SURGERYLETTERTM SOFTWARE LICENSE AND ACCESS AGREEMENT This Software License and Access Agreement (the “Agreement”) is made this 11th day of November, 2011 (the “Effective Date”), by and between Indiana Hemophilia and Thrombosis Center, Inc., an Indiana non-profit corporation (“Licensor”) and EC Hemophilia Treatment Center (“Licensee”, collectively, the “Parties” and singly, “Party”). RECITALS A. Licensor is the owner and/or master licensee of all right, title and interest in and to the SURGERYLETTERTM software (“Software”), including all “Intellectual Property Rights” therein, which means any unpatented inventions, patent applications, patents, design rights, copyrights, trademarks, service marks, trade names, domain name rights, mask work rights, know-how and other trade secret rights, and all other intellectual property rights, derivatives thereof, and forms of protection of a similar nature anywhere in the world. B. Licensee wishes to obtain a license to use the Software; C. Licensor wishes to grant to Licensee use of the Software for the purpose of creating documents containing patient-specific instructions for the pre/peri/post-operative care of bleeding disorder patients (the “Purpose”). NOW, THEREFORE, in consideration of the premises, the mutual terms and conditions hereof, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties, intending to be legally bound, agree as follows: 1. Incorporation of Recitals. The recitals of this Agreement are incorporated herein by reference. 2. Grant of License; Services. 2.1 Licensor hereby grants to Licensee and Licensee hereby accepts a limited, revocable, nonexclusive, non-transferable, license to use and have access to the Software for the Purposes on the terms and conditions set forth in this Agreement. 2.2 Licensor will make the Software available to the Licensee in manner exclusively determined by the Licensor. 3 Ownership and Use of the Software. 3.1 The Software is and shall remain the sole and exclusive property of Licensor. Nothing in this Agreement shall preclude Licensor from making any use of the Software. This Agreement does not grant Licensee, by implication, estoppel or otherwise, any license or other right in or to the Software or the Intellectual Property Rights except for those rights expressly granted. SURGERYLETTER™ License Agreement 1 3.2 Licensee may use the Software solely for the Purpose defined herein. 3.3 Licensee shall not: 3.3.1 license, sublicense, sell, resell, transfer, assign, distribute, or otherwise commercially exploit or make available to any third party the Software; 3.3.2 modify or make derivative works based upon the Software; 3.3.3 reverse engineer, decompile, disassemble or access the Service for any reason. Notwithstanding the foregoing, if Licensee modifies the Software, Licensee hereby assigns, conveys, and otherwise transfers to Licensor all of its right, title, and interest in and to such intellectual property rights. 3.4 If Licensee becomes aware of any infringement, misuse or misappropriation of any Intellectual Property Rights of Licensor, Licensee shall notify Licensor within a commercially reasonable period of time, not to exceed ninety (90) days, and shall cooperate reasonably with Licensor to terminate or remedy such infringement, misuse or misappropriation. 4 Term. 4.1 The term of this Agreement shall begin on the date written above and shall continue in full force and effect for a period of three (3) years unless terminated earlier by mutual agreement or pursuant to Section 4.3 hereof. 4.2 : Section 8 (Indemnification), Section 10 (Nondisclosure and Non-Use), and Section 12 (Governing Law/Jurisdiction) shall survive the termination of this Agreement. 4.3 “Event of Default” shall mean the failure to: 4.3.1 observe or comply with any other material provision or covenant in this Agreement, and such failure is not cured to the reasonable satisfaction of the non-defaulting party within thirty (30) days of the date written notice of such default is delivered, which notice shall specify with reasonable particularity the basis for the default claimed. 4.4 Upon the occurrence of an Event of Default, the non-defaulting party may seek the following remedies, which shall be cumulative and not mutually exclusive: (i) immediate termination of this Agreement; and (ii) all other legal and equitable remedies available. The failure to enforce a breach of this Agreement shall not be construed as a waiver of the right to enforce such breach at a later time or to enforce any other breach. 