The Parties & the Purpose of the Collaboration
This collaboration brings together four complementary organizations to accelerate the deployment of Nanox's imaging and AI solutions across the U.S. healthcare landscape — combining technology, a national care network, data-driven targeting and capital, and purpose-built financing.
The Four Parties i.
Nanox (Nano-X Imaging Ltd.)
Developer of the Nanox.ARC and Nanox.ARC X multi-source 3D digital tomosynthesis systems, a suite of FDA-cleared AI diagnostic solutions, Nanox.CLOUD, teleradiology (via USARAD) and Health IT. Nanox delivers an integrated, end-to-end platform — from scan to interpretation — to expand access to imaging and advance preventive care.
Operates in the U.S. across two go-to-market models: the Nanox Imaging Network ("retail") and Nanox Impact (conventional device sale & AI services).
Monarch (Medical Management & Billing LLC)
A healthcare management organization with more than 30 years of experience, with an associated network spanning workers' compensation, nursing facilities, outpatient clinics and dedicated imaging centers. In September 2025 Monarch partnered with Nanox to build the Nanox Imaging Network, beginning with a proof-of-concept of a dozen-plus initial sites ahead of nationwide expansion.
Monarch is the primary partner developing Nanox's "retail" / Imaging Network modality.
SPHERE (Investments Operations, LLC)
A strategic investment platform (formerly Flagler Healthcare Investments) at the intersection of public-health equities and healthcare real estate. SPHERE brings a proprietary healthcare business-intelligence platform, deep machine-learning analytics, established medical-group and health-system relationships, and a portfolio of outpatient, medical-office and hospital-affiliated sites nationwide.
In this partnership SPHERE contributes data, relationships and selective co-investment in the retail business.
FinMD
A specialty healthcare-finance platform offering equipment finance agreements, leasing and working-capital facilities purpose-built for U.S. physicians, practices, imaging centers and clinics. FinMD underwrites, documents, funds and services financing — converting a qualified buyer's purchase into an up-front cash sale for Nanox or its distributor, non-recourse to Nanox.
FinMD is proposed as the exclusive credit provider for U.S. ARC acquisitions.
Four Principal Purposes of the Collaboration ii.
Accelerate the Imaging Network & Nanox Impact
Strengthen both Nanox businesses — the "retail" Imaging Network (with Monarch) and Nanox Impact (equipment / CapEx sales plus AI, teleradiology and Health IT). SPHERE provides data and full collaboration support across all Imaging Network sites and acts as a co-investor selectively, committing to one (1) pilot retail site immediately upon execution.
Nanox · Monarch · SPHEREExclusive financing for physician practices via FinMD
Establish FinMD (a SPHERE affiliate) as the exclusive credit provider offering financing to physician practices for the acquisition of the Nanox.ARC, removing the capital-expenditure barrier and accelerating sales.
Nanox · FinMDAccess to a vast national network of relationships
Provide Nanox — across all of its divisions — with access to SPHERE and FinMD's extensive relationships with physicians, physician practices and healthcare systems throughout the country, as well as to SPHERE's medical tenants and portfolio of medical properties as potential retail sites.
All Nanox divisionsUnparalleled healthcare data & custom analytics
Give Nanox access to SPHERE's healthcare data analytics and collaborate to create customized analytical tools for the selection, targeting, reach and marketing of all of Nanox's value propositions.
Data IntelligenceNanox's U.S. Business Lines & Modalities iii.
