Document:

exv10w22w4

Exhibit 10.22.4

AMENDED AND RESTATED LOAN AGREEMENT

          THIS AGREEMENT is effective December 17, 2010, among GRAYMARK HEALTHCARE, INC., an Oklahoma
corporation (“GRMH”), SDC HOLDINGS, LLC, an Oklahoma limited liability company (“SDC”) and
APOTHECARYRx, LLC, an Oklahoma limited liability company (“ARx” together with GRMH and SDC, jointly
and severally the “Borrowers” and each a “Borrower”), OLIVER COMPANY HOLDINGS, LLC, an Oklahoma
limited liability company (“OCH”), ROY T. OLIVER, an individual (“Oliver”), STANTON M. NELSON, an
individual (“Nelson”), ROY T. OLIVER, as Trustee of the Roy T. Oliver Revocable Trust dated June
15, 2004 (the “Trust”), KEVIN LEWIS, an individual (“Lewis”) ROGER ELY, an individual (“Ely”), and
LEWIS P. ZEIDNER, an individual (“Zeidner” and together with OCH, Oliver, Nelson, Trust, Lewis and
Ely, the “Guarantors”) and ARVEST BANK, an Arkansas banking corporation (the “Bank”).

W I T N E S S E T H:

          WHEREAS, the Bank, the Borrowers and the Guarantors previously entered into the Loan Agreement
dated May 21, 2008, as amended by the Amendment to Loan Agreement dated May 21, 2008, the Second
Amendment to Loan Agreement dated May 21, 2009, and the Third Amendment to Loan Agreement dated
June 30, 2010 (the “Prior Agreement”);

          WHEREAS, the Borrowers are indebted to the Bank under the Amended and Restated Promissory
Note, in the original principal amount of $15,000,000.00 dated June 30, 2010, a copy of which is
attached as Exhibit “A” (together with all extensions, renewals, modifications, consolidations and
increases of such note, the “Acquisition Note”);

          WHEREAS, the Borrowers are indebted to the Bank under the Second Amended and Restated
Promissory Note, in the original principal amount of $30,000,000.00, dated June 30, 2010, a copy of
which is attached as Exhibit “B” (together with all extensions, renewals, modifications,
consolidations and increases of such note, the “Term Note,” and together with the Acquisition Note,
the “Notes”); and

          WHEREAS, the Borrowers and the Guarantors have agreed to certain changes to the Prior
Agreement in connection with the waiver of certain covenants under the Prior Agreement.

          NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein, the
funds previously advanced by the Bank under the Notes, the receipt and sufficiency of all of which
are hereby acknowledged, the Borrower, the Guarantors and the Bank agree as follows:

1. Definition of Terms. All terms defined in this Agreement will have the defined meanings
when used in any of the Loan Documents (as hereinafter defined) unless the context otherwise
requires. Each accounting term not defined herein, and each accounting term partly defined herein
to the extent not defined, will have the meaning given to it under generally accepted accounting
principles. As used in this Agreement, the following terms will have the meanings indicated:

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	 	1.1.	 	Accounts. All accounts, accounts receivable, contract rights, notes,
drafts, acceptances and all other forms of obligations and receivables in favor of
Borrower owed or owing by any party or entity to a Borrower including, but not limited
to, deposits or other sums credited by or due from the Bank to a Borrower, now owned or
hereafter acquired. In addition, the term “Accounts” will have the same meaning (to
the extent not inconsistent with the foregoing definition) as defined in the Oklahoma
Uniform Commercial Code (the “UCC”).
	 
	 	1.2.	 	Borrower Subsidiaries. The direct and indirect subsidiaries of the
Borrowers as of the Closing Date, and all subsidiaries thereafter created or acquired.
	 
	 	1.3.	 	Closing Date. The date upon which the Loan Documents are signed by the
Borrowers and the Guarantors and accepted by the Bank at the Bank’s offices in Oklahoma
City, Oklahoma, all in form and substance satisfactory to the Bank.
	 
	 	1.4.	 	Collateral. All of the Borrowers’ right, title and interest in and to
the personal property described in the Loan Documents whether now owned or hereafter
acquired including without limitation: (a) the Accounts; (b) the Equipment; (c) the
Inventory; (d) General Intangibles, including all membership interests in SDC and ARx;
(e) all items of tangible and intangible personal property now owned and hereafter
acquired by a Borrower; (f) all insurance policies and proceeds; (g) all leases, rents
and royalties; (h) all business records of Borrowers; and (i) all additions and
accessions to, replacements of, substitutions for and proceeds from any of the items
listed in the foregoing parts (a) through (h) inclusive.
	 
	 	1.5.	 	Collateral Assignment of Equity Interests. The agreement(s) to be
executed by the Bank and GRMH granting to the Bank a first perfected collateral
assignment of the equity interests directly or indirectly owned by GRMH in SDC and ARx,
in substantially the form attached as Exhibit “C”.
	 
	 	1.6.	 	Collateral Assignment of Leases. With respect to the lease of real
property by a Borrower used in the operation of its pharmacy or sleep lab business that
is entered into after May 21, 2008, the agreement(s) to be executed by the Bank and
Borrowers granting to the Bank a first perfected collateral assignment of those leases
in substantially the form attached as Exhibit “D” unless waived in whole in part by the
Bank, in writing.
	 
	 	1.7.	 	Debt Service Coverage Ratio. For any period, the ratio of: (A) the net
income of GRMH (i) increased (to the extent deducted in determining net income) by the
sum, without duplication, of (a) all interest expense of GRMH, (b) amortization, (c)
depreciation, and (d) non-recurring expenses as approved by the Bank, and (ii)
decreased (to the extent included in determining net income and without duplication) by
the amount of minority interest share of net income and distributions to minority
interests for taxes, if any, to (B) annual debt service including interest expense and
current maturities of indebtedness as determined in accordance with generally accepted
accounting principles. If an acquisition of a new company (or its business) occurs and
GRMH incurs additional debt

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	 	 	 	associated with the purchase, the net income of the new company (or its business)
and GRMH’s new debt service associated with acquiring the company (or its business)
may both be excluded from the Debt Service Coverage Ratio calculation for a period
of six months, at GRMH’s option. Subject to the Bank’s approval, any non-recurring
itemized expenses associated with an acquisition will be added back to the net
income of GRMH.

	 	1.8.	 	Default. The occurrence of any of the events specified in paragraph 11
of this Agreement that are not remedied by the Borrowers or waived by the Bank as
provided in paragraph 11.
	 
	 	1.9.	 	Equipment. All furniture, fixtures, machinery, tools, equipment,
apparatus, utensils, appliances and supplies now owned or hereafter acquired by a
Borrower and all documents of title, insurance policies and proceeds relating thereto.
In addition, the term “Equipment” will have the same meaning (to the extent not
inconsistent with the foregoing definition) as defined in the UCC.
	 
	 	1.10.	 	General Intangibles. All of each Borrower’s general intangibles of
any kind whether now existing or hereafter arising including all stock, membership
interests, units, partnership interests, patents, trademarks, copyrights and other
intangibles, chattel papers, documents and instruments relating to the General
Intangibles. In addition, the term “General Intangibles” will have the same meaning
(to the extent not inconsistent with the foregoing definition) as defined in the UCC.
	 
	 	1.11.	 	Guaranteed Amount. Fifteen Million Dollars ($15,000,000.00).
	 
	 	1.12.	 	Guaranties. The agreements to be executed by the Guarantors in favor
of the Bank in substantially the form attached as Exhibit “E”, under which the
Guarantors unconditionally guarantee to the Bank payment of all Obligations now or
hereafter owing to the Bank by the Borrower in connection with the Loan Documents and
the full and complete performance by the Borrower of the Loan Documents, as further set
forth therein. The liability of each of the Guarantors thereunder will be limited to
the Guarantor Pro Rata Percentage (on a several basis) times the Guaranteed Amount.
	 
	 	1.13.	 	Guarantor Pro Rata Percentage. The Guarantor’s pro rata direct or
indirect ownership percentage of GRMH as set forth in Schedule “1.13”.
	 
	 	1.14.	 	Inventory. All personal property now owned or hereafter acquired by a
Borrower which are to be furnished under contracts of service, or which are raw
materials, work in process, or materials used or consumed in a Borrower’s business. In
addition, the term “Inventory” will have the same meaning (to the extent not
inconsistent with the foregoing definition) as defined in the UCC.
	 
	 	1.15.	 	Loan. The loan by the Bank to the Borrowers evidenced by the Term
Note and the Acquisition Note.

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	 	1.16.	 	Loan Documents. This Agreement, the Collateral Assignment of Equity
Interests, Collateral Assignment of Leases, the Guaranties, the Notes, the Security
Agreements and all other instruments executed and delivered by the Borrowers, the
Guarantors or any other person or entity in connection with the extension of credit
contemplated by this Agreement or the Prior Agreement, all instruments issued pursuant
to the foregoing documents and all extensions, renewals, modifications and amendments
thereof.
	 
	 	1.17.	 	Minimum Net Worth. Borrowers Total Net Worth as of the December 31,
2007 Financials was $1,862,882 on a consolidated basis. For purposes of this
Agreement, the Borrowers’ Minimum Net Worth will be calculated on a consolidated basis
based on seventy-five (75%) percent of the December 31, 2007 existing equity
($1,397,162.00) plus seventy-five (75%) percent of the Net Income (as per GAAP) for
each fiscal quarter ending after December 31, 2007 on a consolidated basis, less
non-recurring expenses as approved by the Bank.
	 
	 	1.18.	 	Obligations. The obligation of the Borrowers to: (a) pay the
principal of and interest on the Notes in accordance with the terms thereof and to
satisfy all of the Borrowers’ other liabilities to the Bank, whether under this
Agreement or otherwise, whether now existing or hereafter incurred, matured or
unmatured, direct or contingent, joint or several, including any extensions,
modifications, renewals, or increases thereof and substitutions therefor; (b) repay to
the Bank all amounts advanced by the Bank under this Agreement or otherwise on behalf
of the Borrowers including, without limitation, overdrafts and advances for principal
or interest payments to other secured parties, mortgagees or lienors, or for taxes,
levies, insurance, rent, repairs to or maintenance or storage of any of the Collateral;
(c) reimburse the Bank, on demand, for all of the Bank’s expenses and costs including,
without limitation, reasonable fees and expenses of the Bank’s counsel in connection
with the preparation, negotiation, amendment, modification, or enforcement of this
Agreement and the Loan Documents including, without limitation, any proceeding brought
or threatened to enforce payment of any of the obligations referred to in this Section
1.18; and (d) perform all other obligations of the Borrowers under the Loan Documents.
	 
	 	1.19.	 	Security Agreements. The instruments and all extensions, renewals and
modifications thereof, executed and delivered to the Bank by Borrowers or Borrower
Subsidiaries granting to the Bank a first perfected security interest in and to that
portion of the Collateral therein described in substantially the form attached as
Exhibit “F”.
	 
	 	1.20.	 	WSJ Prime Rate. The rate per annum determined on the basis of the
Prime rate as reported in the “Money Rates” section of The Wall Street Journal or a
substitute source reasonably determined by Bank in the event such source is no longer
available. The WSJ Prime Rate for each Note will initially be the WSJ Prime Rate as of
the date of the Term Note or date of advance of each Tranche of the Acquisition Note,
and will be adjusted on an annual basis to the rate then in effect for each Note or
Tranche as of each respective anniversary date, or the first

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	 	 	 	business day following such date if the anniversary date occurs on a weekend or
holiday that there is no such rate determined or published.

2. Lending Agreement. Subject to the terms and conditions of this Agreement, the Bank
agrees to lend to Borrowers and Borrowers agree to borrow from the Bank the principal amount of the
Notes. Notwithstanding any other provision of the Loan Documents, the advances herein provided for
will not be required to be made by the Bank if after making such advance, the Bank would, as
determined in the sole discretion of the Bank, be in violation of any regulatory requirements
imposed on banking corporations by any branch of government of the United States of America or any
state thereof including, without limitation, restrictions on the scope of lending powers of state
banks and limitations on total loans to any debtor imposed by the Comptroller of the Currency.

