Document:

Amendment No.1 dated July 30, 2003 to Loan Agreement

 EXHIBIT 10.54 
  
 AMENDMENT NO. 1 TO LOAN AGREEMENT 
  
 THIS AMENDMENT NO. 1 TO LOAN AGREEMENT (the “Amendment No. 1”) is made and entered into as of July
30, 2003 (“First Amendment Date”) by and between SUNLINK HEALTH SYSTEMS, INC. (“SunLink”), an Ohio corporation, as lender (the “Initial Lender”), and any lenders party hereto from time
to time (collectively the “Lenders”), and HEALTHMONT, INC. (“HealthMont”), a Tennessee corporation, as borrower (the “Borrower”). 
  
 BACKGROUND STATEMENT 
  

A. SunLink and HealthMont are parties to that certain Agreement and Plan of Merger by and among SunLink, HM Acquisition Corp. (“Merger
Sub”) and HealthMont dated as of October 15, 2002 (the “Merger Agreement”), as amended by that certain first amendment thereto dated March 24, 2003 and that second amendment thereto dated as of the same date as this Loan
Agreement (the Merger Agreement as amended from time to time is hereinafter referred to as the “Amended Merger Agreement”) whereby SunLink will acquire all of the outstanding shares of HealthMont through the merger of HealthMont
with and into the Merger Sub on the terms and conditions set forth in the Amended Merger Agreement (the “Merger”). 
  
 B. Initial Lender and Borrower also are party to that certain Loan Agreement dated as of March 24, 2003 (the “Loan Agreement”).

  
 C. The Borrower has requested that the Initial Lender
make an additional term loan to the Borrower to partially finance the operations of Borrower prior to the consummation of the Amended Merger Agreement. 
  
 D. SunLink as the Initial Lender is willing to make such additional loan to the Borrower on the terms and subject to the conditions and
requirements set forth in the Loan Agreement as modified by this Amendment No. 1. 
  
 E. Initial Lender and Borrower desire to amend the Loan Agreement as set forth herein. 
  
 NOW, THEREFORE, in consideration of the premises and the mutual covenants contained in this Amendment No. 1 and the other Loan Documents, and other
good and valuable consideration, the receipt and legal sufficiency of which is hereby acknowledged, the parties to this Amendment No. 1 agree as follows: 
  
 Section 1. Defined Terms. All capitalized terms used herein and not otherwise expressly defined herein shall have the respective meanings given to
such terms in the Loan Agreement. 
  
 Section 2.
Amendments. The Loan Agreement is amended as follows: 
  
 (a) Delete the amount “$1.1 million” from the existing definition of “Commitment” and replace it with “$1.6 million” and delete “hereto” and replace it with 

 “to the Loan Agreement” such that the definition of “Commitment” in its entirety
reads as follows: 
  
 “Commitment” means so long
as (i) no Default or Event of Default under the Loan Documents shall have occurred and be continuing and so long as the Amended Merger Agreement shall not have terminated, (ii) HealthMont shall not be in breach of its obligations under the Amended
Merger Agreement, and (iii) the Management Agreement shall be in full force and effect, the obligation of SunLink to make one or more Loans, from time to time, hereunder in an aggregate principal amount of up to $1.6 million dollars with the funding
of any such Loans to be payable only upon the recommendation of the Manager under the Management Agreement and with respect to obligations of the Credit Parties which have been approved for payment by the Manager, including, without limitation, to
pay the Obligations of the Credit Parties to the Manager. 
  
 All
proceeds of any Loan shall be deposited into one or more of the accounts of Borrower with Regions Bank, N.A., identified on Schedule 1.01 to the Loan Agreement or such other account or accounts as to which Heller and Manager both shall
consent. 
  
 (b) Delete the existing definition
of Manager and replace it with the following definition: 
  
 “Manager” means SunLink as set forth in the Management Agreement. In the event such Management Agreement is terminated, or the Manager otherwise ceases to serve in such capacity, all references in this Loan Agreement to the
Manager shall be ignored and shall thereafter have no force or effect. 
  
 (c) Add the following new definitions to Section 1.1: 
  
 “Amendment No. 1” shall mean Amendment No. 1 to that certain Loan Agreement dated as of March 24, 2003 between Borrower and Initial Lender. 
  
 “Amendment Date” shall mean the date of the Amendment No. 1
as set forth in the introduction to Amendment No. 1. 
  
 “Management Agreement” means that certain Management Agreement between SunLink and HealthMont dated as of March 24, 2003, as amended by that certain first amendment thereto dated as of the same date as this Amendment No. 1,
and as such management agreement may be further amended or supplemented from time to time. 
  
