Document:

EX-10.5

 Exhibit 10.5 

REGISTRATION RIGHTS AGREEMENT 

REGISTRATION RIGHTS AGREEMENT (this “Agreement”), dated as of October 2, 2015, by and among AAC Holdings, Inc., a Nevada corporation (the
“Company”), and those lenders set forth on Schedule 1 to the Facility Agreement (as defined below) (each individually, a “Lender” and together, the “Lenders”). 

WHEREAS: 
 A. In connection with the
Facility Agreement by and among the parties hereto of even date herewith (the “Facility Agreement”), the Company has agreed, upon the terms and subject to the conditions contained therein, to issue and sell to the Lenders Convertible Notes
and Incremental Conversion Notes (as defined below) in the amount described in the Facility Agreement, where each of the Convertible Notes and Incremental Conversion Notes, as the case may be, is convertible into shares of the Company’s common
stock, $0.001 par value per share (the “Common Stock”), upon the terms and conditions and subject to the limitations and conditions set forth in the Convertible Notes and Incremental Conversion Notes, all subject to the terms and
conditions of the Facility Agreement; and 
 B. To induce the Lenders to execute and deliver the Facility Agreement, the Company has agreed to provide
certain registration rights under the Securities Act of 1933, as amended, and the rules and regulations thereunder, or any similar successor statute (collectively, the “Securities Act”), and applicable state securities laws. 

NOW, THEREFORE, in consideration of the premises and the mutual covenants contained herein and other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the Company and the Lenders hereby agree as follows: 
 1. DEFINITIONS. 

a. As used in this Agreement, the following terms shall have the following meanings: 

(i) “Additional Filing Deadline” means, with respect to any Registration Statements that may be required pursuant to Section 2(a)(ii),
(a) within three (3) business days of the first date or time that such Registrable Securities may then be included in a Registration Statement if such Registration Statement is required because the SEC shall have notified the Company in
writing that certain Registrable Securities were not eligible for inclusion on a previously filed Registration Statement, or (b) if such additional Registration Statement is required for a reason other than as described in (a) above, the
tenth (10th) day following the date on which the Company first knows, or reasonably should have known, that such additional Registration Statement is required. 

(ii) “Additional Registration Deadline” means, with respect to any additional Registration Statement(s) that may be required to be filed pursuant to
Section 2(a)(ii), the forty-fifth (45th ) day following (a) the first date or time that such Registrable Securities may then be included in a Registration Statement if such Registration
Statement is required because the SEC shall have notified the Company in writing that certain Registrable Securities were not eligible for inclusion on a previously filed Registration Statement, or (b) if such additional Registration Statement
is required for a reason other than as described in (a) above, the forty-fifth (45th) day following the date on which the Company first knows, or reasonably should have known, that such
additional Registration Statement(s) is required. 
 (iii) “Buyer” means any Lender and any transferee or permitted assignee who agrees to become
bound by the provisions of this Agreement in accordance with Section 10 hereof. 
 (iv) “Convertible Notes” means the Subordinated
Convertible Notes issued by the Company pursuant to the Facility Agreement evidencing the Initial Loans (as defined in the Facility Agreement). 
 (v)
“Exchange Act” means the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder, and any successor statute. 

(vi) “Filing Deadline,” shall mean the forty-fifth (45th) calendar day following the date
of issuance of the Convertible Notes and the Incremental Conversion Notes, as the case may be, in the case of the Registration Statements required to be filed under Section 2(a)(i), and, in the case of Section 2(a)(ii) shall mean the
Additional Filing Deadline. 

 (vii) “Incremental Conversion Notes” means Incremental Convertible Notes, if any, issued by the Company
evidencing the Incremental Loans (as defined in the Facility Agreement). 
 (viii) “Person” means and includes any natural person, partnership,
joint venture, corporation, trust, limited liability company, limited company, joint stock company, unincorporated organization, government entity or any political subdivision or agency thereof, or any other entity. 

(ix) “Register,” “Registered,” and “Registration” refer to a registration effected by preparing and filing a Registration
Statement or Statements in compliance with the Securities Act and pursuant to Rule 415 under the Securities Act or any successor rule providing for offering securities on a continuous basis, and the declaration or ordering of effectiveness of such
Registration Statement by the United States Securities and Exchange Commission (the “SEC”). 
 (x) “Registrable Securities,” for a given
Registration, means (a) any shares of Common Stock (the “Conversion Shares”) issued or issuable upon conversion of or otherwise pursuant to the Convertible Notes and the Incremental Conversion Notes (without giving effect to any
limitations on conversion set forth in the Convertible Notes or the Incremental Conversion Notes), (b) any shares of capital stock issued or issuable as a dividend on or in exchange for or otherwise with respect to any of the foregoing,
(c) any additional shares of Common Stock issuable in connection with any anti-dilution provisions in the Convertible Notes or the Incremental Conversion Notes and (d) any securities issued or issuable upon any stock split, dividend or
other distribution, recapitalization or similar event with respect to the foregoing. 
 (xi) “Registration Deadline” shall mean
(i) forty-five (45) days after the applicable Filing Deadline in the case of a Registration Statement required under Section 2(a)(i), and (ii) the Additional Registration Deadline in the case of a Registration Statement
required under Section 2(a)(ii). 
 (xii) “Registration Statement(s)” means a registration statement(s) of the Company under the
Securities Act required to be filed hereunder. 
 2. REGISTRATION. 

a. MANDATORY REGISTRATION. (i) Following each date on which Convertible Notes or Incremental Convertible Notes are issued pursuant to the Facility
Agreement (each an “Issuance Date”), the Company shall prepare, and on or prior to the applicable Filing Deadline (as defined above) file with the SEC a Registration Statement (the “Mandatory Registration Statement”) on Form S-3
(or, if Form S-3 is not then available, on such form of Registration Statement as is then available to effect a registration of the Registrable Securities) covering the resale of the Registrable Securities issued on the applicable Issuance Date
which Registration Statement, to the extent allowable under the Securities Act and the rules and regulations promulgated thereunder (including Rule 416), shall state that such Registration Statement also covers such indeterminate number of
additional shares of Common Stock as may become issuable upon conversion of or otherwise pursuant to the Convertible Notes or the Incremental Conversion Notes, as the case may be, to prevent dilution resulting from stock splits, stock dividends,
stock issuances or similar transactions. The number of shares of Common Stock initially included in such Registration Statement shall be no less than the aggregate number of Conversion Shares that are then issuable upon conversion of or otherwise
pursuant to the Convertible Notes or the Incremental Conversion Notes, without regard to any limitation on the Buyers’ ability to convert the Convertible Notes or the Incremental Conversion Notes. The Registration Statement (and each amendment
or supplement thereto, and each request for acceleration of effectiveness thereof) shall be provided to (and subject to the approval of, which shall not be unreasonably withheld or delayed) the Buyers and their counsel prior to its filing or other
submission. 
 (ii) If for any reason the SEC does not permit all of the Registrable Securities to be included in a Registration Statement filed pursuant to
Section 2(a)(i) above, or for any other reason any Registrable Securities are not then included in a Registration Statement filed under this Agreement, then the Company shall prepare, and, as soon as practicable but in no event later than the
Additional Filing Deadline, file with the SEC an additional Registration Statement covering the resale of all Registrable Securities not already covered by an existing and effective Registration Statement for an offering to be made on a continuous
basis pursuant to Rule 415. 

