Document:

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                                                                    Exhibit 10.9

                                TRAINING SERVICES
                                       AND
                                ROYALTY AGREEMENT
                                    (LESIEUR)

         This TRAINING SERVICES AND ROYALTY AGREEMENT (this "Agreement") is
entered into this 31st day of December, 2000, by and among ORION HEALTHCARE
TECHNOLOGY, INC., an Iowa corporation, formerly known as Accurate Assessments,
Inc., an Iowa corporation, with offices at 1823 Harney Street, Suite 101, Omaha,
Nebraska 68102 ("Orion"), and DR. HENRY LESIEUR, an individual, residing at 124
Hillside Avenue, Pawtucket, Rhode Island 02860 ("Lesieur").

         WHEREAS, Lesieur has certain knowledge and expertise relating to the
South Oaks Gambling Screen ("SOGS") and to the Gambling Severity Index ("GSI"),
each a written questionnaire completed manually by practitioners providing
treatment or conducting research in the area of gambling addictions;

         WHEREAS, Orion is a leading developer and marketer of computer software
in the healthcare field related to addictions, including, without limitation,
gambling;

         WHEREAS, Orion desires to (a) convert the written text comprising each
of SOGS and GSI into a separate computer software program (together, the
"Software") and thereby automate certain functions of SOGS and GSI, and (b)
market, sell and license the Software;

         WHEREAS, Lesieur has agreed to consult with Orion regarding the
development of the Software and to provide certain training services to Orion
and its customers on terms and conditions more particularly set forth below;

         NOW, THEREFORE, in consideration of the above premises and other good
and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, Orion and Lesieur hereby agree as follows:

         1.       DEVELOPMENT OF THE SOFTWARE. Orion shall review SOGS and GSI
and develop and convert the text and substance of SOGS and GSI into separate
computer software programs designed to automate the screens.

         2.       MARKETING AND SALES OF THE SOFTWARE.

                  a. Upon request of Orion, Lesieur shall (i) consult with Orion
         regarding the conversion and development process, (ii) participate in
         or attend trade shows, (iii) assist Orion in conducting marketing
         seminars, distributing catalogs or newsletters, and (iv) assist Orion
         in actively marketing, promoting, selling, licensing and distributing
         the Software.

                  b. Orion may solicit orders directly or through subcontractors
         or agents. Orion shall be responsible for its employees',
         subcontractors' or agents' acts or omissions in performing marketing
         services and for the payment of amounts owed (if any) to its employees,
         subcontractors, or agents, as may be appropriate.

                                       1
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                  c. Orion, in its sole discretion, may develop specific sales
         and marketing materials for use in the marketing and licensing of the
         Software, which materials may be reviewed by Lesieur. Orion shall
         retain all right, title and interest in all such marketing materials.

                  d. Orion shall bear the sole responsibility for the delivery
         of the Software to licensees and for the billing and collection of all
         amounts owed to Orion through its licensing or sales of the Software.

                  e. Unless otherwise specified herein, Orion agrees that the
         use of the Software by licensees shall be pursuant to applicable
         licensing agreements, manuals and any other documentation developed by
         Orion; provided, however, that Lesieur shall develop and provide to
         Orion a users manual for SOGS and GSI.

                  f. Orion shall maintain full, clear and accurate records with
         respect to each and every copy of the Software distributed by Orion,
         each license granted, each license agreement executed, and all receipts
         from installation, maintenance and support of the Software and all
         other revenues related thereto. Lesieur further agrees to cooperate
         fully with Orion should a dispute arise with a licensee or another
         entity regarding the sale, licensing, distribution or maintenance and
         support of the Software, including, without limitation, the right to
         use trademarks, servicemarks, trade names, logos and copyrighted
         materials for which a license is granted pursuant to this Agreement.

                  g. Title to the Software and all patents, copyrights,
         trademarks, design rights, trade secrets, moral rights and other
         proprietary rights in the Software are and will remain the exclusive
         property of Orion, regardless of whether specifically recognized or
         perfected under the laws of the country where the Software is used.
         Lesieur will not (i) take any action that jeopardizes any proprietary
         rights that Orion may develop, (ii) acquire any right in the Software
         without the express written consent of Orion or (iii) perform any
         reverse engineering of the Software.