5 Completion of Annual Survey. SURGERYLETTER™ License Agreement 2 5.1 Licensee hereby agrees to completely, accurately, and timely respond to an annual survey conducted by the Licensor. Failure to respond to this survey shall be construed as a material breach of this agreement and shall result in the immediate revocation of the License granted herein. 6 Licensor's Representations and Warranties. Licensor represents and warrants: 6.1 Licensor is a corporation, duly formed, existing and in good standing in accordance with the laws of the State of Indiana. 6.2 Licensor is the owner and/or master licensee of all right, title and interest in and to the Software and/or Licensor has all necessary rights, and legal authority to grant to Licensee the License, and no other person or entity is required to give its consent for the License to be valid. 6.3 Licensor has other customers who currently use the Software. Licensor may continue to license, sell, or provide the Software to persons or entities other than Licensee. 7 Licensee’s Representations and Warranties. 7.1 Licensee is a corporation duly formed pursuant to its articles of incorporation or other charter documents, and in good standing in its state of organization and in the state or states where it does business. 7.2 Licensee has all the necessary rights, powers and authority to enter into this Agreement without the consent of any other person or entity. 8 Indemnification. 8.1 Licensee shall indemnify, defend, and hold harmless Licensor and its officers, directors, shareholders, employees, representatives, agents, and Affiliates from all claims, demands, liabilities, losses, damages, judgments or settlements, including all reasonable costs and expenses related thereto including attorney’s fees and court costs, directly or indirectly resulting from: (a) personal injury, death, or property damage in connection with the use of the Software and Licensee’s Services; (b) any claimed infringement or violation of any patents, trademarks, copyrights, trade secrets, or other intellectual property rights by Licensee; (c) any material breach by the Licensee of the terms, conditions, or provisions of this Agreement; or, (d) the untruth of any representation or warranty made by the Licensee in this Agreement. 8.2 Notwithstanding anything to the contrary in this Agreement, the Licensee to this Agreement is under any obligation to indemnify and hold the Licensor harmless unless and until: (a) the Licensee shall have been promptly notified by the other party of the suit or claim and furnished with a copy of the communication, notice or other action relating to said claim; (b) the SURGERYLETTER™ License Agreement 3 Licenseeshall have the right to assume sole authority to conduct the trial or settlement of such claim or any negotiations related thereto at its own expense, except that no compromise or settlement of any claim admitting liability of or imposing any obligations on the other party may be affected without the prior written consent of that party; and (c) the Licensorshall provide reasonable information and assistance requested by the Licensee, including access to books and records, in connection with the defense of such claim. If the Licensee refuses to defend or does not make known to the Licensor its willingness to defend against a claim within ten (10) days after it receives notice thereof, then the Licensor indemnification shall be free to investigate, defend, compromise, settle or otherwise dispose of such claim in its best interest and incur other costs in connection therewith, all at the expense of the Licensee. Notwithstanding the foregoing, each party at all times reserves the right to retain counsel of its own to defend its interests. 9 Assignment and Sublease. The rights, duties or obligations under this Agreement may not be assigned or delegated by Licensee or by operation of law, without the prior written consent of Licensor. Any assignment or delegation in violation of the previous sentence shall be void. 10 Nondisclosure, Non-Use, and Non-Competition. 10.1 “Confidential Information” means any non-public technical information, trade secrets and any other confidential information regarding the Software Intellectual Property, business affairs of a Party, its employees, agents or assigns including, without limitation, any information concerning methods of business operations; information comprising the identity, lists or descriptions of any customers, potential customers or referral sources; or other confidential information regarding one Party which may be conveyed to the other from any source, including but not limited to scientific and technical information related to the development, manufacture, use, implementation, or marketing of the Software. 