Document:

Form of TSR Share Award Agreement

 Exhibit 10.9 
 GRANT NOTICE FOR 
 TSR SHARE AWARD 

[DATE OF GRANT] 
 PPG
Industries, Inc. (the “Company”) and the Participant identified below are parties to a TSR Award Agreement dated as of [DATE OF GRANT] (the “Agreement”). Capitalized terms used in this Grant Notice shall have the respective
meanings given to such terms in the Agreement, unless otherwise defined in this Grant Notice. This Grant Notice confirms the grant to the Participant of an Award providing for the issuance of the number of shares of Common Stock set forth below upon
the achievement of performance objectives based on the total shareholder return of the Company (“TSR Shares”) with the terms set forth below. This Grant Notice is hereby incorporated by reference into and forms a part of the Agreement.

  

			
	 Participant Name:
	  	[Full Name]
		
	 Date of Grant:
	  	[Date Of Grant]
		
	Target Number of TSR Shares Subject to Award:    	  	[Quantity Granted]
		
	 Dividend Equivalents:
	  	“Dividend Equivalents” are granted with respect to this TSR Share Award. “Dividend Equivalents” means the right to receive at the end of the Award Period, the
equivalent value (in cash or shares) of dividends paid on the actual number of TSR Shares earned during the Award Period.
		
	 Award Period:
	  	[Performance Period]
		
	 Award Goals:
	  	 Vesting of the Award shall be determined using the table below, provided that the Participant must be continuously employed by the
Company or its Subsidiaries through and including the last day of the Award Period, subject to the provisions of the Agreement regarding retirement, disability, death, job elimination and other termination of employment and further subject to the
certification provisions of the Agreement as mandated by the requirements of Section 162(m) of the Code.
  
 The Award Goals for the Award Period is PPG’s total shareholder return “TSR” compared to the TSR for each of the companies that comprise the S&P 500 as of the first day of the Award
Period. TSR shall be calculated based on the formula adopted by the Committee at the commencement of the Award Period and in accordance with the requirements of Section 162(m) of the Code. The payout will be based 100% on PPG’s ranking against
the S&P 500 companies.

			
		  	The following payout performance levels have been established:
		
		  	 PPG TSR Percentile Ranking Against S&P 500

Companies

  

			
	 Ranking
 (percentile)
	  	Payout of Contingent Grant (%)
	 90th
	  	220%
	 80th
	  	180%
	 70th
	  	140%
	 60th
	  	100%
	 50th
	  	80%
	 40th
	  	50%
	 30th
	  	30%
	 <30th
	  	No Award

  

			
	PPG Industries, Inc.
	
	/s/ J. Craig Jordan
	By: J. Craig Jordan, Vice President, Human Resources

  
 -2-

 TSR SHARE AWARD AGREEMENT 

[DATE OF GRANT] 
 This
TSR SHARE AWARD AGREEMENT (this “Agreement”) is entered into as of the date first written above by and between PPG Industries, Inc. (the “Company”) and [Fullname] (the “Participant”). 

The Company maintains the PPG Industries, Inc. Omnibus Incentive Plan (as amended from time to time, the “Plan”), which is incorporated into
and forms a part of this Agreement, and the Participant has been selected by the Officers-Directors Compensation Committee (the “Committee”) to receive an Award under the Plan. The Award is intended to qualify as “qualified
performance-based compensation” as described in Section 162(m)(4)(C) of the Code. Capitalized terms used in this Agreement shall, unless defined elsewhere in this Agreement, have the respective meanings given to such terms in the Plan.

 The Award of TSR Shares shall be confirmed by a separate Grant Notice to which this Agreement is attached (the “Grant Notice”),
specifying the Date of Grant of the Award, the number of TSR Shares granted and the Award Goals (as defined in the Grant Notice) applicable to such TSR Shares. Each TSR Share is a bookkeeping entry representing the equivalent in value of a share of
Common Stock. Such Award shall be subject to the terms and conditions of this Agreement and such Grant Notice shall be deemed incorporated by reference into this Agreement. 
 NOW, THEREFORE, the Company and the Participant, intending to be legally bound, agree as follows: 
  

	1.	Terms and Conditions of the Award. 

  

	 	A.	This Agreement sets forth the terms and conditions applicable to the Award of TSR Shares confirmed in the Grant Notice. The Award of TSR Shares is made under Article
VIII of the Plan. Unless and until the TSR Shares are vested and certified in the manner set forth in paragraph 1.G. and 2.A. hereof, the Participant shall have no right to settlement of any such TSR Shares. 

 

	 	B.	The Committee may terminate the Award at any time during the Award Period if, in its sole discretion, the Committee determines that the Participant is no longer in a
position to have a substantial opportunity to influence the long-term growth of the Company. 

  

	 	C.	 The Participant shall be entitled to a Dividend Equivalent with respect to the number of TSR Shares that are actually earned or to which the
Participant is determined to be entitled to in accordance with this paragraph 1, in an aggregate amount equal to the product of the number of TSR Shares that are earned and/or become payable, multiplied by each dividend paid on the Common Stock
during the period commencing on the first day of the Award Period and ending on the date the TSR Shares are paid to the Participant. Notwithstanding the foregoing, Dividend Equivalents with respect to any unvested portion of this Award shall be
subject to the same vesting and forfeiture restrictions as the TSR Shares awarded hereunder. Unless prohibited under applicable law or otherwise determined by the Committee in its discretion, the value of such Dividend Equivalents shall be
automatically deferred, on behalf of the Participant, into the Participant’s account under the Deferred Compensation Plan in accordance with the Participant’s investment elections under such plan. To the extent the Dividend Equivalents
have not been deferred, the Dividend Equivalents shall be paid to the 

	 	
Participant at the same time and in the same form the underlying TSR Shares are paid as contemplated in paragraph 2.A. hereof. For purposes of the time and form of payment requirements of
Section 409A of the Code, such Dividend Equivalents shall be treated separately from the TSR Shares. 

  

	 	D.	Prior to settlement of any vested TSR Shares, such TSR Shares will represent an unsecured obligation of the Company, payable (if at all) only from the general assets of
the Company. The Company’s obligations under this Agreement shall be unfunded and unsecured, and no special or separate fund shall be established and no other segregation of assets shall be made and the Participant shall have no greater rights
than an unsecured general creditor of the Company. Except as otherwise specifically provided in the Grant Notice or this Agreement, the Participant shall have no rights as a stockholder of the Company by virtue of this Award unless and until such
Award is determined to be vested and resulting shares of Common Stock are issued to the Participant. 

  

	 	E.	If the Participant’s active employment with the Company terminates prior to the Vesting Date but, on or after the first anniversary of the Date of Grant because of
retirement, disability or job elimination (each as determined in the Committee’s sole discretion) or death, the Participant shall be entitled to the same Award to which the Participant would have been entitled had the Participant’s
employment continued through the Vesting Date, and such Award shall be paid as soon as practicable following the Vesting Date, subject to paragraph 2.C. hereof; provided, however, that the Committee, in its sole discretion, may
determine that the Participant will be entitled to a lesser Award. 

