Document:

2001 Stock Incentive Plan

 Exhibit 10.5 
  
 HEALTHESSENTIALS SOLUTIONS, INC. 
 2001 EQUITY INCENTIVE PLAN 
  
 ARTICLE I

  
 Purpose of Plan 
  
 The 2001 Equity Incentive Plan (the “Plan”) of
HealthEssentials Solutions, Inc., a Delaware corporation (the “Company”), adopted by the Board of Directors effective September 28, 2001 is intended to advance the best interests of the Company by providing executives and other key
employees of the Company or any Subsidiary who have substantial responsibility for the management and growth of the Company or any Subsidiary with additional incentives by allowing such employees to acquire an ownership interest in the Company in
the form of Awards as described herein. The Plan is a compensatory benefit plan within the meaning of Rule 701 under the Securities Act of 1933, as amended (the “Securities Act”) and, unless and until the Common Stock is publicly
traded, the issuance of Options and Common Stock pursuant to the Plan is intended to qualify for the exemption from registration under the Securities Act provided by Rule 701. 
  
 ARTICLE II 
  
 Definitions 
  
 For purposes of the Plan the following terms have the indicated meanings: 
  
 “Award” means any shares of Common Stock sold by, or Options granted by, the Company to Participants
pursuant to this Plan. 
  
 “Board” means the
Board of Directors of the Company. 
  
 “BRS”
means Bruckmann, Rosser, Sherrill & Co., L.P., a Delaware limited partnership and stockholder of the Company. 
  
 “Common Stock” means the Common Stock, par value $0.001 per share, of the Company (as adjusted for all subsequent stock splits, stock
dividends and other recapitalizations). 
  
 “Code” means the Internal Revenue Code of 1986, as amended, and any successor statute. 
  
 “Committee” means the Compensation Committee or such other committee of the Board as the Board may designate to administer the Plan or,
if for any reason the Board has not designated such a committee, the Board. The Committee, if other than the Board, shall be composed of three or more directors as appointed from time to time by the Board, pursuant to the terms of the Stockholders
Agreement. 
  
 “Fair Market Value” per share on
any given date means the average of the closing prices of the sales of the Common Stock on all securities exchanges on which such stock may at 

  

 
the time be listed, or, if there have been no sales on any such exchange on any day, the average of the highest bid and lowest asked prices on all such
exchanges at the end of such day, or, if on any day such stock is not so listed, the average of the representative bid and asked prices quoted on the NASDAQ National Market System (the “NASDAQ NMS”) as of 4:00 P.M., New York time,
or, if on any day such stock is not quoted on the NASDAQ NMS, the average of the highest bid and lowest asked prices on such day in the domestic over-the-counter market as reported by the National Quotation Bureau, Incorporated, or any similar
successor organization, in each such case averaged over a period of 21 days consisting of the day as of which the Fair Market Value is being determined and the 20 consecutive business days prior to such day. If at any time the Common Stock is not
listed on any securities exchange or quoted on the NASDAQ NMS or the over-the-counter market, the Fair Market Value of each share of Common Stock shall be determined by the Board in its good faith judgment. 
  
 “Measurement Date” means the date on which any taxable
income resulting from the exercise of an Option is determined under applicable federal income tax law. 
  
 “Option Agreement” has the meaning set forth in Section 5.2. 
  
 “Option Shares” shall mean (i) all shares of Common Stock issued or issuable upon the exercise of an Option
and (ii) all shares of Common Stock issued with respect to the Common Stock referred to in clause (i) above by way of stock dividend or stock split or in connection with any conversion, merger, consolidation or recapitalization or other
reorganization affecting the Common Stock. 
  
 “Options” are rights to purchase shares of Common Stock of the Company. 
  
 “Participant” means any executive or other key employee of the Company or any Subsidiary who has been selected to participate in the Plan
by the Committee or the Board. 
  
 “Permitted
Transferee” means, as to any Person, the “Permitted Transferees” (as defined in the Stockholders Agreement) of such Person. 
  
 “Person” means an individual, a partnership, a corporation, an association, a joint stock company, a limited liability company, a trust,
a joint venture, an unincorporated organization or a governmental entity or any department, agency or political subdivision thereof. 
  
 “Restricted Stock” has the meaning set forth in Section 5.1. 
  
 “Restricted Stock Agreement” has the meaning set forth in Section 5.2. 
  
 “Securities Act” has the meaning ascribed thereto in Article
1 hereof. 
  
 “Stockholders Agreement” means the
Stockholders Agreement, dated as of November 28, 2000, by and among the Company, BRS and other stockholders of the Company, as in effect from time to time. 
  
 “Subsidiary” means, with respect to any Person, any corporation, partnership, association or other business entity of which (i) if a
corporation, a majority of the total voting 

  

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power of shares of stock entitled (without regard to the occurrence of any contingency) to vote in the election of directors, managers or trustees thereof is
at the time owned or controlled, directly or indirectly, by that Person or one or more of the other Subsidiaries of that Person or a combination thereof, or (ii) if a partnership, limited liability company, association or other business entity, a
majority of the partnership or other similar ownership interest thereof is at the time owned or controlled, directly or indirectly, by any Person or one or more Subsidiaries of that Person or a combination thereof. For purposes hereof, a Person or
Persons shall be deemed to have a majority ownership interest in a partnership, limited liability company, association or other business entity if such Person or Persons shall be allocated a majority of partnership, limited liability company,
association or other business entity gains or losses or shall be or control the managing director or general partner of such partnership, limited liability company, association or other business entity. 
  
 “Ten Percent Shareholder” means any person who owns stock
representing more than 10% of the total combined voting power of all classes of stock of the Company or any Subsidiary. 
  
 “Termination Date” shall mean the date upon which such Participant’s employment with the Company and the Subsidiaries terminated,
for any reason. 
  
 ARTICLE III 
  
 Administration 
  
 The Plan shall be administered by the Committee. Subject to the limitations
of the Plan, the Committee shall have the sole and complete authority to: (i) select Participants, (ii) grant Awards to Participants in such forms and amounts as it shall determine, (iii) impose such limitations, restrictions and conditions upon
such Awards as it shall deem appropriate, (iv) interpret the Plan and adopt, amend and rescind administrative guidelines and other rules and regulations relating to the Plan, (v) correct any defect or omission or reconcile any inconsistency in the
Plan or in any Awards granted under the Plan, and (vi) make all other determinations and take all other actions necessary or advisable for the implementation and administration of the Plan. The Committee’s determinations on matters within its
authority shall be conclusive and binding upon the Participants, the Company and all other persons. All expenses associated with the administration of the Plan shall be borne by the Company. The Committee may, as approved by the Board and to the
extent permissible by law, delegate any of its authority hereunder to such persons or entities as it deems appropriate. 
  
 ARTICLE IV 
  
 Limitation on Aggregate Shares 
  
 The number of shares of Common Stock that may be granted under the Plan (whether through Restricted Stock grants or Option grants) shall not exceed, in the aggregate, 1,000,000,000 shares of Common Stock, subject to
adjustment in accordance with Section 8.1. The shares of Common Stock available under the Plan may consist of authorized and unissued shares, treasury shares or a combination thereof, as the Committee shall determine. If any shares 

  

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of Common Stock subject to repurchase or forfeiture rights are repurchased by the Company pursuant to such rights, or if any Award is canceled, terminates or
expires unexercised, any shares of Common Stock that would otherwise have been issuable pursuant thereto will be available for issuance under new Awards. 
  
 ARTICLE V 
  
 Awards 
  
 5.1 Types of Awards. Awards under the Plan shall consist of Options and/or Common Stock (any Awards of Common Stock hereunder being referred to herein as “Restricted Stock”). 
  
 5.2 Written Agreements. The granting of each Award hereunder shall be
evidenced by a written agreement executed by the Participant receiving such Award and the Company. In the case of Options, such written agreement shall be in the form of a stock option agreement (each, an “Option Agreement”) which
shall include relevant provisions described in Article VI and shall contain such other provisions as approved by the Committee. In the case of Restricted Stock, such written agreement shall be in the form of an executive stock purchase agreement
(each, a “Restricted Stock Agreement”) which shall include the relevant provisions described in Article VII and shall contain such other provisions as approved by the Committee. In addition, each Participant shall execute a joinder
to the Stockholders Agreement in form and substance satisfactory to the Committee and otherwise in accordance with the terms of the Stockholders Agreement, which shall restrict the transfer of any Option Shares or Restricted Stock in the manner
provided therein. 
  
 5.3 Rights with respect to shares of
Common Stock. 
  
 (a) Unless otherwise
determined by the Committee in its discretion, a Participant that receives Restricted Stock (and any person succeeding to such Participant’s rights in accordance with the Plan) shall have, after issuance of a certificate for such Restricted
Stock awarded, ownership of such shares of Restricted Stock, including the right to vote the same and to receive dividends or other distributions made or paid with respect to such shares of Restricted Stock (provided that such shares of Restricted
Stock shall be subject to the restrictions set forth in the Stockholders Agreement, the Restricted Stock Agreement, and such other restrictions as may be determined by the Committee in its discretion). 
  
 (b) Unless otherwise determined by the Committee in its
discretion, a Participant that receives Options (and any person succeeding to such a Participant’s rights pursuant to the Plan) shall have no rights as a stockholder with respect to any Option Shares issuable pursuant to any such Options until
the date of the issuance of a stock certificate to the Participant for such Option Shares upon the exercise of such Options. 
  
 (c) Except as provided in Section 8.1, no adjustment shall be made for dividends, distributions or other rights (whether ordinary or
extraordinary, and whether in cash, securities, other property or other forms of consideration, or any combination thereof) for which 

  

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the record date is prior to the date a stock certificate is issued and described in Section 5.3(a) and (b) above. 
  
 5.4 Securities and Tax Law Compliance. 
  
 (a) Unless otherwise determined by the Committee in its
discretion, no Awards shall be granted unless counsel for the Company shall be satisfied that such issuance will qualify as performance-based compensation for purposes of Section 162(m) of the Code and that such issuance will be in compliance with
the Code and regulations issued thereunder. 
  
 (b) No shares of Common Stock, other company securities or property, other securities or property, or other forms of payment shall be issued hereunder with respect to any Award unless counsel for the Company shall be satisfied that such
issuance will be in compliance with applicable federal, state, local and foreign legal, securities exchange and other applicable requirements. 
  
 ARTICLE VI 
  
 Options 
  
 6.1 Grant of Options. The Committee may grant Options to Participants from time to time in accordance with this Article VI. Options granted under the Plan are intended, to the extent possible, to be “incentive stock
options” within the meaning of Section 422 of the Code; provided, that the Committee may, in its discretion, grant Options intended as “nonqualified” stock options. However, no Option granted hereunder shall be invalid because
of a failure to qualify as an incentive stock option (either because the limitations of Section 422(d) of the Code are exceeded or otherwise). The exercise price per share of Common Stock under each Option shall be determined by the Committee or the
Board at the time of grant; provided, that with respect to Options intended as “incentive stock options”, such exercise price shall be equal to or greater than the Fair Market Value of the Common Stock on the date such Option is
issued (110% of such Fair Market Value in the case of an Option issued to a Participant who is a Ten Percent Shareholder). The Committee shall determine the term of each Option, which term shall not exceed ten years from the date of grant of the
Option (five years in the case of any Option granted to a Ten Percent Shareholder). 
  