  
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 b. PIGGY-BACK REGISTRATIONS. If at any time prior to the expiration of the Registration Period (as
hereinafter defined) the Company shall determine to file with the SEC a registration statement relating to an offering for its own account or the account of others under the Securities Act of any of its securities (other than debt securities or
securities being registered on Form S-4 or Form S-8 or their then equivalents relating to equity securities to be issued solely in connection with any acquisition of any entity or business or equity securities issuable in connection with stock
option or other employee benefit plans), the Company shall send to each Buyer written notice of such determination and, if within fifteen (15) days after the effective date of such notice, the Buyer shall so request in writing, the Company
shall include in such Registration Statement all or any part of such Buyer’s Registrable Securities that it requests to be registered, except that if, in connection with any underwritten public offering for the account of the Company, the
managing underwriter(s) thereof shall impose a limitation on the number of Registrable Securities which may be included in the Registration Statement because, in such underwriter(s)’ judgment, marketing or other factors dictate such limitation
is necessary to facilitate public distribution, then the Company shall be obligated to include in such Registration Statement only such limited portion of the Registrable Securities with respect to which the Buyer has requested inclusion hereunder
as the underwriter shall permit; 
 PROVIDED, HOWEVER, that the Company shall not exclude any Registrable Securities unless the Company excludes all
outstanding securities offered to be sold by stockholders of the Company in such Registration Statement on a pro rata basis with the Registrable Securities; and 

PROVIDED, FURTHER, HOWEVER, no right to registration of Registrable Securities under this Section 2(b) shall be construed to limit any
registration required under Section 2(a) hereof. If an offering in connection with which a Buyer is entitled to registration under this Section 2(b) is an underwritten offering, then such Buyer shall, unless otherwise agreed by the
Company, offer and sell such Registrable Securities in an underwritten offering using the same underwriter or underwriters and, subject to the provisions of this Agreement, on the same terms and conditions as other shares of Common Stock included in
such underwritten offering. Notwithstanding anything to the contrary set forth herein, the registration rights of the Buyer pursuant to this Section 2(b) shall only be available in the event the Company fails to timely file, obtain
effectiveness or maintain effectiveness of any Registration Statement to be filed pursuant to Section 2(a) in accordance with the terms of this Agreement. 

3. OBLIGATIONS OF THE COMPANY. In connection with the registration of the Registrable Securities, the Company shall have the following obligations:

 a. The Company shall use its commercially reasonable efforts to prepare promptly, and shall use best efforts to file with the SEC by the applicable
Filing Deadline, a Registration Statement with respect to the number of Registrable Securities provided in Section 2(a), and thereafter use its commercially reasonable efforts to cause each Registration Statement relating to Registrable
Securities to become effective as soon as possible after such filing, but in any event shall use its commercially reasonable efforts to cause each such Registration Statement relating to Registrable Securities to become effective no later than the
Registration Deadline, and shall use its commercially reasonable efforts to keep the Registration Statement current and effective pursuant to Rule 415 at all times until such date as is the earlier of (i) the date on which all of the
Registrable Securities for such Registration Statement have been sold and (ii) the date on which all of the Registrable Securities for such Registration Statement (in the reasonable opinion of counsel to the Buyers) may be immediately sold to
the public without registration or restriction (including without limitation as to volume by each holder thereof) under the Securities Act (the “Registration Period”), which Registration Statement (including any amendments or supplements
thereto and prospectuses contained therein), except for information provided by a Buyer or any transferee of a Buyer pursuant to Section 4(a), shall not contain any untrue statement of a material fact or omit to state a material fact required
to be stated therein, or necessary to make the statements therein not misleading. 
 b. The Company shall prepare and file with the SEC such amendments
(including post-effective amendments) and supplements to each Registration Statement and the prospectus used in connection with each Registration Statement as may be necessary to keep each Registration Statement current and effective at all times
during the Registration Period, and, during such period, comply with the provisions of the Securities Act with respect to the disposition of all Registrable Securities of the Company covered by each Registration Statement until such time as all of
such 

  
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Registrable Securities have been disposed of in accordance with the intended methods of disposition by the seller or sellers thereof as set forth in each Registration Statement. In the event that
on any Trading Day (as defined below) (the “Registration Trigger Date”) the number of shares available under the Registration Statements filed pursuant to this Agreement is insufficient to cover all of the Registrable Securities issued or
issuable upon conversion of the Convertible Notes, the Incremental Conversion Notes or otherwise pursuant to the Convertible Notes or the Incremental Conversion Notes, including, without limitation, any additional shares of Common Stock issued in
connection with any anti-dilution provisions contained in the Convertible Notes or the Incremental Conversion Notes, without giving effect to any limitations on the Buyers’ ability to convert the Convertible Notes or the Incremental Conversion
Notes, the Company shall amend the Registration Statements, or file a new Registration Statement (on the short form available therefore, if applicable), or both, so as to cover the total number of Registrable Securities so issued or issuable
(without giving effect to any limitations on conversion contained in the Convertible Notes or the Incremental Conversion Notes) as of the Registration Trigger Date as soon as practicable, but in any event within twenty (20) days after the
Registration Trigger Date (based on the Conversion Price (as defined in the Convertible Notes or the Incremental Conversion Notes) of the Convertible Notes or the Incremental Conversion Notes, as the case may be, and other relevant factors on which
the Company reasonably elects to rely). The Company shall use its commercially reasonable efforts to cause such amendment and/or new Registration Statement to become effective as soon as practicable following the filing thereof, but in any event the
Company shall use its commercially reasonable efforts to cause such amendment and/or new Registration Statement to become effective within sixty (60) days of the Registration Trigger Date or as promptly as practicable in the event the Company
is required to increase its authorized shares. “Trading Day” shall mean any day on which the shares of Common Stock are traded for any period on the New York Stock Exchange or on the principal securities exchange or other securities market
on which the Common Stock is then being traded. 
 c. The Company shall furnish to each Buyer and its legal counsel (i) promptly after the same is
prepared and publicly distributed, filed with the SEC, or received by the Company, one copy of each Registration Statement and any amendment thereto, each preliminary prospectus and prospectus and each amendment or supplement thereto, and, in the
case of a Registration Statement referred to in Section 2(a), each letter written by or on behalf of the Company to the SEC or the staff of the SEC, and each item of correspondence from the SEC or the staff of the SEC, in each case relating to
such Registration Statement (other than any portion of any thereof which contains information for which the Company has sought confidential treatment), and (ii) such number of copies of a prospectus, including a preliminary prospectus, and all
amendments and supplements thereto and such other documents as a Buyer may reasonably request in order to facilitate the disposition of the Registrable Securities owned by such Buyer. The Company will promptly notify the Buyers by facsimile or
electronic mail of the effectiveness of each Registration Statement or any post-effective amendment. The Company will promptly respond to any and all comments received from the SEC, with a view towards causing each Registration Statement or any
amendment thereto to be declared effective by the SEC as soon as practicable and shall file an acceleration request as soon as practicable, but no later than three (3) business days, following the resolution or clearance of all SEC comments or,
if applicable, following notification by the SEC that any such Registration Statement or any amendment thereto will not be subject to review. 
 d. The
Company shall use its commercially reasonable efforts to (i) register and qualify, in any jurisdiction where registration and/or qualification is required, the Registrable Securities covered by the Registration Statements under such other
securities or “blue sky” laws of such jurisdictions in the United States as the Buyers shall reasonably request, (ii) prepare and file in those jurisdictions such amendments (including post-effective amendments) and supplements to
such registrations and qualifications as may be necessary to maintain the effectiveness thereof during the Registration Period, (iii) take such other actions as may be necessary to maintain such registrations and qualifications in effect at all
times during the Registration Period, and (iv) take all other actions reasonably necessary or advisable to qualify the Registrable Securities for sale in such jurisdictions. 

e. As promptly as practicable after becoming aware of such event, the Company shall notify each Buyer of the happening of any event, of which the Company has
knowledge, as a result of which the prospectus included in any Registration Statement, as then in effect, includes an untrue statement of a material fact or omits to state a material fact required to be stated therein or necessary to make the
statements therein not misleading, and use its commercially reasonable efforts promptly to prepare a supplement or amendment to any Registration Statement to correct such untrue statement or omission, and deliver such number of copies of such
supplement or amendment to each Buyer as such Buyer may reasonably request. 

