such times as each Leased Personnel provides services on behalf of
P.C. hereunder, he/she shall be deemed a “leased employee” of P.C. Manager shall cause each such individual to comply with all policies and rules of P.C. P.C. shall have the authority and responsibility for (i) the supervision and
control of Leased Personnel (while providing services on behalf of P.C.); (ii) determining the means and methods by which Leased Personnel provides services hereunder; and (iii) determining the charges for services provided hereunder by
Leased Personnel. 
  

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 (c) All billings and collections for the services provided by the Leased Personnel on behalf of P.C. at
the Hospital shall be the property of P.C., and shall be done, at the direction of P.C. in its name and billing number(s) or the name and billing numbers of the Leased Personnel. Manager hereby assigns and shall, to the extent required by law or any
third party payor, cause each of the Leased Personnel to assign to P.C. the right to bill and collect, subject to limits imposed by law, rule or regulation, for all services provided by the Leased Personnel on behalf of P.C. at the Hospital
hereunder. To the extent Manager or Leased Personnel receive payment directly for services at the Hospital, such amounts shall be promptly turned over to P.C. 
 (d) Prior to the provision of the physician services by Leased Personnel hereunder, each Leased Personnel shall: (i) be duly licensed and registered and in good standing under the laws of the State of New Jersey
to practice medicine; (ii) be a provider under the Medicare and Medicaid Programs; (iii) maintain malpractice insurance as required in Section 5(a) below; and (iv) hold and maintain a currently valid U.S. Drug Enforcement Agency
certification. 
 3. Term. The term of this Agreement shall commence as of March 1, 2007 and, shall, unless sooner terminated as
herein provided, continue coincidentally with the terms of the Professional Services Agreement. 
 4. Fees. 
 (a) Management Fee. In consideration of the management services being provided hereunder by Manager, the P.C. shall pay Manager a management fee
(the “Management Fee”) in an amount equal to fifteen percent (15%) percent of Net Collected Dollars. For purposes of this Agreement, “Net Collected Dollars” shall mean the gross collections, net of refunds and overpayments,
attributable to radiation oncology services generated at the Hospital. 
 (b) Leased Personnel Fee. In consideration of the provision
of the Leased Personnel, P.C. shall pay Manager the amount set forth on Schedule A for each hour each physician provides radiation oncology services at the Hospital (the “Leased Personnel Fee”). 
 (c) Manner of Payment. Payment of the Management Fee and Leased Personnel Fee shall be due
no later than the tenth (10th) day of the month following the last day of the month in which services were
rendered hereunder. 
 (d) Statements. P.C. shall prepare and submit with each payment due pursuant to this Section 4 monthly
financial statements (“Monthly Statements”) setting forth the calculation of the Management Fee and Leased Personnel Fee. 
 (e)
Accounting. During the term of this Agreement, and for (2) two years thereafter, Manager shall have the right upon five (5) days written notice, to have an independent certified accountant of its own choosing to inspect, during
regular business hours, those books of accounts and other records of P.C. relating to this Agreement for the purpose of verifying the accuracy of the Monthly Statements. 
  

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 5. Representations of the P.C. The P.C. hereby makes the following representations, warranties and
covenants to Manager, each of which shall be true as of the date hereof and shall continue to be true during the term of this Agreement: 
 (a) Permits. The P.C. shall have all necessary licenses, certificates, permits, approvals, franchises, notices and authorizations issued by governmental entities or other regulatory authorities, federal, state or local, required for
the ownership and operation of the P.C. 
 (b) Responsibility for Medical Services. The P.C. shall be and remain fully responsible for
all medical services provided at the Hospital. 
 (c) Duly Authorized. This Agreement has been duly authorized, executed and delivered
by the P.C. and is binding upon it. 
 (d) Duly Organized. The P.C. is duly organized under the laws of the State of New Jersey and
authorized and qualified to do all things required of it under this Agreement. 
 (e) Capacity to Contract. The P.C. has the capacity
and authority to fulfill the obligations required of it hereunder and nothing prohibits or restricts the right or ability of the P.C. to carry out the terms hereof. 
 (f) Violations of Law. Neither the P.C. nor any agreement, document or instrument executed or to be executed by it in connection with this Agreement, or anything provided in or contemplated by this Agreement,
does or will violate any applicable law, rule or regulation or breach, invalidate, cancel, make inoperative or interfere with, or result in acceleration of maturity of, any contract or agreement to which the P.C. is bound which would affect
Manager’s rights hereunder. 
 6. Manager’s Representations. Manager hereby makes the following representations, warranties,
and covenants to the P.C., each of which shall be true as of the date hereof and shall continue to be true during the term of this Agreement: 
 (a) Licensed Providers. Each Leased Personnel shall be duly licensed to practice medicine in the State of New Jersey and shall be board certified or board eligible in the specialty of radiation oncology and shall maintain
professional liability insurance in minimum amounts of $1,000,000/$3,000,000 per annum. 
 (b) Permits. Each of the Manager and each
physician providing services on behalf of the P.C. shall have all necessary licenses, certificates, permits, approvals, franchises, notices and authorizations issued by governmental entities or other regulatory authorities, federal, state or local,
required for the ownership and operation of Manager. 
 (c) Duly Authorized. This Agreement has been duly authorized, executed and
delivered by Manager and is binding upon it. 
 (d) Duly Organized. Manager is duly organized under the laws of the State of New
Jersey and authorized and qualified to do all things required of it under this Agreement. 
  

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 (e) Capacity to Contract. Manager has the capacity and authority to fulfill the obligations
required of it hereunder and, to the best of Manager’s knowledge and belief, nothing prohibits or restricts the right or ability of Manager to carry out the terms hereof; and 
 (f) Violations of Law. Neither Manager nor any agreement, document or instrument executed or to be executed in connection with this Agreement, or
anything provided in or contemplated by this Agreement, does or will, to the best of Manager’s knowledge and belief, violate any applicable law, rule or regulation or breach, invalidate, cancel, make inoperative or interfere with, or result in
acceleration of maturity of, any contract or agreement to which Manager is bound which would affect the rights of the P.C. hereunder. 
 7.
Independent Contractor. 
 (a) This Agreement is by and between Manager and the P.C. and is not intended, and shall not be construed,
to create an employment relationship, partnership or other such association as between the parties. Each party is an independent contractor of the other. 
 (b) Neither Manager nor its employees or agents shall look to the P.C. for vacation pay, sick leave, retirement benefits, Social Security, worker’s compensation, disability or unemployment insurance benefits, or
other employee benefits; nor shall the P.C. or its employees look to Manager for the same. 
 (c) In performing the services required
hereunder, the P.C. and its physician-employees and contractors shall exercise independent professional judgment. Manager shall not exercise any control over matters of the P.C. involving the exercise of professional medical judgment. 
 (d) In the event the Internal Revenue Service or any other governmental agency shall, at any time, question or challenge the independent contractor
status of either party, the party who received notice of same shall promptly notify the other party and afford the other party the opportunity to participate in any discussion or negotiation with the Internal Revenue Service or other governmental
agency, irrespective of by whom such discussions or negotiations are initiated. The other party shall participate in any such discussions or negotiations to the extent permitted by the Internal Revenue Service or other governmental agency.

 (e) All medical records with respect to the P.C.’s patients shall belong to the P.C. During the term of this Agreement, such records
shall be stored at the P.C. Notwithstanding the foregoing, the Manager shall be provided with access to such records, as requested, for billing and all other reasonable purposes. Manager’s rights hereunder shall expressly survive any
termination of this Agreement. 
 8. Default by the P.C. 
 (a) The occurrence of any one of the following shall constitute a default by the P.C. hereunder: 
 (i) if
the P.C. fails to pay the Management Fee or Leased Personnel Fee when due; 
  

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 (ii) if the P.C. fails to observe or perform any of its other obligations hereunder in any material
respect and such failure continues uncured for a period of thirty (30) days after written notice thereof to the P.C. from Manager or, if such failure cannot be cured within such thirty (30) day period, the P.C. has failed to commence to
cure such failure within such thirty (30) day period and diligently proceed to effect such cure; 
 (iii) if the P.C. (A) ceases
to practice medicine, in the specialty of radiation oncology; (B) makes an assignment for the benefit of creditors; (C) admits in writing its inability to pay its debts as they become due; (D) files a petition seeking reorganization,
an arrangement, readjustment, or similar arrangement under any present or future statute, law or regulation; (E) files an answer admitting the material allegations of a petition filed against it in any such proceeding; or (F) consents to
or acquiesces in the appointment of a trustee, receiver or liquidator of all or any substantial part of its assets or properties; 
 (iv)
if, within sixty (60) days after the commencement of any proceedings against the P.C. seeking reorganization or similar relief under any present or future statute, law or regulation, such proceedings shall have not been dismissed, or if within
sixty (60) days after the appointment (without the P.C.’s consent or acquiescence) of any trustee, receiver or liquidator of all or any substantial part of its assets or properties, such appointment shall not have been vacated; or

 (v) if the P.C. is finally determined, by an appropriate governing body or court, to have violated any applicable law, rule, regulation
or ethical standard arising out of the conduct of the practice of medicine. 
 (b) Upon a default by P.C., Manager shall have the right, upon
written notice to P.C. to terminate this Agreement. 
 9. Default by Manager. 
 (a) The occurrence of any one of the following shall constitute a default by Manager hereunder. 
 (i) if Manager fails to observe or perform any of its obligations hereunder in any material respect and such failure continues uncured for a period of
forty-five (45) days after written notice thereof to Manager from the P.C. or, if such failure cannot be cured within such forty-five (45) day period, the Manager has failed to commence to cure such failure within such forty-five
(45) day period and diligently proceed to effect such cure; 
 (ii) if Manager: (A) makes an assignment for the benefit of
creditors; (B) admits in writing its inability to pay its debt as they become due; (C) files a petition seeking reorganization and arrangement, readjustment or similar arrangement under the present or future statute, law or regulation, if
any present or future; (D) files an answer admitting the material allegations of a petition filed against it and any such proceeding; or (E) consents to or acquiesces in the appointment of a trustee, receiver, or liquidator of all or any
part of its assets or properties; or 
  

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 (iii) if, within sixty (60) days after the commencement of any proceedings against Manager seeking
reorganization or similar relief under any present or future statute, law or regulation, such proceedings shall have not been dismissed, or if within sixty (60) days after the appointment (without Manager’s consent or acquiescence) of any
trustee, receiver or liquidator of all or any substantial part of its assets or properties, such appointment shall not have been vacated. 
 (b) Upon a default by Manager, the P.C. shall have the right, upon written notice to Manager, to terminate this Agreement. 
 10.
Termination. This Agreement shall terminate upon the following events: 
 (a) the mutual written agreement of the parties; 

(b) upon the termination or expiration of the Professional Services Agreement; 
 (c) as provided in Section 3; 
 (d) as
provided in Sections 9 and/or 10. 
 11. Default In Other Instances. In addition to and not in limitation of any of the other
provision of this Agreement, any failure on the part of Manager or the P.C. to undertake any of their respective material obligations under this Agreement or any agreement made or entered into in connection with this Agreement shall constitute an
event of default under this Agreement. Upon the occurrence of an event of default, the non-defaulting party shall have all remedies available at law and equity. 
 12. Miscellaneous. 
 (a) Notices. Any notice or other communication required or which may be
given hereunder shall be in writing and shall be delivered personally, sent by certified mail, postage prepaid, return receipt requested or by a nationally recognized overnight courier, and shall be deemed given when so delivered personally or by
facsimile, or if mailed, five (5) days after the date of mailing as follows: 
  

			
	 Manager:
	  	New Jersey Oncology Services, P.C.
		  	c/o 2234 Colonial Boulevard
		  	Fort Myers, Florida 33907
		  	Attention: David M. Koeninger
		
	 the P.C.:
	  	21st Century Oncology of New Jersey, Inc.
		  	c/o 2234 Colonial Boulevard
		  	Fort Myers, Florida 33907
		  	Attention: Daniel E. Dosoretz, M.D.

 or to such other address and to the attention of such other person(s) or officer(s) as either
party may designate by written notice. 
  

