EXHIBIT 10.1

                       SECOND AMENDMENT TO LEASE AGREEMENT

     This Agreement ("Agreement" or "Amendment") made this 21st day of December,
2004 by and between  CORPORATE PLAZA  ASSOCIATES,  L.L.C.,  485 A Route 1 South,
Suite 330, Iselin, New Jersey 08830 (hereinafter  referred to as "Landlord") and
CAREADVANTAGE  HEALTH  SYSTEMS,  INC., 485 Route1 South Building C, Iselin,  New
Jersey 08830 (hereinafter referred to as "Tenant");

     WHEREAS,  the Landlord  owns certain  lands and premises in the Township of
Woodbridge,  County  of  Middlesex  and  State of New  Jersey,  which  lands and
premises are known as Woodbridge Corporate Plaza,  Building C, 485 U.S. Route #1
South,  Iselin, New Jersey, upon which there has been erected an office building
known as "Building C" containing  approximately 110,074 square feet (hereinafter
called the "building" or the "Building"); and

     WHEREAS,  Landlord is the successor in interest from KB Fund IV who in turn
was   successor  in  interest   from   Metropolitan   Life   Insurance   Company
("Metropolitan"), to a certain lease as described below between Metropolitan, as
Landlord and Tenant, as tenant; and

     WHEREAS,  Landlord and Tenant have heretofore  entered into a certain lease
agreement  dated April 14,  1995 (the  "Original  Lease"),  as modified by Lease
Extension and Modification Agreement to Lease dated October 31, 2000 (the "First
Amendment")  (the Original  Lease,  together  with the First  Amendment and this
Amendment are referred to herein  collectively as the "Lease") pursuant to which
Tenant Leased from Landlord a total of approximately 27,838 rentable square feet
of space in Building C (hereinafter  called the  "Premises"),  all in accordance
with the terms and conditions of the Lease; and


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     WHEREAS, the Lease was guarantied by Careadvantage,  Inc.  ("Guarantor") by
Guaranty ("Guaranty") dated on or about April 10, 1995; and

     WHEREAS,  Landlord and Tenant are desirous of further amending the Lease to
provide for the matters hereinafter set forth, such as, commencing as of January
1,  2005,  providing  for  the  conditional  reduction  in  Base  Rent  and  the
conditional  waiver of electric charges,  expense escalation and real estate tax
escalation payments,  and to provide Landlord with the option to recapture up to
50% of the  Premises at any time,  all as set forth and subject to the terms and
conditions described hereinbelow.

     NOW, THEREFORE,  for good and valuable  consideration,  Landlord and Tenant
hereby agree as follows:

     1. Incorporation Of Recitals. The recitals set forth above and in the Lease
referred to therein are hereby  incorporated herein by reference as if set forth
in full in the body of this Amendment.

     2. Capitalized  Terms. All capitalized  terms used herein and not otherwise
defined herein shall have the meanings ascribed to them in the Lease.

     3. Terms and Obligations.

     All of the terms and  obligations of the Lease are to be  incorporated  and
applicable  to this  Amendment,  including  all  Riders,  Schedules,  Rules  and
Regulations,  etc. as have been previously  provided to the Tenant except as may
be otherwise set forth or amended  herein.  All of the terms and  obligations of
the Lease are to be in full force and effect  except for those  terms  which are
specifically set forth or amended herein.

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     4. Effective Date. The effective date ("Effective  Date") of this Amendment
shall be upon the date of this Amendment hereinabove set forth.

     5. Second Amendment Commencement Date: January 1, 2005.

     6. Expiration Date: The Expiration Date of the Lease shall remain unchanged
at March 31, 2011, per the Lease.

     7. [Intentionally Omitted.]

     8. Base  Rent:Effective  as of the Second Amendment  Commencement  Date and
continuing  through  and  including  the  Expiration  Date  (such  period  being
described  herein as the "New  Term"),  provided  that (i) the  Tenant is at all
times  during  the New Term the  original  Tenant  named  in the  Lease  and the
Premises  have not been  sublet and the Lease has not been  assigned at any time
during such New Term,  except for an  assignment of the Lease or a sublet of the
Premises as may be  described in Section  11.09 of the  Original  Lease and (ii)
Tenant is not in default  under any of the terms and  conditions of the Lease at
any time during the New Term,  then the Base Rent  payable by Tenant  during the
New Term shall be as provided hereinbelow.  In the event that on any date during
such New Term the  Tenant is (i) not the  original  Tenant  named  herein or the
Lease has been assigned or the Premises sublet,  except for an assignment of the
Lease or a sublet of the Premises as may be  described  in Section  11.09 of the
Original  Lease or (ii) in default under any of the terms and conditions of this
Lease,  then the  reduction in Base Rent  provided  below shall be nullified and
entirely  forfeited and Tenant shall be required to immediately  pay to Landlord
as Additional  Rent the equivalent of the difference in Base Rent during the New
Term between the Base Rent described in Article 5 of the First Amendment and the
Base Rent described below.


