Document:

Exhibit 10.3 Employment Agreement

     

    EXHIBIT
      10.3

    EMPLOYMENT
      AGREEMENT

    DATED
      AS
      OF August 28, 2006

    BETWEEN
      PAPERFREE MEDICAL SOLUTIONS, INC. AND CRAIG S. BARROW

     

    CRAIG
      S.
      BARROW ("Executive") and PAPERFREE MEDICAL SOLUTIONS, INC. ("Company") hereby
      agree as follows:

     

    1.
      Term.
      The term of Executive's employment by Company under this Agreement (the "Term")
      shall commence on and as of August 28, 2006 for a four-month term ending
      December 27, 2006, and continue thereafter for successive monthly terms (the
      initial four-month term and each one-month term thereafter, collectively the
      "Term"), unless either Company or Executive gives notice to the other at least
      one (1) month in advance of the expiration of the current term that it wishes
      to
      terminate this Agreement, in which event this Agreement shall terminate as
      of
      the end of such term, unless earlier terminated as hereafter
      provided.

     

    2.
      Title
      and Duties. During the Term, Executive shall be employed by Company as Chief
      Financial Officer ("CFO") reporting to the Chief Executive Officer and the
      Board
      of Directors of the Company. Executive shall devote his full-time attention
      and
      energies to the business of the Company; provided, however, that the foregoing
      shall not preclude Executive from engaging in charitable and community affairs,
      or participating as a director of a non competing business company, or managing
      his personal investments. Executive shall perform such duties, which shall
      not
      be inconsistent with his position as CFO of Company, as are assigned to him
      from
      time to time by the Chairmen of the Board of Company and/or the Chief Executive
      Officer, and any other duties undertaken or accepted by Executive consistent
      with his position as Chief Financial Officer of the Company. 

     

    3.
      Salary. Executive shall receive a salary of $12,000 per month during the first
      Term. Executive's salary shall be reviewed at least annually. Salary payments
      shall be made in equal installments in accordance with Company's then prevailing
      payroll policy.

     

    4.
      Stock
      Warrants. Subject to Board approval, Executive shall be granted stock warrants
      (the "Two Million Warrants") to purchase an aggregate of Two Million (2,000,000)
      shares of common stock of the Company. The Two Million Warrants are deemed
      to be
      of record as of January 1, 2007. The Two Million Warrants shall be granted
      in
      accordance with, and subject to the following:

     

    (a)
      The
      exercise price of the Two Million Warrants shall be equal to the closing price
      plus Ten Percent (10%) per share of the common stock of the Company on the
      day
      before this Agreement is executed, delivered, and announced. The Two Million
      Warrants may be exercised at any time after vesting but prior to
      expiration.

     

    (b)
      The
      Two Million Warrants shall be subject to the terms and conditions of the 2004
      Directors, Officers and Consultants Stock Option, Stock Warrant, and Stock
      Award
      Plan; a copy of which is attached hereto and incorporated herein by reference
      as
      Exhibit "A".

     

    (c)
      The
      Two Million Warrants shall vest in such shares according to the following
      schedule:

    

      
        	
                Tranche

              	
                No.
                  of Shares

              	
                Vesting

              
	
                1

              	
                1,000,000

              	
                Immediately
                  upon execution of this Agreement

              
	
                2

              	
                1,000,000

              	
                January
                  1, 2007

              

      

    

     

    The
      vesting schedule shall be accelerated in the event of a
      Non-Fault Termination (as defined in Section 11).

     

    (d)
      In
      the event there is a Change of Control at any time during the Term, then the
      acceleration of the vesting schedule of the Two Million Warrants and the
      exercisiability of the Two Million Warrants shall be governed by the Plan upon
      such Change of Control.

     

    (e)
      The
      Two Million Warrants shall expire on the earlier of ten years from the date
      of
      grant or the termination date plus two (2) years after termination of
      Executive's employment with Company.