 6.2 Listing, Registration and Legal Compliance. If at any time the Committee determines, in its discretion, that the listing, registration or qualification of the shares of Common Stock subject to Options upon
any securities exchange or under any state or federal securities or other law or regulation, or the consent or approval of any governmental regulatory body, is necessary or desirable as a condition to or in connection with the granting of Options or
the purchase or issuance of shares thereunder, no Options may be granted or exercised, in whole or in part, unless such listing, registration, qualification, consent or approval shall have been effected or obtained free of any conditions not
acceptable to the Committee. The holders of such Options will supply the Company with such certificates, representations and information as the Company shall request and shall otherwise cooperate with the Company in obtaining such listing,
registration, qualification, consent or approval. In the case of officers and other persons subject to Section 16(b) of the Securities Exchange Act of 1934, as amended, the Committee 

  

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may at any time impose any limitations upon the exercise of Options that, in the Committee’s discretion, are necessary or desirable in order to comply
with such Section 16(b) and the rules and regulations thereunder. If the Company, as part of an offering of securities or otherwise, finds it desirable because of federal or state regulatory requirements to reduce the period during which any Options
may be exercised, the Committee may, in its discretion and without the Participant’s consent, so reduce such period on not less than 15 days’ written notice to the holders thereof. 
  
 6.3 Options Not Transferrable. Options may not be transferred other
than by will or the laws of descent and distribution and, during the lifetime of the Participant to whom they were granted, may be exercised only by such Participant (or, if such Participant is incapacitated, by such Participant’s legal
guardian or legal representative); provided, that in the event of the death of a Participant, Options which are vested as of the date of death may be made only by the executor or administrator of such Participant’s estate or the Person
or Persons to whom such Participant’s rights under the Options will pass by will or the laws of descent and distribution. 
  
 6.4 Exercise Price. The Option exercise price per share of Common Stock (the “Exercise Price”) shall be determined by the
Committee for each Option Award. 
  
 6.5 Exercisability;
Vesting. Options shall be exercisable (i) at such time or times as the Committee shall determine at or subsequent to grant, and (ii) only to the extent such Options shall have vested; provided, that any Option intended to be an incentive
stock option shall be treated as such only to the extent that the aggregate Fair Market Value of the Common Stock (determined as of the date of the Option grant) with respect to which incentive stock options (but not non-qualified options) are
exercisable for the first time by any Participant during any calendar year (under all stock option plans of the Company and its Subsidiaries) does not exceed $100,000. Unless otherwise specified in the Option Agreement or as determined by the
Committee, Options will vest ratably over a five-year period following the date of grant (or such other dates specified by the Committee). Any Options which shall have so vested are referred to as “Vested Options”, and any Options
which have not vested are referred to as the “Unvested Options”. In addition, Options may vest on an accelerated or decelerated basis or be subject to certain other criteria as the Committee shall determine as specified in any
Option Agreement. 
  
 6.6 Exercise Procedure. Options shall
be exercised in whole or in part by written notice to the Company (to the attention of the Company’s Secretary) accompanied by a statement of the Participant that the Participant has read and has been afforded an opportunity to ask questions of
management of the Company regarding all financial and other information provided to the participant regarding the Company together with payment in full of an amount (the “Option Price”) equal to the product of (i) the applicable
Exercise Price for the applicable Options multiplied by (ii) the number of Option Shares to be acquired. Payment of the Exercise Price may be made (i) in cash (including certified check, bank draft or money order or the equivalent thereof
acceptable to the Company), (ii) if approved by the Committee prior to exercise (in the case of an incentive stock option, if approved by the Committee in the grant), by delivery of a full recourse promissory note of the Participant bearing interest
at a rate not less than the applicable federal rate determined pursuant to Section 1274 of the Code as of the date of purchase or exercise, (iii) by the delivery of shares of Common Stock valued at their Fair Market Value as of the date of exercise
as provided in Section 6.7 below, or (iv) in a combination of the 

  

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foregoing. Unless otherwise specified in the Option grant or as determined by the Committee, no Option may be exercised for a fraction of a share of Common
Stock. 
  
 6.7 Exchange of Previously Acquired Stock. The
Committee, in its discretion and subject to such conditions as the Committee may determine, may permit the Exercise Price for the shares being acquired to be paid, in full or in part, by the delivery to the Company of a number of shares of Common
Stock having an aggregate Fair Market Value as of the date of exercise equal to the Exercise Price for the shares being acquired. In the case of incentive stock options, the Committee shall specify in the Option grant whether the option holder may
satisfy the Exercise Price with respect to shares of Common Stock purchased upon exercise of such Option by delivering to the Company shares of previously acquired Common Stock. 
  
 6.8 Terms of Options. The Committee shall determine the term of each Option, which term shall in no event exceed ten
(10) years from the date of grant. Notwithstanding the foregoing, any Option granted to any Ten Percent Holder shall expire no later than five (5) years from the date on which such Option was granted. In addition, each Option shall be subject to
early termination in accordance with Section 6.9 below. 
  
 6.9
Expiration of Options. 
  
 (a) In no event
shall any part of any Option be exercisable after the date of expiration thereof (the “Expiration Date”), as determined by the Committee pursuant to Section 6.8 above. 
  
 (b) Except as otherwise provided in the applicable Option Agreement pursuant to which Options are granted to
any Participant, any Unvested Options of such Participant on the date of the termination of such Participant’s employment shall expire and be forfeited as of such date. 
  
 ARTICLE VII 
  
 Restricted Stock 
  
 7.1 Grant of Restricted Stock. The Committee may grant Restricted Stock to participants from time to time in accordance with this Article VII.

  
 7.2 Vesting. Unless otherwise specified in the
Restricted Stock Agreement or as determined by the Committee, all Restricted Stock will vest ratably over a five-year period following the date of grant (or such other dates specified by the Committee). In addition, Restricted Stock may vest on an
accelerated or decelerated basis or be subject to certain other criteria as the Committee shall determine as specified in any Restricted Stock Agreement. 
  
 ARTICLE VIII 
  
 General Provisions 
  
 8.1 Adjustments. In the event of a reorganization, recapitalization, stock dividend, stock split, combination or other change in the shares of Common Stock, the Board or the 

  

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Committee may, in order to prevent the dilution or enlargement of rights under the Plan, adjust the terms of any Award or the number of shares of Common
Stock available for Awards under the Plan and such adjustment shall be final, conclusive and binding for all purposes of the Plan. 
  
 8.2 Rights of Participants. Nothing in the Plan shall interfere with or limit in any way the right of the Company or any Subsidiary to terminate
any Participant’s employment at any time (with or without cause), or confer upon any Participant any right to continue in the employ of the Company or any Subsidiary for any period of time or to continue to receive such Participant’s
current (or other) rate of compensation. No employee shall have a right to be selected as a Participant or, having been so selected, to be selected again as a Participant. 
  
 8.3 Withholding Tax Requirements. 
  
 (a) Amount of Withholding. It shall be a condition of any Award that the Participant receiving the
Award make appropriate payment or other provision acceptable to the Company with respect to any withholding tax requirement arising from the receipt of such Award. The amount of withholding tax required, if any, with respect to any Award (the
“Withholding Amount”) shall be determined by a financial or other appropriate officer of the Company, and the Participant shall furnish such information and make such representations as such officer requires to make such
determination. 
  
 (b) Withholding
Procedure. If the Company determines that withholding tax is required with respect to any Award, the Company shall notify the Participant of the Withholding Amount, and the Participant shall pay to the Company an amount not less than the
Withholding Amount. In lieu of making such payment, the Participant may elect to pay the Withholding Amount by either (i) delivering to the Company a number of shares of Common Stock having an aggregate Fair Market Value as of the Measurement Date
not less than the Withholding Amount or (ii) directing the Company to withhold (and not to deliver or issue to the Participant) a number of shares of Common Stock, otherwise issuable in accordance with the receipt of such Award, having an aggregate
Fair Market Value as of the Measurement Date not less than the Withholding Amount. In addition, if the Committee approves, a Participant may elect pursuant to the prior sentence to deliver or direct the withholding of shares of Common Stock having
an aggregate Fair Market Value in excess of the minimum Withholding Amount but not in excess of the Participant’s applicable highest marginal combined federal income and state income tax rate, as estimated in good faith by such Participant. Any
fractional share interests resulting from the delivery or withholding of shares of Common Stock to meet withholding tax requirements shall be settled in cash. All amounts paid to or withheld by the Company and the value of all shares of Common Stock
delivered to or withheld by the Company pursuant to this Section 8.3 shall be deposited in accordance with applicable law by the Company as withholding tax for the Participant’s account. If the Treasurer or other appropriate officer of the
Company determines that no withholding tax is required with respect to the receipt of any Award, but subsequently it is determined that the Award resulted in taxable income as to which withholding is required (as a result of a disposition of shares
or otherwise), the Participant shall promptly, upon being notified of the withholding requirement, pay to the Company, by means acceptable to the Company, the amount required to be withheld. 
  

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 8.4 Notification of Inquiries and Agreements. Each Participant and each Permitted Transferee shall
notify the Company in writing within 10 days after the date such Participant or Permitted Transferee (i) first obtains knowledge of any Internal Revenue Service inquiry, audit, assertion, determination, investigation, or question relating in any
manner to the value of any Awards granted hereunder; (ii) includes or agrees (including, without limitation, in any settlement, closing or other similar agreement) to include in gross income with respect to any Award granted under this Plan (A) any
amount in excess of the amount reported on Form 1099 or Form W-2 to such Participant by the Company, or (B) if no such Form was received, any amount; and/or (iii) exercises, sells, disposes of, or otherwise transfers an Award acquired pursuant to
this Plan. Upon request, a Participant or Permitted Transferee shall provide to the Company any information or document relating to any event described in the preceding sentence which the Company (in its sole discretion) requires in order to
calculate and substantiate any change in the Company’s tax liability as a result of such event. 
  
 8.5 Amendment, Suspension and Termination of Plan. The Board or the Committee may suspend or terminate the Plan or any portion thereof at any time
and may amend it from time to time in such respects as the Board or the Committee may deem advisable; provided, that no such amendment shall be made without stockholder approval to the extent such approval is required by law, agreement or the
rules of any exchange upon which the Common Stock is listed, and no such amendment, suspension or termination shall impair the rights of Participants under outstanding Awards without the consent of the Participants affected thereby, except as
provided within this Plan. No Awards shall be granted hereunder after the tenth anniversary of the earlier of the adoption of the Plan or its approval by the Company’s shareholders. 
  
