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The following is an excerpt from a 8-K SEC Filing, filed by ORION HEALTHCORP INC on 12/21/2004.
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ORION HEALTHCORP INC - 8-K - 20041221 - EXHIBIT_10

EXHIBIT 10.3

LOAN AND SECURITY AGREEMENT

ORION HEALTHCORP, INC.
AND CERTAIN OF ITS AFFILIATES AND SUBSIDIARIES

AND

SUCH OTHER PERSONS JOINED HERETO AS BORROWERS FROM TIME TO TIME,

AS BORROWERS,

WITH

HEALTHCARE BUSINESS CREDIT CORPORATION

AS LENDER


TABLE OF CONTENTS

                                                                                     PAGE
SECTION 1.   DEFINITIONS AND INTERPRETATION.......................................     1
         1.1      Terms Defined..................................................      1
         1.2      Matters of Construction........................................     11
         1.3      Accounting Principles..........................................     11
         1.4      Fiscal Quarters................................................     11
SECTION 2.   THE LOANS............................................................    11
         2.1      Credit Facility - Description..................................     11
         2.2      Funding Procedures.............................................     12
         2.3      Interest and Fees..............................................     13
         2.4      Additional Interest Provisions.................................     14
         2.5      Payments.......................................................     15
         2.6      Use of Proceeds................................................     16
         2.7      Lockboxes and Collections......................................     16
         2.8      Fees...........................................................     17
SECTION 3.   COLLATERAL...........................................................    18
         3.1      Description....................................................     18
         3.2      Lien Documents.................................................     18
         3.3      Other Actions..................................................     18
         3.4      Searches.......................................................     19
         3.5      Good Standing Certificates.....................................     19
         3.6      Filing Security Agreement......................................     19
         3.7      Power of Attorney..............................................     19
         3.8      Guaranty Agreement.............................................     20
SECTION 4.   CLOSING AND CONDITIONS PRECEDENT TO ADVANCES.........................    20
         4.1      Resolutions, Opinions, and Other Documents.....................     20
         4.2      Additional Preconditions to Loans..............................     21
         4.3      Absence of Certain Events......................................     22
         4.4      Compliance with this Agreement.................................     22
         4.5      Closing Certificate............................................     22
         4.6      Closing........................................................     23
         4.7      Non-Waiver of Rights...........................................     23
SECTION 5.   REPRESENTATIONS AND WARRANTIES.......................................    23
         5.1      Organization and Validity......................................     23
         5.2      Places of Business.............................................     24
         5.3      Operation of Facilities........................................     24
         5.4      Pending Litigation.............................................     24
         5.5      Medicaid and Medicare Cost Reporting...........................     24
         5.6      Title to Collateral............................................     24

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         5.7      Governmental Consent...........................................     25
         5.8      Taxes..........................................................     25
         5.9      Financial Statements...........................................     25
         5.10     Full Disclosure................................................     25
         5.11     Guarantees, Contracts, etc.....................................     25
         5.12     Compliance with Laws...........................................     26
         5.13     Other Associations.............................................     26
         5.14     Environmental Matters..........................................     26
         5.15     Capital Stock and Equity Interests.............................     26
         5.16     Lockboxes......................................................     27
         5.17     Borrowing Base Reports.........................................     27
         5.18     Security Interest..............................................     27
         5.19     Accounts.......................................................     27
         5.20     Pension Plans..................................................     27
         5.21     Representations and Warranties for each Loan...................     27
         5.22     Interrelatedness of Borrowers..................................     30
         5.23     Commercial Tort Claims.........................................     30
         5.24     Letter of Credit Rights........................................     30
         5.25     Intellectual Property..........................................     30
         5.26     Solvency.......................................................     30
         5.27     Acquisition Documents..........................................     30
         5.28     DVI Documents..................................................     31
SECTION 6.    BORROWER'S AFFIRMATIVE COVENANTS...................................     31
         6.1      Payment of Taxes and Claims....................................     31
         6.2      Maintenance of Insurance, Financial Records and Existence......     31
         6.3      Business Conducted.............................................     32
         6.4      Litigation.....................................................     32
         6.5      Taxes..........................................................     32
         6.6      Financial Covenants............................................     32
         6.7      Financial and Business Information.............................     34
         6.8      Officers' Certificates.........................................     35
         6.9      Inspection.....................................................     35
         6.10     Tax Returns and Reports........................................     35
         6.11     Material Adverse Developments..................................     36
         6.12     Places of Business.............................................     36
         6.13     Notice of Action...............................................     36
         6.14     Verification of Information....................................     36
         6.15     Value Track System(TM).........................................     36
         6.16     Commercial Tort Claim..........................................     36
         6.17     First Street, Southeast and West Loop..........................     37
SECTION 7.    BORROWERS' NEGATIVE COVENANTS......................................     37
         7.1      Merger, Consolidation, Dissolution or Liquidation..............     37

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         7.2      Liens and Encumbrances.........................................     37
         7.3      Negative Pledge................................................     37
         7.4      Transactions With Affiliates or Subsidiaries...................     37
         7.5      Guarantees.....................................................     38
         7.6      Indebtedness...................................................     38
         7.7      Loans to Other Persons.........................................     38
         7.8      Change in Ownership/Management.................................     38
         7.9      Subordinated Debt Payments.....................................     38
         7.10     Distributions..................................................     38
SECTION 8.    DEFAULT............................................................     39
         8.1      Events of Default..............................................     39
         8.2      Cure...........................................................     41
         8.3      Rights and Remedies on Default.................................     41
         8.4      Nature of Remedies.............................................     43
         8.5      Set-Off........................................................     43
SECTION 9.    MISCELLANEOUS......................................................     43
         9.1      GOVERNING LAW..................................................     43
         9.2      Integrated Agreement...........................................     43
         9.3      Waiver and Indemnity...........................................     43
         9.4      Time...........................................................     44
         9.5      Expenses of Lender.............................................     44
         9.6      Confidentiality................................................     44
         9.7      Notices........................................................     45
         9.8      Brokerage......................................................     45
         9.9      Headings.......................................................     45
         9.10     Survival.......................................................     45
         9.11     Successors and Assigns.........................................     45
         9.12     Duplicate Originals............................................     46
         9.13     Modification...................................................     46
         9.14     Signatories....................................................     46
         9.15     Third Parties..................................................     46
         9.16     Waivers........................................................     46
         9.17     CONSENT TO JURISDICTION........................................     47
         9.18     WAIVER OF JURY TRIAL...........................................     47
         9.19     Publication....................................................     47
         9.20     Discharge of Taxes, Borrower's Obligations, Etc................     47
         9.21     Injunctive Relief..............................................     48
SECTION 10.    SPECIAL INTER-BORROWER PROVISIONS.................................     48
         10.1     Certain Borrower Acknowledgments and Agreements................     48
         10.2     Maximum Amount Of Joint and Several Liability..................     49
         10.3     Authorization of Orion by Borrowers............................     49

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EXHIBIT LIST

Exhibit  1.1        --      Projections
Exhibit  2.1(b)     --      Form of Revolving Credit Note
Exhibit  2.2(b)     --      Form of Borrowing Base Certificate
Exhibit  2.2(c)     --      Loan Request
Exhibit  4.1        --      Form of Opinion of Counsel
Exhibit  4.2A       --      Notice Letter Re: Commercial Obligors
Exhibit  4.2B       --      Notice Letter Re: Government Obligors
Exhibit  6.8        --      Officer's Certificate

Schedule 1          --      Ineligible Obligors and Concentration Limits
Schedule 2          --      Wholly Owned and Controlled Borrowers
                    --      Borrower Managed Physician Groups
                    --      Borrowers' States of Qualifications
                    --      Jurisdictions of organization/Chief Executive Office
                    --      Places of Business/Other Names
                    --      Provider Identification Numbers
                    --      Pending Litigation
                    --      Permitted Liens
                    --      Fiscal Year End
                    --      Organization Number/Tax I.D. Numbers
                    --      Existing Guaranties, Investments and Borrowings
                    --      Other Associations
                    --      Environmental Matters
                    --      Capital Stock
                    --      Commercial Tort Claims
                    --      Letter of Credit Rights
                    --      Intellectual Property

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LOAN AND SECURITY AGREEMENT

This Loan and Security Agreement ("AGREEMENT") is dated this 15th day of December 2004, by and among ORION HEALTHCORP, INC. a Delaware corporation ("Orion"), BAYTOWN SURGICARE, INC., a Texas corporation, BELLAIRE ASC L.P., a Texas limited partnership, BELLAIRE SURGICARE, INC., a Texas corporation, DENNIS CAIN MANAGEMENT, L.L.C., a Texas limited liability company, DENNIS CAIN PHYSICIAN SOLUTIONS, LTD., a Texas limited partnership ("DCPS"), INTEGRATED PHYSICIAN SOLUTIONS, INC., a Delaware corporation ("IPS"), INTEGRIMED, INC., a Nevada corporation ("IntegriMED"), MEDICAL BILLING SERVICES, INC., a Texas corporation ("MBS"), SAN JACINTO SURGERY CENTER, LTD., a Texas limited partnership ("San Jacinto"), SURGICARE MEMORIAL VILLAGE, L.P., a Texas limited partnership, TASC ANESTHESIA, LLC, an Ohio limited liability company, TOWN & COUNTRY SURGICARE, INC., a Texas corporation, TUSCARAWAS AMBULATORY SURGERY CENTER, LLC, an Ohio limited liability company, TUSCARAWAS OPEN MRI, LP, an Ohio limited partnership, and such other Persons joined hereto as a Borrower from time to time (together with Orion, DCPS, IPS, IntegriMED, MBS and San Jacinto, "BORROWERS" and each individually a "BORROWER") and HEALTHCARE BUSINESS CREDIT CORPORATION, a Delaware corporation as lender ("Lender").

BACKGROUND

A. Borrowers have requested that Lender make available to them, on a joint and several basis, a Credit Facility in the maximum amount of $4,000,000 which will be secured by a first priority perfected security interest in the Accounts and other Collateral of Borrowers. Lender is willing to make the Credit Facility available to Borrowers pursuant to the terms and provisions hereinafter set forth.

B. The parties desire to set forth the terms and conditions of their relationship to writing.

NOW, THEREFORE, the parties hereto, intending to be legally bound, hereby agree as follows:

SECTION 1. DEFINITIONS AND INTERPRETATION

1.1 Terms Defined: As used in this Agreement, the following terms have the following respective meanings:

"ACCOUNT(s)" means (a) all accounts, payment intangibles, instruments, chattel paper and all other rights of Borrowers to receive payments, including without limitation, the third party reimbursable portion of accounts receivable owing to a Borrower and accounts, payment intangibles, instruments chattel paper and all other rights to receive payment assigned to Borrower (or in which a Borrower is granted a first priority perfected security interest) by a Borrower Managed Physician Group, arising out of the delivery by such Borrower or a Borrower Managed Physician Group of medical, surgical, diagnostic, treatment or other professional or medical or healthcare related services and/or the supply of goods related to any of such services (whether such services are supplied by a Borrower or a third party), including without limitation all health-care-insurance-receivables and all other rights to reimbursement under any agreements with an Obligor, and fees, costs and reimbursement under Management Service Agreements, (b) all accounts, general intangibles, rights,


remedies, guarantees, supporting obligations, letter of credit rights, and security interests in respect of the foregoing and, all rights of enforcement and collection, all books and records evidencing or related to the foregoing, and all rights under this Agreement in respect of the foregoing, (c) all information and data compiled or derived by such Borrower in respect of such accounts receivable (other than any such information and data subject to legal restrictions of patient confidentiality), and (d) all proceeds of any of the foregoing.

"ACCOUNTS DETAIL FILE" has the meaning set forth in Section 2.2(b) hereof.

"ACQUISITION DOCUMENTS" means (a) that certain Agreement and Plan of Merger by and among Surgicare, Inc., IPS Acquisition, Inc. and Integrated Physician Solutions, Inc., dated as of February 9, 2003, as amended by that certain First Amendment to Agreement and Plan of Merger dated July 16, 2004, and that certain Second Amendment to Agreement and Plan of Merger dated September 9, 2004, and (b) that certain Agreement and Plan of Merger by and among Surgicare, Inc., DCPS/MBS Acquisition, Inc., Dennis Cain Physician Solutions, Ltd., Medical Billing Services, Inc., and the Sellers party thereto dated as of July 16, 2004, as amended by that certain First Amendment to Agreement and Plan of Merger dated September 9, 2004 and by that certain Second Amendment to Agreement and Plan of Merger dated December 15, 2004.

"ACQUISITION TRANSACTION" means the transactions contemplated by the Acquisition Documents.

"ADVANCE(s)" means any monies advanced or credit extended, including without limitation the Loans to or for the benefit of Borrowers, or any of them by Lender, under the Credit Facility.

"ADVANCE RATE" means 85% or such other percentage(s) resulting from an adjustment pursuant to Section 2.1(d) below.

"AFFILIATE" means with respect to any Person (the "SPECIFIED PERSON"), (a) any Person which directly or indirectly controls, or is controlled by, or is under common control with, the Specified Person, and (b) any partner, director or officer (or, in the case of a Person which is not a corporation, any individual having analogous powers) of the Specified Person or of a Person who is an Affiliate of the Specified Person within the meaning of the preceding clause (a). For purposes of the preceding sentence, "control" of a Person shall mean the possession, directly or indirectly, of the power to direct or cause the direction of the management or policies of such Person, or direct or indirect ownership (beneficially or of record) of, or direct or indirect power to vote, 10% or more of the outstanding shares of any class of capital stock of such Person (or in the case of a Person that is not a corporation, 10% or more of any class of partnership or other equity interest).

"AUTHORIZED OFFICER" means any officer, member or partner of a Borrower authorized by specific resolution of Borrower to request Loans as set forth in the incumbency certificate referred to in Section 4.1(d) of this Agreement.

"BILLING DATE" means (a) the last Business Day of the week in which goods or the services giving rise to the corresponding Account were rendered or provided in the case of out patient

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services and (b) the earlier of the discharge date or the regular monthly billing date for billing the respective Obligor, or if none, the last business day of a calendar month, in the case of inpatient services.

"BORROWER MANAGED PHYSICIAN GROUP" means each physician group managed by IPS pursuant to a Management Service Agreement as set forth on Schedule 2 attached hereto and made a part hereof.

"BORROWING BASE" means, at any date, an amount equal to the lesser of (a) the Revolving Loan Commitment, or (b) the product of (i) the applicable Advance Rate then in effect, times (ii) the Estimated Net Value of all Eligible Accounts as of such date.

"BORROWING BASE DEFICIENCY" means, as of any date, the amount, if any, by which (a) the aggregate amount of all Advances outstanding as of such date exceeds (b) the Borrowing Base as of such date.

"BORROWING BASE EXCESS" means, as of any date, the amount, if any, by which (a) the Borrowing Base as of such date exceeds (b) the aggregate amount of all Advances outstanding as of such date.

"BORROWING BASE REPORT" has the meaning set forth in Section 2.2(b) hereof.

"BUSINESS ASSOCIATE AGREEMENT" means that certain Business Associate Agreement among Borrowers and Lender of even date herewith, as the same may be modified, amended, restated or replaced from time to time.

"BUSINESS DAY" means any day other than a Saturday, Sunday or any day on which banking institutions in Philadelphia, Pennsylvania or New York City, New York are permitted or required by law, executive order or governmental decree to remain closed or a day on which Lender is closed for business.

"BUSINESS SERVICES AGREEMENTS(s)" means, collectively and individually, those certain Business Services Agreements between IPS or IntegriMED and each of its customers.

"CHAMPUS" means the Civilian Health and Medical Program of the Uniformed Service, a part of TRICARE, a medical benefits program supervised by the U.S. Department of Defense.

"CHANGE OF CONTROL" means:

(a) with respect to Orion, (i) a transaction or series of related transactions pursuant to which any Person (other than Guarantor) or group of related Persons acquires or would acquire (upon completion of such transaction or series of transactions) shares (or securities exercisable for or convertible into shares) representing more than fifty percent (50%) of the outstanding common stock of Orion, pursuant to a tender offer or exchange offer or otherwise, (ii) a merger, consolidation, share exchange or other business combination involving Orion, if, upon consummation of such transaction, the Persons who were stockholders of Orion immediately prior to such transaction continue to hold,

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following such transaction, less than fifty percent (50%) of the outstanding equity securities of the entity surviving such merger, consolidation or reorganization, or the parent of such entity, or (iii) any other transaction or series of related transactions pursuant to which any Person or related group of Persons acquires or would acquire (upon completion of such transaction or series of transactions) control of Orion's board of directors or by which nominees of any such Person or group of Persons are (or would be) elected or appointed to a majority of the seats on the board of directors of Orion; or

(b) Continuing Directors do not constitute a majority of the members of the board of directors of Orion; or

(c) Orion ceases to directly or indirectly own and control all of the issued and outstanding capital stock of any of the Wholly Owned Borrowers; or

(d) Orion or one of the Wholly Owned Borrowers ceases to be the sole general partner or sole managing member of any of the Controlled Borrowers or ceases to have the right or ability by voting power, contract or otherwise to control any Controlled Borrower.

"CLOSING" has the meaning set forth in Section 4.6 hereof.

"CLOSING DATE" has the meaning set forth in Section 4.6 hereof.

"COLLATERAL" has the meaning set forth in Section 3.1 hereof.

"COLLECTIONS" means with respect to any Account, all cash collections on such Account.

"COLLECTION ACCOUNT" has the meaning set forth in Section 2.7(a) hereof.

"COMMERCIAL LOCKBOX" means a lockbox in the name of Lender (or a nominee of Lender) and maintained at the Lockbox Bank, or such other bank as is acceptable to Lender, to which Collections on all Accounts, other than Government Accounts, are sent.

"COMMITMENT FEE" has the meaning set forth in Section 2.8 hereof.

"CONCENTRATION LIMITS" means the various financial tests, expressed as percentages of the then current ENV of all Eligible Accounts, described on SCHEDULE 1 as in effect from time to time.

"CONTINUING DIRECTOR" means (a) any member of the board of directors of Orion who was a director of Orion on the Closing Date, and (b) any individual who becomes a member of the board of directors of Orion after the Closing Date if such individual was appointed or nominated for election to the board of directors of Orion by a majority of the Continuing Directors, but excluding any such individual originally proposed for election in opposition to the board of directors of Orion in office at the Closing Date in an actual or threatened election contest relating to the election of the directors (as such terms are used in Rule 14a-11 under the Securities Exchange Act of 1934, as amended) of Orion and whose initial assumption of office resulted from such contest or the settlement thereof.

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"CONTRACT" means an agreement by which an Obligor is obligated to pay for services rendered to patients of Borrower.

"CONTROLLED BORROWERS" means, collectively, those Borrowers the sole general partnership interest or sole managing member interest, as applicable, of which is owned by Orion or one of the Wholly Owned Borrowers as listed on Schedule 2 hereto.

"CREDIT FACILITY" has the meaning set forth in Section 2.1(a) hereof.

"DEBT SERVICE COVERAGE RATIO" means the ratio of (a) the sum of (i) net income, plus (ii) interest expense, plus (iii) taxes, plus (iv) depreciation and amortization expenses, to (b) the sum of (i) interest expense, plus (ii) taxes, plus (iii) the current portion of long-term Indebtedness, plus
(iv) the current portion of lease payments under capitalized leases, plus (v) Distributions, all as determined for Borrowers on a consolidated basis (including San Jacinto), in accordance with generally accepted accounting principles consistently applied, on a rolling four quarter basis; provided however, that such calculation as of the fiscal quarter ending December 31, 2004 shall be for the most recent fiscal quarterly period ending on such date on a cumulative, annualized basis; such calculation for the fiscal quarter ending March 31, 2005 shall be for the two (2) most recent fiscal quarterly periods ending on such date on a cumulative, annualized basis and such calculation for the fiscal quarter ending June 30, 2005 shall be for the three (3) most recent fiscal quarterly periods ending on such date on a cumulative, annualized basis.

"DEFAULT RATE" means the lesser of (a) the Highest Lawful Rate or (b) 300 basis points above the interest rate otherwise applicable on the Loans.

"DEFAULTED ACCOUNT" means an Account as to which (a) the initial ENV has not been received in full as Collections within 150 days of the Billing Date, or (b) Lender reasonably deems uncollectible because of the bankruptcy or insolvency of the Obligor or any other reason.

"DEPOSITORY AGREEMENT(S)" means those certain Depository Agreements entered into in connection with this Agreement among Borrowers, Lender and the Lockbox Bank, relating to the Commercial Lockbox and the Government Lockbox, as applicable.

"DESIGNATED FUNDING DATE" has the meaning set forth in Section 2.2(a) hereof.

"DISTRIBUTION" means (a) dividends or other distributions on capital stock or partnership or other equity interests of a Borrower; (b) the redemption, repurchase or acquisition of such stock or partnership or other equity interests or of warrants, rights or other options to purchase such stock or partnership or other equity interest; and (c) loans made to any Shareholders, officers, directors and/or Affiliates of such Borrower.

"DOWNLOAD DATE" has the meaning set forth in Section 2.2(b) hereof.

"DVI DOCUMENTS" means, collectively, (a) that certain Restated Loan Agreement by and between DVI Business Credit Receivables Corp III and Surgicare, Inc. and Integrated Physician Solutions, Inc., dated June 18, 2004, as amended by that certain Amendment No. 1 to Restated Loan Agreement dated September 10, 2004 among DVI Business Credit Receivables Corp. III, Surgicare,

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Inc., and Integrated Physician Solutions, Inc. (the "REC III Restated Loan Agreement"); (b) that certain Restated Loan Agreement by and among the special purpose entities set forth on Schedule I thereto and Surgicare, Inc. and Integrated Physician Solutions, Inc., dated June 18, 2004, as amended by that certain Amendment to No. 1 to Restated Loan Agreement dated August 13, 2004 among the special purpose entities a party thereto, Surgicare, Inc., and Integrated Physician Solutions, Inc. (the "SPE Restated Loan Agreement," and together with the REC III Restated Loan Agreement, the "Restated DVI Loan Agreements"); (c) the Promissory Notes executed and delivered by Orion in connection with the Restated DVI Loan Agreements; and (d) the Restated Security Agreement executed and delivered by Orion in connection with the SPE Restated Loan Agreement.

"ELIGIBLE ACCOUNT" means an Account of a Borrower (other than DCPS, MBS or IntegriMED):

(a) which is a liability of an Obligor which is (i) a commercial insurance company acceptable to Lender, organized under the laws of any jurisdiction in the United States, having its principal office in the United States, other than those listed on SCHEDULE 1 as ineligible, (ii) a Blue Cross/Blue Shield Plan other than those listed on SCHEDULE 1 as ineligible,
(iii) CHAMPUS, Medicare or Medicaid, or (iv) a HMO, PPO, or an institutional Obligor acceptable to Lender, or any other type of obligor, not included in the categories of obligors listed in the foregoing clauses (i) - (iii), organized under the laws of any jurisdiction in the United States, having its principal office in the United States, and is listed on SCHEDULE 1 as an eligible Obligor,

(b) the Obligor of which is not an Affiliate of Borrower,

(c) if the Obligor of which is a Notice Obligor, such Notice Obligor has received, within seven (7) days of the date hereof, a letter substantially in the form of EXHIBIT 4.2A, (in the case of all Accounts other than Government Accounts), or a letter substantially in the form of EXHIBIT 4.2B (in the case of all Government Accounts),

(d) in an amount, as relating to an individual patient, not less than $5 nor more than $50,000, denominated and payable in dollars in the United States,

(e) as to which the representations and warranties of
Section 5.21 hereof are true,

(f) which, if such Account is in the form of a cost report receivable owing from any governmental agency, Lender has agreed to include it in the Borrowing Base,

(g) which (i) does not arise from the delivery of cosmetic surgery services and (ii) is not a workers' compensation claim (unless expressly approved by Lender) and (iii) does not arise from any services delivered for injury sustained in a motor vehicle accident (unless the Obligor on such Account is a type of Obligor permitted pursuant to clause (a) of this definition) and (iv) is not an Individual Payor Account,

(h) which is not outstanding more than (i) 180 days past the Billing Date in the case of Accounts that have been billed, and (ii) 45 days past the date the corresponding

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services and/or goods were provided in the case of Accounts that have not been billed; provided that in no event may the Account be outstanding more than 225 days past the date the corresponding services and/or goods were provided,

(i) the Obligor on which does not have fifty percent (50%) or more of its Accounts owing to Borrowers constituting Defaulted Accounts,

(j) to the extent such Account does not include late charges or finance charges, and

(l) which complies with such other criteria and requirements as may be specified from time to time by Lender in its reasonable discretion.

"EQUITY OPTION" means the option of Guarantor to purchase additional shares of Orion's Class A Common Stock pursuant to Section 2.4 of that certain Amended and Restated Subscription Agreement dated February 9, 2004 between Borrower and Guarantor.

"ESTIMATED NET VALUE" or "ENV" means on any date of calculation with respect to any Account an amount equal to the anticipated cash collections as calculated by Lender using the Value Track System(TM) (which system periodically adjusts such amount to reflect Lender's evaluation of the performance of similar Accounts and to reflect payments received with respect thereto), except that if Lender determines that all Obligor payments with respect to an Account have been made or if an Account has become a Defaulted Account, the ENV of such Account shall be zero.

"EVENT OF DEFAULT" has the meaning set forth in Section 8.1 hereof.

"EXCESS LIQUIDITY" means the difference between the sum of (a)
(i) cash, plus (ii) investments readily convertible into cash, plus (iii) rights to call contributions to capital, minus (b) the sum of (i) current obligations, plus (ii) commitments to make investments.

"EXPENSES" has the meaning set forth in Section 9.5 hereof.

"FIXED COSTS" means all general and administrative costs including without limitation, charges for bad debt, property taxes, facility rent, facility repairs and maintenance fees, professional fees, insurance costs, utilities expenses, office expenses, depreciation and amortization, and other administrative costs, as such terms are used in the Projections.

"FUNDING DATE" has the meaning set forth in Section 2.2(a) hereof.

"GAAP" means generally accepted accounting principles, consistently applied.

"GOVERNMENT ACCOUNTS" means Accounts on which any federal or state governmental unit or any intermediary for federal or state governmental unit is the Obligor.

"GOVERNMENT LOCKBOX" means a lockbox and/or deposit account in the name of Borrower(s) maintained at the Lockbox Bank, or such other bank as is acceptable to Lender, to which Collections on all Government Accounts are sent.

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"GUARANTOR" means, collectively and individually as context requires, Brantley Capital Corporation, a Maryland corporation, and Brantley Capital Partners IV, LP, a Delaware limited partnership, each with a principal place of business at Lakepoint, 3201 Enterprise Parkway, Suite 350, Beachwood, Ohio 44122.

"GUARANTY AGREEMENT" has the meaning set forth in Section 3.8 hereof.

"HAZARDOUS SUBSTANCES" means any substances defined or designated as hazardous or toxic waste, hazardous or toxic material, hazardous or toxic substance or similar term, by any environmental statute, rule or regulation of any governmental entity presently in effect and applicable to such real property.

"HIGHEST LAWFUL RATE" has the meaning set forth in Section 2.4(c) hereof.

"INDEBTEDNESS" of a Person at a particular date shall mean all liabilities and obligations of such Person, including without limitation, those which in accordance with GAAP would be classified upon a balance sheet as liabilities and all other indebtedness, debt and other similar monetary obligations of such Person whether direct or guaranteed, contingent or liquidated, matured or unmatured and all premiums, if any, due at the required prepayment dates of such any indebtedness, and all indebtedness secured by a lien on assets owned by such Person, whether or not such indebtedness actually shall have been created, assumed or incurred by such Person. Any indebtedness of such Person resulting from the acquisition by such Person of any assets subject to any lien shall be deemed, for the purposes hereof, to be the equivalent of the creation, assumption and incurring of the indebtedness secured thereby, whether or not actually so created, assumed or incurred.

"INDIVIDUAL PAYOR ACCOUNT" means an Account owing by an Obligor who is the individual patient or Person who received the goods or services rendered.

"INITIAL TERM" has the meaning set forth in Section 2.1(c) hereof.

"JCAHO" means the Joint Commission for Accreditation of Healthcare Organizations, a nationally recognized organization providing accreditations to hospitals and other healthcare facilities, or any successor entity charged with performing its functions.

"LOAN(s)" has the meaning set forth in Section 2.1(a) hereof.

"LOAN DOCUMENTS" means this Agreement, the Revolving Credit Note, Guaranty Agreement, Depository Agreements and all agreements relating to the Government Lockbox and the Commercial Lockbox, all financing statements, the Subordination Agreement and any other agreements, instruments, documents and certificates delivered in connection with this Agreement.

"LOAN REQUEST" has the meaning set forth in Section 2.2(c) hereof.

"LOCKBOX BANK" means Bank One or such other bank that is reasonably acceptable to Lender.

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"MANAGEMENT SERVICE AGREEMENT(s)" means, collectively and individually, those certain Management Service Agreements between IPS and each Borrower Managed Physician Group.

"MATURITY DATE" has the meaning set forth in Section 2.1(c).

"NET REVENUE" means gross charges less contractual allowances, as such terms are used in the Projections.

"NOTICE OBLIGOR" shall mean, with respect to IPS, the applicable Medicare and Medicaid intermediaries and, with respect to the Surgery Entities, Obligors representing the Obligors on the top 80% of the gross value of each Surgery Entity's Accounts, and such other Obligors as Lender may from time to time, in its reasonable discretion, determine.

"OBLIGATIONS" means all now existing or hereafter arising debts, obligations, covenants, and duties of payment or performance of every kind, matured or unmatured, direct or contingent, owing, arising, due, or payable to Lender, by or from Borrowers, or any of them, whether arising out of this Agreement or any other Loan Document or otherwise, including, without limitation, all obligations to repay principal of and interest on all the Loans, and to pay interest, fees, costs, charges, expenses, professional fees, and all sums chargeable to Borrowers, or any of them, under the Loan Documents, whether or not evidenced by any note or other instrument.

"OBLIGOR" means the party primarily obligated to pay an Account.

"OPERATING INCOME" means, for any period the difference between (a) Net Revenue; minus (b) the sum of (i) Variable Costs, plus, (ii) Fixed Costs.

"PERMITTED LIENS" has the meaning set forth in Section 5.6 hereof.

"PERSON" means any individual, corporation, partnership, limited liability partnership, limited liability company, association, trust, unincorporated organization, joint venture, court or government or political subdivision or agency thereof, or other entity.

"PRIME RATE" means the highest per annum rate of interest referenced as the "Prime Rate" as reported in the Money Rates Section of The Wall Street Journal, on the date of determination. If The Wall Street Journal is not published on such Business Day or does not report such rate, such rate shall be as reported by such other publication or source as the Lender may select.

"PROJECTIONS" means the projections of Borrowers attached hereto as Exhibit 1.1.