3. Loan. The Loan will be evidenced by the Term Note and Acquisition Note and will be
payable as follows:

	 	3.1.	 	Term Note. The portion of the Loan to be made under the Term Note will
be payable of the following terms:

	 	3.1.1	 	Term. The term of the Term Note will be for the
period commencing on the Closing Date and ending on May 21, 2014 (the “Term
Note Maturity Date”).
	 
	 	3.1.2	 	Interest. Prior to Default, the unpaid principal
balance of the Term Note will bear interest from the date of advance at the per
annum rate equal to the greater of (a) the WSJ Prime Rate, as adjusted; or (b)
six percent (6%) per annum. The WSJ Prime Rate will be adjusted, without
notice, on an annual basis to the WSJ Prime Rate then in effect as of each
anniversary date of this Note, or the first business day following such date if
the anniversary date occurs on a weekend or holiday that there is no such rate
determined or published. After Default, all amounts due under the Term Note
will bear interest at the per annum rate equal to the greater of: (a) fifteen
percent (15%); or (b) the WSJ Prime Rate plus five percent (5%). Interest will
be computed on a per diem charge based on a three hundred sixty (360) day year.
	 
	 	3.1.3	 	Payments. Provided that no event of Default has
occurred or is continuing under any of the Loan Documents, the Term Note will
be repaid in quarterly payments of interest only for up to three (3) years,
then principal and interest payments based on a seven (7) year amortization
until the balloon payment on the Term Note Maturity Date. The Borrowers will
pay to the Lender quarterly payments of accrued and unpaid interest only on the
Term Note which will be due and payable on each September 1, December 1, March
1, and June 1. Commencing on September 1, 2011, and quarterly thereafter on
each December 1, March 1, June 1 and September 1, the Borrowers will pay to the
Lender equal payments consisting of principal and interest calculated on a
seven (7) year

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	 	 	 	amortization of the unpaid principal balance of the Term Note as of June 1,
2011 at the then current WSJ Prime Rate, and adjusted annually thereafter
for any changes to the WSJ Prime Rate as provided herein. The entire unpaid
principal balance of the Term Note plus all accrued and unpaid interest
thereon will be due and payable on the Term Note Maturity Date.

	 	3.1.4	 	Voluntary Prepayment. Borrowers will have the right
at any time to prepay the Term Note in whole or in part, without premium or
penalty, but with interest accrued to the date of prepayment.
	 
	 	3.1.5	 	Place of Advances and Payments. Advances under the
Term Note will be made at the offices of the Bank. All payments and prepayments
of principal or interest on the Term Note will be made to the Bank in collected
and freely transferable funds at or before 5:00 p.m. Oklahoma City, Oklahoma
time on the date due at the Bank’s offices. All payments will be paid in full
without set off or counterclaim and without reduction for, and free from, any
and all taxes, levies, imposts, duties, fees, charges, deductions,
withholdings, restrictions or conditions of any nature imposed by any
government or any political subdivision or taxing authority thereof. Borrowers
hereby authorize and direct the Bank to make all payments on the Term Note as
and when due, by direct debit to Borrowers’ demand deposit accounts with the
Bank. If any payment under the Term Note or this Agreement becomes due and
payable on a day other than a business day, the maturity thereof will be
extended to the next succeeding business day and such extension of time will in
such case be included in the computation of payments of interest.

	 	3.2.	 	Acquisition Note. The Borrowers, the Guarantors and the Bank
specifically agree that the aggregate of advances made during the term of Acquisition
Note will not exceed the original principal amount thereof. The Acquisition Note is an
advancing term note with a commitment term through May 21, 2010 and the Bank will have
no obligation to fund any advances under the Acquisition Note after such commitment
term, unless renewed and extended in writing and on such terms as may be determined by
the Bank. Advances under the Acquisition Note will be separately represented as a
Tranche on a schedule to the Acquisition Note specifying the number of the Tranche,
amount advanced, the date of advance, applicable WSJ Prime Rate and final maturity of
such advance. The portion of the Loan to be made under each Tranche of the Acquisition
Note will be payable on the following terms:

	 	3.2.1	 	Term. The term of each Tranche of the Acquisition
Note will be for the period commencing on the respective date of advance and
ending on the sixth anniversary of the first day of the month following such
date of advance (each a “Tranche Note Maturity Date”).

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	 	3.2.2	 	Interest. Prior to Default, the unpaid principal
balance of each Tranche of the Acquisition Note will bear interest from the
date of advance at the per annum rate equal to the greater of (a) the WSJ Prime
Rate, as adjusted for any changes to the WSJ Prime Rate on each anniversary
date; or (b) six percent (6%) per annum. The WSJ Prime Rate will be adjusted,
without notice, on an annual basis to the WSJ Prime Rate then in effect as of
each anniversary date of each Tranche of the Acquisition Note, or the first
business day following such date if the anniversary date occurs on a weekend or
holiday that there is no such rate determined or published. After Default, all
amounts due under the Acquisition Note will bear interest at the per annum rate
equal to the greater of: (a) fifteen percent (15%); or (b) the WSJ Prime Rate
plus five percent (5%). Interest will be computed on a per diem charge based on
a three hundred sixty (360) day year.
	 
	 	3.2.3	 	Payments. Provided that no event of Default has
occurred or is continuing under any of the Loan Documents, the loan represented
by each Tranche will be repaid in quarterly payments of interest only for up to
three (3) years, then principal and interest payments based on a seven (7) year
amortization until the balloon payment on the Tranche Note Maturity Date. The
Borrowers will pay to the Bank accrued and unpaid interest only at the WSJ
Prime Rate in quarterly payments on each Tranche of the Acquisition Note for
the first three (3) years of the term of such Tranche, which will be due and
payable commencing three (3) months after the first day of the month following
the date of advance and on the first day of each third month thereafter.
Commencing on the third anniversary of the first quarterly payment date, and
each following anniversary thereof, the principal balance outstanding on such
Tranche of the Acquisition Note, together with interest at the WSJ Prime Rate
on the most recent anniversary date of the date of advance under such Tranche,
will be amortized in quarterly payments over a seven (7) year term beginning on
the third anniversary of the date of advance, and recalculated each anniversary
thereafter over the remaining portion of such seven (7) year period at the then
applicable WSJ Prime Rate. The entire unpaid principal balance of the
Acquisition Note plus all accrued and unpaid interest thereon will be due and
payable on the respective Tranche Note Maturity Date.
	 
	 	3.2.4	 	Voluntary Prepayment. Borrowers will have the right
at any time to prepay the Acquisition Note in whole or in part, without premium
or penalty, but with interest accrued to the date of prepayment.
	 
	 	3.2.5	 	Place of Advances and Payments. Advances under the
Notes will be made at the offices of the Bank. All payments and prepayments of
principal or interest on each Tranche of the Acquisition Note will be made to
the Bank in collected and freely transferable funds at or before 5:00 p.m.
Oklahoma City, Oklahoma time on the date due at the Bank’s offices. All
payments

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	 	 	 	will be paid in full without set off or counterclaim and without reduction
for, and free from, any and all taxes, levies, imposts, duties, fees,
charges, deductions, withholdings, restrictions or conditions of any nature
imposed by any government or any political subdivision or taxing authority
thereof. Borrowers hereby authorize and direct the Bank to make all
payments on each Tranche of the Acquisition Note as and when due, by direct
debit to Borrowers’ demand deposit accounts with the Bank. If any payment
under the Notes or this Agreement becomes due and payable on a day other
than a business day, the maturity thereof will be extended to the next
succeeding business day and such extension of time will in such case be
included in the computation of payments of interest.

	 	3.3.	 	Balances; Further Advances. As of December 17, 2010, the principal
balance under the: (a) Term Note is $__________, with accrued interest of $__________;
and (b) Acquisition Note is $__________, with accrued interest of $_________.
Notwithstanding any other provision of this Agreement, the Bank has no further
obligation to make any advances under either of the Notes.

4. Collateral Security. Payment and performance of the Obligations will be secured by the
Guaranties, the Security Agreements, Collateral Assignment of Equity Interests, Collateral
Assignment of Leases, the other Loan Documents, all of the Collateral and such other or additional
property as is agreed to by the Borrowers, Borrower Subsidiaries, Guarantors and the Bank. The
Borrowers have executed and delivered to the Bank an account control agreement in substantially the
form as attached at Exhibit “G” for all accounts of the Borrowers and the Borrower’s affiliates at
Valliance Bank and other financial institutions. The Bank will exercise its rights to give
instructions to Valliance under the Deposit Control Agreement only in the event of an uncured
default under this Agreement and any other Loan Documents or the exercise or attempt by any other
person to exercise any dominion or control over the account, directly or indirectly, including
through any order, attachment or levy.

5. Conditions of Lending. The obligation of the Bank to perform this Agreement to make the
initial advance under the Notes is subject to the continued performance by the Borrowers and the
Guarantors of the following conditions precedent:

	 	5.1.	 	Loan Documents. The execution, acknowledgment (where appropriate) and
delivery by the appropriate parties of the Loan Documents, all in form and substance
satisfactory to the Bank, and delivery of possession to the Bank of any Collateral the
possession of which is necessary to perfect the Bank’s security interest.
	 
	 	5.2.	 	Casualty Insurance. The Bank will have received satisfactory
certificates of policies of fire and extended coverage insurance at full insurable
value, business interruption insurance and public liability insurance with premiums
prepaid and standard mortgagee clauses or designations as additional insureds in favor
of the Bank and such additional persons as the Bank might reasonably require.

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	 	5.3.	 	Authority. The Bank will have received: (a) certified copies of the
instruments creating Borrowers and OCH and/or governing the operation of Borrowers and
OCH complete with all amendments thereto and certificates to be filed in connection
therewith; (b) satisfactory evidence that Borrowers and OCH are qualified to do
business in the State of Oklahoma; and (c) certified copies of resolutions and other
documents reasonably required to authorize the execution, delivery and performance of
the Loan Documents by the parties thereto.
	 
	 	5.4.	 	No Default. The representations and warranties set forth in paragraph
8 of this Agreement will be true and correct on and as of the date of the initial
advance of funds under the Note and there will have occurred and be continuing no
Default.
	 
	 	5.5.	 	Commitment Fee. As reimbursement for processing the Loan, the Bank
will have received a non-refundable fee from the Borrowers in the amount of Twenty-Five
Thousand Dollars ($25,000.00).
	 
	 	5.6.	 	Opinion of Counsel. The Bank will have received the opinion of the
Borrowers’ and the Guarantors’ counsel in form and substance reasonably acceptable to
the Bank and the Bank’s counsel.
	 
	 	5.7.	 	Other Information. The Bank will have received current financial
statements for the Borrowers and the Guarantors and such other information, documents
and instruments concerning the Borrowers and the Guarantors as the Bank reasonably
requests.

6. Sale of Pharmacies. The Borrowers intend to sell all or substantially all of the
pharmacies owned by the Borrowers or the Borrower’s affiliates (the “Pharmacy Sales”) pursuant the
Asset Purchase Agreement among ARx, GRMH and Walgreen Co., dated September 1, 2010, as amended (the
“Purchase Agreement”).

	 	6.1.	 	Sale Approvals. Any Pharmacy Sale that will result in Sale Proceeds
(as hereafter defined) sufficient to make the Pharmacy Sale Payment (as hereafter
defined) to the Bank is deemed approved and no additional approval by the bank will be
necessary.
	 