         3.       ROYALTY PAYMENTS.

                  a. In consideration of the consultation services performed by
         Lesieur in accordance with Section 2 above, Orion hereby agrees to pay
         a royalty to Lesieur for sales of the Software as follows:

                           i. five percent (5%) of the retail price of each copy
                  of the Software sold or licensed as a separate, stand-alone
                  product (a "Stand-Alone Sale"); and

                           ii. $5.00 for each copy sold or licensed as a unit
                  bundled, combined or packaged together with other software
                  products sold or licensed by Orion.

                  b. With respect to any copies of the Software returned to
         Orion for full refund, Lesieur shall repay to Orion any royalty paid by
         Orion for such returned copy of the Software.

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                  c. On or before the 15th of March, June, September and
         December, Orion shall remit to Lesieur the appropriate payments for the
         Software licensed or sold by Orion during the previous month, together
         with a written royalty statement setting forth the total sales and
         licenses of the Software (identifying the Stand-Alone Sales and Bundled
         Sales during the period covered by the statement) and the total of
         royalty payments previously made which should be repaid to Orion as the
         result of returns of the Software.

                  d. Orion shall pay directly all income, franchise, sales, use,
         personal property, ad valorem, value added, stamp or other taxes,
         levies, customs duties or other imposts or fees, including withheld
         taxes (except only a tax levied by the United States of America or the
         States of Nebraska, New York or Rhode Island based on the net income of
         Lesieur), together with all penalties, fines and interest thereon that
         in any way arise out of this Agreement, whether on or measured by the
         price, the charges, the programs or the services furnished, or their
         use, however designated, levied or based (hereinafter collectively
         called "Tax").

                  e. With respect to any copies of the Software licensed or sold
         as the result of the independent marketing or referral efforts of
         Lesieur, the royalty fee due to Lesieur shall be calculated in
         accordance with the provisions of paragraph a. above.

         4.       INSTRUCTION AND TRAINING. In addition to the general
agreement by Lesieur to provide consultation and assistance to Orion in
connection with the development, marketing and sales of the Software as set
forth above, at the request of Orion, Lesieur or, with the prior written
approval of Orion, a designated representative of Lesieur who has earned a
PhD or equivalent degree and is recognized as an authority in the field of
gambling addictions, shall provide up to eight full days per calendar year of
instruction and training to Orion and its employees, licensees and customers
at Orion's offices (or such other location designated by Orion) regarding the
use of SOGS and GSI and the development and marketing of the Software.
Lesieur or his approved designated representative shall be compensated by
Orion for such training at the rate of $1200.00 per full training day and
Orion shall reimburse Lesieur his reasonable expenses incurred in travel
(business or economy class flights), meals and lodging. Reasonable expenses
shall include a daily consultation rate for travel in excess of 8 hours round
trip. Upon Leiseur fulfilling his obligation pursuant to this Section 5 to
provide up to eight full days per calendar year of instruction and training,
all training requests received by Orion from customers and licensees
regarding SOGS or GSI shall be offered to Lesieur on a first refusal basis;
provided, however, that such additional training conducted by Lesieur must be
completed by no person other than Lesieur and at the rate specified above. In
the event the term of this Agreement is extended beyond the initial year as
provided for in Section 10 below, the fees set forth in this section shall
remain unchanged for the first two years of this Agreement but will be
adjusted for inflation in any subsequent years.

         5.       ASSIGNMENT. This Agreement may not be assigned in whole or
in part by either party without the prior written approval of the other
party, which shall not be unreasonably withheld; provided, however, Orion may
assign this Agreement to any present or future affiliate or subsidiary or
assign its right to receive payment hereunder without such consent.

         6.       FORCE MAJEURE. Neither party shall be liable for delays in
performance of this Agreement caused by acts of God, government restrictions
or interference, strikes or other labor disputes, fires, power outages,
communications failures, or for any other cause, to the extent that any such
causes are beyond its reasonable control; provided, however, that if such delay
shall continue for thirty (30) days, then either party may terminate this
Agreement upon thirty (30) days' written notice to the other party. If the
non-performing party performs within said thirty (30) day period, then this
Agreement shall continue in full force and effect as though no such notice had
been given. In no event shall failure to timely pay amounts owed be excused.

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         7.       INDEPENDENT CONTRACTOR. In connection with this Agreement,
each party is an independent contractor and as such will not have any
authority to bind or commit the other party except as provided hereunder.
Nothing herein shall be deemed or construed to create a joint venture,
partnership or agency relationship between the parties for any purpose.