"PROPERTY" means an interest of Borrowers, or any of them, in any kind of property or asset, whether real, personal or mixed, or tangible or intangible.

"REVOLVING CREDIT NOTE" has the meaning set forth in Section 2.1(b) hereof.

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"REVOLVING LOAN COMMITMENT" means an amount equal to Four Million Dollars ($4,000,000).

"SECURITIES" has the meaning set forth in Section 6.14 hereof.

"SELLERS" means, collectively, Dennis Cain, Valerie Cain, Tom M. Smith, John Pruitt and Jane Barnes.

"SHAREHOLDER" means, as applicable, a shareholder, member or partner of Borrower.

"SUBORDINATED DEBT" means debt or other obligations of a Borrower that is subordinated to the Obligations of the Borrowers to Lender on terms and conditions that are satisfactory to the Lender in its sole discretion; including without limitation indebtedness owed to the Sellers and indebtedness arising under the DVI Documents.

"SUBORDINATION AGREEMENT" means, collectively and individually as context may require, those certain Subordination Agreements executed by the holders of the Subordinated Debt (including US Bank and Sellers) in favor of Lender.

"SUBSIDIARY CUSTOMER CONTRACTS" means, collectively and individually as context may require, the customer agreements of MBS and DCPS, including without limitation, the Business Office Service Agreements, Business Office Service Contract and Agreements, and Practice Management Services Agreements between DCPS and its customers and Medical Billing Facility Management Services Agreement, Billing and Collection Services Agreements and Data and Insurance Processing Services Agreements between MBS and its customers.

"SURGERY ENTITIES" means, collectively, Baytown SurgiCare, Inc., Bellaire ASC, L.P., Bellaire Surgicare, Inc., San Jacinto Surgery Center, Ltd., SurgiCare Memorial Village, L.P., TASC Anesthesia, LLC, Town & Country SurgiCare, Inc., Tuscarawas Ambulatory Surgical Center, LLC, and Tuscarawas Open
MRI, LP.

"TERMINATION FEE" has the meaning set forth in Section 2.3(c) hereof.

"TRICARE" means the medical program for active duty members, qualified family members, CHAMPUS eligible retirees and their family members and survivors, of all uniformed services.

"UNIFORM COMMERCIAL CODE" or "UCC" means the Uniform Commercial Code as in effect from time to time in the State of New Jersey.

"UNMATURED EVENT OF DEFAULT" means an event which with the passage of time, giving of notice or both, would become an Event of Default.

"UNUSED LINE FEE" has the meaning set forth in Section 2.3(d).

"VALUE TRACK SYSTEM(TM)" means the proprietary business system used by Lender to value and record the status of Accounts.

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"VARIABLE COSTS" means the direct cost of services delivered to patients, including without limitation, the costs of labor and supplies and other clinical and surgical costs related to patient care.

"WHOLLY OWNED BORROWERS" means, collectively, those Borrowers which are wholly owned by Orion or another Borrower as shown on Schedule 2 hereto.

1.2 Matters of Construction: The terms "herein," "hereof" and "hereunder" and other words of similar import refer to this Agreement as a whole and not to any particular section, paragraph or subdivision. Any pronoun used shall be deemed to cover all genders. Wherever appropriate in the context, terms used herein in the singular also include the plural and vice versa. All references to statutes and related regulations shall include any amendments of same and any successor statutes and regulations. Unless otherwise provided, all references to any instruments or agreements to which Lender and/or, where applicable, a Borrower, is a party, including, without limitation, references to any of the Loan Documents, shall include any and all modifications or amendments thereto and any and all extensions or renewals thereof.

1.3 Accounting Principles: Where the character or amount of any asset or liability or item of income or expense is required to be determined or any consolidation or other accounting computation is required to be made for the purposes of this Agreement, this shall be done in accordance with GAAP, to the extent applicable, except as otherwise expressly provided in this Agreement.

1.4 Fiscal Quarters: For the purposes hereof, "fiscal quarter" shall mean each quarterly accounting period during any fiscal year; provided that, all references to the fiscal quarter ending March 31, June 30, September 30 or December 31 shall mean the first, second, third or fourth fiscal quarter of the applicable fiscal year, respectively, irrespective of the actual date on which such fiscal quarter may end.

SECTION 2. THE LOANS

2.1 Credit Facility - Description:

(a) Subject to the terms and conditions of this Agreement, Lender hereby establishes for the joint and several benefit of Borrowers, a credit facility ("CREDIT FACILITY") which shall include Advances which may be extended by Lender to or for the benefit of Borrowers from time to time hereunder in the form of revolving credit loans ("LOANS"). The aggregate outstanding amount of all Advances, shall not at any time exceed the Borrowing Base. In no event shall the initial principal amount of any Loan be less than $25,000. Subject to such limitation, the outstanding balance of all Advances may fluctuate from time to time, to be reduced by repayments made by Borrowers, to be increased by future Advances which may be made by Lender. If the aggregate outstanding amount of all Advances exceeds the Borrowing Base, Borrowers shall immediately repay such excess in full. Lender has the right at any time, and from time to time, in its reasonable discretion (but without any obligation) to set aside reasonable reserves against the Borrowing Base in such amounts as it may deem appropriate. The Obligations of Borrowers under

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the Credit Facility and this Agreement are joint and several and shall at all times be absolute and unconditional.

(b) At Closing, Borrowers shall execute and deliver a promissory note to Lender in the principal amount of the Four Million Dollars ($4,000,000) (as may be amended, modified or replaced from time to time, the "REVOLVING CREDIT NOTE"). The Revolving Credit Note shall evidence Borrowers joint and several, absolute and unconditional obligation to repay Lender for all Loans made by Lender under the Credit Facility, with interest as herein and therein provided. Each and every Loan under the Credit Facility shall be deemed evidenced by the Revolving Credit Note, which is deemed incorporated herein by reference and made a part hereof. The Revolving Credit Note shall be substantially in the form set forth in EXHIBIT 2.1(b) attached hereto and made a part hereof.

(c) The term ("INITIAL TERM") of the Credit Facility shall expire on December 15, 2006. All Loans shall be repaid on or before the earlier of the last day of the Initial Term or upon termination of the Credit Facility or termination of this Agreement ("MATURITY DATE"). After the Maturity Date no further Loans shall be available from Lender.

(d) From time to time, upon not less than three (3) Business Days notice to Borrowers, Lender may adjust the Advance Rate in order to reflect, in Lender's reasonable judgment, the experience with Borrowers (including by way of illustration, to adjust for any known or potential offsets by Medicare or Medicaid) or the aggregate amount or percentage of the Collections with respect to the Accounts.

2.2 Funding Procedures:

(a) Subject to the terms and conditions of this Agreement and so long as no Event of Default or Unmatured Event of Default has occurred hereunder, Lender will make Loans to Borrowers once a week, on a specified Business Day of each week (such day to be mutually agreeable to Borrowers and Lender ("DESIGNATED FUNDING DATE") whether or not Borrowers have requested a Loan to be made on such date or on such other day of the week as Borrowers may request such day along with the Designated Funding Date are referred to herein as the "FUNDING DATE".

(b) Not later than 11:00 A.M. (Eastern Time) three (3) Business Days prior to each Designated Funding Date ("DOWNLOAD DATE"), Borrowers will deliver to Lender the computer file data associated with the Accounts, which shall include without limitation, the information (including changes in the Obligor reimbursement rates and changes in federal or state laws or regulations affecting payment for medical services) required by Lender to enable Lender to process and value the outstanding Accounts of Borrowers on Lender's Value Track System(TM), as well as bill and collect such Accounts following an Event of Default ("ACCOUNTS DETAIL FILE"). Upon completion of the processing of the data with respect to such Accounts, Lender will prepare and deliver to Borrowers by no later than 5:00 p.m. (Eastern Time) on the first Business Day following the Download Date (or if such Accounts Detail File is not delivered until after 11:00 A.M. (Eastern Time) on the Download Date, the second Business Day following the Download Date), a report

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regarding the Borrowing Base then in effect, which shall be substantially in the
form of EXHIBIT 2.2(b) (a "BORROWING BASE REPORT").

(c) On the Funding Date, Borrowers will sign and return the Borrowing Base Report to Lender. If Borrowers are requesting that a Loan be made on such Funding Date, Borrowers shall also deliver to Lender, concurrently with the Borrowing Base Report, a written request for such Loan substantially in the form of EXHIBIT 2.2(c) (a "LOAN REQUEST"). The Borrowing Base Report and Loan Request may be delivered via telecopy and Borrowers acknowledge that Lenders may rely on Borrowers signatures by facsimile, which shall be legally binding upon Borrowers.

(d) Subject to the terms and conditions of this Agreement, if the Borrowing Base Report (if applicable) and Loan Request are delivered to Lender before 11:00 A.M. on the Funding Date, Lender will advance on the Funding Date (or the next Business Day if the Borrowing Base Report and Loan Request are delivered after 11:00 A.M. (Eastern Time)) to Borrowers a Loan in the amount equal to the lesser of (i) the amount of the Loan requested by Borrowers in the Loan Request, or (ii) the Borrowing Base Excess as of such date. Any Advances made by Lender hereunder shall be treated for all purposes as, and shall accrue interest at the same rate applicable to, Loans.

(e) Lender's determination of the Estimated Net Value of the Eligible Accounts and other amounts to be determined or calculated under this Agreement shall, in the absence of manifest error, be binding and conclusive.

2.3 Interest and Fees:

(a) Each Loan shall bear interest on the outstanding principal amount thereof from the date made until such Loan is paid in full, at a rate per annum equal to the lesser of (a) the Highest Lawful Rate or (b) the Prime Rate plus three percent (3.00%) The interest rate on all amounts outstanding under the Credit Facility shall be adjusted weekly based on the Prime Rate as of each Designated Funding Date.

(b) If any Event of Default shall occur and be continuing, the rate of interest applicable to each Loan then outstanding shall be the Default Rate. The Default Rate shall apply from the date of the Event of Default until the date such Event of Default is waived, and interest accruing at the Default Rate shall be payable upon demand.

(c) Should the Credit Facility be terminated for any reason prior to the last day of the Initial Term, in addition to repayment of all Obligations then outstanding and termination of Lender's commitment hereunder, Borrowers shall unconditionally be obligated to pay at the time of such termination, a fee ("TERMINATION FEE") in an amount equal to the following percentage of the Revolving Loan Commitment: three percent (3.0%), if such early termination occurs on or prior to the first anniversary date of this Agreement; two percent (2.0%) if such early termination occurs after the first anniversary date of this Agreement but on or before the second anniversary of this Agreement; and one percent (1.0%) if such early termination occurs after the second anniversary of the date of this Agreement but prior to the last day of the Initial Term. Borrowers acknowledge that

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the Termination Fee is an estimate of Lender's damages in the event of early termination and is not a penalty. In the event of termination of the Credit Facility, all of the Obligations shall be immediately due and payable upon the termination date stated in any notice of termination. All undertakings, agreements, covenants, warranties and representations of Borrowers contained in the Loan Documents shall survive any such termination, and Lender shall retain its security interests in the Collateral and all of its rights and remedies under the Loan Documents notwithstanding such termination until Borrowers have paid the Obligations to Lender, in full, in immediately available funds, together with the applicable Termination Fee, if any. Notwithstanding the payment in full of the Obligations, Lender shall not be required to terminate its security interests in the Collateral unless either (1) the Obligations have been indefeasibly paid and satisfied in full pursuant to the Guaranty Agreement, or (2) if the Obligations have been satisfied by means other than Lender's rights under the Guaranty Agreement, with respect to any loss or damage Lender may incur as a result of dishonored checks or other items of payment received by Lender from Borrowers or any Obligor and applied to the Obligations, Lender shall, at its option, (i) have received a written agreement executed by Borrowers and by any Person whose loans or other advances to Borrowers are used in whole or in part to satisfy the Obligations, indemnifying Lender from any such loss or damage; or (ii) have retained such monetary reserves and security interests on the Collateral for such period of time as Lender, in its reasonable discretion, may deem necessary to protect Lender from any such loss or damage.

(d) Borrowers shall unconditionally pay to Lender a fee ("UNUSED LINE FEE") equal to one half of one percent (0.50%) per annum of the unused portion of the Credit Facility. The unused portion of the Credit Facility shall be the difference between the Revolving Loan Commitment and the average daily outstanding balance of the Loans during each month (or portion thereof), which fees shall be calculated and payable monthly, in arrears, and shall be due and payable on the first Designated Funding Date of each calendar month.

2.4 Additional Interest Provisions:

(a) Calculation of Interest: Interest on the Loans shall be based on a year of three hundred sixty (360) days and charged for the actual number of days elapsed.

(b) Continuation of Interest Charges: All contractual rates of interest chargeable on outstanding Loans shall continue to accrue and be paid even after default, maturity, acceleration, termination of the Credit Facility, judgment, bankruptcy, insolvency proceedings of any kind or the happening of any event or occurrence similar or dissimilar.

(c) Applicable Interest Limitations: Borrowers and Lender intend to conform strictly to the usury laws in force that apply to the transactions evidenced or contemplated hereby. Accordingly, all agreements among Borrowers and Lender, whether now existing or hereafter arising and whether written or oral, are hereby limited so that in no contingency, whether by reason of acceleration of the maturity of the Revolving Credit Note, or otherwise, shall the interest (and all other sums that are deemed to be interest) contracted for, charged, received, paid or agreed to be paid exceed the Highest Lawful Rate (as defined below). Borrowers and Lender stipulate and agree that the terms and provisions contained in this Agreement and the Loan Documents are not intended to and shall never be construed to create a contract to pay for the use, forbearance or

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detention of money in an amount in excess of the maximum amount permitted to be charged by applicable law, if any.

Anything in this Agreement or the other Loan Documents to the contrary notwithstanding, neither Borrowers nor any other party now or hereafter becoming liable for payment of the Revolving Credit Note shall ever be required to pay interest on or with respect to the Revolving Credit Note or any other obligation hereunder at a rate in excess of the Highest Lawful Rate, and if the effective rate of interest that would otherwise be payable under this Agreement or on or with respect to the Revolving Credit Note would exceed the Highest Lawful Rate, or if Lender shall receive anything of value that is deemed or determined to constitute interest that would increase the effective rate of interest payable under this Agreement or on or with respect to the Revolving Credit Note or the Loan Documents to a rate in excess of the Highest Lawful Rate, then (a) the amount of interest that would otherwise be payable under this Agreement, the Revolving Credit Note or the Loan Documents shall be reduced to the amount allowed at the Highest Lawful Rate under applicable law, and (b) any unearned interest paid by the Borrowers or any interest paid by Borrowers in excess of the Highest Lawful Rate shall, at the option of the Lender, be either refunded to Borrowers or credited on the principal of such Revolving Credit Note. It is further agreed that, without limitation of the foregoing, all calculations of the rate of interest contracted for, charged or received by Lender, or under this Agreement, that are made for the purpose of determining whether such rate exceeds the Highest Lawful Rate, shall be made, to the extent permitted by applicable law (now or, to the extent permitted by law, hereafter enacted) governing the Highest Lawful Rate, by (i) characterizing any nonprincipal payment as an expense, fee or premium rather than as interest, and
(ii) amortizing, prorating, allocating and spreading in equal parts during the period of the full term of the Revolving Credit Note (including the period of any renewal or extension thereof), all interest at any time contracted for, charged or received by such registered holder in connection therewith. As used herein, the term "Highest Lawful Rate" means the maximum nonusurious rate of interest permitted from time to time to be contracted for, taken, charged or received with respect to the Revolving Credit Note by Lender, under applicable law as in effect with respect to this Agreement or the Revolving Credit Note.

2.5 Payments:

(a) All accrued interest on the Loans shall be due and payable weekly on the Designated Funding Date. Any Unused Line Fees shall be due and payable monthly on the first Designated Funding Date of each month with respect to Unused Line Fees which accrued during the prior month.

(b) If at any time the aggregate principal amount of all Advances outstanding exceeds the Borrowing Base then in effect, Borrowers shall immediately make such principal prepayments of the Loans (subject to the terms of Sections 2.3(c) and 2.3(d)), as is necessary to eliminate such excess.

(c) The entire principal balance of all of the Advances, together with all unpaid accrued interest thereon and the Termination Fee, if any, and any unpaid Unused Line Fees, shall be due and payable on the Maturity Date.

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(d) Subject to the terms of Sections 2.3(c) and 2.3(d) above, Borrowers may prepay the principal of the Loans on any Designated Funding Date by giving Lender written notice of the proposed prepayment two Business Days' prior to such Designated Funding Date.

(e) All payments and prepayments shall be applied first to any unpaid interest and fees and thereafter to the principal of the Loans and to other amounts due Lender, in the order provided in Section 2.7(f) hereof. Except as otherwise provided herein, all payments of principal, interest, fees, or other amounts payable by Borrowers hereunder shall be remitted to Lender in immediately available funds not later than 11:00 a.m. (Eastern Time) on the day due. Whenever any payment is stated as due on a day which is not a Business Day, the maturity of such payment shall be extended to the next succeeding Business Day and interest shall continue to accrue during such extension.

2.6 Use of Proceeds: The extensions of credit under and proceeds of the Credit Facility shall be used to repay existing Indebtedness of Borrowers and for working capital and general business purposes.

2.7 Lockboxes and Collections:

(a) Borrowers (other than DCPS, MBS and IntegriMED) will enter into lockbox agreements in respect of the Government Lockbox and Commercial Lockbox in such form and with the Lockbox Bank or such other bank as is acceptable to Lender. Borrowers shall instruct the Lockbox Bank maintaining the Government Lockbox that all collections sent to the Government Lockbox shall be deposited into a bank account at the Lockbox Bank in which Lender has a first priority perfected security interest and all Collections sent to the Commercial Lockbox shall be deposited into a bank account at the Lockbox Bank in the name of Lender. Borrower shall also instruct the Lockbox Bank to initiate, or accept an initiation from Lender which effectuates, a daily transfer of all available funds to an account of Lender to be designated by Lender ("COLLECTION ACCOUNT").

(b) Borrowers (other than DCPS, MBS and IntegriMED) will cause all Collections with respect to all of the Accounts, other than Government Accounts, to be sent directly to the Commercial Lockbox, and will cause all Collections with respect to all of the Government Accounts to be sent directly to the Government Lockbox (which may be effectuated by electronic transfer directly to the Government Lockbox). In the event that a Borrower receives any Collections that should have been sent to the Commercial Lockbox or the Government Lockbox, such Borrower will, promptly upon receipt and in any event within one Business Day of receipt, forward such Collections directly to the Commercial Lockbox or Government Lockbox, as applicable, in the form received, and if requested by Lender, promptly notify Lender of such event. Until so forwarded, such Collections not generated from Government Accounts shall be held in trust for the benefit of Lender.

(c) No Borrower shall withdraw any amounts from the accounts into which the Collections remitted to the Commercial Lockbox are deposited nor shall any Borrower change the procedures under the agreements governing the Commercial Lockbox and related accounts.

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(d) Borrowers will cooperate with Lender in the identification and reconciliation on a daily basis of all amounts received in the Commercial Lockbox and the Government Lockbox. If more than five percent (5%) of the Collections since the most recent Funding Date is not identified or reconciled to the satisfaction of Lender within ten (10) Business Days of receipt, Lender shall not be obligated to make further Loans until such amount is identified or is reconciled to the reasonable satisfaction of Lender, as the case may be. In addition, if any such amount cannot be identified or reconciled to the reasonable satisfaction of Lender, Lender may utilize its own staff or, if it deems necessary, engage an outside auditor, in either case at Borrowers' expense (which in the case of Lender's own staff shall be in accordance with Lender's then prevailing customary charges (plus expenses), to make such examination and report as may be necessary to identify and reconcile such amount.

(e) No Borrower will send to or deposit in the Commercial Lockbox or the Government Lockbox any funds other than payments made with respect to Accounts.

(f) Prior to the occurrence of an Event of Default, on each Designated Funding Date, Lender shall cause all Collections deposited and/or transferred to the Collection Account since the last Designated Funding Date to be disbursed in the following order of priority:

(i) to Lender, any costs and Expenses of Lender required to be paid or reimbursed by Borrowers under this Agreement or under any of the other Loan Documents;

(ii) to Lender, an amount equal to the unpaid accrued interest on the aggregate outstanding Advances as of such Designated Funding Date;

(iii) to Lender, an amount equal to any unpaid accrued Unused Line Fees which are then due and payable as of such Designated Funding Date;

(iv) to Lender, the amount of any Borrowing Base Deficiency, if any;

(v) to Lender, to the aggregate outstanding amount of the Loans and any and all other fees due and payable hereunder in such order as Lender may determine in its discretion; and

(vi) subject to Sections 2.3(c) and (d), to Lender, the amount of any prepayment of principal of which Borrowers have given notice to Lender in accordance with Section 2.5(d) hereof.

In addition, promptly upon request of Borrowers, so long as no Event of Default shall have occurred, Lender shall disburse to Borrowers the amount, if any, by which the collected balance in the Collection Account exceeds the aggregate outstanding principal amount of the Advances and all interest and other amounts that will be payable on the next Designated Funding Date. Following the occurrence of an Event of Default, Lender may apply all Collections to Borrowers' Obligations in such order as Lender may in its sole discretion determine.

2.8 Fees: Lender has fully earned a non-refundable commitment fee ("COMMITMENT FEE") equal to Forty Thousand Dollars ($40,000) Lender acknowledges receipt of one half of the

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Commitment Fee ($20,000). Borrowers agree and acknowledge that the balance of the Commitment Fee ($20,000) is due and payable on or before Closing.

SECTION 3. COLLATERAL

3.1 Description: To secure the payment, promptly when due, and the punctual performance, of all of the Obligations, each Borrower assigns to Lender, and grants to it a security interest in all of its right, title and interest in and to the following property of such Borrower: (i) all accounts, payment intangibles, instruments and other rights to receive payments of Borrower (including without limitation the Accounts and rights to receive payments in connection with and/or pursuant to Business Services Agreements, Management Service Agreements, and/or Subsidiary Customer Contracts), whether now existing or hereafter arising or acquired, (ii) all general intangibles (including without limitation, contract rights and intellectual property), chattel paper, documents, supporting obligations, letter of credit rights, commercial tort claims, investment property, rights, remedies, guarantees and collateral evidencing, securing or otherwise relating to or associated with the foregoing, including without limitation all rights of enforcement and collection, (iii) all Commercial Lockboxes, all Government Lockboxes, all Collection Accounts and other deposit accounts into which any of the Collections or Advances are deposited, all funds received thereby or deposited therein, and any checks or instruments from time to time representing or evidencing the same,
(iv) all books and records of Borrower evidencing or relating to or associated with any of the foregoing, (v) all information and data compiled or derived by Borrower with respect to any of the foregoing (other than any such information and data subject to legal restrictions of patient confidentiality), and (vi) all collections, receipts and other proceeds (cash and noncash) derived from any of the foregoing (collectively, the "COLLATERAL").

3.2 Lien Documents: At Closing and thereafter as Lender deems necessary, each Borrower shall execute (if required) and deliver to Lender, or shall have executed (if required) and delivered (all in form and substance reasonably satisfactory to Lender):

(a) Financing Statements - Financing statements pursuant to the UCC, which Lender may file in the jurisdiction where such Borrower is organized and in any other jurisdiction that Lender deems appropriate; and

(b) Other Agreements - Any other agreements, documents, instruments and writings, including, without limitation, security agreements, deposit account control agreements, and assignment agreements, reasonably required by Lender to evidence, perfect or protect Lender's liens and security interest in the Collateral or as Lender may reasonably request from time to time, including, without limitation, a waiver agreement from each landlord with respect to any real property of Borrower, in form and substance satisfactory to Lender.

3.3 Other Actions:

(a) In addition to the foregoing, each Borrower shall do anything further that may be lawfully and reasonably required by Lender to perfect its security interests and to effectuate the intentions and objectives of this Agreement, including, but not limited to, the execution (if required) and delivery of continuation statements, amendments to financing statements, security

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agreements, contracts and any other documents required hereunder. At Lender's request, each Borrower shall also immediately deliver (with execution by such Borrower of all necessary documents or forms to reflect Lender's security interest therein) to Lender, all items for which Lender must or may receive possession to obtain a perfected security interest.

(b) Lender is hereby authorized to file financing statements naming Borrower as debtor, in accordance with the Uniform Commercial Code, and if necessary, to the extent applicable, to otherwise file financing statements without Borrower's signature if permitted by law. Each Borrower hereby authorizes Lender to file all financing statements and amendments to financing statements describing the Collateral in any filing office as Lender, in its sole, discretion may determine, including financing statements describing the Collateral and containing language indicating that the acquisition by a third party of any right, title or interest in or to the Collateral without Lender's consent shall be a violation of Lender's rights. Borrowers agree to comply with the requirements of all federal and state laws and requests of Lender in order for Lender to have and maintain a valid and perfected first priority security interest in the Collateral including, without limitation, executing and causing any other Person to execute such documents as Lender may require to obtain Control (as defined in the UCC) over all deposit accounts, electronic chattel paper, letter-of-credit rights and investment property.

3.4 Searches: Lender shall, prior to or at Closing, and thereafter as Lender may reasonably request from time to time, at Borrowers' expense, obtain the following searches (the results of which are to be consistent with the warranties made by Borrowers in this Agreement):

(a) UCC Searches: With respect to each Borrower, UCC searches with the Secretary of State and local filing office of each state where such Borrower maintains its chief executive office, its jurisdiction of organization and/or a place of business or assets;

(b) Judgments, Etc.: Judgment, federal tax lien and corporate tax lien searches against each Borrower, in all applicable filing offices of each state searched under subparagraph (a) above.

3.5 Good Standing Certificates: Borrowers shall, prior to or at Closing and at its expense, obtain and deliver to Lender good standing or equivalent certificates showing each Borrower to be in good standing in its state of incorporation or organization and authorized to transact business as a foreign corporation or entity in each other state or foreign country in which it is doing and presently intends to do business for which such Borrower's failure to be so qualified might have a material adverse effect on such Borrower's business, financial condition, Property or Lender's rights hereunder.

3.6 Filing Security Agreement: A carbon, photographic or other reproduction or other copy of this Agreement or of a financing statement is sufficient as and may be filed in lieu of a financing statement.

3.7 Power of Attorney: Each of the officers of Lender is hereby irrevocably made, constituted and appointed the true and lawful attorney for each Borrower (without requiring any of them to act as such) with full power of substitution to do the following (such power to be deemed

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coupled with an interest): (1) endorse the name of such Borrower upon any and all checks, drafts, money orders and other instruments for the payment of monies that are payable to such Borrower and constitute collections on the Collateral;
(2) execute in the name of such Borrower any financing statements, schedules, assignments, instruments, documents and statements that such Borrower is obligated to give Lender hereunder or is necessary to perfect Lender's security interest or lien in the Collateral; (3) to verify validity, amount or any other matter relating to the Collateral by mail, telephone, telecopy or otherwise; and
(4) do such other and further acts and deeds in the name of such Borrower that Lender may reasonably deem necessary or desirable to enforce its right with respect to any Collateral.

3.8 Guaranty Agreement: At the Closing, Borrowers shall cause each Guarantor to execute and deliver a guaranty agreement (collectively and individually as context may require, "GUARANTY AGREEMENT") in the form and substance satisfactory to Lender, pursuant to which Guarantors shall absolutely and unconditionally guarantee all of the Obligations of Borrowers to Lender.

SECTION 4. CLOSING AND CONDITIONS PRECEDENT TO ADVANCES

Closing under this Agreement and the making of each Loan are subject to the following conditions precedent (all documents to be in form and substance satisfactory to Lender and Lender's counsel):

4.1 Resolutions, Opinions, and Other Documents: Prior to the Closing, Borrowers shall have delivered to Lender the following:

(a) this Agreement and the Revolving Credit Note, each properly executed;

(b) each document and agreement required to be executed under any provision of this Agreement or any of the other Loan Documents;

(c) certified copies of (i) resolutions of each Borrower's board of directors, or manager, as applicable authorizing the execution of this Agreement, the Revolving Credit Note, and each other document to which it is a party, required to be delivered by any Section hereof and (ii) each Borrower's Articles of Incorporation and By laws or certificate of organization and operating agreement (as applicable);

(d) incumbency certificates identifying all Authorized Officers of each Borrower, with specimen signatures;

(e) a written opinion of Borrowers' independent counsel addressed to Lender in the form attached hereto as EXHIBIT 4.1, which shall include without limitation, an opinion that Lender has a perfected security interest in the Collateral;

(f) payment by Borrowers of all Expenses associated with the Credit Facility incurred to the Closing Date and the Commitment Fee;

(g) the Business Associate Agreement properly executed;

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(h) the Lockbox Agreements required pursuant to Section 2.7 hereof;

(i) Uniform Commercial Code, judgment, federal and state tax lien searches pursuant to Section 3.4 above;

(j) to the extent applicable, payoff letters and Lender shall have received releases from all Persons having a security interest or other interest in the Collateral, together with all UCC-3 terminations or partial releases necessary to terminate such Persons' interests in the Collateral;

(k) certification by Borrowers that all past due payroll and unemployment taxes have been paid in full and that Borrowers remain current on such taxes;

(l) copies of each of the accreditations, licenses, certifications required by Section 5.3 below, and all Contracts requested by Lender;

(m) the fully executed Subordination Agreements;

(n) evidence of receipt by Borrowers of an equity investment by Brantley Capital Partners IV, LP, Brantley Capital Corporation and certain other investors in an amount not less than Eight Million Dollars ($8,000,000);

(o) fully executed copies of the Acquisition Documents and evidence that the Acquisition Transactions have been consummated (including without limitation, appropriate opinions of counsel);

(p) fully executed copies of the DVI Documents and evidence that the transactions contemplated thereby have been consummated;

(q) fully executed copies of the documents evidencing the Equity Option;

(r) proforma consolidating balance sheet and projections of Borrowers, reflecting the effect of the Acquisition Transactions and monthly and year to date consolidated and consolidating financial statements for the most recent quarter end prior to Closing (within 15 days prior to closing or such shorter period as Lender may determine);

(s) background checks on the senior management of Borrowers;

(t) Landlord Waivers with respect to the location of Borrowers' chief executive office and each other location where any books and records of Borrowers relating to the Collateral may be kept; and

(u) all other documents, information and reports required or requested to be executed and/or delivered by Borrowers under any provision of this Agreement or any of the Loan Documents.

4.2 Additional Preconditions to Loans: Lender's obligation to make the initial Loan and each subsequent Loan shall be subject to the satisfaction of each of the following conditions:

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(a) After giving effect to each such Loan:

(i) the aggregate principal amount of all Advances outstanding shall not exceed the Borrowing Base then in effect;

(ii) the ENV of all Eligible Accounts shall not exceed any of the Concentration Limits; and

(iii) the amount of outstanding Advances supported by the ENV of all Eligible Accounts included in the Borrowing Base which have not been billed shall at no time exceed an amount equal to fifty percent (50%) of outstanding Advances supported by the ENV of all Eligible Accounts included in the Borrowing Base which have been billed.