 8.6 Indemnification. In addition to such other rights of indemnification as they may have as members of the Board or
the Committee, the members of the Board and the Committee shall be indemnified by the Company against (i) all costs and expenses reasonably incurred by them in connection with any action, suit or proceeding to which they or any of them may be party
by reason of any action taken or failure to act under or in connection with the Plan or any Award granted under the Plan, and (ii) all amounts paid by them in settlement thereof (provided such settlement is approved by independent legal counsel
selected by the Company) or paid by them in satisfaction of a judgment in any such action, suit or proceeding; provided, that (a) any such Committee or Board member shall be entitled to the indemnification rights set forth in this Section 8.6
only if such member acted in good faith and in a manner that such member reasonably believed to be in, and not opposed to, the best interests of the Company, and with respect to any criminal action or proceeding, had no reasonable cause to believe
that such conduct was unlawful, and (b) upon the institution of any such action, suit or proceeding a Committee or Board member shall give the Company written notice thereof and an opportunity to handle and defend the same before such Committee
member undertakes to handle and defend it on his own behalf. 
  
 8.7 Restricted Securities. All Common Stock issued pursuant to the terms of this Plan shall constitute “restricted securities,” as that term is defined in Rule 144 promulgated by the Securities and Exchange Commission
pursuant to the Securities Act, and may not be transferred except in compliance with the registration requirements of the Securities Act or an exemption therefrom. 
  

 - 9 -Stock Purchase Agreement

 Exhibit 10.6 
  
 STOCK PURCHASE AGREEMENT (this “Agreement”), dated as of January 1, 2004, is by and among HealthEssentials Solutions, Inc., a
Delaware corporation (the “Purchaser” and/or “HE”), and Tony Altieri (the “Shareholder” and “Altieri”). Capitalized terms used herein and not otherwise defined herein have the
meanings given to such terms in Article VIII below. 
  
 WHEREAS, Shareholder owns
all of the shares (the “Shares”) of the common stock of Physician House Call, Inc. (“Practice”), zero ($.00) par value, which Shares comprise all of the issued and outstanding shares of Practice’s capital stock;

  
 WHEREAS, HE desires to employ Altieri and Altieri desires to be employed by
HE; and 
  
 WHEREAS, subject to the terms and conditions set forth herein, the
Purchaser desires to purchase all of the Shares from Shareholder and Shareholder desires to sell all of the Shares to Purchaser. 
  
 NOW, THEREFORE, in consideration of the mutual covenants, agreements and understandings herein contained, the receipt and sufficiency of which is hereby acknowledged, the
parties hereto hereby agree as follows: 
  
 ARTICLE I 
  
 The Stock Purchase; Closing 
  
 1.1. Purchase and Sale of the Shares. At the Closing, subject to the terms and
conditions set forth herein, the Purchaser shall purchase from Altieri, and Altieri shall sell, convey, assign, transfer, and deliver to the Purchaser, all of the Shares free and clear of any liens, agreements, voting trusts, proxies or restrictions
of any kind (“Encumbrances”). 
  
 1.2. Purchase Price of
Shares. Subject to the terms and conditions of this Agreement, at the Closing, Purchaser shall pay Seller, one million five hundred thousand ($1,500,000.00) dollars for the Shares (the “Share Purchase Price”), of which three hundred
and fifty thousand ($350,000.00) dollars shall be payable in immediately available funds (“Cash Payment”) by wire transfer to the IOLTA Trust Account of Douglas E. Curtis, attorney for Tony Altieri, three hundred thousand dollars
($300,000.00) payable in HE restricted common stock with share certificate issued on the date of closing said certificate being three hundred thousand shares (300,000) of common stock (“Stock Payment”) and the balance shall be payable
pursuant to Purchaser by a promissory note in the sum of (Five Hundred and Fifty Thousand ($550,000.00) (the “Altieri Note”), a copy of which is attached hereto as and incorporated by reference herein 

  

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and three hundred thousand ($300,000.00) dollars shall be payable in a three installment promissory note (“the three installment note”), copies of
which is attached collectively as Exhibit A and incorporated by reference herein. 
  
 1.3. The Closing. The Agreement will be effective as of January 1, 2004, and the closing shall occur on April 19, 2004, contingent upon satisfaction of the conditions to the Closing Conditions set forth in
Article II below or waiver by the party entitled to the benefit thereof, upon execution and delivery of all ancillary documents, including but not limited to, all Exhibits, supporting documents related to Exhibits and Schedules (the “Ancillary
Documents”) and upon satisfactory receipt by the parties of all required deliverables. At the Closing, subject to the satisfaction or waiver of each of the applicable conditions specified in Article II below: 
  
 (i) Altieri shall deliver to Purchaser a certificate representing the Shares free and clear
of all Encumbrances, duly endorsed in blank for transfer or accompanied by stock powers duly executed in blank. 
  
 (ii) The Purchaser shall pay to Altieri Three hundred fifty thousand ($350,000.00) dollars by wire transfer of immediately available funds to the IOLTA Trust Account of
Douglas E. Curtis, attorney for Altieri. 
  
 (iii) The Purchaser shall deliver the
Altieri Note to Seller and deliver the Three Installment Note to Seller, and 300,000 shares of HE common stock. 
  
 (iv) The closing certificates, opinion of counsel and other documents and agreements required to be delivered pursuant to this Agreement with respect to the Closing shall
be exchanged. 
  
 1.4. Altieri Note. The Altieri Note shall bear a fixed
interest rate of 5% per annum and will be payable in twenty-four amortized quarterly installments of twenty-three thousand, nine hundred sixteen dollars and sixty seven cents ($22,916.67), commencing June 1, 2004 and continuing until paid in full
with the final installment including all accumulated interest unless paid prior thereto, subject to all terms and conditions described in the note. 
  
 1.5. Installment Note. The Installment Note shall bear a fixed interest rate of 5% per annum and will be payable in three (3) installments of one hundred thousand
dollars ($100,000.00), with accrued interest unless paid prior thereto, pursuant to and subject to all terms and conditions described in the note. 
  
 1.6. Altieri’s Employment. HE will employ Altieri to provide management and business development services pursuant to the Employment Agreement attached hereto
as Exhibit C. 
  
 1.7. The Purchaser will use its best efforts to
substitute itself and become the guarantor on the finance documents for the equipment owned by the Practice and lines of credit issued to the Practice. 
  

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 ARTICLE II 
  
 Closing Conditions 
  
 2.1. Mutual Conditions. The obligations of Purchaser and Seller to consummate the transactions contemplated hereby are subject to the satisfaction as of the Closing of the following conditions: 
  
 (a) Litigation. No suit, action or other proceeding, or injunction, order, decree or
judgment relating thereto, shall be threatened or pending in which it is sought to restrain or prohibit or to obtain damages or other relief in connection with the transactions contemplated hereby and no injunction, judgment, order, decree or ruling
with respect thereto shall be in effect, and; 
  
 (b) Employment Agreement.
HE and Altieri will have executed and delivered an employment agreement (“Employment Agreement”) in substantially the form attached hereto as Exhibit C. 
  
 2.2. Conditions to Purchaser’s Obligations. The obligation of the Purchaser to consummate the transactions contemplated hereby
is subject to the satisfaction as of the Closing of the following conditions: 
  
 (a) Representations and Warranties; Covenants. The representations and warranties contained in Article II hereof shall be true, complete and correct in all material respects at and as of the Closing as though then made, and Seller
shall have performed all of the covenants required to be performed by Seller hereunder. 
  
 (b) Opinions of the Seller’s Counsel. The Purchaser shall have received from counsel for Seller an opinion with respect to the matters set forth in Exhibit D attached hereto, which shall be addressed to the Purchaser and
dated as of the Closing Date. 
  
 (c) Resignation of Directors. Purchaser
shall have received the resignation of each director and officer of Practice, except Altieri, effective as of the Closing Date. 
  
 (d) Amendment of Articles of Incorporation and Articles of Organization. The Practice’s Articles of Incorporation, to the extent applicable, shall have been
amended and restated in a form reasonably satisfactory to Purchaser and shall be in full force and effect under the laws of the State of Ohio as of the Closing as so amended and restated and shall not have been further amended or modified.

  
 (e) Amendment of Code of Regulations. The Practice’s Code of
Regulations, to the extent applicable, shall have been amended and restated in a form reasonably satisfactory to Purchaser and shall be in full force and effect as of the Closing as so amended and restated and shall not have been further amended or
modified. 
  

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 (f) Consents and Approvals. The Practice shall have made all filings and shall have obtained all permits,
authorizations, consents and approvals required to be obtained by the Practice to consummate the transactions contemplated by this Agreement. 
  
 (g) Material Adverse Effect. Since the date hereof, there shall have been no fact, event or circumstance which could have a Material Adverse Effect. 
  
 (h) Financials. The Purchaser shall have received Practice’s balance sheet as of
February 2004 and Practice’s statements of income and cash flow for the twenty-four month period ended December 31, 2003, and all such financial statements shall be reasonably acceptable to the Purchaser (all such financial statements, the
“Financials”). 
  
 (i) Closing Documents. At the Closing,
the Seller shall have delivered to the Purchaser all of the following documents: 
  
 (i) all existing minute books, stock transfer records, corporate seals and other materials relating to the Practice’ respective corporate administration which are in Seller’s possession; 
  
 (ii) a good standing certificate for the Practice from the State of Ohio dated within thirty
(30) days prior to the Closing Date; 
  
 (iii) other documents relating to the
transactions contemplated by this Agreement as the Purchaser may reasonably request. 
  
 2.3. Conditions to Seller’s Obligations. The obligation of the Seller to consummate the transactions contemplated hereby is subject to the satisfaction as of the Closing of the following conditions: 
  
 (a) Payment of Purchase Price. At the Closing, the Purchaser shall have delivered to
Seller the Share Purchase Price as set out in Section 1.2. 
  
 (b) Employment
Agreement. At the Closing, the Purchaser shall have delivered to the Seller executed Employment Agreement pursuant to Section 2.1(b). 
  
 (c) Representations and Warranties, Covenants. The representations and warranties contained in Article III hereof shall be true, complete and correct in all
material respects at and as of the Closing and the Purchaser shall have performed all of the covenants required to be performed by Purchaser prior to the Closing. 
  
 (d) Opinions of the Purchaser’s Counsel. Seller shall have received from Purchaser’s Counsel an opinion with respect to the
matters set forth in Exhibit E attached hereto, which shall be addressed to Seller and dated as of the Closing Date. 
  

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 ARTICLE III 
  
 Representations and Warranties of Seller 
  
 As a material inducement to the Purchaser to enter into this Agreement and to consummate the transactions contemplated hereby, Seller hereby represents and warrants to
the best of Seller’s knowledge to the Purchaser as follows: 
  
 3.1. Power
and Authority. Seller possess all requisite power and authority necessary to carry out the transactions contemplated by this Agreement. 
  