         8.       LIMITATION OF LIABILITY.

                  a. No party shall be liable for damages caused by acts or
         events beyond such party's control. In addition, neither party shall
         have liability for information or advice supplied by third-party
         vendors.

                  c. No party shall be liable for incidental, indirect, special
         or consequential damages or for lost profits, savings or revenues of
         any kind, whether or not the party has been advised of the possibility
         of such damages.

                  d. Orion shall not be liable for any damages arising from the
         unavailability of the Software.

         9.       TERM AND TERMINATION.

                  a. The term of this Agreement commences on the date first set
         forth above and shall terminate one year thereafter. After the
         expiration of the initial term of the Agreement, the Agreement shall
         automatically terminate unless renewed for additional twelve (12) month
         terms by the parties pursuant to a written renewal agreement.

                  b. Upon any material default by a party under this Agreement,
         the other party may terminate this Agreement by giving not less than
         thirty (30) days' prior written notice to the defaulting party;
         provided, however, the defaulting party shall have the right to cure
         such default within such thirty (30) day period. If not cured within
         such thirty (30) day period, the Agreement shall terminate upon the
         expiration of such thirty (30) day period. In addition and
         notwithstanding the foregoing, either party may terminate this
         Agreement at any time with 30 days' prior written notice to the other
         party.

                  c. Upon termination for any reason, each party shall pay to
         the other any royalty fee due or due to be refunded within 30 days of
         termination.

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         10.      MISCELLANEOUS.

                  a. MODIFICATIONS. This Agreement may be amended, restated,
         supplemented or otherwise modified from time to time, provided,
         however, that any amendment, restatement, supplement, modification or
         waiver of any provision of this Agreement or any Attachment to this
         Agreement must be in writing and signed by authorized representatives
         of both parties.

                  b. SEVERABILITY. If any portion of this Agreement is found to
         be invalid or unenforceable, the parties agree that such provisions
         shall be enforced to the greatest extent permitted by law and the
         remaining portions shall remain in effect. The parties further agree
         that in the event such invalid or unenforceable portion is an essential
         part of this Agreement, they will immediately begin good faith
         negotiations for a replacement.

                  c. NO WAIVER. If either party fails to enforce any right or
         remedy available to it under this Agreement, such failure shall not be
         construed as a waiver of any right or remedy with respect to any other
         breach or failure by the other party.

                  d. GOVERNING LAW. This Agreement and all matters arising out
         of or relating to this Agreement shall be governed by the laws of the
         State of Nebraska and shall be deemed to be executed in and the
         Software performed from Omaha, Nebraska. The parties agree that any
         legal action or proceeding relating to this Agreement shall be
         instituted in the state or federal courts in Omaha, Nebraska. The
         parties agree to submit to the jurisdiction of, and agree that venue is
         proper in, the foregoing courts in any legal action or proceeding.

                  e. SURVIVAL OF TERMS. The respective obligations of Orion and
         Lesieur hereunder which by their nature would continue beyond
         termination or expiration hereof shall survive the termination or
         expiration of this Agreement.

                  f. AUTHORIZATION. Each party represents and warrants that it
         has the power and authority to execute this Agreement and that the
         individual signing this Agreement is authorized to do so. The parties
         further represent and warrant that upon execution of this Agreement, it
         shall be a valid and binding agreement between the parties enforceable
         in accordance with its terms.

                  g. ENTIRE AGREEMENT. This Agreement constitutes the entire
         agreement between the parties with respect to the Software and
         supersedes all prior or contemporaneous agreements, proposals or
         understandings, whether written or oral.

         11. NOTICES. Any notice required or permitted hereunder shall be in
writing and addressed to the other parties as first set forth in this Agreement
or to the last known address of such party. Any notice sent shall be deemed to
be received and valid upon (i) actual receipt, if hand delivered, (ii) three
business days from date on which such notice was sent, if sent by certified or
first class mail, postage prepaid, or (iii) upon the next business day if such
notice was sent by facsimile or overnight mail.

