FIRST AMENDMENT TO AGREEMENT

Reference is made to the Professional Service Agreement (Agreement) by and between ParkCreek Surgery Center, LLLP (Facility) and Neuro IOM Services, INC., a wholly owned subsidiary of Sentient SMS Holdings Corporation (NIS), effective as of October 1, 2011 (Effective Date). Pursuant to Section 14 of said Agreement, the parties hereby agree to modify the Agreement retroactive to the ____ day of_________________, 2011. Exhibit B of the Agreement, entitled Billing Procedures and Fees for Services shall be deleted in its entirety and replaced with the following: A. The Minimum Scheduling Time Requested: Facility shall use its best efforts to provide notice to NIS within 48 hours of scheduled case. B. Fee Structure: 1. The parties hereby agree that Facility shall only reimburse NIS for the Global Component in the cases identified in section 3 herein. The Global Component shall include both professional and technical components. The parties hereby agree that NIS shall bill fees for Global Component as related to Letter of Protections (LOP) cases directly to the attorney representing the patient. Facility shall not be responsible for rendering payment to NIS or negotiating fees with any third parties on behalf of NIS for any such claims. 2. Where NIS is in-network with a commercial insurance carrier, NIS agrees to submit claims for the Global Component pursuant to each respective contract and shall consider insurance reimbursement as payment in full. Notwithstanding section 6(d) of the Agreement, NIS further agrees that the Global Component for all government agency claims (e.g Medicare and/or Medicaid) or workers compensation claims shall be billed by NIS directly to the payer and NIS agrees to accept reimbursement received from these payers as payment in full. 3. Where NIS is out of network with a commercial insurance carrier, the parties agree that NIS shall bill the facility not to exceed the following Maximum Disparity Fees for the Global Component: 1 Hour Case = $500/Case 1-2 Hour Case = $800.00/Case 2+ Hour Case = $1,200/ Case The parties hereby agree that the Maximum Disparity Fee Shall not exceed $1,200 per Case. In all other respects, the Agreement shall remain unchanged and its terms to provisions shall remain in full force and effect. IN WITHNESS WHEREOF, the undersigned have executed this Amendment to Agreement and agree to be bound by its terms. PARKCREEK SURGEY CENTER, LLLP By:_________________________________ Authorized Signatory Richard Famiglietti____________________ NEURO IOM SERVICES, INC., a wholly owned subsidiary of SENTIENT SMS HOLDINGS CORP. By:_______________________________________ Authorized Signatory __________________________________________

Name (Print) Administrator_____________________ _________________________________ Date Signed 35-2250279_______________________

Name (Print) ______________________________________ ______________________________________ Date Signed ______________________________________

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