	 	6.2.	 	Sale Proceeds. If the Pharmacy Sales are consummated, all proceeds
from any Pharmacy Sales (after payment of all reasonable, usual and customary third
party costs actually incurred in connection with a Pharmacy Sale, such as (i)
commissions, (ii) legal and accounting fees and other expenses paid to third parties,
(iii) payment of Seller Carry Financing on the Pharmacies sold and amounts due to
Cardinal for the Pharmacies sold, each of which is required to obtain a release at
closing in order to close a Pharmacy Sale, the “Sale Proceeds”) will be immediately
deposited in a restricted account at the Bank (the “Restricted Account”). At the
closing of any Pharmacy Sale approved (or deemed approved herein) by the Bank, The Bank
will provide the purchaser a release of all liens and security interests held by the
Bank relating to the Pharmacy being sold. The Borrowers will take all actions
necessary to ensure that the Bank at all times has a

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	 	 	 	first and prior security interest in the Restricted Account and the Sale Proceeds
and that no other person or entity has any interest in or claim to the Restricted
Account or the Sale Proceeds.

	 	6.3.	 	Use of Sale Proceeds. Unless the Bank approves in writing, all Sale
Proceeds will be used only to reduce the Borrower’s obligations to the Bank by
$25,000,000.00 (the “Pharmacy Sale Payment”) and for the purposes set forth at Schedule
“6” attached as a part hereof. Within five (5) business days after the last Sale
Proceeds are deposited into the Restricted Account, the Borrowers will cause a partial
Pharmacy Sale Payment in the amount of $22,000,000.00 to be made to the Bank from the
Restricted Account. Within thirty (30) days after the Sale Proceeds from the last
pharmacy are deposited into the Restricted Account, the Borrowers will cause an
additional payment of $3,000,000.00 to be made to the Bank. Prior to full payment of
the Pharmacy Sale Payment (but after payment of the partial Pharmacy Sale Payment in
the amount of $22,000,000 to the Bank), Borrowers may make other payments and
disbursements of funds in the Restricted Account for the purposes and not in excess of
the amounts set forth in Schedule “6”. After the full Pharmacy Sale Payment is made to
the Bank, the amounts on deposit in the Restricted Account will be transferred to the
Borrower’s operating account to be disbursed solely in accordance with and for the
purposes specified in Schedule “6”. Except (a) as specified on Schedule “6” and (b)
for the owner financed debt currently outstanding for a pharmacy sold in connection
with the Pharmacy Sales, the Borrowers and the Borrower’s affiliates will not use any
of the Sale Proceeds to directly or indirectly pay any debt or obligations (other than
reasonable, usual operating or overhead costs, or make any distributions, payments or
other remuneration to any shareholders or members, or partners of the Borrowers or the
Borrower’s affiliates. The Pharmacy Sale Payment in excess of the amounts advanced by
the Bank under the Acquisition Note tranches to the Borrower for the acquisition of the
Pharmacies will be applied to the Term Note.
	 
	 	6.4.	 	Barnes Pharmacies. Pursuant to the First Amendment to Asset Purchase
Agreement among ARx, GRMH and Walgreen Co., dated effective October 29, 2010, up to
$1,500,000.00 of the Sale Proceeds associated with the Barnes and Barnes NH pharmacies
may be escrowed, with the Bank receiving the $1,500,000.00 as many as thirty (30) days
after receiving the final $3,000,000.00 payment under paragraph 6.3. For the purposes
of securing the releases described in paragraph 6.2, the amounts deposited in Escrow
will be deemed to have been deposited in the Restricted Account.

7. Permitted Actions after Pharmacy Sale Payments. Notwithstanding any contrary provisions
of this Agreement, including without limitation paragraphs 10.3, 10.4, 10.7, 10.8 and 10.9, and any
other provisions of the Loan Documents, Borrowers may take any and all of the following actions,
after the Pharmacy Sale Payment has been fully made to Bank and if Borrowers are not then in
default of the Loan Agreement or the Loan Documents:

	 	7.1.	 	With prior written notice to the Bank, GRMH may issue and sell its convertible
debt obligations and pay coupons thereon to the purchasers thereof on

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	 	 	 	commercially reasonable market terms, such convertible debt obligations to be
unsecured, using the proceeds of such issuance(s) for ordinary course operating
needs of the Borrowers and/or planned and disclosed acquisitions of additions to the
present businesses of Borrowers at any time.

	 	7.2.	 	GRMH may issue its guaranty for any of the Borrowers ordinary course business
obligations that are not otherwise prohibited by the Loan Agreement and Loan Documents;
	 
	 	7.3.	 	Any of the Borrowers may loan, advance, contribute or distribute funds to any
of the Borrowers. Any of the Borrowers may repay to any of the Borrowers any loan or
advance.

8. Representations. The Borrowers (and the Guarantors severally, as indicated below)
represent and warrant to the Bank that the following circumstances exist on the date of this
Agreement and will continually exist throughout the term of the Loan:

	 	8.1.	 	Existence. GRMH is a corporation duly organized and validly existing
under the laws of the State of Oklahoma. ARx, SDC and OCH are and will each continue
to be a limited liability company duly organized and validly existing under the laws of
the State of Oklahoma. Borrowers and Guarantors have adequate power, authority and
legal right to enter into and carry out the provisions of the Loan Documents, to borrow
money and to give security for borrowings as required by this Agreement and to
consummate the transactions hereby contemplated.
	 
	 	8.2.	 	Financial Condition. The financial statements of Borrowers and
Guarantors, copies of which have been furnished to the Bank, are correct and complete
and fairly reflect the financial condition of Borrowers and Guarantors as of the date
thereof and have been prepared in conformity with accounting principles applied on a
basis consistent with that of preceding periods. There has occurred no material
adverse change in the financial condition of Borrowers from the date of such financial
statements to the date of execution of this Agreement. Each Guarantor joins in this
paragraph 8.2 on a several basis, as applicable to the Guarantor.
	 
	 	8.3.	 	Liabilities. Neither Borrowers nor any Guarantors has any material
liabilities, direct or contingent, except those disclosed in the financial statements
referred to in paragraph 8.2 of this Agreement. Each Guarantor joins in this paragraph
8.3 on a several basis, as applicable to the Guarantor.
	 
	 	8.4.	 	Ownership. Except as set forth on Schedule “8.4”, the Borrowers have
good and marketable title to the Collateral, free and clear of all liens, security
interests, claims or encumbrances, except for liens and security interests in favor of
the Bank.
	 
	 	8.5.	 	Taxes. Except as set forth on Schedule “8.5”, the Borrowers and the
Guarantors have filed all foreign, federal, state and local tax returns which are
required to be filed and have paid or made provisions for payment of all taxes which
have or

Amended and Restated Loan Agreement

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	 	 	 	may become due pursuant to said returns or pursuant to any assessment, except such
taxes as are being contested in good faith and as to which adequate reserves have
been provided. The Borrowers and the Guarantors do not know of any basis for the
assessment of any deficiency taxes. Each Guarantor joins in this paragraph 8.5 on a
several basis, as applicable to the Guarantor.

	 	8.6.	 	Litigation. There is no action, suit, proceeding or investigation
pending, or threatened against any Borrowers, any of the Guarantors or the Collateral
which might: (a) adversely affect a Borrower, any of the Guarantors or the Collateral;
(b) impair the ability of a Borrower to carry on their respective business as
contemplated hereby; (c) result in any substantial liability not adequately covered by
insurance; or (d) adversely affect a Borrower or their ability to perform their
obligations under the Loan Agreement. Each Guarantor joins in this paragraph 8.6 on a
several basis, as applicable to the Guarantor.
	 
	 	8.7.	 	Location of Business Records. Borrowers will give the Bank written
notice of each location of each Borrower and Borrower Subsidiaries at which records
pertaining to the Collateral, their business and other contract rights are kept.
Except as such notice is given, all records of Borrowers pertaining to the Collateral
and other contract rights are and will continue to be kept at the address of Borrowers
as it appears in paragraph 14.5 of this Agreement, or at such other address as the
Borrowers designate for such purpose in a written notice to the Bank. The principal
place of business of each Borrower is in the State of Oklahoma.
	 
	 	8.8.	 	No Default. The execution, delivery and performance by the Borrowers
and the Guarantors of this Agreement and the Loan Documents will not violate any
provision or constitute a default under any indenture, agreement or instrument to which
any of the Borrowers or Guarantors is a party or by which any Borrower, any Guarantor
or the Collateral is bound or affected. Each Guarantor joins in this paragraph 8.8 on a
several basis, as applicable to the Guarantor.
	 
	 	8.9.	 	Agreements Effective. True, correct and complete copies of the
agreement creating the Trust, and each amendment thereto, have been delivered to the
Bank and the agreement creating the Trust will be maintained in full force and effect.
	 
	 	8.10.	 	Full Disclosure. Neither this Agreement nor any statement or
instrument referred to herein nor any other information, report or statement delivered
to the Bank by the Borrowers or the Guarantors contains any untrue statement or omits
to state a material fact necessary to make the statements herein or therein not
misleading. Each Guarantor joins in this paragraph 8.10 on a several basis, as
applicable to the Guarantor.
	 
	 	8.11.	 	Survival of Representations. All representations and warranties made
by the Borrowers and the Guarantors herein will survive the delivery of the Loan
Documents and the making of the Loan evidenced thereby, and any investigation at any
time made by or on behalf of the Bank will not diminish the Bank’s right to

Amended and Restated Loan Agreement

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	 	 	 	rely thereon. All statements contained in any certificate or other instrument
delivered by or on behalf of the Borrowers or the Guarantors under or pursuant to
this Agreement or in connection with the transactions contemplated hereby will
constitute representations and warranties made by the Borrowers and the Guarantors
hereunder. Each Guarantor joins in this paragraph 8.11 on a several basis, as
applicable to the Guarantor.

	 	8.12.	 	ERISA Plans. Each of the Borrowers has disclosed to the Bank all
existing employee benefit plans under the Employee Retirement Income Security Act of
1974, as amended (“ERISA”). No termination event has occurred with respect to any
ERISA plan of any Borrower and each of the Borrowers is in compliance with ERISA in all
respects.
	 
	 	8.13.	 	Solvency. Upon giving effect to the issuance of the Notes, the
execution of the Loan Documents by the Borrowers and the Guarantors and the
consummation of the transactions contemplated hereby, the Borrowers and the Guarantors
will be solvent (as such term is used in applicable bankruptcy, liquidation,
receivership, insolvency or similar laws). Each Guarantor joins in this paragraph 8.13
on a several basis, as applicable to the Guarantor.
	 
	 	8.14.	 	Use of Proceeds. Except as otherwise approved by the Bank in writing,
all proceeds of the Acquisition Note were used solely for the funding of (a) up to
seventy percent (70%) of either the purchase price of the acquisition of existing
pharmacy business assets or sleep labs or the startup costs of new sleep labs; and (b)
other costs incurred by Borrowers or the Bank in connection with the preparation of the
Prior Agreement, provided that such payment is approved by the Bank. For purposes of
this paragraph 8.14, the purchase price includes the cost of inventory purchased
through the acquisition, to the extent not already included in the purchase price
amount. All proceeds of the Term Note were used solely for the funding of (a) the
acquisition and refinancing of then existing indebtedness and loans owed to Intrust
Bank; (b) the refinancing of the existing indebtedness owed to the Bank; and (c) other
costs incurred by Borrowers or the Bank in connection with the preparation of the Prior
Agreement as approved by the Bank.

9. Affirmative Covenants. Until the payment in full of the Obligations, unless the Bank
otherwise consents in writing, the Borrowers (and the Guarantors severally and where and as
indicated below) agree to perform or cause to be performed the following:

	 	9.1.	 	Performance of Obligations. The Borrowers will pay and perform all
Obligations under the Loan Documents. The Borrowers will perform all of their
respective obligations under all material contracts and agreements relating to their
respective businesses, and will enforce the performance of the obligations of the other
parties thereto.
	 
