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Business Associate Agreement

Last Updated: August 21, 2026

This Business Associate Agreement (this “Agreement”) is incorporated by reference into and made a part of Sanara Health’s Terms of Use, and is entered into by and between Sanara Health, a Delaware Company, and the applicable healthcare provider (“Customer”) that has agreed to the Terms of Use; provided, however, that the terms of this Agreement apply only if and solely to the extent that (1) Customer is a Covered Entity as defined under HIPAA (defined below), and (2) Sanara Health receives, creates, maintains, or transmits Protected Health Information in connection with the Services Agreement (defined below) whereby Sanara Health, as a Business Associate, performs services for or on behalf of Customer, as a Covered Entity. Sanara Health, in its capacity as a Business Associate is referred to herein as “Business Associate,” and Customer, in its capacity as a Covered Entity, is referred to herein as “Covered Entity,” Business Associate and Covered Entity are each individually a “Party” and collectively the “Parties.”

Witnesseth

WHEREAS, the Parties entered into this Agreement for the purposes of complying with the Health Insurance Portability and Accountability Act of 1996 and regulations promulgated thereunder (“HIPAA”) and the security provisions of the American Recovery and Reinvestment Act of 2009, also known as the Health Information Technology for Economic and Clinical Health Act (the “HITECH Act”).

WHEREAS, Covered Entity is a covered entity as such term is defined under HIPAA and as such is required to comply with the requirements thereof regarding the confidentiality and privacy of Protected Health Information (defined below);

WHEREAS, Covered Entity has accepted Business Associate’s Terms of Use or has entered into other agreements with Business Associate (“Services Agreement”) pursuant to which Business Associate may receive Protected Health Information for or on behalf of Covered Entity; and

WHEREAS, by providing services pursuant to the Service Agreement and receiving Protected Health Information for or on behalf of Covered Entity, Business Associate shall become a Business Associate of Covered Entity, as such term is defined under HIPAA, and will therefore have obligations regarding the confidentiality and privacy of Protected Health Information that Business Associate receives from or on behalf of, Covered Entity.

Agreement

NOW THEREFORE, in consideration of the mutual agreements and undertakings of the Parties, and for other good and valuable consideration, the sufficiency of which is hereby acknowledged, the Parties, intending to be legally bound, agree as follows:

  1. Definitions.

    Any capitalized term not specifically defined herein shall have the same meaning as is set forth in 45 C.F.R. Parts 160 and 164, where applicable. The terms “use,” “disclose” and “discovery,” or derivations thereof, although not capitalized, shall also have the same meanings set forth in HIPAA.

    1. “Electronic Protected Health Information” or “ePHI” shall have the same meaning given to such term as 45 C.F.R. §160.103, limited to the information created, received, or maintained or transmitted from or on behalf of Covered Entity.
    2. “Individual” shall have the same meaning as the term “individual” in 45 C.F.R. §160.103 and shall include a person who qualifies as a personal representative in accordance with 45 C.F.R. §164.502(g).
    3. “Protected Health Information” or “PHI” shall have the same meaning as the term “protected health information” in 45 C.F.R. §160.103, except limited to the information received from Covered Entity, or created, maintained or received on behalf of Covered Entity. For avoidance of doubt, PHI shall include ePHI.
    4. “Subcontractor” shall have the same meaning as the term “subcontractor” in 45 C.F.R. §160.103, except limited to any such individual or entity who creates, receives, maintains, or transmits PHI on behalf of Business Associate.
    5. “Unsecured PHI” shall mean PHI that is not rendered unusable, unreadable, or indecipherable to unauthorized individuals through the use of a technology or methodology specified by the Secretary (e.g., encryption). This definition applies to both hard copy PHI and electronic PHI.