 3.2. Authorization; No Breach. This Agreement and all other agreements or instruments contemplated hereby to which the Seller is a party or by which the Seller is
bound, when executed and delivered by the Seller in accordance with the terms hereof, shall each constitute a valid and binding obligation of such Seller, enforceable in accordance with its terms. The execution, delivery and performance by Seller of
this Agreement and all other agreements contemplated hereby to which such Seller is a party, and the fulfillment of and compliance with the respective terms hereof and thereof by the Seller, do not and shall not (i) conflict with or result in a
breach of the terms, conditions or provisions of, (ii) constitute a default under (whether with or without the passage of time, the giving of notice or both), (iii) result in the creation of any Encumbrance upon the Shares pursuant to, (iv) give any
third party the right to modify, terminate or accelerate any obligation under, (v) result in a violation of, or (vi) require any authorization, consent, approval, exemption or other action by or notice or declaration to, or filing with, any third
party or Government Entity pursuant to, (A) any Law to which the Seller are subject or (B) any material agreement, instrument, order, judgment or decree to which the Sellers are subject. 
  
 3.3. Title to Shares. As of immediately prior to the Closing, all of the Shares will be owned of record and beneficially by the
Seller, and Seller will have good and marketable title to the Shares, free and clear of all Liens. 
  
 3.4. Litigation. Except as set forth on Schedule 3.4, there are no actions, suits, proceedings (including any arbitration proceedings), orders, investigations or claims pending or to Seller’s
knowledge threatened against the Practice, or pending or threatened by the Practice against any third party, at law or in equity, or before or by any Government Entity (including any actions, suits, proceedings or investigations with respect to the
transactions contemplated by this Agreement); the Practice is not subject to any arbitration proceedings under collective bargaining agreements or otherwise or any governmental investigations or inquiries, and there is no basis for any of the
foregoing. The Practice is insured with respect to each of the matters set forth on Schedule 3.4. The Practice is not subject to any judgment, order or decree of any Government Entity. 
  
 3.5. Organization and Corporate Power. To the best of Seller’s Knowledge the
Practice is a corporation duly organized, validly existing and in good standing under the laws of the State of Ohio and is qualified to do business in its present locations. Practice possess all requisite 

  

 - 5 - 

 
corporate power and authority necessary to own its properties and to carry on its business as now conducted and presently proposed to be conducted to carry
out the transactions contemplated by this Agreement. The copies of Practice’s Articles of Incorporation and Code of Regulations furnished to Purchaser reflect all amendments made thereto at any time prior to the date of this Agreement and are
true, complete and correct. The minute books (containing the records of meetings of the sole stockholders, the sole member of the board of directors and any committees of the board of directors), the stock certificate books and the stock record
books Practice are true, complete and correct. 
  
 3.6. Capitalization. As
of the date hereof and as of immediately prior to the Closing, the authorized, issued and outstanding capital stock of the Practice is set forth herein. All of such outstanding capital stock is held beneficially and of record by the Seller free and
clear of any Liens. Immediately after the Closing, the Shares will be duly authorized, validly issued and non-assessable and free and clear of any Liens and will have been issued free and clear of any preemptive or similar rights. The Practice does
not have outstanding (i) any stock or securities convertible or exchangeable for any shares or units of their capital stock or containing any profit participation features, nor any rights or options to subscribe for or to purchase its capital stock
or (ii) any stock appreciation rights or phantom stock or similar plans or rights. Except as set forth on hereto, there are no (i) outstanding obligations of the Practice (contingent or otherwise) to repurchase or otherwise acquire or retire any
shares of its capital stock or any warrants, options or other rights to acquire its capital stock or (ii) voting trusts, proxies or other agreements among the Practice’s stockholders with respect to the voting or transfer of the Practice’s
capital stock. As of the Closing and immediately thereafter, all of the outstanding shares and units of the Practice’s capital stock shall be duly authorized and validly issued, fully paid and nonassessable. 
  
 3.7. Subsidiaries; Investments. The Practice does not have, or hold the right
(pursuant to a specific agreement) to make, an Investment in any other Person. 
  
 3.8. Financial Statements. Attached hereto as part of management prepared balance sheets of the Practice. All of the foregoing financial statements are hereinafter collectively referred to as the “Financial Statements.”
Each of the Financial Statements (including in all cases the notes thereto, if any) has been prepared from, and is in accordance with, the books and records of the Practice, are true, complete and correct to the best of Seller’s knowledge,
fairly presents the financial condition of the Practice, accurately reflects the operating results and cash flows of the Practice. Seller acknowledges the Financial Statements have not been prepared in accordance with GAAP and acknowledges and
agrees to Purchaser relying on the statements and representations of Seller’s accountant concerning the accuracy of the Financial Statements attached hereto. 
  
 3.9. Absence of Undisclosed Liabilities. Except as set forth on the financial statements, to the best of Seller’s Knowledge, the
Practice has no obligation or liability (whether known or unknown, accrued, absolute, contingent, un-liquidated or otherwise, whether due or to become due and regardless of when asserted), other than (i) liabilities set forth on the liabilities side
of the most recent Balance Sheet (rather than any notes thereto), (ii) liabilities and obligations 

  

 - 6 - 

 
which have arisen after the date of the most recent Balance Sheet in the ordinary course of business (none of which is a liability resulting from breach of
contract, breach of warranty, tort, infringement, claim, lawsuit, violation of law or environmental liability or clean-up obligation), or (iii) obligations of the Practice pursuant to agreements set forth on 3.14. Documents reflecting Liabilities
are attached as schedule 3.9. 
  
 3.10. Product Warranty. To the best of
Seller’s Knowledge all services rendered by the Practice have been in conformity with all applicable federal and state statutes and regulations, contractual commitments and all express and implied warranties, and the Practice does not have any
liability (and there is no reasonable basis for any present or future action, suit, proceeding, hearing, investigation, charge, complaint, claim or demand against such Company giving rise to any such liability) for damages in connection therewith in
excess of past custom and practice and experience. No services rendered by the Practice are subject to any guarantee, warranty or other indemnity beyond the applicable standard terms and conditions of such service. 
  
 3.11. Absence of Certain Developments. Since August 1, 2003, there has occurred no
fact, event or circumstance which has had or could have a Material Adverse Effect, except as expressly contemplated by this Agreement or as set forth herein, on the transaction described in this Agreement. Since August 1, 2003, Seller has caused the
Practice has conducted its business only in the ordinary course of business consistent with past custom and practice, and to the Seller’s knowledge the Practice has not: 
  
 (a) issued any notes, except for a note to Tony Altieri to cover a cash flow issue arising out of the change of TPA and financing persons,
bonds or other debt securities or any capital stock or units of membership interest or other equity securities or any securities or rights convertible, exchangeable or exercisable into any capital stock or other equity securities; 
  
 (b) incurred any Indebtedness, other than the capitalized leases listed in the Financial
Statements; 
  
 (c) discharged or satisfied any Lien or paid any obligation or
liability, other than current liabilities paid in the ordinary course of business consistent with past custom and practice; 
  
 (d) declared, set aside or made any payment or distribution of cash or other property with respect to its capital stock or other equity securities or purchased, redeemed
or otherwise acquired any shares of its capital stock or other equity securities (including any warrants, options or other rights to acquire its capital stock or other equity securities); 
  
 (e) mortgaged or pledged any of its properties or assets or subjected them to any Lien, except Permitted Liens; 
  
 (f) sold, assigned, transferred, leased, licensed or abandoned any of its assets, tangible or
intangible, except in the ordinary course of business consistent with past custom and practice; 
  

 - 7 - 

 (g) made or granted any bonus or any wage or salary increase to any employee or group of employees made or granted any
increase in any employee benefit plan or arrangement, or amended or terminated any existing employee benefit plan or arrangement or adopted any new employee benefit plan or arrangement, or entered into, modified or terminated any collective
bargaining agreement or relationship, except Christmas bonuses and routine employee reviews; 
  
 (h) delayed, postponed or canceled the payment of any accounts payable, except attorney retainer, or any other liability or obligation or agreed or negotiated with any party to extend the payment date of any accounts
payable or accelerated the collection of any accounts or notes receivable; 
  
 (i)
delayed or postponed the purchase of any inventory, the making of any capital expenditure or the repair or maintenance of any assets; 
  
 (j) made any loans or advances to, guarantees for the benefit of, or any Investments in, any Persons (other than advances to employees in the ordinary course of business
consistent with past custom and practice) or formed any Subsidiary; 
  
 (k)
suffered any damage, destruction or casualty loss exceeding $5,000 in the aggregate, whether or not covered by insurance, or experienced any material changes in the amount and scope of insurance coverage; 
  
 (l) made any change in its cash management practices, except 3rd party billing
clearing-house, or in any method of accounting or accounting policies, or made any write-down in the value of its inventory that is material or out of the ordinary course of business consistent with past custom and practice; 
  
 (m) directly or indirectly engaged in any transaction or entered into any arrangement with
any officer, director, shareholder, member or other Affiliate of the Practice; 
  
 (n) amended its charter, bylaws, operating agreement or other organizational documents; 
  
 (o) taken any action or omit to take any action which act or omission could reasonably be expected to have a Material Adverse Effect; or 
  
 (p) waived any material benefits of, or agreed to modify in any material respect, any confidentiality, standstill, non-solicitation or
similar agreement to which the Sellers are a party; 
  
 (q) been involved in any
labor dispute, other than routine non-material grievances, or any activity or proceeding by a labor union or representative thereof to organize any employees of the Practice, or any lockouts, strikes, slowdowns, work stoppages or threats thereof by
or with respect to such employees; 
  
 (r) entered into any new line of business,
or incurrence or commitment to incur any capital expenditures, obligations or liabilities in connection therewith; 
  

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 (s) entered into any acquisition or agreement to acquire by merger, consolidation or otherwise, or agreement to acquire a
substantial portion of the assets of, or in any other manner, any business of any other Person; 
  
 (t) cancelled or waived (i) any right material to the operation of the business of the Practice; 
  
 (u) agreed, whether orally or in writing, to do any of the foregoing. 
  
 3.12. Assets. Except as set forth on herein, the Practice has good and valid title to, or a valid leasehold interest in, the properties and assets, tangible or
intangible and used by it or located on its premises or shown on the most recent Balance Sheet or acquired thereafter prior to Closing, free and clear of all Liens, except for (a) properties and assets disposed of in the ordinary course of business
since the date of the most recent Balance Sheet and (b) Permitted Liens. The Practice owns or has a valid leasehold interest in all the assets or a valid license to use, properties and rights, whether tangible or intangible, necessary for the
conduct of its business as presently conducted and as presently proposed to be conducted, except personal property of Tony Altieri listed on Exhibit F and the Property of the Landlord of Building Listed on Exhibit G. 
  