	 	9.2.	 	Notifications. The Borrowers will give prompt written notice to the
Bank of: (a) any event of Default; (b) any event of default by a Borrower affiliate
under a material contract to such affiliates portion of the Business; (c) changes of

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	 	 	 	management of a Borrower; (d) the death, disability or termination of employment
with a Borrower by any Guarantor; (e) all material litigation affecting any of the
Borrower, Borrower affiliates, any of the Guarantors or the Collateral; (f) any
notices, demands or other written communications from third party payers regarding
the general coding or billing practices or asserting a pattern of improper coding or
billing practices of any Borrower or any of the Borrower affiliates; (g) the change
or relocation of the principal place of business of any Borrower outside the State
of Oklahoma; and (h) any other matter which has resulted in, or might result in:
(1) a material adverse change in the financial condition of any Borrower, the
pharmacy or sleep lab businesses or any of the Guarantors, or (2) a material adverse
change in the ability of the Borrowers to perform the Obligations, warranties,
covenants and conditions of the Loan Documents. Each Guarantor joins in this
paragraph 9.2 on a several basis, as applicable to the Guarantor.

	 	9.3.	 	Records Inspections. Borrowers and Borrower Subsidiaries will each
maintain full and accurate accounts and records of their respective operations on a
basis consistent with prior periods. Borrowers will permit the Bank and the Bank’s
designated representatives to have access to the Collateral and the records and
accounts relating to the Collateral at all reasonable times to perform such
inspections, audits and examinations as the Bank might reasonably request from time to
time.
	 
	 	9.4.	 	Financial Information. The Borrowers and the Guarantors will furnish
to the Bank (Each Guarantor joins in this paragraph 9.4 on a several basis, as
applicable to the Guarantor):

	 	9.4.1	 	Financial Statements. Accurate books and records of
account will be kept by the Borrowers and the Guarantors in accordance with
accounting principles consistently applied. The Bank will have the right to
examine and copy such books and records and the federal and state income tax
returns of the Borrowers and the Guarantors, to discuss the affairs, finances
and accounts of the Borrowers and the Guarantors, and to be informed as to the
same at such times and intervals as the Bank might reasonably request.
Borrowers will furnish to the Bank within sixty (60) days after the end of each
calendar quarter commencing with the quarter ending June 30, 2008, a quarterly
reviewed financial statement of Borrowers in form satisfactory to the Bank
completed by Borrowers’ outside accountant, together with a certification by
Borrowers as to the correctness of the Guaranty Debt Service Coverage Ratio,
Debt Service Coverage Ratio and Net Worth calculations in accordance with this
Agreement. In addition to the quarterly statements, Borrowers will furnish to
the Bank within one hundred twenty (120) days after the close of Borrowers’
fiscal year, annual consolidated financial statements of each Borrower
completed and audited by Borrowers’ outside accountant, including all
consolidating entries and footnotes, starting with the calendar year 2008 and
each year thereafter. The annual financial statements of

Amended and Restated Loan Agreement

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	 	 	 	Borrowers will be prepared by Borrowers in accordance with generally
accepted accounting principles consistently applied, will be certified by
Borrowers as to correctness and audited by Borrowers’ outside accountants
and will be in form and substance satisfactory to the Bank. So long as the
Guaranties remain outstanding, Guarantors will each furnish to the Bank
annual financial statements within one hundred twenty (120) days after the
close of each respective Guarantor’s fiscal year. The financial statements
of Guarantors will be prepared in accordance with accounting principles
consistently applied and will be certified by each respective Guarantor to
the Bank, and will be in form and substance satisfactory to the Bank. In
addition after an event of Default, the Guarantors will furnish financial
statements to the Bank within fifteen (15) days after written request by the
Bank. For each year in which any Obligations are outstanding, the Borrowers
and the Guarantors (as to Guarantors until release of the Guaranties) will
furnish to the Bank within fifteen (15) days of filing complete copies of
all federal and state income tax returns of the Borrowers and the Guarantors
for the preceding year with all schedules attached. If the time for filing
any such tax returns is to be extended, the Borrowers and the Guarantors
will provide to the Bank copies of such extensions with evidence that such
extensions have been timely filed, within fifteen (15) days of filing.

	 	9.4.2	 	Compliance Certificate. The Borrowers will deliver to
the Bank, at the same time as provided in paragraph 9.4.1 in the case of
quarterly reviewed financial statements and annual consolidated financial
statements (and more frequently on the Bank’s request), a certificate in the
form attached as Exhibit “H” stating that the Borrowers know of no event of
Default under any of the Loan Documents and that all requirements of the Loan
Documents have been fully performed, or if to the knowledge of any Borrower any
of the terms of any of the Loan Documents have not been fully performed, such
certificate will specify the nature of the Default and the steps taken by the
Borrowers to correct such Default.
	 
	 	9.4.3	 	Other Information. At the Bank’s request from time to
time, the Borrowers and the Guarantors (as to Guarantors until release of the
Guaranties) will provide the Bank with such other information as the Bank may
reasonably request regarding the business affairs and financial condition of
the Borrowers and the Guarantors and the Borrowers and the Guarantors will
provide access to the Bank at all reasonable times to all documents and
information relating to the Collateral, the Borrower Subsidiaries and the
pharmacy and sleep lab businesses.
	 
	 	9.4.4	 	Accounts Receivable; Inventory. Within forty-five (45)
days after the end of each quarter, the Borrowers will furnish the Bank
accounts receivable aging, listing and inventory reports for that quarter.

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	 	9.5.	 	Deposit Accounts. The Borrowers will use their reasonable efforts to
maintain their respective primary banking and deposit accounts with the Bank.
	 
	 	9.6.	 	Additional Documents. The Borrowers and the Guarantors will promptly,
on demand by the Bank, perform or cause to be performed such actions and execute or
cause to be executed all such additional agreements, contracts, indentures, documents
and instruments as might be reasonably requested by the Bank to satisfy the
requirements of this Agreement and the disbursement of funds hereunder. Each Guarantor
joins in this paragraph 9.6 on a several basis, as applicable to the Guarantor.
	 
	 	9.7.	 	Governmental Approvals. Borrowers or Borrower Subsidiaries will each
obtain all permits, licenses, and necessary approvals from governmental authorities and
abutting landowners which are considered necessary for the proper operation of their
respective businesses.
	 
	 	9.8.	 	Taxes. All taxes, assessments, governmental charges and levies imposed
on the Borrowers and the Guarantors or the Borrowers’ or the Guarantors’ assets, income
and profits will be paid prior to the date on which penalties attach thereto, provided
that the Borrowers and the Guarantors will not be required to pay any such charge which
is being contested in good faith by proper proceedings as to which adequate reserves
have been established. Each Guarantor joins in this paragraph 9.8 on a several basis,
as applicable to the Guarantor.
	 
	 	9.9.	 	Access. Any representative of the Bank will have reasonable access to
the Collateral and any other property owned by the Borrowers.
	 
	 	9.10.	 	Operation. The Borrowers agree to operate the pharmacy and sleep lab
businesses directly, or indirectly through the Borrower Subsidiaries in a prudent and
efficient manner consistent with normal industry practices and all governing laws and
regulations.
	 
	 	9.11.	 	Qualification; Licenses. Borrowers will take such actions or cause
such actions to be taken as might be required to maintain the existence of all
governmental and private permits, licenses and authorities of the Borrowers and
Borrower Subsidiaries, necessary or desirable to the continuation of the pharmacy and
sleep lab businesses and will comply with all statutes and governmental regulations.
	 
	 	9.12.	 	Insurance. Policies of insurance will be continuously maintained by
the Borrowers on the Collateral with companies, in amounts equal to the replacement
cost of such Collateral, with business interruption, valuable documents and account
receivable loss coverage and against risks satisfactory to the Bank. The Borrowers
will furnish the Bank with copies of all certificates of insurance policies in effect
and evidence of payment of the premium for each insurance policy.

Amended and Restated Loan Agreement

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10. Negative Covenants. The Borrowers (and the Guarantors severally and where and as
indicated below) agree that until payment in full of the Obligations, unless the Bank waives
compliance in writing:

	 	10.1.	 	Creation of Liens. Neither any Borrower nor any Borrower Subsidiaries
will create, assume or suffer to exist any trust deed, mortgage, pledge, security
interest, encumbrance or other lien (including the lien of an attachment, judgment or
execution) securing a charge or obligation affecting any or all of the Collateral or
Accounts of the Borrower Subsidiaries, excluding only: (a) liens for governmental
charges which are not delinquent or the validity of which is being contested in good
faith by appropriate proceedings and as to which adequate reserves have been
established under generally accepted accounting principles; (b) deposits made to secure
statutory and other obligations incurred in the ordinary course of the Borrowers’
respective businesses; (c) equipment acquisition leases in the ordinary course of
business (new or assumed); (d) Seller carry-back financing and liens of ARx or SDC set
forth on Schedule “8.4”; (e) Seller carry-back financing to ARx or SDC from the
acquisition of new sleep or pharmacy businesses, so long as subordinated to the Bank’s
liens; (f) ARx’s financing for working capital evidenced by: (i) “Up-front Discounts”
for inventory purchase commitments; (ii) extended financing referred to as “dating of
inventory” relating to the replacement of the initial inventory from the acquisition of
new pharmacy businesses, and (iii) ordinary course purchases of replacement inventory,
provided that in the case of clause (f)(ii) of this paragraph 10.1, so long as all such
liens or security interests in favor of such inventory provider that secure debt solely
with respect to the “dating of inventory” (determined without regard to any
cross-collaterlaization or similar provision) are or will be junior in priority to the
Bank; and (g) liens to the Bank contemplated by this Agreement.
	 
	 	10.2.	 	Liquidation or Merger. Neither the Borrowers nor any of Borrower
Subsidiaries will liquidate, dissolve or enter into any consolidation, merger,
partnership, joint venture, syndicate, pool, operating agreement or other combination,
or convey, sell or assign any substantial part of their respective assets.
	 
	 	10.3.	 	Creation of Debt. Except as provided in paragraph 8.4, neither the
Borrowers nor any of Borrower Subsidiaries will incur, create or suffer to exist any
indebtedness for borrowed money, or issue, discount or sell any obligation of the
Borrowers or Borrower Subsidiaries, excluding only: (a) the indebtedness to the Bank
contemplated by this Agreement; (b) current accounts payable arising in the ordinary
course of their respective businesses; (c) financing for working capital of Borrower
Subsidiaries of SDC secured only by the personal guaranties of minority interest
holders in such Borrower Subsidiary; (d) the items enumerated in clauses (c), (d), (e)
and (f) of paragraph 10.1; (e) an amount not to exceed $100,000.00 each incurred in the
ordinary course of business by SDC and ARx, including their respective subsidiaries,
for a total not to exceed $200,000.00; and (d) such other indebtedness as the Bank
specifically approves in writing.

Amended and Restated Loan Agreement

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	 	10.4.	 	Loan and Guaranties. Neither the Borrowers nor any of Borrower
Subsidiaries will make any loans, advances or extensions of credit to any person, firm
or corporation nor become a guarantor or surety directly or indirectly, except that:
(a) GRMH may issue its guaranty for ARx’s financing for working capital evidenced by
“Up-front Discounts” for inventory purchase commitments, extending financing referred
to as “dating of inventory” relating to the replacement of the initial inventory from
the acquisition of new pharmacy businesses, and ordinary course purchases of
replacement inventory; (b) Borrowers may make short term operating advances or loans to
Borrower Subsidiaries in the ordinary course of business; and (c) GRMH may guarantee
debt for CPAP machines that is permitted by this Agreement under paragraph 10.1(c) (in
addition to clause (a) of this paragraph 10.4) in an aggregate amount not to exceed
$750,000.00 at any time, unless the Bank otherwise consents in writing.
	 