     

    (f)
      In
      the event the outstanding shares of common stock of Company are changed into
      or
      exchanged for a different number or kind of shares or other securities of
      Company or of another corporation by reason of merger, consolidation, other
      reorganization, reclassification, combination of shares, stock split-up or
      stock
      dividend, rights of the Two Million Warrants granted hereunder, the number
      of
      subject shares and the exercise price (and other terms herein relating thereto)
      shall be adjusted appropriately.

     

    5.
      Benefits. Executive shall be entitled to receive the following
      benefits:

     

    (a)
      Health care coverage equivalent to that provided to the Company's other
      executive officers at the Executive’s option subject to the stated Enrollment
      Periods then prevailing.

     

    (b)
      Reimbursement of reasonable living expenses in the Kokomo area to a monthly
      maximum of one thousand two hundred fifty dollars ($1,250) per month; contingent
      on submission of expense report(s) under prevailing policies.

    

    (c)
      Two
      (2) weeks paid vacation each year during the Term. The maximum accrued vacation
      shall be six (6) weeks.

       

    (d)
      The
      Executive shall be treated in the same manner as, and shall be entitled to
      such
      benefits and other perquisites and terms and conditions of employment no less
      favorable than those provided to the most senior officers of the
      Company.

     

    6.
      Reimbursement for Expenses. Executive shall be expected to incur various
      business expenses customarily incurred by persons holding like positions,
      including but not limited to traveling, entertainment and similar expenses,
      all
      of which are to be incurred by Executive in the belief that they will benefit
      the Company. Subject to Company's policy regarding the reimbursement and
      non-reimbursement of such expenses, Company shall reimburse Executive for such
      expenses from time to time, at Executive's request, and Executive shall account
      to Company for such expenses.

     

    7.
      Protection of Company's Interests.

     

    (a)
      During the Term of Executive's employment by Company, Executive will not compete
      in any manner, directly or indirectly, whether as a principal, employee,
      consultant, agent, owner or otherwise, with Company or any affiliate thereof
      except that the foregoing will not prevent Executive from holding at any time
      less that 5% of the outstanding capital stock of any company whose stock is
      publicly traded.

     

    (b)
      To
      the extent permitted by law, all rights worldwide with respect to any and all
      intellectual or other property of any nature produced, created or suggested
      by
      Executive during the Term of his employment or resulting from his service shall
      be deemed to be a work for hire and shall be the sole and exclusive property
      of
      Company. Executive agrees to execute, acknowledge and deliver to Company, at
      Company's request, such further documents as Company finds appropriate to
      evidence Company's rights in such property. Any confidential and/or proprietary
      information of Company or any affiliate thereof (including, without limitation,
      any information relating to the identities, capabilities, compensatory and
      contractual arrangements and/or general personnel data of employees of Company
      and its affiliates) shall not be used by Executive or disclosed or made
      available by Executive to any person except as required in the course of his
      employment, and upon expiration or earlier termination of the term of this
      Agreement, Executive shall return to Company all such information that exists
      in
      written or other physical form (and all copies thereof) under his control.
      Executive agrees to sign the Company's standard form of confidentiality
      agreement contemporaneously with the execution and delivery of this
      Agreement.

     

    8.
      Termination. In addition to any right to terminate under Section 1
      above:

     

    (a)
      Company shall have the right to terminate Executive's employment with Company
      under the following circumstances:

     

    (i)
      Upon
      death of Executive;

     

    (ii)
      Upon
      notice from the Company to Executive in the event of an 

    illness
      or other disability which has totally and permanently

    incapacitated
      him from performing his duties as Executive on a

    substantially
      full-time basis as described in the Company's long

    term
      disability plan;

     

    (iii)
      For
      good cause immediately upon notice from Company. Termination 

    by
      Company of Executive's employment for "good cause" as used in

    this
      Agreement shall mean actual fraud, embezzlement or

    intentional
      misconduct which has caused demonstrable and serious

    injury
      to
      the Company; or

     

    (iv)
      Conviction of a felony or crime of moral turpitude which has 

    caused
      serious injury to the Company.

