Document:

ex107.htm

Exhibit 10.7

 

PRACTICE MANAGEMENT

 

CONSULTING SERVICES AGREEMENT

 

AGREEMENT made this 3rd day of June 2011 by and between ProMD PRACTICE MANAGEMENT, INC., a Florida corporation ("ProMD") and

	  	  	
, ("CLIENT").

	  

 

WITNESSETH:

 

WHEREAS, CLIENT is engaged in the practice of medicine; and

 

WHEREAS, ProMD is engaged in the business of providing non-clinical consulting services to medical practices; and

 

WHEREAS, CLIENT wishes to retain ProMD to provide specific non-clinical consulting services to CLIENT as detailed below; and

 

WHEREAS, ProMD is willing to provide non-clinical consulting services to CLIENT, upon the terms and conditions set forth herein;

 

NOW, THEREFORE, in consideration of the premises and the mutual covenants contained herein, the parties agree as follows:

 

1. Term. CLIENT hereby agrees to retain ProMD for the purpose of rendering non-clinical consulting services (as set forth in Section 2 herein) to CLIENT, and ProMD hereby agrees to provide said consulting services to CLIENT, upon the terms and

conditions hereinafter set forth, during the period commencing on June 6, 2011, and continuing until terminated by either party, with or without cause. Either party may terminate the Agreement, upon giving no less than one-hundred and twenty (120) days prior written notice, and such termination shall be effective at the close of business on the last calendar day of the month. ProMD may cease services for the prevailing month if CLIENT does not submit compensation to ProMD as described in Section 6 of the Agreement or if CLIENT fails to maintain the necessary registration or licensing required by the Florida Department of Health or any other state and/or federal regulatory agency.

 

2.       Consulting Services. Consulting services under the Agreement shall be comprised of the services and products described in Schedule(s) A-1, A-2, A-3, A-4, A-5, A-6 attached hereto.

 

3.       Resources. All costs associated with the use of the Practice Management and/or the Electronic Health Record systems (including but not limited to: patient statements and associated internet fees to allow remote access to system by CLIENT) for the operation of the business of CLIENT shall be the responsibility of CLIENT, at its sole cost and expense. CLIENT shall provide a minimum standard of connection speed (dedicated Ti or high-speed business class DSL) for the purposes of allowing adequate remote access by CLIENT to the Practice Management and/or Electronic Health Record systems for the rendering of services outlined in the Agreement. CLIENT will also obtain and make available to ProMD any necessary remote server access licenses and Practice Management and/or Electronic Health Record system licenses needed by CLIENT or ProMD for the rendering of services outlined in the Agreement. CLIENT is

solely responsible for having or obtaining adequate hardware (included but not limited to: desktops, laptops, printers, copiers/scanners, firewall devices, virtual private networks, and any other necessary equipment) to operate and have access to the Practice Management and/or Electronic Health Record systems.

 

4. Indemnification. In connection with the consulting services provided by ProMD, CLIENT agrees that ProMD shall in no circumstances be liable for the actions of third parties, or for the actions of CLIENT's personnel. All services under Section 2 shall be rendered by using ProMD's commercially reasonable efforts and subject to the control of CLIENT, which shall have final authority and responsibility in all matters relating to CLIENT's operations. In no event shall ProMD be liable for incidental or consequential damages, including lost profits and lost opportunity costs, resulting from its performance under the Agreement.

 

 

 

 

  

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Each party shall indemnify, defend and hold the other party harmless from and against any and all claims, actions, and suits demands, assessments, or judgments asserted, and any and all losses, liabilities, damages, costs and expenses (including without limitation, attorneys fees, accounting fees, and investigation costs to the extent permitted by law) alleged or incurred arising out of or relating to any operations, acts or omissions of the indemnifying party or any of its employees in the exercise of the indemnifying party's rights of the party's obligations under the Agreement. Prompt notice must be given to any claim, and the party who is providing the indemnification will have control of any defense and or settlement.

 

5. Employees.

 

A. All clerical, secretarial and management personnel, and all medical personnel, required for the operation of the business of CLIENT shall be supplied by CLIENT, at its sole cost and expense, and all such employees shall be employees of CLIENT.

 

B. All personnel performing the consulting services as defined in Section 2 above shall be considered employees of ProMD, and shall be at the expense of ProMD.

 

6. Compensation.

 

As compensation for the consulting services rendered by ProMD hereunder in Sections 2 of the Agreement, CLIENT shall pay, on a monthly basis, as described in Schedule(s) B-1, B-2, B-3, B-4, B-5, B-6 attached hereto.

 

Late fees in the amount of three percent (3%) of the invoiced amount, or the highest rate allowed by law, will be assessed to any past due invoice, unless a lower amount is agreed to by ProMD. Failure by CLIENT to provide said compensation within the allotted time period will constitute a material breach of CLIENT' s obligations under the Agreement and ProMD may elect to cease services until compensation is paid to ProMD by CLIENT.

 

The non-prevailing party in any dispute under the Agreement shall pay all costs and expenses, including reasonable attorney's fees and related expenses.

 

7.      Independent Contractor. Except as otherwise provided in the Agreement, all obligations or expenses incurred by ProMD shall be for the account of, on behalf of, and at the expense of CLIENT. ProMD remains at all times an independent contractor with respect to the consulting services provided herein. In all matters relating to the Agreement each party hereto shall be solely responsible for the acts of its employees, and employees of one party shall not be considered employees of the other party. Except as otherwise provided herein, no party shall have any right, power or authority to create any obligation, expressed or implied, on behalf of the other party.

 

8.      Entire Agreement. The Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof, and no modification or revision thereof shall have any force or effect unless the same is in writing and executed by the parties hereto. The Agreement will govern the relationship between ProMD and CLIENT. The failure of any party at any time to insist upon strict performance of any condition, promise, agreement, or undertaking set forth herein shall not be construed as a waiver or relinquishment of the right to insist upon strict performance of the same condition, promise, agreement or undertaking at a future time.

 

9.      Solicitation of Employees.

 

A.CLIENT will not hire any ProMD employee assigned to work for the operations of CLIENT and will not either directly or indirectly, solicit, induce, recruit or encourage any of ProMD's employees to leave its employment, or take away such employees, or attempt to solicit, induce, recruit, encourage or take away employees of ProMD, either on behalf of CLIENT personally or for any other person or entity for a period of twenty-four (24) months immediately following expiration or termination of the Agreement for any reason. This prohibition remains in force even if the individuals are no longer employed by ProMD.

 

B.ProMD will not hire any CLIENT employee assigned to work for the operations of ProMD and will not either directly or indirectly, solicit, induce, recruit or encourage any of CLIENT' s employees to leave its employment, or take away such employees, or attempt to solicit, induce, recruit, encourage or take away employees of CLIENT, either on behalf of ProMD personally or for any other person or entity for a period of twenty-four (24) months immediately following expiration or termination of the Agreement for any reason. This prohibition remains in force even if the individuals are no longer employed by CLIENT.

 

10. Confidentiality. Neither ProMD nor CLIENT may disclose the terms of the Agreement to any nonparty without the prior written consent of the other party except (i) as required by law; (ii) to a party's corporate parent, subsidiary or affiliate; (iii) to a party's attorney or accountant; or (iv) to auditors retained by a party for the purpose of assessing the accuracy of charges, if and only if, the auditor agrees in a legally binding instrument that it will abide by the confidentiality clause as if the auditor were a party of the Agreement. ProMD and CLIENT will adhere to all applicable Privacy Laws, as required by HIPPA. Additionally, both parties will maintain any and all financial information confidential and will not divulge or make public any of the terms of the

Agreement unless expressly agreed in writing by both parties detailing the extent and use of such information.