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 (b) Governing Law. This Agreement shall begoverned and construed in accordance with the laws of
the State of New Jersey without regard to its conflicts of law principles. 
 (c) Further Instruments. At any time and from time to
time, each party shall, without further consideration and at its own expense, take such further actions and execute and deliver such further instruments as may be reasonably necessary to effectuate the purposes of this Agreement. 
 (d) Entire Agreement. This Agreement (including the exhibits hereto) contains the entire understanding between the parties hereto with respect to
the transactions contemplated hereby and supersedes all prior agreements between them, written or oral. 
 (e) Severability. In the
event that any term or provision of this Agreement is held to be illegal, invalid or unenforceable under any applicable law, rule or regulation, such term or provision shall be deemed severed from this Agreement and the remaining terms and
provisions shall remain unaffected thereby provided the invalid term does not materially alter the basic purpose or intent of this Agreement. 
 (f) Assignment. Nothing in this Agreement shall permit assignment by the P.C. without the express prior written consent of the Manager. Manager shall have the right, without the consent of the P.C., to assign all or any portion of
its rights, duties and obligations under this Agreement. 
 (g) Waiver of Breach. No waiver of a breach of any provision of this
Agreement shall be construed to be a waiver of any breach of any other provision of this Agreement or of any succeeding breach. 
 (h)
Amendments. This Agreement shall not be changed or modified except by an instrument in writing executed by both parties hereto. Without limiting any other provision herein, in the event that rules, policies, directives and/or orders of the
United States Department of Health and Human Services or any other applicable federal, state, or local agency or third-party payor necessitate modifications or amendments to this Agreement, the parties hereto agree to so modify or amend this
Agreement to conform with such rules, policies, directive and/or orders, provided they do not materially affect the duties and obligations of the parties hereunder. 
 (i) Counterparts. This Agreement may be executed in counterparts, each of which shall be considered an original and all of which together shall constitute one and the same instrument. 
 [SIGNATURE PAGE TO FOLLOW] 
  

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

  

			
	NEW JERSEY ONCOLOGY SERVICES, P.C.
		
	By:	 	 /s/ Michael J. Katin M.D.

	Name:	 	Michael J. Katin M.D.
	Title:	 	President
	
	21st CENTURY ONCOLOGY OF NEW JERSEY,
INC.
		
	By:	 	 /s/ David M. Koeninger

	Name:	 	David M. Koeninger
	Title:	 	Vice-President

  

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 EXECUTION COPY 
 SCHEDULE A 
 Physicians and Fees 
 Physicians 
 Shirnett Matthews, M.D. 
 Alexis Harvey, M.D. 
 Ashraf Youssef, M.D.

 Leased Personnel Fee 
 Per hour fee equal to the physician’s salary plus benefits at 18% 
 and an administrative fee of 10%Lease

 EXHIBIT 10.4 
 LEASE 
 THIS LEASE (“Lease”) is made
and entered into as of the 12th day of March, 2007, by and between, Theriac Enterprises of Casa Grande, LLC, whose
business address is 2234 Colonial Boulevard, Fort Myers, Florida 33907 (“Landlord”), and Arizona Radiation Therapy Management Services Inc. whose business address is 2234 Colonial Blvd. Fort Myers, Florida 33907 (“Tenant”).

 W I T N E S S E T H: 
 ARTICLE 1 
 TERMS 
 1.1 Premises. Landlord hereby demises and leases to Tenant and Tenant hereby hires and rents from Landlord the premises located within 1281 E. Cottonwood Lane, Casa Grande, Arizona 85222 (the “Building”), and more
particularly described in Exhibit A to this Agreement (“Premises”) upon the terms, covenants and conditions set forth herein, which Premises has a floor area containing the approximate square footage of 9,943 square feet.

 1.2 Use. The Premises are to be used for a medical office and radiation therapy center and ancillary services. 
 1.3 Commencement of Term. The commencement of the Term of this Lease under which Tenant
shall be obligated to commence payment of Minimum Rent and Additional Rent shall be the 12th day of March, 2007
(“Commencement Date”). 
 1.4 Length of the Term. The term of this lease period is for ten years (10) years
(“Term”). The starting date of this lease is the Commencement Date and, unless this Lease is renewed in accordance with Article 4 below, the ending date is the 28th day of February, 2017 (“Expiration Date”). 
 1.5 Tenant’s Proportionate Share. Tenant shall be responsible for its proportionate share (the “Tenant’s Proportionate Share”)
of all operating costs, taxes, assessments, insurance and all other expenses related to the Building based on the rentable square footage of the Premises divided by the rentable square footage for the Building, which is currently 69.94% (9,943
s.f./14,216 s.f.). 
 ARTICLE 2 
 RENT 
 2.1 Rent. Minimum rent shall be Thirty Nine Thousand Eighty Three Dollars and Thirty Nine Cents ($39,083.39)
per month (“Minimum Rent”). Tenant shall pay to Landlord without previous demand thereof and without any abatement, reduction, setoff or deduction whatsoever, the Minimum Rent (together with any applicable sales tax and local taxes if the
same are ever required by law), payable in equal monthly installments, in advance, on the first day of each and every calendar month throughout the Term of this Lease. The Minimum Rent shall commence to accrue on the Commencement Date. The first
such monthly installments of Minimum Rent shall be due and payable to Landlord no later than the Commencement Date and each subsequent monthly installment shall be due and payable to Landlord on the first day of each and every calendar month
following the Commencement Date during the Term hereof. If the Commencement Date is a date other than the first day of the month, Minimum Rent and other charges for the period commencing with and including the Commencement Date through the first day
of the following month shall be prorated at the rate of one-thirtieth (1/30) of the monthly Minimum Rent per day. 

 In addition, Tenant shall pay as Additional Rent monthly payments of Tenant’s Proportionate Share of
all applicable taxes, assessments and insurance on the Building. This amount will be Tenant’s Proportionate Share times 1/12th of the bill for annual real estate and assessment taxes and 1/12th of the annual bill on insurance. Estimated figures
for taxes and insurance monthly rate will be produced within ten (10) days after the signing of this Lease. Each year Landlord will produce any insurance, real estate tax and assessment bills to the Tenant to show how the estimated taxes and
insurance were computed as Additional Rent. In the event of any overage or underage due to the actual amounts owed and the payments made based on the estimated amounts during any Lease year, Landlord shall reimburse to Tenant the amount of any
overage paid by Tenant or Tenant shall pay to Landlord the amount of any underage due from Tenant in either case within thirty (30) days of the delivery of the bills to Tenant as herein provided. 
 2.1.1 There will be an increase in the Minimum Rent starting on the first anniversary of the lease if the Consumer Price Index increases over the
immediately preceding year. Minimum Rent specified in this lease shall be subject to increase in accordance with changes in the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W) as promulgated by the Bureau of Labor Statistics
of the United States Department of Labor, using the year of the Commencement Date as a base of 100. On each anniversary date there will be a rent adjustment based on the percentage increase in the Consumer Price Index from the immediately preceding
year. If the Consumer Price Index goes down the rent will not change for that year. Consumer Price Index increases will apply on the anniversary date of each year of the Commencement Date. The percentage increase in the Consumer Price Index will
increase the minimum rent for that year. 
 2.1.2 In the event that the Consumer Price Index ceases to incorporate significant number of
items, or if a substantial change is made in the method of establishing such Consumer Price Index shall be adjusted to the figure that would have resulted had no change occurred in the manner of computing such Consumer Price Index, or a successor or
substitute index, is not available, a reliable governmental or other nonpartisan publication, evaluating the information for use in determining the Consumer Price Index, shall be used in lieu of such Consumer Price Index. 
 2.2 Late Charge. Tenant shall pay to Landlord a late charge equal to five percent (5%) of the monthly payment of Minimum Rent, Additional
Rent and any other payment or charge due hereunder if any such amount is received by Landlord more than five (5) days after the same shall be due, such amount being the agreed upon liquidated damages solely to defray the additional
administrative expenses incurred by Landlord in processing such payment. 
 2.3 Interest on Past Due Rent. If Tenant shall fail to
pay, when the same is due and payable, Minimum Rent, or Additional Rent, such unpaid amounts shall bear interest from the due date thereof to the date of payment, at the prime interest rate of the JPMorgan Chase Bank as of such due date, plus
fifteen percent (15%) (“Default Date”). 