     

    (b)
      If
      Executive's employment is terminated pursuant to Section 8(a)(iii) or 8(a)(iv)
      above, Executive's rights and Company's obligations hereunder, and all unvested
      stock warrants granted in accordance with this Agreement which have not already
      vested shall forthwith terminate in their entirety, except that, notwithstanding
      the foregoing, (i) the expiration date of any Warrants which have already vested
      in accordance with this Agreement shall be 30 days after the date of termination
      pursuant to Section 9(a).

     

    (c)
      If
      Executive's employment is terminated pursuant to this Section 8 no Termination
      Payment (as defined in Section 10) shall be payable.

     

    9.
      Termination by Executive. Prior to the expiration of the Term, Executive shall
      have the right to terminate his employment under this Agreement upon 10 days'
      notice to Company given within 30 days following the occurrence of any of the
      following events, provided that Company shall have 10 days after the date such
      notice has been given to Company in which to cure the conduct or cause specified
      in such notice:

     

    (a)
      Executive is not elected or retained in accordance with Section 2 as
      CFO;

     

    (b)
      There
      is a significant change in the nature or scope of the Executive's authority,
      powers, functions, duties or responsibilities;

     

    (c)
      There
      is a substantial and continued reduction in the level of support services,
      staff, secretarial and other assistance, office space and accoutrements
      available to a level below that which is reasonably necessary for the
      performance of Executive's duties;

     

    (d)
      Company shall fail to issue stock pursuant to Executive's stock warrants
      provided for herein or shall reduce his salary or shall deny Executive
      eligibility for annual discretionary bonuses, or Company shall fail to make
      any
      compensation payment required hereunder;

     

    (e)
      A
      Change of Control shall occur; and

     

    (f)
      Any
      breach of this agreement by the Company.

     

    10.
      Termination Payment. If a Non-Fault Termination (as defined below) of
      Executive's employment with Company shall occur other than by means of the
      death
      or disability of Executive, Executive shall be entitled to receive a lump sum
      payment equal to double the Executive's monthly salary (Termination Payment).
      The Termination Payment shall be made to Executive not later than 30 days after
      the date of such Non-Fault Termination. "Non-Fault Termination" shall mean
      Executive's employment with Company shall be terminated (i) without cause,
      (ii)
      be reason of death or total and permanent disability pursuant to Section 8(a)(i)
      or (ii) hereof, or (iii) Executive shall validly terminate his employment
      pursuant to Section 9 hereof. Except for Executive's rights under Sections
      5(e),
      5(f) and 6(e), which shall remain in full force and effect after any Non-Fault
      Termination of this Agreement, and for the acceleration of the vesting of the
      Two Million Warrants, the Termination Payment described in this Section 10
      shall
      be Executive's sole and exclusive remedy under this Agreement in the event
      of a
      Non-Fault Termination.

     

    11.
      Assignment. Company may assign this Agreement or all or any part of its rights
      hereunder to any entity that succeeds to all or substantially all of Company's
      assets or that holds, directly or indirectly, all or substantially all of the
      capital stock of Company or that is otherwise a successor in interest to Company
      generally, and this Agreement shall insure to the benefit of, and be binding
      upon, such assignee or successor in interest. This Agreement is personal to
      Executive and Executive may not, without the express written permission of
      Company, assign or pledge any rights or obligations hereunder to any person,
      firm, corporation or other entity.

     

    12.
      No
      Conflict with Prior Agreements. Executive represents and warrants to Company
      that, to the best of his personal knowledge and belief, neither the execution
      and delivery of this Agreement, his commencement of employment hereunder nor
      the
      performance of his duties hereunder conflicts with any contractual commitment
      on
      his part of any third party or violates or interferes with any rights of any
      third party.

     

    13.
      Key
      Man Insurance. Company shall have the right to secure, in its own name or
      otherwise, and at its own expense, life, disability, accident or other insurance
      covering Executive and Executive shall have no right, title or interest in
      or to
      such insurance. Executive shall assist Company in procuring such insurance
      by
      submitting to reasonable examinations and signing such applications and other
      instruments as may be required by the insurance carriers to which applications
      is made for any such insurance.