 

11.        Binding Effect. The Agreement shall be binding upon and inure to the benefit of the parties hereto, their successors and assigns.

 

12.        Assignment. Neither party shall have the right to assign or subcontract any part of its obligations under the Agreement.

 

13.         Controlling Law. The Agreement shall be construed and enforced in accordance with the laws of the State of Florida.

 

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IN WITNESS WHEREOF, the parties hereto have executed the Agreement, on the day, month, and year first above written.

 

ProMD PRACTICE MANAGEMENT, INC.

 

By:                                                                        

 

Name:

 

  Address:

 

 

  

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Schedule A-1

Billing & Collections

 

The Billing & Collections services shall commence on August 1, 2011 (or upon any necessary installation and training on ProMD's PM System), and shall include, and be strictly limited as follows:

 

a) Review of superbill information (e.g. ICD-9 & CPT codes) selected by CLIENT's physician(s) for compatibility in order to enter information into the system for the purpose submitting claims to payors;

 

b) Assignment of the necessary modifiers based upon acceptable billing guidelines and specific requirements as set by applicable insurance plans;

 

c) Submission of billing to payors in the form of electronic and paper CMS format, with a minimum of three (3) billing cycles per week for all dates of service;

 

d) Posting of payments based on EOBs received from applicable insurance plans;

 

e) Insurance collection and follow up of insurance accounts receivables aged greater than sixty (60) days;

 

f) Patient responsibility billing of guarantor accounts receivables aged greater than thirty (30) days, limited to, three monthly statements and a final demand notice. Following such collection attempt, ProMD will provide CLIENT with a list of accounts to review and approve for referral to collection agency and/or write-off;

g) Updating of fee schedule system, upon CLIENT's request, based on current year fees allowable by Medicare and Medicaid, as well as, contractually agreed upon Commercial fee schedules between CLIENT and payors which are furnished to ProMD by CLIENT;

 

h) Providing monthly practice performance reports to CLIENT to outline accomplishments & track/trend certain key performance factors that might result in negative financial outcomes in order to implement the necessary corrective actions to secure desired outcomes;

 

i) ProMD will not have any direct access to CLIENT's bank accounts or monies, without the express written consent of CLIENT. Services rendered by CLIENT to patients, insurance carriers and payors, etc. will continue to solely be payable to CLIENT at all times; and

 

j) Such other services as may be mutually agreed upon by the parties from time to time. Any such agreement must be in writing, signed by both ProMD and CLIENT, and be specifically identified and included as an addendum to Section 2 of the Agreement.

 

Upon termination of the Agreement or termination of the consulting services described in this Schedule A-1 of the Agreement, ProMD will continue to provide post-Agreement collection services for ninety (90) days after the termination date for accounts with dates­of-service prior to the effective date of termination and CLIENT shall pay ProMD at a compensation rate of the greater of: six percent (6%) or $1,200 for revenue collected from accounts with date-of-service prior to the effective date of termination.

 

 

  

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Schedule A-2

Non-Clinical Operations Oversight

 

ProMD shall assign an Account Executive ("AE") that will perform one (1)  weekly on-site visit of eight (8) hours per visit to oversee the non-clinical practice operations for CLIENT. In conjunction, a team of off-site ProMD practice management specialists will supplement the Account Executive to provide consulting services as described below for CLIENT. The Non-Clinical Operations Oversight services provided by the Account Executive with the support of ProMD's practice management specialists shall commence on July 1, 2011 (or upon a mutually agreed upon start date), and shall include, and be strictly limited as follows:

 

a) On-going assessment of CLIENT's operations along with recommendations for and implementation of operational improvements;

 

b) Oversight of the insurance verification process to identify coverage and guarantor financial responsibility based on patient's policy benefits;

 

c) Office management oversight including employee scheduling, processes for ordering office supplies, and evaluation of overall workflow efficiencies;

 

d) Human resources oversight of the following areas: assistance with the interviewing & hiring of personnel, oversight of performance evaluations, development of a formal employee manual outlining employment policies & procedures as agreed by CLIENT;

e)Assistance with the recruitment and contracting of all healthcare

 

	
  

	
professionals on behalf of CLIENT (i.e. — Physicians, Physician Extenders, etc.); Identify insurance contracting opportunities in efforts to negotiate and procure contracts as approved by CLIENT;

 

g) Perform pricing negotiation with vendors, workers compensation coverage, medical insurance coverage, and 401K plan as requested by CLIENT.

 

h) Request, on behalf of the CLIENT, all the insurance credentialing & re-credentialing applications and all hospital re-appointment applications in order to be completed by CLIENT;

 

i) Such other services as may be mutually agreed upon by the parties from time to time. Any such agreement must be in writing, signed by both ProMID and CLIENT, and be specifically identified and included as an addendum to Section 2 of the Agreement.

 

If the Account Executive and/or ProMD representative is required or requested to perform off-site duties, the time incurred in fulfilling those duties shall count towards the weekly maximum of agreed upon hours.

 

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Schedule A-3

Practice Management System

 

ProMD shall provide CLIENT with remote access to a Practice Management System ("Intergy PM System") to be used by CLIENT for its daily medical practice operations (e.g. — patient registration & demographics; appointment scheduling; insurance profiles; patient financial responsibility; check in & check out; financial daily practice reconciliation; office fee schedules; reporting; etc.). ProMD will use the Intergy PM System for charge posting, electronic billing, payment posting, insurance collection, and patient statement billing as needed to provide billing and collections services on behalf of CLIENT.

 

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Schedule A-4

Electronic Health Record System

 

Upon CLIENT's request (and upon a mutually agreed upon start date), ProMD shall provide CLIENT with remote access to a Electronic Health Record System ("Intergy EHR System") to be used by CLIENT for its daily medical practice operations (e.g. — patient registration & demographics; appointment scheduling; insurance profiles; patient financial responsibility; check in & check out; financial daily practice reconciliation; office fee schedules; reporting; electronic patient medical records; e-prescribing; lab requisitions and results; practice patient portal; data reporting; etc.). ProMD will use the Intergy EHR System for any medical records retrieval as needed to provide billing and collections services on behalf of CLIENT.

 

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Schedule A-5

Practice Assessment

 

ProMD shall assign a team of professionals to conduct an audit and assessment (the "Practice Assessment") of the CLIENT's existing medical practice operations. The services to be provided are limited to:

 

a) Practice operations audit (e.g. - scheduling process; confirmation of appointments; insurance verification- including benefits & identifying patient financial responsibility; check in - forms used, preparation of charts; check out - calculating & collecting correct amount to be paid by patient based on health plan agreements; no-show process; tracking of lab requisitions)

 

b) financial (daily practice closing/reconciliation; bank reconciliation process; use of financial booking) & accounts payables (review of process)

 

c) practice management system (review/evaluation of current system in regards to features, limitations, current usage, and level of knowledge)

 

d) provider contracting audit (review of current contracts - reimbursement rate; identify non-participation status with key plans)

 

e) Office fee schedule analysis (review office charges "self pay fees" as it compares to other physicians).