 2.4 Definition of Rent. The term “Rent” shall refer collectively to Minimum Rent and
Additional Rent. The term “Additional Rent” is sometimes used herein to refer to any and all other sums payable by Tenant hereunder, including, but not limited to, parking charges and sums payable on account of default by Tenant. All Rent
shall be paid by Tenant without offset, demand or other credit, and shall be payable only in lawful money of the United States of America which shall be legal tender in payment of all debts and dues, public and private, at the time of payment. All
sums payable by Tenant hereunder by check shall be obtained against a financial institution located in the United States of America. The rent shall be paid by Tenant at 2234 Colonial Blvd. Fort Myers, FL 33907. 
 2.5 Rent Taxes. In addition to Minimum Rent and Additional Rent, Tenant shall and hereby agrees to pay to Landlord each month a sum equal to any
sales tax, tax on rentals and any other similar charges now existing or hereafter imposed, based upon the privilege of leasing the space leased hereunder or based upon the amount of rent collected therefore. 
 ARTICLE 3 
 NET LEASE 

3.1 Net Lease. This Lease shall be deemed and construed to be a triple net lease and, except as herein otherwise expressly provided, the
Landlord shall receive the fixed Minimum Rent and Additional Rent and all other payments hereunder to be made by the Tenant absolutely free from any charges, assessments, imposition, expenses or deductions of any kind and every kind or nature
whatsoever. Tenant is to pay Tenant’s Proportionate Share of all real estate taxes and assessments and any and all taxes of any nature applicable to the Building. Tenant is to pay Tenant’s Proportionate Share of all insurance and any and
all costs for repairs, replacements, maintenance and improvements, expenses for common areas, utilities, and association fees, if any. Tenant also is responsible for: 
 3.1.1 Its proportionate share of any parking lot repairs, maintenance and replacements. 
 3.1.2 The entire
amount due for security, pest control or contracts for air conditioner and cleaning services, etc., if any, for for the Premises. 
 ARTICLE 4 
 OPTION TO RENEW 
 4.1 Option to renew. Provided that Tenant is not then in default under any of the covenants, terms, conditions, and provisions of this Lease beyond any applicable notice and cure period, then Tenant shall have
three (3) options to renew this Lease (each an “Option”) for consecutive five (5) year option periods, provided that, in order to exercise this Option, Tenant is required to give to Landlord written notice thereof not less than
six (6) months before the date of expiration of the Term of this Lease or the then expiring option period. Any renewal pursuant to this Option shall be on the same terms and conditions as are contained in this Lease. 
 ARTICLE 5 
 INSURANCE AND INDEMNITY

 5.1 Landlord’s Insurance. At all times during the Term, Landlord will carry and maintain: 
 (a) Fire and extended coverage insurance covering the Building in which the Premises is located, its equipment, and the Common Areas; 

 (b) Bodily injury and property damage insurance; and 
 (c) Such other insurance as Landlord reasonably determines from time to time. 
 The insurance coverage and amounts in this Section 5.1 will be determined by Landlord, based on coverages carried by prudent owners of comparable
buildings in the vicinity of the Premises. 
 5.2 Tenant’s Insurance. At all times during the Term, Tenant will carry and
maintain, at Tenant’s expense, on an occurrence basis, the following insurance, in the amounts and on the forms specified below or such other amounts and on such other forms as Landlord may from time to time reasonably request, with insurance
companies satisfactory to Landlord: 
 (a) Bodily injury to or personal injury to or death of any person, or more than one (1) person, or
for damage to property in an amount of not less than $1 million combined single limit each Occurrence/General Aggregate and including a per location General Aggregate endorsement. All such insurance will be written on the most current occurrence ISO
Commercial General Liability Form including without limitation, personal injury and contractual liability coverage for the performance by Tenant of the indemnity agreements set for in this Lease, which insurance shall include a waiver of subrogation
rights in favor of Landlord; 
 (b) Insurance covering all of Tenant’s furniture and fixtures, machinery, equipment, and any other
personal property owned and used in Tenant’s business and found in, on, or about the Premises, and any leasehold improvements to the Premises in an amount not less than the full replacement cost under Standard Fire and Extended Coverage Policy
and all other risks of direct physical loss as insured against under Special Form (“all risk of direct physical loss” coverage). All such insurance will be written on the most current ISO Commercial Property Form. All policy proceeds will
be used for the repair or replacement of the property damaged or destroyed; except, however, if this Lease ceases under the provisions of Article 15, Tenant will be entitled to any proceeds resulting from damage to Tenant’s furniture and
fixtures, machinery, equipment, and any other personal property; 
 (c) Worker’s compensation insurance insuring against and satisfying
Tenant’s obligations and liabilities under the worker’s compensation laws of the State of Arizona, and Employer’s Liability Insurance in the limits required by the laws of the State of Arizona but in an amount not less than
$500,000.00 aggregate; 
 (d) Such other insurance (including without limitation plate glass insurance), in such amounts as Landlord or its
lender may reasonably require of Tenant upon thirty (30) days’ prior written notice. 
 5.3 Forms of Policies. All policies
of liability insurance which Tenant is obligated to maintain according to this Lease (other than any policy of worker’s compensation insurance) will name Landlord and such other persons or firms as Landlord specifies from time to time as
additional named insureds. Original or copies of original policies and certificates of insurance on the most current ACORD form (together with copies of the endorsements naming Landlord and any others specified by Landlord as additional insureds)
and 

 
evidence of the payment of all premiums of such policies will be delivered to Landlord prior to the earlier of the Commencement Date or Tenant’s
occupancy of the Premises and from time to time at least thirty (30) days prior to the expiration of the term of each such policy. Tenant’s insurer shall have a Best Rating of at least A and be assigned a financial size category of at
least Class X as rated in the most recent edition of “Best’s Key Rating Guide” for insurance companies. All liability policies maintained by Tenant will contain a provision that Landlord and any other additional insureds, although
named as an insured, will nevertheless be entitled to recover under such policies for any loss sustained by Landlord and such other additional insureds, its agents, and employees as a result of the acts or omissions of Tenant. All such policies
maintained by Tenant will provide that they may not be terminated or amended except after thirty (30) days’ prior written notice to Landlord. All required insurance policies maintained by Tenant must be written as primary policies, not
contributing with and not supplemental to the coverage that Landlord carries or may carry. 
 5.4 Waiver of Subrogation. Landlord and
Tenant each waive any and all rights to recover against the other, or against the officers, directors, shareholders, partners, joint venturers, employees, agents, customers, invitees, or business visitors of such other party, for any loss or damage
to such waiving party arising from any cause covered by any property or other insurance required to be carried by such party pursuant to this Article 5 or any other property insurance actually carried by such party. Landlord and Tenant from time to
time will cause their respective insurers to issue appropriate waiver of subrogation rights endorsements to all property insurance policies carried in connection with the Premises or the Building in which the Premises are located, or the contents
thereof. Tenant agrees to cause all other occupants of the Premises claiming by, under, or through Tenant to execute and deliver to Landlord such a waiver of claims and to obtain such waiver of subrogation rights endorsements. 
 5.5 Indemnification. Tenant shall indemnify, defend and save Landlord harmless from and against any and all claims, actions, damages, liability
and expense in connection with loss of life, personal injury and/or damage to or destruction of property arising from or out of any occurrence in, upon or at the Premises, or any part thereof, or the occupancy or use by Tenant of the Premises or any
part thereof, or occasioned wholly or in part by any act or omission of Tenant, its agents, contractors, employees, servants, lessees or concessionaires, except which result from Landlord’s gross negligence or willful misconduct. Landlord shall
indemnify, defend and save Tenant harmless from and against any and all claims, actions, damages, liability and expense in connection with loss of life, personal injury and/or damage to or destruction of property arising from or out of any
occurrence in, upon or at the Premises occasioned in whole or in part by any negligent act or omission by Landlord, its agents, contractors, employees, servants or concessionaires. In case the indemnifying party shall be made a party to any
litigation commenced by or against the other party, then such other party shall protect and hold the indemnified party harmless and pay all costs and attorney’s fees incurred by the indemnified party in connection with such litigation, and any
appeals thereof. The defaulting party shall also pay all costs, expenses and reasonable attorney’s fees that may be incurred or paid by the other party in enforcing the covenants and agreements in this Lease. 

 ARTICLE 6 
 UTILITIES 
 6.1 Utilities. Tenant shall be solely responsible for and shall promptly pay all
charges for water, gas, electricity, garbage, and any other utility used and consumed in the Premises. In the event that such utilities charges, or any portion thereof, shall be separately metered for the Premises, Tenant shall pay such meter
charges directly to the utility company supplying such service. In the event, however, that such utilities charges, or any portion thereof, shall not be separately metered for the Premises, tenant shall pay to Landlord its pro rata share of such
non-metered charges. If any such charges are not paid when due, Landlord may, at its option pay the same, and any amount so paid by Landlord shall thereupon become due to Landlord from tenant as additional rent. In no event, however, shall Landlord
be liable for an interruption or failure in the supply of any such utilities to the Premises. 
 ARTICLE 7 
 SUBORDINATION AND ATTORNMENT 
 7.1
Subordination. Tenant hereby subordinates its rights hereunder to the lien of any ground or underlying leases, any mortgage or mortgages, or the lien resulting from any other method of financing or refinancing, now or hereafter in force
against the Premises and to all advances made or hereafter to be made upon the security thereof so long as the lessor or mortgagee or other lien holder thereunder agrees not to disturb Tenant’s possession of the Premises or rights under this
Lease so long as Tenant is not in default hereunder. This Section shall be self-operative and binding upon Tenant and any such lessor, mortgagee or other lien holder, and no further instrument of subordination shall be required by any mortgagee, but
Tenant agrees upon request of Landlord, from time to time, to promptly execute and deliver any and all documents evidencing such subordination and non-disturbance, and failure to do so shall constitute a default under this Lease. 
 7.2 Attornment. In the event any proceedings are brought for the foreclosure of, or in the event of exercise of the power of sale under, any
mortgage covering the Premises or in the event a deed is given in lieu of foreclosure of any such mortgage, Tenant shall attorn to the purchaser, or grantee in lieu of foreclosure, upon any such foreclosure or sale and recognize such purchaser, or
grantee in lieu of foreclosure, as the Landlord under this Lease. 
 7.3 Financing Agreements. Tenant shall not enter into, execute or
deliver any financing agreement that can be considered as having priority on the Premises to any mortgage or deed of trust that Landlord may have placed upon the Premises. 
 ARTICLE 8 
 ASSIGNMENT AND SUBLETTING 
 Except as herein provided, Tenant may not assign this lease in whole or in part, nor sublet all or any portion of the Premises, without the prior written
consent of Landlord in each instance, which shall not be unreasonably withheld or delayed and shall be deemed granted if not given or denied in writing within thirty (30) days from Tenant’s written request therefor. Further,
notwithstanding the foregoing, such consent shall not be required if such assignment or sublease is from Tenant to a wholly owned subsidiary of Tenant or to a wholly owned subsidiary of Tenant’s parent, if any. The consent by Landlord to any
assignment or subletting shall not constitute a waiver of the necessity for such consent to any subsequent assignment or subletting. No assignment, 