The collaboration supports the full breadth of Nanox's U.S. activities. The revenue-participation framework in Tab 04 maps to these lines.
| Business line | Division / channel | What it is |
|---|---|---|
| Nanox.ARC & ARC X — device sale (CapEx) | Nanox Impact | Direct and distributor sale of the multi-source 3D digital tomosynthesis system. Nanox works through five regional U.S. distributors plus a national commercial agreement with Howard Technology Solutions (a division of Howard Industries) for 300 ARC systems over three years. |
| Pay-per-scan ("pay-per-click") | Nanox Imaging Network | Usage-based deployment of the ARC at retail / network sites with no capital outlay — the model being scaled with Monarch across outpatient clinics, nursing facilities and workers'-comp imaging centers. |
| AI services | Nanox.AI (Israel team) | Suite of FDA 510(k)-cleared algorithms (cardiac / HealthCCSng, fatty liver / HealthFLD, bone / HealthOST, Real+) that analyze routine CT to flag early signs of chronic disease. |
| Teleradiology & radiology reports | Radiology Services (USARAD) | Teleradiology and final radiology reports through USARAD Holdings — a radiologist-run subspecialty teleradiology company acquired by Nanox — plus the Nanox.MARKETPLACE and AI Second Opinion services. |
| Health IT | Nanox Health IT | RIS, PACS, AI orchestration, dictation and secure infrastructure solutions that streamline imaging workflows. |
Note: "Nanox Imaging Network" and "Nanox Impact" reflect the internal designations used in our discussions for the retail/network modality and the conventional device-and-services modality, respectively.
Nanox's U.S. Distribution Partners iv.
Beyond its direct sales force, Nanox reaches the U.S. market through a growing channel-partner network. As of 2026 it has signed agreements with five regional distributors — Integrity Medical Service (Colorado, Wyoming and the western parts of Kansas and Nebraska), Elite Surgical Technologies (Ohio, Indiana, Michigan, western Pennsylvania and West Virginia), Imperial Imaging Technology (the Southeast — Georgia, Alabama, Tennessee, the Carolinas and northern Florida), Digital X-Ray Imaging (Arkansas) and Radiology Oncology Systems — and, in April 2026, a national commercial agreement with Howard Technology Solutions (a division of Howard Industries) to market and deploy 300 Nanox.ARC systems over three years, with 60 in the first year. Crucially, the SPHERE and FinMD collaboration is designed to support not only Nanox and Monarch but also this distribution network — extending SPHERE's data-driven targeting and FinMD's ARC financing across all of Nanox's go-to-market channels.
SPHERE's Contribution to the Partnership
SPHERE is the data, relationships and capital engine of the collaboration — supporting all Nanox U.S. commercial activity and selectively co-investing in the Imaging Network alongside Nanox and Monarch.
Purpose — Nanox, Monarch & SPHERE i.
The collaboration has a dual purpose: (i) to accelerate and reinforce the Nanox Imaging Network ("retail") business; and (ii) to accelerate the sale of equipment (CapEx) and all of the other services presented in Tab 1 — Nanox's Nanox Impact business (AI services, teleradiology & radiology reports, and Health IT). SPHERE supports all of Nanox's U.S. commercial activity by pairing its proprietary healthcare intelligence and provider relationships with selective co-investment — working alongside Nanox and Monarch to identify and target accounts, stand up sites, sharpen go-to-market across every Nanox business line, and share in the upside it helps create.
Scope of SPHERE's involvement. SPHERE provides the full data and collaboration support described in Tabs 01 and 02 across both Nanox businesses: the Nanox Imaging Network — for every retail site opened by the Nanox / Monarch / SPHERE collaboration — and Nanox Impact, supporting equipment (CapEx) sales and services through all of Nanox's direct sales team and its U.S. distributor network. SPHERE will, however, invest and act as a co-investor only in selected retail sites, at its sole discretion — and commits to immediately invest in one (1) pilot retail site upon execution of the agreement.
Roles & Responsibilities ii.
SPHERE provides
- Data & analytics: proprietary healthcare business-intelligence platform; market, account and physician targeting; site identification and feasibility across outpatient and inpatient settings.
- Custom tools: co-development of bespoke analytical tools for the selection, targeting, reach and marketing of all Nanox value propositions.
- Relationships: access to established medical-group, physician-practice and health-system relationships nationwide.