 

0 Accounts receivable management (review of billing/collections

 

process/performance - limited to; claims billing, charge posting, payment posting based on EOB vs provider contract rate with insurance plans, overall collection rate, insurance collections and patient billing).

g)Human resources — review of personnel files (W2, I9, Employment

 

Application, Annual Performance Reviews), salary analysis (review of wages based on job classification; annual performance review process, HR forms, etc.), staffing levels and timekeeping process.

 

Within ten (10) days after the completion of the Practice Assessment, ProMD will provide a written report to the CLIENT of the results of the Practice Assessment including an assessment of each of the Practice's current practices and recommendations of best practices that should be implemented to improve results. The Practice Assessment also provides a framework to strategize with the CLIENT's leaders on their goals, and how they can best be achieved through a business relationship as outlined in the Consulting Agreement between CLIENT and ProMD. The Practice Assessment will include an on-site review, meetings with office management, and a formal presentation outlining findings and recommendations. The Practice Assessment will not identify all aspects of CLIENT's practice operations but rather be limited to those specific areas listed above.

 

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Schedule A-6

Insurance Contracting & Credentialing

 

The Insurance Contracting & Credentialing consulting services shall commence on , and continue for a period of four (4) months, at which time the Insurance Contracting & Credentialing consulting services shall end, unless mutually agreed upon in writing by both parties to continue such services. The Insurance Contracting & Credentialing consulting services shall include, and be strictly limited to: negotiating, contracting and credentialing of selected, applicable commercial and government insurance carriers as requested by CLIENT. This may include carriers with which CLIENT is currently participating with through CLIENT's association with a former pay-to-provider entity and carriers with which CLIENT has no participation with under any association. Several of these carriers may have multiple insurance plan products which may require contracting through more than a single source. ProMD will contact each of the carriers individually and contract or re-contract CLIENT under CLIENT's new pay-to-provider entity at the highest possible rates and assist in preparing and submitting credentialing documentation as required by carriers in order to get CLIENT into the respective carrier participating provider panels. ProMD is not responsible for any denial or rejection of any commercial and government insurance carriers for any reason.

 

Either party may terminate the consulting services described in this Schedule A-6 of the Agreement, upon giving prior written notice; and such termination shall be effective at the close of business on the last calendar day of the month of such notice.

 

 

  

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Schedule B-1

Compensation for Billing & Collections

 

As compensation for the consulting services rendered by ProMD as described in Schedule A-1 of the Agreement, CLIENT shall pay, on a monthly basis regardless of date of service (DOS), the greater of, the following percentage of CLIENT's prior month total gross income collected from insurance companies, payors and patients:

 

· total gross income less than or equal to $150,000:six percent (6%)

 

· total gross income greater than $150,000:                                                                                 five percent (5%)

 

or a flat fee in the amount of one thousand two hundred dollars ($ 1,200). In the event CLIENT terminates, upon issuance of proper notice, any portion of the services described in Section 2 of the Agreement, ProMD will modify the compensation accordingly.

 

CLIENT shall pay the flat fee by no later than the 1St day of each month, in advance, for services to be rendered for said month. ProMD shall invoice CLIENT on a monthly basis for any remaining balance due in excess of the flat fee paid by CLIENT for any prior month's services rendered by ProMD to CLIENT. Compensation to ProMD shall be made no later than ten (10) days from issuance of the monthly invoice to CLIENT by ProMD.

 

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Schedule B-2

Compensation for Non-Clinical Operations Oversight

 

As compensation for the consulting services rendered by ProMD as described in Schedule A-2 of the Agreement, CLIENT shall pay, on a monthly basis regardless of date of service (DOS), the greater of, the following percentage of CLIENT's prior month total gross income collected from insurance companies, payors and patients:

 

· total gross income less than or equal to $150,000: four percent (4%)

 

· total gross income greater than $150,000:    three & one-half percent (3.5%)

 

or a flat fee in the amount of one thousand dollars ($1,000). In the event CLIENT terminates, upon issuance of proper notice, any portion of the services described in Section 2 of the Agreement, ProMD will modify the compensation accordingly.

 

CLIENT shall pay the flat fee by no later than the 1St day of each month, in advance, for services to be rendered for said month. ProMD shall invoice CLIENT on a monthly basis for any remaining balance due in excess of the flat fee paid by CLIENT for any prior month's services rendered by ProMD to CLIENT. Compensation to ProMD shall be made no later than ten (10) days from issuance of the monthly invoice to CLIENT by ProMD.

 

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Schedule B-3

Compensation for Practice Management System

 

As compensation for the implementation of, access to, and use of ProMD's Practice Management (PM) system, as described in Schedule A-3 of the Agreement, CLIENT shall pay a one-time PM System Implementation Fee in the amount of nine hundred eighty eight dollars ($988.00), that will include, and be limited to: creation of CLIENT database, implementation of CLIENT profile data, clearing house set up, one (1) Practice License; one (1) Physician License(s); zero (0) Non-Physician License(s); four (4) concurrent user licenses; one (1) SonicWall FireWall device(s); and, one (1) Patient ID Scanner(s). As compensation for the on-going use and access of the Practice Management system, described herein, CLIENT shall pay ProMD a monthly PM system fee of:

 

• Months 1 & ongoing: zero dollars ($0.00) per month;

 

Additionally, CLIENT will pay a fee of $0.68 per statement for paper and electronic patient statements. The Implementation Fee, if any, must be received by ProMD before it accepts and signs this Agreement and will be retained as non-refundable slotting fee by ProMD if CLIENT does not proceed with the implementation when planned.

 

All initial CLIENT staff training on the use of ProMD's PM system will be provided by ProMD at no additional charge. After the initial training is completed, ProMD will continue to provide ongoing Phone Support at no additional charge. Additional PM system training, as required, and any IT support services provided by

ProMD to CLIENT will be charged to and paid by CLIENT to ProMD at the following fee schedule:

 

(i) Practice On-Site CLIENT Staff Training and/or IT Services: billed @ $125 per hour (minimum of 2 hours);

 

(ii) Remote Online/Telephonic CLIENT Staff Training and/or IT Services: billed @ $65 per hour (minimum of 1 hour);

 

(iii) Complimentary CLIENT Staff Training: (to be held @ ProMD's offices one day per month as predetermined and scheduled at ProMD's sole discretion).

 

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Schedule B-4

Electronic Health Record System

 

As compensation for the implementation of, access to, and use of ProMD's Electronic Health Record (EHR) system, as described in Schedule A-4 of the Agreement. CLIENT shall pay a one-time EHR System Implementation Fee in the amount of fourteen thousand four hundred seventy eight dollars ($14,478.00), that will include, and be limited to: creation of CLIENT database, implementation of CLIENT profile data, clearing house set up, implementation of CLIENT health record profile data, e-Prescribe set-up, one (1) Practice License; one (1) Physician License(s); zero (0) Non-Physician License(s); four (4) concurrent user licenses; one (1) Practice Portal License; one (1) Practice Portal Physician License(s); zero (0) Practice Portal Non-Physician License(s); one (1) Practice Analytics Quality Measures data reporting package; one (1) SonicWall FireWall device(s); and, one (1) Patient ID Scanner(s). As compensation for the on­going use and access of the Electronic Health Record system, described herein, CLIENT shall pay ProMD a monthly PM/EHR system fee of:

 

• Months 1 & ongoing: two hundred thirteen dollars ($213.00) per month;

 

The Implementation Fee, if any, must be received by ProMD before it accepts and signs this Agreement and will be retained as non-refundable slotting fee by ProMD if CLIENT does not proceed with the implementation when planned.