 Section 3. Conditions Precedent. The effectiveness of this Amendment No. 1 is subject to satisfaction of the following conditions precedent: 
  

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 (a) Documents. Initial Lender shall have received the following, each, unless
otherwise specified below, in form and substance satisfactory to Initial Lender and its counsel: 
  

	 	(i)	 	This Amendment No. 1, duly executed and delivered by Borrower and Initial Lender. 

  

	 	(ii)	 	Certified copies of the articles of incorporation and by-laws of Borrower as in effect on the First Amendment Date. 

  

	 	(iii)	 	Certified copies of all corporate action, including stockholder approval, if necessary, taken by Borrower, to authorize the execution and delivery of this Amendment No. 1, and the
other documents contemplated hereby and the performance of transactions contemplated hereby and thereby. 

  

	 	(iv)	 	Certificates of incumbency and specimen signatures with respect to each of the officers of Borrower, who is authorized to execute this Amendment No. 1, and the other documents
contemplated hereby. 

  

	 	(v)	 	A certificate evidencing the good standing of Borrower in the jurisdiction of its incorporation and in each other jurisdiction in which it is qualified as a foreign corporation to
transact business. 

  

	 	(vi)	 	Such other documents and instruments as Lender may reasonably request. 

  
 (b) Accuracy of Representations and Warranties. All of the representations and warranties made or deemed to be made under the Loan
Documents shall be true and correct as of the First Amendment Date, except such representations and warranties which, by their terms, are applicable only to the Closing Date. 
  
 (c) Payment of Cash Fees; Issuance of Warrants. Payment of the First Amendment Cash Fee. 

 
 Section 4. Fees, Warrants, and Registration Rights. In
consideration of the Initial Lender entering into this Amendment No. 1 and making the Loans to the Borrower, the Borrower will pay to the Initial Lender the following fees: 
  
 (a) On the First Amendment Date, the Borrower shall (i) pay an amendment fee (i) to the Initial Lender of
$18,182 (the “First Amendment Cash Fee”). The First Amendment Cash Fee shall be fully earned upon the parties’ execution and delivery of this Amendment and non-refundable. 
  
 (b) In further consideration of the Initial Lender’s
agreement to make the Loans and not demand immediate repayment of the Loans immediately upon the 
  

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 termination of the Amended Merger Agreement (other than due to the consummation of the transactions
contemplated thereby),(i) on the first Business Day following termination of the Amended Merger Agreement (other than in connection with the consummation of the transactions contemplated thereby),Borrower shall issue as a deferred amendment fee
61,364 Warrants (the “First Amendment Warrants”) to purchase HealthMont Common Stock to SunLink in the form attached as Exhibit I to the Loan Agreement, and (ii) Borrower agrees that so long as any Obligations of the Credit
Parties under the Loan Documents remain outstanding and unpaid, Borrower shall issue to the Lenders or their designee, as their interests appear, on each six month anniversary date of the Termination Date, an aggregate of 122,727 additional Warrants
(the “First Amendment Additional Warrants”) to purchase HealthMont Common Stock, at a purchase price of $0.01 per share (not to exceed a total of 245,455 First Amendment Additional Warrants). Such First Amendment Additional Warrants
shall be issued in the same form as the Initial Warrants. The Borrower’s obligations under this Section 4 shall be in addition to the Borrower’s obligations under Section 3.01 of the Loan Agreement and shall not be subject to or included
in the calculation of the maximum warrants issuable under such section. 
  
 (c) The First Amendment Warrants and any First Amendment Additional Warrants and the holders thereof shall have the rights set forth under the Registration Rights Agreement. 
  
 Section 5. Ratification. Except as expressly set forth herein, the
Loan Agreement shall be and remain in full force and effect as originally written, and shall constitute the legal, valid, binding and enforceable obligations of Borrower to the Initial Lender and any other Lenders. 
  
 Section 6. Other Expenses. Borrower agrees to pay on demand all
reasonable costs and expenses of Initial Lender in connection with the preparation, execution, delivery, and enforcement of this Amendment No. 1, and all other documents and any other transactions contemplated hereby, including, without limitation,
the reasonable fees and out-of-pocket expenses of legal counsel to Initial Lender. 
  
 Section 7. Representations and Warranties; No Defaults. To induce Initial Lender to enter into this Amendment No. 1, Borrower hereby (i) represents and warrants that, to the best of its knowledge, as of the
date hereof, and after giving effect to the terms hereof, there exists no Default or Event of Default under the Loan Agreement or any of the Loan Documents, and (ii) acknowledges and agrees that no right of offset, defense, counterclaim, claim or
objection in favor of Borrower against the Initial Lender or any other Lender exists arising out of or with respect to any of the Obligations. 
  
 Section 8. Further Assurances. Borrower agrees to take, and to cause each of its Subsidiaries to take, such further action as Initial Lender shall
reasonably request in connection herewith to evidence the amendments herein contained to the Loan Agreement. 
  