     

    14.
      Post-Termination Obligation. After the expiration or earlier termination of
      the
      Executive's employment hereunder for any reason whatsoever, Executive shall
      not
      either alone or jointly, with or on behalf of others, either directly or
      indirectly, expressly or implied, whether as principal, partner, agent,
      shareholder, director, employee, consultant or otherwise, at any time during
      a
      period of two years following such expiration or termination, solicit in any
      manner whatsoever the employment or engagement of, either for his own account
      or
      for any other person, firm, company or other entity, any person who is employed
      by Company or any affiliated entity, whether or not such person would commit
      any
      breach of his contract of employment by reason of his leaving the service of
      Company or any affiliated entity.

     

    15.
      Reimbursement of Legal Expenses. Company agrees to reimburse Executive for
      his
      reasonable out-of-pocket legal expenses and costs incurred in connection with
      the negotiation and preparation of this Agreement.

     

    16.
      Entire Agreement, Amendment, Waiver, Etc.

     

    (a)
      This
      Agreement supersedes all prior and/or contemporaneous agreement and/or
      statements, whether written or oral, concerning the terms of Executive's
      employment, and no amendment or modification of this Agreement shall be binding
      unless set forth in writing signed by Company and Executive. No waiver by either
      party of any breach by the other party of any provision or condition of this
      Agreement shall be effective unless in writing and signed by the party effecting
      the waiver, and no such waiver shall be deemed a waiver of any similar or
      dissimilar provision or condition at the same or any prior or subsequent
      time.

     

    (b)
      All
      payments required to be made to Executive hereunder, whether during the term
      of
      his employment hereunder or otherwise, shall be subject to all applicable
      federal, state and local tax withholding laws.

     

    (c)
      This
      Agreement shall be governed by and construed in accordance with the laws of
      the
      State of Indiana. In the event of any controversy or claim by either party
      hereunder, the prevailing party in any final and legally binding adjudication
      (as to which all periods for the filing of any appeal have expired) with respect
      to such controversy or claim shall be entitled to reimbursement from the losing
      party for reasonable attorney's fees and costs and for all other reasonable
      expenses of such adjudication.

     

    17.
      Notices. All notices that either party is required or may desire to give the
      other shall be in writing and shall be effective (i) upon personal delivery
      or
      (ii) three business days after deposit of the same with the United States Postal
      Service for delivery by certified mail, return receipt requested, addressed
      to
      the party to be given notice as follows:

     

    To
      Company: PaperFree Medical Solutions, Inc.

    121
      West
      Sycamore Street

    Kokomo,
      Indiana 46901

    Attn:
      William Sklar, Chairman

     

    To
      Executive: CRAIG S. BARROW

    4972
      Damascus Dr.

    Ottawa
      Hills, Ohio 43615

    

     

    Either
      party may by written notice designate a different address for giving notices.
      The date of mailing of any such notices shall be deemed to be the date on which
      such notice is given.

     

    18.
      Arbitration. Any dispute arising out of this Agreement shall be determined
      by
      arbitration in Indianapolis, Indiana, under the rules of the American
      Arbitration Association then in effect and judgment upon any award pursuant
      to
      such arbitration may be enforced in any court having jurisdiction thereof,
      provided each of the parties to this Agreement will appoint one person as an
      arbitrator to hear and determine the dispute, and if they are unable to agree,
      then the two arbitrators so chosen will select a third impartial arbitrator
      whose decision will be final and conclusive upon the parties to this Agreement.
      Subject to Section 15(c), the expenses of the arbitration proceedings concluded
      pursuant to this paragraph will be borne by the parties in such proportions
      as
      the arbitrators decide.

     

    19.
      Certain Additional Payments by the Company. Anything in this Agreement to the
      contrary notwithstanding, in the event it shall be determined that any payment,
      award, benefit or distribution by the Company to or for the benefit of the
      Executive would be subject to the excise tax imposed by Section 4999 of the
      Code
      or any corresponding provisions of state or local tax laws as a result of
      payment upon a change of control, or any interest or penalties are incurred
      by
      the Executive with respect to such excise tax (such excise tax, together with
      any such interest and penalties, are hereinafter collectively referred to as
      the
      "Excise Tax"), then the Executive shall be entitled to receive an additional
      payment (a "Gross-Up Payment") in an amount such that after payment by the
      Executive of all taxes (including any interest or penalties imposed with respect
      to such taxes) imposed upon the Gross-Up Payment, the Executive retains an
      amount of the Gross-Up Payment equal to the Excise Tax imposed upon the
      payments.