 

All initial CLIENT staff training on the use of ProMD's EHR system will be provided by ProMD at no additional charge. After the initial training is completed, ProMD will continue to provide ongoing Phone Support at no additional charge.

Additional EHR system training, as required, and any IT support services provided by ProMD to CLIENT will be charged to and paid by CLIENT to ProMD at the following fee schedule:

 

(i) Practice On-Site CLIENT Staff Training and/or IT Services: billed @ $125 per hour (minimum of 2 hours);

 

(ii) Remote Online/Telephonic CLIENT Staff Training and/or IT Services: billed @ $65 per hour (minimum of 1 hour);

 

(iii) Complimentary CLIENT Staff Training: (to be held @ ProMD's offices one day per month as predetermined and scheduled at ProMD's sole discretion).

 

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Schedule B-5

Compensation for Practice Assessment

 

As compensation for the consulting services rendered by ProMD as described in Schedule A-5 of the Agreement, CLIENT shall pay ProMD a five thousand dollars ($5,000.00) Practice Assessment fee. Upon execution of the Agreement, fifty percent (50%) of the fee shall be paid to ProMD prior to start of the Practice Assessment; and the remaining fifty percent (50%) of the fee shall be paid after completion of the Practice Assessment and presentation of the findings.

 

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Schedule B-6

Compensation for Insurance Contracting & Credentialing

 

As compensation for the consulting services rendered by ProMD as described in Schedule A-6 of the Agreement, CLIENT shall pay, on a monthly basis a flat fee in the amount of five hundred dollars ($500.00) per practitioner (i.e. MD, DO, PA, ARNP, etc). CLIENT shall pay the flat fee by no later than the lst day of each month, in advance, for services to be rendered for said month. ProMD will provide a summary report to CLIENT on a monthly basis summarizing the progress of the Insurance Contracting & Credentialing consulting services.

 

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15Unassociated Document

Exhibit 10.8

 

HEALTHCARE IT PLATFORM AGREEMENT

Between

CYFLUENT, INC.

And

HYGEA HEALTH NETWORK, INC.

 

This HEALTHCARE IT PLATFORM AGREEMENT is effective as of this 3rd of August, 2009 by and between CYFLUENT, INC., a Virginia corporation, with its principal place of business at 11951 Freedom Drive, 13th Floor, Reston, Virginia 20190 hereinafter referred to as "CYFLUENT" or the "Licensor", and HYGEA HEALTH NETWORK, INC,, a Florida corporation with its principal place of business at 7925 NW 12th St. Suite 321, Miami, Florida, 33126, hereinafter referred to as "HYGEA" or the "Licensee".

 

WHEREAS, CYFLUENT is a Healthcare IT software company with resources that have more than 30 years of experience in the Software and Health IT industry. The CyfluentChareld platform will provide HYGEA with the ability to capture clinical information about each practice in the network, and to consolidate, aggregate and use this information to achieve three major objectives: lower cost of health care delivery, greater access and improve patient traffic, and higher level of quality in each of the practices in Hygea Network, thus enabling HYGEA with a unique advantage in the Industry.

 

WHEREAS, the CYFLUENT Platform is a low-cost offering in the Healthcare IT industry with an Internet-based access and deployment model that allows for millions of transactions to interoperate at a low cost. These economies come from CYFLUENT's Service-Oriented Architecture ("SOA") and Continuity of Care Standards.

 

WHEREAS, CYFLUENT will enable HYGEA to build a Health information Network like no other in the industry, where new services can be added to the platform for more value and better performance, leveraging all of the information that exists today in these practices.

 

WHEREAS, HYGEA, through its subsidiary Palm Medical Network ("Palm"), contracts and owns a comprehensive network of physician practices throughout Florida. HYGEA is also a Management Services Organization ("MSO") that facilitates back end office tasks such as billing and scheduling for its physicians' offices. Through efficiencies of scale and the addition of Stark-compliant ancillary services, Palm physicians can increase their revenue streams; and

 

WHEREAS, HYGEA would like to use CYFLUENT's IT Platform in its network of physician practices, and CYFLUENT would like to utilize HYGEA's network as a premiere conduit for implementation of CYFLUENT's services;

 

THEREFORE, in consideration of the mutual covenants that follow, the Parties agree:

 

1. Terminology

 

 

	Healthcare IT Platform Agreement 	Confidential and Proprietary
	 	Page 1

 

 

  

1

 

	
  

	
1.1. Acceptance — Acceptance shall occur upon installation and performance pursuant to the written specifications of the IT Platform agreed to by the parties, but shall be no later than thirty (30) days from installation. Acceptance for service performed will be upon agreement of milestone completion of any service agreement between the parties, but will be no later than ten (10) days from completion of service delivery.

	
  

	
1.2. Data — All materials, including but not limited to graphic, picture, text, audio, video, software or information not generated by CYFLUENT or under contract or agreement with CYFLUENT, posted by or at the direction of or on behalf of HYGEA.

	
  

	
1.3. Software as a Service or "SaaS" — A software deployment model where CYFLUENT remotely hosts the particular software application while making it available to users over the Internet or by other remote access, and provides general maintenance and support service to the software application as remotely hosted. The Application will be hosted on servers maintained and secured or contracted for by CYFLUENT.

	
 

	
1.4. Application — The CCR-compliant CyfluentChartTM software platform hosted in an Application Service Provider (ASP) site and deployed to HYGEA via "SaaS".

	
  

	
1.5. CCR — Continuity of Care Record. The CCR is defined as set forth in the ATSM specification of the Continuity of Care Record, Int'l E 2369-05, approved July 2006. "CCR­compliant" means that the CCR as implemented will adhere to this defined and documented standard.

	
  

	
1.6, Release means an Application version that may be subsequently made available to HYGEA for its physician network that incorporates any enhancements, updates, or other changes made by CYFLUENT to the Application since the previous Release.

	
  

	
1.7. Use means to cause a computer to execute any machine readable portion of Application or to make use of any CYFLUENT documentation or related materials in connection with the execution of any machine readable portion of an Application.

	
  

	
1.8. Affiliate means any corporation, limited liability company, partnership, or other firm of legal entity that directly or indirectly controls, is controlled by, or is tinder common control with Licensee.

	
  

	
1.9. Members or Lives — Either of these terms refers to patients enrolled in a Medicare Advantage ("MA") Health Maintenance Organization ("HMO"). The Members under this Agreement specifically refer to those contracted under one of the Palm Medical Network IPA's MSOs, except as referenced in Section 3.6.

	
  

	
1.10. Fee-for-Service Members — This term refers to patients of a HYGEA owned and/or managed practice that are NOT enrolled in a Medicare Advantage ("MA") Health Maintenance Organization ("HMO").

 

2. Ownership and Title

 

	
  

	
2.1. The Application is a software application that is licensed, not sold. HYGEA acknowledges that the Application (including any changes HYGEA may request or suggest) is the sole property of CYFLUENT. Title to each copy of the Application including but not limited to, programs, source and object codes, tapes listing, updates, modifications and other programming documentation, prepared for or delivered to Licensee pursuant to this Agreement and all related intellectual property rights embodied in or represented by the Software will remain with CYFLUENT at all times, as will all other rights not explicitly granted to HYGEA under this Agreement.

 

 

	Healthcare IT Platform Agreement 	Confidential and Proprietary
	 	Page 2

 

  

2

  

 

 

	
  

	
2.2. All right, title and interest in the Data as stored by the Application for HYGEA shall remain with HYGEA or a HYGEA designee.