(b) All representations and warranties of Borrowers shall be deemed reaffirmed as of the making of such Loan and shall be true both before and after giving effect to such Loan, and no Event of Default or Unmatured Event of Default shall have occurred and be continuing, Borrowers shall be in compliance with this Agreement and the other Loan Documents, and Borrowers shall have certified such matters to Lender.

(c) Each Borrower shall have signed and delivered to Lender notices, in the form of EXHIBIT 4.2A, directing the Notice Obligors (other than Obligors with respect to Government Accounts) to make payment to the Commercial Lockbox; and, in the form of EXHIBIT 4.2B, directing the Notice Obligors with respect to Government Accounts to make payment to the Government Lockbox.

(d) Borrowers shall have taken all actions necessary to permit Lender to record all of the Eligible Accounts in Lender's Value Track System(TM).

(e) The lockbox arrangements required by Section 2.7 hereof shall be in effect, and the amounts received in the lockboxes shall have been identified or reconciled to Lender's satisfaction, as required by Section 2.7(d) hereof.

(f) Borrowers shall have taken such other actions, including the delivery of documents and opinions as Lender may reasonably request.

4.3 Absence of Certain Events: As of the Closing Date and prior to each Loan, no Event of Default or Unmatured Event of Default hereunder shall have occurred and be continuing.

4.4 Compliance with this Agreement: Borrowers shall have performed and complied with all agreements, covenants and conditions contained herein including, without limitation, the provisions of Sections 6 and 7 hereof, which are required to be performed or complied with by Borrowers before or at the Closing Date and as of the date of each Loan.

4.5 Closing Certificate: Lender shall have received a certificate dated the Closing Date and signed by the chief financial officer of Borrowers certifying that all of the conditions specified in this Section have been fulfilled and that there has not occurred any material adverse change in the operations and conditions (financial or otherwise) of Borrowers since September 30, 2004.

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4.6 Closing: Subject to the conditions of this Section 4, the Credit Facility shall be made available on the date ("CLOSING Date") this Agreement is executed and all of the conditions contained in Section 4.1 hereof are completed ("CLOSING").

4.7 Non-Waiver of Rights: By completing the Closing hereunder, or by making Advances hereunder, Lender does not thereby waive a breach of any warranty, representation or covenant made by Borrowers hereunder or under any agreement, document, or instrument delivered to Lender or otherwise referred to herein, and any claims and rights of Lender resulting from any breach or misrepresentation by Borrowers are specifically reserved by Lender.

SECTION 5. REPRESENTATIONS AND WARRANTIES

To induce Lender to complete the Closing and make the Loans under the Credit Facility to Borrowers, Borrowers warrant and represent to Lender that:

5.1 Organization and Validity:

(a) Each Borrower is duly organized as either a partnership, corporation or limited liability company and validly existing under the laws of its state of organization, incorporation or formation, is duly qualified, is validly existing and, to the extent applicable, in good standing and has lawful power and authority to engage in the business it conducts in each state and other jurisdiction where the nature and extent of its business requires qualification, except where the failure to so qualify would not have a material adverse effect on such Borrower's business, financial condition, Property or prospects. A list of all states and other jurisdictions where each Borrower is qualified to do business is attached hereto as SCHEDULE 2 and made a part hereof.

(b) The making and performance of this Agreement and related agreements, and each document required by any Section hereof will not violate any law, government rule or regulation, or the charter, minutes, partnership agreement, operating agreement or bylaw provisions of any Borrower violate or result in a default (immediately or with the passage of time) under any contract, agreement or instrument to which Borrower is a party, or by which a Borrower is bound. No Borrower is in violation of nor has knowingly caused any Person to violate any term of any agreement or instrument to which it or such Person is a party or by which it may be bound or of its charter, minutes, partnership agreement, operating agreement or bylaws, which violation could have a material adverse effect on any Borrower's business, financial condition, Property or prospects.

(c) Each Borrower has all requisite power and authority to enter into and perform this Agreement and the other Loan Documents and to incur the obligations herein provided for, and has taken all proper and necessary action to authorize the execution, delivery and performance of this Agreement and the other Loan Documents.

(d) This Agreement, the Revolving Credit Note and the other Loan Documents required to be executed and delivered by any Borrower(s) hereunder, when delivered, will be valid and binding upon all such Borrowers a party thereto and enforceable in accordance with their respective terms.

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5.2 Places of Business: Each Borrower's jurisdiction of organization is as set forth in SCHEDULE 2 and each Borrower's chief executive office and the only other places of business of each such Borrower are located at the corresponding addresses set forth on SCHEDULE 2. Except as disclosed on SCHEDULE 2: (i) no Borrower has been organized in any other jurisdiction nor changed any such location in the last five years, (ii) no Borrower has changed its name in the last five years, and (iii) during such period no Borrower used, nor does any Borrower now use, any fictitious or trade name.

5.3 Operation of Facilities: Other than IntegriMED, MBS and DCPS, each Borrower leases and operates facilities to provide health care services and (a) except as set forth on Schedule 2, maintains Medicare and Medicaid provider status and is the holder of the provider identification numbers identified on Schedule 2 hereto, all of which are current and valid and such Borrower has not allowed, permitted, authorized or caused any other Person to use any such provider identification number, and (b) except as set forth on Schedule 2, has obtained all material licenses, accreditations, certificates of need and approvals of governmental authorities and all other Persons necessary for such Borrower to own its assets, to carry on its business, to execute, deliver and perform the Loan Documents, and to receive payments from the Obligors and, if organized as a not-for-profit entity, has and maintains its status, if any, as an organization exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. No Borrower has been notified by any such governmental authority or other Person during the immediately preceding 24 month period that such party has rescinded or not renewed, or intends to rescind or not renew, any such license or approval.

5.4 Pending Litigation: There are no judgments or judicial or administrative orders, proceedings or investigations (civil or criminal) pending, or to the knowledge of any Borrower, threatened, against any Borrower in any court or before any governmental authority or arbitration board or tribunal, other than as set forth on SCHEDULE 2 hereto, none of which, if adversely determined would have a material adverse effect on such Borrower. No Borrower is in default with respect to any order of any court, governmental authority, regulatory agency or arbitration board or tribunal. No Borrower is aware of any Shareholder or executive officer of any Borrower who has been indicted or convicted in connection with or is engaging in any criminal conduct, or is currently subject to any lawsuit or proceeding or under investigation in connection with any anti-racketeering or other criminal conduct.

5.5 Medicaid and Medicare Cost Reporting: The Medicaid and Medicare cost reports of each facility and of the home office of each Borrower for all cost reporting periods have been submitted when and as required to (i) as to Medicaid, the state agency, or other CMS-designated agent or agent of such state agency, charged with such responsibility or (ii) as to Medicare, the Medicare intermediary or other CMS-designated agent charged with such responsibility. No cost report indicates and no audit has resulted in any determination that any Borrower was overpaid for Medicaid and Medicare by $100,000 or more in any of the most recent three fiscal years covered by such audit.

5.6 Title to Collateral: Each Borrower has good and marketable title to all the Collateral it respectively purports to own, free from liens, claims and encumbrances, except those of Lender and those listed on SCHEDULE 2 hereto ("PERMITTED LIENS").

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5.7 Governmental Consent: Neither the nature of any Borrower or of any Borrower's business or Property, nor any relationship between any Borrower and any other Person, nor any circumstance affecting any Borrower in connection with the execution, issuance and/or delivery of this Agreement or the Revolving Credit Note is such as to require a consent, approval or authorization of, or filing, registration or qualification with, any governmental authority on the part of any such Borrower in connection with the execution and delivery of this Agreement or the issuance or delivery of the Revolving Credit Note or other Loan Documents.

5.8 Taxes: All tax returns required to be filed by Borrowers, or any of them, in any jurisdiction have in fact been filed, and all taxes, assessments, fees and other governmental charges upon Borrowers, or any of them, or upon any of their respective Property, income or franchises, which are shown to be due and payable on such returns have been paid, except for those taxes being contested in good faith with due diligence by appropriate proceedings and for which appropriate reserves have been maintained under GAAP. No Borrower is aware of any proposed additional tax assessment or tax to be assessed against or applicable to any Borrower that might have a material adverse effect on such Borrower's business, financial condition, Property or prospects.

5.9 Financial Statements: Borrowers' annual audited consolidated and consolidating balance sheet as of December 31, 2003, accompanied by reports thereon from Borrowers' independent certified public accountants, and the quarterly consolidated balance sheet as of June 30, 2004 and the related income statements and statements of cash flows as of such dates (complete copies of which have been delivered to Lender), have been prepared in accordance with GAAP and present fairly, accurately and completely the financial position of Borrowers as of such dates and the results of their operations for such periods. The fiscal year for each Borrower currently ends on the date set forth on SCHEDULE 2 hereto. Each Borrower's federal tax identification number and organization number are as set forth on SCHEDULE 2 hereto.

5.10 Full Disclosure: Neither the financial statements referred to in
Section 5.9, nor this Agreement or related agreements and documents or any written statement furnished by any Borrower to Lender in connection with the negotiation of the Credit Facility and contained in any financial statements or documents relating to any Borrower contain any untrue statement of a material fact or omit a material fact necessary to make the statements contained therein or herein not misleading. The financial projections provided to Lender ("Financial Projections") are based on the Borrowers' experience in the industry and on assumptions of fact and opinion as to future events which the Borrowers, as of the date hereof, believe to be reasonable, but which the Borrowers cannot and do not assure or guarantee the attainment of in any manner.

5.11 Guarantees, Contracts, etc.:

(a) No Borrower owns nor holds partnership interests or equity or long term debt investments in, has any outstanding advances to, or serves as guarantor, surety or accommodation maker for the obligations of, or has any outstanding borrowings from, any Person except as described in SCHEDULE 2 hereto.

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(b) No Borrower is a party to any contract or agreement, or subject to any charter or other entity restriction, which materially and adversely affects its business, financial condition, Property or prospects.

(c) Except as otherwise specifically provided in this Agreement, no Borrower has agreed or consented to cause or permit any of the Collateral whether now owned or hereafter acquired to be subject in the future (upon the happening of a contingency or otherwise) to a lien or encumbrance not permitted by this Agreement.

5.12 Compliance with Laws:

(a) No Borrower is in violation of, has received written notice that it is in violation of, or has knowingly caused any Person to violate, any applicable statute, regulation or ordinance of the United States of America, or of any state, city, town, municipality, county or of any other jurisdiction, or of any agency, or department thereof, (including without limitation, environmental laws and regulations), which may materially and adversely affect its business, financial condition, Property or prospects.

(b) Each Borrower is current with all reports and documents required to be filed with any state or federal securities commission (if any) or similar agency and is in full compliance in all material respects with all applicable rules and regulations of such commissions, except where the failure to file such reports and documents would not have a material adverse effect on such Borrower's financial condition, Property or prospects.

5.13 Other Associations: No Borrower is engaged in nor has an interest in any joint venture or partnership with any other Person or has any subsidiaries or Affiliates, except as described on SCHEDULE 2 hereto.

5.14 Environmental Matters: Except as disclosed on SCHEDULE 2 hereto and other than supplies, medicines and other substances and materials used in the ordinary course of delivery of medical services to patients, no Borrower has knowledge:

(a) of the presence of any Hazardous Substances on any of the real property where any Borrower maintains operations or has its personal property, or

(b) of any on-site spills, releases, discharges, disposal or storage of Hazardous Substances that have occurred or are presently occurring on any of such real property where any Collateral is located, or

(c) of any spills, releases, discharges or disposal of Hazardous Substances that have occurred, are presently occurring on any other real property as a result of the conduct, action or activities of any Borrower.

5.15 Capital Stock and Equity Interests: The authorized and outstanding shares of capital stock and other equity interests of each Borrower is as set forth on SCHEDULE 2 hereto. All of the capital stock and equity interests of each Borrower have been duly and validly authorized and issued and is fully paid and non-assessable and have been sold and delivered to the holders thereof in

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compliance with, or under valid exemption from, all Federal and state laws and the rules and regulations of all regulatory bodies thereof governing the sale and delivery of securities. Except for the rights and obligations set forth in SCHEDULE 2, there are no subscriptions, warrants, options, calls, commitments, rights or agreements by which any Borrower or any of the Shareholders of any Borrower is bound relating to the issuance, transfer, voting or redemption of shares of its capital stock, membership units or any pre-emptive rights held by any Person with respect to the shares of capital stock or membership units of any such Borrower. Except as set forth in SCHEDULE 2, no Borrower has issued any securities convertible into or exchangeable for shares of its capital stock or membership units or any options, warrants or other rights to acquire such shares or membership units or securities convertible into or exchangeable for such shares.

5.16 Lockboxes: The Government Lockbox and the Commercial Lockbox are the only lockbox accounts maintained by Borrowers, and each Obligor of an Eligible Account has been directed by the notice attached as EXHIBIT 4.2A to this Agreement, and is required to, remit all payments with respect to such Account for deposit in the Commercial Lockbox (other than the Obligors of Government Accounts which have been directed by the notice attached as EXHIBIT 4.2B to this Agreement to remit all payments with respect to such Accounts for deposit in the Government Lockbox).

5.17 Borrowing Base Reports: Each Borrowing Base Report signed by Borrowers, on behalf of Borrowers, contains and will contain an accurate summary of all Eligible Accounts of Borrowers contained in the Borrowing Base as of its date.

5.18 Security Interest: Each Borrower has granted to Lender a valid, perfected first priority and only security interest in the Accounts and the other Collateral subject to no other liens, claims or encumbrances, other than Permitted Liens.

5.19 Accounts:

(a) No Borrower has done nor shall do anything to interfere with the collection of the Accounts and no Borrower shall amend or waive the terms or conditions of any Account or any related Contract in any materially adverse manner without Lender's prior written consent.

(b) Each Borrower has made and will continue to make all payments to Obligors necessary to prevent any Obligor from offsetting any earlier overpayment to such Borrower against any amounts such Obligor owes on an Account.

5.20 Pension Plans: Each pension or profit sharing plan, if any, to which any Borrower is a party has been and will be funded in accordance with the obligations of such Borrower(s) set forth in such plan.

5.21 Representations and Warranties for each Loan: As of each date that Borrowers shall request any Loan, each Borrower shall be deemed to make, with respect to each Eligible Account included in the Borrowing Base, each of the following representations and warranties:

(a) Such Account satisfies each of the conditions of an Eligible Account.

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(b) All information relating to such Account that has been delivered to Lender is true and correct in all material respects. With respect to each such Account that has been billed, the corresponding Borrower has delivered to the Obligor all requested supporting claim documents and all information set forth in the bill and supporting claim documents is true, complete and correct in all material respects.

(c) There is no lien or adverse claim in favor of any third party, nor any filing against any Borrower, as debtor, covering or purporting to cover any interest in such Account.

(d) Such Account is (i) payable in an amount not less than its Estimated Net Value by the Obligor identified by Borrowers as being obligated to do so, and is recognized as such by the Obligor, (ii) the legally enforceable obligation of such Obligor, and (iii) an account receivable or general intangible within the meaning of the UCC of the state in which the corresponding Borrower has its chief executive office, or is a right to payment under a policy of insurance or proceeds thereof, and is not evidenced by any instrument or chattel paper. There is no payor other than the Obligor identified by Borrowers as the payor primarily liable on such Account.

(e) No such Account (i) requires the approval of any third person for such Account to be assigned to Lender hereunder, (ii) is subject to any legal action, proceeding or investigation (pending or threatened), dispute, set-off, counterclaim, defense, abatement, suspension, deferment, deductible, reduction or termination by the Obligor, or (iii) is past, or within 180 days of, the statutory limit for collection applicable to the Obligor.

(f) Such Borrower does not have any guaranty of, letter of credit support for, or collateral security for, such Account, other than any such guaranty, letter of credit or collateral security as has been assigned to Lender.

(g) The services constituting the basis of such Account (i) were medically necessary for the patient and (ii) at the time such services were rendered, were fully covered by the insurance policy or Contract obligating the applicable Obligor to make payment with respect to such Account (and the corresponding Borrower has verified such determination), and (iii) the patient received such services in the ordinary course of such Borrower's business.

(h) The fees and charges charged for the services constituting the basis for such Account were when rendered and are currently consistent with
(i) the usual, customary and reasonable fees charged by Borrowers or (ii) pursuant to negotiated fee contracts, or imposed fee schedules, with or by the applicable Obligors.

(i) The Obligor with respect to such Account is located in the United States, and is (i) a party which in the ordinary course of its business or activities agrees to pay for healthcare services received by individuals, including, commercial insurance companies and non-profit insurance companies issuing health, or other types of insurance, employers or unions, self-insured healthcare organizations, preferred provider organizations, and health insured, prepaid maintenance organizations, (ii) a state, an agency or instrumentality of a state or a political subdivision of a state, or (iii) the United States or an agency or instrumentality of the United States.

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(j) The insurance policy or Contract obligating an Obligor to make payment (i) does not prohibit the transfer of such payment obligation from the patient to the corresponding Borrower and (ii) is and was in full force and effect and applicable to the patient at the time the services constituting the basis for such Account were performed.

(k) The representations and warranties made by Borrowers in the Loan Documents and all financial or other information delivered to Lender with respect to Borrowers and such Account do not contain any untrue statement of material fact or omit to state a material fact necessary to make the statement made not misleading.

(l) If requested by Lender, a copy of each related Contract to which each Borrower is a party has been delivered to Lender unless any such Borrower shall have, prior to the related Funding Date, certified in an Officer's Certificate that such delivery is prohibited by the terms of the Contract or by law, and the circumstances of such prohibition.

(m) If such Account has not been billed, the services giving rise to such Account have been properly recorded in the corresponding Borrower's accounting system.

(n) Such Account was (or if unbilled, will be) in any event billed no later than 45 days after the date the services or goods giving rise to such Account were rendered as provided, as applicable, and each bill contains an express direction requiring the Obligor to remit payments to either the Government Lockbox or Commercial Lockbox, as applicable.

(o) Such Account has an Estimated Net Value which, when added to the Estimated Net Value of all other Accounts owing by the same Obligor and which constitute Eligible Accounts hereunder, does not exceed any applicable Concentration Limit.

(p) Neither such Account nor the related Contract contravenes any laws, rules or regulations applicable thereto (including, without limitation, laws, rules and regulations relating to usury, consumer protection, truth-in-lending, fair credit billing, fair credit reporting, equal credit opportunity, fair debt collection practices and privacy) and no party to such related Contract is in violation of any such law, rule or regulation in connection with such Contract.

(q) As of the applicable Funding Date, to the best of Borrowers' knowledge, no Obligor on such Account is bankrupt, insolvent, or is unable to make payment of its obligations when due, and no other fact exists which would cause any Borrower reasonably to expect that the amount billed to the related Obligor for such Account will not be paid in full when due.

(r) If such Account is an Account of IPS, such Account and the right to bill and collect such Account has been (i) validly assigned by the provider of the services giving rise to such Account to a Borrower Managed Physician Group, and (ii) validly assigned by the Borrower Managed Physician Group to IPS. Each such assignment has been duly and properly perfected and is not subject to any adverse liens, claims or encumbrances (other then such assignment and the security interest granted to Lender hereunder).

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5.22 Interrelatedness of Borrowers: The business operations of each Borrower are interrelated and complement one another, and such companies have a common business purpose, with intercompany bookkeeping and accounting adjustments used to separate their respective Properties, liabilities and transactions. To permit their uninterrupted and continuous operation, such companies now require and will from time to time hereafter require funds for general business purposes. The proceeds of Advances under the Credit Facility will directly or indirectly benefit each Borrower hereunder severally and jointly, regardless of which Borrower requests or receives part or all of the proceeds of such Loan.

5.23 Commercial Tort Claims: Borrowers have no commercial tort claims against any third parties, except as shown on SCHEDULE 2 hereto.

5.24 Letter of Credit Rights: Borrowers have no letter of credit rights except as shown on SCHEDULE 2 hereto.

5.25 Intellectual Property: Except for "shrink-wrap" software licenses and as shown on SCHEDULE 2 attached hereto and made part hereof, (i) Borrowers do not require any copyrights, patents, trademarks or other intellectual property, or any license(s) to use any patents, trademarks or other intellectual property in order to provide services to their customers or to bill Obligors and collect therefrom, in the ordinary course of business, and (ii) Lender will not require any copyrights, patents, trademarks or other intellectual property or any licenses to use the same in order to provide such services or bill and collect the Accounts, after the occurrence of an Event of Default.

5.26 Solvency: On the Closing Date, and immediately prior to and after giving effect to each borrowing hereunder and the use of the proceeds thereof, with respect to the Borrowers taken as a whole and measured on a consolidated basis (a) the fair value of the Borrowers' assets is greater than the amount of their liabilities (including disputed, contingent and unliquidated liabilities) as such value is established and liabilities evaluated, (b) the present fair saleable value of their assets is not less than the amount that will be required to pay the probable liability on their debts as they become absolute and matured, (c) the Borrowers are able to realize upon their assets and pay their debts and other liabilities (including disputed, contingent and unliquidated liabilities) as they mature in the normal course of business, (d) the Borrowers do not intend to, and do not believe that they will, incur debts or liabilities beyond their ability to pay as such debts and liabilities mature, and (e) the Borrowers are not engaged in business or a transaction, and are not about to engage in business or a transaction, for which their property would constitute unreasonably small capital.

5.27 Acquisition Documents: Lender has received complete copies of the Acquisition Documents (including all exhibits, schedules and disclosure letters referred to therein or delivered pursuant thereto, if any) and all amendments thereto, waivers relating thereto and other side letters or agreements affecting the terms thereof. No such documents or agreements have been amended or supplemented, nor have any of the provisions thereof been waived except pursuant to a written agreement or instrument which has heretofore been delivered to Lender. The Acquisition Transactions have been consummated in accordance with the Acquisition Documents and applicable law.

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5.28 DVI Documents: Lender has received complete copies of the DVI Documents (including all exhibits, schedules and disclosure letters referred to therein or delivered pursuant thereto, if any) and all amendments thereto, waivers relating thereto and other side letters or agreements affecting the terms thereof. No such documents or agreements have been amended or supplemented, nor have any of the provisions thereof been waived except pursuant to a written agreement or instrument which has heretofore been delivered to Lender.

SECTION 6. BORROWER'S AFFIRMATIVE COVENANTS

Each Borrower covenants that until all of Borrowers' Obligations to Lender are paid and satisfied in full and the Credit Facility has been terminated:

6.1 Payment of Taxes and Claims: Each Borrower shall pay, before they become delinquent, all taxes, assessments and governmental charges or levies imposed upon it or upon such Borrower's Property, except for those being contested in good faith with due diligence by appropriate proceedings and for which appropriate reserves have been maintained under GAAP.

6.2 Maintenance of Insurance, Financial Records and Existence:

(a) Property Insurance - Borrowers shall maintain or cause to be maintained insurance on its Property against fire, flood, casualty and such other hazards in such amounts, with such deductibles and with such insurers as are customarily used by companies operating in the same industry as Borrowers The policies of all such casualty insurance shall contain standard Lender Loss Payable and additional insured clauses issued in favor of Lender pursuant to which all losses thereunder shall be paid to Lender as Lender's interests may appear. Such policies shall expressly provide that the requisite insurance cannot be altered or canceled without thirty (30) days prior written notice to Lender and shall insure Lender notwithstanding the act or neglect of the insured. At or prior to Closing, Borrowers shall furnish Lender with insurance certificates certified as true and correct and being in full force and effect as of the Closing Date or such other evidence of insurance as Lender may require. In the event Borrowers fail to procure or cause to be procured any such insurance or to timely pay or cause to be paid the premium(s) on any such insurance, after five (5) days notice to the Borrowers unless Lender, in its reasonable judgment, determines that immediate action is necessary to preserve or protect its rights hereunder or in the Collateral, Lender may do so for Borrowers, but Borrowers shall continue to be liable for the same. Borrowers further covenant that all insurance premiums owing under its current casualty policy have been paid. Borrowers also agree to notify Lender, promptly, upon Borrowers' receipt of a notice of termination, cancellation or non-renewal from its insurance company of any such policy. Each Borrower hereby appoints Lender as its attorney-in-fact, exercisable at Lender's option, to endorse any check which may be payable to such Borrower in order to collect the proceeds of such insurance.

(b) Public Liability and Business Interruption Insurance - Borrowers shall maintain, and shall deliver to Lender upon Lender's request evidence of public liability and business interruption insurance in such amounts as is customary for companies in the same or similar businesses located in the same or similar area.

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(c) Financial Records - Borrowers shall keep current and accurate books of records and accounts in which full and correct entries will be made of all of its business transactions, and will reflect in its financial statements adequate accruals and appropriations to reserves, all in accordance with GAAP. Lender hereby acknowledges and approves the planned change by MBS in its fiscal year from September 30th to December 31st in connection with the Acquisition Transactions. No Borrower shall change its respective fiscal year end date without the prior written notice to Lender.

(d) Existence and Rights - Each Borrower shall do (or cause to be done) all things necessary to preserve and keep in full force and effect its legal existence, good standing, rights and franchises.

(e) Compliance with Laws - Each Borrower shall be in compliance with any and all laws, ordinances, governmental rules and regulations, and court or administrative orders or decrees to which it is subject, whether federal, state or local (including without limitation all environmental or environmental-related laws, statutes, ordinances, rules, regulations and notices), and shall obtain and maintain any and all licenses, permits, franchises, certificates of need or other governmental authorizations necessary to the ownership of its Property or to the conduct of its businesses, which violation or failure to obtain may materially adversely affect the business, Property, financial conditions or prospects of such Borrower, the Collateral, or Lender's rights with respect to the Collateral.

6.3 Business Conducted: Each Borrower shall continue in the business presently operated by it using its best efforts to maintain its customers. No Borrower shall engage, directly or indirectly, in any material respect in any line of business substantially different from the businesses conducted by it immediately prior to the Closing Date.

6.4 Litigation: Borrowers shall give prompt notice to Lender of any litigation claiming in excess of $50,000 from Borrowers, or any of them, or which may otherwise have a material adverse effect on the business, financial condition, Property or prospects of Borrowers, or any of them.

6.5 Taxes: Borrowers shall pay all taxes (other than taxes based upon or measured by Lender's income or revenues), if any, in connection with the Loans and/or the recording of any financing statements or other Loan Documents. The Obligations of Borrowers under this section shall survive the payment of Borrowers' Obligations under this Agreement and the termination of this Agreement.

6.6 Financial Covenants: Borrowers shall perform and comply with each of the following financial covenants as reflected and computed from their financial statements:

(a) Debt Service Coverage Ratio. Commencing with the fiscal quarter ending June 30, 2005, Borrowers shall maintain at all times, a Debt Service Coverage Ratio, measured quarterly at the end of each fiscal quarter as follows:

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       Fiscal Quarter                                            Ratio
       --------------                                            -----
For the fiscal quarter ending
June 30, 2005                                                 1.00 to 1.00

For the fiscal quarter ending
September 30, 2005                                            1.10 to 1.00

For the fiscal quarter ending
December 31, 2005                                             1.20 to 1.00

For the fiscal quarter ending March 31, 2006
and each fiscal quarter thereafter                            1.25 to 1.00

(b) Minimum Operating Income (SurgiCare). For each of the fiscal quarters ending June 30, 2005 through December 31, 2005, Surgery Entities shall maintain a minimum Operating Income, before allocation of corporate overhead, measured quarterly as of the end of the such fiscal quarters as follows:

        Fiscal Quarter                                         Amount
        --------------                                         ------
For the fiscal quarter ending
June 30, 2005                                                 $  820,571

For the fiscal quarter ending
September 30, 2005                                            $  870,418

For the fiscal quarter ending
December 31, 2005                                             $1,064,856

(c) Minimum Operating Income (IntegriMED). For each of the fiscal quarters ending June 30, 2005 through December 31, 2005, IntegriMED shall maintain a minimum Operating Income, before allocation of corporate overhead, measured quarterly as of the end of the such fiscal quarters as follows:

        Fiscal Quarter                                         Amount
        --------------                                         ------
For the fiscal quarter ending
June 30, 2005                                                 ($172,144)

For the fiscal quarter ending
September 30, 2005                                             ($63,025)

For the fiscal quarter ending
December 30, 2005                                             $  63,460

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(d) Excess Liquidity: Until such time as Guarantor has been released in writing by Lender from the Guaranty Agreement, Guarantor shall maintain at all times Excess Liquidity in an amount not less than Five Million Dollars ($5,000,000).

6.7 Financial and Business Information: Borrowers shall deliver to Lender the following (all to be in form and substance satisfactory to Lender):

(a) Financial Statements and Collateral Reports:

(i) as soon as available but in any event, within one hundred and twenty (120) days after the end of each fiscal year of Borrowers, deliver (A) financial statements of Borrowers for such year which present fairly Borrowers' financial condition including the balance sheet of Borrowers as at the end of such fiscal year and a statement of cash flows and income statement for such fiscal year, all on a consolidated and consolidating basis, setting forth in the consolidated statements in comparative form, the corresponding figures as at the end of and for the previous fiscal year, all in reasonable detail, including all supporting schedules, and audited by independent public accountants of recognized standing, selected by Borrowers and reasonably satisfactory to Lender, and prepared in accordance with GAAP and (B) so long as San Jacinto is not consolidated with Borrowers in accordance with GAAP, internally prepared financial statements of San Jacinto for such year which present fairly San Jacinto's financial condition including balance sheet of San Jacinto as at the end of such fiscal year and a statement of cash flows and income statement for such fiscal year, all on a consolidated with Borrowers and consolidating basis, setting forth in the consolidated statements in comparative form, the corresponding figures as at the end of and for the previous fiscal year, all in reasonable detail, including all supporting schedules, and prepared in accordance with GAAP;

(ii) as soon as available but in any event within forty-five (45) days after the end of each fiscal quarter, deliver to Lender Borrowers' internally prepared quarterly consolidated and consolidating financial statements, along with year to date information, including a balance sheet, income statement, statement of cash flows and a report of the variation of actual results to Projections, with respect to the periods measured;

(iii) promptly upon request, deliver such other information concerning Borrowers as Lender may from time to time request, including Medicare and Medicaid cost reports and audits, annual reports, security law filings and reports to any security holders; and

(iv) at least thirty (30) days prior to the first day of each fiscal year, annual consolidated and consolidating projections for Borrowers for such year, including a balance sheet, income statement and statement of cash flow and a Borrowing Base Availability projections, all prepared on a monthly basis; and

(v) contemporaneously with delivery of the annual financial statements referred to in clause (i) above, census data for each Borrower and a good standing certificate from each Borrower's jurisdiction of organization evidencing that such Borrower remain in good standing in, and continue to be organized under the laws of, such jurisdiction; and

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(vi) such other data, reports, statements and information (financial or otherwise), as Lender may reasonably request.