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

                                    ORION HEALTHCARE TECHNOLOGY, INC.,
                                    an Iowa corporation

                                    By  /s/ Wm C. Allan
                                       -----------------------------------------
                                    Name    William C. Allan
                                         ---------------------------------------
                                    Title   CEO
                                          --------------------------------------

                                        /s/ Henry C. Lesieur
                                    --------------------------------------------
                                    Dr. Henry Lesieur, an individual

                                       6<PAGE>
                                                                 Exhibit 10.10

                              EMPLOYMENT AGREEMENT

         This EMPLOYMENT AGREEMENT (this "Agreement") is entered into this ___
day of December 2000, by and between ORION HEALTHCARE TECHNOLOGY, INC., an Iowa
corporation ("Employer"), and Dr. Candice Stewart-Sabin, an individual
("Employee").

         WHEREAS, Employer and Employee wish to enter into an employment
agreement governing the terms and conditions of Employee's employment with
Employer;

         NOW, THEREFORE, for the reasons recited above, and in consideration of
the mutual covenants contained in this Agreement, the parties agree as follows:

         1.       DUTIES OF EMPLOYEE. Employer employs Employee as a principal
investigator in connection with all research activities (the "Research
Activities") conducted with the proceeds of or in connection certain federal or
state grants, including, without limitation, a grant (the "NIH Grant") in the
amount of $75,000 from the National Institute of Health. Employee's duties as
principal investigator shall include, but not be limited to, (i) coordinating,
overseeing and managing all Research Activities, (ii) analyzing all data
resulting from the Research Activities, (iii) creating a report setting forth,
supporting and explaining the methods, conclusions and results of the Research
Activities and (iv) on or before August 15, 2001 and to Orion's satisfaction,
compiling and completing on behalf of Orion an application (the "Phase II
Application") to the NIH for a second phase of grant monies from the NIH Grant
program, and to perform any and all other related duties assigned to Employee by
the President and/or CEO of Employer. During the term of this Agreement,
Employee shall devote as much of her time, ability and attention to the business
of Employer, on a regular, "best efforts" and professional basis as necessary to
carry out such duties in a professional manner, and at all times such efforts
shall be under the direction of the President and/or CEO of Employer.

                  2.       NONDISCLOSURE OF CONFIDENTIAL INFORMATION:

                  a. Stewart-Sabin understands and agrees that she shall not
         disclose to any third party any information about the business of Orion
         or the Research Activities, without the express written permission of
         Orion. Further, Stewart-Sabin shall retain in confidence and not
         disclose to any third party all information (whether in tangible form
         or stored electronically or in magnetic media) designated by Orion as
         "Confidential" or "Proprietary", except where Stewart-Sabin can
         establish that:

                           i.  such information was known to her prior to its
                  disclosure by Orion; or

                           ii. such  information  was known to the public  prior
                  to its  disclosure  to her, or has become known to the public
                  through no fault of Stewart-Sabin; or

                           iii. such  information  was  subsequently  disclosed
                  to  Stewart-Sabin  by a third party having a lawful right to
                  make such disclosure without limitation on disclosure;

                                      -1-

<PAGE>

                  or

                           iv. such  information  was required to be disclosed
                  pursuant to any law or  regulation, or by any court, agency or
                  other tribunal of competent jurisdiction.

                  In accordance with the provisions of this paragraph, any
         information or data disclosed to Stewart-Sabin regarding or relating to
         Orion's business plans, services, products, sales, customer
         information, and marketing strategies, shall be deemed "Confidential"
         whether or not marked as such.

                  b. No copies of any written materials (including but not
         limited to electronic mail), computer programs (partial or complete) or
         computer diskettes may be made or retained by Stewart-Sabin unless
         written permission is provided by Orion.

                  c. Stewart-Sabin acknowledges the information disclosed
         herein, or to be disclosed by Orion to Stewart-Sabin, is proprietary
         and/or trade secrets and in the event of any breach, Orion shall be
         entitled to injunctive relief as a cumulative and not necessarily
         successive or exclusive remedy to a claim for monetary damages.

         Any breach of this paragraph shall constitute a ground for termination
for cause and such other relief as may be afforded by applicable law.

         3.       TERM OF  EMPLOYMENT:  The employment of Employee shall
commence on the date of this Agreement and continue until the completion of the
Research Activities.

         4.       COMPENSATION:  As  compensation  for the  services  rendered
by Employee under this Agreement, Employee, shall be paid a yearly salary of
$25,000 to be paid in equal semi-monthly installments, in arrears, less
applicable statutory deductions. Employee is not entitled to receive any other
benefits in connection with this Agreement.