 3.13. Tax Matters. 
  
 (a) Except as set forth herein, to the best of Seller’s knowledge: 
  
 (i) Practice has filed all Tax Returns which it is required to file under applicable laws and regulations, and all such Tax Returns are
true, complete and correct and have been prepared in compliance with all applicable laws and regulations in all material respects; 
  
 (ii) Practice has paid all Taxes due and owing by it (whether or not such Taxes are shown or required to be shown on a Tax Return) and have withheld and paid over to the
appropriate taxing authority all Taxes which it is required to withhold from amounts paid or owing to any employee, shareholder, member, creditor or other third party; 
  
 (iii) Practice has not waived any statute of limitations with respect to any Taxes or agreed to any extension of time for filing any Tax
Return which has not been filed; and has not consented to extend to a date later than the date hereof the period in which any Tax may be assessed or collected by any Tax authority; 
  
 (iv) no foreign, federal, state or local tax audits or administrative or judicial proceedings are pending or being conducted with respect to
the Practice; 
  
 (v) there are no material unresolved questions or claims
concerning the Practice’s Tax liability, except as provided on Schedule 1.8(f), there are no Liens on any asset of the Practice that arose in connection with any failure (or alleged failure) to pay any Tax; 
  
 (vi) Practice has never been a member of an Affiliated Group or filed or been included in a
combined, consolidated or unitary income Tax Return; and 
  

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 (vii) Practice is not a party to or bound by any Tax allocation or Tax sharing agreement is not liable for the Taxes of
another Person (A) under Treasury Regulation § 1.1502-6 (or comparable provisions of state, local or foreign law), (B) as a transferee or successor, or (C) by contract or indemnity or otherwise; and has not made any payments, are obligated to
make any payments, or are a party to any agreement that under certain circumstances could obligate it to make any payments that will not be deductible under Code §280G. 
  
 3.14. Contracts and Commitments. To the best of Seller’s knowledge: 
  
 (a) except as expressly contemplated by this Agreement, the Practice is not a party to or
bound by any written or oral: 
  
 (i) pension, profit sharing, stock option,
employee stock purchase or other plan or arrangement providing for deferred or other compensation to employees or any other employee benefit plan, arrangement or practice, whether formal or informal, except an optional employee pay 401K plan and
employee group health and dental plan with the employee paying 25% and the employer paying 75%; 
  
 (ii) management agreement or contract for the employment of any officer, individual employee or other Person on a full-time, part-time, consulting or other basis (1) providing for the payment of any cash or other
compensation or benefits upon the consummation of the transactions contemplated hereby or (2) otherwise restricting its ability to terminate the employment of any employee at any time for any lawful reason or for no reason without penalty or
liability, except the computer technician requires a thirty day notice; 
  
 (iii)
contract or agreement involving any Government Entity; 
  
 (iv) agreement or
indenture relating to borrowed money or other Indebtedness or the mortgaging, pledging or otherwise placing a Lien on any material asset or material group of assets of the Practice or any letter of credit arrangements, or any guarantee therefor;

  
 (v) other contract or group of related contracts with the same party or group
of affiliated parties continuing over a period of more than six months from the date or dates thereof, not terminable by either of the Practice upon 30 days’ or less notice without penalty or involving more than $10,000, except past due
attorney retainer of $12,000.00; 
  
 (vi) agreements relating to the ownership of,
Investments in or loans and advances to any Person, including Investments in joint ventures and minority equity investments; 
  
 (vii) license, royalty, indemnification or other agreement with respect to any intangible property (including any Intellectual Property Rights); 
  
 (viii) agent, sales representative, sales or distribution agreement; 
  
 (ix) power of attorney or other similar agreement or grant of agency; 
  

 - 10 - 

 (x) contract or agreement prohibiting it from freely engaging in any business or competing anywhere in the world,
including, without limitation, any nondisclosure or confidentiality agreements; or 
  
 (xi) other agreement which is material to its operations and business prospects or involves a consideration in excess of $10,000 annually, whether or not in the ordinary course of business. 
  
 (b) To the best of Sellers’ Knowledge, all of the contracts, agreements and instruments
set forth or required to be set forth on Schedule 3.14 (the “Material Contracts”) are valid, binding and enforceable in accordance with their respective terms. Each of the Material Contracts shall be in full force and effect
without penalty in accordance with their terms upon consummation of the transactions contemplated hereby. 
  
 (c) The Purchaser has been supplied with a true, complete and correct copy of each written Material Contract, together with all amendments, waivers or other changes thereto (all of which amendments, waivers or other
changes thereto are described on Schedule 3.14). 
  
 3.15. Intellectual
Property Rights. A true, complete and correct list of all computer software owned or used by the Practice (“Computer Software”) and all licenses or similar agreements or arrangements for Computer Software. Except as set forth on
Schedule 3.15, the Practice owns all right, title and interest to, or have the right to use pursuant to a valid, enforceable and effective written license, free and clear of all Liens, the Computer Software. No loss or expiration of any of
the Computer Software is threatened, pending or reasonably foreseeable. The Practice have taken all commercially reasonable action to maintain and protect the Computer Software will be made . 
  
 3.16. Brokerage. There are and shall be no claims for brokerage commissions,
finders’ fees or similar compensation in connection with the transactions contemplated by this Agreement based on any arrangement or agreement to which the any of the Seller is a party or to which any of the Seller is subject. 
  
 3.17. Insurance. Schedule 3.17 contains a description of each insurance policy
maintained by the Practice with respect to its properties, assets and business, and each such policy shall be in full force and effect as of the Closing or a substituted policy shall have been obtained therefor. The Practice is not in default with
respect to its obligations under any insurance policy maintained by it, and the Practice has never been denied insurance coverage. The Practice does not have a self-insurance or co-insurance programs. 
  
 3.18. Labor Matters. The Practice has (a) no material labor relations problems
(including any additional union organization activities, threatened or actual strikes or work stoppages or material grievances), (b) not engaged in any unfair labor practices, (c) during the past five years, not suffered any labor strike, lockout,
work stoppage or other material labor dispute or, (d) no union organization campaign in progress with respect to any of their employees, nor any question concerning representation exists respecting such employees. 
  

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 3.19. ERISA. 
  
 (a) Schedule 3.19 lists each Employee Benefit Plan the Practice maintains, to which it contributes or is obligated to contribute, or with respect to which the
Practice has any liability. 
  
 (b) Each such Employee Benefit Plan (and each
related trust, insurance contract, or fund) complies in form and in operation in all material respects with the terms of such plan and the applicable requirements of ERISA, the Code, and other applicable laws. 
  
 (c) All required reports and descriptions (including Form 5500 annual reports, summary annual
reports, PBGC-1’s, and summary plan descriptions) have been filed or distributed appropriately with respect to each such Employee Benefit Plan. The requirements of Part 6 of Subtitle B of Title I of ERISA and of Code §4980B
(“COBRA”) have been met with respect to each such Employee Benefit Plan which is an Employee Welfare Benefit Plan. 
  
 (d) All contributions (including all employer contributions and employee salary reduction contributions) which are due have been paid to each such Employee Benefit Plan
which is an Employee Pension Benefit Plan and all contributions for any period ending on or before the Closing Date which are not yet due have been paid to each such Employee Pension Benefit Plan or accrued in accordance with the past custom and
practice of the Practice. All premiums or other payments for all periods ending on or before the Closing Date have been paid with respect to each such Employee Benefit Plan which is an Employee Welfare Benefit Plan. 
  
 (e) Each such Employee Benefit Plan which is intended to meet the requirements of a
“qualified plan” under Code §401 (a) has received a favorable determination letter from the Internal Revenue Service to the effect that such Employee Benefit Plan is qualified under Code §401 (a) and nothing has occurred since
the date of such determination that could adversely affect the qualification of such Employee Benefit Plan. 
  
 (f) The market value of assets under each such Employee Benefit Plan which is an Employee Pension Benefit Plan (other than any Multiemployer Plan) equals or exceeds the present value of all vested and nonvested
liabilities thereunder determined in accordance with PBGC methods, factors, and assumptions applicable to an Employee Pension Benefit Plan terminating on the date for determination. 
  
 (g) The Practice has delivered to the Purchaser true, complete and correct copies of the plan documents and summary plan descriptions, the
most recent determination letter received from the Internal Revenue Service, the most recent Form 5500 annual report as filed with the Internal Revenue Service, and all related trust agreements, insurance contracts, and other funding agreements
which implement each such Employee Benefit Plan. It is the first year of the plan and no documents have yet been delivered to Practice. 
  

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 (h) With respect to each Employee Benefit Plan that the Practice maintains (or ever has maintained) or to which it
contributes (or ever has contributed or ever has been required to contribute): 
  
 (1) No such Employee Benefit Plan which is an Employee Pension Benefit Plan (other than any Multiemployer Plan) has been completely or partially terminated or been the subject of a Reportable Event as to which notices would be required to
be filed with the PBGC. No proceeding by the PBGC to terminate any such Employee Pension Benefit Plan (other than any Multiemployer Plan) has been instituted or threatened. 
  
 (2) There have been no Prohibited Transactions with respect to any such Employee Benefit Plan. No Fiduciary has any liability for breach of
fiduciary duty or any other failure to act or comply in connection with the administration or investment of the assets of any such Employee Benefit Plan. No action, suit, proceeding, hearing, or investigation with respect to the administration or
the investment of the assets of any such Employee Benefit Plan (other than routine claims for benefits) is pending or threatened. The Sellers have no knowledge of any basis for any such action, suit, proceeding, hearing, or investigation.

  
 (3) The Practice has not incurred, and the Seller has no reason to expect that
it will incur, any liability to the PBGC (other than PBGC premium payments) or otherwise under Title IV of ERISA (including any withdrawal liability) or under the Code with respect to any such Employee Benefit Plan which is an Employee Pension
Benefit Plan. 
  
 (i) The Practice does not maintain (and have never maintained)
and does not contribute (or have ever contributed or been required to contribute) to any Employee Welfare Benefit Plan providing medical, health, or life insurance or other welfare-type benefits for current or future retired or terminated employees,
their spouses, or their dependents (other than in accordance with COBRA). 
  
 3.20. Compliance with Laws, Permits. Except as set forth on Schedule 3.20, to Seller’s knowledge: 
  
 (a) The Practice has complied with all applicable Laws relating to the operation of its business in all material respects. No notices have been received by and no claims
have been filed against Practice alleging a violation of any such Laws. 
  
 (b)
The Practice holds all material permits, licenses, certificates, accreditations and other authorizations of all Government Entities required for the conduct of its business and the ownership of its properties. No notices have been received by the
Practice alleging the failure to hold any permit, license, certificate, accreditation or other authorization of any Government Entity. The Practice is in compliance in all material respects with all terms and conditions of all material permits,
licenses, accreditations and authorizations which it holds. All of such permits, licenses, accreditations, authorizations and change of ownership with any applicable state agencies will be available for use by Practice immediately after the Closing.