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                Months One through Seventy Five of the New Term.

                            Monthly          Annually            Total

         1/1/05-12/31/06   $29,183.50       $350,202.04     $  700,404.00
         1/1/07-12/31/07   $37,511.71       $450,140.46     $  450,140.46
         1/1/08-12/31/08   $45,839.91       $550,078.88     $  550,078.92
         1/1/09-12/31/09   $54,168.11       $650,017.30     $  650,017.30
         1/1/10-3/31/11    $62,500.00       $750,000.00     $  937,500.00

                                              TOTAL         $3,288,140.68

     9.  Tenant  Electric  Charges,   Operating  Expense  and  Real  Estate  Tax
Escalation Payments.

     Effective  as of the  Second  Amendment  Commencement  Date and  continuing
through and including the  Expiration  Date,  provided that (i) the Tenant is at
all times  during the New Term the  original  Tenant  named in the Lease and the
Premises  have not been  sublet and the Lease has not been  assigned at any time
during such New Term,  except for an  assignment of the Lease or a sublet of the
Premises as may be  described in Section  11.09 of the  Original  Lease and (ii)
Tenant is not in default  under any of the terms and  conditions of the Lease at
any time during the New Term, then Tenant shall not be obligated to pay Landlord
during the New Term  Operating  Expense  escalation  payments,  Real  Estate Tax
escalation  payments and the electric  costs  provided for in the Original Lease
and the First Amendment.  In the event that on any date during such New Term the
Tenant  is (i) not the  original  Tenant  named  herein  or the  Lease  has been
assigned or the  Premises  sublet,  except for an  assignment  of the Lease or a
sublet of the  Premises as may be  described  in Section  11.09 of the  Original
Lease or (ii) in default  under any of the terms and  conditions  of this Lease,
then the  waiver  of the  aforesaid  charges  shall be  nullified  and  entirely
forfeited  and Tenant  shall be  required  to  immediately  pay to  Landlord  as
Additional Rent

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all of the  escalation  payments  and  electricity  charges as  provided  in the
Original  Lease and First  Amendment as if this Article of the Amendment did not
exist.

     10. Notices

          (a)  All notices,  demands or requests provided for or permitted to be
               given  pursuant to this Lease must be in writing  sent by Federal
               Express or other overnight  courier  service,  or mailed by first
               class,  registered or certified mail,  return receipt  requested,
               postage prepaid.

          (b)  All  notices,  demands or  requests  to be sent  pursuant to this
               Lease  shall be deemed to have been  properly  given or served by
               delivering or sending the same in  accordance  with this Section,
               addressed  to the parties  hereto at their  respective  addresses
               listed below:

               (1)  Notices to Landlord shall be addressed:

                    Corporate Plaza Associates, L.L.C. 485 A
                    Route 1 South
                    Suite 330
                    Iselin, New Jersey 08830

                    Attention: Henry Orlinsky

                    With a copy to the following:

                    Joseph H. Neiman
                    117 Central Avenue
                    Hackensack, New Jersey 07601

               (2)  Notices to Tenant shall be addressed:

                    CareAdvantage Health Systems, Inc.
                    485 C Route 1 South
                    Iselin, New Jersey 08830


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          (c)  If  notices,  demands  or  requests  are  sent by  registered  or
               certified  mail,  said  notices,  demands  or  requests  shall be
               effective  upon  being  deposited  in  the  United  States  mail.
               However,  the time period in which a response to any such notice,
               demand or request  must be given  shall  commence to run from the
               date of receipt on the return  receipt of the  notice,  demand or
               request by the addressee  thereof.  Rejection or other refusal to
               accept, or the inability to deliver because of changed address of
               which no notice  was  given,  shall be deemed  to be  receipt  of
               notice, demand or request sent.