	 	10.5.	 	Transfers. Except as expressly permitted by this Agreement, the
Borrowers will not transfer or permit to be transferred voluntarily or by operation of
law any interest in the Collateral, the Borrower Subsidiaries or assets of the Borrower
Subsidiaries, except that the Borrowers, with notice to Bank, may recognize transfers
of existing minority equity interests held by third parties in Borrower Subsidiaries so
long as Borrowers’ equity or ownership interest therein is not decreased. GRMH holds
and will maintain at all times ownership and distributable equity interest, directly or
indirectly, in SDC and ARx of not less than one hundred percent (100%). The Borrowers
may create or activate currently inactive Borrower Subsidiaries so long as the
Borrowers maintain the ownership and distributable equity interests percentages of not
less than 51% as to new Borrower Subsidiaries and provides notice to Bank thereof and
delivers such additional assignments or amendments to the Loan Documents satisfactory
to the Bank covering such interests. Borrowers will not issue or sell any additional
membership interests in SDC, ARx or Borrowers Subsidiaries or any other securities
convertible into equity of such entities. The Guarantors will not sell, transfer or
otherwise dispose of or create, assume or suffer to exist any pledge, lien, security
interest, charge or encumbrance on, any interest in GRMH owned by the respective
Guarantor which exceeds, in one or an aggregate of transactions, twenty percent (20%)
of the respective interest currently owned, except after notice to Bank pursuant to
this Loan Agreement without any approval right implied. The Guarantors will not sell,
transfer or permit to be transferred voluntarily or by operation of law assets owned by
such Guarantor which will materially impair the financial worth of such Guarantor or
the Bank’s ability to collect the amount of Obligations guaranteed by such Guarantor.
Each Guarantor joins in this paragraph 10.5 on a several basis, as applicable to the
Guarantor.
	 
	 	10.6.	 	Other Agreements. The Borrowers and Guarantors will not enter into
any agreement that limits or restricts the ability of the Borrowers or Guarantors to
comply with the terms of the Loan Documents. Each Guarantor joins in this paragraph
10.6 on a several basis, as applicable to the Guarantor.

Amended and Restated Loan Agreement

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	 	10.7.	 	Limitation on Distributions and Redemptions. After the occurrence of
an event of Default, Borrower will not declare, pay or make any dividend or
distribution directly or indirectly in respect of any stockholder or equity interest or
other interest in GRMH. GRMH will not directly or indirectly make any capital
contribution to or purchase, redeem, acquire or retire any stockholder or equity
interest in GRMH (whether such interest is now or hereafter issued, outstanding or
created) except with prior written consent and approval of the Bank.
	 
	 	10.8.	 	Limitation on Investments and New Businesses. None of Borrowers will:
(a) make any expenditure or commitment or incur any obligation or enter into or engage
in any transaction except in the ordinary course of business; (b) engage directly or
indirectly in any business or conduct any operations except in connection with or
incidental to their respective present businesses and operations; or (c) make any
acquisitions of or capital contributions to or other investments in any person or
entity, in each case other than the planned and disclosed expansion of the pharmacy and
sleep lab businesses at any time.
	 
	 	10.9.	 	Transactions with Affiliates. No Borrower will engage in any material
transaction with any affiliate of a Borrower on terms which are less favorable to the
Borrower than those which would have been obtainable at the time in an arm’s-length
dealing with persons other than such affiliates.
	 
	 	10.10.	 	Subsidiaries. None of the Borrowers will create or own any subsidiary without
the prior written notice to the Bank including the name, state of organization, list of
equity holders, principal place of business and intended purpose, geographical area and
scope of business operations. Borrowers agree to cause the execution and delivery of
such documents to collaterally assign the Borrower’s equity interest therein and to
pledge, encumber or grant a security interest in such subsidiaries’ assets.
	 
	 	10.11.	 	Debt Service Coverage Ratio. Commencing with the Quarter ending September
30, 2010, and thereafter during the term of the Loan, based on the latest four rolling
quarters, the Borrowers will continuously maintain a Debt Service Coverage Ratio of not
less than 1.25 to 1. The Bank will waive, effective December 31, 2010, the application
of the covenants contained in paragraphs 10.11 and 10.12 of this Agreement for the
fourth quarter of calendar year 2010 if the Bank receives: (a) $22,000,000.00 (or
$20,500,000.00 if the Escrow Account described in paragraph 6.4 is established) in
proceeds from the transaction contemplated by the Purchase Agreement on or before
December 31, 2010; (b) $3,000,000 on the date 30 days after receiving the payment
described in clause (a), but not later than January 31, 2010; and (c) if the payment
under clause (a) was $20,500,000.00, $1,500,000.00 30 days after receiving the payment
described in clause (b), but not later than March 2, 2010.
	 
	 	10.12.	 	Minimum Net Worth. During the term of the Loan, Borrowers will continuously
maintain the Minimum Net Worth determined on a quarterly basis.

Amended and Restated Loan Agreement

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11. Default. Unless remedied by the Borrowers as permitted under Section 12 or waived by
the Bank in writing, the occurrence of any of the following events will constitute an event of
default (“Default”):

	 	11.1.	 	Nonpayment of Note. A default in payment when due of any interest on
or principal of the Note; or
	 
	 	11.2.	 	Other Nonpayment. A default in payment when due of any other amount
payable to the Bank under the terms of any of the Loan Documents; or
	 
	 	11.3.	 	Breach of Agreement. A default by a Borrower or a Guarantor in the
performance or observance of any agreement contained in the Loan Documents, or under
the terms of any other instrument delivered to the Bank in connection with this
Agreement; or
	 
	 	11.4.	 	Lien Filings. Except as expressly permitted by this Agreement, the
existence of any lien on the Collateral without indemnification therefor satisfactory
to the Bank; or
	 
	 	11.5.	 	Casualty Loss. Substantial damage to or destruction of a material
portion of the Collateral or the pharmacy or sleep lab businesses; or
	 
	 	11.6.	 	Other Agreements. The rescission, abandonment, disclaimer or breach
of the Loan Agreement, a Guaranty or any of the other Loan Documents or other contracts
or agreements pledged to the Bank under the Loan Documents; or
	 
	 	11.7.	 	Representations. Any representation, statement, certificate, schedule
or report made or furnished to the Bank by the Borrowers or the Guarantors proves to be
false or erroneous in any material respect at the time of the making thereof or any
representation or warranty ceases to be complied with in any material respect; or
	 
	 	11.8.	 	Bankruptcy. A Borrower or any of the Guarantors becomes bankrupt or
makes a general assignment for the benefit of creditors or applies for, or consents to,
the appointment of a trustee, receiver or liquidator or authorizes such application or
consent, or if proceedings seeking such appointment are commenced against a Borrower or
a Guarantor and remain undismissed and unstayed for ninety (90) days; or a Borrower or
any of the Guarantors authorizes or files a voluntary petition in bankruptcy or applies
for or consents to the application of any bankruptcy, reorganization, readjustment of
debt, insolvency, dissolution, liquidation or other similar law of any jurisdiction; or
	 
	 	11.9.	 	Judgment. Entry by any court of judgment against any of the Borrowers
or any of the Guarantors in excess of Fifty Thousand Dollars ($50,000.00) which is not
adequately covered by insurance or secured by a supersedes bond, or any attachment of
any of the Collateral which is not discharged to the satisfaction of the Bank within
thirty (30) days thereof; or

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	 	11.10.	 	Maturity of Other Debt. The occurrence of an event of default under or the
acceleration of the maturity of any other indebtedness of a Borrower or a Guarantor to
any other person which in the reasonable opinion of the Bank will materially and
adversely affect the ability of a Borrower or a Guarantor, as applicable, to perform
the Loan Documents; or
	 
	 	11.11.	 	Failure of Liens. Except as expressly permitted by this Agreement, failure
of the Bank’s assignment, liens and security interests covering the Collateral to
constitute a first and prior perfected lien on any material portion of the Collateral;
or
	 
	 	11.12.	 	Stock Suspension. The suspension of trading for more than thirty (30) days
or delisting of the stock of GRMH from the OC:BB or such future exchange on which the
stock is hereafter listed and traded.

12. Opportunity to Cure. The Borrower has the right to cure certain events under Section
11, as follows:

	 	12.1.	 	Nonpayment. Up to three events in the aggregate described in
paragraphs 11.1 or 11.2 of this Agreement may be cured within five (5) days after
written notice by the Bank to the Borrower (of which a copy need not be sent to the
Borrower’s counsel as provided in paragraph 14.5 of this Agreement). No notice will be
given and no opportunity to cure will be given for the fourth or subsequent event
described in paragraphs 11.1 or 11.2.
	 
	 	12.2.	 	No Opportunity to Cure. No notice or opportunity to cure will be
given for any event described in paragraphs 11.8 or 11.9.
	 
	 	12.3.	 	Other Events. Any event described in paragraph 11 (other than those
set forth in paragraphs 11.1, 11.2, 11.8 or 11.9) may be cured within ten (10) days
(five (5) days for events described in paragraph 11.11) after written notice by the
Bank to the Borrower.

If any event under Paragraph 11 is (a) not cured as described in this paragraph 12 to the Bank’s
reasonable satisfaction; or (b) is not permitted to be cured under this paragraph 12, then the
Borrower will be in Default under this Agreement and the Bank may exercise all remedies available
to it as described in this Agreement.

13. Remedies. In the event of Default, the Bank will have the following remedies:

	 	13.1.	 	Acceleration of Note. The Bank may, at the Bank’s option, declare the
Notes and all other Obligations to be immediately due and payable and the Bank will be
entitled to proceed to selectively and successively enforce the Bank’s rights under the
Loan Documents or any one or more of them.
	 
	 	13.2.	 	Selective Enforcement. In the event the Bank elects to selectively
and successively enforce the Bank’s rights under any one or more of the instruments
securing payment of the Obligations, such action will not be deemed a waiver or

Amended and Restated Loan Agreement

- 21 -

 

	 	 	 	discharge of any other lien or encumbrance securing payment of the Obligations until
such time as the Bank has been paid in full all sums owing to the Bank.

	 	13.3.	 	Performance by Bank. The Bank will have the right (but not the
obligation) to: (a) take possession of the Collateral and operate or dispose of the
Collateral in such manner as the Bank determines in the Bank’s sole discretion; (b)
take possession of all Accounts. Equipment, Inventory, General Intangibles, materials
and tools used in any Borrower’s businesses; (c) make payments of the costs directly to
persons engaged by a Borrower or the Bank; (d) make such payments and perform such acts
as might be determined by the Bank to be necessary or appropriate to perform or to cure
any default in performance by the Borrowers under agreements affecting the Collateral;
and (e) make advances under the Notes without the consent of the Borrowers to pay
interest accrued thereon and all costs. If the Bank exercises such option, all costs
will be paid to the Bank by the Borrowers. The Borrowers and the Guarantors hereby
authorize the Bank to increase the indebtedness owing by the Borrowers to the Bank and
agree that the Loan Documents will evidence and secure payment of such costs whether or
not the total funds advanced exceed the face amount of the Loan Documents.
	 
	 	13.4.	 	Waiver of Default. The Bank may, by an instrument in writing signed
by the Bank, waive any Default which has occurred and any of the consequences of such
Default, and in such event, the Bank, the Borrowers and the Guarantors will be restored
to their respective former positions, rights and obligations hereunder. Any Default so
waived will, for the purposes of this Agreement, be deemed to have been cured and not
to be continuing, but no such waiver will extend to any subsequent or other Default or
impair any consequence of such subsequent or other Default.
	 
	 	13.5.	 	Deposits; Setoff. Regardless of the adequacy of any other collateral
security held by the Bank, any deposits or other sums credited by or due from the Bank
to the Borrowers or the Guarantors will at all times constitute collateral security for
all indebtedness and obligations of the Borrowers and the Guarantors to the Bank and
may be set off against any and all liabilities of the Borrowers and the Guarantors to
the Bank. The rights granted by this paragraph are in addition to the rights of the
Bank under any statutory banker’s lien now or hereafter in effect.

14. Miscellaneous. It is further agreed as follows:

	 	14.1.	 	Participating Lenders. The Borrowers and the Guarantors agree that
although the Loan Documents name the Bank as the holder thereof, the Bank is authorized
to sell participation interests in all or any portion of the Loan to other financial
institutions (a “Participating Lender”) and the Borrowers and the Guarantors agree
that, subject to the terms of the agreements of participation, each Participating
Lender will be entitled to rely on the terms of the Loan Documents as if the
Participating Lender had been named as an original party to the Loan Documents.