 Section 9. Counterparts. This Amendment No. 1 may be executed in any number of counterparts and by different parties hereto in separate
counterparts, each of which, when so 
  

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 executed and delivered, shall be deemed to be an original and all of which counterparts, taken together, shall constitute
but one and the same instrument. 
  
 Section 10.
Beneficiaries. This Amendment No. 1 shall be binding upon and inure to the benefit of the successors and permitted assigns of the parties hereto. 
  
 Section 11. Choice of Law. This Amendment No. 1 shall be governed by, and construed in accordance with, the laws of the State of Georgia.

  
 Section 12. Designation as Senior Subordinated
Indebtedness. This Amendment No. 1, all other Loan Documents as amended through the date hereof, all existing Loans and further Loans pursuant to this Amendment No. 1 and other obligations are identified and confirmed as “Senior
Subordinated Indebtedness,” as each such term is defined in the Subordination Agreement. 
  

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 IN WITNESS WHEREOF, the parties hereto have caused this Amendment No. 1 to be duly executed and
delivered under seal, all as of the date first stated above. 
  

	

	 	 	 	 	 BORROWER:

			
	 	 	 	 	 HEALTHMONT, INC

				
	 (CORPORATE SEAL)
	 	 	 	 	 	 
	 	 	 	 	 By:
	 	 /s/    TIMOTHY S.
HILL    

	 	 	 	 	 	 	Timothy S. Hill
	 	 	 	 	 	 	President and Chief Executive Officer
	 	 	 	 	 	 	 
			
	 	 	 	 	 INITIAL LENDER:

			
	 	 	 	 	 SUNLINK HEALTH SYSTEMS, INC.

				
	 (CORPORATE SEAL)
	 	 	 	 	 	 
	 	 	 	 	 By:
	 	 /s/    ROBERT M. THORNTON,
JR.    

	 	 	 	 	 	 	Robert M. Thornton, Jr.
	 	 	 	 	 	 	Chief Executive Officer

  

	

	

  

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 Chatham Investment Fund I, LLC (“Chatham”), a Delaware limited liability company, hereby joins
in and consents to this Amendment No. 1 from and to the extent necessary under the Note Purchase Agreement between Chatham and SunLink dated March 24, 2003 and the related agreements entered into in connection therewith. 
  

	 CHATHAM INVESTMENT FUND I, LLC

		
	 	 	 
	 By:
	 	 /s/    BRIAN G. REYNOLDS

	 Name:
	 	 Brian G. Reynolds

	 Title: A member of its Board of Managers

  
 This Amendment No. 1 is acknowledged and 
 consented to by: 
  

	 HEALTHMONT OF GEORGIA, INC., a Tennessee corporation

	 	 	 
	 By:
	 	 /s/    TIMOTHY S. HILL

	 Its:
	 	 President

  

	
	 HEALTHMONT OF MISSOURI, INC., a Tennessee corporation

		
	 By:
	 	 /s/    TIMOTHY S. HILL

	 Its:
	 	 President

  

 7Amendment No.1 dated July 30, 2003 to Registration Rights Agreement

 EXHIBIT 10.55 
  
 AMENDMENT NO. 1 TO REGISTRATION RIGHTS 
  
 THIS AMENDMENT NO. 1 TO REGISTRATION RIGHTS AGREEMENT (the “Amendment No. 1”) is made and entered
into as of July 30, 2003 (“First Amendment Date”) by and between SUNLINK HEALTH SYSTEMS, INC. (“SunLink”), an Ohio corporation, and HEALTHMONT, INC. (“HealthMont” or the
“Company”), a Tennessee corporation. 
  
  
 BACKGROUND STATEMENT 
  
 A. SunLink and HealthMont are parties to that certain Agreement and Plan of Merger by and among SunLink, HM Acquisition Corp. (“Merger
Sub”) and HealthMont dated as of October 15, 2002 (the “Merger Agreement”), as amended by that certain first amendment thereto dated March 24, 2003 and that second amendment thereto dated as of the same date as this
Amendment No. 1 (the Merger Agreement as amended from time to time is hereinafter referred to as the “Amended Merger Agreement”) whereby SunLink will acquire all of the outstanding shares of HealthMont through the merger of
HealthMont with and into the Merger Sub on the terms and conditions set forth in the Amended Merger Agreement (the “Merger”). 
  
 B. SunLink and HealthMont also are party to that certain Loan Agreement dated as of March 24, 2003 (the “Loan Agreement”).

  
 C. HealthMont has requested that SunLink make an
additional term loan to HealthMont to partially finance the operations of Borrower prior to the consummation of the Amended Merger Agreement. 
  
 D. SunLink is willing to make such additional loan to the Borrower on the terms and subject to the conditions and requirements set forth in the
Loan Agreement as modified by this Amendment No. 1 thereto (such Loan Agreement as amended hereinafter the “Amended Loan Agreement”). 
  