 
under letting, occupancy or collection shall be deemed acceptance of the assignee, subtenant or occupant as Tenant, or a release of Tenant from the further
performance by Tenant of the covenants on the part of Tenant herein contained. This prohibition against any assignment or subleasing is by operation of law, legal process, receivership, bankruptcy or otherwise, whether voluntary or involuntary.
Landlord by its acceptance hereof acknowledges that Tenant may mortgage or collaterally assign its interest in and to this Lease and the leasehold estate created hereunder to institutional lenders providing financing to Tenant, to Tenant’s
parent, if any, or to any subsidiary or affiliate of Tenant. Tenant shall remain fully liable on this Lease and shall not be released from performing any of the terms, covenants and conditions hereof or any rents or other sums to be paid hereunder.
Tenant acknowledges and agrees that any and all right and interest of the Landlord in and to the Premises, and all right and interest of the Landlord in this Lease, may be conveyed, assigned or encumbered at the sole discretion of the Landlord at
any time. In addition, notwithstanding the foregoing to the contrary, Tenant shall have the right to license or sublet all or any portion of the Premises to a physician, physician group, professional corporation or other entity licensed to practice
medicine in the State of Arizona or to such other individuals or entities providing health-related services, without first obtaining Landlord’s prior consent. 
 ARTICLE 9 
 FACILITIES 
 9.1 Control of Common Areas by Landlord. All automobile parking areas, driveways, entrances and exits thereto, and other facilities furnished by
Landlord at or near the Premises, including employee parking areas, the truck way or ways, loading docks, package pick-up stations, pedestrian sidewalks and ramps, landscaped areas, exterior stairways, and other areas and improvements provided by
Landlord for the general use, in common, of tenants, their officers, agents, employees and customers, shall at all times be subject to the exclusive control and management of Landlord, and Landlord shall have the right from time to time to
establish, modify and enforce reasonable rules and regulations with respect to all facilities and areas mentioned in this Article. Landlord shall have the right to construct, maintain and operate lighting facilities on all said areas and
improvements; from time to time to change the area, level, location and arrangement of parking areas and other facilities hereinabove referred to and to restrict parking by tenants, their officers, agents and employees to employee parking areas.
Landlord shall not have any duty to police the traffic in the parking areas. Landlord shall provide not less than 55 parking spaces within the parking area, which Landlord warrants meets all parking requirements of any governmental authority, which
shall include not less than 5 handicapped spaces. 
 ARTICLE 10 
 TENANT’S FIXTURES AND IMPROVEMENTS 
 10.1 Alterations by Tenant.
Tenant shall not make any alterations, renovations, improvements or other installations (collectively “Alterations”) in, on or to any part of the Premises (including, without limitation, any alterations of the front, signs, structural
alterations, or any cutting or drilling into any part of the Premises or any securing of any fixture, apparatus, or equipment of any kind to any part of the Premises) unless and until Tenant shall have caused plans and specifications therefor to
have been prepared, at Tenant’s expense, by an architect or other duly qualified person and shall have obtained Landlord’s approval thereof, which shall not be unreasonably withheld or delayed and shall be deemed granted if not approved or
denied in writing within thirty (30) days of Tenant’s written request therefor. Tenant shall submit to Landlord detailed drawings and plans of the proposed Alterations at the time 

 
Landlord’s approval is sought. If such approval is granted, Tenant shall cause the work described in such plans and specifications to be performed, at
its expense, promptly, efficiently, competently and in a good and workmanlike manner by duly qualified and licensed persons or entities approved by Landlord, using first grade materials. All such work shall comply with all applicable codes, rules,
regulations and ordinances. The Tenant shall at all times maintain fire insurance with extended coverage in an amount adequate to cover the cost of replacement of all alterations, decorations, additions or improvements to the Premises by Tenant in
the event of fire or extended coverage loss. Tenant shall deliver to the Landlord certificates of such fire insurance policies, which shall contain a clause requiring the insurer to give the Landlord ten (10) days notice of cancellation of such
policies. 
 10.2 Mechanic’s/Construction Liens. No work performed by Tenant pursuant to this Lease, whether in the nature of
erection, construction, alteration or repair, shall be deemed to be for the immediate use and benefit of Landlord so that no mechanic’s or other lien shall be allowed against the estate of Landlord by reason of any consent given by Landlord to
Tenant to improve the Premises. Tenant shall place such contractual provisions as Landlord may request in all contracts and subcontracts for Tenant’s improvements assuring Landlord that no mechanic’s/Construction liens will be asserted
against Landlord’s interest in the Premises or the property of which the Premises are a part. Said contracts and subcontracts shall provide, among other things, the following: That notwithstanding anything in said contracts or subcontracts to
the contrary, Tenant’s contractors, subcontractors, suppliers and materialmen (hereinafter collectively referred to as “Contractors”) will perform the work and/or furnish the required materials on the sole credit of Tenant; that no
lien for labor or materials will be filed or claimed by the Contractors against Landlord’s interest in the Premises or the property of which the Premises are a part; that the Contractors will immediately discharge any such lien filed by any of
the Contractor’s suppliers, laborers, materialmen or subcontractors; and that the Contractors will indemnify and save Landlord harmless from any and all costs and expenses, including reasonable attorney’s fees, suffered or incurred as a
result of any such lien against Landlord’s interest that may be filed or claimed in connection with or arising out of work undertaken by the Contractors. Tenant shall pay promptly all persons furnishing labor or materials with respect to any
work performed by Tenant or its Contractors on or about the Premises. If any mechanic’s or other liens shall at any time be filed against the Premises or the property of which the Premises are a part by reason of work, labor, services or
materials performed of furnished, or alleged to have been performed or furnished, to Tenant or to anyone holding the Premises through or under Tenant, and regardless of whether any such lien is asserted against the interest of Landlord or Tenant,
Tenant shall cause the same to be discharged of record or bonded to the reasonable satisfaction of Landlord within thirty (30) days of notice of such lien. If Tenant shall fail to cause such lien to be so discharged or bonded after being
notified of the filing thereof, then, in addition to being an Event of Default and any other right or remedy of Landlord, Landlord may bond or discharge the same by paying the amount claimed to be due, and the amount so paid by Landlord, including
reasonable attorneys’ fees incurred by Landlord either in defending against such lien or in procuring the bonding or discharge of such lien, together with interest thereon at the Default Rate, shall be due and payable by Tenant to Landlord as
Additional Rent. 
 10.3 Tenant’s Leasehold Improvements and Trade Fixtures; Landlord’s Lien Waiver. All leasehold
improvements (as distinguished from trade fixtures and apparatus) installed in the Premises at any time, whether by or on behalf of Tenant or by or on behalf of Landlord, shall not be removed from the Premises at any time, unless such removal is
consented to in advance by Landlord; 

 
and at the expiration of this Lease (either on the Expiration Date or upon such earlier termination as provided in this Lease), all such leasehold
improvements shall be deemed to be part of the Premises, shall not be removed by Tenant when it vacates the Premises, and title thereto shall vest solely in Landlord without payment of any nature to Tenant. 
 All trade fixtures, equipment, furniture, inventory, and apparatus (as distinguished from leasehold improvements) owned by Tenant and installed in the
Premises shall remain the property of Tenant and shall be removable at any time, including upon the expiration of the Term; provided Tenant shall not at such time be in default of any terms or covenants of this Lease, and provided further, that
Tenant shall repair any damage to the Premises caused by the removal of said trade fixtures and apparatus and shall restore the Premises to substantially the same condition as existed prior to the installation of said trade fixtures and apparatus
and shall restore the Premises to substantially the same condition as existed prior to the installation of said trade fixtures and apparatus. Landlord acknowledges that Tenant may from time to time or at any time grant security interests in and to
its trade fixtures, equipment, furniture, inventory and apparatus in order to secure financing provided to Tenant. Landlord consents to Tenant’s granting one or more security interests in and to Tenant’s trade fixtures, equipment,
furniture, inventory and apparatus and covenants and agrees that any security interest in and to the Tenant’s trade fixtures, equipment, furniture, inventory and apparatus in favor of any lender or financier thereof shall be superior to any
interest which Landlord may at any time have in and to Tenant’s trade fixtures, equipment, furniture, inventory and apparatus and Landlord, for itself, its successors and/or assigns, does hereby subordinate any and all liens, encumbrances
and/or security interests which it has or may have in and to Tenant’s trade fixtures, equipment, furniture, inventory and apparatus, whether expressly created in this Lease or any other instrument by and between Landlord and Tenant, or by
virtue of any statute or under common law. Landlord covenants and agrees with Lender that, for so long as any lender or financier holds any lien, encumbrance of security interest in and to Tenant’s trade fixtures, equipment, furniture,
inventory and apparatus, Landlord will not assert against any of Tenant’s trade fixtures, equipment, furniture, inventory and apparatus any statutory, common law, contractual, or possessory lien or security interest, including without
limitation any right of levy or destraint for rent, all of which Landlord does hereby waive and subordinate. Landlord agrees that any such lender or financier may enter upon the Premises at any time or from time to time, during normal business
hours, so long as Tenant is in possession of the Premises, without charge, to inspect or remove any of Tenant’s trade fixtures, equipment, furniture, inventory and apparatus therefrom. Landlord covenants and agrees that Landlord will not hinder
or delay any such lender’s or financier’s actions in enforcing its liens, security interests, and remedies with respect to Tenant’s trade fixtures, equipment, furniture, inventory and apparatus. 
 ARTICLE 11 
 MAINTENANCE AND REPAIR
OF PREMISES 
 11.1 Maintenance by Tenant. Tenant shall at all times keep in good order, condition and repair (which shall include
the providing of replacements where necessary) the entire Premises and the interior portions of the Building (excepting only the interior portions of the Building being leased by other parties) including, without limitation, the roof, the exterior
and all glass and show window moldings; and all partitions, doors, interior walls, fixtures, equipment and appurtenances thereto, including lighting, heating and plumbing fixtures serving the Premises only and any air conditioning system and
sprinkler system situated within and/or servicing the Premises, reasonable and ordinary wear and tear excepted. Said maintenance by Tenant shall include, without limitation, 

 
periodic painting as is reasonably necessary. All cutting and patching of the roof area required for any reason whatsoever for Tenant’s use and
occupancy of the Premises shall be performed by the Landlord’s roofing subcontractor. In the event that Tenant causes such work to be performed by anyone other than the Landlord’s roofing subcontractor, Landlord will have the right, at
Tenant’s sole cost and expense and without notice to Tenant, to cause said work and the roof area affected thereby to be inspected and/or repaired by Landlord’s roofing subcontractor. All repairs, replacements, or maintenance of any item
or any type of the Premises, other than building structure and any capital improvements thereto, is the responsibility of the Tenant and to be paid for by Tenant. Tenant shall be entitled to recover from Landlord the costs of all repairs made by
Tenant to the roof and interior portions of the Building (excepting those repairs made solely for the benefit of the Tenant and/or Premises) less the Tenant’s Proportionate Share. Landlord shall endeavor to collect the amounts due from the
other tenant(s) within the Building upon receipt of the paid invoices from Tenant; however, Landlord shall not be liable for any such amounts unless and until the other tenant(s) within the Building have provided such sums due to Landlord.