Amended and Restated Loan Agreement

- 22 -

 

	14.2.	 	Cumulative Remedies. No failure on the part of the Bank to exercise and
no delay in exercising any right hereunder will operate as a waiver thereof, nor will
any single or partial exercise by the Bank of any right hereunder preclude any other or
further right of exercise thereof or the exercise of any other right.
	 
	14.3.	 	Survival of Representations. All representations and warranties made
herein will survive the making of the Loan hereunder and the delivery of the Loan
Documents.
	 
	14.4.	 	Expenses. Within ten (10) days after receipt of invoice therefor, the
Borrowers will (except where prohibited by applicable law) pay all reasonable expenses
incurred by the Bank in connection with the transactions herein contemplated including,
without limitation, negotiation and preparation of the Loan Documents and all
attorneys’ fees, filing fees and recording costs. In addition, the Borrowers will pay
all reasonable fees, costs, expenses (including legal expenses and attorneys’ fees) and
disbursements of the Bank incident to: (a) the protection of the rights of the Bank in
connection with the Loan Documents and the transactions contemplated thereby; and (b)
the collection or enforcement of the Loan Documents whether by judicial proceedings,
proceedings under Chapter 7 or 11 of the Bankruptcy Code or any successor statute
thereto, or otherwise.
	 
	14.5.	 	Notices. Any notice, demand or communication required or permitted to
be given by any provision of this Agreement will be in writing and will be deemed to
have been given and received when delivered personally or by telefacsimile to the party
designated to receive such notice, or on the date following the day sent by overnight
courier, or on the third (3rd) business day after the same is sent by certified mail,
postage and charges prepaid, directed to the following addresses or to such other or
additional addresses as any party might designate by written notice to the other
parties:

	 	 	 	 	 

	 

	 	The Bank:
	 	Arvest Bank
	 

	 	 	 	Attention: Mr. Steve Faler
	 

	 	 	 	3900 N. Lincoln Boulevard
	 

	 	 	 	Oklahoma City, Oklahoma 73105
	 

	 	 	 	Fax: (405) 523-4126
	 
	 	 	 	 
	 

	 	with copy to:
	 	Tom Blalock, Esquire
	 

	 	 	 	Commercial Law Group, P.C.
	 

	 	 	 	5520 North Francis Avenue
	 

	 	 	 	Oklahoma City, Oklahoma 73118
	 

	 	 	 	Fax: (405) 232-5553
	 
	 	 	 	 
	 

	 	The Borrower:
	 	Graymark Healthcare, Inc.
	 

	 	 	 	Attention: Mr. Stanton Nelson
	 

	 	 	 	101 North Robinson, Suite 900
	 

	 	 	 	Oklahoma City, Oklahoma 73102
	 

	 	 	 	Fax: (405) 239-2258

Amended
and Restated Loan Agreement

- 23 -

 

	 	 	 	 	 

	 

	 	with copy to:
	 	John D. Singleton, PLLC
	 

	 	 	 	1601 NW Expressway, Suite 510
	 

	 	 	 	Oklahoma City, Oklahoma 73118
	 

	 	 	 	Fax: (405) 463-0310
	 
	 	 	 	 
	 

	 	The Guarantors:
	 	Oliver Company Holdings, LLC
	 

	 	 	 	Mr. Roy T. Oliver
	 

	 	 	 	Mr. Stanton Nelson
	 

	 	 	 	101 North Robinson, Suite 900
	 

	 	 	 	Oklahoma City, Oklahoma 73102
	 

	 	 	 	Fax: (405) 239-2258
	 
	 	 	 	 
	 

	 	 	 	Mr. Lewis Zeidner
	 

	 	 	 	5400 Union Terrace Lane North
	 

	 	 	 	Plymouth, MN 55442
	 

	 	 	 	Fax: (763) 577-0482

	14.6.	 	Construction. The Loan Documents are intended to constitute contracts
made under the laws of the State of Oklahoma and to be construed in accordance with the
internal laws of said state. Nothing in this Agreement will be construed to constitute
the Bank as a joint venturer with any of the Borrowers or Guarantors or to constitute a
partnership. The descriptive headings of the paragraphs of this Agreement (except the
terms defined in paragraph 1) are for convenience only
and are not to be used in the construction of the content of this Agreement. This
Agreement may be executed in multiple counterparts, each of which will constitute one
agreement.
	 
	14.7.	 	Binding Effect. This Agreement will be binding on and will inure to
the benefit of the Bank, the Borrowers, the Guarantors and their respective successors
and assigns.
	 
	14.8.	 	No Third Party Beneficiaries. Nothing in this Agreement, express or
implied, is intended to confer upon any person, other than the parties hereto and their
respective successors and assigns, any rights or remedies under or by reason of this
Agreement or to constitute such person a third party beneficiary of this Agreement.
	 
	14.9.	 	Assignment. Neither this Agreement, the Loan Documents nor the
proceeds from the Loan will be assigned without the Bank’s prior written consent, and
without such consent, there will be no right to designate a payee of the proceeds from
the Loan.
	 
	14.10.	 	Time. Time is of the essence of this Agreement and each provision of the
other Loan Documents.

Amended
and Restated Loan Agreement

- 24 -

 

	14.11.	 	Severability. In case any one or more of the provisions contained in the
Loan Documents should be invalid, illegal or unenforceable in any respect in any
jurisdiction, the validity, legality and enforceability of such provision or provisions
will not in any way be affected or impaired thereby in any other jurisdiction; and the
validity, legality and enforceability of the remaining provisions contained herein and
therein will not in any way be affected or impaired thereby.
	 
	14.12.	 	Verbal Change. The Loan Documents may not be amended, altered, modified or
changed verbally, but only by an agreement in writing signed by the party against whom
enforcement of any amendment, waiver, change, modification or discharge is sought.
	 
	14.13.	 	No Waiver. No advance of the proceeds from the Loan under any of the Loan
Documents will constitute a waiver of any of the representations, warranties,
conditions or covenants of the Borrowers or any of the Guarantors under the Loan
Documents. In the event the Borrowers or any of the Guarantors is unable to satisfy
any warranty, condition or covenant contained in the Loan Documents, no advance of the
proceeds from the Loan will preclude the Bank from thereafter declaring such inability
to be an event of Default.
	 
	14.14.	 	Application of Loan Proceeds. The Bank may apply the proceeds from the Loan
under the Notes to the satisfaction of any condition, warranty or covenant of the
Borrowers under any of the Loan Documents, and any proceeds so applied will be
considered as a part of the proceeds from the Loan advanced under the Notes and will be
secured by the Loan Documents.
	 
	14.15.	 	Supersession. This Agreement supersedes and replaces the Prior Agreement in
its entirety. Any reference in any of the Loan Documents to the Prior Agreement will
be deemed a reference to the applicable provisions of this Agreement.
	 
	14.16.	 	ACKNOWLEDGMENTS AND ADMISSIONS. EACH OF THE BORROWERS AND GUARANTORS HEREBY
REPRESENT, WARRANT, ACKNOWLEDGE AND ADMIT THAT (A) EACH OF THEM HAS MADE AN INDEPENDENT
DECISION TO ENTER INTO THIS AGREEMENT AND THE OTHER LOAN DOCUMENTS TO WHICH IT IS A
PARTY, WITHOUT RELIANCE ON ANY REPRESENTATION, WARRANTY, COVENANT OR UNDERTAKING BY THE
BANK, WHETHER WRITTEN, ORAL OR IMPLICIT, OTHER THAN AS EXPRESSLY SET OUT IN THIS
AGREEMENT OR IN ANOTHER LOAN DOCUMENT DELIVERED ON OR AFTER THE DATE HEREOF, (B) THERE
ARE NO REPRESENTATIONS, WARRANTIES, COVENANTS, UNDERTAKINGS OR AGREEMENTS BY THE BANK
AS TO THE LOAN DOCUMENTS EXCEPT AS EXPRESSLY SET OUT IN THIS AGREEMENT OR IN ANOTHER
LOAN DOCUMENT DELIVERED ON OR AFTER THE DATE HEREOF, (C) THE BANK HAS NO FIDUCIARY
OBLIGATION TOWARD THE BORROWERS OR THE GUARANTORS WITH RESPECT TO ANY LOAN DOCUMENT OR
THE

Amended
and Restated Loan Agreement

- 25 -

 

	 	 	TRANSACTIONS CONTEMPLATED THEREBY, (D) THE RELATIONSHIP PURSUANT TO THE LOAN
DOCUMENTS BETWEEN THE BORROWERS AND THE BANK IS AND WILL BE SOLELY THAT OF DEBTOR
AND CREDITOR, (E) NO PARTNERSHIP OR JOINT VENTURE EXISTS WITH RESPECT TO THE LOAN
DOCUMENTS BETWEEN ANY BORROWER OR THE GUARANTORS AND THE BANK, (F) SHOULD A DEFAULT
OCCUR OR EXIST, THE BANK WILL DETERMINE IN ITS SOLE DISCRETION AND FOR ITS OWN
REASONS WHAT REMEDIES AND ACTIONS IT WILL OR WILL NOT EXERCISE OR TAKE AT THE TIME,
(G) WITHOUT LIMITING ANY OF THE FOREGOING, NO BORROWER OR GUARANTOR IS RELYING UPON
ANY REPRESENTATION OR COVENANT BY THE BANK, OR ANY REPRESENTATIVE THEREOF, AND NO
SUCH REPRESENTATION OR COVENANT HAS BEEN MADE, THAT THE BANK WILL, AT THE TIME OF AN
EVENT OF DEFAULT, OR AT ANY OTHER TIME, WAIVE, NEGOTIATE, DISCUSS OR TAKE OR REFRAIN
FROM TAKING ANY ACTION PERMITTED UNDER THE LOAN DOCUMENTS WITH RESPECT TO ANY SUCH
EVENT OF DEFAULT OR ANY OTHER PROVISION OF THE LOAN DOCUMENTS, AND (H) THE BANK HAS
RELIED UPON THE TRUTHFULNESS OF THE ACKNOWLEDGMENTS IN THIS PARAGRAPH
14.16 IN DECIDING
TO EXECUTE AND DELIVER THIS AGREEMENT AND TO BECOME OBLIGATED HEREUNDER.
	 
	14.17.	 	JOINT ACKNOWLEDGMENT. THIS WRITTEN AGREEMENT AND THE OTHER LOAN DOCUMENTS
REPRESENT THE FINAL AGREEMENT BETWEEN THE PARTIES AND MAY NOT BE CONTRADICTED BY
EVIDENCE OF PRIOR, CONTEMPORANEOUS OR SUBSEQUENT ORAL AGREEMENTS OF THE PARTIES. THERE
ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.
	 
	14.18.	 	INDEMNITY. THE BORROWERS AGREE TO INDEMNIFY THE BANK, UPON DEMAND, FROM AND
AGAINST ANY AND ALL LIABILITIES, OBLIGATIONS, CLAIMS, LOSSES, DAMAGES, PENALTIES,
FINES, ACTIONS, JUDGMENTS, SUITS, SETTLEMENTS, COSTS, EXPENSES OR DISBURSEMENTS
(INCLUDING REASONABLE FEES OF ATTORNEYS, ACCOUNTANTS, EXPERTS AND ADVISORS) OF ANY KIND
OR NATURE WHATSOEVER (IN THIS PARAGRAPH COLLECTIVELY CALLED “LIABILITIES AND COSTS”)
WHICH TO ANY EXTENT (IN WHOLE OR IN PART) MAY BE IMPOSED ON, INCURRED BY, OR ASSERTED
AGAINST THE BANK BY THIRD PARTIES GROWING OUT OF, RESULTING FROM OR IN ANY OTHER WAY
ASSOCIATED WITH THE COLLATERAL, THE LOAN DOCUMENTS AND THE TRANSACTIONS AND EVENTS
(INCLUDING THE ENFORCEMENT OR DEFENSE THEREOF) AT ANY TIME ASSOCIATED THEREWITH OR
CONTEMPLATED THEREIN (WHETHER ARISING IN CONTRACT OR TORT OR OTHERWISE AND INCLUDING
ANY VIOLATION OR NONCOMPLIANCE WITH ANY ENVIRONMENTAL LAWS BY THE BORROWERS, THE
GUARANTORS OR THE BANK OR ANY LIABILITIES OR DUTIES OF THE BORROWERS,

Amended
and Restated Loan Agreement

- 26 -

 

	 	 	THE GUARANTORS OR THE BANK WITH RESPECT TO HAZARDOUS MATERIALS FOUND IN OR RELEASED
INTO THE ENVIRONMENT).
	 