	
  

	
2.3. Transfers. Under no circumstances shall the Licensee intentionally and/or negligently sell, license, publish, display, distribute or otherwise transfer to a third party the Application or any copy thereof, in whole or in part, without CYFLUENT's prior written consent. Under no cirewnstances shall CYFLUENT intentionally and/or negligently sell, publish, display or distribute or otherwise transfer to a third party the Data without HYGEA's prior written consent. In the event of a breach of this Section 23, the Aggrieved Party will not have an adequate remedy in money damages and shall therefore be entitled to obtain an injunction against such breach from any court of competent jurisdiction immediately upon request. The right to obtain injunctive relief shall not limit the right to seek further remedies and damages.

	
  

	
2.4. Grant of License. Subject to HYGEA' s compliance with the terms and conditions of this Agreement, CYFLUENT grants the Licensee, a non-exclusive, non-transferable limited right and license to use the Application for its own business purposes as set forth herein. All rights not expressly granted to the Licensee are reserved to CY FLUENT.

 

3. Software as a Service (SaaS) Terms

 

	
  

	
3.1. License and right to use. For each practice authorized by CYFLUENT to access the software, HYGEA will pay a monthly service fee as defined in Sections 3.4 and 3.5. The right to use the Application is granted while the monthly payments for usage of the Application are current and paid in full.

	
  

	
3.2. Hosting of Software. HYGEA acknowledges that the Application will be hosted at a third-party hosting facility or ASP of CYFLUENT's selection.

	 	

3.3. Period of Use. The initial term of use will be for three (3) years, starting with the first .physician practice access to the Application. After the initial term of use, this Agreement automatically renews for additional twelve (12) month periods unless terminated by HYGEA by giving CYFLUENT sixty (60) days written notice prior to the end of any twelve-month term. Notwithstanding the other provisions of this Section 3.3, CYFLUENT reserves the right to terminate this Agreement if there are not at least 35,000 Members added per year in each of the first three (3) years of this Agreement.

	
  

	
3.4. Fee for Member Use. HYGEA shall pay CYFLUENT a fee of $5.00 per Member, per month (hereinafter referred to as "PMPM") for the initial up to 165,000 Members, and $3.00 PMPM thereafter. After the initial 3-year term of this Agreement, the fees under this Section will be increased by the amount of inflation since the date of the setting of the immediate prior price. For purposes of this Section, inflation shall be defined as the increase in the CPI for the period in question as reported by the U.S. DO L Bureau of Labor Statistics.

	
  

	
3.5. Fee for Fee-for-Service Member Use. HYGEA shall pay CYFLUENT a fee per Fee-for­Service Member for each month that said Fee-for-Service Member visits a practice. Said Fee- for-Service Member visit to a practice is defined as a "Unique Visit" for Forecasting and reporting purposes. After the initial 3-year term of this Agreement, the fees under this Section will be increased by the amount of inflation since the date of the setting of the immediate prior price. For purposes of this Section, inflation shall be defined as the increase in the CPI for the period in question as reported by the U.S. DOL Bureau of Labor Statistics. Furthermore, the amount of said fee shall be agreed to by both parties within ninety day(s) of the date of the installation of the initial site but no later than the date that the second practice is installed. Said fee amount shall be retroactive to all practices and to the date that the initial practice was placed into production. In the event that an agreement as to the amount of said fee cannot be reached, Cyfluent shall have the right to terminate this Agreement.

 

 

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3

 

 

	
  

	
3.6. Services for Non-HYGEA clients. HYGEA may introduce CYFLUENT to other potential clients ("Third Parties") that will directly contract services from CYFLUENT for the Application. Any lives contracted via said Third Parties by CYFLUENT shall be credited to the initial 165,000 Members referenced in Section 3.4 above. Payments for Non-Hygea lives contracted via Third Parties shall be made by said Third Parties.

	
  

	
3.7. Communications. Communication to the Application will be through the Internet. HYGEA is responsible for installation, administration, maintenance and all costs associated with establishing Internet access for all physician practices, including all necessary computers, associated hardware and computer software. CYFLUENT is responsible for bandwidth arrangements and security with any hosting facility so that HYGEA practices are able to access the Application.

	
  

	
3.8. Right to Audit. HYGEA agrees to maintain accurate and auditable records of the number of Members and Fee-for-Service Members classified by each physician practice and report these numbers to CYFLUENT on a monthly basis. HYGEA grants CYFLUENT the right to audit, at CYFLUENT's expense, HYGEA's records and/or the records of the physician practices in order to validate the number of registered Members and Fee-for-Service Members of each physician practice as reported by HYGEA. In the event that an audit reveals findings that indicate money is owed to CYFLUENT, HYGEA agrees to pay any and all sums due to CYFLUENT within sixty (60) days of said audit.

	
  

	
3.9. Termination. The termination of this Agreement shall rescind the license granted and revoke all rights granted to or accrued by the Licensee to use the Application.

	 	

3.10. Turnover of Data at Termination. In the event of and at the point of termination of this Agreement, CYFLUENT shall allow HYGEA access to the Data, and HYGEA shall take possession of the Data within thirty (30) days. HYGEA will be responsible for all storage, backup, transporting, transferring, and security of the Data and any and all costs associated with said responsibilities from the date of Termination. CYFLUENT will assist HYGEA in HYGEA's retrieval of the Data at no cost to CYFLUENT.

	
  

	
3.11. Other Services. CYFLUENT shall provide implementation and training services for a price of $20,000 per physician practice deployment for the first fifty (50) physician practices and thereafter it will be offered on a time and materials basis following the then current CYFLUENT prices for time and materials work.

	
  

	
3.12. Government Funding/Reimbursements. CYFLUENT will assist HYGEA with attempting to meet the requirements of the Meaningful Health Record as defined by Obama's Recovery Act Package with the objective to collect approximately $40,000 per physician practice. CYFLUF.NT's efforts shall be restricted to its expertise in technology and platform as it pertains to the Recovery Act, and CYFLUENT does not guarantee or warrant that HYGEA will obtain government funding or reimbursement.

	
  

	
3.13.Rollout Schedule. A forecasted schedule for the installation and activation of services per practice has been included as Exhibit B. HYGEA and CYFLUENT acknowledge that this schedule is a non-binding schedule intended to be used for planning purposes only.

 

 

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4

  

 

4. Market Restrictions

 

	
  

	
4.1. State of Florida market. CYFLUENT will work with HYGEA to secure grants from the State of Florida or from Health Resources and Services Administration (HRSA) for Florida. In the State of Florida, CYFLUENT will address the market through HYGEA exclusively. In the event CYFLUENT wishes to conduct business in Florida with a party other than HYGEA, CYFLUENT will request authorization to do so from HYGEA, such authorization shall not be unreasonably withheld.

	
  

	
4.2. The Non-Palm Med HMO market. CYFLUENT will work in conjunction with HYGEA to provide CYFLUENT services to the non-Palm Med HMO market.