 11.2 Maintenance by Landlord. Other than maintenance obligations of Tenant as provided in Section 11.1, Landlord shall be
responsible for all other maintenance to the Premises, the building in which the Premises are located and all common and parking areas, including without limitation all structural elements of the building, all capital improvements, all common
plumbing facilities, and paving and striping of the parking areas. 
 ARTICLE 12 
 SIGNS 
 On or before the Commencement
Date, Tenant will at its sole cost and expense purchase and cause to be installed upon the exterior of the Premises a sign which in all respects conforms to the criteria established by Landlord. However, Tenant will not install said sign without
first obtaining Landlord’s written approval thereof, which shall not be unreasonably withheld or delayed and shall be deemed granted if written approval or rejection thereof has not been received within thirty (30) days of Tenant’s
written request therefore. Thereafter, Tenant will not place or suffer to be placed or maintain on any portion of the exterior (including windows) of the Premises any sign, awning, canopy or advertising matter or other thing of any kind, without
first obtaining Landlord’s written approval and consent. Without limitation as to the foregoing, Landlord specifically reserves the right at any time during the term of this Lease to require Tenant to remove from the Premises any sign(s)
situated thereon which have not been approved pursuant to the foregoing provisions and to replace same with a sign or signs which in all respects conform to a sign standard designated by Landlord, all of which will be performed at Tenant’s sole
cost and expense. Tenant agrees to maintain any such sign, awning, canopy, decoration, lettering, advertising matter or other thing as may be approved in good condition and repair at all times, reasonable and ordinary wear and tear excepted, and to
repaint or replace such signs from time to time when reasonably necessary and to illuminate such signs in accordance with standards established by Landlord from time to time, including hours of illumination. All signs in addition must be conform to
code and local ordinances rules, laws and regulations. 

 ARTICLE 13 
 WASTE AND GOVERNMENTAL REGULATIONS 
 13.1 Nuisance or Waste. Tenant shall not commit or suffer
to be committed any waste upon the Premises or any nuisance or other act or thing which may disturb the quiet enjoyment of any other tenant in the building in which the Premises may be located. 
 13.2 Compliance with Laws. Tenant, at its sole cost, will promptly comply with all applicable laws, guidelines, rules, regulations and
requirements, whether of federal, state, or local origin, applicable to the Premises, including, but not limited to, the Americans with Disabilities Act, 42 U.S.C. § 12101 et seq., and those for the correction, prevention and abatement of
nuisance, unsafe conditions, or other grievances arising from or pertaining to the Tenant’s use or occupancy of the Premises. Tenant at its sole cost and expense shall be solely responsible for taking any and all measures which are required to
comply with the requirements of the ADA within the Premises as a result of Tenant’s use, other than as set forth below. Any Alterations to the Premises made by or on behalf of Tenant for the purpose of complying with the ADA or which otherwise
require compliance with the ADA shall be done in accordance with this Lease; provided, that Landlord’s consent to such Alterations shall not constitute either Landlord’s assumption, in whole or in part, of Tenant’s responsibility for
compliance with the ADA with respect to the Tenant’s use of the Premises, or representation or confirmation by Landlord that such Alterations comply with the provisions of the ADA. Notwithstanding the foregoing, Landlord shall be solely
responsible for all costs associated with bringing the Building within which the Premises are located into compliance with the ADA as a result of any structural condition of the Building. 
 13.3 Governmental Regulations. Tenant shall, at Tenant’s sole costs and expense, comply in all material respects with all regulations of all
county, municipal, state, federal and other applicable governmental authorities, not in force or which may hereafter be in force, pertaining to Tenant or its use of the Premises, and shall faithfully observe in the use of the Premises all municipal
and county ordinances and state and federal statutes now in force or which may hereinafter be in force. Tenant shall indemnify, defend and save Landlord harmless from penalties, fines, costs, expenses suits, claims, or damages resulting from
Tenant’s failure to perform its obligations in this Section. 
 13.4 Rules and Regulations. Landlord reserves the right from time
to time to make reasonable rules and regulations, governing loading of supplies, trash collection, pest control, parking, noise, electrical overloads and similar issues of general concern to all tenants in the event that the need therefore should
ever arise. Notice of such rules and regulations and amendments and supplements thereto, if any, shall be given to the Tenant. 
 ARTICLE
14 
 HAZARDOUS MATERIALS 
 14.1 Hazardous Materials. Tenant shall not use or allow the Premises to be used for the Release, storage, use, treatment, disposal or other handling of any Hazardous Materials, without the prior consent of Landlord, except that
Tenant may without Landlord’s prior written consent store, use, treat and handle such Hazardous Materials as are ordinarily and commonly used in its operation of medical offices and radiation treatment facilities provided that it does so, and
disposes of same, in accordance and compliance with applicable environmental laws, rules and regulations (“Tenant’s Hazardous Materials Activity”). The term “Release” shall have the same 

 
meaning as is ascribed to it in the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. § 9601 et seq., as amended,
(“CERCLA”). The term “Hazardous Materials” means (i) any substance defined as a “hazardous substance” under CERCLA, (ii) petroleum, petroleum products, natural gas, natural gas liquids, liquefied natural gas,
and synthetic gas, and (iii) any other substance or material deemed to be hazardous, dangerous, toxic, or a pollutant under any federal, state, or local law, code, ordinance or regulation (“Hazardous Materials Laws”). 
 Tenant shall: (a) except respect to Tenant’s Hazardous Materials Activity, give prior notice to Landlord of any other activity or operation to
be conducted by Tenant at the Premises which involves any other Release, use, handling, generation, treatment, storage, or disposal of any Hazardous Materials, (b) comply in all material respects with all federal, state, and local laws, codes,
ordinances, regulations, permits and licensing conditions governing the Release, discharge, emission, or disposal of any Hazardous Materials and prescribing methods for or other limitations on storing, handling, or otherwise managing Hazardous
Materials, (c) at its own expense, promptly contain and remediate any Release of Hazardous Materials arising from or related to Tenant’s Hazardous Materials Activity in the Premises and remediate and pay for any resultant damage to
properly, persons, and/or the environment, (d) give prompt notice to Landlord, and all appropriate regulatory, authorities, of any Release of any Hazardous Materials in the Premises arising from or related to, Tenant’s Hazardous Materials
Activity, which Release is not made pursuant to and in conformance with the terms of any permit or license duly issued by appropriate governmental authorities, any such notice to include a description of “measures taken or proposed to be
taken” by Tenant to contain and remediate the Release and any resultant damage to property, persons, or the environment, (e) at Landlord’s written request, which shall not be more frequent than once per calendar year, retain an
independent engineer or other qualified consultant or, expert acceptable to Landlord, to conduct, at Tenant’s expense, an environmental audit of the Premises and immediate surrounding areas, and the scope of work to be performed by such
engineer, consultant, or expert shall be reasonably approved in advance by Landlord, and all of the engineer’s, consultant’s or expert’s work product shall be made available to Landlord, (f) at Landlord’s written request
from time to time, executed affidavits, representations and the like concerning Tenant’s best knowledge, and belief regarding the presence of Hazardous Materials in the Premises, (g) reimburse to Landlord, upon demand, the actual
reasonable cost of any testing for the purpose of ascertaining if there has been any Release of Hazardous Materials in the Premises as a result of Tenant’s Hazardous Materials Activity, if such testing is required by any governmental agency or
Landlord’s Mortgagee, (h) upon expiration or termination of this Lease, surrender the Premises to Landlord free from the presence and contamination of any Hazardous Materials. Tenant shall indemnify, protect, defend (by counsel reasonably
acceptable to Landlord), and hold Landlord and free and harmless from and against any and all claims, liabilities, penalties, forfeitures, losses and expenses (including actual reasonable attorneys’ fees) or death of or injury to any person or
damage to any property whatsoever arising from or caused in whole or in part, directly or indirectly, by the presence in or about the Premises of any of Tenant’s Hazardous Materials Activity or by Tenant’s failure to comply with any
Hazardous Materials Law regarding Tenant’s Hazardous Materials Activity or in connection with any removal, remediation, clean up, restoration and materials required hereunder to return the Premises and any other property of whatever nature to
their condition existing prior to Tenant’s Hazardous Materials Activity. 
 14.2 Disclosure Warning and Notice Obligations.
Tenant shall comply with all laws, ordinances and regulations in the State of Arizona regarding the disclosure of the presence or danger of Tenant’s Hazardous Materials. Tenant acknowledges and agrees that all 

 
reporting and warning obligations required under the Hazardous Materials Laws with respect to Tenant’s Hazardous Materials Activity are the sole
responsibility of Tenant, whether or not such Hazardous Materials Laws permit or require Landlord to provide such reporting or warnings, and Tenant shall be solely responsible for complying with such Hazardous Materials Laws regarding the disclosure
of, the presence or danger of Tenant’s Hazardous Materials Activity. Tenant shall immediately notify Landlord, in writing, of any complaints, notices, warnings, reports or asserted violations of which Tenant becomes aware relating to Hazardous
Materials on or about the Premises. Tenant shall also immediately notify Landlord if Tenant knows or has reason to believe Tenant’s Hazardous Materials have or will be released in or about the Premises. 
 14.3 Environmental Tests and Audits. Except to the extent required by any governmental authority having jurisdiction over the Premises or
Tenant’s use or occupancy thereof, including without limitation Tenant’s Hazardous Materials Activity, Tenant shall not perform or cause to be performed, any Hazardous Materials surveys, studies, reports or inspection, relating to the
Premises without obtaining Landlord’s advance written consent, which consent may be withheld in Landlord’s sole discretion. At any time prior to the expiration of the Term, Landlord shall have the right to enter upon the Premises in order
to conduct appropriate tests and to deliver to Tenant the results of such tests to demonstrate that levels of any Hazardous Materials in excess of permissible levels has occurred as a result of Tenant’s Hazardous Materials Activity. 