- Medical real estate & sites: access to SPHERE's medical tenants and its portfolio of medical-office, outpatient and hospital-affiliated properties as potential retail / Imaging Network sites.
- Driving Nanox Impact: applying that data, targeting and those relationships to accelerate equipment (CapEx) sales and the adoption of AI, teleradiology / radiology reports and Health IT — not only the retail Imaging Network.
- Support for all sites: data, targeting and the full collaboration support above for every retail site opened by the collaboration — whether or not SPHERE co-invests in it.
- Selective co-investment: capital and site access as a co-investor only in selected retail sites, at SPHERE's sole discretion — with a firm commitment to fund one (1) pilot retail site immediately upon execution.
Nanox / Monarch provide
- Technology & equipment: the Nanox.ARC platform, AI, cloud and the core imaging operating model.
- Network operations: Nanox and Monarch are responsible for the management of all retail sites — including the network of physician referrals and all ancillary services — together with Monarch's associated facilities and operational footprint for retail/network deployment.
- Capital & commissioning: equipment, start-up and operating capital for pilot/network sites.
- Reporting: quarterly reporting on attributed U.S. revenue across all business lines.
Targets & Expected Results iii.
Illustrative targets to be confirmed in the definitive agreement. Bracketed values are placeholders for the parties' planning.
Definitive Nanox–SPHERE agreement; data-sharing and analytics scope agreed; joint target list built from SPHERE's intelligence platform.
SPHERE funds and stands up its committed pilot retail site; the broader Imaging Network rollout proceeds with Monarch (SPHERE supporting all sites with data and targeting); deploy first custom targeting tools; begin attributing revenue across CapEx, pay-per-scan, AI, teleradiology and Health IT.
Expand the network against agreed KPIs; broaden analytics to all Nanox divisions nationwide; structure a programmatic JV to scale the retail platform if the pilot succeeds.
Compensation Modality iv.
SPHERE's compensation has two components, reflecting both its platform-wide support and its selective co-investment in the retail modality:
| Component | Basis |
|---|---|
| (a) Revenue participation across both the Nanox Impact and Nanox Imaging Network businesses | Per the four-category schedule set out in the MoU (Tab 04), applied to the U.S. revenue pool — covering equipment (CapEx) sales, pay-per-scan, AI services, teleradiology / radiology reports and Health IT. This rewards SPHERE's data, targeting and support across all of Nanox's U.S. activity, including every retail site SPHERE supports, whether or not SPHERE co-invests in it. |
| (b) Equity in co-invested retail sites only | An ownership interest only in the specific retail sites SPHERE elects to co-invest in — beginning with the committed pilot site — initially proposed 50% Nanox / 50% SPHERE, with net income distributed in that ratio after agreed operating expenses. Sites SPHERE supports but does not fund carry no equity split and are compensated through (a). Pathway to a scaled JV upon a successful pilot. |
The full revenue-participation percentages appear in the Memorandum of Understanding (Tab 04).
Assessment & Exit Mechanism v.
FinMD's Contribution to the Partnership
FinMD removes the single biggest friction in equipment sales — capital expenditure — by serving as the exclusive financing partner for U.S. buyers of the Nanox.ARC, turning financed purchases into up-front cash sales for Nanox and its distributors.
Purpose — Nanox & FinMD i.
To establish FinMD, a SPHERE affiliate, as the exclusive credit provider offering financing to physician practices and other U.S. buyers for the acquisition of the Nanox.ARC and ARC X. FinMD underwrites, documents, funds and services the financing end-to-end — accelerating sales cycles and lifting close rates across Nanox's direct and distributor channels, at no cost, no capital and no risk to Nanox.
Roles & Responsibilities ii.
FinMD provides
- Financing platform: equipment finance agreements (buyer owns; FinMD holds first-priority lien) and lease structures; up to 100% of invoice; 36–84 month terms.
- Turnkey servicing: application, underwriting, credit decision, documentation, funding and servicing — with optional co-branding.