     

    20.
      Headings. The headings set forth herein are included solely for the purpose
      of
      identification and shall not be used for the purpose of construing the meaning
      of the provisions of this Agreement.

     

     

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

    

    PAPERFREE
      MEDICAL SOLUTIONS, INC.Exhibit 10.4 Services Contract

     

    

    

    Mr.
      Don
      Apple                                  May
      17,
      2006

    Saint
      John’s Health System

    2015
      Jackson Street                                   CONFIDENTIAL

    Anderson,
      IN 46016

    

    Engagement
      Agreement for Revenue Cycle Management Services 

    

    Dear
      Don:

    

    KMS
      offers great depth in experience in accounts receivable management with our
      staff. We have worked with your physicians’ practices and your staff in every
      office. We have supported your implementation of dbc Practice Management for
      revenue cycle management by your billing department for many years. As a result
      of this experience and relationship, we are pleased to submit
      this engagement agreement between KMS Computer Services, Inc. (“KMS”) and
St.
      Vincent Madison County Health System, Inc. d/b/a Saint John's Health
      System
      (“Saint
      John’s”). 

    

    To
      recap
      our discussions, we understand the goals of this engagement are for KMS to
      manage current medical practice revenues and maximize collections of Saint
      John’s medical practices’ existing Accounts Receivable. We will probably modify
      some of the current procedures to further improve the effectiveness of the
      revenue cycle process. Additionally, Saint John’s would like to retain existing
      employees for subsequent transfer to other hospital departments during the
      period of this engagement. 

    

    A.
      Scope
      of Services, Responsibilities, Term and Termination, Fees, and
      Payment. 

    

    
      	1.  	
              Services
                Provided

            

    

    
      	1.1.  	
              KMS
                will provide an on-site Provider Advocate (“PA”) to manage revenue cycle
                operations within your current office. This PA will have management
                authority over the named Saint John’s employees listed in Appendix A. The
                PA will be available both on-site and by mobile phone Monday through
                Friday from the hours of 7:00 a.m. to 7:00 p.m. This PA shall be
                supported
                by KMS’ management and staff personnel located in the Kokomo office.
                

            

    

    
      	1.2.  	
              The
                combined office (KMS plus Saint John’s employees) will be responsible
                for:

            

    

    
      	1.2.1.  	
              Posting
                of all payments, credits, debits and
                adjustments

            

    

    
      	1.2.2.  	
              Filing
                of all third party claims electronically or on
                forms

            

    

    
      	1.2.3.  	
              Producing
                and delivering patient statements

            

    

    
      	1.2.4.  	
              Re-filing
                and correction of any claims rejected with technical
                errors

            

    

    
      	1.2.5.  	
              End
                of month reports provided to Hospital for all
                practices

            

    

    
      	1.2.6.  	
              Work
                with Practice Administrator on practice's
                behalf.

            

    

    
      	1.2.7.  	
              Provide
                telephonic support for patients and clinics during business hours
                (Mo-Fr,
                8:30 a.m. to 4:00 p.m.)

            

    

    
      	1.2.8.  	
              Identify
                unsuccessful collection accounts for transfer to bad
                debt.

            

    

    
      	1.2.9.  	
              Work
                closely with Providers on coding
                issues

            

    

    
      	1.2.10.  	
              Advise
                Provider of coding inconsistencies.

            

    

    
      	1.2.11.  	
              Participate
                in management meetings monthly with
                Hospital

            

    

     

     

    
      	2.  	
              KMS
                Responsibilities and
                Authority

            

    

    
      	2.1.  	
              The
                Provider Advocate will assume the role and responsibilities of the
                former
                Saint John’s department supervisor to
                include:

            

    

    
      	2.1.1.  	
              Working
                with Saint John’s Human Resource department for all employee reviews,
                employee scheduling, and retention/termination of the Named
                Resources

            

    

    
      	2.1.2.  	
              Coordinating,
                communicating, and collaborating with a Saint John’s manager on all
                employee relocations, employee reports, sick/vacation time approvals,
                and
                other related matters.