               Notices may also be served by personal  service upon any officer,
               director  or  partner  of  Tenant or in the case of  delivery  by
               Federal Express or other overnight courier service, notices shall
               be effective upon acceptance of delivery by an employee, officer,
               director or partner of Landlord or Tenant.

          (d)  By giving to the other party at least  thirty  (30) days  written
               notice  thereof,  either  party shall have the right from time to
               time  during  the term of this Lease to change  their  respective
               addresses for notices, statements, demands and requests, provided
               such new address shall be within the United States of America.

     11. Recapture.

     Landlord  shall have the option at any time and  throughout the term of the
Lease  (including,  without  limitation,  during  the New Term) to  exclude  and
subtract from the Premises covered by the Lease and to recapture from the Tenant
("recapture")  up to fifty (50%) percent of the Premises  leased by Tenant (ie.,
Landlord  may  recapture  up to 13,919  square feet of the  Premises,  with such
recaptured space (the "Recaptured Space") being shown and described on Exhibit A


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annexed hereto and made a part hereof). If Landlord elects to recapture,  Tenant
shall surrender vacant,  broom-clean and lien-free  possession of the Recaptured
Space to  Landlord on the  effective  date of  recapture  of such space from the
Premises  as set forth in  Landlord's  notice (as  described  below),  with such
effective date of recapture  being the date that Tenant shall no longer have any
future  obligations  or  rights  under  the  Lease  with  respect  only  to such
Recaptured  Space  and such  Recaptured  Space  shall be deemed  surrendered  to
Landlord. Notwithstanding any recapture of space by Landlord as provided herein,
the Tenant's  Monthly Base Rent payable by Tenant  during the balance of the New
Term shall remain, subject to the terms and conditions described in Section 8 of
this Amendment, the same as the Monthly Base Rent set forth in Section 8 of this
Amendment  and same shall not be reduced or modified in any respect  despite any
recapture by Landlord of the Recaptured Space.  Landlord shall provide to Tenant
a minimum of thirty (30) days  written  notice as to the  effective  date of the
recapture.

     12. No Waiver; Entire Agreement.

     This Amendment constitutes the entire agreement between Landlord and Tenant
concerning the terms and conditions  described herein and all prior negotiations
and  agreements  with  respect  thereto are merged  herein.  Except as expressly
modified herein, all terms,  covenants and conditions  contained in the Original
Lease,  the First Amendment and this Amendment are hereby ratified and affirmed.
To the extent of any inconsistency between the terms described in this Amendment
and those described in the Original Lease and/or the First  Amendment,  then the
terms of this Amendment shall prevail and control.

     13. Default.

     As more fully set forth in Articles 8 and 9 of this Amendment, in the event
that on any date during such New Term the Tenant is (i) not the original  Tenant
named herein or the Lease


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has been assigned or the Premises sublet,  except for an assignment of the Lease
or a sublet of the Premises as may be described in Section 11.09 of the Original
Lease or (ii) in default  under any of the terms and  conditions  of this Lease,
then (y) the  reduction  in Base Rent  provided  in Article 8 of this  Amendment
shall be  nullified  and  entirely  forfeited  and Tenant  shall be  required to
immediately  pay to Landlord as Additional Rent the equivalent of the difference
in Base Rent during the New Term between the Base Rent described in Article 5 of
the First  Amendment and the Base Rent  described in Article 8 of this Amendment
and (z) the waiver  provided  in Article 9 of this  Amendment  of the  Operating
Expense  escalation  payments,  Real  Estate  Tax  escalation  payments  and the
electric costs provided for in the Original Lease and First  Amendment  shall be
nullified and entirely forfeited and Tenant shall be required to immediately pay
to Landlord as Additional Rent all of the Operating Expense escalation payments,
Real Estate Tax  escalation  payments and the electric costs provided for in the
Original  Lease and First  Amendment as if Article 9 of this  Amendment  did not
exist. In addition to the above remedies, Landlord shall have all other remedies
at law,  in  equity  and under the  Lease as may be  available  due to  Tenant's
default  under the Lease.  It being  understood  by Landlord and Tenant that the
rent  relief  and waiver of  escalation  payments  and  electric  charges  being
provided to Tenant herein is subject to Tenant being current and making the Base
Rent payments as set forth in Article 8 of this Amendment and otherwise being in
full compliance  with the terms and conditions  described in Articles 8 and 9 of
this  Amendment  and in the event  Tenant  defaults on such  payments  and/or is
otherwise  not in full  compliance  with the terms and  conditions  described in
Articles 8 and 9 of this Amendment, then Landlord will be entitled to be paid by
Tenant the full Base Rent  described in Article 5 of the First  Amendment and to
receive payment from Tenant of all of the Operating Expense escalation payments,
Real Estate Tax escalation payments and the electric costs

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provided for in the Original  Lease and First  Amendment as if Article 9 of this
Amendment did not exist.