 

5. Confidentiality and Rights to Property

 

	
  

	
5.1. Each party acknowledges that certain material and information that has or will come into their possession in connection with this Agreement, or the performance hereof, consists of confidential and proprietary data and information, of which the disclosure to or use by third parties could be damaging. Confidential and proprietary data and information includes, but is not limited to, information related to the Application supplied hereunder and all software as well as the research, development, trade secrets, or business affairs of the parties to this Agreement, their employees, customers, subsidiaries, affiliates, and agents, Both parties therefore agree to hold such data and information in the strictest confidence, and not to intentionally and/or negligently release any such data or information except to employees or contractors requiring such data or information in connection with the use of the Application. Each party hereto agrees, upon request of the other party, to require all employees and contractors who directly have use or have access to configurations and proprietary data to sign a nonuse and nondisclosure agreement to ensure that the obligations of nonuse and nondisclosure of confidential and proprietary data and information under this Agreement will be satisfied.

	
  

	
5.2. Nothing herein shall limit either party's use or dissemination of information or data that (i) has properly been made public by CYFLUENT or HYGEA, (ii) is in the public domain, (iii) was revealed by the party seeking the protections of this provision to others on a nonconfidential basis, (iv) is made pursuant to the direction of any court, or (v) by its content and nature would not reasonably be construed to be confidential by either patty unless one party specifically requests the other party in writing to protect the confidentiality of such specific information.

	
  

	
5.3. Each Party will hold the Application and proprietary data of the other Party in confidence al least to the same extent that it protects its own similar confidential information and will take all reasonable precautions consistent with generally accepted standards in the data processing industry to safeguard the confidentiality of each Application and all Data, No portion of an Application may be duplicated by Licensee.

	
  

	
5.4. If through proof that one Party's intentional and/or negligent actions or failure to act, confidential or proprietary data or information is in the possession of a third party without the express written consent of the other Party (the "Aggrieved Party"), the Party whose actions or failure to act caused the confidential or proprietary data or information to conic into thc possession of a third party shall, at its expense, proceed against any third party who acquires confidential or proprietary data or information from said Party. Said Party shall utilize all necessary legal remedies to enjoin or otherwise prevent such third party from dispersing or disseminating said data or information to any other party, and shall further enjoin and prevent such third party from using confidential or proprietary data or information for its own purpose. If said Party is unwilling or unable to proceed against any third party who has acquired such confidential or proprietary data or information, the Aggrieved Party may proceed against such third party to protect its rights, data and information and shall be reimbursed by the other Party for all reasonable costs or expenses, including reasonable attorney's fees. The other Party will indemnify the Aggrieved Party for all losses as a result of a third party acquiring confidential or proprietary data or information.

 

 

 

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5

  

 

	 	

5.5. The Parties acknowledge that, in the event of breach of any of the forgoing provisions by one Party, the Aggrieved Party will not have an adequate remedy in money damages and shall therefore be entitled to obtain an injunction against such breach from any court of competent jurisdiction immediately upon request. The right to obtain injunctive relief shall not limit the right to seek further remedies and damages.

	
  

	
5.6. The Parties' obligations under this Section 5 will survive the termination of this Agreement for seven (7) years following the termination date.

	
  

	
5.7. HYGEA shall not, and shall not allow another person or entity, to modify, adapt, translate, reverse engineer, decompile, or disassemble the Application, or otherwise attempt to discern the source code of the Application, or otherwise use the Application except as set forth herein. CYFLUENT shall not, and shall not allow another person or entity to modify, adapt or distribute the Data other than as contemplated in this Agreement.

 

6. Limited Warranty and Disclaimer of Liability

 

	
  

	
6.1. Warranty. CYFLUENT warrants to HYGEA that for a period of thirty (30) days from Acceptance, the Application will perform in all material respects in accordance with HYGEA's requirements as defined in Exhibit C and CYFLUENT's documentation for the then current version thereof and according to the schedule in Exhibit C. During this time, CYFLUENT agrees to correct any programming error found in the Application and make such modifications, additions, and adjustments as may be necessary in a timely manner without unnecessary delay and no extra cost to HYGEA so that the Application performs in accordance with its specifications and documentation.

	
  

	
6/. Limitation of Liability. IN NO EVENT WILL CYFLUENT BE LIABLE TO HYGEA FOR ANY CONSEQUENTIAL, INDIRECT, OR INCIDENTAL DAMAGES, OR ANY LOST PROFITS OR LOST SAVINGS, EVEN IF CYFLUENT HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, OR LOST PROFITS OR SAVINGS. IN ADDITION, CYFLUENT'S AGGREGATE LIABILITY FOR ANY OTHER DAMAGES, CLAIMS OR COSTS UNDER OR IN CONNECTION WITH THIS AGREEMENT SHALL BE LIMITED TO $500,000.00. THE FOREGOING LIMITATIONS AND EXCLUSIONS APPLY TO THE EXTENT PERMITTED BY APPLICABLE LAW.

 

 

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7. Licensee's Responsibilities

 

claim, lawsuit or proceeding without CYFLUENT's prior written approval, lf, as a result of any claim of infringement against any patent, copyright, license or other property right, HYGEA is enjoined from using the Application, or if CYFLUENT believes that the Licensed Product is likely to become the subject of a claim of infringement, CYFLUENT at its option and expense may procure the right for HYGEA to continue to use the Application, or replace or modify the

Application so as to make it non-infringing. If neither of these two options is reasonably practicable, CYFLUENT may discontinue the license granted herein on one month's written notice. The foregoing states the entire liability of CYFLUENT with respect to infringement of any copyrights or patents by the Licensed Product, or any parts thereof.

	
  

	
8.2. To protect CYFLUENT's rights in the Application, Licensee shall, upon the reasonable request of CYFLUENT, promptly execute and sign any and all applications, including, but not limited to, copyright applications, any and all assignments, and any other instruments which CYFLUENT deems necessary to protect or maintain its rights in the Application.

 

9. Orders, Shipment, Installation and Payment

 

	
  

	
9.1. CYFLUENT will provide services and/or access to the Application in accordance with a schedule mutually agreeable to the parties.

	
  

	
9.2. For each physician practice, HYGEA will submit an order similar to the one shown in Exhibit A which details the services to be provided and their associated price.

	
  

	
9.3. Payment for implementation and training services shall be paid filly percent (50%) prior to service commencement and fifty percent (50%) upon Acceptance.

	
  

	
9.4. Monthly Member Report. HYGEA will generate and supply to CYFLUENT a monthly report of the physician practices that have access to the Application along with the number of Members and Fee-for-Service Members being served by said physician practices. Said report is due to CYFLUENT within 5 days of the last calendar day of each month. CYFLUENT will invoice according to this report while maintaining rights to audit pursuant to Section 3.8. If HYGEA does not submit the report by its due date, CYFLUENT reserves the right to invoice HYGEA based on CYFLUENT's estimate of the number of Members and Fee-for-Service Members per physician practice.

	
  

	
9.5, Invoices. All invoices from CYFLUENT to HYGEA will be delivered via mail, fax or entail to:

 

 

	 	Hype Health Network, Inc. 7925 NW 12th St, Suite 321 Miami, FL 22126
	 	 	 	 
	 	FAX:	 	 
	 	 	 	 
	 	EMAIL:	 	 
	 	 	 	 

 

Invoices will be paid within fifteen (15) days from the invoice date.

	
  

	
9.6. All shipping, handling, packaging, insurance, courier or other costs associated with the shipment of materials associated with the Application (e.g. documentation) will be paid by Licensee and will be set forth separately on a CYFLUENT invoice to Licensee. The method of shipment will be selected by CYFLUENT iinIecG ntherwise specified in writing by Licensee.