(b) Notice of Event of Default - promptly upon becoming aware of the existence of any condition or event which constitutes a default or an Event of Default or Unmatured Event of Default under this Agreement, a written notice specifying the nature and period of existence thereof and what action Borrowers are taking (and propose to take) with respect thereto;

(c) Notice of Claimed Default - promptly upon receipt by any Borrower, notice of default, oral or written, given to such Borrower by any creditor for borrowed money in excess of $50,000.

6.8 Officers' Certificates: Along with the set of financial statements delivered to Lender at the end of each fiscal quarter and fiscal year pursuant to Section 6.7(a) hereof, deliver to Lender a certificate (in the form of EXHIBIT 6.8 attached hereto and made a part hereof) from the chief financial officer of Borrowers setting forth:

(a) Covenant Compliance - the information (including detailed calculations) required in order to establish whether Borrowers are in compliance with the requirements of Sections 6.6 as of the end of the period covered by the financial statements then being furnished (and any exhibits appended thereto) under Section 6.7; and

(b) Event of Default - that the signer in his capacity as an officer of Borrowers has reviewed the relevant terms of this Agreement, and has made (or caused to be made under his supervision) a review of the transactions and conditions of Borrowers from the beginning of the accounting period covered by the financial statements being delivered therewith to the date of the certificate, and that such review has not disclosed the existence during such period of any condition or event which constitutes an Event of Default or Unmatured Event of Default or if any such condition or event existed or exists, specifying the nature and period of existence thereof and what action Borrowers have taken or propose to take with respect thereto.

6.9 Inspection: Borrowers will permit any of Lender's officers or other representatives to visit and inspect any Borrower's location(s) or where any Collateral is kept during regular business hours to examine and audit all of such Borrower's books of account, records, reports and other papers, to make copies and extracts therefrom and to discuss its affairs, finances and accounts with its officers, employees and independent certified public accountants and attorneys. Borrowers shall pay to Lender all reasonable fees based on standard rates for such inspections, currently at the rate of $850 per day, per person (plus out-of-pocket expenses); provided however, so long as no Event of Default or Unmatured Event of Default has occurred, Borrowers shall only be required to pay Lender's inspection fees or other audit expenses for two (2) inspections per fiscal year.

6.10 Tax Returns and Reports: At Lender's request from time to time, Borrowers shall promptly furnish Lender with copies of the annual federal and state income tax returns of Borrowers.

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6.11 Material Adverse Developments: Each Borrower agrees that immediately upon it or any of its officers becoming aware of any development or other information which would reasonably be expected to materially and adversely affect the businesses, financial condition, Property, prospects of a Borrower or a Borrower's ability to perform under this Agreement, it shall give to Lender telephonic or facsimile notice specifying the nature of such development or information and such anticipated effect. In addition, such verbal communication shall be confirmed by written notice thereof to Lender on the next Business Day after such verbal notice is given.

6.12 Places of Business: Each Borrower shall give thirty (30) days prior written notice to Lender of any changes (a) its jurisdiction of organization, (b) in the location of any of its chief executive office or any other places of business, or the establishment of any new, or the discontinuance of any existing place of business, and (c) its name.

6.13 Notice of Action: Each Borrower will promptly notify Lender in the event of any legal action, dispute, setoff, counterclaim, defense or reduction that is or may be asserted by an Obligor with respect to any Account that may have a material adverse effect on the collectibility of such Account or all Accounts collectively.

6.14 Verification of Information: At the request of Lender, Borrowers will promptly provide and verify the accuracy of information concerning Borrowers and their Affiliates of the type provided to Lender in connection with Lender's decision to enter into this Agreement and such other information concerning Borrowers and their Affiliates as Lender may reasonably request in connection with any offering documents with respect to the contemplated securitization of, and sale of securities backed by, the Eligible Accounts (the "SECURITIES"), including, without limitation, all information necessary to provide full and complete disclosure of all material facts pertaining to an investment in the Securities in compliance with federal and state securities and blue sky laws, and such information may be published in such offering documents and relied upon by Lender and any party arranging the offering of such Securities by Lender or its assignee. Such information will be true and complete in all material respects and will not omit to state a material fact necessary to make the statements contained in such information, in light of the circumstances under which they were made, not misleading.

6.15 Value Track System(TM): Borrowers shall permit Lender to interface its Value Track System(TM) to Borrowers' data files and will assist Lender in completing and maintaining such interface such that the interface can interpret, track and reconcile the Accounts Detail File provided by Borrowers.

6.16 Commercial Tort Claim: Borrowers shall provide written notice to Lender of any commercial tort claim to which a Borrower is or becomes a party or which otherwise inures to the benefit of a Borrower. Such notice shall contain a sufficient description of such commercial tort claim including the parties, the court in which the claim was commenced (if applicable), the docket number assigned to the case (if applicable), and a detailed explanation of the events giving rise to such claim. Borrowers shall grant Lender a security interest in such commercial tort claim to secure payment of the Obligations. Borrowers shall execute and deliver such instruments, documents and agreements as Lender may require in order to obtain and perfect such security interest including, without limitation, a security agreement or amendment to this Agreement all in form and substance

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satisfactory to Lender. Each Borrower authorizes Lender to file (without such Borrower's signature) financing statements or amendments to existing financing statements as Lender deems necessary to perfect the security interest in such commercial tort claim.

6.17 First Street, Southeast and West Loop: Neither First Street SurgiCare, LP, Southeast SurgiCare, Inc. nor West Loop SurgiCare, Inc. owns any assets or conducts any business. Within thirty (30) days of the date hereof, each of First Street SurgiCare, LP, Southeast SurgiCare, Inc. and West Loop SurgiCare, Inc. shall be dissolved.

SECTION 7. BORROWERS' NEGATIVE COVENANTS

Each Borrower covenants that until all of Borrowers' Obligations to Lender are paid and satisfied in full and the Credit Facility has been terminated, that:

7.1 Merger, Consolidation, Dissolution or Liquidation:

(a) No Borrower shall sell, lease, license, transfer or otherwise dispose of its Property other than inventory sold in the ordinary course or ordinary operation of such Borrower's business, without Lender's prior written consent.

(b) No Borrower shall merge or consolidate with, or acquire, any other Person or commence a dissolution or liquidation, other than through a merger or other consolidation with another Borrower, without Lender's prior written consent.

7.2 Liens and Encumbrances: No Borrower shall: (i) execute a negative pledge agreement with any Person covering any of the Collateral, or (ii) cause or permit or agree or consent to cause or permit in the future (upon the happening of a contingency or otherwise) the Collateral, whether now owned or hereafter acquired, to be subject to any lien, claim or encumbrance other than those of Lender and Permitted Liens.

7.3 Negative Pledge: Other than capital stock of Orion that is publicly traded, no Borrower shall permit a lien or security interest to exist on its common stock, partnership interests or membership units nor shall any such Borrower permit, pledge or grant a lien or security interest to exist on the common stock, partnership interests or membership units of its subsidiaries and/or Affiliates.

7.4 Transactions With Affiliates or Subsidiaries:

(a) No Borrower shall enter into any transaction with any subsidiary or other Affiliate (other than another Borrower) including, without limitation, the purchase, sale, lease or exchange of Property, or the loaning, capitalization or giving of funds to any such Affiliate or any subsidiary, unless (i) such subsidiary or Affiliate is engaged in a business substantially related to the business conducted by such Borrower and (ii) the transaction is in the ordinary course of and pursuant to the reasonable requirements of such Borrower's business and upon terms substantially the same and no less favorable to such Borrower as it would obtain in a comparable arm's-length transactions with any Person not an Affiliate or a subsidiary and (iii) such transaction is not prohibited hereunder.

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(b) Subject in any event to the limitations of Section 7.4(a) above and except with the prior written consent of Lender, which consent shall not be unreasonably withheld, no Borrower shall create or acquire any subsidiary unless such subsidiary engages in a business substantially related to the business of such Borrower as conducted immediately prior to the Closing Date, and if required by Lender, such subsidiary becomes a Borrower hereunder.

7.5 Guarantees: No Borrower shall become or be liable, directly or indirectly, primary or secondary, matured or contingent, in any manner, whether as guarantor, surety, accommodation maker, or otherwise, for the existing or future indebtedness of any kind of any other Person, except endorsements in the ordinary course of business of negotiable instruments for deposit or collection.

7.6 Indebtedness: Without Lender's prior written consent, no Borrower shall create, incur, assume or suffer to exist any Indebtedness (exclusive of trade debt) except (subject to compliance with Section 6.6 hereof):

(a) Indebtedness to Lender,

(b) Indebtedness specifically identified on SCHEDULE 2 hereto and any refinancings, refundings, renewals, or extensions thereof;

(c) Indebtedness constituting purchase money indebtedness for the financing of capital expenditures so long as such Indebtedness is secured only by a security interest in the equipment being financed and so long as such Indebtedness does not cause, or result in, an Event of Default or Unmatured Event of Default;

(d) Indebtedness of any Borrower to any other Borrower; and

(e) Indebtedness constituting Subordinated Debt.

7.7 Loans to Other Persons: No Borrower shall make or be permitted to have outstanding any loans, advances or extensions of credit to any Person (other than another Borrower).

7.8 Change in Ownership/Management: No Borrower shall permit a Change of Control. In addition, unless consented to by Lender, or if a replacement acceptable to Lender is employed within 90 days of any terminations, Terrence Bauer and Keith G. LeBlanc shall continue as senior management of Borrowers actively involved in the date to day management of such Borrowers as Chief Executive Officer of Orion and President of Orion, respectively.

7.9 Subordinated Debt Payments: No Borrower shall make any payment in contravention of the terms and conditions of the Subordination Agreements.

7.10 Distributions: Borrowers shall not declare or pay or make any forms of Distributions to its Shareholders, Affiliates, officers or directors or their respective successors or assigns, provided however that so long as no Event of Default or Unmatured Event of Default has occurred or would result from the making of such payment, the Surgery Entities may make

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Distributions to certain of their respective limited partners as required by the terms of their respective limited partnership agreements.

SECTION 8. DEFAULT

8.1 Events of Default: Each of the following events shall constitute an event of default ("EVENT OF DEFAULT") and Lender shall thereupon have the option to declare the Obligations immediately due and payable, all without demand, notice, presentment or protest or further action of any kind (it also being understood that the occurrence of any of the events or conditions set forth in subparagraphs (j), (k), (l) or (r) shall automatically cause an acceleration of the Obligations without notice or demand):

(a) Payments - if Borrowers fail to make any payment of principal or interest on the date when such payment is due and payable and such failure continues for a period of two (2) Business Day; provided, however, that the two (2) Business Day grace period shall not be applicable if such payments are due and payable due to maturity, acceleration or demand, whether following an Event of Default or otherwise; or

(b) Other Charges - if Borrowers fail to pay any other charges, fees, Expenses or other monetary obligations owing to Lender, arising out of or incurred in connection with this Agreement on the date when such payment is due and payable, whether upon maturity, acceleration, demand or otherwise and such failure continues for a period of five (5) Business Days after the earlier of a Borrower becoming aware of such failure or a Borrower receiving written notice of such failure; provided, however, that the five (5) Business Day grace period shall not be applicable if such payments are due and payable due to maturity, acceleration or demand, whether following an Event of Default, or otherwise; or

(c) Particular Covenant Defaults - if any Borrower fails to perform, comply with or observe any covenant or undertaking contained in this Agreement not otherwise described in this Section 8.1, and such failure continues for a period of ten (10) Business Days after the earlier of a Borrower becoming aware of such failure or a Borrower receiving written notice of such failure; or

(d) Financial Information - if any statement, report, financial statement, or certificate made or delivered by a Borrower or any of their officers, employees or agents, to Lender is not true and correct, in all material respects, when made; or

(e) Uninsured Loss - if there shall occur any uninsured damage to or loss, theft, or destruction in excess of $50,000 with respect to any portion of any Borrower's Property; or

(f) Warranties or Representations - if any warranty, representation or other statement by or on behalf of Borrowers, or any of them, contained in or pursuant to this Agreement, or in any document, agreement or instrument furnished in compliance with, relating to, or in reference to this Agreement, is false, erroneous, or misleading in any material respect when made; or

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(g) Agreements with Others - if Borrowers, or any of them, shall default beyond any grace period under any agreement with respect to any Indebtedness and (i) such default consists of the failure to pay any principal, premium or interest with respect to such Indebtedness or (ii) such default consists of the failure to perform any covenant or agreement with respect to such Indebtedness, if the effect of such default is to cause or permit such Indebtedness to become due prior to its maturity date or prior to its regularly scheduled date of payment;

(h) Other Agreements with Lender - if Borrowers, or any of them, breach or violate the terms of, or if a default or an event of default, occurs under, any other existing or future agreement (related or unrelated) between or among Borrowers, or any of them and Lender; or

(i) Judgments - if any final judgment for the payment of money in excess of $50,000 shall be rendered against Borrowers, or any of them, which is not fully and unconditionally covered by insurance or an appeal bond, or for which such Person has not established a cash or cash equivalent reserve in the amount of such judgment;

(j) Assignment for Benefit of Creditors, etc. - if Borrowers, or any of them, make or propose an assignment for the benefit of creditors generally, offers a composition or extension to creditors, or makes or sends notice of an intended bulk sale of any business or assets now or hereafter owned or conducted by any Borrower which might materially and adversely affect such Person; or

(k) Bankruptcy, Dissolution, etc. - upon the commencement of any action for the dissolution or liquidation of Borrowers, or any of them, or the commencement of any proceeding to avoid any transaction entered into by Borrowers, or any of them, or the commencement of any case or proceeding for reorganization or liquidation of Borrowers', or any of their debts under the Bankruptcy Code or any other state or federal law, now or hereafter enacted for the relief of debtors, whether instituted by or against any Borrower; provided, however, that Borrowers shall have forty-five (45) days to obtain the dismissal or discharge of involuntary proceedings filed against a Borrower, it being understood that during such forty-five (45) day period, Lender shall be not obligated to make Advances hereunder and Lender may seek adequate protection in any bankruptcy proceeding; or

(l) Receiver - upon the appointment of a receiver, liquidator, custodian, trustee or similar official or fiduciary for Borrowers, or any of them, or for any of any such Borrower's Property; or

(m) Execution Process, Seizure, etc. - the issuance of any execution or distraint process against any Borrower, or any of them, or any Property of any such Borrower is seized by any governmental entity, federal, state or local; or

(n) Termination of Business - if Borrowers, or any of them, cease any material portion of their business operations as presently conducted; or

(o) Pension Benefits, etc. - if Borrowers, or any of them, fail to comply with ERISA, so that grounds exist to permit the appointment of a trustee under ERISA to administer

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Borrower's employee plans or to allow the Pension Benefit Guaranty Corporation to institute proceedings to appoint a trustee to administer such plan(s), or to permit the entry of a Lien to secure any deficiency or claim; or

(p) Investigations - confirmed evidence received by Lender that reasonably leads it to believe Borrowers, or any of them, may have directly or indirectly been engaged in any type of activity which would be reasonably likely to result in the forfeiture of any Property of Borrowers, or any of them, to any governmental entity, federal, state or local; or

(q) Material Adverse Events -

(i) Lender reasonably determines that an event which adversely affects the collectibility of a material portion of the Accounts has occurred; or

(ii) a material adverse change occurs in the business or condition of Borrowers, or any of them; or

(r) Lockbox Instructions - any instruction or agreement regarding the Commercial Lockbox or the Government Lockbox or the bank accounts related thereto is amended or terminated without the written consent of Lender, or if any Borrower fails, within two (2) Business Day of receipt, to forward Collections it receives with respect to any Accounts to the Commercial Lockbox or the Government Lockbox, as the case may be; or

(s) Guaranty Agreement. - any breach or default occurs under the Guaranty Agreement or if the Guaranty Agreement or the obligations to perform thereunder are terminated without the prior written consent of Lender; or

(t) DVI Documents. - any breach, default or event of default occurs under any of the DVI Documents.

8.2 Cure: Nothing contained in this Agreement or the Loan Documents shall be deemed to compel Lender to accept a cure of any Event of Default hereunder.

8.3 Rights and Remedies on Default:

(a) In addition to all other rights, options and remedies granted or available to Lender under this Agreement or the Loan Documents, or otherwise available at law or in equity, upon or at any time after the occurrence and during the continuance of an Event of Default or Unmatured Event of Default, Lender may, in its discretion, withhold or cease making Advances under the Credit Facility.

(b) In addition to all other rights, options and remedies granted or available to Lender under this Agreement or the Loan Documents (each of which is also then exercisable by Lender), Lender may, in its discretion, upon or at any time after the occurrence of an Event of Default, terminate the Credit Facility (it also being understood that the occurrence of any of the events or conditions set forth in subparagraphs (j), (k) or (l) of Section 8.1 hereof shall automatically cause a termination of the Credit Facility without notice or demand).

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(c) In addition to all other rights, options and remedies granted or available to Lender under this Agreement or the Loan Documents (each of which is also then exercisable by Lender), Lender may, upon or at any time after the occurrence of an Event of Default, exercise all rights under the UCC and any other applicable law or in equity, and under all Loan Documents permitted to be exercised after the occurrence of an Event of Default, including the following rights and remedies (which list is given by way of example and is not intended to be an exhaustive list of all such rights and remedies):

(i) Subject to all applicable laws and regulations governing payment of Medicare and Medicaid receivables, the right to "take possession" of the Collateral, and notify all Obligors of Lender's security interest in the Collateral and require payment under the Accounts and in connection with or pursuant to Management Service Agreements and/or Business Services Agreement to be made directly to Lender and Lender may, in its own name or in the name of the applicable Borrower, exercise all rights of a secured party with respect to the Collateral and collect, sue for and receive payment on all Accounts, and settle, compromise and adjust the same on any terms as may be satisfactory to Lender, in its sole and absolute discretion for any reason or without reason and Lender may do all of the foregoing with or without judicial process (including without limitation notifying the United States postal authorities to redirect mail addressed to Borrowers, or any of them, to an address designated by Lender); or

(ii) Require Borrowers at Borrowers' expense, to assemble all or any part of the Collateral and make it available to Lender at any place designated by Lender, which may include providing Lender or any entity designated by Lender with access (either remote or direct) to Borrowers' information system for purposes of monitoring, posting payments and rebilling Accounts to the extent deemed desirable by Lender in its sole discretion; or

(iii) The right to reduce or modify the Revolving Loan Commitment, Borrowing Base or any portion thereof or the Advance Rates or to modify the terms and conditions upon which Lender may be willing to consider making Advances under the Credit Facility or to take additional reserves in the Borrowing Base for any reason.

(d) Borrowers hereby agree that a notice received by them at least ten (10) days before the time of any intended public sale or of the time after which any private sale or other disposition of the Collateral is to be made, shall be deemed to be reasonable notice of such sale or other disposition. If permitted by applicable law, any Collateral which threatens to speedily decline in value or which is sold on a recognized market may be sold immediately by Lender without prior notice to Borrowers. Each Borrower covenants and agrees not to interfere with or impose any obstacle to Lender's exercise of its rights and remedies with respect to the Collateral.

(e) Lender is hereby granted, until the Obligations are paid in full and all obligations of Lender hereunder are terminated, a worldwide license to use, after the occurrence and during the continuance of an Event of Default and without charge, all of Borrowers' labels, trademarks (and associated goodwill), copyrights, patents and advertising matter, as they pertain to the Collateral, in completing production of, advertising for sale and selling of any Collateral.

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8.4 Nature of Remedies: All rights and remedies granted Lender hereunder and under the Loan Documents, or otherwise available at law or in equity, shall be deemed concurrent and cumulative, and not alternative remedies, and Lender may proceed with any number of remedies at the same time until all Obligations are satisfied in full. The exercise of any one right or remedy shall not be deemed a waiver or release of any other right or remedy, and Lender, upon or at any time after the occurrence of an Event of Default, may proceed against Borrowers, or any of them, at any time, under any agreement, with any available remedy and in any order.

8.5 Set-Off: If any bank account or other Property held by or with Lender, or any Affiliate of Lender, or any participant in the Loans, is attached or otherwise liened or levied upon by any third party, Lender (and such participant) shall have and be deemed to have, without notice to Borrowers, the immediate right of set-off and may apply the funds or other amounts or property thus set off against any of Borrowers' Obligations hereunder.

SECTION 9. MISCELLANEOUS

9.1 GOVERNING LAW: THIS AGREEMENT, AND ALL MATTERS ARISING OUT OF OR RELATING TO THIS AGREEMENT, SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW JERSEY. THE PROVISIONS OF THIS AGREEMENT, THE OTHER LOAN DOCUMENTS AND ALL OTHER AGREEMENTS AND DOCUMENTS REFERRED TO HEREIN ARE TO BE DEEMED SEVERABLE, AND THE INVALIDITY OR UNENFORCEABILITY OF ANY PROVISION SHALL NOT AFFECT OR IMPAIR THE REMAINING PROVISIONS WHICH SHALL CONTINUE IN FULL FORCE AND EFFECT.

9.2 Integrated Agreement: The Revolving Credit Note, the other Loan Documents, all related agreements, and this Agreement shall be construed as integrated and complementary of each other, and as augmenting and not restricting Lender's rights and remedies. If, after applying the foregoing, an inconsistency still exists, the provisions of this Agreement shall constitute an amendment thereto and shall control.

9.3 Waiver and Indemnity:

(a) No omission or delay by Lender in exercising any right or power under this Agreement or any related agreements and documents will impair such right or power or be construed to be a waiver of any default, or Event of Default or an acquiescence therein, and any single or partial exercise of any such right or power will not preclude other or further exercise thereof or the exercise of any other right, and as to any Borrower no waiver will be valid unless in writing and signed by Lender and then only to the extent specified.

(b) Each Borrower releases and shall indemnify, defend and hold harmless Lender, and its respective officers, employees and agents, of and from any claims, demands, liabilities, obligations, judgments, injuries, losses, damages and costs and expenses (including, without limitation, reasonable legal fees) resulting from (i) acts or conduct of a Borrower under, pursuant or related to this Agreement and the other Loan Documents, (ii) any Borrower's breach, or alleged breach, or violation of any representation, warranty, covenant or undertaking contained in

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this Agreement or the other Loan Documents, and (iii) any Borrower's failure, or alleged failure, to comply with any or all laws, statutes, ordinances, governmental rules, regulations or standards, whether federal, state or local, or court or administrative orders or decrees (including without limitation environmental laws, etc.), and all costs, expenses, fines, penalties or other damages resulting therefrom, unless resulting from acts or conduct of Lender constituting willful misconduct or gross negligence.

(c) Lender shall not be liable for, and Borrowers hereby agree that Lender's liability in the event of a breach by Lender of this Agreement shall be limited to Borrowers' direct damages suffered and shall not extend to, any consequential or incidental damages. In the event Borrowers bring suit against Lender in connection with the transactions contemplated hereunder, and Lender is found not to be liable, Borrowers shall indemnify and hold Lender harmless from all costs and expenses, including attorneys' fees, incurred by Lender in connection with such suit.

9.4 Time: Whenever Borrowers, or any of them, shall be required to make any payment, or perform any act, on a day which is not a Business Day, such payment may be made, or such act may be performed, on the next succeeding Business Day. Time is of the essence in Borrowers' performance under all provisions of this Agreement and all related agreements and documents.

9.5 Expenses of Lender:

(a) At Closing and from time to time thereafter, Borrowers will pay all reasonable expenses of Lender on demand (including, without limitation, search costs, audit fees, appraisal fees, and the fees and expenses of legal counsel for Lender) relating to this Agreement, and all related agreements and documents, including, without limitation, expenses incurred in the analysis, negotiation, preparation, closing, administration and enforcement of this Agreement and the other Loan Documents, the enforcement, protection and defense of the rights of Lender in and to the Loans and Collateral or otherwise hereunder, and any reasonable expenses relating to extensions, amendments, waivers or consents pursuant to the provisions hereof, or any related agreements and documents or relating to agreements with other creditors, or termination of this Agreement (collectively, the "EXPENSES"). Any Expenses not paid upon demand by Lender shall bear interest at the highest per annum rate of interest applicable to the Loans.

(b) In addition, at any time following the date of this Agreement, Borrowers effect any changes which results in a change in the format or sequence of Borrowers' data, Borrowers shall pay to Lender its reasonable charge for implementing such changes as are necessary to accommodate the changes in the format or sequence of the data such that the Value Track System(TM) is capable of importing such data, including an hourly fee of $125.

9.6 Confidentiality: Except as provided in Section 9.19 hereof or to the extent required by law or applicable regulations, Borrowers and Lender agree to maintain the confidentiality of this Agreement and not to disclose the contents hereof or provide a copy hereof to any third party, except (i) accountants, lawyers and financial advisers of the parties who are informed of and agree to be bound by this Section 9.6, and (ii) that copies hereof may be provided to any assignee or participant (or potential assignee or participant) of Lender's interests herein, any investors or prospective investors who acquire or may acquire Securities backed by Accounts and any parties

44

which facilitate the issuance of such Securities, including rating agencies, guarantors and insurers. Lender agrees to maintain the confidentiality of patient information obtained as a result of its interests in, or duties with respect to, the Accounts and as otherwise may be required pursuant to the Business Associate Agreement.

9.7 Notices:

(a) Any notices or consents required or permitted by this Agreement shall be in writing and shall be deemed given if delivered in person or if sent by telecopy or by nationally recognized overnight courier, or via first class, Certified or Registered mail, postage prepaid, to the address of such party set forth on the signature pages hereof, unless such address is changed by written notice hereunder.

(b) Any notice sent by Lender or Borrowers, or any of them, by any of the above methods shall be deemed to be given when so received.

(c) Lender shall be fully entitled to rely upon any facsimile transmission or other writing purported to be sent by any Authorized Officer (whether requesting an Advance or otherwise) as being genuine and authorized.

9.8 Brokerage: Borrowers represent that Borrowers have not committed Lender to the payment of any brokerage fee, commission or charge in connection with this transaction. If any such claim is made on Lender by any broker, finder or agent or other Person, each Borrower hereby indemnifies, defends and saves Lender harmless against such claim and further will defend, with counsel satisfactory to Lender, any action or actions to recover on such claim, at Borrowers' own cost and expense, including Lender's reasonable counsel fees. Each Borrower further agrees that until any such claim or demand is adjudicated in Lender's favor, the amount demanded shall be deemed an Obligation of Borrowers under this Agreement.

9.9 Headings: The headings of any paragraph or Section of this Agreement are for convenience only and shall not be used to interpret any provision of this Agreement.

9.10 Survival: All warranties, representations, and covenants made by any or all Borrowers and/herein, or in any agreement referred to herein or on any certificate, document or other instrument delivered by it or on its behalf under this Agreement, shall be considered to have been relied upon by Lender, and shall survive the delivery to Lender of the Revolving Credit Note, regardless of any investigation made by Lender or on its behalf. All statements in any such certificate or other instrument prepared and/or delivered for the benefit of Lender shall constitute warranties and representations by Borrowers hereunder. Except as otherwise expressly provided herein, all covenants made by any or all Borrowers hereunder or under any other agreement or instrument shall be deemed continuing until all Obligations are satisfied in full.

9.11 Successors and Assigns: This Agreement shall inure to the benefit of and be binding upon the successors and assigns of each of the parties. No Borrower may transfer, assign or delegate any of its duties or obligations hereunder, without the prior written consent of Lender. In the event Lender sells the Loans in their entirety, or conveys all of its rights hereunder in connection

45

with the sale of all of the assets or voting stock of Lender, to a third party other than an affiliate or subsidiary of Lender, Borrowers shall not be obligated to pay Termination Fee pursuant to Section 2.3(c).

9.12 Duplicate Originals: Two or more duplicate originals of this Agreement may be signed by the parties, each of which shall be an original but all of which together shall constitute one and the same instrument. This Agreement may be executed in counterparts, all of which counterparts taken together shall constitute one completed fully executed document.

9.13 Modification: No modification hereof or any agreement referred to herein shall be binding or enforceable unless in writing and signed by Borrowers and Lender.

9.14 Signatories: Each individual signatory hereto represents and warrants that he is duly authorized to execute this Agreement on behalf of his principal and that he executes the Agreement in such capacity and not as a party.

9.15 Third Parties: No rights are intended to be created hereunder, or under any related agreements or documents for the benefit of any third party donee, creditor or incidental beneficiary of any Borrower. Nothing contained in this Agreement shall be construed as a delegation to Lender of any Borrower's duty of performance, including, without limitation, such Borrower's duties under any account or contract with any other Person.

9.16 Waivers:

(a) Borrowers each hereby irrevocably, unconditionally and fully subordinate in favor of Lender, any and all rights they or any of them, may have at any time (whether arising directly or indirectly, by operation of law or contract) to assert or receive payment on any claim against each other or any of them, on account of payments made under this Agreement, including without limitation, any and all rights of subrogation, reimbursement, exoneration, contribution or indemnity. Each Borrower waives any event or circumstances which might constitute a legal or equitable defense of, or discharge of, such Borrower. Furthermore, each Borrower agrees that if any payment on the Obligations is recovered from or repaid by Lender in whole or in part in any bankruptcy, insolvency or similar proceeding instituted by or against any Borrower, the remaining Borrowers and/shall be obligated to the same extent as if the recovered or repaid payment had never been originally made on such Obligation. Each Borrower consents and agrees that Lender shall be under no obligation to marshal any assets or Collateral in favor of such Borrower or against or in payment of any or all of the Obligations.

(b) Each Borrower hereby consents and agrees that Lender, at any time or from time to time in its discretion may: (i) settle, compromise or grant releases for liabilities of other Borrowers, and/or any other Person or Persons liable for any Obligations, (ii) exchange, release, surrender, sell, subordinate or compromise any Collateral of any party now or hereafter securing any of the Obligations, and (iii) following an Event of Default, apply any and all payments received at any time against the Obligations in any order as Lender may determine; all of the foregoing in such manner and upon such terms as Lender may see fit, without notice to or further consent from such

46

Borrower who hereby agrees and shall remain bound upon this Agreement notwithstanding any such action on Lender's part.

(c) The liability of each Borrower hereunder is absolute and unconditional and shall not be reduced, impaired or affected in any way by reason of (i) any failure to obtain, retain or preserve, or the lack of prior enforcement of, any rights against any Person or Persons (including other Borrowers), or in any Property, (ii) the invalidity or unenforceability of any Obligations or rights in any Collateral, (iii) any delay in making demand upon other Borrowers or any delay in enforcing, or any failure to enforce, any rights against other Borrowers or in any Collateral even if such rights are thereby lost, (iv) any failure, neglect or omission to obtain, perfect or retain any lien upon, protect, exercise rights against, or realize on, any Property of any Borrower, or any other party securing the Obligations, (v) the existence or non-existence of any defenses which may be available to the other Borrowers with respect to the Obligations, or (vi) the commencement of any bankruptcy, reorganization, liquidation, dissolution or receivership proceeding or case filed by or against any of Borrowers.