14.4 Survival/Tenant’s Obligations. The respective rights and obligations of Landlord and Tenant under this Article shall survive the
expiration or termination of this Lease. 
 ARTICLE 15 
 DESTRUCTION OF PREMISES 
 15.1 Damage and Destruction. If all or any part of the Premises
shall be damaged or destroyed by fire or other casualty, this Lease shall continue in full force and effect, unless terminated as hereinafter provided, and Landlord shall repair, restore or rebuild the Premises to the condition existing at the time
of the occurrence of the loss; provided, however, Landlord shall not be obligated to commence such repair, restoration or rebuilding until insurance proceeds are received by Landlord, and Landlord’s obligation hereunder shall be limited to the
proceeds actually received by Landlord under any insurance policy or policies, if any, less those amounts (i) which have been required to be applied towards the reduction of any indebtedness secured by a mortgage covering the Premises or any
portion thereof, and (ii) which are used to reimburse Landlord for all costs and expenses, including but not limited to attorneys’ fees, incurred by Landlord to recover any such insurance proceeds. 
 Tenant agrees to notify Landlord in writing not less than thirty (30) days prior, to the date Tenant opens for business in the Premises of the
actual cost of all permanent leasehold improvements and betterments installed or to be installed by Tenant in the Premises (whether same have been paid for entirely or partially by Tenant), but exclusive of Tenant’s personal property, movable
trade fixtures, equipment, furniture, apparatus and inventory. Similar notifications shall be given to Landlord not less than thirty (30) days prior to the commencement of any proposed alterations, additions or improvements to the Premises. If
Tenant fails to comply, with the foregoing provisions, any loss or damage Landlord shall sustain by reason thereof shall be borne by Tenant and shall 

 
be paid immediately by Tenant upon receipt of a bill therefore and evidence of such loss, and in addition to any other rights or remedies reserved by
Landlord under this Lease, Landlord’s obligations under this Article to repair, replace and/or rebuild the Premises shall be deemed inapplicable, and in lieu thereof, Landlord may, at its election, either restore or require Tenant to restore
the Premises to the condition which existed prior to such loss, and in either case Tenant shall pay the cost of such restoration. 
 Tenant
covenants and agrees to repair or replace Tenant’s fixtures, furniture, furnishings, floor coverings, equipment and stock in trade and reopen for business in the Premises within thirty (30) days after notice from Landlord that the Premises
are ready for re-occupancy. 
 No damage or destruction to the Premises shall allow Tenant to surrender possession of the Premises nor affect
Tenant’s liability for the payment of rents or charges or any other covenant herein contained, except as may be specifically provided in this Lease. 
 Notwithstanding anything to the contrary contained in this Section or elsewhere in this Lease, either Tenant or Landlord, at their respective option, may terminate this Lease by giving written notice thereof to the
other within one hundred and eighty (180) days from the date of the casualty if: 
 (a) The Premises or the building in which the
Premises are located shall be damaged or destroyed as a result of an occurrence which is not covered by Landlord’s insurance; or 
 (b)
The Premises shall be damaged or destroyed during the last two (2) years of the Term or any renewals thereof; or 
 (c) The Premises
are damaged or destroyed to the extent of twenty five-percent (25%) or more of the replacement cost thereof, in which event Landlord will have the option of terminating this Lease or any renewal thereof by serving written notice upon Tenant and
any prepaid Rent or Additional Rent will be prorated as of the date of destruction and the unearned portion of such Rent will be refunded to Tenant without interest. 
 If the Premises shall be damaged or destroyed and in the event that neither party has elected to terminate this Lease as aforesaid, Landlord and Tenant shall commence their respective obligations under this Article as
soon as is reasonably possible and prosecute the same to completion with all due diligence. 
 The Minimum Rent shall be abated
proportionately with the degree to which Tenant’s use of the Premises is impaired during the period of any damage, repair or restoration provided for in this Article; provided further, that in the event Landlord elects to repair any damages as
herein contemplated, any abatement of Minimum Rent shall end thirty (30) days after written notice by Landlord to Tenant that the Premises have been repaired. Tenant shall continue the operation of its business on the Premises during any such
period to the extent reasonably practicable from the standpoint of prudent business management, and any obligation of Tenant under the Lease to apply charges reserved as Additional Rent shall remain in full force and nothing in the Section shall be
construed to abate Additional Rent. Except for the abatement of Minimum Rent hereinabove provided, Tenant shall not be entitled to any compensation or damage for loss in the use of the whole or any part of the Premises and/or any inconvenience or
annoyance occasioned by any damage, destruction, repair or restoration. If Minimum Rent is abated there shall be all corresponding and appropriate reduction made to the Minimum Annual Volume. 

 Unless this Lease is terminated by Landlord or Tenant within the time period provided hereinabove,
Landlord shall repair, restore and re-fixture all parts of the Premises not insured under any insurance policies insuring Landlord in a manner and to a condition equal to that existing prior to its destruction or damage, including, without
limitation, all exterior signs, trade fixtures, equipment, display cases, furniture, furnishings and other installations of personality of Tenant. The proceeds of all insurance carried by Tenant on its property and improvements shall be held in
trust by Tenant for the purpose of said repair and replacement. Tenant shall give to Landlord prompt written notice of, any damage to or destruction of any portion of the Premises resulting from fire or other casualty. 
 ARTICLE 16 
 EMINENT DOMAIN

 16.1 Total Condemnation of Premises. If the whole of the Premises shall be acquired or condemned by eminent domain for any
public or quasi-public use or purpose, then the Term of this Lease shall cease and terminate as of the date of title vesting in such proceeding and all rentals shall be paid up to that date. 
 16.2 Partial Condemnation of Premises. 
 16.2.1 If twenty (20%) percent or more of the Premises shall be acquired or condemned by eminent domain for any public or quasi-public use or purpose, then the Tenant shall have the option to cancel and terminate this Lease upon notice
thereof given to the Landlord within ninety (90) days after the vesting of title in such proceeding. 
 16.2.2 In the event that less
than twenty (20%) percent of the Premises shall be acquired or condemned by eminent domain for any public or quasi-public use or purpose, or in the event twenty (20%) percent or more of the Premises shall have been so taken, and Tenant
shall not elect to terminate this Lease as set forth above, then the Landlord shall promptly restore the Premises to a condition reasonably comparable under the circumstances to its condition at the time of such condemnation, less the portion lost
in the taking; and this Lease shall thereafter continue in full force and effect. In such event of a partial taking, described hereinabove, from the effective date that physical possession is taken by the condemning authority through the end of the
term of this Lease, the annual Minimum Rent payable by Tenant to Landlord under this Lease shall be reduced by a fraction, the numerator of which shall be the gross area of the premises so taken by the condemning authority and the denominator of
which shall be the gross area of the Premises on the date immediately prior to the effective date of such taking. 
 16.3 Total
Condemnation of Parking. If the whole of the common parking areas at or near the Premises shall be acquired or condemned by eminent domain for any public or quasi-public use or purpose, then the term of this Lease shall cease and terminate as of
the date of title vesting in such proceeding. 
 16.4 Partial Condemnation of Parking Area. If twenty (20%) percent or more of
the common parking areas at or near the Premises shall be acquired or condemned by eminent domain for any public or quasi-public use or purpose, then the Tenant shall have the option to cancel and terminate this Lease upon notice thereof given to
the Landlord within ninety (90) days after the vesting of title in such proceeding. 

 If less than twenty (20%) percent of the parking areas at or near the Premises shall be acquired or
condemned by eminent domain for any public or quasi-public use or purpose, or if more than twenty (20%) percent of the parking areas shall be so acquired or condemned, but Tenant shall not elect to cancel and terminate this Lease, then the
Landlord shall restore the parking areas to a condition reasonably comparable under the circumstances to its condition at the time of such condemnation, less the portion lost in the taking. In such event, this Lease shall be and remain in full force
and effect and no reduction of Minimum Rent or any Additional Rent payable by Tenant under this Lease shall be allowed in such circumstances, but Tenant shall continue to pay the full Minimum Rent or any Additional Rent payable under this Lease for
the balance of the term hereof. 
 ARTICLE 17 
 DEFAULTS 
 17.1 Events of Default By Tenant. If (1) Tenant abandons or surrenders all or
any part of the Premises prior to the expiration of the Term of the Lease or (2) Tenant fails to pay Rent or Additional Rent within five (5) days after notice from Landlord of delinquency, (3) Tenant fails to fulfill any of the terms
or conditions of this Lease or any other lease heretofore made by Tenant for space in the Premises and the same is not cured within thirty (30) days after written notice thereof from Landlord, unless the same cannot be cured within said thirty
(30) day period, in which case Tenant shall have such additional time as is reasonably necessary to cure such default, not to exceed ninety (90) days in any and all events, provided that Tenant commences such cure within said thirty
(30) day period and thereafter diligently prosecutes the same to completion, or (4) the appointment of a trustee or a receiver to take possession of all or substantially all of Tenant’s assets occurs, or if the attachment, execution
or other judicial seizure of all or substantially all of Tenant’s assets located at the Premises, or of Tenant’s interest in this Lease, occurs, and in the case of an involuntary appointment only, the same is not dismissed within ninety
(90) days from said appointment, or (5) Tenant or any of its successors or assigns or any guarantor of this Lease (“Guarantor”) should file any voluntary petition in bankruptcy, reorganization or arrangement, or an assignment for
the benefit of creditors or for similar relief under any present or future statute, law or regulation relating to relief of debtors, or (6) Tenant or any of its successors or assigns or any Guarantor should be adjudicated bankrupt or have an
involuntary petition in bankruptcy, reorganization or arrangement filed against it and the same not be dismissed within ninety (90) days of the date of the filing thereof, or (7) Tenant shall permit, allow or suffer to exist any lien,
judgment, writ, assessment, charge, attachment or execution upon Landlord’s or to the Premises, and/or the fixtures, improvements and furnishings located thereon, except as otherwise permitted herein; then, Tenant shall be in default hereunder.