            

    

    
      	2.1.3.  	
              Approve
                all office and work area supply
                requisitions

            

    

    

    
      	3.  	
              Saint
                John’s Responsibilities

            

    

    
      	3.1.  	
              Support
                KMS’ efforts by informing patients, payers, and providers of KMS’
                involvement and authority to act on behalf of Saint John’s for revenue
                cycle management

            

    

    
      	3.2.  	
              Support
                existing departmental employees by continuing
                to:

            

    

    
      	3.2.1.  	
              Maintain
                existing payroll disbursements and
                accounting

            

    

    
      	3.2.2.  	
              Maintain
                existing employee benefits, bonuses, and
                raises

            

    

    
      	3.3.  	
              Ensure
                all provider practices supported by this engagement are billing through
                the dbc Practice Management software on Saint John’s data center
                operations pending their conversion to the new billing system software
                in
                the centralized billing office

            

    

    
      	3.4.  	
              Saint
                John’s will provide the on-site PA and all other KMS support personnel
                with adequate communications and computing resources to include but
                not
                limited to VPN access to the software application for purposes of
                off-site
                billing support with KMS’ management and staff located in the Kokomo
                office. 

            

    

    
 

    
      	4.  	
              Term,
                Fees and Expenses. 

            

    

    
      	4.1.  	
              Term:
                The term of this contract shall be from the date of signature through
                one
                of the following events or unless terminated pursuant to section
                4.1.3:

            

    

    
      	4.1.1.  	
              KMS
                has successfully collected all accounts receivable remaining on the
                system
                subsequent to the conversion of provider practices to the centralized
                billing office and no further action can be taken;
                or,

            

    

    
      	4.1.2.  	
              .Saint
                John’s has no new charges from a provider practice to the system and has
                delivered written notification to KMS of the transfer all aged accounts
                receivable remaining on the system to a Bad Debt
                account.

            

    

    
      	4.1.3.  	
              Termination

            

    

    
      	4.1.3.1.  	
              This
                engagement may be terminated ‘for cause’ by either party for breach of
                contract only
                after such breach has been communicated in writing and
                a
                thirty (30) day period to cure said breach has passed without a good
                faith
                effort to cure said breach.

            

    

    
      	4.1.3.2.  	
              This
                engagement may be terminated by either party ‘without cause’ by delivery
                of a notice to terminate ninety (90) days in advance of the termination
                date.

            

    

    
      	4.2.  	
              Fees:
                The fees for this service are a combination of refundable retainer
                and
                monthly compensation based on collected Accounts
                Receivable.

            

    

    
      	4.2.1.  	
              Retainer:
                The retainer shall be twenty-five thousand dollars ($25,000) that
                shall be
                credited to Saint John’s invoice monthly in five (5) equal amounts of five
                thousand dollars ($5,000).

            

    

    
      	4.2.2.  	
              Compensation:
                The Services
                provided by KMS are
                invoiced at Nine Percent (9 %) of received collections during the
                contract
                period. These invoices will be adjusted by credits to Saint John’s account
                for those items listed in A 4.1 Retainer and A 4.3 Expense Reimbursement.
                

            

    

    
      	4.2.2.1.  	
              ‘Received
                Collections’
                is
                the monies that are deposited in any lockbox or other banking account
                that
                are paid for charges entered into the dbc Practice Management system
                on
                behalf of provider practices.

            

    

    
      	4.2.2.2.  	
              ‘Contract
                Period’
                is
                the period starting one business week after day of signature on this
                engagement through to the termination of this agreement by fulfilling
                the
                term (4.1.1 through 4.1.2) or through action(s) outlined in 4.1.3
                Termination.