  

	 	F.	If the Participant’s employment with the Company terminates during the Award Period for any reason other than retirement, disability, job elimination or death, or
for any reason before the first anniversary of the Date of Grant, the Participant’s Award shall be forfeited on the date of such termination; provided, however, that the Committee, in its sole discretion, may determine that the
Participant will be entitled to a full or partial payout with respect to the Award, but in no event shall the amount of such payout exceed the amount that would be payable based on actual performance as measured against the Award Goals in accordance
with Section 162(m) of the Code, in the case of a termination of the Participant’s employment due to retirement or job elimination. Any payout of the Award pursuant to this paragraph 1.F. shall be paid as soon as practicable following the
Certification Date, subject to paragraph 2.C. hereof. 

  

	 	G.	The Committee shall determine and certify in accordance with the requirements of Section 162(m) of the Code the extent, if any, to which the applicable Award Goals
have been attained and the extent, if any, to which the Award has been earned by the Participant, as of the end of the Award Period or such other date as the Committee may select in its sole discretion (the “Certification Date”). The
Committee shall have the negative discretion to reduce or eliminate any payout for the Award. The Committee may not increase the amount payable as a result of the performance as measured against the Award Goals. 

 

	 	H.	 In the event that, during the Change in Control Period (as hereinafter defined), the Participant is subject to an Involuntary Termination (as
hereinafter defined), then a number of TSR Shares determined by the Committee, in its sole discretion, but in no event fewer than the number of TSR Shares payable at the “target” level, shall become fully vested, and the payout of the
Award shall be made as soon as practicable following the date of the Involuntary Termination, subject to paragraph 2.C. hereof (for avoidance 

	 	
of doubt, the TSR Shares that vest pursuant to this paragraph 1.H. shall not be subject to the performance and certification procedures contemplated by paragraph 1.G. hereof). The Company and the
Participant shall take all steps necessary (including with regard to post-termination services by the Participant) to ensure that an Involuntary Termination constitutes a “separation from service” within the meaning of Section 409A of
the Code, and notwithstanding anything contained herein to the contrary, the date on which a separation from service takes place for reasons resulting in an Involuntary Termination shall be the date of the Involuntary Termination.

  

	 	 	If the Participant is a party to a Change in Control Employment Agreement with the Company (a “Change in Control Agreement”), “Change in Control
Period” for purposes of this Agreement shall have the meaning ascribed to the term “Employment Period,” as defined in the Change in Control Agreement, and if the Participant is not a party to a Change in Control Agreement, the term
shall mean the period commencing on the date of a Change in Control (as defined in the Plan) and ending on the earlier of the Participant’s date of Retirement and the last day of the Award Period. “Retirement” for purposes of this
paragraph 1.H. shall mean termination of employment on or after (i) the Participant’s “normal retirement date,” as defined in the PPG Industries, Inc. Retirement Income Plan, provided such termination is voluntary, or
(ii) if the Company may subject the Participant to compulsory retirement under the Age Discrimination in Employment Act (29 U.S.C. Section 621 et. seq.) (ADEA) as a “bona fide executive or a high policy maker,” the
Participant’s “normal retirement date.” 

  

	 	 	“Involuntary Termination” for purposes of this Agreement shall mean, if the Participant is a party to a Change in Control Agreement, a termination of the
Participant’s employment that gives rise to payments and benefits under Section 6 of the Change in Control Agreement, and if the Participant is not a party to a Change in Control Agreement, shall mean a termination by the Company for any
reason other than Cause, death or Disability (as the terms are hereinafter defined). “Cause” for purposes of a Participant who is not a party to a Change in Control Agreement shall have the same meaning as that term is defined in the
Participant’s offer letter or other applicable employment agreement; or, if there is no such definition, “Cause” means, as determined by the Committee in good faith: (i) engaging in any act, or failing to act, or misconduct that
is injurious to the Company or its Subsidiaries; (ii) gross negligence or willful misconduct in connection with the performance of duties; (iii) conviction of (or entering a plea of guilty or nolo contendere to) a criminal offense
(other than a minor traffic offense); (iv) fraud, embezzlement or misappropriation of funds or property of the Company or a Subsidiary; (v) material breach of any term of any agreement between the Participant and the Company or a
Subsidiary relating to employment, consulting or other services, confidentiality, intellectual property or non-competition; (vi) the entry of an order duly issued by any regulatory agency (including federal, state and local regulatory agencies
and self-regulatory bodies) having jurisdiction over the Company or a Subsidiary requiring the removal from any office held by the Participant with the Company or prohibiting or materially limiting the Participant from participating in the business
or affairs of the Company or any Subsidiary. “Disability” for purposes of this Agreement shall mean disability which, after the expiration of more than 52 weeks after its commencement, is determined to be total and permanent by a physician
selected by the Company or its insurers. 

	2.	Payout on Account of Awards. 

  

	 	A.	Upon certification by the Committee of the level of attainment of the Award Goals in accordance with paragraph 1.G. hereof and satisfaction of all other applicable
conditions as to the issuance of the TSR Shares, and otherwise subject to this Agreement and the terms of the Plan, the Participant shall be entitled to the number of shares of Common Stock constituting the Award as determined by the Committee. The
Participant shall be entitled to receive payout of the vested Award in the form of cash, shares of Common Stock or a combination of cash and shares, less any Tax-Related Items as defined in paragraph 7, as determined by the Committee in its sole
discretion. The amount of any cash to be paid in lieu of Common Stock shall be determined on the basis of the Fair Market Value of the Common Stock as of the Payout Date (as hereinafter defined). 

 

	 	B.	Any shares of Common Stock issued to the Participant with respect to his or her Award shall be subject to such restrictions as the Committee may deem advisable under
the rules, regulations and other requirements of the Securities and Exchange Commission, the New York Stock Exchange and any applicable state or foreign securities laws, and the Committee may cause a legend or legends to be endorsed on any stock
certificates for such shares making appropriate references to such legal restrictions. 

  

	 	C.	Except as otherwise provided in this Agreement, and except in the event the Participant is permitted and has made an election to defer payout of the TSR Shares pursuant
to the terms and conditions established by the Company, the issuance of the shares of Common Stock in accordance with the provisions of paragraph 1 and this paragraph 2 will be delivered within 90 days following (i) the beginning of the
taxable year that follows the last day of the Award Period or, (ii) to the extent applicable under the provisions of paragraph 1.H. hereof and provided the Change in Control constitutes a “change in control event,” within the meaning
of Section 409A of the Code, the date of an Involuntary Termination following a Change in Control (the earliest of these dates, the “Payout Date”). Payout of TSR Shares that have been deferred shall be governed by the terms and
conditions of the deferral election form. 

  

	3.	Continuing Conditions. Notwithstanding any other provisions herein, the Participant, by execution of this Agreement, agrees and acknowledges that in return for
the Award granted by the Company in this Agreement, the following continuing conditions shall apply: 

  

	 	A.	 If at any time prior to the expiration of the Award Period or within one (1) year after the Award Period the Participant engages in any activity
in competition with any activity of the Company or any of its Subsidiaries, or contrary or harmful to the interests of the Company or any of its Subsidiaries, including, but not limited to: (1) conduct related to the Participant’s
employment for which either criminal or civil penalties against the Participant may be sought; (2) violation of Company (or Subsidiary) Business Conduct Policies; (3) accepting employment with or serving as a consultant, advisor or in any
other capacity to an employer that is in competition with or acting against the interests of the Company or any of its Subsidiaries, including employing or recruiting any present, former or future employee of the Company or any of its Subsidiaries;
(4) disclosing or misusing any confidential information or material concerning the Company or any of its Subsidiaries; or (5) participating in a hostile takeover attempt, then this Award shall terminate effective as of the date on which
the Participant enters into such activity, unless terminated sooner by operation of another term or condition of this Agreement, and any 

	 	
“Award Gain” realized by the Participant shall be paid by the Participant to the Company. “Award Gain” shall mean the cash and the Fair Market Value of the Common Stock
delivered to the Participant pursuant to paragraph 2 on the date of such delivery times the number of shares so delivered. Any shares of Common Stock deferred by the Participant shall be considered to have been delivered for the purpose of this
paragraph 3. 