- Up-front cash to Nanox: funds the buyer on delivery and acceptance; arrangement is non-recourse to Nanox.
- Ancillary facility: financing for installation, training, freight/tax, service & maintenance and Nanox.CLOUD / AI subscriptions, optionally bundled into one monthly payment.
Nanox / distributors provide
- Referrals: identify interested buyers and refer them to FinMD (or a co-branded application link).
- Exclusivity: position FinMD as the preferred / exclusive financing route for U.S. ARC acquisitions.
- Delivery & acceptance: commission equipment so FinMD can fund.
- No referral fee / no capital outlay required from Nanox.
Indicative Financing Terms iii.
| Parameter | Indicative term |
|---|---|
| Eligible borrowers | U.S. physicians, medical practices, imaging centers and clinics (commercial / B2B) |
| Eligible equipment | Nanox.ARC and Nanox.ARC X (and future iterations) |
| Structure | Equipment Finance Agreement (first-priority UCC-1 lien); capital or operating / FMV lease alternatives |
| Financed amount / term | Up to 100% of invoice · 36–84 months |
| Rate | Fixed; indicative 8%–17%+ depending on term and credit profile (subject to approval) |
| App-only credit | Up to $160,000 · min. 2 years in business · min. FICO 680 |
| Recourse | Non-recourse to Nanox; personal guarantee from owners holding >20% |
Timeline & Milestones iv.
Definitive Nanox–FinMD agreement; co-branded application flow; distributor onboarding (Howard Technology Solutions and the five regional distributors); program collateral.
Route active ARC pipeline through FinMD; track penetration, approval rates and turnaround; refine credit box for small-ticket deals.
Extend ancillary/working-capital facility; align financing offers with Imaging Network pay-per-scan economics where relevant.
Compensation Modality v.
FinMD earns its return through the financing economics it originates and services (e.g., finance margin / spread on funded transactions and ancillary facilities), rather than a referral fee from Nanox. The financing is structured at no cost, no capital and no risk to Nanox.
Memorandum of Understanding
A non-binding MoU to be signed by all four parties, serving as the base for two definitive agreements to be prepared by counsel: one between Nanox / Monarch and SPHERE, and one between Nanox and FinMD.
Memorandum of Understanding
This Memorandum of Understanding ("MOU") is entered into on the ____ day of __________, 2026 (the "Effective Date"), by and among Nano-X Imaging Ltd., an Israeli public company ("Nanox"); Monarch Medical Management & Billing LLC ("Monarch"); SPHERE Investments Operations, LLC, a Delaware limited liability company ("SPHERE"); and FinMD LLC, a Delaware limited liability company ("FinMD," and together with Nanox, Monarch and SPHERE, the "Parties," and each, a "Party"). Except for the provisions identified in Section 10 (Binding Provisions), this MOU is non-binding and reflects the current intent of the Parties only.
1. Recitals
(a) Nanox is the developer of the Nanox.ARC and Nanox.ARC X imaging systems and a portfolio of AI-enabled diagnostic, teleradiology and Health-IT solutions, pursuing U.S. commercial deployment through multiple business models, including conventional device sales and AI services (the "Nanox Impact" modality) and a retail / network model (the "Nanox Imaging Network" modality).
(b) Monarch has partnered with Nanox to develop the Nanox Imaging Network across its associated healthcare facilities, beginning with an initial proof-of-concept of a dozen-plus sites.
(c) SPHERE is a strategic investment platform focused on public-health equities and healthcare real estate, with a proprietary healthcare business-intelligence platform, established medical-group and health-system relationships, and a portfolio of outpatient, medical-office and hospital-affiliated sites across the United States.
(d) FinMD, an affiliate of SPHERE, is a specialty healthcare-finance platform that underwrites, documents, funds and services financing for U.S. physicians, practices, imaging centers and clinics.