 

 

 

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7

  

 

 

	
  

	
7.1. HYGEA may request CYFLUENT to add new functionality to the Application. HYGEA will clearly document its request as requirements, using appropriate descriptive and technical language to CYFLUENT. CYFLUENT will review the request and determine if and when the functionality may be added to the Application and the impact to the Application and users and provide a written response back to HYGEA; said written response is defined as a "Change Order". HYGEA may approve or disapprove of proceeding with the Change Order. If HYGEA has a time-critical need for implementing the Change Order other than as proposed by CYFLUENT in the Change Order, then the cost impact of such schedule change request will be determined by CYFLUENT and such costs will be the responsibility of HYGEA should they wish to proceed with the Change Order.

	
  

	
7.2. HYGF.A will identify, document and report each problem with the Application necessitating support service, and will supply CYFLUENT with all documentation and assistance necessary to demonstrate and diagnose the problem and will implement each patch, bypass, update or other solution to such problem provided by CYFLUENT. If Licensee requests support and CYFLUENT determines that the malfunction is not CYFLUENT Application related, or does not result from CYFLUENT's acts or omissions, CYFLUENT shall be reimbursed on a time and material basis in accordance with CYFLUENT's then current rates for Time & Materials.

	
  

	
7.3. After such time as a physician practice has access to the Application and training for employees of said physician practice has concluded, in the event the physician practice improperly uses the Application, HYGEA, at such time as it becomes aware of the improper use, shall use its best efforts to restore the proper use, management and supervision of the Application, audit controls, operating methods, and office procedures necessary for the intended use.

	
  

	
7,4. Fees for services or for the use of the Application do not include any taxes, levies, deductions or similar governmental charges, however designated, which may be imposed by any jurisdiction. The Licensee will pay all such taxes, levies, deductions, or similar government charges relating to the Application or CYFLUENT's services herein, or provide CYFLUENT with a. certification of exemption from such taxes, levies, deductions, or similar governmental charges acceptable to the appropriate authority. Licensee shall indemnify CYFLUENT with respect to any claim against or liability of CYFLUENT in connection with the foregoing including interest, penalties and fines relating thereto, where such interest, penalties and fines are due and payable as a result of an act or failure to act on the part of the Licensee.

 

8. Patent and Copyright

 

	
  

	
8.1. CYFLUENT warrants to HYGEA that (a) CYFLUENT owns or is duly licensed to use and/or sublicense the Application, delivered by CYFLUENT, the related documentation, and any portion thereof, (b) CYFLUENT has the full power and authority to grant HYGEA all rights herein conferred, and (c) the products, the related documentation, and any portion thereof do not infringe or violate any patent, copyright, or other property right of any third party. CYFLUENT at its own expense will defend any action brought against HYGEA to the extent that it is based on a claim that the Application used within the scope of this License Agreement infringes any patents, copyrights, license or other property right, provided that CYFLUENT is immediately notified in writing of such claim and given lull authority, information, and assistance for the defense of same. CYFLUENT shall have the right to control the defense of all such claims, lawsuits and other proceedings. In no event shall HYCJEA settle any such

 

 

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10. Assignment, Merger or Change of Control

 

	
  

	
10.1. HYGEA shall not assign this Agreement in whole or in part without prior written permission from CYFLUENT, which shall not be unreasonably withheld. Any attempt to assign the rights, duties, or obligations that arise under this Agreement without such permission shall be void.

	
  

	
10.2.If HYGEA is merged into an entity that, prior to such merger, was not an Affiliate of Licensee, and such entity is the survivor of such merger (the "Surviving Entity"), then the provisions of this Agreement shall continue to apply to the Surviving Entity.

 

11. Default and Termination

 

	
  

	
11.1. Except as outlined in Section 11.2, in the event either party defaults in any material obligation of this Agreement, the other party shall give written notice of such default, and if the party in default has not cured the default within thirty (30) days of the notice, the other party shall have the right to terminate this Agreement.

	
  

	
11.2. Immediate Termination. Upon the occurrence of any act that constitutes a breach of Section 2.3, 3.4, 3.5, and/or 5 of this Agreement and/or for just cause, CYFLUENT shall have the right to terminate this Agreement and all services immediately without demand, notice or right to cure, other than its own obligations under Sections 3.10 and 5. Termination for just cause shall mean (i) termination because HYGEA is convicted of a felony involving willful fraud, willful misappropriation, embezzlement or reckless and willful destruction of CYFLUENT property, causing significant financial impairment to CYFLUENT; (ii) HYGEA is ruled insolvent by a court of competent jurisdiction, files for bankruptcy or is placed in voluntary or involuntary receivership; and/or (iii) HYGEA's operations are closed down by a government agency for violation of any federal rules.

	
  

	
11.3. Effect of Termination. Upon termination of this Agreement for whatever reason, the license granted under this Agreement to use the Application is immediately revoked. Within five (5) days after the termination of this Agreement for whatever reason, Licensee shall return to CYFLUENT all materials associated with the Application, including but not limited to, all originals and copies of the documentation and user manuals in HYGEA's possession. In the alternative, upon request of CYFLUENT, HYGEA shall destroy all such copies of the materials, updates and user manuals and certify in writing that they have been destroyed. TERMINATION SHALL NOT RELIEVE CYFLUENT, HYGEA AND AUTHORIZED USERS OF THEIR OBLIGATIONS REGARDING THE CONFIDENTIALITY OF ANY ITEMS OUTLINED IN SECTION 5 ABOVE.

	
  

	
11.4. Payments not Excused. Without limiting the provisions contained in Sections 11.1, 11.2, and 11.3, in the event of termination as a result of the HYGEA's breach of the obligations under this Agreement, Licensee shall continue to be obligated for any payments due as of the date of termination. Termination of the license shall be in addition to and not in lieu of any legal and/or equitable remedies available to CYFLUENT,

	
  

	
11.5. Default by Licensee. Without limiting the provisions contained in Sections 11.1, 11.2, and 11.3, in the event Licensee has failed to pay any amount when due, CYFLUENT may suspend the use of the Application by a physician office if for non-payment after installation at the site, or suspend the use of the Application by HYGEA if it is in breach of or default of any other material obligation set forth in this Agreement and such breach or non-payment remains uncured for a period of thirty (30) days after notice.

 

 

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12. Notices

 

	
  

	
12.1. Any notices required to be given hereunder will be given in writing and sent to the address of the appropriate party indicated on the first page of this Agreement or such other address as such party may have designated by prior written notice to the other party. All notices to CYFLUENT will be addressed to the attention of: John G Ehrhardt, CEO or to another person designated by CYFLUENT. All notices to HYGEA will be addressed to the attention of: Manuel Iglesias, CEO or to another person designated by HYGEA.

 

13. Other Terms

 

	
  

	
13.1. Excused Nonperformance, Neither party shall be responsible for delays resulting from acts beyond the reasonable control of such party. Such acts shall include acts of God, strikes, lockouts, riots, acts of war, epidemics, governmental regulations superimposed after the fact, fire, communication line failures, power failures, earthquakes, terrorism, other disasters or other events of the same kind.

	 	

13.2. Export Control Liability. This Agreement is made subject to any present or future laws, regulations, orders or other restrictions of the United States of America, or any political stibdivision thereof, on the export from the United States of Licensed Products or Applications, or of information about Licensed Products or Applications. Licensee (i) will comply with all such laws, regulations, orders and other restrictions to the extent that they are applicable to Licensee and (ii) will not, directly or indirectly, export any such Licensed Product or information to any country.