 E. SunLink and HealthMont desire to amend the Registration Rights Agreement as set forth herein. 
  
 F. It is a condition to the Amended Loan Agreement that the
Registration Rights Agreement be amended as provided herein. 
  
 NOW, THEREFORE, in consideration of the premises and the mutual covenants contained in this Amendment No. 1 and the other Loan Documents, and other good and valuable consideration, the receipt and legal sufficiency of which are
hereby acknowledged, the parties to this Amendment No. 1 agree as follows: 
  
 Section 1. All capitalized terms used herein and not otherwise expressly defined herein shall have the respective meanings given to such terms in the Registration Rights Agreement. 
  
 Section 2. The Registration Rights Agreement is amended as follows:

 (a) The last parenthetical in the second sentence of the first paragraph of the Registration Rights
Agreement viz, the definition of “Warrant Shares” is hereby deleted such that such paragraph in its entirety reads as follows: 
  
 THIS REGISTRATION RIGHTS AGREEMENT (the “Agreement”) is made as of this 24th day of March, 2003, by and between HEALTHMONT, INC., a Tennessee corporation (the “Company”), and SUNLINK HEALTH SYSTEMS, INC.,
an Ohio corporation, and its assigns (collectively, “SunLink”). This Agreement is made in connection with the issuance by the Company of a warrant to SunLink (the “Warrant”), pursuant to which SunLink may purchase
and the Company may hereafter issue: (i) up to One Hundred Thirty-Five Thousand (135,000) shares of its Common Stock from time to time upon the exercise of the Warrant (the “Initial Warrant Shares”) and (ii) upon the occurrence of
certain events, up to an additional Five Hundred Forty Thousand (540,000) shares of its Common Stock from time to time upon the exercise of a warrant or warrants (the “Additional Warrant Shares”) to be issued in the same form as the
Warrant. The Company hereby confirms that the rights granted under this Agreement constitute a material inducement to SunLink to accept the Warrant in connection with the transactions under which the Warrant is being issued. 
  
 (b) To add the following new definitions to Section 1.1:

  
 “First Amendment Additional Warrants” means
the warrants (issuable upon the occurrence of certain events) to acquire up to an additional 245,455 shares (the “First Amendment Additional Warrant Shares”) of HealthMont Common Stock. 
  
 “First Amendment Warrants” means the warrants to acquire
61,364 shares (the “First Amendment Shares”) of HealthMont Common Stock issuable to SunLink in connection with Amendment No. 1 to the Loan Agreement upon a termination of the Merger Agreement (other than in connection with the
consummation of the transactions contemplated thereby). 
  
 “Warrant Shares” means the Initial Warrant Shares, the Additional Warrant Shares, the First Amendment Warrant Shares, the First Amendment Additional Warrant Shares, and such other shares to acquire the Common Stock of
HealthMont, Inc. as may be held from time to time by SunLink or any lender under the Loan Documents, and whether issuable upon the exercise of warrants or otherwise. 
  
 Section 3. Except as expressly set forth herein, the Registration Rights Agreement shall be and remain in full force and
effect as originally written, and shall constitute the legal, valid, binding and enforceable obligations of HealthMont. 
  

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 Section 4. This Amendment No. 1 may be executed in any number of counterparts and by different parties
hereto in separate counterparts, each of which, when so executed and delivered, shall be deemed to be an original and all of which counterparts, taken together, shall constitute but one and the same instrument. Signatures evidenced by facsimile
transaction shall be deemed original signatures and shall be as valid and binding as manually executed originals. 
  
 Section 5. This Amendment No. 1 shall be binding upon and inure to the benefit of the successors and permitted assigns of the parties hereto. 

 
 Section 6. This Amendment No. 1 shall be governed by, and construed in
accordance with, the laws of the State of Delaware. 
  
 IN
WITNESS WHEREOF, the parties hereto have caused this Amendment No. 1 to be duly executed and delivered under seal, all as of the date first stated above. 
  

	

	 	 	 	 	HEALTHMONT, INC.
				
	 (CORPORATE SEAL)
	 	 	 	 	 	 
	 	 	 	 	 By:
	 	 /s/    TIMOTHY S.
HILL    

	 	 	 	 	 	 	Timothy S. Hill
	 	 	 	 	 	 	President and Chief Executive Officer
	 	 	 	 	 	 	 
			
	 	 	 	 	 SUNLINK HEALTH SYSTEMS, INC.

				
	 (CORPORATE SEAL)
	 	 	 	 	 	 
	 	 	 	 	 By:
	 	 /s/    ROBERT M. THORNTON,
JR.    

	 	 	 	 	 	 	Robert M. Thornton, Jr.
	 	 	 	 	 	 	Chief Executive Officer

  

	

	

  
  

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