10.2 Without the prior written consent of the other party or a valid court order from a court of competent jurisdiction, neither Licensor nor Licensee shall: 10.2.1 Disclose, publish, or otherwise make available (orally or in writing) to any third party any of the other Party’s Confidential Information; 10.2.2 Use any of the other Party’s Confidential Information except as required for the performance of this Agreement or upon the express prior written consent of the Party whose Confidential Information is to be used; or 10.2.3 Sell, transfer, or otherwise exploit any of the other Party’s Confidential Information, or permit such sale, transfer, or exploitation by a third party (including any employee of the receiving Party). SURGERYLETTER™ License Agreement 4 10.3 Each Party will suffer immediate and irreparable harm to its goodwill and business, which will not be compensable by damages alone, in the event the other Party repudiates or breaches the provisions of this Section 10, or threatens or attempts to do so. In the event of any breach or any threatened breach by a Party of the covenant with respect to Confidential Information, the non-breaching Party, in addition to and not in limitation of any other rights, remedies or damages available to the non-breaching Party, at law or in equity, shall be entitled to seek a temporary, preliminary and permanent injunction in order to prevent or restrain any such breach by the breaching Party or by any partner, agent, representative, employer, employee and/or any other persons acting, directly or indirectly, in concert or participation with the breaching Party, and the non-breaching Party shall not be required to post a bond as a condition for the granting of such relief. 11 Patient Data. Licensor does not and will not own any Patient Data. Licensee, and not Licensor, shall have sole responsibility for the accuracy, quality, integrity, legality, reliability, appropriateness, and intellectual property ownership or right to use of all Patient Data. Licensor shall not be responsible or liable for the deletion, correction, destruction, damage, loss or failure to store any Patient Data. Licensor will not store any Patient Data and Licensee agrees not to send or permit the sending of Patient Data to Licensor. All storage including computer storage of Patient Date shall be the responsibility of Licensee. “Patient Data” means any data, information, or material provided or submitted by any Patient, including but not limited to personal identifiable information (“PII”) or health information. 12 Governing Law/Jurisdiction. This Agreement shall be construed in accordance with, and governed by Indiana law, without regard to conflicts of law principles. The Parties consent to the exclusive personal and subject matter jurisdiction of courts located within Marion County, Indiana. 13 Force Majeure. Neither party shall be liable for any failure or delay in the performance of its obligations due to fire, flood, earthquake, elements of nature or acts of God, acts of war, terrorism, riots, civil disorder, rebellions, or other similar cause beyond the reasonable control of the party affected, provided such default or delay could not have been prevented by reasonable precautions and cannot reasonably be circumvented, and provided further that the party hindered or delayed immediately notifies the other party describing the circumstances causing delay. Notwithstanding the foregoing, in the event that such condition prevents or delays performance of any party for a period in excess of thirty (30) days, the other party shall have the right to immediately terminate this Agreement upon written notice. 14 Counterparts; Signatures. This Agreement may be executed in several counterparts, each of which shall constitute an original and all of which, when taken together, shall constitute one Agreement. A signature sent by facsimile or other electronic means shall be as effective as an original signature. SURGERYLETTER™ License Agreement 5 15 Severability. If any part or parts of this Agreement shall be held unenforceable for any reason, the remainder of this Agreement shall continue in full force and effect. If any provision of this Agreement is deemed invalid or unenforceable by any court of competent jurisdiction, and if limiting such provision would make the provision valid, then such provision shall be deemed to be construed as so limited. Should the severance of any such part of this Agreement materially affect any other rights and obligations of the Parties hereunder, the Parties hereto will negotiate in good faith and amend this Agreement in a manner satisfactory to the Parties. 