	 	 	THE FOREGOING INDEMNIFICATION WILL APPLY WHETHER OR NOT SUCH LIABILITIES AND COSTS
ARE IN ANY WAY OR TO ANY EXTENT OWED, IN WHOLE OR IN PART, UNDER ANY CLAIM OR THEORY
OF STRICT LIABILITY, OR ARE CAUSED, IN WHOLE OR IN PART, BY ANY NEGLIGENT ACT OR
OMISSION OF ANY KIND BY THE BANK, PROVIDED ONLY THAT THE BANK WILL NOT BE ENTITLED
UNDER THIS PARAGRAPH TO RECEIVE INDEMNIFICATION FOR THAT PORTION, IF ANY, OF ANY
LIABILITIES AND COSTS WHICH IS PROXIMATELY CAUSED BY ITS OWN INDIVIDUAL GROSS
NEGLIGENCE OR WILLFUL MISCONDUCT, AS DETERMINED IN A FINAL JUDGMENT. IF ANY PERSON
(INCLUDING ANY BORROWER, ANY OF THEIR AFFILIATES OR ANY GUARANTOR) EVER ALLEGES SUCH
GROSS NEGLIGENCE OR WILLFUL MISCONDUCT BY THE BANK, THE INDEMNIFICATION PROVIDED FOR
IN THIS PARAGRAPH WILL NONETHELESS BE PAID UPON DEMAND, SUBJECT TO LATER ADJUSTMENT
OR REIMBURSEMENT, UNTIL SUCH TIME AS A COURT OF COMPETENT JURISDICTION ENTERS A
FINAL JUDGMENT AS TO THE EXTENT AND EFFECT OF THE ALLEGED GROSS NEGLIGENCE OR
WILLFUL MISCONDUCT. AS USED IN THIS PARAGRAPH THE TERM “BANK” WILL REFER NOT ONLY
TO THE PERSON DESIGNATED AS SUCH BUT ALSO TO EACH DIRECTOR, OFFICER, AGENT,
ATTORNEY, EMPLOYEE, PARTICIPANT, REPRESENTATIVE AND AFFILIATE OF THE BANK.
	 
	14.19.	 	WAIVER OF JURY TRIAL, PUNITIVE DAMAGES, ETC. EACH OF THE BORROWERS, THE
BORROWER SUBSIDIARIES, THE GUARANTORS AND THE BANK HEREBY KNOWINGLY, VOLUNTARILY,
INTENTIONALLY AND IRREVOCABLY (A) WAIVES, TO THE MAXIMUM EXTENT NOT PROHIBITED BY LAW,
ANY RIGHT IT MAY HAVE TO A TRIAL BY A JURY IN RESPECT OF ANY LITIGATION BASED HEREON,
OR DIRECTLY OR INDIRECTLY AT ANY TIME ARISING OUT OF, UNDER OR IN CONNECTION WITH THE
LOAN DOCUMENTS OR ANY TRANSACTION CONTEMPLATED THEREBY OR ASSOCIATED THEREWITH, BEFORE
OR AFTER MATURITY, (B) WAIVES, TO THE MAXIMUM EXTENT NOT PROHIBITED BY LAW, ANY RIGHT
IT MAY HAVE TO CLAIM OR RECOVER IN ANY SUCH LITIGATION ANY “SPECIAL DAMAGES,” AS
DEFINED BELOW, (C) CERTIFIES THAT NO PARTY HERETO NOR ANY REPRESENTATIVE OR COUNSEL FOR
ANY PARTY HERETO HAS REPRESENTED, EXPRESSLY OR OTHERWISE, OR IMPLIED THAT SUCH PARTY
WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVERS, AND (D)
ACKNOWLEDGES THAT IT HAS BEEN INDUCED TO ENTER INTO THIS AGREEMENT, THE OTHER LOAN
DOCUMENTS AND THE TRANSACTIONS CONTEMPLATED HEREBY AND THEREBY BY,

Amended
and Restated Loan Agreement

- 27 -

 

	 	 	AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS CONTAINED IN THIS
PARAGRAPH. AS USED IN THIS PARAGRAPH, “SPECIAL DAMAGES” INCLUDES ALL SPECIAL,
CONSEQUENTIAL, EXEMPLARY OR PUNITIVE DAMAGES (REGARDLESS OF HOW NAMED), BUT DOES NOT
INCLUDE ANY PAYMENTS OR FUNDS WHICH ANY PARTY HERETO HAS EXPRESSLY PROMISED TO PAY
OR DELIVER TO ANY OTHER PARTY HERETO.

	 	 	 	 	 

	Schedule “1.13”

	 	-
	 	Guarantor Pro Rata Percentages
	Schedule “6”

	 	-
	 	Pharmacy Lien Release Schedule
	Schedule “8.4”

	 	-
	 	Liens, Claims and Encumbrances
	Schedule “8.5”

	 	-
	 	Tax Returns
	 
	 	 	 	 
	Exhibit “A”

	 	-
	 	Acquisition Note
	Exhibit “B”

	 	-
	 	Term Note
	Exhibit “C”

	 	-
	 	Form of Collateral Assignment of Equity Interests
	Exhibit “D”

	 	-
	 	Form of Collateral Assignment of Leases
	Exhibit “E”

	 	-
	 	Form of Guaranty
	Exhibit “F”

	 	-
	 	Form of Security Agreement
	Exhibit “G”

	 	-
	 	Form of Account Control Agreement
	Exhibit “H”

	 	-
	 	Form of Compliance Certificate

[Signature Pages Follow]

Amended
and Restated Loan Agreement

- 28 -

 

SIGNATURE PAGE TO

AMENDED AND RESTATED LOAN AGREEMENT

     IN WITNESS WHEREOF, the parties have executed this Agreement effective the date first above
written.

	 	 	 	 	 	 	 

	 

	 	BANK:	 	 	 	 
	 
	 	 	 	 	 	 
	 	 	ARVEST BANK, an Arkansas banking corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:	 	 	 	 
	 

	 	 	 	 

Steve Faler, Senior Vice President
	 	 

Amended
and Restated Loan Agreement

 

 

SIGNATURE PAGE TO

AMENDED AND RESTATED LOAN AGREEMENT

     IN WITNESS WHEREOF, the parties have executed this Agreement effective the date first above
written.

	 	 	 	 	 	 	 

	 	 	BORROWER:	 	 
	 
	 	 	 	 	 	 
	 	 	GRAYMARK HEALTHCARE, INC., an 

Oklahoma
corporation	 	 
	 
	 	 	 	 	 	 
	 

	 	By:	 	 	 	 
	 

	 	 	 	 

Stanton M. Nelson, CEO
	 	 
	 
	 	 	 	 	 	 
	 	 	BORROWER:	 	 
	 
	 	 	 	 	 	 
	 	 	APOTHECARYRX LLC, an Oklahoma limited 
liability
company	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	Graymark Healthcare, Inc., an Oklahoma 

corporation, its Manager	 	 
	 
	 	 	 	 	 	 
	 

	 	 	 	By:	 	 
	 

	 	 	 	 

	 	 
	 

	 	 	 	          Stanton M. Nelson, CEO	 	 
	 
	 	 	 	 	 	 
	 	 	BORROWER:	 	 
	 
	 	 	 	 	 	 
	 	 	SDC HOLDINGS, LLC, an Oklahoma limited 
liability
company	 	 
	 
	 	 	 	 	 	 
	 

	 	By:
	 	Graymark Healthcare, Inc., an Oklahoma 

corporation, its Manager	 	 
	 
	 	 	 	 	 	 
	 

	 	 	 	By:	 	 
	 

	 	 	 	 

	 	 
	 

	 	 	 	          Stanton M. Nelson, CEO	 	 

Amended
and Restated Loan Agreement

 

 

SIGNATURE PAGE TO

AMENDED AND RESTATED LOAN AGREEMENT

     IN WITNESS WHEREOF, the parties have executed this Agreement effective the date first above
written.

	 	 	 	 	 	 	 

	 	 	GUARANTOR:	 	 
	 
	 	 	 	 	 	 
	 	 	OLIVER COMPANY HOLDINGS, LLC, an 

Oklahoma limited
liability company	 	 
	 
	 	 	 	 	 	 
	 

	 	By:	 	 	 	 
	 

	 	 	 	 

Roy T. Oliver, Manager
	 	 
	 
	 	 	 	 	 	 
	 	 	GUARANTOR:	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 	 	ROY R. OLIVER, individually	 	 
	 
	 	 	 	 	 	 
	 	 	GUARANTOR:	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 	 	ROY T. OLIVER, Trustee of the Roy T. Oliver

Revocable Trust, u/t/a dated June 15, 2004	 	 

Amended
and Restated Loan Agreement

 

 

SIGNATURE PAGE TO

AMENDED AND RESTATED LOAN AGREEMENT

     IN WITNESS WHEREOF, the parties have executed this Agreement effective the date first above
written.

	 	 	 	 	 

	 

	 	GUARANTOR:	 	 
	 
	 	 	 	 
	 

	 	 

STANTON M. NELSON, individually
	 	 

Amended
and Restated Loan Agreement

 

 

SIGNATURE PAGE TO

AMENDED AND RESTATED LOAN AGREEMENT

     IN WITNESS WHEREOF, the parties have executed this Agreement effective the date first above
written.

	 	 	 	 	 

	 

	 	GUARANTOR:	 	 
	 
	 	 	 	 
	 

	 	 

KEVIN LEWIS, individually
	 	 

Amended
and Restated Loan Agreement

 

 

SIGNATURE PAGE TO

AMENDED AND RESTATED LOAN AGREEMENT

     IN WITNESS WHEREOF, the parties have executed this Agreement effective the date first above
written.

	 	 	 	 	 

	 

	 	GUARANTOR:	 	 
	 
	 	 	 	 
	 

	 	 

ROGER ELY, individually
	 	 

Amended
and Restated Loan Agreement

 

 

SIGNATURE PAGE TO

AMENDED AND RESTATED LOAN AGREEMENT

     IN WITNESS WHEREOF, the parties have executed this Agreement effective the date first above
written.