  2. Obligations and Activities of Business Associate.

    1. Business Associate agrees that (i) it shall use or disclose PHI only in connection with fulfilling its duties and obligations under this Agreement, the Services Agreement; (ii) shall not use or disclose PHI other than as permitted or required by this Agreement or required by law; (iii) shall not use or disclose PHI in any manner that violates applicable federal and state laws or would violate such laws if used or disclosed in such manner by Covered Entity; and (iv) shall only use and disclose the minimum necessary PHI for its specific purposes.
    2. Business Associate agrees to use appropriate safeguards consistent with the size and complexity of Business Associate’s operations and comply, where applicable, with Subpart C of 45 C.F.R. Part 164 with respect to Electronic PHI, to prevent use or disclosure of the PHI other than as provided for by this Agreement.
    3. Business Associate agrees to report to the Covered Entity any use or disclosure of PHI not provided for by this Agreement, including, without limitation, Breaches of Unsecured PHI as required at 45 C.F.R. 164.410, and any Security Incident of which it becomes aware. The Parties acknowledge and agree that this Section constitutes notice by Business Associate to Covered Entity of the ongoing existence and occurrence of attempted but unsuccessful Security Incidents for which no additional notice to Covered Entity shall be required. Unsuccessful Security Incidents shall include, but not be limited to, pings and other broadcast attacks on Business Associate’s firewall, port scans, unsuccessful log-on attempts, denials of service and any combination of the above, so long as such incidents do not result, to the extent Business Associate is aware, in unauthorized access, use or disclosure of Electronic PHI. For all reporting obligations under this Agreement, the Parties acknowledge that, due to the nature of the services provided in the Services Agreement, Business Associate may not know the nature of the PHI or the identities of the Individuals to whom the PHI relates. Accordingly, Business Associate may be limited in its ability to provide information regarding the identities of the Individuals who may have been affected by a Security Incident or Breach affecting Covered Entity’s PHI, or in its ability to provide detailed information regarding what Provider PHI was affected by a Security Incident or Breach.
    4. In accordance with 45 C.F.R. §§164.502(e)(1)(ii) and 164.308(b)(2), if applicable, Business Associate agrees to ensure that any Subcontractors that create, receive, maintain, or transmit PHI on behalf of Business Associate agree in writing to substantially the same restrictions, conditions, and requirements that apply to Business Associate under this Agreement with respect to such PHI.
    5. To the extent Business Associate maintains PHI in a Designated Record Set, Business Associate agrees, upon Covered Entity’s written request, to make available PHI in a Designated Record Set to Covered Entity as necessary to satisfy Covered Entity’s obligations under 45 C.F.R. §164.524. Covered Entity will be responsible for making all determinations regarding the grant or denial of an Individual’s request for PHI and Business Associate will make no such determinations. Except as Required by Law, only Covered Entity will be responsible for releasing PHI to an Individual pursuant to such a request. Any denial of access to PHI determined by Covered Entity pursuant to 45 C.F.R. §164.524, and conveyed to Business Associate by Covered Entity, shall be the responsibility of Covered Entity, including resolution or reporting of all appeals and/or complaints arising from denials.
    6. To the extent Business Associate maintains PHI in a Designated Record Set, Business Associate agrees to make any amendment(s) to PHI in a Designated Record Set as requested, in writing, by the Covered Entity pursuant to 45 C.F.R. §164.526. Covered Entity will be responsible for making all determinations regarding the grant or denial of an Individual’s request for an amendment to PHI and Business Associate will make no such determinations. Any denial of amendment to PHI determined by Covered Entity pursuant to 45 C.F.R. §164.526, and conveyed to Business Associate by Covered Entity, shall be the responsibility of Covered Entity, including resolution or reporting of all appeals and/or complaints arising from denials.
    7. Business Associate agrees to maintain and make available the information required to provide an accounting of disclosures to Covered Entity as necessary to satisfy Covered Entity’s obligations under 45 C.F.R. §164.528.
    8. To the extent that Business Associate is to carry out one or more of Covered Entity’s obligations under Subpart E of 45 C.F.R. Part 164, Business Associate agrees to comply with the requirements of Subpart E that apply to Covered Entity in the performance of such obligations.
    9. Business Associate agrees to make its internal practices, books, and records available to the Secretary at reasonable times as they pertain to the use and disclosure of PHI in order to ensure that Covered Entity and/or Business Associate is in compliance with the requirements of HIPAA.

  3. Permitted Uses and Disclosures by Business Associate.

    1. Business Associate may only use or disclose PHI as necessary to perform its obligations under the Services Agreement. In addition, Business Associate is authorized to use PHI to de-identify the PHI in accordance with 45 C.F.R. 164.502(d) and 164.514(a)–(c) and to use and disclose such de-identified data to provide or improve its products or services.
    2. Business Associate may use or disclose PHI as permitted or Required By Law.
    3. Business Associate may not use or disclose PHI in a manner that would violate Subpart E of 45 C.F.R. Part 164 if done by Covered Entity, except for the specific uses and disclosures set forth herein.
    4. Business Associate may use PHI for its proper management and administration, including to develop statistical data regarding usage of its products or services, or to carry out its legal responsibilities.
    5. Business Associate may disclose PHI for its proper management and administration or to carry out its legal responsibilities, provided the disclosures are Required By Law, or Business Associate obtains reasonable assurances from the person to whom the information is disclosed that the information will remain confidential and used or further disclosed only as Required By Law or for the purposes for which it was disclosed to the person, and the person notifies Business Associate of any instances of which it is aware in which the information’s confidentiality has been breached.
    6. Business Associate may provide Data Aggregation services to the extent permitted under HIPAA, to use, disclose, and combine PHI created or received on behalf of Covered Entity by Business Associate pursuant to this Agreement with PHI, as defined by 45 C.F.R. §160.103, received by Business Associate in its capacity as a business associate of other covered entities, to permit data analyses that relate to the Health Care Operations of the respective covered entities and/or Covered Entity.