     14. Security Deposit; Letter of Credit.

     (A)  Notwithstanding  any provision to the contrary contained in the Lease,
effective  as of the  Effective  Date,  there shall be no reduction in or of the
security deposit (or any portion thereof) held by Landlord under the Lease.

     (B) A portion of the security  deposit for the Lease is held by Landlord in
the form of a letter of credit  (the  "Letter  of  Credit").  In the event of an
assignment or transfer by the Landlord of the leasehold  estate under the Lease,
(a)  Landlord  shall have the right  without  any charge,  cost,  fee or expense
charged to any party  other than  Tenant,  to  transfer  or assign the Letter of
Credit one or more times to any transferee or assignee (herein,  a "Transferee")
by delivering to said Transferee a blanket assignment or transfer of said Letter
of Credit  (using a form of assignment  or transfer  reasonably  approved by the
issuer  ("Issuer")  of the Letter of Credit and which is  acceptable to Landlord
and Transferee in their sole discretion),  which blanket  assignment or transfer
form shall be delivered to the Issuer,  whereupon  the Letter of Credit shall be
deemed  automatically  assigned or  transferred  to the  Transferee  without the
execution or delivery by Issuer,  Landlord or Transferee of any other instrument
or other documentation.

     15.  Guaranty.  The terms and  conditions  described in this  Amendment are
herein  guarantied  by  Guarantor  as  described  in the Guaranty and are hereby
ratified,  affirmed and agreed to by Guarantor.  All of the terms, covenants and
conditions of the Guaranty are hereby  ratified and confirmed and shall continue
to be and remain in full force and effect  throughout  the remainder of the term
of the Lease (including, without limitation, the New Term).


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     16. No Claims.  Tenant hereby  represents to Landlord  that, to the best of
its knowledge, it has no causes of action, defenses,  setoffs, claims or demands
whatsoever,  in law or in equity,  against the  Landlord as of the date  hereof,
based upon or by reason of any matter, cause or thing whatsoever, arising out of
the Lease, as amended hereby.

     17. No Broker.  Tenant  represents  and warrants  that it has dealt with no
broker,  finder or like agent in connection  with this  Amendment and the Tenant
does hereby agree to indemnify  and hold  Landlord  harmless of and from any and
all loss, costs, damage or expense (including,  without limitation,  reasonable,
actual attorneys' fees and disbursements)  incurred by Landlord by reason of any
claim of, or liability  to, any broker,  finder or like agent who shall claim to
have dealt with Tenant in  connection  with this  Amendment.  This Article shall
survive the expiration or sooner termination of the Lease.

     18. As modified and amended by this Amendment,  all of the terms, covenants
and conditions of the Lease are hereby ratified and confirmed and shall continue
to be and remain in full force and effect  throughout  the remainder of the term
of the Lease (including, without limitation, the New Term).


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     19.  This  Agreement  shall  not be  binding  upon or  enforceable  against
Landlord or Tenant unless and until  Landlord and Tenant shall have executed and
unconditionally  delivered  to  each  other  an  executed  counterpart  of  this
Agreement.







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     IN WITNESS  WHEREOF,  the parties have caused this Agreement to be executed
as of the day and year first above written.


                                 TENANT:

                                 CAREADVANTAGE HEALTH
                                 SYSTEMS, INC.

                                 By:/s/ Dennis J. Mouras
                                    --------------------------------------------
                                    Name: Dennis J. Mouras
                                    Title: CEO


                                 GUARANTOR:
                                 CAREADVANTAGE, INC.

                                 By:/s/ Dennis J. Mouras
                                    --------------------------------------------
                                    Name:  Dennis J. Mouras
                                    Title: CEO


                                 LANDLORD:

                                 CORPORATE PLAZA ASSOCIATES,
                                 L.L.C.

                                 By:/s/ Henry Orlinsky
                                    --------------------------------------------
                                    Name:  Henry Orlinsky
                                    Title: Authorized Signatory







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                                    EXHIBIT A
                                RECAPTURED SPACE






















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