  

	 	B.	By accepting this Agreement, the Participant consents to a deduction from any amounts the Company or any of its Subsidiaries owes the Participant from time to time
(including amounts owed the Participant as wages or other compensation, fringe benefits or vacation pay, as well as any other amounts owed to the Participant by the Company or any of its Subsidiaries), to the extent of the amounts payable to the
Company by the Participant under paragraph 3.A. above. Whether or not the Company elects to make any set-off in whole or in part, if the Company does not recover by means of set-off the full amount payable by the Participant, calculated as set forth
above, the Participant agrees to pay immediately the unpaid balance to the Company. 

  

	 	C.	The Participant may be released from the Participant’s obligations under paragraphs 3.A and 3.B above only if the Committee determines, in its sole discretion,
that such action is in the best interest of the Company. 

  

	4.	Award Subject to Plan Provisions. Unless otherwise expressly provided in the Grant Notice or this Agreement, the TSR Share Award shall be subject to the
provisions of the Plan, including, without limitation, Article XI. In the event of any conflict between this Agreement and either the Grant Notice or the Plan, the Grant Notice or Plan, as applicable, shall control over this Agreement.

  

	5.	Applicable Law; Entire Agreement; Venue. This Agreement shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania
without reference to any choice of law principles. The Grant Notice, this Agreement and the Plan contain all terms and conditions with respect to the subject matter hereof. 

 

	 	For purposes of litigating any dispute that arises under the Award or this Agreement, the parties hereby submit to and consent to the jurisdiction of the Commonwealth
of Pennsylvania, and agree that such litigation shall be conducted in the courts of Allegheny County, Pennsylvania, or other federal courts for the United States for the Western District of Pennsylvania, and no other courts, where this Award of TSR
Shares is made and/or to be performed. The parties agree that, if suit is filed in Allegheny County courts, application will be made by one or both parties, without objection, to have the case heard in the Center for Commercial and Complex
Litigation of the Court of Common Pleas of Allegheny County. 

  

	6.	Further Assurances. The Participant agrees, upon demand of the Company or the Committee, to do all acts and execute, deliver and perform all additional
documents, instruments and agreements (including, without limitation, stock powers with respect to shares of Common Stock issued or otherwise distributed in relation to this Award) which may be reasonably required by the Company or the Committee, as
the case may be, to implement the provisions and purposes of the Grant Notice, this Agreement and the Plan. 

  

	7.	 Taxes. Regardless of any action the Company and/or the Subsidiary employing the Participant (the “Employer”) take with respect to any
or all income tax (including U.S. federal, state, and local tax and/or non-U.S. tax), social insurance, payroll tax, payment on account or other tax-related items related to the Participant’s participation in the Plan and legally applicable to
the 

	 	
Participant or deemed by the Company or the Employer to be an appropriate charge to the Participant (“Tax-Related Items”), the Participant acknowledges that the ultimate liability for
all Tax-Related Items is and remains the Participant’s responsibility and may exceed the amount actually withheld by the Company or the Employer. The Participant further acknowledges that the Company and/or the Employer (i) make no
representations or undertakings regarding the treatment of any Tax-Related Items in connection with any aspect of the Award, including the grant and vesting of the TSR Shares, the certification of the Award Goals, the conversion of the TSR Shares
into shares or the receipt of an equivalent cash payment, the subsequent sale of any shares acquired pursuant to the TSR Shares and the receipt of any dividends or Dividend Equivalents; and (ii) do not commit to and are under no obligation to
structure the terms of the grant or any aspect of the Award to reduce or eliminate the Participant’s liability for Tax-Related Items or achieve any particular tax result. Further, if the Participant has become subject to tax in more than one
jurisdiction between the Date of Grant and the date of any relevant taxable event, the Participant acknowledges that the Company and/or the Employer (or former employer, as applicable) may be required to withhold or account for Tax-Related Items in
more than one jurisdiction. 

  

	 	Prior to any relevant taxable or tax withholding event, as applicable, the Participant shall pay or make adequate arrangements satisfactory to the Company and/or the
Employer to satisfy all Tax-Related Items. In this regard, the Participant authorizes the Company and/or the Employer, or their respective agents, to satisfy the Tax-Related Items obligation by withholding otherwise deliverable shares of Common
Stock. In addition, the Participant authorizes the Company and/or the Employer, in their sole discretion and pursuant to such procedures as the Company may specify from time to time, to withhold any Tax-Related Items by one or more of the following
means: (i) withholding from the proceeds of the sale of shares of Common Stock acquired upon the vesting/settlement of the Award either through a voluntary sale or through a mandatory sale arranged by the Company (on the Participant’s
behalf pursuant to this authorization); and /or (ii) withholding from any wages or other cash compensation paid to the Participant by the Company and/or the Employer or from any equivalent cash payment received in connection with the Award. To
avoid negative accounting treatment, the Company may withhold or account for Tax-Related Items by considering applicable minimum statutory withholding amounts or other applicable withholding rates. If the obligation for Tax-Related Items is
satisfied by withholding a number of shares as described herein, the Participant shall be deemed, for tax purposes only, to have been issued the full number of shares of Common Stock subject to the vested portion of the Award, notwithstanding that a
number of shares are held back solely for the purpose of paying the Tax-Related Items due as a result of any aspect of the Award. The Participant shall pay to the Company and/or the Employer any amount of Tax-Related Items that is required to be
withheld or accounted for in connection with the TSR Shares that cannot be satisfied by the means previously described. The Company may refuse to deliver to the Participant any shares of Common Stock pursuant to the Award if the Participant fails to
comply with his or her obligations in connection with the Tax-Related Items. 

  

	8.	Transfer Restrictions. This Award and the TSR Shares are not transferable other than by will or the laws of descent and distribution, and may not be assigned,
hypothecated or otherwise pledged and shall not be subject to execution, attachment or similar process. Upon any attempt to effect any such disposition, or upon the levy of any such process, the Award shall immediately become null and void and the
TSR Shares shall be forfeited. 

  

	9.	Capitalization Adjustments. The number of TSR Shares awarded is subject to adjustment as provided in Section 11.07(a) of the Plan. The Participant shall be
notified of such adjustment and such adjustment shall be binding upon the Company and the Participant. 

	10.	Securities Law Compliance. Notwithstanding anything to the contrary contained herein, no shares of Common Stock shall be issued to the Participant upon vesting
of this Award unless the Common Stock is then registered under the U.S. Securities Act of 1933, as amended (the “Securities Act”) or, if such Common Stock is not then so registered, the Company has determined that such vesting and issuance
would be exempt from the registration requirements of the Securities Act. By accepting this Award, the Participant agrees not to sell any of the shares of Common Stock received under this Award at a time when the applicable laws or Company policies
prohibit a sale. 

  

	11.	Award Confers No Rights to Continued Employment. Nothing contained in the Plan or this Agreement shall give the Participant the right to be retained in the
employment of the Company or any Subsidiary or affect the right of any such employer to terminate the Participant’s employment. 