  
 3.21. Environmental and Safety Matters. Except as set forth on
Schedule 3.21: 
  
 (a) The Practice has complied with and are currently in
compliance with all applicable Environmental and Safety Requirements. The Practice has not received any oral or written 

  

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notice, report or information regarding any violations of or any liabilities (whether accrued, absolute, contingent, unliquidated or otherwise) or
corrective, investigatory or remedial obligations arising under Environmental and Safety Requirements which relate to the Practice. 
  
 (b) Without limiting the generality of the foregoing, the Practice has obtained and complied with, and are currently in compliance with, all permits, licenses and other
authorizations that may be required pursuant to any Environmental and Safety Requirements for the occupancy of its facilities or the operation of its business. 
  

(c) To the best of Sellers’ Knowledge, none of the following exists at any property or facility occupied by the Practice: 
  
 (i) underground storage tanks; 
  
 (ii) asbestos-containing materials in any form or condition; 
  
 (iii) materials or equipment containing polychlorinated biphenyls; or 
  
 (iv) landfills, surface impoundments or other disposal areas. 
  
 (d) The Practice has not treated, stored, disposed of, arranged for or permitted the disposal of, transported, handled or Released any
substance (including any hazardous substance) or owned, occupied or operated any facility or property (and no such property or facility is contaminated by any such substance) in a manner that has given or could give rise to any liabilities
(including any liability for response costs, corrective action costs, personal injury, natural resource damages, property damage or attorneys fees or any investigative, corrective or remedial obligations) pursuant to CERCLA or any other
Environmental and Safety Requirements. 
  
 (e) To the best of Sellers’
Knowledge, the Practice has not, either expressly or by operation of law, assumed or undertaken any liability or corrective, investigatory or remedial obligation of any other Person relating to any Environmental and Safety Requirements. 

 
 (f) To the best of Sellers’ Knowledge, without limitation upon the foregoing, there
are no facts, events or conditions relating to facilities, properties or operations of the Practice, will give rise to a notice description in Section 4.20(a). 
  

(g) The Seller has furnished to Purchaser all environmental audits, reports and other material environmental documents relating to the Practice which are in his
possession or under its reasonable control. 
  
 3.22. Real Property.

  
 The Practice does not own any real property (the “Owned
Property”). 
  

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 3.23. Personal Property. 
  

(a) The Practice has good title to all personal property of any kind or nature which the Practice purports to own, free and clear of all Liens, except for (i) Liens
disclosed on Schedule 3.9, (ii) Liens for non-delinquent taxes and non-delinquent statutory Liens arising other than by reason of default, (iii) statutory Liens of landlords, Liens of carriers, warehousemen, mechanics and materialmen incurred
in the past customary practice for sums not yet due; (iv) Liens incurred or deposits made in the past customary practice in connection with worker’s compensation, unemployment insurance and other types of social security, (v) purchase money
liens, and (vi) Liens which do not materially detract from the value or use of said personal property. The Practice, as a lessee, has the right under valid and subsisting leases to use, possess and control all personal property leased by the
Practice as now used, possessed and controlled by the Practice. 
  
 (b) All
machinery, equipment and other tangible assets currently being used by the Practice, which are owned or leased by the Practice are in good operating condition, maintenance and repair, ordinary wear and tear excepted, are usable in the ordinary
course of business and are reasonably adequate and suitable for the uses to which they are being put. 
  
 3.24. Specific Compliance with Medicare Regulations. Without limiting in any way the generality of Section 3.4, or the other provisions of this Agreement, except as identified on Schedule 3.20, the
Practice has not violated any Medicare law or regulation, and is not currently under investigation, audit, or been threatened or noticed with any pending audit, investigation or claim relating to potential violations of any Medicare law or
regulation. 
  
 3.25. Prohibited Payments. Seller has not, directly or
indirectly, (a) made or agreed to make any contribution, payment or gift to any government official, employee or agent where either the contribution, payment or gift or the purpose thereof was illegal under the laws of any federal, state, local or
foreign jurisdiction, (b) established or maintained any unrecorded fund or asset for any purpose or made any false entries on the books and records of the Practice for any reason, (c) made or agreed to make any contribution, or reimbursed any
political gift or contribution made by any other person, to any candidate for federal, state, local or foreign public office or (d) paid or delivered any fee, commission or any other sum of money or item of property, however characterized, to any
finder, agent, government official or other party, in the United States or any other country, which in any manner relates to the assets, business or operations of the Practice, which the Seller knew or had reason to believe to have been illegal
under any federal, state or local laws (or any rules or regulations thereunder) of the United States or any other country having jurisdiction. 
  
 3.26. Closing Date. The representations and warranties of Seller contained in this Article III and elsewhere in this Agreement and all information contained in any
Exhibit, Schedule or attachment hereto or in any certificate or other writing delivered by, or on behalf of, the Seller to the Purchaser shall be true, complete and correct on the Closing Date, except as otherwise disclosed to the Purchaser in
writing prior to the Closing. 
  
 3.27. Disclosure. The representations and
warranties contained in this Article III do not contain any untrue statement of a fact. 
  

 - 15 - 

 ARTICLE IV 
  
 Representations and Warranties of the Purchaser 
  
 As a material inducement to the Seller to enter into this Agreement and consummate the transactions contemplated hereby, the Purchaser hereby represents and warrants to
the Seller as follows: 
  
 4.1. Organization, Power and Authority. The
Purchaser is a Delaware corporation duly organized, validly existing and in good standing to transact business under the Laws of Ohio. The Purchaser possesses all requisite corporate power and authority necessary to carry out the transactions
contemplated by this Agreement. 
  
 4.2. Authorization; No Breach. The
execution, delivery and performance of this Agreement and all other agreements or instruments contemplated hereby to which the Purchaser is a party or by which the Purchaser is bound have been duly authorized by the Purchaser. This Agreement and all
other agreements contemplated hereby to which the Purchaser is a party, when executed and delivered by the Purchaser in accordance with the terms hereof, shall each constitute a valid and binding obligation of the Purchaser, enforceable in
accordance with its terms. The execution, delivery and performance by the Purchaser of this Agreement and all other agreements contemplated hereby to which the Purchaser is a party, and the fulfillment of and compliance with the respective terms
hereof and thereof by the Purchaser, do not and shall not (i) conflict with or result in a breach of the terms, conditions or provisions of, (ii) constitute a default under (whether with or without the passage of time, the giving of notice or both),
(iii) give any third party the right to modify, terminate or accelerate any obligation under, (iv) result in a violation of, or (v) require any authorization, consent, approval, exemption or other action by or notice or declaration to, or filing
with, any Government Entity pursuant to, (A) the organizational documents of the Purchaser, (B) any Law to which the Purchaser is subject, or (C) any material agreement, instrument, order, judgment or decree to which the Purchaser is subject.

  
 4.3. Brokerage. Except as set forth on Schedule 4.3, there are
no claims for brokerage commissions, finders’ fees or similar compensation in connection with the transactions contemplated by this Agreement based on any arrangement or agreement to which the Purchaser is a party or to which the Purchaser is
subject. 
  
 4.4. Closing Date. The representations and warranties of the
Purchaser contained in this Article VI and elsewhere in this Agreement shall be true, complete and correct on the Closing Date as though then made and as though such Closing Date was substituted for the date of this Agreement throughout such
representations and warranties. 
  
 4.5. Disclosures. The representations
and warranties contained in this Article IV do not contain any untrue statement of a fact. 
  

 - 16 - 

 ARTICLE V 
  
 Indemnification 
  
 5.1. Survival of Representations and Warranties. The representations and warranties in this Agreement shall survive the Closing for a period of two (2) years following the Closing Date except that (i) the
representation and warranty set forth in Section 3.11 shall survive until 90 days after the end of the applicable statute of limitations, (ii) the representation and warranty set forth in Section 3.20 shall survive for a period of five (5) years
after the Closing Date. No claims by any party shall be based made and based upon this indemnification paragraph if such claim is covered by a policy of insurance except only to the amount of any applied deductible. No insurer or other third party
(excluding legitimate successors or assigns of the signatories hereto) shall have a right to assert a indemnification claim or claim through subrogation as a result of the rights create herein. 
  
 5.2. General Indemnification. 
  
 (a) Indemnification Obligations of the Seller. Seller shall indemnify the Purchaser
and its Affiliates, Shareholder, partners, officers, directors, employees, agents, representatives, successors and permitted assigns (collectively, the “Purchaser Indemnified Parties”) and save and hold each of them harmless for any
loss, liability, action, cause of action, cost, damage or expense, whether or not arising out of third party claims (including interest, penalties, reasonable attorneys’ fees and expenses and all amounts paid in, defense or settlement of any of
the foregoing) (collectively, “Losses”, and each a “Loss”), which any such Purchaser Indemnified Party may suffer, sustain or become subject to, as a result of, in connection with, relating or incidental to or by
virtue of: 
  
 (i) any facts or circumstances which constitute a breach of any
representation or warranty of the Seller under this Agreement, or in any of the certificates or other instruments or documents furnished by the Seller pursuant to this Agreement; or 
  
 (ii) any non-fulfillment or breach of any covenant, agreement or other provision by Seller under this Agreement. 
  
 (b) Indemnification Obligations of the Purchaser. The Purchaser shall indemnify Seller
and his representatives, successors or heirs (other than the Practice and their Subsidiaries, if any) (collectively, the “Seller Indemnified Parties”) and save and hold each of them harmless against any Losses which any such Seller
Indemnified Party may suffer, sustain or become subject to, as a result of, in connection with, relating or incidental to or by virtue of: 
  
 (i) any facts or circumstances which constitute a breach of any representation or warranty of the Purchaser under this Agreement or in any of the certificates or other
instruments or documents furnished by the Purchaser pursuant to this Agreement; or 
  

 - 17 - 

 (ii) any non-fulfillment or breach of any covenant, agreement or other provision by the Purchaser under this Agreement.

  
 (c) Manner of Payment. Any indemnification of the Purchaser Indemnified
Parties or the Seller Indemnified Parties pursuant to this Section 7.2 shall be effected by wire transfer of immediately available funds to an account designated in writing by any Purchaser Indemnified Party or Seller Indemnified Party, as the case
may be, or by reduction to the Seller Notes, within 15 days after the determination thereof, provided, that the Purchaser, at its option, may setoff any such indemnification owing from the Sellers against any payment obligation (other than salary)
owing from the Purchaser or the Practice to the Sellers. Setoff may only be exercised y Purchaser providing a ten day notice giving a Seller a right to cure with the set-off payment held in escrow. Any indemnification payments shall be made together
with interest accruing thereon from the date written notice of the indemnification claim is made to the date of payment at the Applicable Rate. 
  
 (d) Third Party Claims. There shall be no third party claims. 
  