(e) The Parties wish to establish a strategic collaboration to (i) support and accelerate the growth of both the Nanox Imaging Network — with SPHERE co-investment — and the Nanox Impact business (equipment / CapEx sales and AI, teleradiology and Health-IT services) across Nanox's direct sales force and distributor network; (ii) appoint FinMD as the exclusive credit provider for U.S. ARC acquisitions; (iii) give Nanox access to SPHERE and FinMD's national network of physician, practice and health-system relationships, as well as to SPHERE's medical tenants and portfolio of medical properties as potential retail sites; and (iv) give Nanox access to SPHERE's healthcare data analytics and jointly build customized analytical tools across all Nanox value propositions.
2. Structure — Two Definitive Agreements
2.1 This MOU is intended to serve as the base for two definitive agreements: (A) a market-intelligence, distribution and co-investment agreement among Nanox (and, as applicable, Monarch) and SPHERE; and (B) an exclusive equipment-financing agreement between Nanox and FinMD.
2.2 Territory: the United States, with an option, by mutual written agreement, to extend the framework to selected other geographies.
3. SPHERE — Scope, Role & Term
3.1 SPHERE will support all Nanox U.S. commercial activities — device CapEx sales; pay-per-scan deployments; AI diagnostics; teleradiology; and Health-IT solutions — and will selectively co-invest in the retail Imaging Network modality.
3.2 SPHERE will provide data-driven market and account targeting, physician and health-system access, site identification, and the joint development of customized analytical tools.
3.3 Term: five (5) years from the effective date of Definitive Agreement A, with a mutual option to renew on terms to be agreed.
4. SPHERE — Compensation
In consideration for SPHERE's support of Nanox's U.S. commercial activities, SPHERE will receive revenue participation of the U.S. revenue pool in accordance with the following schedule (reflecting the current Nanox proposal):
| Revenue stream | SPHERE participation |
|---|---|
| Teleradiology & radiology reports (USARAD radiology services) | 3% of revenue |
| AI service revenue | 10% of revenue |
| Nanox.ARC — direct equipment sale (CapEx) or pay-per-scan ("pay-per-click") revenue | 5% of revenue |
| Health IT | 2% of revenue |
4.1 U.S. Revenue Pool. The participation applies to revenue of Nanox and its affiliates generated from customers and operations in the United States, in accordance with the percentage allocations above.
4.2 Retail Imaging Network — support and selective co-investment. SPHERE will provide data and collaboration support for all retail Imaging Network sites opened by the Nanox / Monarch / SPHERE collaboration, and will act as a co-investor only in selected sites at its sole discretion. SPHERE commits to invest in one (1) pilot retail site immediately upon execution of Definitive Agreement A. In each site in which SPHERE co-invests, SPHERE will hold an equity interest (initially proposed 50% Nanox / 50% SPHERE), with net income distributed in the same ratio after agreed operating expenses; sites SPHERE supports but does not fund carry no such equity split and are compensated through the revenue participation in Section 4. A pathway to a scaled joint venture applies upon a successful pilot.
4.3 Reporting & payment. Nanox will provide quarterly reporting on attributed transactions, with payment timing and mechanics to be set in Definitive Agreement A.
5. FinMD — Exclusive Financing
5.1 FinMD will serve as the exclusive credit provider for U.S. end-user purchasers of the Nanox.ARC and ARC X. Nanox and its distributors will refer interested buyers to FinMD (or a co-branded application link); FinMD underwrites, documents, funds and services the financing.
5.2 Financing is non-recourse to Nanox; Nanox and its distributors are paid in full upon equipment delivery and acceptance. No referral fee or capital outlay is required from Nanox.
5.3 Indicative terms (EFA / lease structures; up to 100% of invoice; 36–84 months; fixed rate) are as set out in the program materials and will be finalized in Definitive Agreement B.