  

	12.	Severability. If any provision of this Agreement shall be held to be illegal, invalid or unenforceable, that provision will be enforced to the maximum extent
permissible and the legality, validity and enforceability of the remaining provisions shall not in any way be affected or impaired thereby. 

  

	13.	Electronic Delivery. The Company may, in its sole discretion, decide to deliver any documents related to current or future participation in the Plan by
electronic means or request the Participant’s consent to participate in the Plan by electronic means. The Participant hereby consents to receive such documents by electronic delivery and agrees to participate in the Plan through an on-line or
electronic system established and maintained by the Company or a third party designated by the Company. 

  

	14.	Code Section 409A. It is the intent that the vesting or the payout of the TSR Shares set forth in this Agreement shall comply with the requirements of
Section 409A of the Code, and any ambiguities herein will be interpreted to so comply. The Company reserves the right, to the extent the Company deems necessary or advisable in its sole discretion, to unilaterally amend or modify this Agreement
as may be necessary to ensure that all vesting or payouts provided under this Agreement are made in a manner that complies with Section 409A of the Code; provided, however, that the Company makes no representation that the vesting
or payout of TSR Shares provided under this Agreement will comply with Section 409A of the Code. 

  

	15.	Imposition of Other Requirements. The Company reserves the right to impose other requirements on the Participant’s participation in the Plan, on the TSR
Shares and on any shares of Common Stock acquired under the Plan, to the extent the Company determines it is necessary or advisable in order to comply with local law or facilitate the administration of the Plan, and to require the Participant to
sign any additional agreements or undertakings that may be necessary to accomplish the foregoing. 

  

			
	PPG Industries, Inc.
	
	/s/ J. Craig Jordan
	By: J. Craig Jordan, Vice President, Human ResourcesThird Modification to Loan Documents

 Exhibit 10.1 
 THIRD MODIFICATION TO LOAN DOCUMENTS 
 THIS THIRD MODIFICATION TO LOAN
DOCUMENTS (this “Modification Agreement”) is entered into as of July 28, 2011 by and among SUNLINK HEALTH SYSTEMS, INC., a corporation organized under the laws of the State of Ohio (“SHS”), SUNLINK HEALTHCARE
LLC, a limited liability company organized under the laws of the State of Georgia, DEXTER HOSPITAL, LLC, a limited liability company organized under the laws of the State of Georgia, SOUTHERN HEALTH CORPORATION OF ELLIJAY, INC., a corporation
organized under the laws of the State of Georgia, SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INC., a corporation organized under the laws of the State of Georgia, SOUTHERN HEALTH CORPORATION OF HOUSTON, INC., a corporation organized under the laws of
the State of Georgia, HEALTHMONT OF GEORGIA, INC., a corporation organized under the laws of the State of Tennessee, HEALTHMONT, LLC, a limited liability company organized under the laws of the State of Georgia, HEALTHMONT OF MISSOURI, LLC, a
limited liability company organized under the laws of the State of Georgia, SUNLINK SERVICES, INC., a corporation organized under the laws of the State of Georgia, SUNLINK SCRIPTSRX, LLC (f/k/a Sunlink Homecare Services, LLC), a limited liability
company organized under the laws of the State of Georgia, CENTRAL ALABAMA MEDICAL ASSOCIATES, LLC, a limited liability company organized under the laws of the State of Georgia, DAHLONEGA CLINIC, LLC, a limited liability company organized under the
laws of the State of Georgia, CARMICHAEL’S CASHWAY PHARMACY, INC., a corporation organized under the laws of Louisiana, CARMICHAEL’S NUTRITIONAL DISTRIBUTOR, INC., a corporation organized under the laws of Louisiana, and BREATH OF LIFE
HOME HEALTH EQUIPMENT, INC., a corporation organized under the laws of Louisiana (each individually, a “Borrower” and, collectively, the “Borrowers”), the other persons designated as “Credit Parties” on
the signature pages hereof, the financial institutions who are parties to this Modification Agreement as Lenders (the “Lenders”), and CHATHAM CREDIT MANAGEMENT III, LLC, a Georgia limited liability company (in its individual
capacity “Chatham”), as Agent. 
 RECITALS 

WHEREAS, the Agent, Union Bank of California, N.A., as the funding agent (the “Funding Agent”), the financial
institutions that are party thereto as lenders, the Borrowers and the other Credit Parties are parties to that certain Amended and Restated Credit Agreement, dated as of August 1, 2008 (as the same may be amended, restated, supplemented or
otherwise modified from time to time, the “Credit Agreement”; unless otherwise defined herein, capitalized terms used herein that are not otherwise defined herein shall have the respective meanings assigned to such terms in the
Credit Agreement); 
 WHEREAS, the Borrowers expect to raise additional capital through private placement transactions (the
“Private Placement Transactions”), the first of which is expected to close not later than August 15, 2011 (the “First Private Placement Transaction”), and intend to prepay a portion of the Term Loan with cash
on hand and the proceeds of the Private Placement Transactions (collectively, the “PPT Loan Prepayment”); 

WHEREAS, the Borrowers are hereby requesting that the Agent and Lenders agree to modify certain terms of the Credit Agreement in
connection with the closing of such Private Placement Transactions and the PPT Loan Prepayment, in each case in accordance with the terms of this Modification Agreement; and 
 WHEREAS, the Agent and Lenders agree to modify certain terms of the Credit Agreement in connection with the closing of such Private Placement Transactions and the PPT Loan Prepayment, in each case on the
terms and subject to the conditions described herein, 

 NOW, THEREFORE, in consideration of the foregoing recitals and the mutual agreements and
covenants contained herein, and for other good and valuable consideration, the receipt and sufficiency of which hereby are acknowledged, the parties hereto hereby agree as follows: 

Section 1. Changes to Credit Agreement. Subject to the satisfaction of the applicable conditions to the
Effective Date set forth in Section 2 herein, the Borrowers, the other Credit Parties, the Agent and the Lenders hereby agree as follows: 
 (a) The following definitions set forth in Section 1.1 of the Credit Agreement are hereby revised and restated in their entirety to read as follows: 

““Applicable Revolving Margin”: 8.875%, provided that such Applicable Revolving Margin shall
reduce by 0.8125% on the date the September Paydown Covenant is satisfied, whether before or after September 30, 2011 and provided further that the Applicable Revolving Margin shall further reduce by 0.8125% on the date the December
Paydown Covenant is satisfied, whether before or after December 31, 2011.” 

““Applicable Term Loan Margin”: 10.82%, provided that such Applicable Term Loan Margin shall
reduce by 0.625% on the date the September Paydown Covenant is satisfied, whether before or after September 30, 2011 and provided further that, if the Covenant is satisfied, the Applicable Term Loan Margin shall further reduce by 0.625%
on the date the December Paydown Covenant is satisfied, whether before or after December 31, 2011.” 