            

    

    
       

    

     

    
      	4.3.  	
              Expense
                Reimbursement:
                KMS will assume responsibility for all direct expenses incurred by
                KMS’
                personnel under this engagement. KMS will credit Saint John’s account for
                certain operational expenses directly related to the services provided
                as
                listed below:

            

    

    
      	4.3.1.  	
              The
                base salary and base benefits for those Named Resources listed in
                Appendix
                A of this document. This credit to Saint John’s monthly invoice shall be
                posted in the month following the pay periods incurred and reflect
                actual
                pay and benefit costs.

            

    

    
      	4.3.2.  	
              The
                monthly charge for electronic claims submission through the Saint
                John’s
                claim clearinghouse. These credits to Saint John’s monthly invoice shall
                be posted in the month following the periods incurred and reflect
                actual
                costs.

            

    

    
      	4.3.3.  	
              A
                monthly credit for Office Supplies, Postage, and Printer Lease used
                by the
                department in the amount of six hundred and fifty dollars ($650).
                These
                credits to Saint John’s monthly invoice shall be posted in the month
                following the periods incurred.

            

    

    
      	4.4.  	
              Method
                of Payment:
                All compensation owed to KMS will be remitted by check on a Net 30
                basis.

            

    

    
 

    C.
      Existing
      Agreement(s)

     

    
      	1.  	
              KMS
                has an existing Business Associates Agreement with Saint John’s per HIPPA
                requirements. This agreement shall remain in force and extend to
                this
                engagement.

            

    

    
      	2.  	
              Saint
                John’s and KMS have an existing Software Support Agreement for the dbc
                Practice Management System. The Software Support Agreement shall
                remain in
                full force.

            

    

    

    D.
      Dispute
      Resolution.
      Saint
      John’s and KMS agree that any dispute, controversy, or claim related to or
      arising from the terms of this Agreement shall be settled by arbitration before
      any one mutually acceptable retired superior court judge, regardless of
      arbitration membership, in accordance with the Commercial Arbitration Rules
      of
      the American Arbitration Association and judgment upon the award rendered by
      the
      arbitrator(s) may be entered in any court having jurisdiction thereof. Such
      dispute resolution shall be conducted in Indianapolis, Indiana in accordance
      with the applicable substantive laws of the State of Indiana. The prevailing
      party shall be entitled to all fees and costs arising therefrom, including,
      but
      not limited to, attorney's fees and costs.

    

    F.
      Miscellaneous
      Provisions

    

    
      	1.  	
              Corporate
                Compliance.
                Saint John's has in place a Corporate Responsibility Program ("Program")
                which has as its goal to ensure that Saint John's complies with federal,
                state and local laws and regulations. The Program focuses on risk
                management, the promotion of good corporate citizenship, including
                the
                commitment to uphold a high standard of ethical and legal business
                practices, and the prevention of misconduct. KMS acknowledges Saint
                John's
                commitment to Corporate Responsibility and agrees to conduct all
                business
                transactions which occur pursuant to this Agreement in accordance
                with the
                Program, Hospital's Code of Conduct and Medicare billing requirements.
                Saint John's agrees to cooperate and comply with the corporate compliance
                program of KMS to the same extent as KMS is required to comply with
                the
                Program pursuant to this Section.

            

    

    
      	2.  	
              Compliance
                with Standards.
                To
                the extent applicable to this Agreement, both parties will conduct
                their
                relationship under this Agreement in such a manner so as to comply
                with
                any applicable state licensing regulations, federal laws, Joint Commission
                on Accreditation of Healthcare Organizations standards, or American
                Osteopathic Association's Healthcare Facilities Accreditation Program
                standards.