 (e) Indemnification Process. Any Person making a claim for indemnification under this Section 7.2 (an “Indemnitee”) shall notify the indemnifying
party (an “Indemnitor”) of the claim in writing promptly after receiving written notice of any action, lawsuit, proceeding, investigation or other claim (a “Proceeding”) against it (if by a third party), describing
the claim, the amount thereof (if known and quantifiable) and the basis thereof, provided, that the failure to so notify an Indemnitor shall not relieve the Indemnitor of its obligations hereunder unless and to the extent the Indemnitor shall be
actually prejudiced by such failure to so notify. Any Indemnitor shall be entitled to participate in the defense of such Proceeding giving rise to an Indemnitee’s claim for indemnification at such Indemnitor’s expense, and at its option
(subject to the limitations set forth below) shall be entitled to assume the defense thereof by appointing a reputable counsel reasonably acceptable to the Indemnitee to be the lead counsel in connection with such defense; provided, that prior to
the Indemnitor assuming control of such defense, it shall (x) first demonstrate to the Indemnitee in writing such Indemnitor’s financial ability to provide full indemnification to the Indemnitee with respect to such Proceeding, and (y) agree in
writing to be fully responsible for all Losses relating to such Proceeding; and provided further, that: 
  
 (i) the Indenmitee shall be entitled to participate in the defense of such claim and to employ counsel of its choice for such purpose; provided, that the fees and expenses of such separate counsel shall be borne by
the Indemnitee; 
  
 (ii) the Indemnitor shall not be entitled to assume control of
such defense and shall pay the fees and expenses of counsel retained by the Indemnitee if (A) the claim for indemnification relates to or arises in connection with any criminal proceeding, action, indictment, allegation or investigation (provided
that in such event (x) the Indemnitee shall not enter into any settlement of a claim without the prior written consent of the Indemnitor (which shall not be unreasonably withheld), (y) the Indemnitor shall be entitled to participate in the defense
of such claim and to employ counsel of its choice for such purpose (provided that the fees and expenses of such 

  

 - 18 - 

 
separate counsel shall be borne by the Indemnitor), and (z) the Indemnitor shall be entitled to review the files and record relating to such defense upon
request of the Indemnitor); (B) the Indemnitee reasonably believes an adverse determination with respect to the Proceeding giving rise to such claim for indemnification would be detrimental to or injure the Indemnitee’s reputation or future
business prospects; (C) the claim seeks an injunction or equitable relief against the Indemnitee; (D) a conflict of interest exists between the Indemnitor and the Indemnitee; or (E) the Indemnitor failed or is failing to vigorously prosecute or
defend such claim; and 
  
 (iii) if the Indemnitor shall control the defense of
any such claim, the Indemnitor shall obtain the prior written consent of the Indemnitee before entering into any settlement of a Proceeding or ceasing to defend such Proceeding if, pursuant to or as a result of such settlement or cessation,
injunctive or other equitable relief will be imposed against the Indemnitee or if such settlement does not expressly and unconditionally release the Indenmitee from all liabilities and obligations with respect to such claim, without prejudice.

  
 (f) Anticipated Claims. With regard to any potential claims anticipated
with respect to the representations and warranties of either party to this Agreement, such party shall notify the other parties within a reasonable period of time of any such potential claims. 
  
 (g) Waiver. Both the Purchaser and the Seller agree that any direct claims between
them may only arise out of the terms of this agreement and the attachments thereto and not arise by indemnification. 
  
 ARTICLE VI 
  
 Definitions 
  
 For the purposes hereof,
the following terms have the meanings set forth below: 
  
 “Affiliate” of any particular Person means any other Person controlling, controlled by or under common control with such particular Person, where “control” means the possession, directly or indirectly, of
the power to direct the management and policies of a Person whether through the ownership of voting securities, contract or otherwise. 
  
 “Affiliated Group” means any affiliated group as defined in Code § 1504 that has filed a consolidated return for federal income tax purposes (or any
similar group under state, local or foreign law) for a period during which either of the Practice was a member. 
  
 “Agreement” has the meaning set forth in the preamble to this Agreement. “Applicable Rate” has the meaning set forth in Section 1.6(c).

  
 “CERCLA” means the Comprehensive Environmental Response,
Compensation, and Liability Act of 1980, as amended. 
  

 - 19 - 

 “COBRA” has the meaning set forth in Section 43.187(a)(ii). “Code” means the Internal Revenue
Code of 1986, as amended. 
  
 “Company Intellectual Property
Rights” means all of the Intellectual Property Rights owned or used by the Practice (along with all income, royalties, damages and payments due or payable at the Closing or thereafter (including without limitation, damages and payments for
past or future infringements or misappropriations thereof)), the right to sue and recover for past infringements or misappropriations thereof, any and all corresponding rights that, now or hereafter, may be secured throughout the world and all
copies and tangible embodiments of any such Intellectual Property Rights. 
  
 “Controlled Group of Corporations” has the meaning set forth in Code § 1563. 
  
 “Employee Benefit Plan” means any (a) nonqualified deferred compensation or retirement plan or arrangement, (b) qualified defined contribution retirement plan or arrangement which is an Employee
Pension Benefit Plan, (c) qualified defined benefit retirement plan or arrangement which is an Employee Pension Benefit Plan (including any Multiemployer Plan), or (d) Employee Welfare Benefit Plan or material fringe benefit plan or program.

  
 “Employee Pension Benefit Plan” has the meaning set forth in
ERISA §3(2). 
  
 “Employee Welfare Benefit Plan” has the
meaning set forth in ERISA §3(1). 
  
 “Environmental and Safety
Requirements” shall mean all federal, state, local and foreign statutes, regulations, ordinances and other provisions having the force or effect of law, all judicial and administrative orders and determinations, all contractual obligations
and all common law, in each case concerning public health and safety, worker health and safety and pollution or protection of the environment (including all those relating to the presence, use, production, generation, handling, transport, treatment,
storage, disposal, distribution, labeling, testing, processing, discharge, Release, threatened Release, control or cleanup of any hazardous or otherwise regulated materials, substances or wastes, chemical substances or mixtures, pesticides,
pollutants, contaminants, toxic chemicals, petroleum products or byproducts, asbestos, polychlorinated biphenyls, noise or radiation). 
  
 “ERISA” means the Employee Retirement Income Security Act of 1974, as amended. 
  
 “Fiduciary” has the meaning set forth in ERISA §3(21). 
  
 “GAAP” means United States generally accepted accounting principles consistently applied, as in effect from time to time.

  
 “Government Entity” means individually, and
“Government Entities” means collectively, the United States of America or any other nation, any state or other political subdivision thereof, or any entity exercising executive, legislative, judicial, regulatory or administrative
functions of government, including any court, in each case having jurisdiction over either Company. 
  

 - 20 - 

 “Intellectual Property Rights” means all (i) patents, patent applications and patent disclosures as well
as any reissues, continuations, continuations-in-part, divisions, extensions or reexaminations thereof, (ii) trademarks, service marks, trade dress, trade names, slogans, logos, internet domain names, and corporate names and registrations and
applications for registration thereof; together with all of the goodwill associated therewith, (iii) copyrights and copyrightable works and registrations and applications for registration thereof, (iv) mask works and registrations and applications
for registration thereof, (v) computer software, data, data bases and documentation thereof, and (vi) trade secrets and other confidential information (including, ideas, formulas, compositions, inventions (whether patentable or unpatentable and
whether or not reduced to practice), know-how, manufacturing and production processes and techniques, research and development information, drawings, specifications, designs, plans, proposals, technical data, financial and marketing plans and
customer and supplier lists and information). 
  
 “Investment” as
applied to any Person means (i) any direct or indirect purchase or other acquisition by such Person of any notes, obligations, instruments, stock, securities or ownership interest (including partnership interests and joint venture interests) of any
other Person and (ii) any capital contribution by such Person to any other Person. 
  
 “Knowledge” means no investigation required. 
  
 “Laws” means all statutes, laws, codes, ordinances, regulations, rules, orders, judgments, writs, injunctions, acts or decrees of any Government Entity. 
  
 “Lien” or “Liens” means any mortgage, pledge, security interest, right of first refusal, option,
encumbrance, lien or charge of any kind (including any conditional sale or other title retention agreement or lease in the nature thereof), any sale of receivables with recourse against either of the Practice, any filing, or agreement to file a
financing statement as debtor under the Uniform Commercial Code or any similar statute (other than to reflect ownership by a third party of property leased to either of the Practice under a lease which is not in the nature of a conditional sale or
title retention agreement), or any subordination arrangement in favor of another Person. 
  
 “Material Adverse Effect” means a material and adverse effect upon (i) the business, operations, prospects, assets, liabilities, condition (financial or otherwise), operating results or employee,
customer or supplier relations or prospects of either of the Practice or (ii) the ability of either of the Practice or the Sellers to consummate the transactions contemplated hereby or perform their respective obligations hereunder. 
  
 “Multiemployer Plan” has the meaning set forth in ERISA §3(37).

  
 “PBGC” means the Pension Benefit Guaranty Corporation.

  
 “Permitted Liens” means (i) Liens for Taxes or assessments
and similar charges, which either are (a) not delinquent or (b) being contested in good faith and by appropriate proceedings, and adequate reserves (as determined in accordance with GAAP, consistently applied) have been established on the
Practice’ books with respect thereto, and (ii) with respect to Leased Real 

  

 - 21 - 

 
Property only, (A) mechanics’, materialmen’s or contractors’ Liens or encumbrances or any similar statutory Lien or restriction for amounts
not yet due and payable, (B) zoning, entitlement, building and ocher land use regulations imposed by governmental agencies having jurisdiction over the Leased Property which are not violated by the current use and operation of the Leased Property
and (C) covenants, conditions, restrictions, easements and other similar matters of record affecting title to the Leased Property which do not materially impair the occupancy or use of the Leased Property for the purposes for which it is currently
used in connection with the Practice’ businesses. 
  
 “Person” means an individual, a partnership, a corporation, a limited liability company, an association, a joint stock company, a trust, a joint venture, an unincorporated organization and a governmental entity or any
department, agency or political subdivision thereof. 
  
 “Practice” has the meaning set forth in the preamble to this Agreement. 
  
 “Prohibited Transactions” has the meaning set forth in ERISA §406 and Code §4975. 
  
 “Purchaser” has the meaning set forth in the preamble to this Agreement. 
  
 “Release” has the meaning set forth in CERCLA. 
  
 “Reportable Event” has the meaning set forth in ERISA §4043. 
  
 “Sellers” has the meaning set forth in the preamble to this Agreement.

  
 “Subsidiary” means, with respect to any Person, any
corporation, limited liability company, partnership, association or other business entity of which (i) if a corporation, a majority of the total voting power of shares of stock entitled (without regard to the occurrence of any contingency) to vote
in the election of directors, managers or trustees thereof is at the time owned or controlled, directly or indirectly, by that Person or one or more of the other Subsidiaries of that Person or a combination thereof, or (ii) if a limited liability
company, partnership, association or other business entity, a majority of the partnership or other similar ownership interest thereof is at the time owned or controlled, directly or indirectly, by any Person or one or more Subsidiaries of that
Person or a combination thereof. 
  