““Borrowing Base”: A dollar amount equal to 85% of the Net Collectible Value of Borrowers’
Eligible Accounts at such time less reserves established from time to time by Agent in its reasonable credit judgment.” 
 ““Termination Date”: The earliest of (a) January 1, 2013, (b) the date on which the Revolving Commitment is terminated pursuant to Section 7.2 hereof or (c) the
date on which the Revolving Commitment Amount is reduced to zero pursuant to Section 2.8 hereof.” 
 (b)
Section 1.1 of the Credit Agreement is revised by adding the following new defined term in proper alphabetical order: 
 ““December Paydown Covenant”: As defined in Section 5.17(a).” 
 ““RDA Loans”: As defined in Section 5.17(a).” 
 ““RDA Prepayment Date”: As defined in Section 5.17(a).” 
 ““RDA Program”: As defined in Section 5.17(a).” 
 ““September Paydown Covenant”: As defined in Section 5.17(a).” 
 ““Third Amendment”: that certain Third Modification to Loan Documents dated as of July 28, 2011 by and among the Borrowers, the Lenders, the Funding Agent and the Agent.”

  
 2 

 ““Value”: With respect to any asset, the greater of
its book value or its actual sale price (which sale price may include both cash and non-cash consideration).” 
 (c)
Section 2.5(b) of the Credit Agreement is revised in its entirety to read as follows: 
 “The
principal of the Term Loan shall be payable in (i) equal installments of One Hundred Forty-Five Thousand Eight Hundred Thirty-Three Dollars and 33/100 cents ($145,833.33) on the first Business Day of each month; provided that, on and after the
receipt of each prepayment on the Term Loan pursuant to Section 5.17 hereof, such monthly amortization amount shall be reduced on a proportionate basis by the percentage by which such prepayment reduced the initial principal amount of the Term
Loan and (ii) one balloon payment on the Termination Date equal to any unpaid principal balance, together with all accrued and unpaid interest.” 
 (d) Section 2.6(a) of the Credit Agreement is revised in its entirety to read as follows: 
 “(a) Mandatory Prepayments for a Prepayment Event. If at any time a Prepayment Event occurs, the Borrowers shall immediately repay the Loans in the amount of (without duplication): 

(i) 100% of the net cash proceeds realized by a Prepayment Event described in clause (b), clause (c) or clause
(e) of the definition of the term “Prepayment Event,” 
 (ii) 50% of the net cash proceeds
realized by a Prepayment Event described in clause (d) of the definition of the term “Prepayment Event”; provided, however, that the Borrowers shall repay the Loans in the amount of 100% of the proceeds of the RDA Loans
approved by the Required Lenders (net of all reasonable closing costs for such RDA Loans, all capital expenditures required by such RDA Loans, and all required working capital balances required by such RDA Loans) and 100% of the net cash proceeds of
the First Private Placement Transaction, 
 (iii) at all times when the Total Outstandings are greater than
$10,000,000, 100% of the net cash proceeds in excess of $250,000 (either individually or in the aggregate during the remaining term of this Agreement commencing on the date of the Third Amendment) realized by any one or more Prepayment Event(s)
described in clause (a) of the definition of the term “Prepayment Event” and relating to any assets sold, transferred or otherwise disposed of with a Value (either individually or in the aggregate during the term of this Agreement) in
excess of $250,000, and 
 (iv) at all times when the Total Outstandings are less than or equal to $10,000,000,
100% of the net cash proceeds in excess of $2,500,000 (either individually or in the aggregate during the remaining term of this Agreement commencing on the date of the Third Amendment) realized by any one or more Prepayment Event(s) described in
clause (a) of the definition of the term “Prepayment Event” and relating to any assets sold, transferred or otherwise disposed of with a Value (either individually or in the aggregate during the term of this Agreement) in excess of
$2,500,000. 
 Any such prepayments shall be applied to the Loans in accordance with Section 2.6(e).” 

 

  
 3 

 (e) Section 2.7 of the Credit Agreement is revised in its entirety to read as follows:

 “Section 2.7 Mandatory Prepayment of Term Loan from Excess Cash Flow. Within one hundred twenty
(120) days after the end of each fiscal year commencing with the fiscal year ended June 30, 2012, Borrowers, jointly and severally, shall prepay the outstanding principal of the Term Loan in an amount equal to twenty-five percent
(25%) of the Consolidated Excess Cash Flow for such fiscal year, which prepayment shall be made to Funding Agent, for the ratable benefit of Lenders, and shall be applied in payment of the Term Loan, and, in each instance, against remaining
payments thereon in the inverse order of maturity (starting with the balloon payment thereon due on the Termination Date) until the Term Loan shall have been prepaid in full. The calculation shall be based on the consolidated audited Financial
Statements for the Borrowers and their Subsidiaries. Such prepaid amounts may not be reborrowed.” 
 (f) Section 2.17
of the Credit Agreement is revised in its entirety to read as follows: 
 “Section 2.17 Appraisals.
The Agent, in its reasonable credit judgment, may, and upon the written request of the Borrowers’ Agent will, obtain an appraisal of any Encumbered Real Estate, Encumbered Equipment or Eligible Inventory from an AMI certified appraiser
reasonably satisfactory to the Agent and the Borrowers’ Agent in case of the Encumbered Real Estate and any experienced equipment or inventory appraiser reasonably satisfactory to the Agent and the Borrowers’ Agent in case of the
Encumbered Equipment or Eligible Inventory, each of which shall be conducted on a “going concern” basis in the case of assets of any Borrower that is a going concern and otherwise on an orderly liquidation value basis (a
“Qualifying Appraisal”), provided that, so long as no Event of Default has occurred and is continuing, no Qualifying Appraisal on any Encumbered Real Estate shall be required or requested until on and after June 1, 2012, and
only if, at such time, the unpaid principal balance of the Term Loan equals or exceeds $10,000,000. Upon obtaining any such Qualifying Appraisal, the Agent shall notify the Borrowers’ Agent of the appraised value of the property that is the
subject thereof and upon such notification such appraised value shall be used to determine the Collateral Coverage Ratio for one year after the date of the issuance of the appraisal in the case of Encumbered Real Estate and Encumbered Equipment, and
three months in the case of Eligible Inventory, except as otherwise provided herein. Unless an Event of Default has occurred and is continuing, (a) the Borrowers shall be responsible only for the payment of costs and expenses for a Qualified
Appraisal requested by it and (b) no more than one appraisal shall be conducted for any particular item of Collateral during each calendar year in the case of Encumbered Real Estate and Encumbered Equipment, and each calendar quarter in the
case of Eligible Inventory. If an Event of Default has occurred and is continuing the Borrowers shall be responsible for the payment of costs and expenses for a Qualified Appraisal.” 

(g) Section 5.17(a) of the Credit Agreement is revised in its entirety to read as follows: 

“(a) On or prior to September 30, 2011, the Borrowers shall cause the closing and funding of one or more loans
under the Rural Development Advance program (such loans, the “RDA Loans,” and such program, the “RDA Program”) to be consummated on terms and conditions reasonably satisfactory to the Required Lenders with all
proceeds thereof being concurrently applied to permanently repay the Term Loan (which proceeds, net of all reasonable transaction costs, expenses and holdbacks, shall not be less than $6,500,000) (the foregoing closing and paydown requirements due
by September 30, 2011, the “September Paydown Covenant”). On or prior to December 31, 2011, the Borrowers shall cause the closing and funding of such other RDA Loans to be