9.17 CONSENT TO JURISDICTION: EACH BORROWER AND LENDER HEREBY IRREVOCABLY CONSENT TO THE NON-EXCLUSIVE JURISDICTION OF ANY STATE OR FEDERAL COURT LOCATED IN THE STATE OF NEW JERSEY IN ANY AND ALL ACTIONS AND PROCEEDINGS WHETHER ARISING HEREUNDER OR UNDER ANY OTHER AGREEMENT OR UNDERTAKING. BORROWERS WAIVE ANY OBJECTION TO IMPROPER VENUE AND FORUM NON-CONVENIENS TO PROCEEDINGS IN ANY SUCH COURT AND ALL RIGHTS TO TRANSFER FOR ANY REASON. EACH BORROWER IRREVOCABLY AGREES TO SERVICE OF PROCESS BY CERTIFIED MAIL, RETURN RECEIPT REQUESTED TO THE ADDRESS OF THE APPROPRIATE PARTY SET FORTH HEREIN.

9.18 WAIVER OF JURY TRIAL: EACH BORROWER AND LENDER HEREBY WAIVE ANY AND ALL RIGHTS IT MAY HAVE TO A JURY TRIAL IN CONNECTION WITH ANY LITIGATION COMMENCED BY OR AGAINST LENDER WITH RESPECT TO RIGHTS AND OBLIGATIONS OF THE PARTIES HERETO OR UNDER THE LOAN DOCUMENTS, WHETHER SOUNDING IN TORT, CONTRACT OR OTHERWISE.

9.19 Publication: Borrowers grant Lender the right to publish and/or advertise information to the effect that this transaction has closed, which information may include, without limit, (i) the names of Borrowers and Lender,
(ii) the size of the transaction and (iii) those items of information commonly included within a "tombstone advertisement" of the type customarily published in financial or business periodicals.

9.20 Discharge of Taxes, Borrower's Obligations, Etc.: Lender, in its sole discretion, shall have the right at any time, and from time to time, with prior notice to Borrowers, if Borrowers fail to do so five (5) Business Days after requested in writing to do so by Lender, to: (a) pay for the performance of any of Borrowers' obligations hereunder, and (b) discharge taxes or liens, at any time levied or placed on any of Borrowers' Property in violation of this Agreement unless Borrowers are in good faith with due diligence by appropriate proceedings contesting such taxes or liens and have established appropriate reserves therefor under GAAP. Expenses and advances shall be deemed Advances hereunder and shall be

47

deemed Advances hereunder and shall bear interest at the highest rate applied to the Loans until reimbursed to Lender. Such payments and advances made by Lender shall not be construed as a waiver by Lender of an Event of Default under this Agreement.

9.21 Injunctive Relief: The parties acknowledge and agree that, in the event of a breach or threatened breach of any party's obligations hereunder, may have no adequate remedy in money damages and, accordingly, shall be entitled to an injunction (including without limitation, a temporary restraining order, preliminary injunction, writ of attachment, or order compelling an audit) against such breach or threatened breach, including without limitation, maintaining the cash management and collection procedure described herein. However, no specification in this Agreement of a specific legal or equitable remedy shall be construed as a waiver or prohibition against any other legal or equitable remedies in the event of a breach or threatened breach of any provision of this Agreement.

SECTION 10. SPECIAL INTER-BORROWER PROVISIONS

10.1 Certain Borrower Acknowledgments and Agreements:

(a) Each Borrower acknowledges that it will enjoy significant benefits from the business conducted by the other Borrowers because of, inter alia, their combined ability to bargain with other Persons including without limitation their ability to receive the Credit Facility on favorable terms granted by this Agreement and other Loan Documents which would not have been available to an individual Borrower acting alone. Each Borrower has determined that it is in its best interest to procure the Credit Facility which each Borrower may utilize directly and which receive the credit support of the other Borrowers as contemplated by this Agreement and the other Loan Documents.

(b) Lender has advised Borrowers that it is unwilling to enter into this Agreement and the other Loan Documents and make available the Credit Facility extended hereby to any Borrower unless each Borrower agrees, among other things, to be jointly and severally liable for the due and proper payment of the Obligations of each Borrower under this Agreement and other Loan Documents. Each Borrower has determined that it is in its best interest and in pursuit of its purposes that it so induce Lender to extend credit pursuant to this Agreement and the other documents executed in connection herewith (i) because of the desirability to each Borrower of the Credit Facility, the interest rates and the modes of borrowing available hereunder, (ii) because each Borrower may engage in transactions jointly with other Borrowers and (iii) because each Borrower may require, from time to time, access to funds under this Agreement for the purposes herein set forth.

(c) Each Borrower has determined that it has and, after giving effect to the transactions contemplated by this Agreement and the other Loan Documents (including, without limitation, the inter-Borrower arrangement set forth in this Section 10.1) will have, assets having a fair saleable value in excess of the amount required to pay its probable liability on its existing debts as they fall due for payment and that the sum of its debts is not and will not then be greater than all of its Property at a fair valuation, that such Borrower has, and will have, access to adequate capital for the conduct of its business and the ability to pay its debts from time to time incurred in

48

connection therewith as such debts mature and that the value of the benefits to be derived by such Borrower from the access to funds under this Agreement (including, without limitation, the inter-Borrower arrangement set forth in this
Section 10.1) is reasonably equivalent to the obligations undertaken pursuant hereto.

(d) Orion (on behalf of each Borrower) shall maintain records specifying (a) all Obligations incurred by each Borrower, (b) the date of such incurrence, (c) the date and amount of any payments made in respect of such Obligations and (d) all inter-Borrower obligations pursuant to this Section 10. Orion shall make copies of such records available to Lender, upon request.

10.2 Maximum Amount Of Joint and Several Liability: To the extent that applicable law otherwise would render the full amount of the joint and several obligations of any Borrower hereunder and under the other Loan Documents invalid or unenforceable, such Borrower's obligations hereunder and under the other Loan Documents shall be limited to the maximum amount which does not result in such invalidity or unenforceability, provided, however, that each Borrower's obligations hereunder and under the other Loan Documents shall be presumptively valid and enforceable to their fullest extent in accordance with the terms hereof or thereof, as if this Section 10.2 were not a part of this Agreement.

10.3 Authorization of Orion by Borrowers:

(a) Each of Borrowers hereby irrevocably authorizes Orion to give notices, make requests, make payments, receive payments and notices, give receipts and execute agreements, make agreements or take any other action whatever on behalf of such Borrower under and with respect to any Loan Document and each Borrower shall be bound thereby. This authorization is coupled with an interest and shall be irrevocable, and Lender may rely on any notice, request, information supplied by Orion every document executed by Orion every agreement made by Orion or other action taken by Orion in respect of Borrowers or any thereof as if the same were supplied, made or taken by any or all Borrowers. Without limiting the generality of the foregoing, the failure of one or more Borrowers to join in the execution of any writing in connection herewith shall not, unless the context clearly requires, relieve any such Borrower from obligations in respect of such writing.

(b) Borrowers acknowledge that the credit provided hereunder is on terms more favorable than any Borrower acting alone would receive and that each Borrower benefits directly and indirectly from all Advances hereunder. Each of Borrowers, shall be jointly and severally liable for all Obligations, regardless of, inter alia, which Borrower requested (or received the proceeds of) a particular Advance.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

49

IN WITNESS WHEREOF, this Agreement has been duly executed as of the day and year first above written.

BORROWERS:
Address for notices to Borrowers:
c/o Orion HealthCorp, Inc. ORION HEALTHCORP, INC. 1805 Old Alabama Road, Suite 350

Roswell, Georgia 30076                        By:     /s/ Terrence L. Bauer
Attn: Stephen Murdock                                ---------------------------
Fax: 678-832-1888                             Name:  Terrence L. Bauer
                                              Title: Chief Executive Officer

BAYTOWN SURGICARE, INC.

By:     /s/ Keith LeBlanc
       ---------------------------
Name:   Keith LeBlanc
Title:  President

BELLAIRE ASC L.P.

By: Bellaire SurgiCare, Inc.
its general partner

By: /s/ Keith LeBlanc
   ------------------------
Name:  Keith LeBlanc
Title: President

BELLAIRE SURGICARE, INC.

By:     /s/ Keith LeBlanc
       ---------------------------
Name:  Keith LeBlanc
Title: President

DENNIS CAIN MANAGEMENT, L.L.C.

By:     /s/ Keith LeBlanc
       ---------------------------
Name:  Keith LeBlanc
Title: Manager

[SIGNATURES CONTINUE ON FOLLOWING PAGE]

S-1

DENNIS CAIN PHYSICIAN SOLUTIONS,
LTD.

By: Dennis Cain Management,
L.L.C., its general

By:  /s/ Keith LeBlanc
    -----------------------
Name:  Keith LeBlanc
Title: Manager

INTEGRATED PHYSICIAN SOLUTIONS,
INC.

By:     /s/ Terrence L. Bauer
       ---------------------------
Name:  Terrence L. Bauer
Title: President and Chief
       Executive Officer

INTEGRIMED, INC.

By:     /s/ Terrence L. Bauer
       ---------------------------
Name:  Terrence L. Bauer
Title: President

MEDICAL BILLING SERVICES, INC.

By:     /s/ Stephen Murdock
       ---------------------------
Name:  Stephen Murdock
Title: Chief Financial Officer

SAN JACINTO SURGERY CENTER, LTD.

By: Baytown SurgiCare, Inc., its
general partner

By:  /s/ Keith LeBlanc
    -----------------------
Name:  Keith LeBlanc
Title: President

[SIGNATURES CONTINUE ON FOLLOWING PAGE]

S-2

SURGICARE MEMORIAL VILLAGE, L.P.

By: Town & Country SurgiCare,
Inc., its general partner

By:  /s/ Keith LeBlanc
    -----------------------
Name:  Keith LeBlanc
Title: President

TASC ANESTHESIA, LLC

By: Tuscarawas Ambulatory Surgery
Center, LLC, its Manager

By:  /s/ Keith LeBlanc
    -----------------------
Name:  Keith LeBlanc
Title: Manager

TOWN & COUNTRY SURGICARE, INC.

By:     /s/ Keith LeBlanc
       ---------------------------
Name:  Keith LeBlanc
Title: President

TUSCARAWAS AMBULATORY SURGERY
CENTER, LLC

By:  /s/ Keith LeBlanc
    -----------------------
Name:  Keith LeBlanc
Title: Manager

TUSCARAWAS OPEN MRI, LP

By: Orion HealthCorp, Inc., its
general partner

By:  /s/ Terrence L. Bauer
    -----------------------
Name:  Terrence L. Bauer
Title: Chief Executive
       Officer

[SIGNATURES CONTINUE ON FOLLOWING PAGE]

S-3

LENDER:

Address for notices to Lender:                HEALTHCARE BUSINESS CREDIT
Healthcare Business Credit Corporation        CORPORATION
305 Fellowship Road, Suite 300
Mount Laurel, NJ 08054                        By:    /s/ Stacy L. Allen
Attn: Bernard J. Lajeunesse, President              ___________________________
Fax:  856-222-0568
                                              Name:  Stacy L. Allen
                                                    ___________________________

                                              Title:  Vice President
                                                    ___________________________


EXHIBIT 10.4

GUARANTY AGREEMENT

To: Healthcare Business Credit Corporation Date: December 15, 2004 305 Fellowship Road, Suite 300
Mt. Laurel, NJ 08054

To induce you to establish and/or continue financing arrangements with and consider making or continuing certain loans and extending or continuing to extend credit from time to time to Orion HealthCorp, Inc., Baytown SurgiCare, Inc., Bellaire ASC L.P., Bellaire SurgiCare, Inc., Dennis Cain Management, L.L.C., Dennis Cain Physician Solutions, Ltd., Integrated Physician Solutions, Inc., IntegriMED, Inc., Medical Billing Services, Inc., San Jacinto Surgery Center, Ltd., SurgiCare Memorial Village, L.P., TASC Anesthesia, LLC, Town & Country SurgiCare, Inc., Tuscarawas Ambulatory Surgery Center, LLC, and Tuscarawas Open MRI, LP, and certain affiliated entities that may from time to time become a Borrower under the Loan Agreement (as defined below) (individually, each a "Borrower" and collectively, "Borrowers") the Undersigned, intending to be legally bound hereby guarantees the unconditional payment and performance to you of all of the Obligations of Borrowers to you (including, without limitation, interest owing to you after the commencement of a bankruptcy proceeding at the rate specified in the Loan Agreement, whether or not such claim is an allowable claim in such proceeding). Notwithstanding the foregoing, the Undersigned's liability shall be limited to (A) the amount of the Obligations due and owing as of the Guaranty Payment Date (as defined below) in an amount not to exceed Three Million Two Hundred Seventy Two Thousand Seven Hundred Twenty Seven Dollars ($3,272,727.00), plus (B) interest on the Obligations after the Guaranty Payment Date and any and all fees, costs and expenses, including, without limitation, reasonable attorneys' fees, incurred by you at any time to enforce, protect, preserve, or defend your rights hereunder and with respect to any property securing this Guaranty Agreement ("Liability Limit"). All payments hereunder shall be made in lawful money of the United States, in immediately available funds. Unless otherwise defined herein, all capitalized terms shall have the respective meanings given to such terms in that certain Loan and Security Agreement dated the date hereof among Borrowers and you (as it may hereafter be supplemented, amended or replaced from time to time, the "Loan Agreement").

For purposes hereof, "Guaranty Payment Date" shall mean the earliest to occur of: (i) the ninetieth (90th) day following the date that the Obligations are accelerated or otherwise become immediately due and payable, (ii) the ninetieth (90th) day following the last day of the Initial Term, (iii) the date Borrowers, or any of them, become the subject of any assignment for the benefit of creditors, bankruptcy, liquidation or other insolvency proceeding, (iv) the date on which substantially all of the assets or stock, membership or other equity interests of Borrowers, or any of them, is sold unless otherwise consented to by you in writing and (v) the date on which you determine, in your reasonable business judgment that you have substantially completed your collection and liquidation efforts with respect to the Collateral.

Each of the Undersigned further undertakes and agrees as follows:

(1) The Undersigned represents and warrants that:

(a) The Undersigned's execution and performance of this Guaranty Agreement shall not (i) violate or result in a default or breach (immediately or with the passage of time) under any contract, agreement or instrument to which the Undersigned is a party, or by which the

1

Undersigned is bound, (ii) violate or result in a default or breach under any order, decree, award, injunction, judgment, law, regulation or rule, (iii) cause or result in the imposition or creation of any lien upon any property of the Undersigned, or (iv) if applicable, violate or result in a breach of the articles of incorporation, by-laws or partnership agreement of the Undersigned.

(b) The Undersigned has the full power and capacity to enter into and perform under this Guaranty Agreement.

(c) No consent, license or approval of, or filing or registration with, any governmental authority is necessary for the execution and performance hereof by the Undersigned.

(d) This Guaranty Agreement constitutes the valid and binding obligation of the Undersigned enforceable in accordance with its terms, except as such enforceability may be limited by creditors' rights generally and general principles of equity.

(e) This Guaranty Agreement promotes and furthers the business and interests of the Undersigned and the creation of the obligations hereunder will result in direct financial benefit to the Undersigned.

(2) The Undersigned hereby waives notice of (a) acceptance of this Guaranty Agreement, (b) the existence or incurring from time to time of any Obligations guaranteed hereunder, (c) the existence of any Event of Default, the making of demand, or the taking of any action by you, under the Loan Agreement, and (d) demand and default hereunder.

(3) The Undersigned hereby consents and agrees that you may at any time or from time to time in your discretion (a) extend or change the time of payment, and/or the manner, place or terms of payment of any or all Obligations,
(b) amend, supplement or replace the Loan Agreement or any related agreements,
(c) renew, extend, modify, increase (without limit of any kind and whether related or unrelated) or decrease loans and extensions of credit to Borrower,
(d) modify the terms and conditions under which loans and extensions of credit may be made to Borrower, (e) settle, compromise or grant releases for liabilities of Borrower, and/or any other person or persons liable with Undersigned for, any Obligations, (f) exchange, release, surrender, sell, subordinate, or compromise any collateral of any party now or hereafter securing any of the Obligations, and (g) apply any and all payments received by you at any time against the Obligations in any order as you may determine; all of the foregoing in such manner and upon such terms as you may see fit, and without notice to or further consent from the Undersigned, who hereby agrees to be and shall remain bound upon this Guaranty Agreement notwithstanding any such action on your part. The Undersigned also waives any defense, right of setoff, claim or counterclaim whatsoever and any and all other rights, benefits, protections and other defenses available to the Undersigned now or at any time hereafter.

(4) The liability of the Undersigned hereunder is absolute and unconditional and shall not be reduced, impaired or affected in any way by reason of (a) any failure to obtain, retain or preserve, or the lack of prior enforcement of, any rights against any person or persons (including Borrower and the Undersigned) or in any property, (b) the invalidity or unenforceability of any Obligations or rights in any Collateral, (c) any delay in making demand upon Borrower or any delay in enforcing, or any failure to enforce, any rights against Borrower, or in any Collateral even if such rights are thereby lost, (d) any failure, neglect or omission on your part to obtain, perfect or retain

2

any lien upon, protect, exercise rights against, or realize on, any property of Borrower, the Undersigned, or any other party securing the Obligations, (e) the existence or nonexistence of any defenses which may be available to the Borrower, with respect to the Obligations, or (f) the commencement of any bankruptcy, reorganization, liquidation, dissolution or receivership proceeding or case filed by or against Borrower.

(5) If any or all payments made from time to time to you with respect to any obligation hereby guaranteed are recovered from, or repaid by, you in whole or in part in any bankruptcy, reorganization, insolvency or similar proceeding instituted by or against Borrower or either of them, this Guaranty Agreement shall continue to be fully applicable to such obligation to the same extent as if the recovered or repaid payment(s) had never been originally made on such obligation.

(6) All rights and remedies hereunder and under the Loan Agreement, and related agreements, are cumulative and not alternative. You may proceed in any order from time to time against Borrower and/or any other obligor of Borrower's Obligations (other than the Undersigned) and their respective assets. From and after the Guaranty Payment Date you shall not have any obligation to proceed against, or exhaust any or all of your rights against Borrower or any other obligor of Borrower's Obligations and their respective assets, prior to proceeding against the Undersigned hereunder.

(7) Any and all rights of any nature of the Undersigned to subrogation, reimbursement or indemnity and any right of the Undersigned to recourse to any assets or property of Borrower for any reason are hereby unconditionally waived, until such time as the Obligations of Borrower to Lender are indefeasibly paid and satisfied in full.

(8) Your books and records of any and all of Borrower's Obligations, absent manifest error, shall be prima facie evidence against the Undersigned of the indebtedness due you or to become due to you hereunder.

(9) This Guaranty Agreement shall constitute a continuing guaranty obligation with respect to all Obligations from time to time incurred or arising and the liability of the Undersigned under this Guaranty Agreement may not be revoked or terminated.

(10) The Undersigned agrees that you shall have a right of setoff against any and all property of the Undersigned now or at any time in your possession, including, without limitation, deposit accounts, and the proceeds thereof, as security for the obligations of the Undersigned hereunder.

(11) If an Event of Default occurs under the Loan Agreement, then all of the Undersigned's liabilities of every kind or nature to you hereunder shall, at your option, become immediately due and payable and you may at any time and from time to time after the occurrence of the Guaranty Payment Date take any and/or all actions and enforce all rights and remedies available hereunder or under applicable law to collect the Undersigned's liabilities hereunder.

(12) Failure or delay in exercising any right or remedy against the Undersigned hereunder shall not be deemed a waiver thereof or preclude the exercise of any other right or remedy hereunder. No waiver of any breach of or provision of this Guaranty Agreement shall be construed as a waiver of any subsequent breach or of any other provision. The invalidity or unenforceability of

3

any provision hereof shall not affect the remaining provisions which shall remain in full force and effect.

(13) This Guaranty Agreement shall (a) be legally binding upon the Undersigned, and the Undersigned's successors and assigns, provided that the Undersigned's obligations hereunder may not be delegated or assigned without your prior written consent and (b) benefit any and all of your successors and assigns. Signature by facsimile shall bind the Undersigned.

(14) This Guaranty Agreement embodies the whole agreement and understanding of the parties hereto relative to the subject matter hereof. No modification or waiver of any provision hereof shall be enforceable unless approved by you in writing.

(15) This Guaranty Agreement shall in all respects be interpreted, construed and governed by the substantive laws of the State of New York. The Undersigned irrevocably (a) submits to the jurisdiction of the state courts of the State of New Jersey and the United States District Court for the District of New Jersey for the purposes of any litigation or proceeding hereunder or concerning the terms hereof and (b) WAIVES THE RIGHT TO A JURY TRIAL WITH RESPECT TO ANY LITIGATION OR PROCEEDING HEREUNDER OR CONCERNING THE TERMS HEREOF.

(16) (a) In any action or proceeding brought by you to enforce the terms hereof, the Undersigned waives personal service of the summons, complaint, and any motion or other process, and agrees that notice thereof may be served by registered or certified mail, return receipt requested or by nationally recognized overnight courier at the address of the Undersigned set forth below. Such service shall be deemed made on the date of delivery at such address.

(b) Any and all notices which may be given to the Undersigned by you hereunder shall be sent to the Undersigned at the address of the Undersigned set forth below and shall be deemed given to and received (on the date delivered) by the Undersigned if personally delivered or if sent by facsimile transmission or if sent in the manner provided for service of process in paragraph 16(a) above or as otherwise provided in accordance with terms of the Loan Agreement.

(17) The Undersigned covenants and agrees that the Undersigned shall maintain at all times Excess Liquidity in an amount not less than Five Million Dollars ($5,000,000). For the purposes hereof, "Excess Liquidity" shall mean the difference between (a) the sum of (i) cash, plus (ii) investments readily convertible to cash, plus (iii) rights to call contributions to capital, minus
(b) the sum of (i) current obligations plus (ii) commitments to make investments.

(18) Within forty-five (45) days of the end of each fiscal quarter of the Undersigned, the Undersigned shall deliver to you financial reports and other certificates evidencing the Excess Liquidity of the Undersigned, in form and substance reasonably satisfactory to you.

(19) Simultaneously with the delivery of the financial reports delivered pursuant to paragraph 18 above, the Undersigned shall deliver to you a certificate (in the form of Exhibit A attached hereto and made a part hereof) from the Chief Financial Officer of the Undersigned setting forth the information (including detailed calculations) required in order to establish whether the Undersigned is in compliance with the requirements of paragraph 17 as of the end of the period covered by the financial statements then being furnished (and any exhibits appended thereto) under paragraph 18.

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DATED the date and year first above written:

BRANTLEY PARTNERS IV, L.P.
By: Brantley Venture Management IV,
L.P., its general partner

By: /s/ Paul H. Cascio
    -----------------------
Name:  Paul H. Cascio
Title: Authorized Signatory

Address: Lakepoint 3201 Enterprise Parkway, Suite 350 Beachwood, Ohio 44122

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EXHIBIT A

COMPLIANCE CERTIFICATE

Healthcare Business Credit Corporation
305 Fellowship Road, Suite 300
Mount Laurel, NJ 08054

The undersigned, the _____________ of Brantley Capital Partners IV, LP ("Guarantor"), in accordance with the requirements of paragraph 19 of that certain Guaranty Agreement dated _____________, 2004 executed by Guarantor in favor of Lender ("Guaranty Agreement") and that certain Loan and Security Agreement dated __________, 2004, among Orion HealthCorp, Inc., Baytown SurgiCare, Inc., Bellaire ASC L.P., Bellaire SurgiCare, Inc., Dennis Cain Management, L.L.C., Dennis Cain Physician Solutions, Ltd., Integrated Physician Solutions, Inc., IntegriMED, Inc., Medical Billing Services, Inc., San Jacinto Surgery Center, Ltd., SurgiCare Memorial Village, L.P., Southeast SurgiCare, Inc., TASC Anesthesia, LLC, Town & Country SurgiCare, Inc., Tuscarawas Ambulatory Surgery Center, LLC, and Tuscarawas Open MRI, LP (collectively, "Borrower") and Healthcare Business Credit Corporation ("Lender") ("Loan Agreement"). Capitalized terms used in this Certificate, unless otherwise defined herein, shall have the meanings ascribed to them in the Guaranty Agreement.

1. Based upon my review of the of Guarantor for the [fiscal year]
[quarterly period] ending ______________, copies of which along with calculations for the covenant are attached hereto, I hereby certify that:

a. Excess Liquidity is ___________________.

2. All warranties and representations set forth in the Guaranty Agreement and all related agreements, instruments and documents are true and correct as of the date hereof.

Very truly yours,

By: ____________________________ Name: __________________________ Title: _________________________


EXHIBIT 10.5

GUARANTY AGREEMENT

To: Healthcare Business Credit Corporation Date: December 15, 2004 305 Fellowship Road, Suite 300
Mt. Laurel, NJ 08054

To induce you to establish and/or continue financing arrangements with and consider making or continuing certain loans and extending or continuing to extend credit from time to time to Orion HealthCorp, Inc., Baytown SurgiCare, Inc., Bellaire ASC L.P., Bellaire SurgiCare, Inc., Dennis Cain Management, L.L.C., Dennis Cain Physician Solutions, Ltd., Integrated Physician Solutions, Inc., IntegriMED, Inc., Medical Billing Services, Inc., San Jacinto Surgery Center, Ltd., SurgiCare Memorial Village, L.P., TASC Anesthesia, LLC, Town & Country SurgiCare, Inc., Tuscarawas Ambulatory Surgery Center, LLC, and Tuscarawas Open MRI, LP, and certain affiliated entities that may from time to time become a Borrower under the Loan Agreement (as defined below) (individually, each a "Borrower" and collectively, "Borrowers") the Undersigned, intending to be legally bound hereby guarantees the unconditional payment and performance to you of all of the Obligations of Borrowers to you (including, without limitation, interest owing to you after the commencement of a bankruptcy proceeding at the rate specified in the Loan Agreement, whether or not such claim is an allowable claim in such proceeding). Notwithstanding the foregoing, the Undersigned's liability shall be limited to (A) the amount of the Obligations due and owing as of the Guaranty Payment Date (as defined below) in an amount not to exceed Seven Hundred Twenty Seven Thousand Two Hundred Seventy Three Dollars ($727,273.00), plus (B) interest on the Obligations after the Guaranty Payment Date and any and all fees, costs and expenses, including, without limitation, reasonable attorneys' fees, incurred by you at any time to enforce, protect, preserve, or defend your rights hereunder and with respect to any property securing this Guaranty Agreement ("Liability Limit"). All payments hereunder shall be made in lawful money of the United States, in immediately available funds. Unless otherwise defined herein, all capitalized terms shall have the respective meanings given to such terms in that certain Loan and Security Agreement dated the date hereof among Borrowers and you (as it may hereafter be supplemented, amended or replaced from time to time, the "Loan Agreement").

For purposes hereof, "Guaranty Payment Date" shall mean the earliest to occur of: (i) the ninetieth (90th) day following the date that the Obligations are accelerated or otherwise become immediately due and payable, (ii) the ninetieth (90th) day following the last day of the Initial Term, (iii) the date Borrowers, or any of them, become the subject of any assignment for the benefit of creditors, bankruptcy, liquidation or other insolvency proceeding, (iv) the date on which substantially all of the assets or stock, membership or other equity interests of Borrowers, or any of them, is sold unless otherwise consented to by you in writing and (v) the date on which you determine, in your reasonable business judgment that you have substantially completed your collection and liquidation efforts with respect to the Collateral.

Each of the Undersigned further undertakes and agrees as follows:

(1) The Undersigned represents and warrants that:

(a) The Undersigned's execution and performance of this Guaranty Agreement shall not (i) violate or result in a default or breach (immediately or with the passage of time) under any contract, agreement or instrument to which the

1

Undersigned is a party, or by which the Undersigned is bound, (ii) violate or result in a default or breach under any order, decree, award, injunction, judgment, law, regulation or rule, (iii) cause or result in the imposition or creation of any lien upon any property of the Undersigned, or (iv) if applicable, violate or result in a breach of the articles of incorporation, by-laws or partnership agreement of the Undersigned.

(b) The Undersigned has the full power and capacity to enter into and perform under this Guaranty Agreement.

(c) No consent, license or approval of, or filing or registration with, any governmental authority is necessary for the execution and performance hereof by the Undersigned.

(d) This Guaranty Agreement constitutes the valid and binding obligation of the Undersigned enforceable in accordance with its terms, except as such enforceability may be limited by creditors' rights generally and general principles of equity.

(e) This Guaranty Agreement promotes and furthers the business and interests of the Undersigned and the creation of the obligations hereunder will result in direct financial benefit to the Undersigned.

(2) The Undersigned hereby waives notice of (a) acceptance of this Guaranty Agreement, (b) the existence or incurring from time to time of any Obligations guaranteed hereunder, (c) the existence of any Event of Default, the making of demand, or the taking of any action by you, under the Loan Agreement, and (d) demand and default hereunder.

(3) The Undersigned hereby consents and agrees that you may at any time or from time to time in your discretion (a) extend or change the time of payment, and/or the manner, place or terms of payment of any or all Obligations,
(b) amend, supplement or replace the Loan Agreement or any related agreements,
(c) renew, extend, modify, increase (without limit of any kind and whether related or unrelated) or decrease loans and extensions of credit to Borrower,
(d) modify the terms and conditions under which loans and extensions of credit may be made to Borrower, (e) settle, compromise or grant releases for liabilities of Borrower, and/or any other person or persons liable with Undersigned for, any Obligations, (f) exchange, release, surrender, sell, subordinate, or compromise any collateral of any party now or hereafter securing any of the Obligations, and (g) apply any and all payments received by you at any time against the Obligations in any order as you may determine; all of the foregoing in such manner and upon such terms as you may see fit, and without notice to or further consent from the Undersigned, who hereby agrees to be and shall remain bound upon this Guaranty Agreement notwithstanding any such action on your part. The Undersigned also waives any defense, right of setoff, claim or counterclaim whatsoever and any and all other rights, benefits, protections and other defenses available to the Undersigned now or at any time hereafter.

(4) The liability of the Undersigned hereunder is absolute and unconditional and shall not be reduced, impaired or affected in any way by reason of (a) any failure to obtain, retain or preserve, or the lack of prior enforcement of, any rights against any person or persons (including Borrower and the Undersigned) or in any property, (b) the invalidity or unenforceability of any Obligations or rights in any Collateral, (c) any delay in making demand upon Borrower or any delay in enforcing, or any failure to enforce, any rights against Borrower, or in any Collateral even if such rights are thereby lost, (d) any failure, neglect or omission on your part to obtain, perfect or retain

2

any lien upon, protect, exercise rights against, or realize on, any property of Borrower, the Undersigned, or any other party securing the Obligations, (e) the existence or nonexistence of any defenses which may be available to the Borrower, with respect to the Obligations, or (f) the commencement of any bankruptcy, reorganization, liquidation, dissolution or receivership proceeding or case filed by or against Borrower.