  
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 f. The Company shall use its commercially reasonable efforts to prevent the issuance of any stop order or other
suspension of effectiveness of any Registration Statement, and, if such an order is issued, to obtain the withdrawal of such order at the earliest possible moment and to notify each Buyer who holds Registrable Securities being sold (or, in the event
of an underwritten offering, the managing underwriters) of the issuance of such order and the resolution thereof. 
 g. The Company shall permit a single
firm of counsel designated by the Buyers to review such Registration Statement and all amendments and supplements thereto (as well as all requests for acceleration or effectiveness thereof), at Buyers’ own cost, a reasonable period of time
prior to their filing with the SEC (not less than five (5) business days but not more than eight (8) business days) and not file any documents in a form to which such counsel reasonably objects and will not request acceleration of such
Registration Statement without prior notice to such counsel. 
 h. The Company shall hold in confidence and not make any disclosure of information
concerning a Buyer provided to the Company unless (i) disclosure of such information is necessary to comply with federal or state securities laws, (ii) the disclosure of such information is necessary to avoid or correct a misstatement or
omission in any Registration Statement, (iii) the release of such information is ordered pursuant to a subpoena or other order from a court or governmental body of competent jurisdiction, or (iv) such information has been made generally
available to the public other than by disclosure in violation of this or any other agreement between the Company and a Buyer. The Company agrees that it shall, upon learning that disclosure of such information concerning such Buyer is sought in or
by a court or governmental body of competent jurisdiction or through other means, give prompt notice to the Buyer prior to making such disclosure, and allow such Buyer, at its expense, to undertake appropriate action to prevent disclosure of, or to
obtain a protective order for, such information. 
 i. The Company shall use its commercially reasonable efforts to cause all the Registrable Securities
covered by each Registration Statement to be listed on each securities exchange on which securities of the same class or series issued by the Company are then listed, if any, if the listing of such Registrable Securities is then permitted under the
rules of such exchange. 
 j. The Company shall provide a transfer agent and registrar, which may be a single entity, for the Registrable Securities not
later than the effective date of the initial Registration Statement. 
 k. In the event that transfers of Registrable Securities in connection with an
underwriting are not being made through The Depositary Trust Company’s Fast Automated Securities Transfer Program, the Company shall cooperate with each Buyer who holds Registrable Securities being offered and the managing underwriter or
underwriters with respect to an applicable Registration Statement, if any, to facilitate the timely preparation and delivery of certificates (not bearing any restrictive legends) representing Registrable Securities to be offered pursuant to such
Registration Statement and enable such certificates to be in such denominations or amounts, as the case may be, as the managing underwriter or underwriters, if any, or the Buyer may reasonably request and registered in such names as the managing
underwriter or underwriters, if any, or the Buyer may request, and, within three (3) business days after a Registration Statement which includes Registrable Securities is ordered effective by the SEC, the Company shall deliver, and shall cause
legal counsel selected by the Company to deliver, to the transfer agent for the Registrable Securities (with copies to each Buyer) an appropriate instruction and an opinion of such counsel in the form required by the transfer agent in order to issue
the Registrable Securities free of restrictive legends. 
 l. At the reasonable request of a Buyer, the Company shall prepare and file with the SEC such
amendments (including post-effective amendments) and supplements to a Registration Statement and any prospectus used in connection with the Registration Statement as may be necessary in order to change the plan of distribution set forth in such
Registration Statement. 
 m. The Company shall not, and shall not agree to, allow the holders of any securities of the Company to include any of their
securities in any Registration Statement under Section 2(a) hereof or any amendment or supplement thereto under Section 3(b) hereof without the consent of the Buyers. In addition, the Company shall not offer any securities for its own
account or the account of others in any Registration Statement under Section 2(a) hereof or any amendment or supplement thereto under Section 3(b) hereof without the consent of the Buyers. 

  
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 n. The Company shall take all other reasonable actions necessary to expedite and facilitate disposition by the
Buyers of Registrable Securities pursuant to a Registration Statement. 
 o. The Company shall comply with all applicable laws related to a Registration
Statement and offering and sale of securities and all applicable rules and regulations of governmental authorities in connection therewith (including, without limitation, the Securities Act and the Exchange Act and the rules and regulations
promulgated by the SEC). 
 p. If required by the Financial Industry Regulatory Authority, Inc. Corporate Financing Department, the Company shall promptly
effect a filing with FINRA pursuant to FINRA Rule 5110 with respect to the public offering contemplated by resales of securities under the Registration Statement (an “Issuer Filing”), and pay the filing fee required by such Issuer Filing.
The Company shall use commercially reasonable efforts to pursue the Issuer Filing until FINRA issues a letter confirming that it does not object to the terms of the offering contemplated by the Registration Statement. 

4. OBLIGATIONS OF THE BUYER. In connection with the registration of the Registrable Securities, each Buyer shall have the following obligations: 

a. It shall be a condition precedent to the obligations of the Company to complete the registration pursuant to this Agreement with respect to the Registrable
Securities of a Buyer that such Buyer shall furnish to the Company such information regarding itself, the Registrable Securities held by it and the intended method of disposition of the Registrable Securities held by it as shall be reasonably
required to effect the registration of such Registrable Securities and shall execute such documents in connection with such registration as the Company may reasonably request. At least five (5) business days prior to the first anticipated
filing date of a Registration Statement, the Company shall notify each Buyer of the information the Company requires from such Buyer. Any such information shall not contain any untrue statement of a material fact or omit to state a material fact
required to be stated therein, or necessary to make the statements therein not misleading. Any Filing Deadline or Additional Filing Deadline under this Agreement shall be extended for such period of time as Buyer fails to provide the information
required by this Section 4(a). 
 b. Each Buyer, by such Buyer’s acceptance of the Registrable Securities, agrees to cooperate with the Company as
reasonably requested by the Company in connection with the preparation and filing of a Registration Statement hereunder, unless such Buyer has notified the Company in writing of the Buyer’s election to exclude all of the Buyer’s
Registrable Securities from such Registration Statement. 
 c. In the event of an underwritten offering pursuant to Section 2(b) in which any
Registrable Securities are to be included, the Buyer agrees to enter into and perform the Buyer’s obligations under an underwriting agreement, in usual and customary form, including, without limitation, customary indemnification and
contribution obligations, with the managing underwriter of such offering and take such other actions as are reasonably required in order to expedite or facilitate the disposition of the Registrable Securities, unless the Buyer has notified the
Company in writing of the Buyer’s election to exclude all of the Buyer’s Registrable Securities from such Registration Statement. 
 d. Each Buyer
agrees that, upon receipt of any notice from the Company of the happening of any event of the kind described in Section 3(e) or 3(f), the Buyer will immediately discontinue disposition of Registrable Securities pursuant to the Registration
Statement covering such Registrable Securities until the Buyer’s receipt of the copies of the supplemented or amended prospectus contemplated by Section 3(e) or 3(f) and, if so directed by the Company, the Buyer shall deliver to the
Company (at the expense of the Company) or destroy (and deliver to the Company a certificate of destruction) all copies in the Buyer’s possession, of the prospectus covering such Registrable Securities current at the time of receipt of such
notice. 
 5. REGISTRATION FAILURE. In the event of a Registration Failure (as defined in the Convertible Notes or the Incremental Conversion Notes),
the Buyers shall be entitled to the payments provided in the Convertible Notes and the Incremental Conversion Notes, and such other rights as they may have under the Facility Agreement, the Convertible Notes, the Incremental Conversion Notes and
hereunder. 
 6. EXPENSES OF REGISTRATION. All reasonable expenses, other than underwriting discounts and

  
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commissions and expenses of Buyer’s counsel and other advisors, incurred in connection with registrations, filings or qualifications pursuant to Sections 2 and 3, including, without
limitation, all registration, listing and qualification fees, printers and accounting fees, and the fees and disbursements of counsel for the Company shall be borne by the Company. 