  
 4 

 
consummated on terms and conditions consistent with the proposal letters and/or letters of intent (as applicable) previously delivered to the Agent and on terms reasonably satisfactory to the
Required Lenders with all proceeds thereof being concurrently applied to permanently repay the Term Loan (which proceeds, net of all reasonable transaction costs, expenses and holdbacks, but plus, without duplication, any amounts in excess of the
$6,500,000 used to prepay the Term Loan pursuant to the September Paydown Covenant, shall not be less than $8,500,000 on an aggregate basis between September 30, 2011 and December 31, 2011) (the foregoing closing and paydown requirements
due by December 31, 2011, the “December Paydown Covenant”). As used herein, the date on which the required prepayments arising from each of the September Paydown Covenant and the December Paydown Covenant occurs is referenced
herein as the “RDA Payment Date.” The Borrowers, Agent and Lenders agree that notwithstanding anything to the contrary contained in this Agreement (including, without limitation, the terms of Section 7.1 hereof), the sole
consequence of any failure by Borrowers to satisfy any of the undertakings set forth in this Section 5.17(a) shall be the Special Pricing Increases (as defined below) and that no Default or Event of Default shall be deemed to occur solely as a
result of any failure by the Borrowers to timely comply with the terms of this Section 5.17(a). As used herein, “Special Pricing Increases” shall mean (a) if Borrowers fail to timely comply with the September Paydown Covenant on
or prior to September 30, 2011, the Applicable Revolving Margin and the Applicable Term Loan Margin shall each be automatically increased by 25 basis points over the levels which would otherwise be applicable under this Agreement for the period
commencing October 1, 2011, and (b) if Borrowers fail to timely comply with the December Paydown Covenant on or prior to December 31, 2011, the Applicable Revolving Margin and the Applicable Term Loan Margin shall each be
automatically increased by 25 basis points over the levels which would otherwise be applicable under this Agreement for the period commencing January 1, 2012, in addition to and not in lieu of any increase resulting under subclause
(a) above. Once any Special Pricing Increase occurs, it shall be irrevocable and deemed fully earned and shall not be subject to any refund or rebate of any kind, provided, however, that any Special Pricing Increase arising out of the
Borrowers’ failure to timely comply with the September Paydown Covenant shall be eliminated on a prospective basis on the date the September Paydown Covenant is actually satisfied (regardless of when such date occurs after September 30,
2011) and any Special Pricing Increase arising out of the Borrowers’ failure to timely comply with the December Paydown Covenant shall be eliminated on a prospective basis on the date the December Paydown Covenant is actually satisfied
(regardless of when such date occurs after December 31, 2011). 
 The Borrowers, Agent and Lenders acknowledge and agree
that the inclusion of any language in this Section 5.17(a) which refers to any matter being “reasonably satisfactory” to the Required Lenders shall be limited to determining whether Borrowers have satisfied their obligations under
this Section 5.17(a). Without limiting any of the obligations of the Borrowers described in this Section 5.17(a), nothing contained in this Section 5.17(a) shall be deemed to modify or limit the sole and absolute discretion of the
Agent and Required Lenders to approve or withhold approval to any proposed incurrence of Indebtedness, incurrence of Liens, release or subordination of any Liens in any Collateral, and/or any sale or disposition of any assets of any Credit Party
which is not otherwise expressly permitted by the terms of this Agreement.” 
  

  
 5 

 (h) Section 6.2 of the Credit Agreement is revised by adding at the end thereof, the
following new subsection (d): 
 “(d) other dispositions of property during the term of this Agreement whose
Value in the aggregate for all such dispositions of property does not exceed (i) $250,000 when the Total Outstandings are greater than $10,000,000 or (ii) $2,500,000 when the Total Outstandings are less than or equal to $10,000,000.”

 (i) Section 6.10 of the Credit Agreement is revised in its entirety to read as follows: 

“Section 6.10 Capital Expenditures. The Credit Parties will not make, or permit any Subsidiary to make, Capital
Expenditures in an amount exceeding (a) $6,000,000 on a consolidated basis during the period from the Original Closing Date through the last day of each calendar month occurring on or prior to the first anniversary of the Original Closing Date
and (b) during any twelve consecutive month period thereafter, $6,000,000 on a consolidated basis, not including any Permitted Investments, provided however that, the foregoing limitation shall not apply to any Capital Expenditures
required by the RDA Loans approved in writing by the Required Lenders.” 
 (j) Section 6.11 of the Credit Agreement is
revised in its entirety to read as follows: 
 “Section 6.11 Subordinated Debt. No Credit Party will,
nor permit any Subsidiary to, (a) make any scheduled payment of the principal of or interest on any Subordinated Debt which would be prohibited by the terms of such Subordinated Debt and any related subordination agreement, provided
that, so long as no Default or Event of Default shall have occurred and be continuing and the unpaid principal balance of the Term Loan is less than $20,000,000, the Credit Parties may make scheduled payments of principal and interest on
Subordinated Debt due to the Sellers; (b) directly or indirectly make any prepayment on or purchase, redeem or defease any Subordinated Debt or offer to do so (whether such prepayment, purchase or redemption, or offer with respect thereto, is
voluntary or mandatory, unless expressly permitted pursuant to an intercreditor or subordination agreement entered into between the holder of any such Subordinated Debt and the Agent); (c) amend or cancel the subordination provisions applicable
to any Subordinated Debt; (d) take or omit to take any action if as a result of such action or omission the subordination of such Subordinated Debt, or any part thereof, to the Obligations would thereby be terminated or impaired or adversely
affected; or (e) omit to give the Agent prompt notice of any notice received from any holder of Subordinated Debt, or any trustee therefor, of any default under any agreement or instrument relating to any Subordinated Debt by reason whereof
such Subordinated Debt would become or be declared to be due or payable or any other notice received from any holder of Subordinated Debt, or any trustee therefor, that would be adverse in any material respect to the interests of any Credit Party or
any Lender.” 
 (k) Section 6.13(d) of the Credit Agreement is hereby revised by deleting the number
“$500,000” therein and substituting in lieu thereof the number “$1,000,000” and by adding the following to the end thereof immediately before the period: 

“and provided further that the RDA Loans shall not be included for purposes of calculating the amount of
Indebtedness under this clause (d) related to Capitalized Lease Obligations and Indebtedness secured by purchase money Liens”. 
  

  
 6 

 (l) Section 6.13(h) of the Credit Agreement is revised in its entirety to read as
follows: 
 “(h) Subordinated Debt owing by one or more Credit Parties to the Sellers in an aggregate
principal amount not to exceed $3,000,000 and other Subordinated Debt owing by one or more Credit Parties to any other Person or Persons in an aggregate principal amount not to exceed $15,000,000, provided that such other Subordinated Debt shall be
on terms and conditions satisfactory to the Agent in the exercise of its reasonable discretion and subject to an intercreditor or subordination agreement entered into between the holder of any such Subordinated Debt and the Agent, which agreement
shall be in form and substance satisfactory to the Agent and the Required Lenders in the exercise of their reasonable discretion.” 
 (m) Section 6.16 of the Credit Agreement is revised in its entirety to read as follows: 
 “Section 6.16 Leverage Ratio. The Credit Parties will not permit the Leverage Ratio, for the twelve (12) consecutive months ending on the last day of each fiscal quarter, to exceed 4.00
to 1.00.” 
 (n) Section 6.17 of the Credit Agreement is revised in its entirety to read as follows: 

“Section 6.17 Senior Leverage Ratio. The Credit Parties will not permit the Senior Leverage Ratio, for the
twelve (12) consecutive months ending on the last day of each fiscal quarter, to exceed 3.50 to 1.00.” 
 (o)
Section 6.18 of the Credit Agreement is revised in its entirety to read as follows: 
 “Section 6.18
Minimum Liquidity. The Credit Parties (on a consolidated basis) will not permit at any time the sum of their (i) actual cash and Cash Equivalents and (ii) Availability to be less than $1,000,000.” 