(5) If any or all payments made from time to time to you with respect to any obligation hereby guaranteed are recovered from, or repaid by, you in whole or in part in any bankruptcy, reorganization, insolvency or similar proceeding instituted by or against Borrower or either of them, this Guaranty Agreement shall continue to be fully applicable to such obligation to the same extent as if the recovered or repaid payment(s) had never been originally made on such obligation.

(6) All rights and remedies hereunder and under the Loan Agreement, and related agreements, are cumulative and not alternative. You may proceed in any order from time to time against Borrower and/or any other obligor of Borrower's Obligations (other than the Undersigned) and their respective assets. From and after the Guaranty Payment Date you shall not have any obligation to proceed against, or exhaust any or all of your rights against Borrower or any other obligor of Borrower's Obligations and their respective assets, prior to proceeding against the Undersigned hereunder.

(7) Any and all rights of any nature of the Undersigned to subrogation, reimbursement or indemnity and any right of the Undersigned to recourse to any assets or property of Borrower for any reason are hereby unconditionally waived, until such time as the Obligations of Borrower to Lender are indefeasibly paid and satisfied in full.

(8) Your books and records of any and all of Borrower's Obligations, absent manifest error, shall be prima facie evidence against the Undersigned of the indebtedness due you or to become due to you hereunder.

(9) This Guaranty Agreement shall constitute a continuing guaranty obligation with respect to all Obligations from time to time incurred or arising and the liability of the Undersigned under this Guaranty Agreement may not be revoked or terminated.

(10) The Undersigned agrees that you shall have a right of setoff against any and all property of the Undersigned now or at any time in your possession, including, without limitation, deposit accounts, and the proceeds thereof, as security for the obligations of the Undersigned hereunder.

(11) If an Event of Default occurs under the Loan Agreement, then all of the Undersigned's liabilities of every kind or nature to you hereunder shall, at your option, become immediately due and payable and you may at any time and from time to time after the occurrence of the Guaranty Payment Date take any and/or all actions and enforce all rights and remedies available hereunder or under applicable law to collect the Undersigned's liabilities hereunder.

(12) Failure or delay in exercising any right or remedy against the Undersigned hereunder shall not be deemed a waiver thereof or preclude the exercise of any other right or remedy hereunder. No waiver of any breach of or provision of this Guaranty Agreement shall be construed as a waiver of any subsequent breach or of any other provision. The invalidity or unenforceability of

3

any provision hereof shall not affect the remaining provisions which shall remain in full force and effect.

(13) This Guaranty Agreement shall (a) be legally binding upon the Undersigned, and the Undersigned's successors and assigns, provided that the Undersigned's obligations hereunder may not be delegated or assigned without your prior written consent and (b) benefit any and all of your successors and assigns. Signature by facsimile shall bind the Undersigned.

(14) This Guaranty Agreement embodies the whole agreement and understanding of the parties hereto relative to the subject matter hereof. No modification or waiver of any provision hereof shall be enforceable unless approved by you in writing.

(15) This Guaranty Agreement shall in all respects be interpreted, construed and governed by the substantive laws of the State of New York. The Undersigned irrevocably (a) submits to the jurisdiction of the state courts of the State of New Jersey and the United States District Court for the District of New Jersey for the purposes of any litigation or proceeding hereunder or concerning the terms hereof and (b) WAIVES THE RIGHT TO A JURY TRIAL WITH RESPECT TO ANY LITIGATION OR PROCEEDING HEREUNDER OR CONCERNING THE TERMS HEREOF.

(16) (a) In any action or proceeding brought by you to enforce the terms hereof, the Undersigned waives personal service of the summons, complaint, and any motion or other process, and agrees that notice thereof may be served by registered or certified mail, return receipt requested or by nationally recognized overnight courier at the address of the Undersigned set forth below. Such service shall be deemed made on the date of delivery at such address.

(b) Any and all notices which may be given to the Undersigned by you hereunder shall be sent to the Undersigned at the address of the Undersigned set forth below and shall be deemed given to and received (on the date delivered) by the Undersigned if personally delivered or if sent by facsimile transmission or if sent in the manner provided for service of process in paragraph 16(a) above or as otherwise provided in accordance with terms of the Loan Agreement.

[Remainder of Page Intentionally Left Blank]

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DATED the date and year first above written:

BRANTLEY CAPITAL CORPORATION

By:  /s/ Paul H. Cascio
     ---------------------
Name: Paul H. Cascio
Title: Vice President

Address: Lakepoint 3201 Enterprise Parkway, Suite 350 Beachwood, Ohio 44122

5

Exhibit 10.6

THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THEY MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT WITH RESPECT TO THE SECURITIES UNDER SUCH ACT OR AN EXEMPTION FROM SUCH REQUIREMENT UNDER SUCH ACT.

20,455 Warrants

COMMON STOCK WARRANT CERTIFICATE

To subscribe for and purchase shares of Class A Common Stock, par value $0.001, of

ORION HEALTHCORP, INC.

THIS CERTIFIES that, for valued received, Brantley Partners IV, L.P., or its registered successors and assigns, is the owner of the number of warrants (the "Warrants") set forth above, each to purchase from Orion HealthCorp, Inc., a Delaware corporation (herein called the "Company"), at any time but in any event no later than 5:00 p.m., New York time on December 15, 2009 (the "Expiration Date"), one share of Class A Common Stock, par value $0.001 per share, of the Company at an initial exercise price of $0.01, subject to adjustment from time to time pursuant to the provisions of Section 2. The Warrants evidenced by the Warrant Certificate may be exercised, if at all, only in whole and not in part. For purposes of this Warrant Certificate, the term "Common Shares" shall mean the class of capital stock of the Company designated Class A Common Stock, par value $0.001 per share, pursuant to the Company's Amended and Restated Certificate of Incorporation, as from time to time in effect, and any other class of capital stock of the Company resulting from successive changes or reclassification of the Class A Common Stock.

1. Exercise of Warrants.

(a) The Warrants evidenced hereby may be exercised at any time through the Expiration Date by the registered holder hereof, in whole but not in part, by the surrender of this Warrant Certificate, duly endorsed (unless endorsement is waived by the Company), at the principal office of the Company (or at such other office or agency of the Company as it may designate by notice in writing to the registered holder hereof at such holder's last address appearing on the books of the Company) and upon payment of the aggregate Exercise Price (as defined below) of the Common Shares purchased. The certificate(s) for such Common Shares shall be delivered to the registered holder hereof within a reasonable time, not exceeding three (3) business days, after Warrants evidenced hereby shall have been so exercised. No fractional Common Shares of the Company, or scrips for any such fractional shares, shall be issued upon the exercise of any Warrants; but the holder hereof shall be entitled to cash equal to such fraction multiplied by the then Current Market Value of a Common Share.


(b) In the event the Current Market Value of a Common Share exceeds the Exercise Price on the business day immediately prior to the exercise of the Warrants, the Holder may exercise the Warrants held by such holder, without the payment of any additional consideration, for a number of Common Shares determined by dividing (i) the result of the difference between such Current Market Value and the Exercise Price times the number of Common Shares into which the Warrants held by such Holder are exercisable by (ii) such Current Market Value.

(c) For the purpose of any computation of Current Market Value under this Warrant, the Current Market Value per Common Share at any date shall be (x) the closing price on the business day immediately prior to the exercise of the Warrants pursuant to Section 1(b) and (y) in all other cases, the average of the daily closing prices for the 20 consecutive trading days ending on the last full trading day on the exchange or market specified in the second succeeding sentence prior to the Time of Determination. The term "Time of Determination" as used herein shall be the time and date of the earlier to occur of (A) the date as of which the Current Market Value is to be computed and (B) the last full trading day on such exchange or market before the commencement of "ex-dividend" trading in the Common Stock relating to the event giving rise to the adjustment required by Section 2. The closing price for any day shall be the last reported sale price regular way or, in case no such reported sale takes place on such day, the average of the closing bid and asked prices regular way for such day, in each case (1) on the principal national securities exchange on which the Common Shares listed or to which such shares are admitted to trading or (2) if the Common Shares are not listed or admitted to trading on a national securities exchange, in the over-the-counter market as reported by NASDAQ or any comparable system or
(3) if the Common Shares are not listed on NASDAQ or a comparable system, as furnished by two members of the NASD selected from time to time in good faith by the Board of Directors of the Company for that purpose. In the absence of all of the foregoing, or if for any other reason the Current Market Value per share cannot be determined pursuant to the foregoing provisions of this Section 1(c), the Current Market Value per share shall be the fair market value thereof as determined in good faith by the Board of Directors of the Company.

2. Adjustment in Exercise Price and Number of Shares. The initial exercise price of $0.01 per share shall be subject to adjustment from time to time as hereinafter provided (such price, as last adjusted, being herein called the "Exercise Price"). Upon each adjustment of the Exercise Price, the holder of this Warrant Certificate shall thereafter be entitled to purchase at the Exercise Price resulting from such adjustment, the number of shares obtained by dividing the product of the number of shares purchasable pursuant hereto immediately prior to such adjustment and the Exercise Price immediately preceding such adjustment by the Exercise Price resulting from such adjustment.

(a) Subdivision or Combination of Stock. If and whenever the Company shall at any time subdivide its outstanding Common Shares into a greater number of shares, the Exercise Price in effect immediately prior to such subdivision shall be proportionately


reduced, and conversely, in case the outstanding Common Shares of the Company shall be combined into a smaller number of shares, the Exercise Price in effect immediately prior to such combination shall be proportionately increased.

(b) Stock Dividends. If and whenever at any time the Company shall declare a dividend or make any other distribution upon any class or series of stock of the Company payable in Common Shares, the Exercise Price in effect immediately prior to such dividend or distribution shall be proportionately reduced as if such dividend or distribution had been made by way of a subdivision pursuant to Section 2(a) above.

(c) Reorganization, Reclassification, Consolidation, Merger. If any capital reorganization, reclassification of the capital stock of the Company, consolidation or merger of the Company with another corporation, or sale, transfer or other disposition of all or substantially all of the Company's properties to another corporation shall be effected, then, lawful and adequate provision shall be made whereby each holder of Warrants shall thereafter have the right to purchase and receive upon the basis and upon the terms and conditions herein specified and in lieu of the Common Shares immediately theretofore issuable upon exercise or the Warrants, such shares of stock, securities or properties (including cash paid as partial consideration) (collectively, the "Substitute Securities") as may be issuable or payable with respect to or in exchange for a number of outstanding Common Shares equal to the number of Common Shares issuable upon exercise of the Warrants immediately prior to such reorganization, reclassification, consolidation, merger, sale, transfer or other disposition, and in any such case, appropriate provision shall be made with respect to the rights and interests of each holder of Warrants to the end that the provisions hereof shall thereafter be applicable, as nearly equivalent as may be practicable in relation to any Substitute Securities thereafter deliverable upon the exercise thereof. The above provisions of this Section 2(c) shall similarly apply to successive reorganizations, reclassification, consolidations, mergers, sales, transfers or dispositions.

3. Company to Provide Stock. The Company covenants and agrees that all the Common Shares which may be issued upon the exercise of the Warrants evidenced hereby upon the due exercise, including the receipt by the Company of the aggregate Exercise Price for all Warrants exercised, will be duly authorized, validly issued and fully paid and nonassessable and free from all taxes, liens and charges with respect to the issue thereof to the registered holder hereof other than those which the Company shall promptly pay or discharge. The Company further covenants and agrees that during the period within which the Warrants evidenced hereby may be exercised, the Company will at all times reserve such number of Common Shares as may be sufficient to permit the exercise in full of the Warrants hereby.

4. Other Notices. If any time prior to the Expiration of the Warrants evidenced hereby:

(a) The Company shall declare any dividend on the Common Shares payable in shares of capital stock of the Company other than Common Shares; or

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(b) The Company shall issue any options, warrants or rights pro rata to all holders of Common Shares entitling them to subscribe for or purchase any shares of stock of the Company or to receive any other rights; or

(c) The Company shall distribute pro rata to all holders of Common Shares evidences of its indebtedness or assets (including cash distributions); or

(d) There shall occur any reclassification of the Common Shares, or any consolidation or merger of the Company with or into another corporation (other than a consolidation or merger in which the Company is the continuing corporation and which does not result in any reclassification of the Common Stock) or a sale or transfer to another corporation of all or substantially all of the properties of the Company; or

(e) There shall occur the voluntary or involuntary liquidation, dissolution or winding up of the affairs of the Company;

then, and in each of such cases, the Company shall mail to the registered holder hereof at its last address appearing on the books of the Company, a reasonable time (and, in any event, at least fifteen (15) business days) prior to the applicable record date (or determination date) mentioned below, a notice stating, to the extent such information is available, (i) the date on which a record is to be taken for the purpose of such dividend, distribution or rights, or, if a record is not to be taken, the date as of which the holders of Common Shares or of record to be entitled to such dividend, distribution or rights are to be determined, or (ii) the date on which such liquidation, dissolution or winding up is expected to become effective and the date as of which it is expected that holders of Common Shares of record shall be entitled to exchange their Common Shares for securities or other property deliverable upon such reclassification, consolidation, merger, sale, transfer, liquidation, dissolution or winding up.

5. Replacement of Warrants. On receipt of evidence reasonably satisfactory to the Company of the loss, theft, destruction or mutilation of this Warrant Certificate, and in the case of any such loss, theft or destruction of this Warrant Certificate, on delivery of an indemnity agreement reasonably satisfactory in form and substance to the Company or, in the case of any such mutilation, on surrender and cancellation of such Warrant Certificate, unless the Company has received notice that any such Warrant Certificate has been acquired by a bona fide purchase, the Company at its expense will execute and deliver, in lieu thereof, a new Warrant Certificate of like tenor.

6. Registered Holder. The registered holder of this Warrant Certificate shall be deemed the owner hereof and of the Warrants evidenced hereby for all purposes. The registered holder of this Warrant Certificate shall not be entitled by virtue of ownership of this Warrant Certificate to any rights whatsoever as a shareholder of the Company.

7. Amendments and Waivers. Any provision in this Warrant Certificate to the contrary notwithstanding, changes in or additions to this Warrant Certificate may be made and compliance with any covenant or provision herein set forth may be omitted or waived if the Company shall obtain consent thereto in writing from the holder hereof.

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8. Transfer.

(a) None of this Warrant Certificate and the Warrants evidenced hereby nor any Common Shares issued or exercise hereof may be sold, transferred, pledged, hypothecated or otherwise disposed of unless and until: (i) there is then in effect a registration statement under the Securities Act of 1933, as amended (the "Securities Act"), covering such proposed disposition and such disposition is made in accordance with such registration statement and all applicable state securities laws; or (ii) (A) the transferor shall have notified the Company of the proposed disposition and shall have furnished the Company with a statement of the circumstances surrounding the proposed disposition, and (B) if reasonably requested by the Company, such transferor shall have furnished the Company with an opinion of counsel, reasonably satisfactory to the Company, that such disposition will not require registration of such securities under the Securities Act and that all requisite action has been or will, on a timely basis, be taken under any applicable state securities laws in connection with such disposition; and (iii) the proposed transferee shall have agreed in writing to be bound by the terms and provisions of this
Section 8.

(b) Notwithstanding the provisions of Section 8(a), no such registration statement or opinion of counsel shall be necessary for a transfer pursuant to Rule 144(k) promulgated under the Securities Act, or a transfer to an entity wholly owned by such transferor, if the transferee agrees in writing to be subject to the terms hereof to the same extent as if such transferee were an original holder of this certificate.

(c) This Warrant Certificate may be transferred only in whole and not in part.

IN WITNESS WHEREOF, Orion HealthCorp, Inc. has caused this Warrant Certificate to be signed by a duly authorized officer under seal, and this Warrant Certificate to be dated December 15, 2004.

ORION HEALTHCORP, INC.

By: /s/ Keith LeBlanc
    -----------------
Title: President

- 5 -

EXHIBIT 10.7

THESE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THEY MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT WITH RESPECT TO THE SECURITIES UNDER SUCH ACT OR AN EXEMPTION FROM SUCH REQUIREMENT UNDER SUCH ACT.

4,545 Warrants

COMMON STOCK WARRANT CERTIFICATE

To subscribe for and purchase shares of Class A Common Stock, par value $0.001, of

ORION HEALTHCORP, INC.

THIS CERTIFIES that, for valued received, Brantley Capital Corporation, or its registered successors and assigns, is the owner of the number of warrants (the "Warrants") set forth above, each to purchase from Orion HealthCorp, Inc., a Delaware corporation (herein called the "Company"), at any time but in any event no later than 5:00 p.m., New York time on December 15, 2009 (the "Expiration Date"), one share of Class A Common Stock, par value $0.001 per share, of the Company at an initial exercise price of $0.01, subject to adjustment from time to time pursuant to the provisions of Section 2. The Warrants evidenced by the Warrant Certificate may be exercised, if at all, only in whole and not in part. For purposes of this Warrant Certificate, the term "Common Shares" shall mean the class of capital stock of the Company designated Class A Common Stock, par value $0.001 per share, pursuant to the Company's Amended and Restated Certificate of Incorporation, as from time to time in effect, and any other class of capital stock of the Company resulting from successive changes or reclassification of the Class A Common Stock.

1. Exercise of Warrants.

(a) The Warrants evidenced hereby may be exercised at any time through the Expiration Date by the registered holder hereof, in whole but not in part, by the surrender of this Warrant Certificate, duly endorsed (unless endorsement is waived by the Company), at the principal office of the Company (or at such other office or agency of the Company as it may designate by notice in writing to the registered holder hereof at such holder's last address appearing on the books of the Company) and upon payment of the aggregate Exercise Price (as defined below) of the Common Shares purchased. The certificate(s) for such Common Shares shall be delivered to the registered holder hereof within a reasonable time, not exceeding three (3) business days, after Warrants evidenced hereby shall have been so exercised. No fractional Common Shares of the Company, or scrips for any such fractional shares, shall be issued upon the exercise of any Warrants; but the holder hereof shall be entitled to cash equal to such fraction multiplied by the then Current Market Value of a Common Share.


(b) In the event the Current Market Value of a Common Share exceeds the Exercise Price on the business day immediately prior to the exercise of the Warrants, the Holder may exercise the Warrants held by such holder, without the payment of any additional consideration, for a number of Common Shares determined by dividing (i) the result of the difference between such Current Market Value and the Exercise Price times the number of Common Shares into which the Warrants held by such Holder are exercisable by (ii) such Current Market Value.

(c) For the purpose of any computation of Current Market Value under this Warrant, the Current Market Value per Common Share at any date shall be (x) the closing price on the business day immediately prior to the exercise of the Warrants pursuant to Section 1(b) and (y) in all other cases, the average of the daily closing prices for the 20 consecutive trading days ending on the last full trading day on the exchange or market specified in the second succeeding sentence prior to the Time of Determination. The term "Time of Determination" as used herein shall be the time and date of the earlier to occur of (A) the date as of which the Current Market Value is to be computed and (B) the last full trading day on such exchange or market before the commencement of "ex-dividend" trading in the Common Stock relating to the event giving rise to the adjustment required by Section 2. The closing price for any day shall be the last reported sale price regular way or, in case no such reported sale takes place on such day, the average of the closing bid and asked prices regular way for such day, in each case (1) on the principal national securities exchange on which the Common Shares listed or to which such shares are admitted to trading or (2) if the Common Shares are not listed or admitted to trading on a national securities exchange, in the over-the-counter market as reported by NASDAQ or any comparable system or (3) if the Common Shares are not listed on NASDAQ or a comparable system, as furnished by two members of the NASD selected from time to time in good faith by the Board of Directors of the Company for that purpose. In the absence of all of the foregoing, or if for any other reason the Current Market Value per share cannot be determined pursuant to the foregoing provisions of this Section 1(c), the Current Market Value per share shall be the fair market value thereof as determined in good faith by the Board of Directors of the Company.

2. Adjustment in Exercise Price and Number of Shares. The initial exercise price of $0.01 per share shall be subject to adjustment from time to time as hereinafter provided (such price, as last adjusted, being herein called the "Exercise Price"). Upon each adjustment of the Exercise Price, the holder of this Warrant Certificate shall thereafter be entitled to purchase at the Exercise Price resulting from such adjustment, the number of shares obtained by dividing the product of the number of shares purchasable pursuant hereto immediately prior to such adjustment and the Exercise Price immediately preceding such adjustment by the Exercise Price resulting from such adjustment.

(a) Subdivision or Combination of Stock. If and whenever the Company shall at any time subdivide its outstanding Common Shares into a greater number of shares, the Exercise Price in effect immediately prior to such subdivision shall be proportionately


reduced, and conversely, in case the outstanding Common Shares of the Company shall be combined into a smaller number of shares, the Exercise Price in effect immediately prior to such combination shall be proportionately increased.

(b) Stock Dividends. If and whenever at any time the Company shall declare a dividend or make any other distribution upon any class or series of stock of the Company payable in Common Shares, the Exercise Price in effect immediately prior to such dividend or distribution shall be proportionately reduced as if such dividend or distribution had been made by way of a subdivision pursuant to Section 2(a) above.

(c) Reorganization, Reclassification, Consolidation, Merger. If any capital reorganization, reclassification of the capital stock of the Company, consolidation or merger of the Company with another corporation, or sale, transfer or other disposition of all or substantially all of the Company's properties to another corporation shall be effected, then, lawful and adequate provision shall be made whereby each holder of Warrants shall thereafter have the right to purchase and receive upon the basis and upon the terms and conditions herein specified and in lieu of the Common Shares immediately theretofore issuable upon exercise or the Warrants, such shares of stock, securities or properties (including cash paid as partial consideration) (collectively, the "Substitute Securities") as may be issuable or payable with respect to or in exchange for a number of outstanding Common Shares equal to the number of Common Shares issuable upon exercise of the Warrants immediately prior to such reorganization, reclassification, consolidation, merger, sale, transfer or other disposition, and in any such case, appropriate provision shall be made with respect to the rights and interests of each holder of Warrants to the end that the provisions hereof shall thereafter be applicable, as nearly equivalent as may be practicable in relation to any Substitute Securities thereafter deliverable upon the exercise thereof. The above provisions of this Section 2(c) shall similarly apply to successive reorganizations, reclassification, consolidations, mergers, sales, transfers or dispositions.

3. Company to Provide Stock. The Company covenants and agrees that all the Common Shares which may be issued upon the exercise of the Warrants evidenced hereby upon the due exercise, including the receipt by the Company of the aggregate Exercise Price for all Warrants exercised, will be duly authorized, validly issued and fully paid and nonassessable and free from all taxes, liens and charges with respect to the issue thereof to the registered holder hereof other than those which the Company shall promptly pay or discharge. The Company further covenants and agrees that during the period within which the Warrants evidenced hereby may be exercised, the Company will at all times reserve such number of Common Shares as may be sufficient to permit the exercise in full of the Warrants hereby.

4. Other Notices. If any time prior to the Expiration of the Warrants evidenced hereby:

(a) The Company shall declare any dividend on the Common Shares payable in shares of capital stock of the Company other than Common Shares; or

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(b) The Company shall issue any options, warrants or rights pro rata to all holders of Common Shares entitling them to subscribe for or purchase any shares of stock of the Company or to receive any other rights; or

(c) The Company shall distribute pro rata to all holders of Common Shares evidences of its indebtedness or assets (including cash distributions); or

(d) There shall occur any reclassification of the Common Shares, or any consolidation or merger of the Company with or into another corporation (other than a consolidation or merger in which the Company is the continuing corporation and which does not result in any reclassification of the Common Stock) or a sale or transfer to another corporation of all or substantially all of the properties of the Company; or

(e) There shall occur the voluntary or involuntary liquidation, dissolution or winding up of the affairs of the Company;

then, and in each of such cases, the Company shall mail to the registered holder hereof at its last address appearing on the books of the Company, a reasonable time (and, in any event, at least fifteen (15) business days) prior to the applicable record date (or determination date) mentioned below, a notice stating, to the extent such information is available, (i) the date on which a record is to be taken for the purpose of such dividend, distribution or rights, or, if a record is not to be taken, the date as of which the holders of Common Shares or of record to be entitled to such dividend, distribution or rights are to be determined, or (ii) the date on which such liquidation, dissolution or winding up is expected to become effective and the date as of which it is expected that holders of Common Shares of record shall be entitled to exchange their Common Shares for securities or other property deliverable upon such reclassification, consolidation, merger, sale, transfer, liquidation, dissolution or winding up.

5. Replacement of Warrants. On receipt of evidence reasonably satisfactory to the Company of the loss, theft, destruction or mutilation of this Warrant Certificate, and in the case of any such loss, theft or destruction of this Warrant Certificate, on delivery of an indemnity agreement reasonably satisfactory in form and substance to the Company or, in the case of any such mutilation, on surrender and cancellation of such Warrant Certificate, unless the Company has received notice that any such Warrant Certificate has been acquired by a bona fide purchase, the Company at its expense will execute and deliver, in lieu thereof, a new Warrant Certificate of like tenor.

6. Registered Holder. The registered holder of this Warrant Certificate shall be deemed the owner hereof and of the Warrants evidenced hereby for all purposes. The registered holder of this Warrant Certificate shall not be entitled by virtue of ownership of this Warrant Certificate to any rights whatsoever as a shareholder of the Company.

7. Amendments and Waivers. Any provision in this Warrant Certificate to the contrary notwithstanding, changes in or additions to this Warrant Certificate may be made and compliance with any covenant or provision herein set forth may be omitted or waived if the Company shall obtain consent thereto in writing from the holder hereof.

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8. Transfer.

(a) None of this Warrant Certificate and the Warrants evidenced hereby nor any Common Shares issued or exercise hereof may be sold, transferred, pledged, hypothecated or otherwise disposed of unless and until: (i) there is then in effect a registration statement under the Securities Act of 1933, as amended (the "Securities Act"), covering such proposed disposition and such disposition is made in accordance with such registration statement and all applicable state securities laws; or (ii) (A) the transferor shall have notified the Company of the proposed disposition and shall have furnished the Company with a statement of the circumstances surrounding the proposed disposition, and (B) if reasonably requested by the Company, such transferor shall have furnished the Company with an opinion of counsel, reasonably satisfactory to the Company, that such disposition will not require registration of such securities under the Securities Act and that all requisite action has been or will, on a timely basis, be taken under any applicable state securities laws in connection with such disposition; and (iii) the proposed transferee shall have agreed in writing to be bound by the terms and provisions of this Section 8.

(b) Notwithstanding the provisions of Section 8(a), no such registration statement or opinion of counsel shall be necessary for a transfer pursuant to Rule 144(k) promulgated under the Securities Act, or a transfer to an entity wholly owned by such transferor, if the transferee agrees in writing to be subject to the terms hereof to the same extent as if such transferee were an original holder of this certificate.

(c) This Warrant Certificate may be transferred only in whole and not in part.

IN WITNESS WHEREOF, Orion HealthCorp, Inc. has caused this Warrant Certificate to be signed by a duly authorized officer under seal, and this Warrant Certificate to be dated December 15, 2004.

ORION HEALTHCORP, INC.

By: /s/ Keith LeBlanc
    ----------------------
Title:  President

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EXHIBIT 10.8

EMPLOYMENT AGREEMENT

THIS EMPLOYMENT AGREEMENT (this "Agreement"), dated as of December 15, 2004, between Orion HealthCorp, Inc., a Delaware corporation, with an executive office located at 1805 Old Alabama Road, Suite 350, Roswell, Georgia 30076 (together with its successors and assigns permitted under this Agreement, the "Company"), and Terrence L. Bauer, who resides at the address set forth on Schedule I hereto (the "Executive").

WITNESSETH:

WHEREAS, the Company and the Executive desire to enter into an employment arrangement; and

WHEREAS, the Company has determined that it is in the best interests of the Company and its stockholders to enter into this Agreement setting forth the obligations and duties of both the Company and the Executive; and

WHEREAS, the Company wishes to assure itself of the services of the Executive for the period hereinafter provided, and the Executive is willing to be employed by the Company for said period, upon the terms and conditions provided in this Agreement;

NOW, THEREFORE, in consideration of the premises and mutual covenants contained herein and for other good and valuable consideration, the receipt of which is mutually acknowledged, the Company and the Executive (individually, a "Party" and together, the "Parties") agree as follows:

1. Employment. The Company hereby agrees to employ the Executive, and the Executive hereby agrees to serve the Company, on the terms and conditions set forth herein.

2. Term. Subject to the provisions for earlier termination as hereinafter provided, the term of this Employment Agreement will begin on the date hereof and will continue for five (5) years hereafter (the "Initial Term of Employment"). This Agreement will be automatically renewed at the end of the Initial Term of Employment and each successive renewal term thereafter for successive two (2) year terms unless either party sends written notice of termination to the other party not less than one hundred and eighty (180) days prior to the expiration of the then current Term of Employment (as hereinafter defined). The Initial Term of Employment together with any renewal terms is referred to herein as the "Term of Employment." The nonrenewal of the term of this Agreement by the Company will not be a termination without Cause (as defined in Section 8(c)).

3. Position and Duties; Place of Performance.

(a) The Executive will serve as Chief Executive Officer of the Company and will perform all duties customarily attendant to the position of Chief Executive Officer and such other duties as may reasonably be assigned from time-to-time by the Board of


Directors (the "Board") that are consistent with his position as Chief Executive Officer. The Executive will report solely to the Board or any subcommittees thereof.

(b) The Executive will devote his full business time and best efforts to his employment and perform diligently such duties as are consistent with his capacity as Chief Executive Officer of the Company and such other duties as the Board reasonably determines that are consistent with his position. The Executive will devote his entire working time and attention to the performance of his responsibilities hereunder; provided, the Executive may make personal investments, engage in outside non-competitive business activities or engage in other activities for any charitable or other non-profit institution, provided that such activities do not interfere with the performance of the Executive's duties hereunder.

(c) In connection with the Executive's employment by the Company, the Executive will be based at the Company's place of business which on the date hereof is located in Atlanta, Georgia, or such other location as may, subject to Section 8(d), be designated from time to time by the Board.

4. Base Salary. The Executive will receive from the Company an annual base salary of Two Hundred Forty Thousand Dollars ($240,000) (as from time to time adjusted, the "Base Salary"), payable in accordance with the standard practice of the Company with respect to the payment of salaries of its employees. The Board will review the Base Salary annually, and may, in its reasonable discretion, adjust the Base Salary.

5. Annual Bonus. The Executive may be paid a bonus annually based upon the attainment of objectives determined by the Board after consultation with the Executive. Within 90 days after the start of each fiscal year, the Board will communicate to the Executive the objectives applicable to such fiscal year and, unless the Board and the Executive shall mutually agree otherwise, such objectives shall apply to such fiscal year.

6. Other Benefits.

(a) During the Term of Employment, the Executive will be provided with such medical, hospitalization, insurance, pension plan, profit sharing and employee benefits, cell phone and such other similar employment privileges and benefits ("Benefits") as are afforded generally from time to time to other executive employees of the Company, and four
(4) weeks paid vacation each year.