 17.2 Landlord’s Default. If Tenant asserts that Landlord has failed to meet any of its obligations under this Lease, Tenant
shall provide written notice (“Notice of Default”) to Landlord specifying the alleged failure to perform, and Tenant shall send by certified mail, return receipt requested, a copy of such Notice of Default to any and all mortgage holders,
provided that Tenant has been previously advised of the addresses) of such mortgage holder(s). Landlord shall have a thirty (30) day period after receipt of the Notice of Default in which to commence curing any non-performance by Landlord, and
Landlord shall have as much time thereafter to complete such cure as is necessary so long as Landlord’s cure efforts are diligent and continuous. if Landlord has not begun the cure within thirty (30) days of receipt of the Notice of
Default, or Landlord does not thereafter diligently and continuously attempt to 

 
cure, then Landlord shall be in default under this Lease. If Landlord is in default under this Lease, then the mortgage holder(s) shall have an additional
thirty (30) days, after receipt of a second written notice from Tenant, within which to cure such default or, if such default cannot be cured within that time, then such additional time as may be necessary so long as their efforts are diligent
and continuous. 
 ARTICLE 18 
 LANDLORD’S REMEDIES FOR TENANT’S DEFAULT. 
 18.1 Landlord’s Options. If Tenant is in default of this
Lease, Landlord may, at its option, in addition to such other remedies as may be available under the law of the State of Arizona: 
 (a)
Terminate this Lease and Tenant’s right of possession; or 
 (b) Terminate Tenant’s right to possession but not the Lease and/or
proceed in accordance with any and all provisions of Section 18.2 below. 
 18.2 Landlord’s Remedies. Landlord may, without
further notice, reenter the Premises either by force or otherwise and dispossess Tenant by summary proceedings or otherwise (as well as the legal representatives of Tenant and/or other occupants) of the Premises, and remove their effects and hold
the Premises as if this Lease had not been made, and Tenant hereby waives the service of notice of intention to re-enter or to institute legal proceedings to that end. 
 All Rent for the balance of the Term will, at the election of Landlord, be accelerated and the present worth of same for the balance of the Term, net of amounts actually collected by Landlord, shall become immediately
due thereupon and be paid, together with all expenses of every nature which Landlord may incur such as (by way of illustration and not limitation) those for attorneys’ fees, brokerage, advertising, and refurbishing the Premises in good order or
preparing them for re-rental. For purposes of this provision, “present worth” shall be computed by discounting such amount to present worth at a discount rate equal to one percentage point above the discount rate then in effect at the
Federal Reserve Bank nearest to the location of the Premises. 
 Landlord may re-let the Premises or any part thereof, either in the name of
Landlord or otherwise, for a term or terms which may at Landlord’s option be less than or exceed the period which would otherwise have constituted the balance of the Term, and may grant concessions or free rent or charge a higher rental than
that reserved in this Lease; and/or at Landlord’s option, Tenant or its legal representatives will also pay to Landlord as liquidated damages any deficiency between the Rent and all Additional Rent hereby reserved and/or agreed to be paid and
the net amount, if any, of the rents collected on account of the lease or leases of the Premises for each month of the period which would otherwise have constituted the balance of the Term. 
 If Landlord exercises the remedy above, and provided that Tenant has paid Landlord the accelerated Rent as required by this Section, Landlord shall remit
to Tenant on a monthly basis until the Expiration Date any amounts actually collected by Landlord as a result of are letting remaining after subtracting therefrom all reasonable costs paid by Landlord to secure a replacement tenant including
reasonable marketing/leasing costs, fees and commissions, and costs of preparing improvements and refurbishment to the Premises for the replacement tenant. In no event shall the total amount paid to Tenant pursuant to the preceding sentence exceed
the 

 
accelerated Rent paid by Tenant to Landlord. If this Lease is terminated, Landlord may re-let the Premises or any part thereof, alone or together with other
premises, for such term or terms (which may be greater or less than the period which otherwise would have constituted the balance of the Term) and on such terms and conditions (which may include concessions or free rent and alterations of the
Premises) as Landlord, in its sole discretion, may determine, but Landlord shall not be liable for nor shall Tenant’s obligations hereunder be diminished by reason of, any failure by Landlord to re-let the Premises or any failure by Landlord to
collect any rent due upon such re-letting. 
 18.3 Waiver of Jury Trial. To the extent permitted by law, Tenant hereby waives:
(a) jury trial in any action or proceeding regarding a monetary default by Tenant and/or Landlord’s right to possession of the Premises, and (b) in any action or proceeding by Landlord for eviction where Landlord has also filed a
separate action for damages, Tenant waives the right to interpose any counterclaim in such eviction action. Moreover, Tenant agrees that it shall not interpose or maintain any counterclaim in such damages action unless it pays and continues to pay
all Rent, as and when due, into the registry of the court in which the damages action is filed. 
 18.4 Waiver of Rights of
Redemption. Tenant hereby expressly waives any and all rights of redemption granted by or under any present or future laws in the event of Tenant being evicted or dispossessed for any cause, or in the event of Landlord obtaining possession of
the Premises, by reason of the violation by Tenant of any of the covenants or conditions of this Lease or otherwise. 
 ARTICLE 19

 BANKRUPTCY PROVISIONS 
 19.1 Event of Bankruptcy. If this Lease is assigned to any person or entity pursuant to the provisions of the United States Bankruptcy Code, 11 U.S.C. Section 101 et seq. (the “Bankruptcy Code”), any and all monies or
other consideration payable or otherwise to be delivered in connection with such assignment shall be paid or delivered to Landlord, shall be and remain the exclusive property of Landlord, and shall not constitute the property of Tenant or of the
estate of Tenant within the meaning of the Bankruptcy Code. Any and all monies or other considerations constituting Landlord’s property under this Section not paid or delivered to Landlord shall be held in trust for the benefit of Landlord and
shall be promptly paid or delivered to Landlord. Any person or entity to which this Lease is assigned pursuant to the provisions of the Bankruptcy Code shall be deemed without further act or deed to have assumed all of the obligations arising under
this Lease on and after the date of such assignment. 
 19.2 Additional Remedies. In addition to any rights or remedies hereinbefore
or hereinafter conferred upon Landlord under the terms of this Lease, the following remedies and provisions shall specifically apply in the event Tenant is in default of this Lease: 
 19.2.1 In all events, any receiver or trustee in bankruptcy shall either expressly assume or reject this Lease within sixty (60) days following the
entry of an “Order for Relief’ or within such earlier time as may be provided by applicable law. 
 19.2.2 In the event of an
assumption of this Lease by a debtor or by a trustee, such debtor or trustee shall within fifteen (15) days after such assumption (i) cure any default or provide adequate assurance that defaults will be promptly cured; (ii) compensate
Landlord for actual pecuniary loss or provide adequate assurance that compensation will be made for actual monetary loss, including, but not limited to, all attorneys’ fees and costs incurred by Landlord resulting from any such proceedings; and
(iii) provide adequate assurance of future performance. 

 19.2.3 Where a default exists under this Lease, the trustee or debtor assuming this Lease may not require
Landlord to provide services or supplies incidental to this Lease before its assumption by such trustee or debtor, unless Landlord is compensated under the terms of this Lease for such services and supplies provided before the assumption of such
Lease. 
 19.2.4 The debtor or trustee may only assign this Lease if (i) it is assumed and the assignee agrees to be bound by this
Lease, (ii) adequate assurance of future performance by the assignee is provided, whether or not there has been a default under this Lease, and (iii) the debtor or trustee has received Landlord’s prior written consent pursuant to the
provisions of this Lease. Any consideration paid by any assignee in excess of the rental reserved in this Lease shall be the sole property of, and paid to, Landlord. 
 19.2.5 Landlord shall be entitled to the fair market value for the Premises and the services provided by Landlord (but in no event less than the rental reserved in this Lease) subsequent to the commencement of a
bankruptcy event. 
 19.2.6 Any security deposit given by Tenant to Landlord to secure the future performance by Tenant of all or any of the
terms and conditions of this Lease shall be automatically transferred to Landlord upon the entry of an “Order of Relief.” 
 19.2.7
The parties agree that Landlord is entitled to adequate assurance of future performance of the terms and provisions of this Lease in the event of an assignment under the provisions of the Bankruptcy Code. For purposes of any such assumption or
assignment of this Lease, the parties agree that the term “adequate assurance” shall include, without limitation, at least the following: (i) any proposed assignee must have, as demonstrated to Landlord’s satisfaction, a net
worth (as defined in accordance with generally accepted accounting principles consistently applied) in an amount sufficient to assure that the proposed assignee will have the resources to meet the financial responsibilities under this Lease,
including the payment of all Rent; the financial condition and resources of Tenant are material inducements to Landlord entering into this Lease; (ii) any proposed assignee must have engaged in the Use described in Section 1.2 for at least
five (5) years prior to any such proposed assignment, the parties hereby acknowledging that in entering into this Lease, Landlord considered extensively Tenant’s permitted use and determined that such permitted business would add
substantially to the tenant balance in the Premises, and were it not for Tenant’s agreement to operate only Tenant’s permitted business on the Premises, Landlord would not have entered into this Lease, and that Landlord’s operation of
the Premises will be materially impaired if a trustee in bankruptcy or any assignee of this Lease operates any business other than Tenant’s permitted business; (iii) any assumption of this Lease by a proposed assignee shall not adversely
affect Landlord’s relationship with any of the remaining tenants in the building in which the Premises are located, taking into consideration any and all other “use” clauses and/or “exclusivity” clauses which may then exist
under their leases with Landlord; and (iv) any proposed assignee must not be engaged in any business or activity which it will conduct on the Premises and which will subject the Premises to contamination by any Hazardous Materials. 

 ARTICLE 20 
 LIMITATIONS OF LANDLORD’S LIABILITY 
 The term “Landlord” as used in this Lease, so
far as covenants or obligations on the part of the Landlord are concerned shall be limited to mean and include only a ground lessee if the named Landlord herein is holding the premises under a ground lease for so long as the named Landlord is the
holder of such ground lease interest or the owner or owners of the fee simple of the Premises; and in the event of transfer or transfers of either the ground leasehold interest to any other person or the transfer of title to the fee premises to any
person, the Landlord herein named (and in the case of subsequent transfers or conveyances the then grantor or assignor), shall be automatically freed and relieved from and after the date of such transfer or conveyance or assignment of all liability
as respects the performance of any covenant or obligation on the part of the Landlord contained in this Lease thereafter to be performed, it being the intention of the parties that the covenants and obligations to be observed and performed by
the-Landlord shall be binding upon the Landlord only during and in respect of its period of ownership of either a leasehold interest, or a fee interest as the case may be. Anything in this Lease to the contrary notwithstanding, Tenant agrees that
Tenant shall, subject to prior rights of any mortgagee of the Premises, look solely to the estate and property of Landlord in the Premises for the collection of any judgment (or other judicial process) requiring the payment of money by Landlord in
the event of any default or breach by Landlord with respect to any of the terms, covenants and conditions of this Lease to be observed and/or performed by Landlord, and no other assets of Landlord or any principal of Landlord shall be subject to
levy, execution or other procedures for the satisfaction of Tenant’s remedies. 
 ARTICLE 21 
 ACCESS BY LANDLORD 
 Landlord or
Landlord’s agents shall have the right to enter the Premises at all reasonable times and, except in the case of emergency, on not less than forty-eight (48) hours prior notice to Tenant, to examine the same and to show them to prospective
purchasers of the building, and to make such repairs, alterations, improvements or additions as Landlord may deem necessary or desirable, and Landlord shall be allowed to take all material into and upon said Premises that may be required therefore,
without the same constituting an eviction of Tenant in whole or in part and the Rent reserved shall in no way abate while said repairs, alterations, improvements, or additions are being made, by reason of loss or interruption of business of Tenant,
or otherwise. During the six (6) month period prior to the expiration of the term of this Lease or any renewal term, unless Tenant shall have exercised its then right to renew the term of this Lease, Landlord may exhibit the Premises to
prospective tenants or purchasers, and place upon the premises the usual notices “To Let” or “For Sale” which notices Tenant shall permit to remain thereon without molestation. Nothing herein contained, however, shall be deemed
or construed to impose upon Landlord any obligation, responsibility or liability whatsoever, for the care, maintenance, or repair of the Premises or any part thereof, except as otherwise herein specifically provided. Landlord shall give Tenant
reasonable notice during business hours prior to any entry. Landlord acknowledges that Tenant is a health care provider subject to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and in accordance therewith, Tenant is
required to maintain the privacy of its patients. Landlord agrees to use commercially reasonable efforts to avoid contact with such confidential patient records or other information when access to the Premises by Landlord is permitted hereunder, and
Landlord shall be accompanied by an agent or employee of Tenant when entering the Premises in accordance with the terms of this Lease. 