7. INDEMNIFICATION. In the event any Registrable Securities are included in a Registration Statement under this Agreement: 

a. The Company will indemnify, hold harmless and defend (i) each Buyer, (ii) the directors, officers, partners, managers, members,
employees, agents and each Person who controls any Buyer within the meaning of the Securities Act or the Exchange Act, if any, (iii) any underwriter (as defined in the Securities Act) for each Buyer in connection with an underwritten offering
pursuant to Section 2(b) hereof, and (iv) the directors, officers, partners, employees and each Person who controls any such underwriter within the meaning of the Securities Act or the Exchange Act, if any (each, an “Indemnified
Person”), against any joint or several losses, claims, damages, liabilities or expenses (collectively, together with actions, proceedings or inquiries by any regulatory or self-regulatory organization, whether commenced or threatened, in
respect thereof, “Claims”) to which any of them may become subject insofar as such Claims arise out of or are based upon: (i) any untrue statement or alleged untrue statement of a material fact in a Registration Statement or the
omission or alleged omission to state therein a material fact required to be stated or necessary to make the statements therein not misleading; (ii) any untrue statement or alleged untrue statement of a material fact contained in any
preliminary prospectus if used prior to the effective date of such Registration Statement, or contained in the final prospectus (as amended or supplemented, if the Company files any amendment thereof or supplement thereto with the SEC) or the
omission or alleged omission to state therein any material fact necessary to make the statements made therein, in light of the circumstances under which the statements therein were made, not misleading; or (iii) any violation or alleged
violation by the Company of the Securities Act, the Exchange Act, any other law, including, without limitation, any state securities law, or any rule or regulation thereunder relating to the offer or sale of the Registrable Securities (the matters
in the foregoing clauses (i) through (iii) being, collectively, “Violations”). The Company shall reimburse the Indemnified Person, promptly as such expenses are incurred and are due and payable, for any reasonable legal fees or
other reasonable expenses incurred by them in connection with investigating or defending any such Claim. Notwithstanding anything to the contrary contained herein, the indemnification agreement contained in this Section 7(a) shall not apply to
a Claim arising out of or based upon a Violation to the extent that such Violation occurs in reliance upon and in conformity with information furnished in writing to the Company by any Indemnified Person for use in connection with the preparation of
such Registration Statement or any such amendment thereof or supplement thereto. Notwithstanding anything herein to the contrary, the indemnity agreement contained in this Section 7(a) shall not apply to amounts paid in settlement of any Indemnity
Claim if such settlement is effected without the prior written consent of the Company which consent shall not be unreasonably withheld or delayed. Such indemnity shall remain in full force and effect regardless of any investigation made by or on
behalf of the Indemnified Person and shall survive the transfer of the Registrable Securities by the Buyer pursuant to Section 10. 
 b. Promptly after
receipt by an Indemnified Person under this Section 7 of notice of the commencement of any action (including any governmental action), such Indemnified Person shall, if a Claim in respect thereof is to be made against the Company under this
Section 7, deliver to the Company a written notice of the commencement thereof, and the Company shall have the right to participate in, and, to the extent the Company so desires, to assume control of the defense thereof with counsel mutually
satisfactory to the Company and the Indemnified Person, as the case may be. 
 PROVIDED, HOWEVER, that an Indemnified Person shall have the right to
retain its own counsel with the reasonable fees and expenses to be paid by the Company, if, in the reasonable opinion of counsel for the Buyer, the representation by such counsel of the Indemnified Person and the Company would be inappropriate due
to actual or potential differing interests between such Indemnified Person and any other party represented by such counsel in such proceeding. The Company shall pay for only one separate legal counsel for the Indemnified Persons, and such legal
counsel shall be selected by Buyers. The failure to deliver written notice to the Company within a reasonable time of the commencement of any such action shall not relieve the Company of any liability to the Indemnified Person under this
Section 7, except to the extent that the Company is actually prejudiced in its ability to defend such action. The indemnification required by this Section 7 shall be made by periodic payments of the amount thereof during the course of the
investigation or defense, as such expense, loss, damage or liability is incurred and is due and payable. 

  
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 c. Each Buyer will indemnify, hold harmless and defend (i) the Company, and (ii) the directors,
officers, partners, managers, members, employees, or agents of the Company, if any (each, a “Company Indemnified Person”), against any joint or several losses, claims, damages, liabilities or expenses (collectively, together with actions,
proceedings or inquiries by any regulatory or self-regulatory organization, whether commenced or threatened, in respect thereof, “Indemnity Claims”) to which any of them may become subject insofar as such Indemnity Claims arise out of or
are based upon any violation or alleged violation by the Company of the Securities Act, the Exchange Act, any other law, including, without limitation, any state securities law, or any rule or regulation thereunder relating to the offer or sale of
the Registrable Securities, which occurs due to the inclusion by the Company in a Registration Statement of false or misleading information about a Buyer, where such information was furnished in writing to the Company by such Buyer for the purpose
of inclusion in such Registration Statement. Notwithstanding anything herein to the contrary, the indemnity agreement contained in this Section 7(c) shall not apply to amounts paid in settlement of any Indemnity Claim if such settlement is
effected without the prior written consent of the Buyers which consent shall not be unreasonably withheld or delayed; and provided, further, however, that a Buyer shall be liable under this Section 7(c) for only that amount of an Indemnity
Claim as does not exceed the net amount of proceeds received by such Buyer as a result of the sale of Registrable Securities pursuant to such Registration Statement. 

d. Promptly after receipt by a Company Indemnified Person under this Section 7 of notice of the commencement of any action (including any governmental
action), such Company Indemnified Person shall, if an Indemnity Claim in respect thereof is to be made against a Buyer under this Section 7, deliver to such Buyer a written notice of the commencement thereof, and such Buyer shall have the right
to participate in, and, to the extent such Buyer so desires, to assume control of the defense thereof with counsel mutually satisfactory to such Buyer and the Company Indemnified Person, as the case may be. The failure to deliver written notice to
the Buyer within a reasonable time of the commencement of any such action shall not relieve the Buyer of any liability to the Company Indemnified Person under this Section 7, except to the extent that the Buyer is actually prejudiced in its
ability to defend such action. 
 8. CONTRIBUTION. To the extent any indemnification by the Company is prohibited or limited by law, the Company
agrees to make the maximum contribution with respect to any amounts for which it would otherwise be liable under Section 7 to the fullest extent permitted by law, based upon a comparative fault standard. 

9. REPORTS UNDER THE 1934 ACT. With a view to making available to the Buyers the benefits of Rule 144 promulgated under the Securities Act or any
other similar rule or regulation of the SEC that may at any time permit the Buyers to sell securities of the Company to the public without registration the Company agrees to use its commercially reasonable efforts to: 

a. make and keep public information available, as those terms are understood and defined in Rule 144; 

b. file with the SEC in a timely manner all reports and other documents required of the Company under the Securities Act and the Exchange Act so long as the
Company remains subject to such requirements and the filing of such reports and other documents is required for the applicable provisions of Rule 144; and 

c. so long as the Buyers own Registrable Securities, promptly upon request, furnish to the Buyers (i) a written statement by the Company that it has
complied with the reporting requirements of the Securities Act and the Exchange Act as required for applicable provisions of Rule 144, (ii) a copy of the most recent annual or quarterly report of the Company and such other reports and
documents so filed by the Company and (iii) such other information as may be reasonably requested to permit the Buyers to sell such securities pursuant to Rule 144 without registration. 

10. ASSIGNMENT OF REGISTRATION RIGHTS. Subject to the terms and conditions of the Facility Agreement, the rights under this Agreement shall be
automatically assignable by each Buyer to any transferee of all or any portion of the Registrable Securities if: (i) the Buyer agrees in writing with the transferee or assignee to assign such rights, and a copy of such agreement is furnished to
the Company within a reasonable time after such assignment, (ii) the Company is, within a reasonable time after such transfer or assignment, furnished with written 

  
 8 

 
notice of (a) the name and address of such transferee or assignee, and (b) the securities with respect to which such registration rights are being transferred or assigned, and
(iii) at or before the time the Company receives the written notice contemplated by clause (ii) of this sentence, the transferee or assignee agrees in writing with the Company to be bound by all of the provisions contained herein. In the
event that a Buyer transfers all or any portion of its Registrable Securities pursuant to this Section, the Company shall have at least ten (10) days to file any amendments or supplements necessary to keep a Registration Statement current and
effective pursuant to Rule 415, and the commencement date of any Event of Default (as defined in the Convertible Notes or the Incremental Conversion Notes) under the Convertible Notes or the Incremental Conversion Notes caused thereby will be
extended by ten (10) days. 
 11. AMENDMENT OF REGISTRATION RIGHTS. Provisions of this Agreement may be amended and the observance thereof may
be waived (either generally or in a particular instance and either retroactively or prospectively), only with written consent of the Company and the holders of a majority in interest of then-outstanding Registrable Securities. Any amendment or
waiver effected in accordance with this Section 11 shall be binding upon each of the Buyers and the Company. 
 12. MISCELLANEOUS. 