            

    

    
      	3.  	
              Exclusion
                from Federal Health Care Programs. KMS
                and Saint John's hereby represent and warrant to each other that
                neither
                has been nor is it about to be excluded from participation in any
                Federal
                Healthcare Program. KMS and Saint John's both agree to notify the
                other
                within one (1)
                business day of a party's receipt of a notice of intent to exclude
                or
                actual notice of exclusion from any such program. The listing of
                KMS or
                Saint John's owned subsidiary on the Office of Inspector General's
                exclusion list (OIG website) or the General Services Administration's
                Lists of Parties Excluded from Federal Procurement and Nonprocurement
                Programs (GSA website) for excluded individuals and entities shall
                constitute "exclusion" for purposes of this paragraph. In the event
                that
                either party is excluded from any Federal Healthcare Program, this
                Agreement shall immediately terminate. For the purposes of this paragraph,
                the term "Federal Healthcare Program" means the Medicare program,
                the
                Medicaid program, the Maternal and Child Health Services Block Grant
                program, the Block Grants for State for Social Services program,
                any state
                Children's Health Insurance program, or any similar
                program.

            

    

    
      	4.  	
              Ethical
                and Religious Directives.
                The parties acknowledge that Saint John's is a member of Ascension
                Health
                and that the operation of Saint John's in accordance with the Ethical
                and
                Religious Directives for Catholic Health Care Services, as promulgated
                by
                the United States Conference of Catholic Bishops, Washington, D.C.,
                of the
                Roman Catholic Church or its successor ("Directives") and the principles
                and beliefs of the Roman Catholic Church is a matter of conscience
                to
                Saint John's. It is the intent and agreement of the parties that
                neither
                this Agreement nor any part hereof shall be construed to require
                Saint
                John's to violate said Directives in its operation and all parts
                of this
                Agreement must be interpreted in a manner that is consistent with
                said
                Directives. In performing services under this Agreement, Saint John's
                and
                KMS shall conduct their activities in a manner consistent with said
                Directives.

            

    

    

    G.
      Counterparts
      and Notices.
      This
      Agreement may be executed simultaneously in one or more counterparts, including
      faxes, each of which shall be deemed an original, but all of which together
      shall constitute one and the same agreement. All
      notices, amendments, requests, consents and other communications hereunder
      shall
      be in writing shall be delivered by registered or certified mail, return receipt
      requested, postage and fees prepaid, or by overnight courier, receipt signature
      required, or by fax transmission, with verification of the transmission received
      by the sender, to the parties as set forth below or at such other place as
      either party may, by written notice to the other, direct:

    

    If
      to
      Saint John’s Hospital:     
If
      to
      KMS:

    Saint
      John’s Health System     KMS
      Computer Services, Inc.

    2015
      Jackson Street      
121
      West
      Sycamore Street

    Anderson,
      IN 46016      
Kokomo,
      IN 46901

    Fax
      No.:
      (765) 646-8655     
Fax
      No.:
      (765)
      456-1091

    Attn:
      Mr.
      Phil Hilger, Director     Attn:
      Mr.
      Kim Allbaugh

    

    

    

    Signature
      Page Follows

    

    

    

    
      
        
           

        

      

      
         

        
        

      

      
         

      

    

    

    Signature
      Page

    

    Sincerely,       

     

    /s/
      Kim
      Allbaugh     

    Kim
      Allbaugh       

    Vice-President
            

    KMS
      Computer Services      

           

    

    Agreed
      By: 

    Saint
      John’s Hospital 

    

    
      /s/
        Kyle
        DeFur

    

    Name:
      Kyle DeFur

    Title:
      President, Saint John’s Health System

    
      
        
           

        

      

      
        
        

        
        

      

      
         

      

    

    

    Appendix
      A

    Named
      Resources

    

    

    
      	§  	
              Jeannitta
                Ford, Employee number 400514

            

    

     

    
      	§  	
              Shari
                Daugherty, Employee number 400384

            

    

     

    
      	§  	
              Kathy
                Rector, Employee number 931082

            

    

     

    
      	§  	
              Angie
                Chase, Employee number 930620

            

    

     

    
      	§  	
              Mary
                Lambert, Employee number 402443

            

    

     

    
      	§  	
              Linda
                Abney, Employee number 933919

            

    

     

    
      	§  	
              Betty
                Knapp, Employee number 402455

            

    

     

    
      	§  	
              Linda
                Laird, Employee number 400937

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