(b) During the term of this Agreement, the Executive shall receive Five Hundred Dollars ($500) per month (pre-tax) as an automobile allowance. The Company shall pay all reasonable maintenance and repair expenses with respect to the automobile used primarily for business purposes by the Executive, procure and maintain in force collision, comprehensive, and liability insurance coverage with respect to the automobile, and pay operating expenses with respect to the automobile.

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7. Expense Reimbursement. During the Term of Employment, the Executive will be entitled to prompt reimbursement by the Company for all reasonable out-of-pocket expenses incurred by him in performing services under this Agreement, upon submission of such accounts and records as may be required under Company policy.

8. Termination of Employment. The Executive's employment may be terminated under the following circumstances:

(a) Death. The Executive's employment is terminated upon his death.

(b) Disability. The Executive's employment may be terminated by the Company due to illness or other physical or mental disability of the Executive, resulting in his inability to perform substantially his duties under this Agreement for a period of ninety (90) or more consecutive days or for one hundred eighty (180) days in the aggregate during any consecutive twelve (12) month period ("Disability").

(c) Cause. The Executive's employment may be terminated by the Company for Cause. For purposes of this Agreement, the Company will have "Cause" to terminate the Executive's employment upon:

(i) the Executive's indictment for any crime involving monies or other property or any felony, crime or any offense of moral turpitude, or his commission of fraud, embezzlement, theft, dishonesty, willful misconduct or deliberate injury to the Company or its subsidiaries;

(ii) the Executive's intentional or grossly negligent refusal or failure to perform his duties or carry out directions of the Company's Board, which refusal or failure remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period;

(iii) the Executive's breach of any of his fiduciary duties to the Company or making of a willful misrepresentation or omission, which breach or misrepresentation or omission might reasonably be expected to have a material adverse effect on the Company's business and which remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach or misrepresentation or omission, or recurs within such period;

(iv) the Executive's breach of any material provision of this Agreement, which breach, if curable, remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period; or

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(v) any misappropriation by the Executive of funds or property of the Company or any affiliate of the Company.

Any termination for "Cause" will not be in limitation of any other right or remedy the Company may have under this Agreement or otherwise.

(d) Good Reason. The Executive may terminate his employment under this Agreement for Good Reason. For purposes of this Agreement, the Executive will have "Good Reason" to terminate the Executive's employment upon the occurrence of any of the following circumstances, without the Executive's express written consent: (i) a material diminution in the Executive's position or authority (except during periods when the Executive is unable to perform all or substantially all of the Executive's duties and/or responsibilities as a result of the Executive's illness (either physical or mental) or other incapacity); (ii) a requirement by the Company that the Executive change the Executive's principal place of business to a place more than thirty (30) miles from its location on the date of this Agreement; (iii) a termination of employment by the Executive within ninety (90) days following a Change in Control (as defined below), provided, that Good Reason will not exist if the Executive has accepted or agreed to continue employment following the Change of Control with the surviving or successor entity and such surviving or successor entity has agreed to continue or assume this Agreement, provided, further, in the event of a Change of Control, the Executive is under no obligation to continue or accept employment with the surviving or successor entity and may instead elect to terminate his employment for Good Reason upon such Change of Control; (iv) a breach of this Agreement by the Company which is not cured within thirty (30) days of written notice by the Company; or (v) any reduction in the Executive's Base Salary. The Executive's right to terminate employment pursuant to this subsection 8(d) will not be affected by the Executive's Disability. The Executive's continued employment will not constitute consent to, or a waiver of rights with respect to, any circumstance constituting consent to, or a waiver of rights with respect to, any circumstance constituting Good Reason; provided, however, that the Executive will be deemed to have waived his rights pursuant to circumstances constituting Good Reason if he has not provided to the Company a Notice of Termination (as defined below) within ninety (90) days following his knowledge of the circumstances constituting Good Reason. A waiver with respect to the circumstances constituting Good Reason will not act as a waiver with respect to other future circumstances constituting Good Reason.

Any termination of the Executive's employment by the Executive must be communicated by written Notice of Termination to the Company in accordance with Section 19. For purposes of this Agreement, a "Notice of Termination" means a notice which indicates the specific termination provision in this Agreement relied upon and sets forth in reasonable detail the facts and circumstances claimed to provide a basis for termination of the Executive's employment under the provision so indicated.

For purposes of this Agreement, a "Change in Control" will occur:
(i) upon the sale or other disposition of 50% or more of the consolidated assets of the Company taken

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as a whole; (ii) if shares representing a majority of the voting power of the Company are acquired by a person or group (as such term is used in Rule 13d-5 promulgated under the Securities Exchange Act of 1934, as amended) of persons other than the holders of the capital stock of the Company as of the date of this Agreement; (iii) upon a merger or consolidation pursuant to which the holders of the equity securities of the Company before the merger or consolidation do not own equity securities representing a majority of the voting power of the surviving entity after the merger or consolidation; or (iv) upon approval by the shareholders of the Company of a complete liquidation or dissolution of the Company.

9. Compensation Upon Termination.

(a) If the Executive's employment is terminated as a result of the Executive's death or Disability, he, or his estate, will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company;

(iv) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment; and

(v) other benefits accrued and earned by the Executive through the date of his death or Disability in accordance with applicable plans and programs of the Company.

(b) If the Executive's employment is terminated by the Company for Cause, or by the Executive other than for Good Reason, or as a result of notice of nonrenewal provided by the Company or the Executive under
Section 2, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment;

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(iii) other benefits accrued and earned by the Executive through the date of his termination in accordance with applicable plans and programs of the Company;

(iv) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Executive under Section 2, he will be entitled to a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company; and

(v) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Company under Section 2, he will be entitled to full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

(c) If the Executive's employment is terminated by the Company without Cause, or by the Executive for Good Reason, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) continuation of his Base Salary, at the rate in effect on the date of his termination of employment (which, in the case of a termination of the Executive for Good Reason pursuant to Section
8(d)(v), shall be deemed to be the rate in effect prior to giving any effect to the reduction in Base Salary giving rise to such Good Reason), until the expiration of the Non-Competition Period (as defined below);

(iv) the greater of: (A) a prorated bonus for the year in which employment terminates, prorated based on the number of days worked, or (B) an amount equal to fifty percent (50%) of the average of the bonus payments made pursuant to Section 5 of this Agreement during the two (2) calendar years preceding such termination, if any, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable in either event as soon as administratively feasible following the end of the then fiscal year of the Company; provided, however, that this clause (iv) shall not be applicable in the event that the Executive's employment is terminated upon notice of nonrenewal provided by the Company under Section 2;

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(v) until the expiration of the Non-Competition Period, subject to any employee contribution applicable to the Executive on the date of termination, continued participation in all of the Company's group medical and dental insurance plans in which he was participating on the date of his termination of employment, provided that the Executive is entitled to continue such participation under applicable law and plan terms;

(vi) reimbursement in accordance with this Agreement of any business expenses incurred by the Executive but not yet paid to him on the date of his termination of employment, payable as soon as administratively feasible following termination of employment; and

(vii) full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

In the event that, under the terms of any employee benefit plan referred to in subsection 9(c)(v) above, the Executive may not continue his participation, he will be provided with the after-tax economic equivalent of the benefits provided under any plan in which he was previously eligible to participate for the period specified in subsection 9(c)(v) above. The economic equivalent of any benefit foregone will be deemed to be the cost that would be incurred by the Executive in obtaining such benefit on the lowest available individual basis.

(d) Any amounts due under this Section 9 are in the nature of severance payments or liquidated damages or both, and will fully compensate the Executive and his dependents or beneficiaries, as the case may be, for any and all direct damages and consequential damages that any of them may suffer as a result of termination of the Executive's employment, and they are not in the nature of a penalty.

(e) Notwithstanding anything contained herein, any obligation of the Company to the Executive under Sections 9(c)(iii), (iv), (v) and (vii) is conditioned upon (i) the Executive signing a release of claims in the form attached hereto as Exhibit A (the "Employee Release") within twenty-one days (or such greater period as the Company may specify) following the later of the date on which the Executive (or, in the case of termination by the Executive for Good Reason, the Company) receives notice of termination of employment or the date the Executive receives a copy of the Employee Release and upon the Executive not revoking the Employee Release in a timely manner thereafter and (ii) the Executive's continuing compliance with the provisions of Section 10. If the Executive breaches any provision of Section 10, upon written notice of such breach and request for repayment from the Company, the Executive shall promptly pay to the Company an amount equal to the sum of any cash payments previously paid to the Executive pursuant to Sections 9(c)(iii), (iv), (v) and (vii). Any such repayment shall not be the exclusive remedy for any such breach and the Company shall retain all rights to pursue other available remedies (whether at law or equity) for any such breach.

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10. Confidentiality and Non-Competition.

(a) The Executive acknowledges that he has had or will have unlimited access to confidential information and business methods relating to the Company's business and operations and that the Company would be irreparably injured and the goodwill of the Company would be irreparably damaged if the Executive were to breach the covenants set forth in this
Section 10. The Executive further acknowledges that the covenants set forth in this Section 10 are reasonable in scope and duration and do not unreasonably restrict the Executive's association with other business entities, either as an employee or otherwise as set forth herein.

(b) During the Term of Employment and thereafter, except as may be required by law or necessary in connection with any dealings with any public agency or authority or in the ordinary course of business during the Term of Employment pursuant to customary non-disclosure agreements, the Executive will not disclose, disseminate, divulge, discuss, copy or otherwise use or suffer to be used, including but not limited to in competition with, or in a manner harmful to the interests of, the Company, any confidential information (written or oral) respecting any material aspect of the Company's business, excepting only use of such data or information as is (i) at the time disclosed, through no act or failure to act on the part of the Executive, generally known or available; (ii) furnished to the Executive by a third party as a matter of right and without restriction on disclosure; or (iii) required to be disclosed by court order. Upon termination of the Term of Employment, the Executive will return to the Company any and all materials in tangible or electronic form containing confidential information belonging to the Company.

(c) During the Term of Employment and the Non-Competition Period, the Executive will not in the states of California, Florida, Georgia, Illinois, Iowa, New Jersey, Ohio or Texas, directly or indirectly, whether as an individual on the Executive's own account, or as a shareholder, partner, member, joint venturer, director, officer, employee, consultant, creditor and/or agent, of any person, firm or organization or otherwise:

(i) own, manage, control or participate in the ownership, management or control of, or be employed or engaged by or otherwise affiliated or associated as a consultant, independent contractor or otherwise with, any other corporation, partnership, proprietorship, firm, association or other business entity or otherwise engage in any business that is engaged in the business of the Company or any of the Company's subsidiaries (collectively, "Subsidiaries"), as such business is conducted on the applicable date during the Term of Employment, or in the case of the Non-Competition Period, as of the date the Executive ceases to be employed by the Company, in any capacity, including as a consultant;

(ii) directly or indirectly solicit, encourage or induce any person who is a present or future employee, officer, agent, affiliate or customer of the Company or

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any Subsidiary to terminate or materially alter such person's relationship with the Company or such Subsidiary;

(iii) induce any supplier of the Company or any Subsidiary, to refuse to do business with the Company or any Subsidiary, on as favorable terms as previously done with the Company or any Subsidiary, as the case may be; or

(iv) engage in disparagement (which will not include the providing of accurate information without invidious intent) of the Company or any Subsidiary by any means to any person.

For purposes of this Agreement, "Non-Competition Period" shall mean the period during the Term of Employment and thereafter until the second anniversary of the date of termination of the Executive's employment with the Company; provided, however, that the Company may, by written notice to the Executive (whether given before or after the date of termination of the Executive's employment with the Company), shorten the portion of the Non-Competition Period occurring following the date of termination of the Executive's employment with the Company to any date specified in such notice which occurs on or after the earlier of (x) the second anniversary of the date of termination of the Executive's employment with the Company and (y) the date of expiration of the then current Term of Employment. Notwithstanding the foregoing, in the event that the Company or the Executive provides notice of nonrenewal under Section 2, then: (1) the Company shall have the option to continue to pay the Executive his Base Salary, at the rate in effect on the date of his termination of employment, until the expiration of the Non-Competition Period; (2) if the Company exercises such option, it may discontinue the payment of Base Salary at any time; (3) the Executive shall be subject to Section 10(c)(i) only for so long as the Company continues to pay the Executive his Base Salary; and (4) if the Company stops paying the Executive his Base Salary, then the Executive shall no longer be subject to Section 10(c)(i), but shall remain subject to the rest of this Section 10.

(d) Notwithstanding anything herein to the contrary, the Executive will be permitted to own shares of any class of capital stock of any publicly held corporation so long as the aggregate holdings of the Executive represent less than one percent (1%) of the outstanding shares of such class of capital stock.

11. Rights and Remedies Upon Breach.

(a) The Executive expressly agrees and understands that the remedy at law for any breach by the Executive of Section 10 will be inadequate and that the damages flowing from such breach are not readily susceptible to being measured in monetary terms. Accordingly, it is acknowledged that upon adequate proof of the Executive's violation of Section 10, the Company will be entitled, among other remedies, to injunctive relief and may obtain a temporary restraining order restraining any threatened or further breach. Nothing in this Section 11(a) will be deemed to limit the Company's

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remedies at law or in equity for any breach by the Executive of any of the provisions of this Agreement which may be pursued or availed of by the Company.

(b) In the event any court of competent jurisdiction determines that the specified time period or geographical area set forth in Section 10 is unreasonable, arbitrary or against public policy, then a lesser time period or geographical area that is determined by the court to be reasonable, non-arbitrary and not against public policy may be enforced.

12. Withholding Taxes. All payments to the Executive or his beneficiary will be subject to withholding on account of federal, state and local taxes as required by law. If any payment hereunder is insufficient to provide the amount of such taxes required to be withheld, the Company may withhold such taxes from any other payment due the Executive or his beneficiary.

13. Assignability; Binding Nature. This Agreement will be binding upon and inure to the benefit of the Parties and their respective successors, heirs (in the case of the Executive) and assigns. No rights or obligations of the Company under this Agreement may be assigned or transferred by the Company except that such rights or obligations may be assigned or transferred pursuant to (i) a merger or consolidation in which the Company is not the continuing entity or
(ii) a sale or liquidation of all or substantially all of the assets of the Company, provided that the assignee or transferee is the successor to all or substantially all of the assets of the Company and such assignee or transferee assumes the liabilities, obligations and duties of the Company, as contained in this Agreement, either contractually or as a matter of law. The Company further agrees that, in the event of a sale of assets or liquidation as described in the preceding sentence, it will use its best efforts to cause such assignee or transferee to expressly assume the liabilities, obligations and duties of the Company hereunder. No obligations of the Executive under this Agreement may be assigned or transferred by the Executive.

14. Entire Agreement. Except to the extent otherwise provided herein, this Agreement contains the entire understanding and agreement between the Parties concerning the subject matter hereof and supersedes any prior agreements, whether written or oral, between the Parties concerning the subject matter hereof.

15. Amendment or Waiver. No provision in this Agreement may be amended unless such amendment is agreed to in writing and signed by both the Executive and an authorized officer of the Company. No waiver by either Party of any breach by the other Party of any condition or provision contained in this Agreement to be performed by such other Party will be deemed a waiver of a similar or dissimilar condition or provision at the same or any prior or subsequent time. Any waiver must be in writing and signed by the Executive or an authorized officer of the Company, as the case may be.

16. Severability. In the event that any provision or portion of this Agreement is determined to be invalid or unenforceable for any reason, in whole or in part, the remaining

10

provisions of this Agreement will be unaffected thereby and will remain in full force and effect to the fullest extent permitted by law.

17. Survivorship. The respective rights and obligations of the Parties hereunder will survive any termination of the Executive's employment with the Company to the extent necessary to the intended preservation of such rights and obligations as described in this Agreement.

18. Governing Law. This Agreement will be governed by and construed and interpreted in accordance with the laws of the State of Georgia, without reference to principles of conflict of laws.

19. Notices. Any notice given to either Party must be in writing and will be deemed to have been given when delivered personally or one (1) day after having been sent by overnight courier service or three (3) days after having been sent by certified or registered mail, postage prepaid, return receipt requested, duly addressed to the Party concerned at the address indicated below or to such changed address as such Party may subsequently give such notice of:

If to the Company or the Board:    Orion HealthCorp, Inc.
                                   1805 Old Alabama Road
                                   Suite 350
                                   Roswell, Georgia  30076

With a copy to:                    Brantley Partners
                                   3201 Enterprise Parkway, Suite 350
                                   Beachwood, Ohio 44122
                                   Attention: Paul H. Cascio

and:                               Ropes & Gray LLP
                                   One International Place
                                   Boston, MA 02110
                                   Attention: Winthrop G. Minot, Esq.

If to the Executive:               Terrence L. Bauer
                                   Address set forth on Schedule I hereto

20. Headings. The headings of the sections contained in this Agreement are for convenience only and will not be deemed to control or affect the meaning or construction of any provision of this Agreement.

21. Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed an original but all of which together will constitute one and the same instrument.

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IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date and year first above written.

ORION HEALTHCORP, INC.

By:  /s/ Keith LeBlanc
   --------------------------
    Name: Keith LeBlanc
    Title: President

TERRENCE L. BAUER

By:  /s/ Terrence L. Bauer
   --------------------------


EXHIBIT 10.9

EMPLOYMENT AGREEMENT

THIS EMPLOYMENT AGREEMENT (this "Agreement"), dated as of December 15, 2004, between Orion HealthCorp, Inc., a Delaware corporation, with an executive office located at 10700 Richmond Avenue, Suite 300, Houston, Texas 77042 (together with its successors and assigns permitted under this Agreement, the "Company"), and Keith G. LeBlanc, who resides at the address set forth on Schedule I hereto (the "Executive").

WITNESSETH:

WHEREAS, the Company and the Executive desire to enter into an employment arrangement; and

WHEREAS, the Company has determined that it is in the best interests of the Company and its stockholders to enter into this Agreement setting forth the obligations and duties of both the Company and the Executive; and

WHEREAS, the Company wishes to assure itself of the services of the Executive for the period hereinafter provided, and the Executive is willing to be employed by the Company for said period, upon the terms and conditions provided in this Agreement;

NOW, THEREFORE, in consideration of the premises and mutual covenants contained herein and for other good and valuable consideration, the receipt of which is mutually acknowledged, the Company and the Executive (individually, a "Party" and together, the "Parties") agree as follows:

1. Employment. The Company hereby agrees to employ the Executive, and the Executive hereby agrees to serve the Company, on the terms and conditions set forth herein.

2. Term. Subject to the provisions for earlier termination as hereinafter provided, the term of this Employment Agreement will begin on the date hereof and will continue for five (5) years hereafter (the "Initial Term of Employment"). This Agreement will be automatically renewed at the end of the Initial Term of Employment and each successive renewal term thereafter for successive two (2) year terms unless either party sends written notice of termination to the other party not less than one hundred and eighty (180) days prior to the expiration of the then current Term of Employment (as hereinafter defined). The Initial Term of Employment together with any renewal terms is referred to herein as the "Term of Employment." The nonrenewal of the term of this Agreement by the Company will not be a termination without Cause (as defined in Section 8(c)).

3. Position and Duties; Place of Performance.

(a) The Executive will serve as President of the Company and will perform all duties customarily attendant to the position of President and such other duties as may reasonably be assigned from time-to-time by the Board of Directors (the "Board") that are


consistent with his position as President. The Executive will report solely to the Board or any subcommittees thereof.

(b) The Executive will devote his full business time and best efforts to his employment and perform diligently such duties as are consistent with his capacity as President of the Company and such other duties as the Board reasonably determines that are consistent with his position. The Executive will devote his entire working time and attention to the performance of his responsibilities hereunder; provided, the Executive may make personal investments, engage in outside non-competitive business activities or engage in other activities for any charitable or other non-profit institution, provided that such activities do not interfere with the performance of the Executive's duties hereunder.

(c) In connection with the Executive's employment by the Company, the Executive will be based at the Company's place of business which on the date hereof is located in Houston, Texas, or such other location as may, subject to Section 8(d), be designated from time to time by the Board.

4. Base Salary. The Executive will receive from the Company an annual base salary of Two Hundred Forty Thousand Dollars ($240,000) (as from time to time adjusted, the "Base Salary"), payable in accordance with the standard practice of the Company with respect to the payment of salaries of its employees. The Board will review the Base Salary annually, and may, in its reasonable discretion, adjust the Base Salary.

5. Annual Bonus. The Executive may be paid a bonus annually based upon the attainment of objectives determined by the Board after consultation with the Executive. Within 90 days after the start of each fiscal year, the Board will communicate to the Executive the objectives applicable to such fiscal year and, unless the Board and the Executive shall mutually agree otherwise, such objectives shall apply to such fiscal year.

6. Other Benefits.

(a) During the Term of Employment, the Executive will be provided with such medical, hospitalization, insurance, pension plan, profit sharing and employee benefits, cell phone and such other similar employment privileges and benefits ("Benefits") as are afforded generally from time to time to other executive employees of the Company, and four
(4) weeks paid vacation each year.

(b) During the term of this Agreement, the Executive shall receive Five Hundred Dollars ($500) per month (pre-tax) as an automobile allowance. The Company shall pay all reasonable maintenance and repair expenses with respect to the automobile used primarily for business purposes by the Executive, procure and maintain in force collision, comprehensive, and liability insurance coverage with respect to the automobile, and pay operating expenses with respect to the automobile.

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7. Expense Reimbursement. During the Term of Employment, the Executive will be entitled to prompt reimbursement by the Company for all reasonable out-of-pocket expenses incurred by him in performing services under this Agreement, upon submission of such accounts and records as may be required under Company policy.

8. Termination of Employment. The Executive's employment may be terminated under the following circumstances:

(a) Death. The Executive's employment is terminated upon his death.

(b) Disability. The Executive's employment may be terminated by the Company due to illness or other physical or mental disability of the Executive, resulting in his inability to perform substantially his duties under this Agreement for a period of ninety (90) or more consecutive days or for one hundred eighty (180) days in the aggregate during any consecutive twelve (12) month period ("Disability").

(c) Cause. The Executive's employment may be terminated by the Company for Cause. For purposes of this Agreement, the Company will have "Cause" to terminate the Executive's employment upon:

(i) the Executive's indictment for any crime involving monies or other property or any felony, crime or any offense of moral turpitude, or his commission of fraud, embezzlement, theft, dishonesty, willful misconduct or deliberate injury to the Company or its subsidiaries;

(ii) the Executive's intentional or grossly negligent refusal or failure to perform his duties or carry out directions of the Company's Board, which refusal or failure remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period;

(iii) the Executive's breach of any of his fiduciary duties to the Company or making of a willful misrepresentation or omission, which breach or misrepresentation or omission might reasonably be expected to have a material adverse effect on the Company's business and which remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach or misrepresentation or omission, or recurs within such period;

(iv) the Executive's breach of any material provision of this Agreement, which breach, if curable, remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period; or

3

(v) any misappropriation by the Executive of funds or property of the Company or any affiliate of the Company.

Any termination for "Cause" will not be in limitation of any other right or remedy the Company may have under this Agreement or otherwise.

(d) Good Reason. The Executive may terminate his employment under this Agreement for Good Reason. For purposes of this Agreement, the Executive will have "Good Reason" to terminate the Executive's employment upon the occurrence of any of the following circumstances, without the Executive's express written consent: (i) a material diminution in the Executive's position or authority (except during periods when the Executive is unable to perform all or substantially all of the Executive's duties and/or responsibilities as a result of the Executive's illness (either physical or mental) or other incapacity); (ii) a requirement by the Company that the Executive change the Executive's principal place of business to a place more than thirty (30) miles from its location on the date of this Agreement; (iii) a termination of employment by the Executive within ninety (90) days following a Change in Control (as defined below), provided, that Good Reason will not exist if the Executive has accepted or agreed to continue employment following the Change of Control with the surviving or successor entity and such surviving or successor entity has agreed to continue or assume this Agreement, provided, further, in the event of a Change of Control, the Executive is under no obligation to continue or accept employment with the surviving or successor entity and may instead elect to terminate his employment for Good Reason upon such Change of Control; (iv) a breach of this Agreement by the Company which is not cured within thirty (30) days of written notice by the Company; or (v) any reduction in the Executive's Base Salary. The Executive's right to terminate employment pursuant to this subsection 8(d) will not be affected by the Executive's Disability. The Executive's continued employment will not constitute consent to, or a waiver of rights with respect to, any circumstance constituting consent to, or a waiver of rights with respect to, any circumstance constituting Good Reason; provided, however, that the Executive will be deemed to have waived his rights pursuant to circumstances constituting Good Reason if he has not provided to the Company a Notice of Termination (as defined below) within ninety (90) days following his knowledge of the circumstances constituting Good Reason. A waiver with respect to the circumstances constituting Good Reason will not act as a waiver with respect to other future circumstances constituting Good Reason.

Any termination of the Executive's employment by the Executive must be communicated by written Notice of Termination to the Company in accordance with Section 19. For purposes of this Agreement, a "Notice of Termination" means a notice which indicates the specific termination provision in this Agreement relied upon and sets forth in reasonable detail the facts and circumstances claimed to provide a basis for termination of the Executive's employment under the provision so indicated.

For purposes of this Agreement, a "Change in Control" will occur:
(i) upon the sale or other disposition of 50% or more of the consolidated assets of the Company taken

4

as a whole; (ii) if shares representing a majority of the voting power of the Company are acquired by a person or group (as such term is used in Rule 13d-5 promulgated under the Securities Exchange Act of 1934, as amended) of persons other than the holders of the capital stock of the Company as of the date of this Agreement; (iii) upon a merger or consolidation pursuant to which the holders of the equity securities of the Company before the merger or consolidation do not own equity securities representing a majority of the voting power of the surviving entity after the merger or consolidation; or (iv) upon approval by the shareholders of the Company of a complete liquidation or dissolution of the Company.

9. Compensation Upon Termination.

(a) If the Executive's employment is terminated as a result of the Executive's death or Disability, he, or his estate, will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company;

(iv) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment; and

(v) other benefits accrued and earned by the Executive through the date of his death or Disability in accordance with applicable plans and programs of the Company.

(b) If the Executive's employment is terminated by the Company for Cause, or by the Executive other than for Good Reason, or as a result of notice of nonrenewal provided by the Company or the Executive under
Section 2, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment;

5

(iii) other benefits accrued and earned by the Executive through the date of his termination in accordance with applicable plans and programs of the Company;

(iv) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Executive under Section 2, he will be entitled to a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company; and

(v) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Company under Section 2, he will be entitled to full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

(c) If the Executive's employment is terminated by the Company without Cause, or by the Executive for Good Reason, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) continuation of his Base Salary, at the rate in effect on the date of his termination of employment (which, in the case of a termination of the Executive for Good Reason pursuant to Section
8(d)(v), shall be deemed to be the rate in effect prior to giving any effect to the reduction in Base Salary giving rise to such Good Reason), until the expiration of the Non-Competition Period (as defined below);

(iv) the greater of: (A) a prorated bonus for the year in which employment terminates, prorated based on the number of days worked, or (B) an amount equal to fifty percent (50%) of the average of the bonus payments made pursuant to Section 5 of this Agreement during the two (2) calendar years preceding such termination, if any, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable in either event as soon as administratively feasible following the end of the then fiscal year of the Company; provided, however, that this clause (iv) shall not be applicable in the event that the Executive's employment is terminated upon notice of nonrenewal provided by the Company under Section 2;

6

(v) until the expiration of the Non-Competition Period, subject to any employee contribution applicable to the Executive on the date of termination, continued participation in all of the Company's group medical and dental insurance plans in which he was participating on the date of his termination of employment, provided that the Executive is entitled to continue such participation under applicable law and plan terms;

(vi) reimbursement in accordance with this Agreement of any business expenses incurred by the Executive but not yet paid to him on the date of his termination of employment, payable as soon as administratively feasible following termination of employment; and

(vii) full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

In the event that, under the terms of any employee benefit plan referred to in subsection 9(c)(v) above, the Executive may not continue his participation, he will be provided with the after-tax economic equivalent of the benefits provided under any plan in which he was previously eligible to participate for the period specified in subsection 9(c)(v) above. The economic equivalent of any benefit foregone will be deemed to be the cost that would be incurred by the Executive in obtaining such benefit on the lowest available individual basis.

(d) Any amounts due under this Section 9 are in the nature of severance payments or liquidated damages or both, and will fully compensate the Executive and his dependents or beneficiaries, as the case may be, for any and all direct damages and consequential damages that any of them may suffer as a result of termination of the Executive's employment, and they are not in the nature of a penalty.

(e) Notwithstanding anything contained herein, any obligation of the Company to the Executive under Sections 9(c)(iii), (iv), (v) and (vii) is conditioned upon (i) the Executive signing a release of claims in the form attached hereto as Exhibit A (the "Employee Release") within twenty-one days (or such greater period as the Company may specify) following the later of the date on which the Executive (or, in the case of termination by the Executive for Good Reason, the Company) receives notice of termination of employment or the date the Executive receives a copy of the Employee Release and upon the Executive not revoking the Employee Release in a timely manner thereafter and (ii) the Executive's continuing compliance with the provisions of Section 10. If the Executive breaches any provision of Section 10, upon written notice of such breach and request for repayment from the Company, the Executive shall promptly pay to the Company an amount equal to the sum of any cash payments previously paid to the Executive pursuant to Sections 9(c)(iii), (iv), (v) and (vii). Any such repayment shall not be the exclusive remedy for any such breach and the Company shall retain all rights to pursue other available remedies (whether at law or equity) for any such breach.

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10. Confidentiality and Non-Competition.

(a) The Executive acknowledges that he has had or will have unlimited access to confidential information and business methods relating to the Company's business and operations and that the Company would be irreparably injured and the goodwill of the Company would be irreparably damaged if the Executive were to breach the covenants set forth in this
Section 10. The Executive further acknowledges that the covenants set forth in this Section 10 are reasonable in scope and duration and do not unreasonably restrict the Executive's association with other business entities, either as an employee or otherwise as set forth herein.

(b) During the Term of Employment and thereafter, except as may be required by law or necessary in connection with any dealings with any public agency or authority or in the ordinary course of business during the Term of Employment pursuant to customary non-disclosure agreements, the Executive will not disclose, disseminate, divulge, discuss, copy or otherwise use or suffer to be used, including but not limited to in competition with, or in a manner harmful to the interests of, the Company, any confidential information (written or oral) respecting any material aspect of the Company's business, excepting only use of such data or information as is (i) at the time disclosed, through no act or failure to act on the part of the Executive, generally known or available; (ii) furnished to the Executive by a third party as a matter of right and without restriction on disclosure; or (iii) required to be disclosed by court order. Upon termination of the Term of Employment, the Executive will return to the Company any and all materials in tangible or electronic form containing confidential information belonging to the Company.