a. A Person is deemed to be a holder of Registrable Securities whenever such Person owns of record or beneficially through a “street name” holder
such Registrable Securities. If the Company receives conflicting instructions, notices or elections from two or more Persons with respect to the same Registrable Securities, the Company shall act upon the basis of instructions, notice or election
received from the registered owner of such Registrable Securities. 
 b. Any notices required or permitted to be given under the terms hereof shall be sent
by certified or registered mail (return receipt requested) or delivered personally or by courier (including a recognized overnight delivery service) or by facsimile or electronic mail and shall be effective five days after being placed in the mail,
if mailed by regular United States mail, or upon receipt, if delivered personally or by courier (including a recognized overnight delivery service) or by facsimile or electronic mail, in each case addressed to a party. The addresses for such
communications shall be: 
 If to the Company: 
 AAC Holdings,
Inc. 
 115 East Park Drive, Second Floor 
 Brentwood, Tennessee
37027 
 Fax: (615) 691-7131 
 Email:
ksphillips@contactaac.com 
 Attn: Kathryn Sevier Phillips, General Counsel 

With copy to: 
 Bass, Berry & Sims PLC 

150 Third Avenue South Suite 2800 
 Nashville, Tennessee 37201

 Fax: (615) 742-2709 
 Email: Hlamar@bassberry.com 

Attn: Howard H. Lamar III 
 If to a Buyer: 

c/o Deerfield Mgmt, L.P. 
 780 Third Avenue, 37th Floor 
 New York, New York 10017 

Fax: (646) 536-5662 
 Email: 

Attn: David J. Clark 

  
 9 

 With a copy to: 

Katten Muchin Rosenman LLP 
 575 Madison Avenue 

New York, New York 10022 
 Fax: (212) 940-8776 

Email: 
 Attn: Mark I. Fisher, Esq. 

 Elliot Press, Esq. 
 Each party shall
provide notice to the other party of any change in address. 
 c. Failure of any party to exercise any right or remedy under this Agreement or otherwise, or
delay by a party in exercising such right or remedy, shall not operate as a waiver thereof. 
 d. Governing Law. All questions concerning the construction,
validity, enforcement and interpretation of this Agreement shall be governed by and construed and enforced in accordance with the internal laws of the State of New York, without regard to the principles of conflicts of law thereof. Each party agrees
that all legal proceedings concerning the interpretations, enforcement and defense of the transactions contemplated by this Agreement (whether brought against a party hereto or its respective affiliates, directors, officers, shareholders, employees
or agents) shall be commenced exclusively in the state and federal courts sitting in the City of New York. Each party hereby irrevocably submits to the exclusive jurisdiction of the state and federal courts sitting in the City of New York, borough
of Manhattan for the adjudication of any dispute hereunder or in connection herewith or with any transaction contemplated hereby or discussed herein, and hereby irrevocably waives, and agrees not to assert in any suit, action or proceeding, any
claim that it is not personally subject to the jurisdiction of any such court, that such suit, action or proceeding is improper or is an inconvenient venue for such proceeding. Each party hereby irrevocably waives personal service of process and
consents to process being served in any such suit, action or proceeding by mailing a copy thereof via registered or certified mail or overnight delivery (with evidence of delivery) to such party at the address in effect for notices to it under this
Agreement and agrees that such service shall constitute good and sufficient service of process and notice thereof. Nothing contained herein shall be deemed to limit in any way any right to serve process in any other manner permitted by law. The
parties hereby waive all rights to a trial by jury. If either party shall commence an action or proceeding to enforce any provision of this Agreement, then the prevailing party in such action or proceeding shall be reimbursed by the other party for
its reasonable attorneys’ fees and other costs and expenses incurred with the investigation, preparation and prosecution of such action or proceeding. 

e. This Agreement, the Convertible Notes, the Incremental Conversion Notes and the Facility Agreement (including all schedules and exhibits thereto)
constitute the entire agreement among the parties hereto with respect to the subject matter hereof and thereof. There are no restrictions, promises, warranties or undertakings, other than those set forth or referred to herein and therein. This
Agreement, the Convertible Notes, the Incremental Conversion Notes and the Facility Agreement supersede all prior agreements and understandings among the parties hereto with respect to the subject matter hereof and thereof. 

f. Subject to the requirements of Section 10 hereof, this Agreement shall inure to the benefit of and be binding upon the successors and permitted
assigns of each of the parties hereto, and the provisions of Sections 7 and 8 hereof shall inure to the benefit of, and be enforceable by, each Indemnified Person and Company Indemnified Person (as applicable). 

g. The headings in this Agreement are for convenience of reference only and shall not limit or otherwise affect the meaning hereof. 

h. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original but all of which shall constitute one and the same
agreement. This Agreement, once executed by a party, may be delivered to the other party hereto by facsimile or other electronic transmission of a copy of this Agreement bearing the signature of the party so delivering this Agreement. 

  
 10 

 i. Each party shall do and perform, or cause to be done and performed, all such further acts and things, and
shall execute and deliver all such other agreements, certificates, instruments and documents, as the other party may reasonably request in order to carry out the intent and accomplish the purposes of this Agreement and the consummation of the
transactions contemplated hereby. 
 j. The Company acknowledges that a breach by it of its obligations hereunder will cause irreparable harm to the Buyers
by vitiating the intent and purpose of the transactions contemplated hereby. Accordingly, the Company acknowledges that the remedy at law for breach of its obligations hereunder will be inadequate and agrees, in the event of a breach or threatened
breach by the Company of any of the provisions hereunder, that the Buyers shall be entitled, in addition to all other available remedies in law or in equity, to an injunction or injunctions to prevent or cure breaches of the provisions of this
Agreement and to enforce specifically the terms and provisions hereof, without the necessity of showing economic loss and without any bond or other security being required. 

k. The language used in this Agreement will be deemed to be the language chosen by the parties to express their mutual intent, and no rules of strict
construction will be applied against any party. 
 l. In the event that any provision of this Agreement is invalid or unenforceable under any applicable
statute or rule of law, then such provision shall be deemed inoperative to the extent that it may conflict therewith and shall be deemed modified to conform with such statute or rule of law. Any provision hereof which may prove invalid or
unenforceable under any law shall not affect the validity or enforceability of any other provision hereof. 
 m. In the event a Buyer shall sell or
otherwise transfer any of such holder’s Registrable Securities, each transferee shall be allocated a pro rata portion of the number of Registrable Securities included in a Registration Statement for such transferor. 

n. There shall be no oral modifications or amendments to this Agreement. This Agreement may be modified or amended only in writing. 

[Remainder of page left intentionally blank] 

[Signature page follows] 

  
 11 

 IN WITNESS WHEREOF, the undersigned Buyers and the Company have caused this Registration Rights
Agreement to be duly executed as of the date first written above. 
  

									
	COMPANY:	  		  	BUYERS:
			
	AAC HOLDINGS LIMITED	  		  	DEERFIELD PRIVATE DESIGN FUND III, L.P.
					
		  		  		  	By:	  	Deerfield Mgmt III, L.P., General Partner
	By:	  	 /s/ Michael T. Cartwright
	  		  	By:	  	J.E. Flynn Capital III, LLC, General Partner
	Name:	  	Michael T. Cartwright	  		  		  	
	Title:	  	Chairman and Chief Executive Officer	  		  		  	
		  		  		  	By:	  	 /s/ Jonathan Isler

		  		  		  	Name:	  	Jonathan Isler
		  		  		  	Title:	  	Authorized Signatory
				
		  		  		  	DEERFIELD INTERNATIONAL MASTER FUND, L.P.
					