 ARTICLE 22 
 QUIET ENJOYMENT 
 22.1 Landlord’s Covenant. So long as this Lease is in full force and
effect, Tenant shall peaceably and quietly hold and enjoy the Premises for the term hereby demised without hindrance or interruption by Landlord or any other person or persons lawfully or equitably claiming by, through or under the Landlord,
subject, nevertheless, to the terms and conditions of this Lease. 
 ARTICLE 23 
 MISCELLANEOUS 
 23.1 Accord and Satisfaction. No payment by Tenant or
receipt by Landlord of a lesser amount than the rent herein stipulated to be paid shall be deemed to be other than on account of the earliest stipulated rent, nor shall any endorsement or statement on any check or any letter accompanying any check
or payment as rent be deemed an accord and satisfaction, and Landlord may accept such check or payment without prejudice to Landlord’s right to recover the balance of such rent or pursue any other remedy provided herein or by law. 

23.2 Entire Agreement. This Lease constitutes all covenants, promises, agreements, conditions and understandings between Landlord and Tenant
concerning the Premises and the Building and there are no covenants, promises, conditions or understandings, either oral or written, between them other than are herein set forth. Neither Landlord nor Landlord’s agents have made nor shall be
bound to any representations with respect to the Premises or the Building except as herein expressly set forth, and all representations, either oral or written, shall be deemed to be merged into this Lease Agreement. Except as herein otherwise
provided, no subsequent alteration change or addition to this lease shall be binding upon Landlord or Tenant unless reduced to writing and signed by them. 
 23.3 Notices. 
 23.3.1 Any notice by Tenant to Landlord must be served by certified mail return
requested, addressed to Landlord at the address first hereinabove given or at such other address as Landlord may designate by written notice. Tenant shall also provide copies of any notice given to Landlord to such mortgagees, agents or attorneys of
Landlord as Landlord may direct. 
 23.3.2 After commencement of the term hereof any notice by Landlord to Tenant shall be served by
certified mail, return receipt requested addressed to Tenant at the Premises or at such other address as Tenant shall designate by written notice, or by delivery by Landlord to the Premises or to such other address. 
  

			
	 Landlord:
	  	Tenant:
	 2234 Colonial Blvd.
	  	2234 Colonial Blvd.
	 Fort Myers, FL 33907
	  	Fort Myers, FL 33907

 23.3.3 All notices given hereunder shall be in writing, and shall be effective and deemed to have been
given only upon receipt by the party to which notice is being given, said receipt being deemed to have occurred upon hand delivery or posting, or upon such date as the postal authorities shall show the notice to have been delivered, refused, or
undeliverable, as evidenced by the return receipt. Notwithstanding any other provision hereof, Landlord shall also have the right to give notice to Tenant in any other manner provided by law. 
 23.4 Successors. All rights and liabilities herein given to, or imposed upon„ the respective parties hereto shall extend to and bind the
several respective heirs, legal representatives, and permitted successors and assigns of the said parties; and if there shall be more than one person or party constituting the Tenant, they shall be bound jointly and severally by the terms, covenants
and agreements herein. No rights, however, shall inure to the benefit of any assignee of Tenant unless the assignment to such has been approved by Landlord in writing as provided herein. Nothing contained in this Lease shall in any manner restrict
Landlord’s right to assign or encumber this Lease and, in the event Landlord sells its interest in the Building and the purchaser assumes Landlord’s obligations and covenant, Landlord shall thereupon be relieved of all further obligations
hereunder. 
 23.5 Captions and Section Numbers. The captions, section numbers, and article numbers appearing in this Lease are
inserted only as a matter of convenience and in no way define, limit, construe, or describe the scope or intent of such sections or articles of this Lease nor in any way affect this Lease. 
 23.6 Broker’s Commission. The Tenant represents and warrants to Landlord that it has dealt with no real estate broker, agent, salesperson or
finder in connection with this Lease or the Premises. Notwithstanding the foregoing, Tenant agrees to indemnify, defend and save the Landlord harmless from all liabilities arising from claims by any real estate broker or agent claiming through
Tenant. Such indemnity of Tenant shall include, without limitation, all of attorneys, fees incurred in connection therewith. 
 23.7
Partial Invalidity. If any term, covenant or condition of this Lease or the application thereof to any person or circumstances shall, to any extent, be invalid or unenforceable, the remainder of this Lease the application of such term,
covenant or condition to persons or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected thereby and each term, covenant or condition of this Lease shall be valid and enforceable to the fullest extent
permitted by law. 
 23.8 Estoppel Certificate. Landlord and Tenant agree that each will, at any time and from time to time, within
ten (10) days following written notice by the other party hereto specifying that it is given pursuant to this Section, execute, acknowledge and deliver to the party who gave such notice, or its designate, a statement in writing certifying that
this Lease is unmodified and in full force and effect (or if there have been modifications, that the same is in full force and effect and stating the modifications), and the date to which the annual rent and any other payments due
hereunder from Tenant have been paid in advance, if any, and stating whether or not there are defenses or offsets claimed by the maker of the certificate and whether or not to the best of knowledge of the signer of such certificate the other party
is in default in performance of any covenant agreement or condition contained in this Lease, and if so, Specifying each such default of which the maker may have knowledge and if requested, such financial information concerning Tenant and
Tenant’s business operations (and the Guarantor of this Lease, if this Lease be guaranteed) as may be reasonably requested by any Mortgagee or prospective mortgagee or purchaser. The failure of either party to execute, acknowledge 

 
and deliver to the other a statement in accordance with the provisions of this Section within said ten (10) business day period shall constitute an
acknowledgment, by the party given such notice, which may be relied on by any person holding or proposing to acquire an interest in the Building or any party thereof or the Premises or this Lease from or through the other party, that this Lease is
unmodified and in full force and effect and that such rents have been duly and fully paid to an including the respective due dates immediately preceding the date of such notice and shall constitute, as to any person entitled as
aforesaid to rely upon such statements, waiver of any defaults which may exist prior to the date of such notice; provided, however that nothing contained in the provision of this Section shall constitute waiver by Landlord of any default in payment
of rent or other charges existing as of the date of such notice and, unless expressly consented to in writing by Landlord, and Tenant shall still remain liable for the same. 
 23.9 Liability of Landlord. Tenant shall look solely to the estate and property of the Landlord in the Premises for the collection of any
judgment, or in connection with any other judicial process, requiring the payment of money by Landlord in the event of any default by Landlord with respect to any of the terms, covenants and conditions of this Lease to be observed and performed by
Landlord, and no other property or estates of Landlord shall be subject to levy, execution or other enforcement procedures for the satisfaction of Tenant’s remedies and rights under this Lease. Both parties waive a jury trial if any litigation
arises. 
 23.10 Recordings. Tenant shall not record this Lease, or any memorandum or short form thereof, without the written consent
and joinder of Landlord. 
 23.11 Time of Essence. Time is of the essence with respect to the performance of every provision of this
Lease in which time of performance is a factor. 
 ARTICLE 24 
 TENANT’S PROPERTY 
 24.1 Taxes on Leasehold. Tenant shall be
responsible for and shall pay before delinquency all municipal, county or state taxes assessed during the term of this Lease against any leasehold interest or personal property of any kind, owned by or placed in, upon or about the Premises by the
Tenant. 
 24.2 Personal Property. Landlord shall not be liable for any damage to property of Tenant or of others located on the
Premises, nor for the loss of or damage to any property of Tenant or of others by theft or otherwise. Landlord shall not be liable for any injury or damage to persons or property resulting from fire, explosion, falling plaster, steam, gas,
electricity, water, rain, or snow or leaks from any part of the Premises or from the pipes, appliances or plumbing works or from the roof, street or subsurface or from any other place or by dampness or by any other cause of whatsoever nature.
Landlord shall not be liable for any such damage caused by other tenants or persons in the Premises, occupants of adjacent property, or caused by operation in construction of any private, public or quasi-public work. All property of Tenant kept or
stored on the Premises shall be so kept or stored at the sole risk of Tenant only. 
 24.3 Notice by Tenant. Tenant shall give
immediate notice to Landlord in case of fire or accidents in the Premises or in the building of which the Premises are a part or of defects therein or in any fixtures or equipment. 

 ARTICLE 25 
 HOLDING OVER SUCCESSORS 
 25.1 Surrender of Premises. At the expiration of the tenancy hereby
created, Tenant shall surrender the Premises in the same condition as the Premises were in upon the Commencement Date, reasonable wear and tear excepted, and damage by unavoidable casualty excepted, and shall surrender all keys for the Premises to
Landlord at the place then fixed for the payment of rent and shall inform Landlord of all combinations on locks, safes and vaults, if any, in the Premises. Tenant shall remove all its trade fixtures before surrendering the premises as aforesaid and
shall repair any damage to the Premises caused thereby. Tenant’s obligation to observe or perform this covenant shall survive the expiration or other termination of the term of this Lease. 
 ARTICLE 26 
 ATTORNEY FEES AND COSTS

 26.1 Attorney Fees and Costs. In the event of a lawsuit or litigation concerning this Lease or enforcement of this Lease the
prevailing party shall be entitled to reasonable attorney fees and costs. This will also cover appellant fees and appellant costs. 
 ARTICLE 27 
 GOVERNING LAW 
 27.1 Governing Law. In the event of a lawsuit, litigation or interpretation of this Lease Agreement parties shall be governed by the laws of the State of Arizona. 

 IN WITNESS WHEREOF, the undersigned has hereunto
set his hand and seal on 12th day of March, 2007. 
  

			
	LANDLORD:	 	 /s/ Daniel E. Dosoretz

		 	Daniel E. Dosoretz
		
	TENANT:	 	 /s/ David M. Koeninger

		 	David M. Koeninger

 EXHIBIT A 
  

			
	Subject Property:	  	A parcel of land being the East 285.50 feet of the North 400.15 Feet of the Northwest Quarter of Section 21, Township 6 South, Range 6 East of the Gila and Salt River Base and Meridian, Pinal
County, EXCEPT the East 35 feet and the North 50 feet thereof.

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00122-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00122-of-00352.parquet"}]]