16 Notice. Any notice required or otherwise given pursuant to this Agreement shall be in writing and delivered in person, sent by United States mail, certified, return receipt requested, postage prepaid, or sent by overnight delivery service for next business day delivery (e.g., FedEx or U.P.S.), addressed to Licensor as follows: If to Licensor: Attention: Chris Roberson Indiana Hemophilia & Thrombosis Center, Inc. 8402 Harcourt Road, Suite 500 Indianapolis, Indiana 46260 Fax: 317-871-0010 If to Licensee: Attention: Ivonne Fuentes 3400 Grand Blvd. East Chicago, IN 46312 Any notice given as set forth herein shall be deemed to have been duly given (a) when delivered, if personally delivered, (b) on the third (3rd) business day after mailing, if mailed in the United States to the Party to whom notice is to be given by first class mail or (c) on the next business day after delivery to a nationally recognized overnight courier service or the Express Mail service maintained by the United States Postal Service. Any notice not sent in accordance with the provisions of this section shall be deemed given only upon confirmed receipt. 17 Headings. SURGERYLETTER™ License Agreement 6 The headings for the sections and paragraphs herein are for convenience only and shall not be used to interpret or modify and of the provisions of this Agreement. 18 Entire Agreement. This Agreement constitutes the entire agreement regarding the relationship between Licensor and Licensee, and supersedes any prior understanding or representation of any kind preceding the date of this Agreement. There are no other promises, conditions, understandings or other Agreements, whether oral or written relating to the subject matter of this Agreement. 19 Modification; Waivers. This Agreement may not be modified, changed or amended orally, and may only be modified, changed or amended by a writing signed by the Party charged with such modification, change or amendment. The failure to insist upon strict compliance of any of the terms, covenants or conditions hereof shall not be deemed a waiver of such terms, covenants or conditions, nor shall any waiver or relinquishment of any right or power hereunder at any one time or times be deemed a waiver or relinquishment of such right or power at any other time or times. 20 Binding on Successors. This Agreement shall be binding upon and inure to the benefit of the Parties hereto and their respective heirs, executors, legal representatives, successors, and permitted assigns. 21 LIMITATIONS OF WARRANTIES. BUT FOR THE WARRANTIES CONTAINED IN SECTION 6 OF THIS AGREEMENT, LICENSOR MAKES NO REPRESENTATIONS, EXTENDS NO WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, QUALITY, QUIET ENJOYMENT, ACCURACY, COURSE OF DEALING, USAGE OR TRADE AND LICENSOR ASSUMES NO RESPONSIBILITY WHATSOEVER WITH RESPECT TO USE, OR THE RIGHT TO PRODUCE PRODUCTS MADE BY THE USE OF THE SOFTWARE INTELLECTUAL PROPERTY UNDER THIS AGREEMENT. 22 LIMITATIONS OF LIABILITY. IN NO EVENT SHALL LICENSOR BE LIABLE TO LICENSEE OR ITS PATIENTS OR BUSINESS PARTNERS FOR ANY INDIRECT, PUNITIVE, SPECIAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT, EVEN IF THE REMEDIES SET FORTH IN THIS AGREEMENT FAIL OF THEIR ESSENTIAL PURPOSE. LICENSOR’S MONETARY LIABILITY PERTAINING TO ANY SINGLE USE OF THE SERVICES SHALL limited to what they pay. REGARDLESS OF THE FORM OF ACTION, BE LIMITED TO THE SUM OF FIFTY DOLLARS ($50.00), AND TO TEN THOUSAND DOLLARS ($10,000.00) IN THE AGGREGATE. SURGERYLETTER™ License Agreement 7 23 Construction. The Parties have participated jointly in the negotiation and drafting of this Agreement, and, in the event of an ambiguity or a question of intent or a need for interpretation arises, this Agreement shall be construed as if drafted jointly by the Parties and no presumption or burden of proof shall arise favoring or disfavoring any Party by virtue of the authorship of any of the provisions of this Agreement. [THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK] SURGERYLETTER™ License Agreement 8 IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed the day and year first above written. LICENSOR: INDIANA HEMOPHILIA AND THROMBOSIS CENTER, INC. By:__________________________________ Its:__________________________________ LICENSEE: _____________________________________ By: __________________________________ Its:___________________________________ ______________________________________ (Street Address) ______________________________________ (City, State and Zip) SURGERYLETTER™ License Agreement 9