		  		  		  	By:	  	Deerfield Mgmt, L.P., General Partner
		  		  		  	By:	  	J.E. Flynn Capital, LLC, General Partner
					
		  		  		  	By:	  	 /s/ Jonathan Isler

		  		  		  	Name:	  	Jonathan Isler
		  		  		  	Title:	  	Authorized Signatory
				
		  		  		  	DEERFIELD PARTNERS, L.P.
					
		  		  		  	By:	  	Deerfield Mgmt, L.P., General Partner
		  		  		  	By:	  	J.E. Flynn Capital, LLC, General Partner
					
		  		  		  	By:	  	 /s/ Jonathan Isler

		  		  		  	Name:	  	Jonathan Isler
		  		  		  	Title:	  	Authorized Signatory

  
 [Signature Page to
Registration Rights Agreement]EX-10.6

 Exhibit 10.6 

EXECUTION VERSION 
 SECOND
AMENDMENT TO CREDIT AGREEMENT 
 THIS SECOND AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) dated as of October 2,
2015 to the Credit Agreement referenced below is by and among AAC Holdings, Inc., a Nevada corporation (the “Borrower”), the Guarantors, the Lenders identified on the signature pages hereto and Bank of America, N.A., in its
capacities as Administrative Agent, Swingline Lender and L/C Issuer. 
 W I T N E S S E T H 

WHEREAS, a credit facility has been extended to the Borrower pursuant to the terms of that certain Credit Agreement dated as of March 9,
2015 (as amended, modified, supplemented, increased and extended from time to time, the “Credit Agreement”) among the Borrower, the Guarantors, the Lenders, the Swingline Lender, the L/C Issuer and the Administrative Agent; and 

WHEREAS, the Deerfield Lenders (as defined herein) have agreed to provide to the Borrower up to $25,000,000 in unsecured subordinated
indebtedness and $25,000,000 of unsecured convertible indebtedness pursuant to that certain Facility Agreement dated as of October 2, 2015; 

WHEREAS, the Borrower has requested that it have the ability to prepay such unsecured convertible indebtedness with the proceeds of the
issuance of common Equity Interests in the Borrower subject to the terms of the Credit Agreement (as amended hereby) and in accordance with the subordination agreement(s) executed by the Deerfield Lenders, the Administrative Agent and the Loan
Parties in connection therewith; 
 WHEREAS, the Lenders (by act of the Required Lenders) have agreed to provide such requested amendments
subject to the terms and conditions herein; 
 NOW, THEREFORE, IN CONSIDERATION of the premises and other good and valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 
 1. Introductory Paragraph and
Recitals. The above introductory paragraph and recitals of this Amendment are incorporated herein by reference as if fully set forth herein. 

 2. Defined Terms. Capitalized terms used herein but not otherwise defined herein shall
have the meanings provided to such terms in the Credit Agreement. 
 3. Amendments to Credit Agreement. 

(a) Section 1.01 of the Credit Agreement is amended by adding the following definitions in the appropriate alphabetical order: 

“Deerfield Convertible Debt” means that certain unsecured convertible subordinated indebtedness of the
Borrower in an initial amount of $25,000,000 payable to the Deerfield Lenders and an incremental facility of up to $50,000,000 of unsecured convertible subordinated indebtedness pursuant to the Deerfield Facility Agreement. 

“Deerfield Documents” means the Deerfield Facility Agreement, the Guaranty dated October 2, 2015 executed
by the Borrower’s Subsidiaries party thereto in favor of the Deerfield Lenders, certain Convertible Notes dated October 2, 2015 executed by the Borrower to each of the Deerfield Lenders, the Registration Rights Agreement dated
October 2, 2015 by and between the Borrower and the Deerfield Lenders and the Senior Subordinated Notes to be executed by the Borrower from time to time in connection with the Deerfield Subordinated Debt, the form of which is attached to the
Deerfield Facility Agreement and any amendments, modifications, extensions or renewals of the foregoing entered into in accordance with applicable Subordination Agreements. 

“Deerfield Facility Agreement” means that certain Facility Agreement dated as of October 2, 2015 by and
between the Borrower and the Deerfield Lenders. 
 “Deerfield Lenders” means Deerfield Private Design Fund
III, L.P., Deerfield Partners, L.P. and Deerfield International Master Fund, L.P. or their registered assigns. 

 “Deerfield Subordinated Debt” means that certain unsecured
subordinated indebtedness of the Borrower in an amount not to exceed $25,000,000 pursuant to the Deerfield Facility Agreement. 

“Second Amendment Effective Date” means October 2, 2015. 

(b) In Section 1.01, the definition of “Subordinated Indebtedness” is amended in its entirety as follows: 

“Subordinated Indebtedness” means (a) Indebtedness of the Borrower evidenced by any Seller Note,
(b) the Deerfield Subordinated Debt, (c) the Deerfield Convertible Debt and (d) other Indebtedness of the Borrower which by its terms is subordinated to the Obligations in a manner and to an extent reasonably acceptable to the
Administrative Agent. 
 (c) In Section 1.01, the definition of “Subordinated Note Documents is amended in its entirety as
follows: 
 “Subordinated Note Documents” means (a) any Seller Notes, (b) the Deerfield Documents,
including any amendments, modifications, extensions or renewals thereof entered into in accordance with applicable Subordination Agreements and (c) other agreements, instruments and other documents pursuant to which other Subordinated
Indebtedness of the Borrower has been issued. 
 (d) Section 5.19 of the Credit Agreement is amended by replacing “Closing
Date” with “Second Amendment Effective Date”. 
 (e) A new section 5.23 is added to the Credit Agreement as follows: 

5.23 Subordination of Permitted Subordinated Debt. Except as otherwise provided in any Subordination Agreement, this
Agreement, and all amendments, modifications, extensions, renewals, refinancings and refundings hereof, shall constitute the “Senior Credit Agreement” (or analogous term) within the meaning of each

 
applicable Subordination Agreement and Subordinated Note Document. Except as otherwise provided in any Subordination Agreement, this Agreement, together with each of the other Loan Documents and
all amendments, modifications, extensions, renewals, refinancings and refundings hereof and thereof, constitute “Senior Loan Documents” (or analogous term) within the meaning of each applicable Subordination Agreement and Subordinated Note
Document. Except as otherwise provided in any Subordination Agreement, the Revolving Loans, the Term Loans and all other Obligations, and all amendments, modifications, extensions, renewals, refinancings and refundings of any of the foregoing,
constitute “Senior Indebtedness” (or analogous term) of the Borrower within the meaning of each applicable Subordination Agreement, and the holders thereof from time to time shall be entitled to all of the rights of a holder of
“Senior Indebtedness” pursuant to the applicable Subordinated Note Document. 
 (f) Section 6.12 of the Credit
Agreement is amended in its entirety to read as follows: 
 (a) The Loan Parties will cause each of their Material Domestic
Subsidiaries whether newly formed, after acquired or otherwise existing to promptly (and in any event within thirty (30) days (or such later date as the Administrative Agent may agree in its sole discretion)) after such Subsidiary is formed or
acquired become a Guarantor hereunder by way of execution of a Guarantor Joinder Agreement; provided, however, neither (x) any Domestic Subsidiary of a Foreign Subsidiary nor (y) any Foreign Subsidiary Holding Company shall
be required to become a Guarantor to the extent such Guaranty would result in a material adverse tax consequence for the Borrower. In connection with the foregoing, the Loan Parties shall deliver to the Administrative Agent, with respect to each new
Guarantor to the extent applicable, substantially the same documentation required pursuant to Sections 4.01(b) – (g) and 6.13 and such other documents or agreements as the Administrative Agent may reasonably request. 

(b) Notwithstanding the foregoing, if at any time any Domestic Subsidiary that is not a Guarantor provides a guarantee of any
Person’s obligations with respect to any Subordinated Indebtedness or other Indebtedness for borrowed money in a principal amount in excess of the Threshold Amount, then promptly (and in any event within thirty (30) days), the Loan Parties
will cause such Domestic Subsidiary to (i) become a Guarantor by executing and delivering to the Administrative Agent a Guarantor Joinder Agreement and (ii) deliver to the Administrative Agent such Organization Documents, resolutions and
favorable opinions of counsel (which shall cover, among other things, the legality, validity, binding effect and enforceability of the documentation referred to in clause (a)), all in form, content and scope reasonably satisfactory to the
Administrative Agent. 