6. Targets, Assessment & Exit
6.1 The Parties will agree key performance indicators and an indicative timeline in the definitive agreements.
6.2 Performance will be reviewed jointly at the end of the pilot period and quarterly thereafter.
6.3 If results materially fall short of agreed expectations over a defined measurement window, the affected Parties may invoke a good-faith remediation period and, failing improvement, unwind or buy out retail equity at a pre-agreed mechanic, and/or wind down the relevant program — without disturbing compensation already accrued.
7. Definitive Agreements
7.1 The Parties will use commercially reasonable efforts to negotiate and execute Definitive Agreements A and B within thirty (30) days of the Effective Date (the "Target Date").
7.2 Nothing in this MOU obligates any Party to enter into any definitive agreement, which remains subject to satisfactory negotiation, internal approvals, regulatory review and customary diligence.
8. Confidentiality & Public Disclosure Binding
8.1 Each Party will hold in confidence the existence and contents of this MOU and any non-public information disclosed by another Party, and will use it solely to evaluate, negotiate and implement the contemplated transactions.
8.2 Permitted disclosures to directors, officers, employees, advisors and affiliates with a need to know (bound by comparable obligations), and disclosures required by law, regulation or stock-exchange rule (with prompt prior notice where legally permissible).
8.3 These obligations survive termination for one (1) year from the Effective Date.
8.4 The Definitive Agreements will set out the Parties' detailed confidentiality terms, which shall include the requirement of the mutual written agreement of the Parties prior to any communication, public announcement or press release concerning this MOU, the collaboration or the transactions contemplated hereby, except as required by applicable law, regulation or stock-exchange rule.
8.5 Public-company disclosure. The Parties acknowledge that Nanox is a publicly traded company (NASDAQ: NNOX) and may be required to disclose, file or furnish this MOU and information regarding the collaboration pursuant to applicable securities laws and the rules of the U.S. Securities and Exchange Commission and the NASDAQ Stock Market. Such disclosures are permitted notwithstanding this Section 8, and Nanox will, to the extent legally permissible and practicable, consult with the other Parties as to their timing and content.
8.6 Material non-public information. The Parties acknowledge that information exchanged in connection with this MOU may constitute material non-public information concerning Nanox. Each Party agrees to comply with applicable securities laws and not to trade in Nanox securities, or to procure or enable others to do so, while in possession of such material non-public information.
9. Expenses · No Representations Binding
9.1 Each Party bears its own costs (legal, accounting, advisory and other professional fees), whether or not definitive agreements are executed.
9.2 No Party is relying on any representation or warranty of another Party other than as expressly set out herein. All financial figures, percentages and operating parameters are illustrative or preliminary and remain subject to definitive documentation.
10. Binding Provisions Binding
10.1 Non-binding generally. Except as set out in Section 10.2, this MOU creates no legal obligation and reflects current intent only. No contract, partnership, joint venture, agency or fiduciary relationship is created hereby. Non-binding
10.2 Binding provisions. Sections 8 (Confidentiality & Public Disclosure), 9 (Expenses; No Representations), 10 (Binding Provisions), 11 (Term & Termination) and 12 (Miscellaneous) are intended to be, and shall be, legally binding on the Parties.
11. Term & Termination Binding
11.1 This MOU commences on the Effective Date and continues until the earliest of (i) execution of the definitive agreements, (ii) mutual written termination, or (iii) one hundred twenty (120) days after the Effective Date if no definitive agreements have been executed.
11.2 Sections 8, 9, 10, 11 and 12 survive termination or expiration.
12. Miscellaneous Binding
12.1 Governing law. This MOU is governed by and construed in accordance with the laws of the State of Delaware, without regard to its conflict-of-laws principles.
12.2 Counterparts; electronic signatures. May be executed in counterparts; signatures delivered by electronic means are deemed originals.
12.3 Entire understanding. This MOU constitutes the entire understanding of the Parties as to its subject matter and supersedes all prior discussions; it may be amended only by a written instrument executed by all Parties.
IN WITNESS WHEREOF, the Parties have executed this Memorandum of Understanding as of the Effective Date.