	 	 	 	 	 

	 

	 	GUARANTOR:	 	 
	 
	 	 	 	 
	 

	 	 

LEWIS P. ZEIDNER, individually
	 	 

Amended
and Restated Loan Agreement

 

 

SCHEDULE “1.13” 

Guarantor Pro Rata Percentages

	 	 	 	 	 
	 	 	Guarantor Pro
	Guarantor	 	Rata Percentage
	Oliver
	 	 	48.41	%
	Zeidner
	 	 	21.09	%
	Nelson
	 	 	14.57	%
	Oliver & Nelson, jointly and
severally
	 	 	9.77	%
	Lewis
	 	 	4.62	%
	Ely
	 	 	1.54	%
	 
	 	 	 	 
	 
	 	 	100.00	%
	 
	 	 	 	 

Schedule “1.13”

Page 1 of 1

Amended
and Restated Loan Agreement

 

 

SCHEDULE “6”

Pharmacy Lien Release Schedule

	 	 	 	 	 	 	 	 	 	 	 	 	 
	Pharmacy	 	Purchase Price	 	To Arvest	 	To Expenses
	Rambo
	 	 	3,025,690	 	 	 	2,269,268	 	 	 	756,422	 
	Ken’s
	 	 	2,905,325	 	 	 	2,178,994	 	 	 	726,331	 
	Glencoe
	 	 	2,784,007	 	 	 	2,088,004	 	 	 	696,003	 
	Corner
	 	 	2,422,369	 	 	 	1,816,776	 	 	 	605,593	 
	Barnes
	 	 	2,326,886	 	 	 	1,745,164	 	 	 	581,722	 
	Cox-T
	 	 	1,874,452	 	 	 	1,405,839	 	 	 	468,613	 
	Bolerjack
	 	 	1,345,355	 	 	 	1,009,016	 	 	 	336,339	 
	Lakeshore
	 	 	1,238,374	 	 	 	928,781	 	 	 	309,593	 
	Wilmette
	 	 	1,195,470	 	 	 	896,603	 	 	 	298,867	 
	Hapeth North
	 	 	1,121,045	 	 	 	840,784	 	 	 	280,261	 
	Wolf
	 	 	936,135	 	 	 	702,101	 	 	 	234,034	 
	Newts
	 	 	847,429	 	 	 	635,572	 	 	 	211,857	 
	Lincoln Park
	 	 	808,092	 	 	 	606,069	 	 	 	202,023	 
	Barnes NH
	 	 	630,195	 	 	 	472,646	 	 	 	157,549	 
	Hapeth South
	 	 	607,982	 	 	 	455,987	 	 	 	151,995	 
	Professional
	 	 	486,651	 	 	 	364,988	 	 	 	121,663	 
	Corner Medical
	 	 	474,765	 	 	 	356,074	 	 	 	118,691	 
	Cox-K
	 	 	469,778	 	 	 	352,334	 	 	 	117,444	 
	Final True-Up
	 	 	 	 	 	 	2,875,000	 	 	 	(2,875,000	)
	 	 	 
	 
	 	$	25,500,000	 	 	$	22,000,000	 	 	$	3,500,000	 
	 	 	 

Schedule “6”

Page 1 of 1

Amended
and Restated Loan Agreement

 

 

SCHEDULE “8.4”

Liens, Claims and Encumbrances

Schedule “8.4”

Page 1 of 1

Amended
and Restated Loan Agreement

 

 

SCHEDULE “8.5”

Tax Returns

GRMH’s federal and state tax returns for years 2008 and 2009 are currently being prepared and have
not yet been filed with the appropriate tax authorities.

Schedule “8.5”

Page 1 of 1

Amended
and Restated Loan AgreementExhibit 4.1

Exhibit 4.1

AMENDMENT TO RIGHTS AGREEMENT

This Amendment to Rights Agreement, dated as of March 27, 2011 (this “Amendment”),
between GSI Commerce, Inc., a Delaware corporation (the “Company”), and American Stock
Transfer & Trust Company, LLC (the “Rights Agent”).

WITNESSETH:

WHEREAS, the Company and the Rights Agent constitute all of the parties to that certain Rights
Agreement, dated as of April 3, 2006 (the “Rights Agreement”), and desire to amend the
Rights Agreement as set forth herein;

WHEREAS, at a meeting of the board of directors of the Company (the “Board”) held on
March 27, 2011, (the “Meeting”), the Board adopted a certain Agreement and Plan of Merger
(the “Merger Agreement”) among the Company, eBay Inc. and Gibraltar Acquisition Corp.
(“Merger Sub”) (eBay Inc., Merger Sub or any of their Affiliates (as defined in the Merger
Agreement) are collectively referred to herein as the “Other Parties”) pursuant to which
Merger Sub will be merged with and into the Company (the “Merger”) substantially in the
form attached hereto as Exhibit A;

WHEREAS, upon the effectiveness of the Merger, the Other Parties collectively will acquire
more than 20% of the Company’s common stock, par value $0.01 (the “Company Common Stock”);

WHEREAS, the acquisition of more than 20% of the Company Common Stock would result in the
acquiring entity or entities being deemed to be an “Acquiring Person” under the Rights
Agreement, which would trigger certain events pursuant to the terms of the Rights Agreement; and

WHEREAS, at the Meeting, the Board determined that it is in the best interest of the Company
to amend the Rights Agreement prior to the Company entering into the Merger Agreement so that (i)
none of the Other Parties will be deemed to become an Acquiring Person or Principal Party under the
Rights Agreement; (ii) neither a Distribution Date, a Stock Acquisition Date nor a Triggering Event
will be deemed to have occurred; (iii) the Expiration Date of the Rights Agreement will occur
immediately prior to the Effective Time (as defined in the Merger Agreement); (iv) the Rights will
not separate from the Company Common Stock as a result of the execution, delivery or performance of
the Merger Agreement or the Support Agreements (as defined in the Merger Agreement) or the
consummation of the Merger; and (v) none of the Company, Parent, Merger Sub or the Surviving
Corporation (as defined in the Merger Agreement), nor any of their respective Affiliates, shall
have any obligations under the Rights Agreement to any holder (or former holder) of Rights as of or
following the Effective Time, in each case as a result of the Merger.

NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements
herein contained, and intending to be legally bound hereby, and pursuant to the Rights Agreement
and in accordance with Section 27 thereof, the parties hereto do hereby agree

 

1

 

as
follows (capitalized terms used but not defined herein have the meanings ascribed to such terms
in the Rights Agreement):

1. Amendments to the Rights Agreement.

(a) The Rights Agreement shall be amended by adding the following defined terms at the end of
Section 1 of the Rights Agreement:

“aq. “Merger Agreement” shall mean a certain Agreement and Plan of Merger among the Company,
eBay Inc. and Gibraltar Acquisition Corp. substantially in the form attached hereto as Exhibit D.”

“ar. “Other Parties” shall mean eBay Inc., Gibraltar Acquisition Corp. or any of their
Affiliates.”

(b) The Rights Agreement shall be amended by amending and restating Section 7(a)(i) of the
Rights Agreement as follows:

“(i) the earlier of (x) 5:00 P.M., New York City time, on April 14, 2016, (y)
immediately prior to the Effective Time, provided that the Company shall notify the
Rights Agent promptly following the occurrence of the Effective Time (as defined in
the Merger Agreement), or (z) such later date as may be established by the Board of
Directors of the Company prior to the expiration of the Rights (such date, as it may
be extended by the Board of Directors of the Company, the “Final Expiration Date”),”

(c) The Rights Agreement shall be amended by adding the following sentence at the end of
Section 15 of the Rights Agreement:

“Nothing in this Agreement shall be construed to give any holder of Rights or any
other Person any legal or equitable rights, remedy, or claim under this Agreement in
connection with any transactions contemplated by, or in compliance with the terms
of, the Merger Agreement, including the execution, delivery or performance of
proxies or agreements to vote shares of Common Stock granted by any stockholder of
the Company to the Other Parties in connection with the Merger Agreement.”

(d) The Rights Agreement shall be amended by adding the following as new section 35 of the
Rights Agreement to read in its entirety as follows:

“Section 35. Notwithstanding anything to the contrary in this Agreement or the
Rights Certificates, with respect to the Merger Agreement, (i) none of the execution
or announcement of, or consummation of the Merger (as defined in the Merger
Agreement) or the related transactions contemplated by, or in compliance with the
terms of, the Merger Agreement, including the execution, delivery or performance of
proxies or agreements to vote shares of Common Stock granted by any stockholder of
the Company to the Other Parties shall result or be deemed to result in a
Distribution Date, Stock Acquisition Date or Triggering Event; (ii)

 

2

 

none
of the Other Parties, individually or collectively, shall become or be deemed
to become an Acquiring Person or a Principal Party as a result of the execution or
announcement of, or consummation of the Merger or the related transactions
contemplated by, or in compliance with the terms of, the Merger Agreement, including
the execution, delivery or performance of proxies or agreements to vote shares of
Common Stock granted by any stockholder of the Company to the Other Parties; (iii)
the Company shall not be obligated to provide any notice pursuant to Section 25(b)
as a result of the execution or announcement of, or consummation of the Merger or
the related transactions contemplated by, or in compliance with the terms of, the
Merger Agreement, including the execution, delivery or performance of proxies or
agreements to vote shares of Common Stock granted by any stockholder of the Company
to the Other Parties; and (iv) upon consummation of the Merger in accordance with
the terms of the Merger Agreement, all Rights shall be deemed to have been redeemed
in full and all rights thereunder extinguished.”

(e) The Rights Agreement shall be amended by adding the following as new section 36 of the
Rights Agreement to read in its entirety as follows:

“Section 36. Notwithstanding anything to the contrary in this Agreement or the Rights
Certificates, the Rights will not separate from the Common Stock as a result of the
execution, delivery or performance of the Merger Agreement or the Support Agreements (as
defined in the Merger Agreement) or the consummation of the Merger.”

(f) The Rights Agreement shall be amended by adding the following as new section 37 of the
Rights Agreement to read in its entirety as follows:

“Section 37. Notwithstanding anything to the contrary in this Agreement or the Rights
Certificates, none of the Company, the Other Parties or the Surviving Corporation (as
defined in the Merger Agreement), nor any of their respective Affiliates, shall have any
obligations under the Rights Agreement to any holder (or former holder) of Rights as of or
following the Effective Time.”

(g) New Exhibit D is hereby added to the Rights Agreement substantially in the form
set forth as Exhibit A hereto.

2. Miscellaneous.

(a) The laws of the State of Delaware shall govern the validity, interpretation, construction,
performance, and enforcement of this Amendment, excluding the choice of laws provisions of the
State of Delaware.

(b) Except as modified herein, all other terms and provisions of the Rights Agreement
(including the Exhibits thereto) are unchanged and remain in full force and effect.

(c) This Amendment may be executed in counterparts, each of which shall be deemed an original,
but all of which taken together shall constitute one and the same instrument. This

 

3

 

Amendment
shall become effective when each party to this Amendment shall have received a
counterpart hereof signed by the other party to this Amendment.

(d) This Amendment shall be binding upon any permitted assignee, transferee, successor or
assign to any of the parties hereto.

(e) If any term, provision, covenant or restriction of this Amendment is held by a court of
competent jurisdiction or other authority to be invalid, void or unenforceable, the remainder of
the terms, provisions, covenants and restrictions of this Amendment, and the Rights Agreement,
shall remain in full force and effect and shall in no way be affected, impaired or invalidated.

(f) The officer of the Company executing this Amendment on behalf of the Company hereby
certifies on behalf of the company that this Amendment complies with Section 27 of the Rights
Agreement.

(g) In all respects not inconsistent with the terms and provisions of this Amendment, the
Rights Agreement is hereby ratified, adopted, approved and confirmed. In executing and delivering
this Amendment, the Rights Agent shall be entitled to all the privileges and immunities afforded to
the Rights Agent under the terms and conditions of the Rights Agreement.

[Signature Page Follows]

 

4

 

IN WITNESS WHEREOF, the parties have caused this Amendment to be duly executed by their duly
authorized representatives as of the date first written above.

	 	 	 	 	 
	 	GSI COMMERCE, INC.

 	 
	 	By:  	/s/ Michael R. Conn
 	 
	 	 	Name:  	Michael R. Conn 	 
	 	 	Title:  	Executive Vice President, Finance and Chief Financial Officer 	 
	 
	 	AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC

 	 
	 	By:  	/s/ Paula Caroppoli
 	 
	 	 	Name:  	Paula Caroppoli 	 
	 	 	Title:  	Senior Vice President 	 

 

 

 

EXHIBIT A

Agreement and Plan of Merger

See Agreement and Plan of Merger, dated as of March 27, 2011, by and among eBay Inc., Gibraltar
Acquisition Corp. and GSI Commerce, Inc. (filed as Exhibit 2.1 to GSI Commerce, Inc.’s Current
Report on Form 8-K filed with the Securities and Exchange Commission on March 28, 2011 and
incorporated herein by reference).

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