 (g) Clause (g) of Section 7.02 of the Credit Agreement is amended by
adding a proviso at the end thereof to read as follows: 
 ; provided that, notwithstanding anything to the contrary in the
foregoing, documentation for the Deerfield Subordinated Debt and the Deerfield Convertible Debt may include (A) a financial covenant limiting Indebtedness to the extent set forth in the Deerfield Documents as of the Second Amendment Effective
Date and (B) such covenants as set forth in the Deerfield Documents as of the Second Amendment Effective Date. 
 (h)
Section 7.14 of the Credit Agreement is amended in its entirety to read as follows: 
 Section 7.14.
Prepayments, Etc. of Subordinated Indebtedness. Prepay, redeem, purchase, defease or otherwise satisfy or obligate itself to do so prior to the scheduled maturity thereof in any manner (including by the exercise of any right of setoff), or
make any payment in violation of any subordination, standstill or collateral sharing terms of or governing any Subordinated Indebtedness, provided that the Borrower may (w) pay scheduled amortization payments for any Seller Notes and scheduled
payments of interest on the Deerfield Subordinated Debt and Deerfield Convertible Debt, each in accordance with their terms and subject to the applicable Subordination Agreements, (x) satisfy the Deerfield Convertible Debt through conversion of
the Deerfield Convertible Debt into common Equity Interests in accordance with the terms of the applicable Deerfield Documents and applicable Subordination Agreement, so long as no cash payment, other than accrued and unpaid interest, is made by any
Loan Party on account of or in connection with such satisfaction (whether conversion premium, prepayment or otherwise) of any principal amount then outstanding, (y) satisfy the Deerfield Subordinated Debt through conversion into common Equity
Interests subject to the applicable Subordination Agreement, so long as no cash payment, other than accrued and unpaid interest, is made by any Loan Party on account of or in connection with such satisfaction of any principal amount then outstanding
and (z) prepay, redeem, purchase, defease or otherwise satisfy all or any portion of the Deerfield Subordinated Debt, so long as, in the case of this clause (z), (i) such prepayment, redemption, purchase, defeasance or satisfaction is made
solely with the proceeds of Equity Issuance of common stock in the Borrower after the Second Amendment Effective Date and (ii) at the time of such prepayment, (A) no Default or Event of Default then exists or would arise therefrom,
(B) after giving effect thereto on a Pro Forma Basis, (1) the Loan Parties are in compliance with Section 7.11(c) and (2) the Consolidated Total Leverage Ratio and the Consolidated Senior Secured Leverage Ratio are each
0.50 to 1.0 (a “half turn”) less than the 

 
applicable covenant level set forth in Section 7.11(a) and (b), respectively, calculated using the same Measurement Period used to determine Pro Forma Compliance and
(C) all representations and warranties contained in Article V and the other Loan Documents are true and correct in all material respects (and in all respects if any such representation or warranty is already qualified by materiality or
reference to Material Adverse Effect), except (1) to the extent that such representations and warranties specifically refer to an earlier date, in which case they are true and correct in all material respects (and in all respects if any such
representation or warranty is already qualified by materiality or reference to Material Adverse Effect) as of such earlier date and (2) for representations and warranties that may have become untrue or inaccurate solely because of changes
permitted by the terms of the this Agreement. 
 (i) Schedule 1.01(c) to the Credit Agreement is amended and restated to read
as Schedule 1.01(c) attached hereto. 
 4. Condition Precedent. This Amendment shall become effective as of the date hereof
upon receipt by the Administrative Agent of the following: 
 (a) counterparts of this Amendment duly executed by the Borrower, the
Guarantors, the Administrative Agent and the Required Lenders; 
 (b) a duly executed Subordination Agreement with respect to the Deerfield
Subordinated Debt and the Deerfield Convertible Debt; and 
 (c) certified copies of all documentation related to the Deerfield Subordinated
Debt and the Deerfield Convertible Debt. 
 5. Amendment is a “Loan Document”. This Amendment shall be deemed to be, and
is, a Loan Document and all references to a “Loan Document” in the Credit Agreement and the other Loan Documents (including, without limitation, all such references in the representations and warranties in the Credit Agreement and the
other Loan Documents) shall be deemed to include this Amendment. 
 6. Representations and Warranties; No Default. Each Loan Party
hereby represents and warrants to the Administrative Agent, each Lender, the Swingline Lender and the L/C Issuer that, after giving effect to this Amendment, (a) the representations and warranties of each Loan Party contained in

 
the Credit Agreement or any other Loan Document, or which are contained in any document furnished at any time under or in connection with the Credit Agreement or any other Loan Document, are true
and correct in all material respects (other than any representation and warranty that is expressly qualified by materiality, in which case such representation and warranty is true and correct in all respects) on and as of the date hereof, except
(i) to the extent that such representations and warranties specifically refer to an earlier date, in which case they are true and correct in all material respects (other than any representation and warranty that is expressly qualified by
materiality, in which case such representation and warranty is true and correct in all respects) as of such earlier date and (ii) for representations and warranties that may have become untrue or inaccurate solely because of changes permitted
by the terms of the Credit Agreement and (b) no Default or Event of Default exists. 
 7. Reaffirmation of Obligations. Each
Loan Party (a) acknowledges and consents to all of the terms and conditions of this Amendment, (b) affirms all of its obligations under the Loan Documents and (c) agrees that this Amendment and all documents, agreements and
instruments executed in connection with this Amendment do not operate to reduce or discharge such Loan Party’s obligations under the Loan Documents. 

8. Reaffirmation of Security Interests. Each Loan Party (a) affirms that each of the Liens granted in or pursuant to the Loan
Documents is valid and subsisting and (b) agrees that this Amendment and all documents, agreements and instruments executed in connection with this Amendment do not in any manner impair or otherwise adversely affect any of the Liens granted in
or pursuant to the Loan Documents. 
 9. Subordination Agreement. In furtherance of the authority granted pursuant to the Credit
Agreement, the Lenders (by act of the Required Lenders) affirm and agree that (a) the Administrative Agent may enter into one or more subordination agreement reasonably acceptable to the Administrative Agent in connection with the Deerfield
Subordinated Debt and the Deerfield Convertible Debt and (b) such subordination agreements shall constitute a “Subordination Agreement” under the Credit Agreement. 

10. No Other Changes. Except as modified hereby, all of the terms and provisions of the Loan Documents shall remain in full force and
effect. 

 11. Counterparts; Delivery. This Amendment may be executed in any number of counterparts,
each of which when so executed and delivered shall be deemed an original and it shall not be necessary in making proof of this Amendment to produce or account for more than one such counterpart. Delivery of an executed counterpart of this Amendment
by facsimile or form of electronic attachment (e.g., “.pdf”) shall be effective as such party’s original executed counterpart and shall constitute a representation that such party’s original executed counterpart will be
delivered. 
 12. Fees and Expenses. The Loan Parties agree to pay all reasonable out-of-pocket fees and expenses of the
Administrative Agent in connection with the preparation, execution and delivery of this Amendment, including without limitation the reasonable fees and expenses of Moore & Van Allen, PLLC, counsel to the Administrative Agent. 

13. Governing Law. THIS AMENDMENT AND ANY CLAIMS, CONTROVERSY, DISPUTE OR CAUSE OF ACTION (WHETHER IN CONTRACT OR TORT OR OTHERWISE)
BASED UPON, ARISING OUT OF OR RELATING TO THIS AMENDMENT AND THE TRANSACTIONS CONTEMPLATED HEREBY SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

[Signature Pages Follow] 

 IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this Amendment to be
duly executed and delivered as of the date first above written. 
  