	
  

	
13.3. Waiver, Amendment or Modification to Agreement. The waiver, amendment or modification of any provision hereof will not be effective unless in writing and signed by both parties.

	
  

	
13.4.Agreement Interpretation. In the event an inconsistency exists between this Agreement and any Exhibit, Schedule, Statement of Work or Attachment hereto, the Agreement shall control. Defined terms found in this Agreement or in any Exhibit, Schedule, Statement of Work or Attachment applies throughout the complete Agreement.

	
  

	
13.5. Enforcement of Terms. Should any provision of this Agreement be held to he illegal, invalid, or unenforceable for any reason, the remaining provision(s) shall remain in full force and effect as if the illegal, invalid, or unenforceable provision(s) were excised therefrom.

	
  

	
13.6. Entire Agreement, Governing Law. This Agreement, together with all of the attached Exhibits constitutes the entire Agreement for the licensing and support of the Application. There are no other Agreements or understandings, oral or written, relating to such licensing and support by which the parties intend to be bound. This Agreement will be governed by and construed in accordance with the laws of the State of Virginia, and venue shall reside in the county of Virginia where CYFLUENT's headquarters are located.

	
  

	
13.7. Section Headings. The titles to the sections of this Agreement are solely for the convenience of the parties and shall not be used to explain, modify, simplify, or aid in the interpretation of the provisions of this Agreement.

	
  

	
13.8. Inspection. During the term of this Agreement and for a period of one (I) year after its termination, CYFLUENT or its representative may, upon prior written notice to Licensee at any time, and subject to applicable laws and/or regulations, inspect the computer processors, facilities, and premises of Licensee during normal working hours for the purpose of verifying Licensee's compliance with the terms and conditions of this Agreement and the Exhibits. In conducting any such inspection, CYFLUENT shall use all reasonable efforts to minimize the disruption of Licensee's normal business activities. CYFLUENT shall be entitled to copy or otherwise reproduce any items that Licensee may have in its possession or under its control that violate the terms and conditions of this Agreement or the Exhibits.

 

 

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IN WITNESS WHEREOF, HYGEA and CYFLUENT have caused this Agreement to be executed by their duly authorized representatives as indicated below.

 

	For CYFLUENT, INC. For HYG	 	 	For HYG LTH NETWORK, INC.	 
	 	 	 	 	 
	
/s/

	 	 	
/s/ 

	 
	
Print:

	 	 	
Print:

	 
	
Title:

	 	 	
Title:

	 
	Date:	 	 	Date: 	 

 

 

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Exhibit A - Example Service Order

 

	  	
Order Number

XXXX

)oc-Jun-2009

 

	
Purchaser/Billing Address: 

	
installation Site:

	
Point-of-Contact:

	Target Installation Dates:	 
	Hygea Health Network, Inc.	Raul E. Tamayo, LLC	Raul E. Tamayo, LLC	Requirements:	1-Jun-09	 
	7925 NW 12th Street 	280 Weklva Springs Rd	12 IViidnite Ter:.	Installation:	10-Jun-09	 
	Suite 321 	Suite 1000	Orlando, FL 33486	Training:	22-Jun-09	 
	Miami, FL 33126 	Longwood, FL 32779	Tel: +1 (xxx) xxx-xxxx	Go-Live:	1-Jul-09	 
	 	Tel: +1 (xxx) xxx-xxxx	Email: REr@tamayo.com	 	 	 
	 	 	 	 	 	 
	 	 	 	 	 	 

 

 

SERVICE ORDER

 

	DESCRIPTION.	 
	 	 	 	 	 	 	 	RATE	 	 	AMOUNT	 
	 	2	 	Installation  & Training Services	 	 	2	 	 	$	20,000.00	 	 	$	40,000.00	 
	 	3	 	Tamayo Practicer' 1, 900 Members, Monthly Service Fee	 	 	900	 	 	$	5.00	 	 	$	4,500.00	 
	 	4	 	Tamayo Practicer' 2, 761 Members, Monthly Service Fee	 	 	761	 	 	$	5.00	 	 	$	3,805.00	 
	 	5	 	Custom T&M Service Reques t (see attached Statement of Work)	 	 	1	 	 	$	12,600.00	 	 	$	12,600.00	 
	 	6	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	7	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	8	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	9	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	10	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	11	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	12	 	 	 	 	 	 	 	 	 	 	 	 	 	 

 

 

	 	1	)	Commencement of Services will begin upon reception of Deposit by CYFLUENT	 	 	 	 
	 	2	)	Fixed-Fee, installation and Training Services include Travel & Living Expenses	 	 	 	 
	 	3	)	This Service Order serves as an invol ce for the Deposit.	 	 	$	 	 
	 	 	 	Payment Terms:	Hosted Service:	 	 	8,305.00	 
	 	4	)	Monthly Service Fees may be Invoiced separately from installation and Training Fees.	Tax:	 	 	 	 
	 	5	)	Failure to pay Invoices when due shall constitute a breach of this agreement and shall be grounds for immediate termination of the rights granted hereunder.	 	 	 	 	 
	 	 	 	 	Total Monthly:	 	$	8,305,00	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 	One-time Service:	 	$	52,600.00	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 	Tax:	 	$	 	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 	Total One-Time:	 	$	52,600.00	 
	 	 	 	 	 	 	 	 	 
	 	 	 	 	Deposit Required	I	$	26,300.00	 

 

 

IN WITNESS WHEREOF, Purchaser as identified above agree to the terms of this service order.

 

	 	 	 	 	 
	
 

	 	 	
 

	 
	
Signature, Title

	 	 	
Date

	 
	 	 	 	 	 
	
Printed Name, Title

	 	 	
 

	 
	 	 	 	 	 

 

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Exhibit C - CyfluentChart" Functionality Rollout

The following is the forecast of Product Functionality as scheduled for availability from CYFLUENT for the CyfluentChartml Application.

 

Product Roadmap Phase I, Timeframes:

	
,    fla nte i

	
 :Dii •t 6#

	
ileac) tiinefraine

	
Version 2.0

	
First Set of Physician Practices

	
Aug-Sep - 2009

	
Version 2.1

	
Second Set of Physician Practices

	
Oct-Nov - 2009

	
Version 2.2

	
Third and subsequent set of Physician Practices

	
Jan 2010

 

CYFLUENT will provide the following Functionality according to the above schedule. Note that as a newer version of the software is released, the previously installed physician practices will have access to the newly released functionality.

 

Version 2.0 Functionality

Initial Installation in ASP/Hosting Facilities

CCR-compliant Electronic Health Record (El-IR) with the Cyfluent Electronic Chart that can move around all levels of care for viewing.

Integration with Hygea Standard Scheduling and Billing package, like Avisena, using standard 1-IL7 messaging.

Physician Portal, also known as the "Main Portal" available for access to information through Internet. Memory Stick Patient Health Record with ability to upload/download updates to CyfluentChartTM.

 

Version 2.1 Functionality

●  Ability to place orders and receive results from orders- Labs, Radiology via HL7 Messaging.

 

●  ePrescribing functionality, meaning the ability for a physician to use the application to generate and print a prescription.

 

Version 2.2 Functionality

●  Patient Portal that provides same functionality as memory stick only via a Web Browser interface.

 

Product Roadmap - Phase H

●  Collector Module for Digital Devices (HOME MEDICAL MODEL)

 

 

	Healthcare IT Platform Agreement 	Confidential and Proprietary	Wag
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