  4. Obligations of Covered Entity.

    1. Covered Entity shall promptly notify Business Associate of any limitation(s) in the notice of privacy practices of Covered Entity under 45 C.F.R. §164.520, to the extent that such limitation may affect Business Associate’s use or disclosure of PHI.
    2. Covered Entity shall notify Business Associate of any changes in, or revocation of, the permission by an Individual to use or disclose his or her PHI, to the extent that such changes may affect Business Associate’s use or disclosure of PHI, prior to the effective date of such revocation.
    3. Covered Entity shall notify Business Associate of any restriction on the use or disclosure of PHI that Covered Entity has agreed to or is required to abide by under 45 C.F.R. §164.522, to the extent that such restriction may affect Business Associate’s use or disclosure of PHI, prior to the effective date of such restriction.
    4. Covered Entity shall obtain any authorization or consents as may be Required by Law for any of the uses or disclosures of PHI pursuant to this Agreement or the Services Agreement.
    5. Covered Entity shall not request Business Associate to use or disclose PHI in any manner that would not be permissible under Subpart E of 45 C.F.R. Part 164 if done by Covered Entity.

  5. Term and Termination.

    1. Term. The Term of this Agreement shall commence as of the Effective Date and shall terminate upon the termination of the Services Agreement or on the date either Party terminates this Agreement for cause as authorized in Section 5(b), whichever is sooner.
    2. Termination for Cause. Each Party authorizes termination of this Agreement by the other Party if a Party determines the other Party has breached a material term of this Agreement and the breach is not cured within thirty (30) days after the breaching Party’s receipt of written notice of the alleged breach.
    3. Obligations of Business Associate Upon Termination. Upon termination of this Agreement for any reason, Business Associate shall: (i) if feasible as determined by Business Associate, return or destroy all PHI received from, or created or received by Business Associate for or on behalf of Covered Entity that Business Associate or any of its subcontractors and agents still maintain in any form, and Business Associate shall retain no copies of such information; or (ii) if Business Associate determines that such return or destruction is not feasible, extend the protections of this Agreement to such information and limit further uses and disclosures to those purposes that make the return or destruction of the PHI infeasible, in which case Business Associate’s obligations under this Section shall survive the termination of this Agreement.
    4. Survival. The obligations of Business Associate under this Section shall survive the termination of this Agreement.

  6. Miscellaneous.

    1. Regulatory References. A reference in this Agreement to HIPAA means the provision as in effect or as amended.
    2. Amendment. The Parties agree to take such action as is necessary to amend this Agreement from time to time as is necessary for the Covered Entity to comply with the requirements of HIPAA and any other applicable law.
    3. Interpretation. Any ambiguity in this Agreement shall be resolved to permit compliance with HIPAA.
    4. Conflicting Terms. In the event that any terms of this Agreement conflict with any terms of the Service Agreement, the terms of this Agreement shall govern and control.
    5. Governing Law and Disputes. The construction, interpretation and performance of this Agreement and all transactions under this Agreement shall be governed and enforced pursuant to the laws of State of Delaware, without giving effect to its conflicts of laws provisions, except to the extent Delaware law is preempted by any provision of federal law, including HIPAA. The Parties agree that all disputes arising out of or relating to this Agreement will be subject to mandatory binding arbitration under the rules of Judicial Administration and Arbitration Services (“JAMS”) in effect at the time of submission, as modified by this Section 6(d). The arbitration will be heard and determined by a single arbitrator selected by the Parties’ mutual agreement, or, failing agreement within thirty (30) days following the date of the respondent’s receipt of the claim, by JAMS. Such arbitration will take place at a location mutually agreed to by the parties. The arbitration award so given will be a final and binding determination of the dispute, and will be fully enforceable in any court of competent jurisdiction. Except in a proceeding to enforce the arbitration’s results or as otherwise required by law, neither Party nor any arbitrator may disclose the existence, content or results of any arbitration hereunder without the prior written agreement of both Parties.
    6. No Third-Party Beneficiary. Nothing express or implied in this Agreement is intended to confer, nor shall anything herein confer, upon any person other than the Parties and the Parties’ respective successors or assigns, any rights, remedies, obligations, or liabilities whatsoever.
    7. Controlling Provisions. In the event that it is impossible to comply with both the Services Agreement and this Agreement, the provisions of this Agreement shall control with respect to those provisions of each agreement that expressly conflict with regard to the subject matter herein. This Agreement shall supersede and replace any prior business associate agreements between the Parties, with respect to any actions of Business Associate after the Effective Date.
    8. Effect. This Agreement shall be binding upon, and shall inure to the benefit of, the Parties and their respective successors, assigns, heirs, executors, administrators and other legal representatives.
    9. Severability. In the event any provision of this Agreement is rendered invalid or unenforceable under any new or existing law or regulation or declared null and void by any court of competent jurisdiction, the remainder of this Agreements’ provisions shall remain in full force and effect if it reasonably can be given effect.
    10. Notices. Any notices pertaining to this Agreement shall be in writing and delivered in the manner set forth in the Services Agreement.
    11. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original.