(p) Section 6.19 of the Credit Agreement is revised in its entirety to read as follows: 

“Section 6.19 Collateral Coverage Ratio. On and after June 1, 2012, the Borrowers will not permit the
Collateral Coverage Ratio to be less than 1.2 to 1.0 at any time thereafter.” 
 (q) Section 6.20 of the Credit
Agreement is revised in its entirety to read as follows: 
 “Section 6.20 Fixed Charge Coverage
Ratio. The Credit Parties will not permit the Fixed Charge Coverage Ratio (which Fixed Charge Coverage Ratio shall not include any financing fees, waiver fees, amendment fees or other transaction costs and fees relating to the incurrence of RDA
Loans or the waiver, amendment or modification of the Credit Agreement) for the twelve (12) consecutive months ending on the last day of each fiscal quarter to be less than 1.0 to 1.0, provided however, that such Fixed Charge Coverage Ratio for
the twelve (12) consecutive months ending on the last day of any such fiscal quarter shall not be less than 1.1 to 1.0 on and after the date on which the first $6,500,000 of Term Loan prepayments arising from one or more RDA Loans has been
received by the Agent” and in respect of the debt service on any such RDA Loans and the principal of the Term Loan paid down out of the proceeds of such RDA Loans, be computed pro forma utilizing the debt service associated with such
RDA Loans and excluding the trailing debt service associated with the principal amount of the Term Loan paid from the proceeds of such RDA Loans.” 

  
 7 

 (r) Section 6.21 of the Credit Agreement is revised in its entirety to read as follows:

 “Section 6.21 Alternate Minimum EBITDA. The Credit Parties will not permit the sum of
(i) the Consolidated EBITDA plus (ii) to the extent deducted in computing Consolidated EBITDA, severance expenses incurred during the period commencing July 1, 2010 through and including March 31, 2011 in an aggregate
amount not exceeding $500,000 plus (iii) with respect to each Person and any of its Subsidiaries acquired in a Permitted Acquisition during the relevant period of determination, the Consolidated Pro Forma EBITDA of such Person and any of
its Subsidiaries for all times during such relevant period prior to the acquisition of such Person and any of its Subsidiaries, for the twelve (12) consecutive months ending on March 31, 2011, and on the last day of each fiscal quarter
thereafter, to be less than $7,000,000.” 
 Section 3. Conditions Precedent. The terms of
Section 1 of this Modification Agreement shall become effective as of the date each of the following conditions are satisfied (the “Effective Date”): 

(a) The Agent shall have received duly executed counterparts to this Modification Agreement from each of the Credit Parties, the Agent and
the Required Lenders; 
 (b) The First Private Placement Transaction shall have been consummated and the Borrowers shall have
received net cash proceeds of not less than $2,500,000 from the First Private Placement Transaction; 
 (c) The Agent and Lenders
shall have received fully executed copies of all documents relating to the First Private Placement Transaction, which shall be on terms and conditions reasonably satisfactory to the Agent and the Required Lenders; 

(d) For the benefit of the Lenders on the basis of their Pro Rata Shares, the Agent shall have received, by wire transfer, in immediately
available funds, a prepayment of principal in the amount of $8,000,000 which will be applied by the Agent to the unpaid principal balance of the Term Loan; 
 (e) For the ratable benefit of the Lenders on the basis of their Pro Rata Shares, the Agent shall have received, by wire transfer, in immediately available funds, an amendment fee equal to $131,200.37;
and 
 (f) The Agent shall have received payment of its reasonable legal fees and out-of-pocket expenses arising from and
relating to this Modification Agreement. 
 Section 4. Representations and Warranties. Each of the
Credit Parties hereby represents and warrants to the Agent and Lenders, which representations and warranties shall survive the execution and delivery of this Modification Agreement, that: 

(a) All of the representations and warranties contained in Article IV of the Credit Agreement shall be true and correct in all material
respects (except with respect to those representations and warranties which are qualified as to materiality in which case such specific materiality qualifiers shall apply) on the Effective Date, with the same force and effect as if made on such
date, unless such representation and warranty expressly applies to an earlier date, in which case such representation and warranty shall be deemed made as of such earlier date. 
 (b) The execution, delivery and performance by each Credit Party of this Modification Agreement have been duly authorized by all necessary corporate action by such Credit Party. This

  
 8 

 
Modification Agreement constitutes the legal, valid and binding obligations of each Credit Party executing the same, enforceable against each Credit Party in accordance with its terms, subject to
limitations as to enforceability which might result from bankruptcy, insolvency, moratorium and other similar laws affecting creditors’ rights generally and subject to limitations on the availability of equitable remedies. 

(c) The execution, delivery and performance by each Credit Party of this Modification Agreement will not (i) violate any provision of
any law, statute, rule or regulation or any order, writ, judgment, injunction, decree, determination or award of any court, governmental agency or arbitrator presently in effect having applicability to such Credit Party, (ii) violate or
contravene any provision of the Articles or Certificates of Incorporation or Formation, bylaws, operating agreement or partnership agreement of such Credit Party, or (iii) result in a breach of or constitute a default under any indenture, loan
or credit agreement or any other agreement, lease or instrument to which such Credit Party is a party or by which it or any of its properties may be bound or result in the creation of any Lien thereunder. 

(d) Except as specifically waived hereunder, no Default or Event of Default has occurred and is continuing. 

(e) No order, consent, approval, license, authorization or validation of, or filing, recording or registration with, or exemption by, any
governmental or public body or authority is required on the part of any Credit Party to authorize, or is required in connection with the execution, delivery and performance of, or the legality, validity, binding effect or enforceability of, this
Modification Agreement. 
 Section 5. Acknowledgment; Release. The Credit Parties acknowledge and
agree that their obligations to the Agent and the Lenders under the Credit Agreement as revised hereby are owing without offset, defense or counterclaim assertable by the Credit Parties against the Agent or any Lender. The Credit Parties further
acknowledge and agree that the Security Documents continue to secure the obligations of the Borrowers under the Credit Agreement as revised hereby. Each of the Credit Parties hereby waives, releases and discharges Agent, the Funding Agent and
Lenders from any and all claims, demands, actions or causes of action arising out of or in any way relating to the Loans, the other Obligations, the Loan Documents and/or any documents, agreements, dealings or other matters connected with any of the
foregoing including, without limitation, all known and unknown matters, claims, transactions, or things occurring prior to the date of this Modification Agreement related to the Loans, the other Obligations, the Loan Documents and/or any documents,
agreements, dealings or other matters connected with any of the foregoing. 
 Section 6. General
Provisions. 
 (a) Except as specifically revised or waived set forth above, the Credit Agreement and the other Loan
Documents shall remain in full force and effect and are hereby ratified and confirmed. Each of the Credit Parties hereby confirms its respective guarantees, pledges, grants of security interests and mortgages and other obligations, as applicable,
under and subject to the terms of each of the other Loan Documents to which it is party, and agrees that, notwithstanding the effectiveness of this Modification Agreement, such guarantees, pledges, grants of security interests and mortgages and
other obligations, and the terms of each of the other Loan Documents to which it is a party, are not impaired or affected in any manner whatsoever and shall continue to be in full force and effect after giving effect to this Modification Agreement.