 “Tax” or
“Taxes” means federal, state, county, local, foreign or other income, gross receipts, ad valorem, franchise, profits, sales or use, transfer, registration, excise, utility, environmental, communications, real or personal property,
capital stock, license, payroll, wage or other withholding, employment, social security, severance, stamp, occupation, alternative or add-on minimum, estimated and other taxes of any kind whatsoever (including deficiencies, penalties, additions to
tax, and interest attributable thereto) whether disputed or not. 
  
 “Tax
Return” means any return, information report or filing with respect to Taxes, including any schedules (including Schedule K-1) attached thereto and including any amendment thereof. 
  

 - 22 - 

 “Treasury Regulation” means the United States Treasury Regulations promulgated under the Code, and any
reference to any particular Treasury Regulation section shall be interpreted to include any final or temporary revision of or successor to that section regardless of how numbered or classified. 
  
 ARTICLE VII 
  
 Termination 
  
 7.1. Conditions of Termination. This Agreement maybe terminated at any time prior to the Closing (or as otherwise specified): 
  
 (a) by the mutual written consent of the Purchaser and the Seller; 
  
 (b) by the Purchaser if the Purchaser shall have received notice of a breach of Seller’s
representations and warranties or a breach of a covenant hereunder which renders the condition in Section 2.2(a) incapable of being satisfied; or 
  
 (c) by the Seller if Seller shall have received notice of a breach of the Purchaser’s representations and warranties or a breach of a covenant hereunder which
renders the condition in Section 2.3(a) incapable of being satisfied; 
  
 7.2.
Effect of Termination. In the event of termination of this Agreement as provided above, this Agreement shall forthwith become void and of no further force and effect, except that the covenants and agreements set forth in Sections 10.1, 10.4
and 10.14 shall survive such termination indefinitely, and except for Section 9.1(e) nothing in this Section 9.2 shall be deemed to release any party from any liability for any breach by such party of the terms and provisions of this Agreement or to
impair the right of any party to compel specific performance by another party of its obligations under this Agreement. 
  
 ARTICLE VIII 
  
 Miscellaneous 
  
 8.1. Fees and
Expenses. The Purchaser will be responsible for all costs and expenses incurred by the Purchaser in connection with the negotiation, preparation and entry into this Agreement and the consummation of the transactions contemplated hereby. The
Seller will be responsible for all costs and expenses incurred by the Seller in connection with the negotiation, preparation and entry into this Agreement and the consummation of the transactions contemplated hereby. Any transfer tax liability which
is by statute imposed on the Seller, shall be paid by the Seller. 
  

 - 23 - 

 8.2. Certain Tax Matters. Practice shall prepare, or cause to be prepared, and file, or cause to be filed, any Tax
Returns for Tax periods which end on or before January 1, 2004 and which have not been filed as of that date. The Purchaser shall prepare, or cause to be prepared, and file, or cause to be filed, any Tax Returns due after January 1 2004. Purchaser
shall permit the Seller to review and comment on each such Tax Return prior to filing. In the event the parties hereto shall disagree as to any such Tax Return, the parties shall negotiate in good faith to resolve any such disagreement. Seller shall
pay all taxes owed for business activities prior to the Possession date and Purchaser shall pay all taxes owed for business activities after the Possession date, after the application of credits and adjustments for delayed receivables, a listing of
which is attached as Schedule 8.2. 
  
 8.3. Sellers’ Guarantees.
Purchaser agrees to pay those liabilities listed on Schedule 4.6 and those liabilities listed on the most recent Balance Sheet, except the Altieri debts and to take any and all action necessary to have Sellers released from any personal guarantees
made by the Seller for such liabilities. 
  
 8.4. Press Release and
Announcements. None of the parties hereto nor any of their respective representatives shall make any public announcement with respect to this Agreement or the transactions contemplated hereby without the prior written consent of the Seller and
Purchaser. Notwithstanding the foregoing, any such public announcement may be made if required by applicable law or a securities exchange rule; provided, that the party required to make such public announcement shall confer with the other
parties concerning the timing and content of such public announcement before the same is made. 
  
 8.5. Remedies. Except as expressly provided in this Agreement, any Person having any rights under any provision of this Agreement shall be entitled to enforce such rights specifically (without posting a bond or
other security), to recover damages by reason of any breach of any provision of this Agreement and to exercise all other rights granted by Laws. All such rights and remedies shall be cumulative and non-exclusive, and may be exercised singularly or
concurrently. There are no third party beneficiaries to this agreement. 
  
 8.6.
Consent to Amendments; Waivers. This Agreement may be amended, or any provision of this Agreement may be waived upon the approval, in a writing, executed by the Purchaser and the Sellers. No course of dealing between or among the parties
hereto shall be deemed effective to modify, amend or discharge any part of this Agreement or any rights or obligations of any such party or such holder under or by reason of this Agreement. 
  
 8.7. Successors and Assigns. This Agreement and all covenants and agreements contained
herein and rights, interests or obligations hereunder, by or on behalf of any of the parties hereto, shall bind and inure to the benefit of the respective successors and permitted assigns of the parties hereto whether so expressed or not, except
that neither this Agreement nor any of the covenants and agreements herein or rights, interests or obligations hereunder may be assigned or delegated by Seller prior to the Closing, without the prior written consent of the Purchaser, and neither
this Agreement nor any of the covenants and agreements herein or rights, interests or obligations hereunder may be assigned or delegated by the Purchaser without the prior written consent of the Sellers; provided, that the Purchaser may assign this
Agreement and its rights and 

  

 - 24 - 

 
obligations hereunder without such prior written consent to any of its Affiliates, any Person which provides financing, the Purchaser or any of their
respective Affiliates, and any subsequent purchaser of the Purchaser. Original purchaser shall remain liable if the contract is assigned until released in writing by the Seller. 
  
 8.8. Severability. Whenever possible, each provision of this Agreement shall be interpreted in such manner as to be effective and
valid under applicable law, but if any provision of this Agreement or the application of any such provision to any Person or circumstance shall be held to be prohibited by, illegal or unenforceable under applicable law or rule in any respect by a
court of competent jurisdiction, such provision shall be ineffective only to the extent of such prohibition, illegality or unenforceability, without invalidating the remainder of such provision or the remaining provisions of this Agreement.

  
 8.9. Counterparts. This Agreement may be executed in counterparts
(including by means of telecopied signature pages), any one of which need not contain the signatures of more than one party, but all such counterparts taken together shall constitute one and the same agreement. 
  
 8.10. Descriptive Headings, Interpretation. The headings and captions used in this
Agreement and the table of contents to this Agreement are for reference purposes only and shall not affect in any way the meaning or interpretation of this Agreement. Any capitalized terms used in any Schedule or Exhibit attached hereto and not
otherwise defined therein shall have the meanings set forth in this Agreement. The use of the word “including” herein shall mean “including without limitation.” 
  
 8.11. Entire Agreement. This Agreement, the agreements and documents referred to herein contain the entire agreement and
understanding among the parties hereto with respect to the subject matter hereof and supersede all prior agreements and understandings, whether written or oral, relating to such subject matter in any way, including, without limitation, the letter of
intent dated September 17, 2003 between the Sellers and Purchaser. 
  
 8.12. No
Third-Party Beneficiaries. This Agreement is for the sole benefit of the parties hereto and their permitted successors and assigns and nothing herein expressed or implied shall give or be construed to give any Person, other than the parties
hereto and such permitted successors and assigns, any legal or equitable rights hereunder. 
  
 8.13. Schedules and Exhibits. All Schedules and Exhibits attached hereto or referred to herein are hereby incorporated in and made a part of this Agreement as if set forth in full herein. 
  
 8.14. Governing Law. All issues and questions concerning the construction, validity,
enforcement and interpretation of this Agreement and the Schedules and Exhibits hereto shall be governed by, and construed in accordance with, the laws of the State of Ohio without giving effect to any choice of law or conflict of law rules or
provisions (whether of the State of Ohio or any other jurisdiction) that would cause the application of the laws of any jurisdiction other than the State of Ohio. In furtherance of the foregoing, the internal law of the State of—Ohio shall
control the interpretation and construction of this Agreement (and all Schedules and Exhibits 

  

 - 25 - 

 
hereto), even though under that jurisdiction’s choice of law or conflict of law analysis, the substantive law of some other jurisdiction would
ordinarily apply. 
  
 8.15. Notices. All notices, demands or other
communications to be given or delivered under or by reason of the provisions of this Agreement shall be in writing and shall be deemed to have been given when delivered personally to the recipient or when sent by facsimile followed by delivery by
reputable overnight courier service, or one day after being sent to the recipient by reputable overnight courier service (charges prepaid). Such notices, demands and other communications shall be sent to the Purchaser and Seller at the addresses
indicated below or to such other address or to the attention of such other Person as the recipient party has specified by prior written notice to the sending party. All notices, demands and other communications hereunder may be given by any other
means (including telecopy or electronic mail), but shall not be de med to have been duly given unless and until it is actually received by the intended recipient. 
  

			
	Seller:	  	Tony Altierei
	 	  	2487 Wellesley Drive
	 	  	Columbus, Ohio 43221
		
	The Purchaser;	  	HealthEssentials Solutions, Inc.
	 	  	9510 Ormsby Station Road, Suite 101
	 	  	Louisville, Kentucky 40223
	 	  	Attention: General Counsel
	 	  	Facsimile No.: (502) 429-4557

  
 8.16. Waiver of Jury Trial.
Each of the parties hereto waives any right it may have to trial by jury in respect of any litigation based on, arising out of, under or in connection with this Agreement or any course of conduct, course of dealing, verbal or written statement or
action of any party hereto. 
  
 8.17. Jurisdiction. Each of parties hereto
submits to the jurisdiction of any state or federal court sitting in Franklin County, Ohio any action or proceeding arising out or relating to this Agreement and agrees that all claims in respect of the action or proceeding may be heard and
determined in any such court. 
  
 8.18. No Strict Construction. The parties
hereto have participated jointly in the negotiation and drafting of this Agreement. In the event an ambiguity or question of intent or interpretation arises, this Agreement shall be construed as if drafted jointly by the parties hereto, and no
presumption or burden of proof shall arise favoring or disfavoring any party hereto by virtue of the authorship of any of the provisions of this Agreement. 
  

 - 26 - 

 IN WITNESS WHEREOF, the parties hereto have executed this Stock Purchase Agreement on the date first written above.

  

									
	PURCHASER:	 	 	 	 	 	SELLER
	HEALTHESSENTIALS	 	 	 	“STOCKHOLDER”
	SOLUTIONS, INC.	 	 	 	 
					
	 by:
	 	 /s/ Michael R. Barr
	 	 	 	 	 	 /s/ Tony S. Altieri

	 	 	 	 	 	 	 	 	 Tony Altieri

					
	 its:
	 	 CEO
	 	 	 	 	 	 

  

 - 27 -

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