Document:

Form of Revolving Note

 Exhibit 10.74 
  
 EXHIBIT A TO 
 CREDIT AGREEMENT 
  
 FORM OF REVOLVING NOTE 
  

			
	 $15,000,000
	 	October [    ], 2004

  
 FOR VALUE RECEIVED,
SUNLINK HEALTH SYSTEMS, INC., a corporation organized under the laws of the State of Ohio, 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, CLANTON 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,
INC., a corporation organized under the laws of the State of Delaware, HEALTHMONT OF GEORGIA, INC., a corporation organized under the laws of the State of Tennessee, HEALTHMONT OF MISSOURI, 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, OPTIMA HEALTHCARE CORPORATION, a corporation organized under the laws of the State of Georgia, and KRUG PROPERTIES, INC., a corporation organized under the laws of the State of Ohio,
hereby jointly and severally promise to pay to the order of RESIDENTIAL FUNDING CORPORATION (the “Lender”) in accordance with the provisions of the Credit Agreement, in lawful money of the United States of America in Immediately
Available Funds (as such term, and each other capitalized term used herein but not defined herein, are defined in the Credit Agreement hereinafter referred to) on the Termination Date the principal amount of FIFTEEN MILLION AND NO/100 DOLLARS
($15,000,000.00) or, if less, the aggregate unpaid principal amount of all Advances made by the Lender under the Credit Agreement, and to pay interest (computed on the basis of actual days elapsed and a year of 360 days) in like funds on the unpaid
principal amount hereof from time to time outstanding at the rates and times set forth in the Credit Agreement. 
  
 This note is the Revolving Note referred to in the Credit Agreement dated as of October [    ], 2004 (as the same may hereafter
be from time to time amended, restated or otherwise modified, the “Credit Agreement”) between the undersigned and the Lender. This note is secured, it is subject to certain mandatory prepayments and its maturity is subject to
acceleration, in each case upon the terms provided in said Credit Agreement. 
  
 Each of the undersigned waives demand, presentment, notice of nonpayment, protest, notice of protest and notice of dishonor. 

 THE VALIDITY, CONSTRUCTION AND ENFORCEABILITY OF THIS NOTE SHALL BE GOVERNED BY THE INTERNAL LAWS OF THE
STATE OF MINNESOTA WITHOUT GIVING EFFECT TO THE CONFLICT OF LAWS PRINCIPLES THEREOF. 
  
 [Signature pages follow] 
  

 -2- 

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

		
	By	 	  

	Title	 	  

	
	 SUNLINK HEALTHCARE, LLC
 As a
Borrower

	By its Sole Member SunLink Health Systems, Inc.
		
	By	 	  

	Title	 	  

	
	 DEXTER HOSPITAL, LLC
 As a
Borrower

	By its Sole Member SunLink Healthcare, LLC
	
	    By its Sole Member SunLink Health Systems, Inc.
			
	 	 	By	 	  

	 	 	Title	 	  

	
	 CLANTON HOSPITAL, LLC
 As a
Borrower

	By its Sole Member SunLink Healthcare, LLC
	
	    By its Sole Member SunLink Health Systems, Inc.
			
	 	 	By	 	  

	 	 	Title	 	  

	
	 SOUTHERN HEALTH CORPORATION OF ELLIJAY, INC.
 As a Borrower

		
	By	 	  

	Title	 	  

	
	 SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INC.
 As a Borrower

		
	By	 	  

	Title	 	  

  
 [Signature Page 1
to Revolving Note] 

					
	 SOUTHERN HEALTH CORPORATION OF HOUSTON, INC.

	 As a Borrower

		
	 By
	 	  

	 Title
	 	  

	
	 HEALTHMONT, INC.
 As a Borrower

		
	 By
	 	  

	 Title
	 	  

	
	 HEALTHMONT OF GEORGIA, INC.
 As a Borrower

		
	 By
	 	  

	 Title
	 	  

	
	 HEALTHMONT OF MISSOURI, INC.
 As a Borrower

		
	 By
	 	  

	 Title
	 	  

	
	 HEALTHMONT, LLC
 As a Borrower

	 By its Sole Member SunLink Health Systems, Inc.

		
	 By
	 	  

	 Title
	 	  

	
	 HEALTHMONT OF MISSOURI, LLC
 As a Borrower

	 By its Sole Member HealthMont, LLC

	
	     By its Sole Member SunLink Health Systems, Inc.

			
	 	 	 By
	 	  

	 	 	 Title
	 	  

  
 [Signature Page 2
to Revolving Note] 

					
	 	 	 SUNLINK SERVICES, INC.
 As a Borrower

			
	 	 	 By
	 	  

	 	 	 Title
	 	  

		
	 	 	 OPTIMA HEALTHCARE CORPORATION
 As a Borrower

			
	 	 	 By
	 	  

	 	 	 Title
	 	  

		
	 	 	 KRUG PROPERTIES, INC.
 As a Borrower

			
	 	 	 By
	 	  

	 	 	 Title
	 	  

			
	 Address for All Borrowers
 For Purposes of Notice:
 900 Circle 75 Parkway
 Suite 1300
 Atlanta, GA 30339
 Fax: (770) 933-7010
 Attention: Joseph T. Morris, Chief
 Financial Officer
	 	 	 	 