 (b) The execution, delivery and effectiveness of this Modification Agreement shall not operate as a waiver of any right, power
or remedy of the Agent or any Lender under the Credit Agreement or any other Loan Document, nor constitute amendment of any provision of the Credit Agreement or any 

  
 9 

 other Loan Document, except as specifically set forth herein. Upon the Effective Date of this Modification
Agreement, each reference in the Credit Agreement to “this Agreement”, “hereunder”, “hereof”, “herein” or words of similar import shall mean and be a reference to the Credit Agreement as revised hereby.

 (c) Each Credit Party acknowledges and agrees that the revisions, waivers and consents set forth herein are effective solely
for the purposes set forth herein and shall not be deemed (i) except as expressly provided in this Modification Agreement, to be a consent by the Agent or any Lender to any amendment, waiver or modification of any term or condition of the
Credit Agreement or of any other Loan Document, (ii) to create a course of dealing or otherwise obligate the Agent or Lenders to forbear, waive, consent or execute similar revisions or waivers under the same or similar circumstances in the
future, or (iii) to amend, prejudice, relinquish or impair any right of the Agent or Lenders to receive any indemnity or similar payment from any Person or entity as a result of any matter arising from or relating to this Modification
Agreement. 
 (d) This Modification Agreement may be executed in any number of counterparts, each such counterpart constituting
an original but all together one and the same instrument. Any party delivering an executed counterpart of this Modification Agreement by fax shall also deliver an original executed counterpart, but the failure to do so shall not affect the validity,
enforceability or binding effect of this Modification Agreement. 
 (e) In case any provision in or obligation under this
Modification Agreement shall be invalid, illegal or unenforceable in any jurisdiction, the validity, legality and enforceability of the remaining provisions or obligations, or of such provision or obligation in any other jurisdiction, shall not in
any way be affected or impaired thereby. 
 (f) This Modification Agreement shall be binding upon and inure to the benefit of the
parties hereto and their respective successors and assigns. 
 (g) Without limiting the general applicability of Section 8.2
of the Credit Agreement, the Credit Parties agree to reimburse the Agent for the reasonable fees, costs and expenses of counsel in connection with the preparation, negotiation, execution, delivery and administration of this Modification Agreement.

 (h) This Modification Agreement shall constitute a Loan Document. 

(i) Section headings in this Modification Agreement are included herein for convenience of reference only and shall not constitute a part
of this Modification Agreement for any other purposes. 
 (j) THE VALIDITY, CONSTRUCTION AND ENFORCEABILITY OF THIS MODIFICATION
AGREEMENT SHALL BE GOVERNED BY THE INTERNAL LAWS OF THE STATE OF GEORGIA, WITHOUT GIVING EFFECT TO CONFLICT OF LAWS PRINCIPLES THEREOF. 
 <Signatures Appear on the Following Pages> 

  
 10 

 IN WITNESS WHEREOF, the parties hereto have executed this Modification Agreement as
of the date first written above. 
  

			
	 BORROWERS:
  

SUNLINK HEALTH SYSTEMS, INC.,
 as a Borrower and
Borrowers’ Agent

		
	By:	 	 
	Name:	 	 
	Title:	 	 
		 	

  

			
	 SUNLINK HEALTHCARE, LLC,
 as a Borrower
 By its Sole Member SunLink Health Systems, Inc.

		
	By:	 	 
	Name:	 	 
	Title:	 	 

  

			
	 DEXTER HOSPITAL, LLC,
 as a Borrower
 By its Sole Member SunLink Healthcare, LLC

	
	By its Sole Member SunLink Health Systems, Inc.
		
	By:	 	 
	Name:	 	 
	Title:	 	 

  

			
	 SOUTHERN HEALTH CORPORATION OF ELLIJAY, INC.,
 as a Borrower

		
	By:	 	 
	Name:	 	 
	Title:	 	 

  

			
	 SOUTHERN HEALTH CORPORATION OF
DAHLONEGA, INC.,
 as a Borrower

		
	By:	 	 
	Name:	 	 
	Title:	 	 

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS] 

 
			
	 SOUTHERN HEALTH CORPORATION OF HOUSTON, INC.,
 as a Borrower

		
	By:	 	 
	Name:	 	  

	Title:	 	  

  

			
	HEALTHMONT OF GEORGIA, INC.,
as a Borrower
		
	By:	 	 
	Name:	 	  

	Title:	 	  

  

					
	HEALTHMONT, LLC,
as a Borrower
By its Sole Member SunLink Health Systems, Inc.
		
	By:	 	 
	Name:	 	  

	Title:	 	  

  

			
	 HEALTHMONT OF MISSOURI, LLC,
as a Borrower
 By its Sole Member HealthMont, LLC

	
	By its Sole Member SunLink Health Systems, Inc.
		
	By:	 	 
	Name:	 	 
	Title:	 	  

  

			
	 SUNLINK SERVICES, INC.,
 as a Borrower

		
	By:	 	 
	Name:	 	  

	Title:	 	 

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS] 

 
			
	 SUNLINK SCRIPTSRX, LLC
 (f/k/a SunLink Homecare Services, LLC),
as a Borrower
By its sole member SunLink Health Systems, Inc.

		
	By:	 	 
	Name:	 	  

	Title:	 	 

  

			
	 CENTRAL ALABAMA MEDICAL ASSOCIATES, LLC,
as a Borrower

 By its Sole Member SunLink Healthcare, LLC

	
	By its Sole Member SunLink Health Systems, Inc.
		
	By:	 	 
	Name:	 	 
	Title:	 	  

  

			
	 DAHLONEGA CLINIC, LLC,
 as a Borrower
By its Sole Member Southern Health Corporation of Dahlonega, Inc.

		
	By:	 	 
	Name:	 	 
	Title:	 	  

  

			
	 CARMICHAEL’S CASHWAY PHARMACY, INC.,

 as a Borrower

		
	By:	 	 
	Name:	 	  

	Title:	 	  

  

			
	 CARMICHAEL’S NUTRITIONAL DISTRIBUTOR, INC.,
 as a Borrower

		
	By:	 	 
	Name:	 	  

	Title:	 	  

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS] 

 
			
	 BREATH OF LIFE HOME HEALTH EQUIPMENT, INC.,
 as a Borrower

		
	By:	 	 
	Name:	 	  

	Title:	 	  

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS] 

 
			
	AGENT:
	
	 CHATHAM CREDIT MANAGEMENT III, LLC,

 as Agent

		
	By:	 	 
	Name:	 	  

	Title:	 	  

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS] 

 
			
	FUNDING AGENT:
	
	 UNION BANK OF CALIFORNIA, N.A.,
 as Funding Agent

		
	By:	 	 
	Name:	 	  

	Title:	 	  

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS] 

 
			
	LENDERS:
	
	 CHATHAM CREDIT

MANAGEMENT III, LLC, not

 individually, but
as agent for

 CHATHAM INVESTMENT FUND QP

 III, LLC, as a Lender and CHATHAM

 INVESTMENT FUND III, LLC, as a

Lender

		
	By:	 	 
	Name:	 	  

	Title:	 	  

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS] 

 
			
	LENDERS:
	
	UNION BANK OF CALIFORNIA, N.A.,
as a Lender
		
	By:	 	 
	Name:	 	  

	Title:	 	  

 [SIGNATURE PAGE TO THE
THIRD MODIFICATION TO LOAN DOCUMENTS]

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