							
	BORROWER:	 		 	AAC HOLDINGS, INC., a Nevada corporation
				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Chairman and Chief Executive Officer

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
	GUARANTORS:	 		 	AMERICAN ADDICTION CENTERS, INC.,
		 		 	a Nevada corporation
				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Chairman and Chief Executive Officer
			
		 		 	 FORTERUS HEALTH CARE SERVICES, INC.,

a Delaware corporation

			
		 		 	 SAN DIEGO ADDICTION TREATMENT CENTER, INC.,

a Delaware corporation

				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Chairman

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 		 	 B&B HOLDINGS INTL LLC,
 a
Florida limited liability company

			
		 		 	 GREENHOUSE TREATMENT CENTER, LLC,

a Texas limited liability company

			
		 		 	 CONCORDE TREATMENT CENTER, LLC,

a Nevada limited liability company

			
		 		 	 SINGER ISLAND RECOVERY CENTER LLC,

a Florida limited liability company

			
		 		 	 RECOVERY FIRST OF FLORIDA, LLC,

a Delaware limited liability company
  

RI – CLINICAL SERVICES, LLC,
 a Delaware limited liability
company

			
		 		 	 NEW JERSEY ADDICTION TREATMENT CENTER, LLC,

a Delaware limited liability company

				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Manager

							
		 	FITRX, LLC,
		 	a Tennessee limited liability company
		
		 	 AAC LAS VEGAS OUTPATIENT CENTER, LLC,

a Delaware limited liability company

		
		 	 AAC DALLAS OUTPATIENT CENTER, LLC,

a Delaware limited liability company

		
		 	 ADDICTION LABS OF AMERICA, LLC,

a Delaware limited liability company

		
		 	RIVER OAKS TREATMENT CENTER, LLC, a Delaware limited liability company
		
		 	OXFORD TREATMENT CENTER, LLC, a Delaware limited liability company
		
		 	LAGUNA TREATMENT HOSPITAL, LLC, a Delaware limited liability company
		
		 	BHR OXFORD REAL ESTATE, LLC, a Delaware limited liability company
				
		 		 	By:	 	American Addiction Centers, Inc.,
		 		 		 	its sole member
				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Chairman and Chief Executive Officer

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 	CLINICAL REVENUE MANAGEMENT SERVICES, LLC, a Tennessee limited liability company
				
		 		 	By:	 	AAC Holdings, Inc.,
		 		 		 	its sole member
				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Chairman and Chief Executive Officer
		
		 	 BEHAVIORAL HEALTHCARE REALTY, LLC,

a Delaware limited liability company

		
		 	 CONCORDE REAL ESTATE, LLC,
 a
Nevada limited liability company

		
		 	 GREENHOUSE REAL ESTATE, LLC,
 a
Texas limited liability company

		
		 	 BHR ALISO VIEJO REAL ESTATE, LLC,

a Delaware limited liability company

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 		 	BHR RINGWOOD REAL ESTATE, LLC,
		 		 	a Delaware limited liability company
				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Manager

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 	THE ACADEMY REAL ESTATE, LLC, a Delaware limited liability company
				
		 		 	By:	 	Behavioral Healthcare Realty, LLC, its sole member
				
		 		 	By:	 	 /s/ Michael T. Cartwright

		 		 	Name:	 	Michael T. Cartwright
		 		 	Title:	 	Manager
		
		 	PALM BEACH PROFESSIONAL GROUP, PROFESSIONAL CORPORATION, a Florida professional corporation
		
		 	LAS VEGAS PROFESSIONAL GROUP – CALARCO, P.C., a Nevada professional corporation
		
		 	GRAND PRAIRIE PROFESSIONAL GROUP, P.A., a Texas professional association

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 		 	By:	 	 /s/ Mark A. Calarco

		 		 	Name:	 	Mark A. Calarco
		 		 	Title:	 	President, Secretary and Treasurer
			
		 		 	BRENTWOOD PROFESSIONAL GROUP, P.C., a Tennessee professional corporation
				
		 		 	By:	 	 /s/ Mark A. Calarco

		 		 	Name:	 	Mark A. Calarco
		 		 	Title:	 	President and Treasurer
			
		 		 	SAN DIEGO PROFESSIONAL GROUP, P.C., a California professional corporation

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 		 	By:	 	 /s/ Mark A. Calarco

		 		 	Name:	 	Mark A. Calarco
		 		 	Title:	 	President, Secretary and Chief Financial Officer
			
		 		 	 BANK OF AMERICA, N.A.,
 as
Administrative Agent

				
		 		 	By:	 	 /s/ Erik M. Truette

		 		 	Name:	 	Erik M. Truette
		 		 	Title:	 	Vice President

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
	LENDERS:	 		 	BANK OF AMERICA, N.A.,
		 		 	as a Lender, L/C Issuer and Swingline Lender
				
		 		 	By:	 	 /s/ Mark Hadison

		 		 	Name:	 	Mark Hadison
		 		 	Title:	 	Senior Vice President

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 		 	SUNTRUST BANK,
		 		 	as a Lender
				
		 		 	By:	 	 /s/ Mary E. Coke

		 		 	Name:	 	Mary E. Coke
		 		 	Title:	 	Vice President

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 		 	 BMO HARRIS BANK, N.A.,

as a Lender

		 		 
				
		 		 	By:	 	 /s/ Eric Oppenheimer

		 		 	Name:	 	Eric Oppenheimer
		 		 	Title:	 	Director

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

							
		 		 	RAYMOND JAMES BANK, N.A.,
		 		 	as a Lender
				
		 		 	By:	 	 /s/ Alexander L. Rody

		 		 	Name:	 	Alexander L. Rody
		 		 	Title:	 	Senior Vice President

  
 AAC HOLDINGS, INC. 

SECOND AMENDMENT TO CREDIT AGREEMENT 

 Schedule 1.01(c) 

[See Attached] 

 Schedule 1.01(c) 

Responsible Officers 

AAC Holdings, Inc., 

American Addiction Centers, Inc. 

American Addiction Centers, Inc. acting as sole member of AAC Dallas Outpatient Center, LLC, AAC Las Vegas Outpatient Center, LLC, Addiction
Labs of America, LLC, Fitrx, LLC and Clinical Revenue Management Services, LLC 
  

			
	 Name
	 	 Title

	Michael T. Cartwright	 	Chairman and Chief Executive Officer
	Kirk R. Manz	 	Chief Financial Officer
	Kathryn Sevier Phillips	 	General Counsel and Secretary
	Andrew W. McWilliams	 	Chief Accounting Officer

 B&B Holdings Intl LLC, Greenhouse Treatment Center, LLC, Concorde Treatment Center, LLC, Singer Island
Recovery Center LLC, Recovery First of Florida, LLC, RI – Clinical Services, LLC, New Jersey Addiction Treatment Center, LLC, Laguna Treatment Hospital, LLC, Oxford Treatment Center, LLC and River Oaks Treatment Center, LLC 

 

			
	 Name
	 	 Title

	Michael T. Cartwright	 	Manager
	Kathryn Sevier Phillips	 	General Counsel and Secretary

 Forterus Health Care Services, Inc. and San Diego Addiction Treatment Center, Inc. 

 

			
	 Name
	 	 Title

	Michael T. Cartwright	 	Chairman
	Kirk R. Manz	 	Chief Financial Officer
	Kathryn Sevier Phillips	 	General Counsel and Secretary

 Behavioral Healthcare Realty, LLC, Concorde Real Estate, LLC, Greenhouse Real Estate, LLC, BHR
Aliso Viejo Real Estate, LLC, BHR Ringwood Real Estate, LLC and BHR Oxford Real Estate, LLC 
 Behavioral Healthcare Realty, LLC
acting as sole member of The Academy Real Estate, LLC 
  

			
	 Name
	 	 Title

	Michael T. Cartwright	 	Manager
	Kathryn Sevier Phillips	 	General Counsel and Secretary

 Palm Beach Professional Group, Professional Corporation, Las Vegas Professional Group – Calarco, P.C.
and Grand Prairie Professional Group, P.A. 
  

			
	 Name
	 	 Title

	Mark A. Calarco, D.O.	 	President, Secretary and Treasurer

 Brentwood Professional Group, P.C. 

 

			
	 Name
	 	 Title

	Mark A. Calarco, D.O.	 	President and Secretary

 San Diego Professional Group, P.C. 

 

			
	 Name
	 	 Title

		
	Mark A. Calarco, D.O.	 	President, Chief Financial Officer and Secretary

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