  
 [Signature Page 3 to
Revolving Note]Form of Term Loan A Note

 Exhibit 10.75 
  
 EXHIBIT B TO 
 CREDIT AGREEMENT 
  
 TERM NOTE A 
  

			
	 $10,000,000
	 	October [    ], 2004

  
 FOR VALUE RECEIVED,
SUNLINK HEALTH SYSTEMS, INC., a corporation organized under the laws of the State of Ohio, 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, CLANTON 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,
INC., a corporation organized under the laws of the State of Delaware, HEALTHMONT OF GEORGIA, INC., a corporation organized under the laws of the State of Tennessee, HEALTHMONT OF MISSOURI, 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, OPTIMA HEALTHCARE CORPORATION, a corporation organized under the laws of the State of Georgia, and KRUG PROPERTIES, INC., a corporation organized under the laws of the State of Ohio,
hereby jointly and severally promise to pay to the order of RESIDENTIAL FUNDING CORPORATION (the “Lender”) in accordance with the provisions of the Credit Agreement, in lawful money of the United States of America in Immediately
Available Funds (as such term, and each other capitalized term used herein but not defined herein, are defined in the Credit Agreement hereinafter referred to) the principal amount of TEN MILLION AND NO/100 DOLLARS ($10,000,000.00) and to pay
principal and interest (computed on the basis of actual days elapsed and a year of 360 days) in like funds on the unpaid principal amount hereof from time to time outstanding at the rates, times and in the amounts set forth in the Credit Agreement.

  
 This note is the Term Note A referred to in the Credit
Agreement dated as of October [    ], 2004 (as the same may hereafter be from time to time amended, restated or otherwise modified, the “Credit Agreement”) between the undersigned and the Lender. This note
is secured, it is subject to certain mandatory prepayments and its maturity is subject to acceleration, in each case upon the terms provided in said Credit Agreement. 
  
 Each of the undersigned waives demand, presentment, notice of nonpayment, protest, notice of protest and notice of dishonor.

  
 THE VALIDITY, CONSTRUCTION AND ENFORCEABILITY OF THIS NOTE
SHALL BE GOVERNED BY THE INTERNAL LAWS OF THE STATE OF MINNESOTA WITHOUT GIVING EFFECT TO THE CONFLICT OF LAWS PRINCIPLES THEREOF. 
  
 [Signature pages follow] 

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

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 SUNLINK HEALTHCARE, LLC
 As a Borrower

	 By its Sole Member SunLink Health Systems, Inc.

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 DEXTER HOSPITAL, LLC
 As a Borrower

	 By its Sole Member SunLink Healthcare, LLC

	
	 By its Sole Member SunLink Health Systems, Inc.

			
	 	 	 By
	 	 /s/ Mark J. Stockslager

			
	 	 	 Title
	 	  

	
	 CLANTON HOSPITAL, LLC
 As a Borrower

	 By its Sole Member SunLink Healthcare, LLC

	
	 By its Sole Member SunLink Health Systems, Inc.

			
	 	 	 By
	 	 /s/ Mark J. Stockslager

			
	 	 	 Title
	 	  

	
	 SOUTHERN HEALTH CORPORATION OF ELLIJAY, INC.
 As a Borrower

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 SOUTHERN HEALTH CORPORATION OF DAHLONEGA, INC.
 As a Borrower

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

  
 [Signature Page 1
to Term Note A] 

					
	 SOUTHERN HEALTH CORPORATION OF HOUSTON, INC.
 As a Borrower

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 HEALTHMONT, INC.
 As a Borrower

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 HEALTHMONT OF GEORGIA, INC.
 As a Borrower

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 HEALTHMONT OF MISSOURI, INC.
 As a Borrower

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 HEALTHMONT, LLC
 As a Borrower

	 By its Sole Member SunLink Health Systems, Inc.

		
	 By
	 	 /s/ Mark J. Stockslager

		
	 Title
	 	  

	
	 HEALTHMONT OF MISSOURI, LLC
 As a Borrower

	 By its Sole Member Healthmont, LLC

	
	 By its Sole Member SunLink Health Systems, Inc.

			
	 	 	 By
	 	 /s/ Mark J. Stockslager

			
	 	 	 Title
	 	  

  
 [Signature Page 2
to Term Note A] 

					
	 	 	 SUNLINK SERVICES, INC.
 As a Borrower

			
	 `
	 	 By
	 	 /s/ Mark J. Stockslager

			
	 	 	 Title
	 	

		
	 	 	 OPTIMA HEALTHCARE CORPORATION
 As a Borrower

			
	 	 	 By
	 	 /s/ Mark J. Stockslager

			
	 	 	 Title
	 	  

		
	 	 	 KRUG PROPERTIES, INC.
 As a Borrower

			
	 	 	 By
	 	 /s/ Mark J. Stockslager

			
	 	 	 Title
	 	  

			
	 Address for All Borrowers
 For Purposes of Notice:
 900 Circle 75 Parkway
 Suite 1300
 Atlanta, GA 30339
 Fax: (770) 933-7010
 Attention: Joseph T. Morris, Chief
 Financial Officer
	 	 	 	 

  
 [Signature Page 3 to
Term Note A]

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