         5.       TERMINATION OF EMPLOYMENT: Employer may terminate Employee's
employment at any time:

                  a. with cause, in which case Employee is not entitled to any
         advance notice of termination or compensation in lieu of notice. "With
         cause" includes, but is not limited to, any willful breach or habitual
         neglect of the duties which she is required to perform as part of his
         or her employment, any breach or violation of the policies and
         guidelines of Employer, as more particularly set forth in the Employee
         Policies Manual, and any such activity which would constitute just
         cause under common law. "With cause" shall also include, but shall not
         be limited to, the failure of Employee to comply, or to cause all
         Research Activities to comply, with the terms of the Grant Award, as
         issued by the NIH September 30, 2000 for the NIH Grant.

                  b.  without  cause,  in which  case  Employer  shall  provide
         Employee  with  advance  notice of termination OR compensation in lieu
         of notice equal to one (1) month.

                                      -2-

<PAGE>

         Employee may terminate his or her employment at any time by providing
Employer with at least thirty (30) days advance notice of his or her intention
to resign.

         6.       OWNERSHIP OF EMPLOYER'S PRODUCTS AND SERVICES: Title to the
Employer's products and services and all patents, copyrights, trademarks, design
rights, trade secrets, moral rights and other proprietary rights in or related
to such products and services are and will remain the exclusive property of
Employer, whether or not specifically recognized or perfected under the laws of
the country where the products and services are used. Employee will not take any
action that jeopardizes such proprietary rights, nor will it acquire any right
in Employer's products and services without the express written consent of
Employer, nor will Employee perform any reverse engineering of the products and
services. All products or services created or produced during Employee's
employment with Employer shall be considered the property of Employer.

         All information furnished to Employee pursuant to his or her employment
with Employer (i) shall be used only in connection with his or her employment
with Employer; (ii) shall not be reproduced or copied, in whole or in part,
except as necessary for use in his or her employment with Employer; and (iii)
shall, together with any copies, be returned or destroyed when no longer needed
or authorized for use or upon termination of his or her employment with
Employer.

         7.       NOTICES: Any notice required or permitted hereunder shall be
in writing and addressed to the other party at the last known address of the
party. Any notice sent shall be deemed to be received and valid upon (i) actual
receipt, if hand delivered, (ii) three business days from date on which such
notice was sent, if sent by certified or first class mail, postage prepaid, or
(iii) upon the next business day if such notice was sent by facsimile or
overnight mail.

         8.       SEVERABILITY:  If any  portion of this  Agreement  is found to
be invalid or unenforceable, the parties agree that such provisions shall be
enforced to the greatest extent permitted by law and the remaining portions
shall remain in effect.

         9.       ENTIRE AGREEMENT: Except with respect to the policies and
guidelines set forth in the Employee Policy Manual, his Agreement supersedes any
and all other agreements between the parties with respect to employment of
Employee by Employer. The policies and guidelines set forth in the Employee
Policy Manual shall be considered as a supplement to this Agreement; provided,
however, that this Agreement shall control with respect to any matter or issue
provided for in this Agreement.

         10.      MODIFICATION:   This  Agreement  may  be  supplemented  or
modified; however, any supplement, modification or waiver of any provision of
this Agreement must be in writing and signed by authorized representatives of
both parties.

         11.      LAW  GOVERNING  AGREEMENT:  This  Agreement  and all  matters
arising out of or relating to this Agreement shall be governed by the laws of
the State of Nebraska. The parties agree that any legal action or proceeding
relating to this Agreement shall be instituted in the state or federal courts in
Omaha, Nebraska.

                                      -3-

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         12.      SUCCESSORS AND ASSIGNS. This Agreement shall be binding upon,
inure to the benefit of, and be enforceable by the parties hereto and their
respective personal or legal representatives, executors, administrators, heirs,
distributes, devisees, legatees, successors, and assigns. Employee shall not,
however, assign this Agreement or the rights and duties hereunder.

                                      -4-

<PAGE>

         IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed as of this ___ day of December, 2000.

                                              EMPLOYER

                                              ORION HEALTHCARE TECHNOLOGY, INC.,
                                              an Iowa corporation

                                              By
                                                 -------------------------------

                                              Name
                                                   -----------------------------

                                              Title
                                                    ----------------------------

                                              EMPLOYEE

                                              ----------------------------------
                                              Name   Candice Stewart-Sabin

                                      -5-

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