(c) During the Term of Employment and the Non-Competition Period, the Executive will not in the states of California, Florida, Georgia, Illinois, Iowa, New Jersey, Ohio or Texas, directly or indirectly, whether as an individual on the Executive's own account, or as a shareholder, partner, member, joint venturer, director, officer, employee, consultant, creditor and/or agent, of any person, firm or organization or otherwise:

(i) own, manage, control or participate in the ownership, management or control of, or be employed or engaged by or otherwise affiliated or associated as a consultant, independent contractor or otherwise with, any other corporation, partnership, proprietorship, firm, association or other business entity or otherwise engage in any business that is engaged in the business of the Company or any of the Company's subsidiaries (collectively, "Subsidiaries"), as such business is conducted on the applicable date during the Term of Employment, or in the case of the Non-Competition Period, as of the date the Executive ceases to be employed by the Company, in any capacity, including as a consultant;

(ii) directly or indirectly solicit, encourage or induce any person who is a present or future employee, officer, agent, affiliate or customer of the Company or

8

any Subsidiary to terminate or materially alter such person's relationship with the Company or such Subsidiary;

(iii) induce any supplier of the Company or any Subsidiary, to refuse to do business with the Company or any Subsidiary, on as favorable terms as previously done with the Company or any Subsidiary, as the case may be; or

(iv) engage in disparagement (which will not include the providing of accurate information without invidious intent) of the Company or any Subsidiary by any means to any person.

For purposes of this Agreement, "Non-Competition Period" shall mean the period during the Term of Employment and thereafter until the second anniversary of the date of termination of the Executive's employment with the Company; provided, however, that the Company may, by written notice to the Executive (whether given before or after the date of termination of the Executive's employment with the Company), shorten the portion of the Non-Competition Period occurring following the date of termination of the Executive's employment with the Company to any date specified in such notice which occurs on or after the earlier of (x) the second anniversary of the date of termination of the Executive's employment with the Company and (y) the date of expiration of the then current Term of Employment. Notwithstanding the foregoing, in the event that the Company or the Executive provides notice of nonrenewal under Section 2, then: (1) the Company shall have the option to continue to pay the Executive his Base Salary, at the rate in effect on the date of his termination of employment, until the expiration of the Non-Competition Period; (2) if the Company exercises such option, it may discontinue the payment of Base Salary at any time; (3) the Executive shall be subject to Section 10(c)(i) only for so long as the Company continues to pay the Executive his Base Salary; and (4) if the Company stops paying the Executive his Base Salary, then the Executive shall no longer be subject to Section 10(c)(i), but shall remain subject to the rest of this Section 10.

(d) Notwithstanding anything herein to the contrary, the Executive will be permitted to own shares of any class of capital stock of any publicly held corporation so long as the aggregate holdings of the Executive represent less than one percent (1%) of the outstanding shares of such class of capital stock.

11. Rights and Remedies Upon Breach.

(a) The Executive expressly agrees and understands that the remedy at law for any breach by the Executive of Section 10 will be inadequate and that the damages flowing from such breach are not readily susceptible to being measured in monetary terms. Accordingly, it is acknowledged that upon adequate proof of the Executive's violation of Section 10, the Company will be entitled, among other remedies, to injunctive relief and may obtain a temporary restraining order restraining any threatened or further breach. Nothing in this Section 11(a) will be deemed to limit the Company's

9

remedies at law or in equity for any breach by the Executive of any of the provisions of this Agreement which may be pursued or availed of by the Company.

(b) In the event any court of competent jurisdiction determines that the specified time period or geographical area set forth in Section 10 is unreasonable, arbitrary or against public policy, then a lesser time period or geographical area that is determined by the court to be reasonable, non-arbitrary and not against public policy may be enforced.

12. Withholding Taxes. All payments to the Executive or his beneficiary will be subject to withholding on account of federal, state and local taxes as required by law. If any payment hereunder is insufficient to provide the amount of such taxes required to be withheld, the Company may withhold such taxes from any other payment due the Executive or his beneficiary.

13. Assignability; Binding Nature. This Agreement will be binding upon and inure to the benefit of the Parties and their respective successors, heirs (in the case of the Executive) and assigns. No rights or obligations of the Company under this Agreement may be assigned or transferred by the Company except that such rights or obligations may be assigned or transferred pursuant to (i) a merger or consolidation in which the Company is not the continuing entity or
(ii) a sale or liquidation of all or substantially all of the assets of the Company, provided that the assignee or transferee is the successor to all or substantially all of the assets of the Company and such assignee or transferee assumes the liabilities, obligations and duties of the Company, as contained in this Agreement, either contractually or as a matter of law. The Company further agrees that, in the event of a sale of assets or liquidation as described in the preceding sentence, it will use its best efforts to cause such assignee or transferee to expressly assume the liabilities, obligations and duties of the Company hereunder. No obligations of the Executive under this Agreement may be assigned or transferred by the Executive.

14. Entire Agreement. Except to the extent otherwise provided herein, this Agreement contains the entire understanding and agreement between the Parties concerning the subject matter hereof and supersedes any prior agreements, whether written or oral, between the Parties concerning the subject matter hereof.

15. Amendment or Waiver. No provision in this Agreement may be amended unless such amendment is agreed to in writing and signed by both the Executive and an authorized officer of the Company. No waiver by either Party of any breach by the other Party of any condition or provision contained in this Agreement to be performed by such other Party will be deemed a waiver of a similar or dissimilar condition or provision at the same or any prior or subsequent time. Any waiver must be in writing and signed by the Executive or an authorized officer of the Company, as the case may be.

16. Severability. In the event that any provision or portion of this Agreement is determined to be invalid or unenforceable for any reason, in whole or in part, the remaining

10

provisions of this Agreement will be unaffected thereby and will remain in full force and effect to the fullest extent permitted by law.

17. Survivorship. The respective rights and obligations of the Parties hereunder will survive any termination of the Executive's employment with the Company to the extent necessary to the intended preservation of such rights and obligations as described in this Agreement.

18. Governing Law. This Agreement will be governed by and construed and interpreted in accordance with the laws of the State of Texas, without reference to principles of conflict of laws.

19. Notices. Any notice given to either Party must be in writing and will be deemed to have been given when delivered personally or one (1) day after having been sent by overnight courier service or three (3) days after having been sent by certified or registered mail, postage prepaid, return receipt requested, duly addressed to the Party concerned at the address indicated below or to such changed address as such Party may subsequently give such notice of:

If to the Company or the Board:    Orion HealthCorp, Inc.
                                   10700 Richmond Avenue
                                   Suite 300
                                   Houston, Texas 77042

With a copy to:                    Brantley Partners
                                   3201 Enterprise Parkway, Suite 350
                                   Beachwood, Ohio 44122
                                   Attention: Paul H. Cascio

and:                               Ropes & Gray LLP
                                   One International Place
                                   Boston, MA 02110
                                   Attention: Winthrop G. Minot, Esq.

If to the Executive:               Keith G. LeBlanc
                                   Address set forth on Schedule I hereto

20. Headings. The headings of the sections contained in this Agreement are for convenience only and will not be deemed to control or affect the meaning or construction of any provision of this Agreement.

21. Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed an original but all of which together will constitute one and the same instrument.

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IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date and year first above written.

ORION HEALTHCORP, INC.

By:   /s/ Terrence L. Bauer
   -----------------------------------
     Name: Terrence L. Bauer
     Title: Chief Executive Officer

KEITH G. LEBLANC

By:  /s/ Keith G. LeBlanc
    ----------------------------------


EXHIBIT 10.10

EMPLOYMENT AGREEMENT

THIS EMPLOYMENT AGREEMENT (this "Agreement"), dated as of December 15, 2004, between Orion HealthCorp, Inc., a Delaware corporation, with an executive office located at 1805 Old Alabama Road, Suite 350, Roswell, Georgia 30076 (together with its successors and assigns permitted under this Agreement, the "Company"), and Stephen H. Murdock, who resides at the address set forth on Schedule I hereto (the "Executive").

WITNESSETH:

WHEREAS, the Company and the Executive desire to enter into an employment arrangement; and

WHEREAS, the Company has determined that it is in the best interests of the Company and its stockholders to enter into this Agreement setting forth the obligations and duties of both the Company and the Executive; and

WHEREAS, the Company wishes to assure itself of the services of the Executive for the period hereinafter provided, and the Executive is willing to be employed by the Company for said period, upon the terms and conditions provided in this Agreement;

NOW, THEREFORE, in consideration of the premises and mutual covenants contained herein and for other good and valuable consideration, the receipt of which is mutually acknowledged, the Company and the Executive (individually, a "Party" and together, the "Parties") agree as follows:

1. Employment. The Company hereby agrees to employ the Executive, and the Executive hereby agrees to serve the Company, on the terms and conditions set forth herein.

2. Term. Subject to the provisions for earlier termination as hereinafter provided, the term of this Employment Agreement will begin on the date hereof and will continue for five (5) years hereafter (the "Initial Term of Employment"). This Agreement will be automatically renewed at the end of the Initial Term of Employment and each successive renewal term thereafter for successive two (2) year terms unless either party sends written notice of termination to the other party not less than one hundred and eighty (180) days prior to the expiration of the then current Term of Employment (as hereinafter defined). The Initial Term of Employment together with any renewal terms is referred to herein as the "Term of Employment." The nonrenewal of the term of this Agreement by the Company will not be a termination without Cause (as defined in Section 8(c)).

3. Position and Duties; Place of Performance.

(a) The Executive will serve as Chief Financial Officer of the Company and will perform all duties customarily attendant to the position of Chief Financial Officer and such other duties as may reasonably be assigned from time-to-time by the Board of Directors (the "Board") that are consistent with his position as Chief Financial Officer.


(b) The Executive will devote his full business time and best efforts to his employment and perform diligently such duties as are consistent with his capacity as Chief Financial Officer of the Company and such other duties as the Board reasonably determines that are consistent with his position. The Executive will devote his entire working time and attention to the performance of his responsibilities hereunder; provided, the Executive may make personal investments, engage in outside non-competitive business activities or engage in other activities for any charitable or other non-profit institution, provided that such activities do not interfere with the performance of the Executive's duties hereunder.

(c) In connection with the Executive's employment by the Company, the Executive will be based at the Company's place of business which on the date hereof is located in Atlanta, Georgia, or such other location as may, subject to Section 8(d), be designated from time to time by the Board.

4. Base Salary. The Executive will receive from the Company an annual base salary of One Hundred Seventy-Five Thousand Dollars ($175,000) (as from time to time adjusted, the "Base Salary"), payable in accordance with the standard practice of the Company with respect to the payment of salaries of its employees. The Board will review the Base Salary annually, and may, in its reasonable discretion, adjust the Base Salary.

5. Annual Bonus. The Executive may be paid a bonus annually based upon the attainment of objectives determined by the Board after consultation with the Executive. Within 90 days after the start of each fiscal year, the Board will communicate to the Executive the objectives applicable to such fiscal year and, unless the Board and the Executive shall mutually agree otherwise, such objectives shall apply to such fiscal year.

6. Other Benefits.

(a) During the Term of Employment, the Executive will be provided with such medical, hospitalization, insurance, pension plan, profit sharing and employee benefits, cell phone and such other similar employment privileges and benefits ("Benefits") as are afforded generally from time to time to other executive employees of the Company, and four
(4) weeks paid vacation each year.

(b) During the term of this Agreement, the Executive shall receive Five Hundred Dollars ($500) per month (pre-tax) as an automobile allowance. The Company shall pay all reasonable maintenance and repair expenses with respect to the automobile used primarily for business purposes by the Executive, procure and maintain in force collision, comprehensive, and liability insurance coverage with respect to the automobile, and pay operating expenses with respect to the automobile.

7. Expense Reimbursement. During the Term of Employment, the Executive will be entitled to prompt reimbursement by the Company for all reasonable out-of-pocket expenses

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incurred by him in performing services under this Agreement, upon submission of such accounts and records as may be required under Company policy.

8. Termination of Employment. The Executive's employment may be terminated under the following circumstances:

(a) Death. The Executive's employment is terminated upon his death.

(b) Disability. The Executive's employment may be terminated by the Company due to illness or other physical or mental disability of the Executive, resulting in his inability to perform substantially his duties under this Agreement for a period of ninety (90) or more consecutive days or for one hundred eighty (180) days in the aggregate during any consecutive twelve (12) month period ("Disability").

(c) Cause. The Executive's employment may be terminated by the Company for Cause. For purposes of this Agreement, the Company will have "Cause" to terminate the Executive's employment upon:

(i) the Executive's indictment for any crime involving monies or other property or any felony, crime or any offense of moral turpitude, or his commission of fraud, embezzlement, theft, dishonesty, willful misconduct or deliberate injury to the Company or its subsidiaries;

(ii) the Executive's intentional or grossly negligent refusal or failure to perform his duties or carry out directions of the Company's chief executive officer or Board, which refusal or failure remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period;

(iii) the Executive's breach of any of his fiduciary duties to the Company or making of a willful misrepresentation or omission, which breach or misrepresentation or omission might reasonably be expected to have a material adverse effect on the Company's business and which remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach or misrepresentation or omission, or recurs within such period;

(iv) the Executive's breach of any material provision of this Agreement, which breach, if curable, remains uncured or continues more than thirty (30) days after notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period; or

(v) any misappropriation by the Executive of funds or property of the Company or any affiliate of the Company.

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Any termination for "Cause" will not be in limitation of any other right or remedy the Company may have under this Agreement or otherwise.

(d) Good Reason. The Executive may terminate his employment under this Agreement for Good Reason. For purposes of this Agreement, the Executive will have "Good Reason" to terminate the Executive's employment upon the occurrence of any of the following circumstances, without the Executive's express written consent: (i) a material diminution in the Executive's position or authority (except during periods when the Executive is unable to perform all or substantially all of the Executive's duties and/or responsibilities as a result of the Executive's illness (either physical or mental) or other incapacity); (ii) a requirement by the Company that the Executive change the Executive's principal place of business to a place more than thirty (30) miles from its location on the date of this Agreement; (iii) a termination of employment by the Executive within ninety (90) days following a Change in Control (as defined below), provided, that Good Reason will not exist if the Executive has accepted or agreed to continue employment following the Change of Control with the surviving or successor entity and such surviving or successor entity has agreed to continue or assume this Agreement, provided, further, in the event of a Change of Control, the Executive is under no obligation to continue or accept employment with the surviving or successor entity and may instead elect to terminate his employment for Good Reason upon such Change of Control; (iv) a breach of this Agreement by the Company which is not cured within thirty (30) days of written notice by the Company; or (v) any reduction in the Executive's Base Salary. The Executive's right to terminate employment pursuant to this subsection 8(d) will not be affected by the Executive's Disability. The Executive's continued employment will not constitute consent to, or a waiver of rights with respect to, any circumstance constituting consent to, or a waiver of rights with respect to, any circumstance constituting Good Reason; provided, however, that the Executive will be deemed to have waived his rights pursuant to circumstances constituting Good Reason if he has not provided to the Company a Notice of Termination (as defined below) within ninety (90) days following his knowledge of the circumstances constituting Good Reason. A waiver with respect to the circumstances constituting Good Reason will not act as a waiver with respect to other future circumstances constituting Good Reason.

Any termination of the Executive's employment by the Executive must be communicated by written Notice of Termination to the Company in accordance with Section 19. For purposes of this Agreement, a "Notice of Termination" means a notice which indicates the specific termination provision in this Agreement relied upon and sets forth in reasonable detail the facts and circumstances claimed to provide a basis for termination of the Executive's employment under the provision so indicated.

For purposes of this Agreement, a "Change in Control" will occur:
(i) upon the sale or other disposition of 50% or more of the consolidated assets of the Company taken as a whole; (ii) if shares representing a majority of the voting power of the Company are acquired by a person or group (as such term is used in Rule 13d-5 promulgated under the Securities Exchange Act of 1934, as amended) of persons other than the holders of the

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capital stock of the Company as of the date of this Agreement; (iii) upon a merger or consolidation pursuant to which the holders of the equity securities of the Company before the merger or consolidation do not own equity securities representing a majority of the voting power of the surviving entity after the merger or consolidation; or (iv) upon approval by the shareholders of the Company of a complete liquidation or dissolution of the Company.

9. Compensation Upon Termination.

(a) If the Executive's employment is terminated as a result of the Executive's death or Disability, he, or his estate, will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company;

(iv) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment; and

(v) other benefits accrued and earned by the Executive through the date of his death or Disability in accordance with applicable plans and programs of the Company.

(b) If the Executive's employment is terminated by the Company for Cause, or by the Executive other than for Good Reason, or as a result of notice of nonrenewal provided by the Company or the Executive under
Section 2, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) other benefits accrued and earned by the Executive through the date of his termination in accordance with applicable plans and programs of the Company;

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(iv) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Executive under Section 2, he will be entitled to a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company; and

(v) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Company under Section 2, he will be entitled to full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

(c) If the Executive's employment is terminated by the Company without Cause, or by the Executive for Good Reason, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) continuation of his Base Salary, at the rate in effect on the date of his termination of employment (which, in the case of a termination of the Executive for Good Reason pursuant to Section
8(d)(v), shall be deemed to be the rate in effect prior to giving any effect to the reduction in Base Salary giving rise to such Good Reason), until the expiration of the Non-Competition Period (as defined below);

(iv) the greater of: (A) a prorated bonus for the year in which employment terminates, prorated based on the number of days worked, or (B) an amount equal to fifty percent (50%) of the average of the bonus payments made pursuant to Section 5 of this Agreement during the two (2) calendar years preceding such termination, if any, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable in either event as soon as administratively feasible following the end of the then fiscal year of the Company; provided, however, that this clause (iv) shall not be applicable in the event that the Executive's employment is terminated upon notice of nonrenewal provided by the Company under Section 2;

(v) until the expiration of the Non-Competition Period, subject to any employee contribution applicable to the Executive on the date of termination, continued participation in all of the Company's group medical and dental insurance plans in which he was participating on the date of his termination of

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employment, provided that the Executive is entitled to continue such participation under applicable law and plan terms;

(vi) reimbursement in accordance with this Agreement of any business expenses incurred by the Executive but not yet paid to him on the date of his termination of employment, payable as soon as administratively feasible following termination of employment; and

(vii) full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

In the event that, under the terms of any employee benefit plan referred to in subsection 9(c)(v) above, the Executive may not continue his participation, he will be provided with the after-tax economic equivalent of the benefits provided under any plan in which he was previously eligible to participate for the period specified in subsection 9(c)(v) above. The economic equivalent of any benefit foregone will be deemed to be the cost that would be incurred by the Executive in obtaining such benefit on the lowest available individual basis.

(d) Any amounts due under this Section 9 are in the nature of severance payments or liquidated damages or both, and will fully compensate the Executive and his dependents or beneficiaries, as the case may be, for any and all direct damages and consequential damages that any of them may suffer as a result of termination of the Executive's employment, and they are not in the nature of a penalty.

(e) Notwithstanding anything contained herein, any obligation of the Company to the Executive under Sections 9(c)(iii), (iv), (v) and (vii) is conditioned upon (i) the Executive signing a release of claims in the form attached hereto as Exhibit A (the "Employee Release") within twenty-one days (or such greater period as the Company may specify) following the later of the date on which the Executive (or, in the case of termination by the Executive for Good Reason, the Company) receives notice of termination of employment or the date the Executive receives a copy of the Employee Release and upon the Executive not revoking the Employee Release in a timely manner thereafter and (ii) the Executive's continuing compliance with the provisions of Section 10. If the Executive breaches any provision of Section 10, upon written notice of such breach and request for repayment from the Company, the Executive shall promptly pay to the Company an amount equal to the sum of any cash payments previously paid to the Executive pursuant to Sections 9(c)(iii), (iv), (v) and (vii). Any such repayment shall not be the exclusive remedy for any such breach and the Company shall retain all rights to pursue other available remedies (whether at law or equity) for any such breach.

10. Confidentiality and Non-Competition.

(a) The Executive acknowledges that he has had or will have unlimited access to confidential information and business methods relating to the Company's business and

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operations and that the Company would be irreparably injured and the goodwill of the Company would be irreparably damaged if the Executive were to breach the covenants set forth in this Section 10. The Executive further acknowledges that the covenants set forth in this Section 10 are reasonable in scope and duration and do not unreasonably restrict the Executive's association with other business entities, either as an employee or otherwise as set forth herein.

(b) During the Term of Employment and thereafter, except as may be required by law or necessary in connection with any dealings with any public agency or authority or in the ordinary course of business during the Term of Employment pursuant to customary non-disclosure agreements, the Executive will not disclose, disseminate, divulge, discuss, copy or otherwise use or suffer to be used, including but not limited to in competition with, or in a manner harmful to the interests of, the Company, any confidential information (written or oral) respecting any material aspect of the Company's business, excepting only use of such data or information as is (i) at the time disclosed, through no act or failure to act on the part of the Executive, generally known or available; (ii) furnished to the Executive by a third party as a matter of right and without restriction on disclosure; or (iii) required to be disclosed by court order. Upon termination of the Term of Employment, the Executive will return to the Company any and all materials in tangible or electronic form containing confidential information belonging to the Company.

(c) During the Term of Employment and the Non-Competition Period, the Executive will not in the states of California, Florida, Georgia, Illinois, Iowa, New Jersey, Ohio or Texas, directly or indirectly, whether as an individual on the Executive's own account, or as a shareholder, partner, member, joint venturer, director, officer, employee, consultant, creditor and/or agent, of any person, firm or organization or otherwise:

(i) own, manage, control or participate in the ownership, management or control of, or be employed or engaged by or otherwise affiliated or associated as a consultant, independent contractor or otherwise with, any other corporation, partnership, proprietorship, firm, association or other business entity or otherwise engage in any business that is engaged in the business of the Company or any of the Company's subsidiaries (collectively, "Subsidiaries"), as such business is conducted on the applicable date during the Term of Employment, or in the case of the Non-Competition Period, as of the date the Executive ceases to be employed by the Company, in any capacity, including as a consultant;

(ii) directly or indirectly solicit, encourage or induce any person who is a present or future employee, officer, agent, affiliate or customer of the Company or any Subsidiary to terminate or materially alter such person's relationship with the Company or such Subsidiary;

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(iii) induce any supplier of the Company or any Subsidiary, to refuse to do business with the Company or any Subsidiary, on as favorable terms as previously done with the Company or any Subsidiary, as the case may be; or

(iv) engage in disparagement (which will not include the providing of accurate information without invidious intent) of the Company or any Subsidiary by any means to any person.

For purposes of this Agreement, "Non-Competition Period" shall mean the period during the Term of Employment and thereafter until the second anniversary of the date of termination of the Executive's employment with the Company; provided, however, that the Company may, by written notice to the Executive (whether given before or after the date of termination of the Executive's employment with the Company), shorten the portion of the Non-Competition Period occurring following the date of termination of the Executive's employment with the Company to any date specified in such notice which occurs on or after the earlier of (x) the second anniversary of the date of termination of the Executive's employment with the Company and (y) the date of expiration of the then current Term of Employment. Notwithstanding the foregoing, in the event that the Company or the Executive provides notice of nonrenewal under Section 2, then: (1) the Company shall have the option to continue to pay the Executive his Base Salary, at the rate in effect on the date of his termination of employment, until the expiration of the Non-Competition Period; (2) if the Company exercises such option, it may discontinue the payment of Base Salary at any time; (3) the Executive shall be subject to Section 10(c)(i) only for so long as the Company continues to pay the Executive his Base Salary; and (4) if the Company stops paying the Executive his Base Salary, then the Executive shall no longer be subject to Section 10(c)(i), but shall remain subject to the rest of this Section 10.

(d) Notwithstanding anything herein to the contrary, the Executive will be permitted to own shares of any class of capital stock of any publicly held corporation so long as the aggregate holdings of the Executive represent less than one percent (1%) of the outstanding shares of such class of capital stock.

11. Rights and Remedies Upon Breach.

(a) The Executive expressly agrees and understands that the remedy at law for any breach by the Executive of Section 10 will be inadequate and that the damages flowing from such breach are not readily susceptible to being measured in monetary terms. Accordingly, it is acknowledged that upon adequate proof of the Executive's violation of Section 10, the Company will be entitled, among other remedies, to injunctive relief and may obtain a temporary restraining order restraining any threatened or further breach. Nothing in this Section 11(a) will be deemed to limit the Company's remedies at law or in equity for any breach by the Executive of any of the provisions of this Agreement which may be pursued or availed of by the Company.

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(b) In the event any court of competent jurisdiction determines that the specified time period or geographical area set forth in Section 10 is unreasonable, arbitrary or against public policy, then a lesser time period or geographical area that is determined by the court to be reasonable, non-arbitrary and not against public policy may be enforced.

12. Withholding Taxes. All payments to the Executive or his beneficiary will be subject to withholding on account of federal, state and local taxes as required by law. If any payment hereunder is insufficient to provide the amount of such taxes required to be withheld, the Company may withhold such taxes from any other payment due the Executive or his beneficiary.

13. Assignability; Binding Nature. This Agreement will be binding upon and inure to the benefit of the Parties and their respective successors, heirs (in the case of the Executive) and assigns. No rights or obligations of the Company under this Agreement may be assigned or transferred by the Company except that such rights or obligations may be assigned or transferred pursuant to (i) a merger or consolidation in which the Company is not the continuing entity or
(ii) a sale or liquidation of all or substantially all of the assets of the Company, provided that the assignee or transferee is the successor to all or substantially all of the assets of the Company and such assignee or transferee assumes the liabilities, obligations and duties of the Company, as contained in this Agreement, either contractually or as a matter of law. The Company further agrees that, in the event of a sale of assets or liquidation as described in the preceding sentence, it will use its best efforts to cause such assignee or transferee to expressly assume the liabilities, obligations and duties of the Company hereunder. No obligations of the Executive under this Agreement may be assigned or transferred by the Executive.

14. Entire Agreement. Except to the extent otherwise provided herein, this Agreement contains the entire understanding and agreement between the Parties concerning the subject matter hereof and supersedes any prior agreements, whether written or oral, between the Parties concerning the subject matter hereof.

15. Amendment or Waiver. No provision in this Agreement may be amended unless such amendment is agreed to in writing and signed by both the Executive and an authorized officer of the Company. No waiver by either Party of any breach by the other Party of any condition or provision contained in this Agreement to be performed by such other Party will be deemed a waiver of a similar or dissimilar condition or provision at the same or any prior or subsequent time. Any waiver must be in writing and signed by the Executive or an authorized officer of the Company, as the case may be.

16. Severability. In the event that any provision or portion of this Agreement is determined to be invalid or unenforceable for any reason, in whole or in part, the remaining provisions of this Agreement will be unaffected thereby and will remain in full force and effect to the fullest extent permitted by law.

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17. Survivorship. The respective rights and obligations of the Parties hereunder will survive any termination of the Executive's employment with the Company to the extent necessary to the intended preservation of such rights and obligations as described in this Agreement.

18. Governing Law. This Agreement will be governed by and construed and interpreted in accordance with the laws of the State of Georgia, without reference to principles of conflict of laws.

19. Notices. Any notice given to either Party must be in writing and will be deemed to have been given when delivered personally or one (1) day after having been sent by overnight courier service or three (3) days after having been sent by certified or registered mail, postage prepaid, return receipt requested, duly addressed to the Party concerned at the address indicated below or to such changed address as such Party may subsequently give such notice of:

If to the Company or the Board:    Orion HealthCorp, Inc.
                                   1805 Old Alabama Road
                                   Suite 350
                                   Roswell, Georgia  30076

With a copy to:                    Brantley Partners
                                   3201 Enterprise Parkway, Suite 350
                                   Beachwood, Ohio 44122
                                   Attention: Paul H. Cascio

and:                               Ropes & Gray LLP
                                   One International Place
                                   Boston, MA 02110
                                   Attention: Winthrop G. Minot, Esq.

If to the Executive:               Stephen H. Murdock
                                   Address set forth on Schedule I hereto

20. Headings. The headings of the sections contained in this Agreement are for convenience only and will not be deemed to control or affect the meaning or construction of any provision of this Agreement.

21. Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed an original but all of which together will constitute one and the same instrument.

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IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date and year first above written.

ORION HEALTHCORP, INC.

By:    /s/ Terrence L. Bauer
   ----------------------------------
     Name: Terrence L. Bauer
     Title: Chief Executive Officer

STEPHEN H. MURDOCK

By:    /s/ Stephen H. Murdock
       ------------------------------


EXHIBIT 10.11

EMPLOYMENT AGREEMENT

THIS EMPLOYMENT AGREEMENT (this "Agreement"), dated as of December 15, 2004, between Orion HealthCorp, Inc., a Delaware corporation, with an executive office located at 10700 Richmond Avenue, Suite 300, Houston, Texas 77042 (together with its successors and assigns permitted under this Agreement, the "Company"), Medical Billing Services, Inc., a Texas corporation, with an executive office located at 10700 Richmond Avenue, Suite 320, Houston, Texas 77042 (together with its successors and assigns permitted under this Agreement, "Newco"), and Dennis Cain, who resides at the address set forth on Schedule I hereto (the "Executive").

WITNESSETH:

WHEREAS, the Company, Newco and the Executive desire to enter into an employment arrangement; and

WHEREAS, the Company and Newco have determined that it is in the best interests of the Company, Newco and the stockholders of the Company to enter into this Agreement setting forth the obligations and duties of each of the Company, Newco and the Executive; and

WHEREAS, the Company and Newco wish to assure themselves of the services of the Executive for the period hereinafter provided, and the Executive is willing to be employed by Newco for said period, upon the terms and conditions provided in this Agreement;

NOW, THEREFORE, in consideration of the premises and mutual covenants contained herein and for other good and valuable consideration, the receipt of which is mutually acknowledged, the Company, Newco and the Executive (individually, a "Party" and together, the "Parties") agree as follows:

1. Employment. Newco hereby agrees to employ the Executive, and the Executive hereby agrees to serve Newco, on the terms and conditions set forth herein. The Executive acknowledges that this Agreement is the only employment agreement to which he is a party as of the date hereof.

2. Term. Subject to the provisions for earlier termination as hereinafter provided, the term of this Employment Agreement will begin on the date hereof and will continue for five (5) years hereafter (the "Initial Term of Employment"). This Agreement will be automatically renewed at the end of the Initial Term of Employment and each successive renewal term thereafter for successive two (2) year terms unless either party sends written notice of termination to the other party not less than ninety (90) days prior to the expiration of the then current Term of Employment (as hereinafter defined). The Initial Term of Employment together with any renewal terms is referred to herein as the "Term of Employment." The nonrenewal of the term of this Agreement by the Company will not be a termination without Cause (as defined in Section 8(c)).


3. Position and Duties; Place of Performance.

(a) The Executive will serve as Chief Executive Officer of Newco and will perform all duties customarily attendant to the position of Chief Executive Officer and such other duties as may reasonably be assigned from time-to-time by the Board of Directors of the Company (the "Board") that are consistent with his position as Chief Executive Officer.

(b) The Executive will devote his full business time and best efforts to his employment and perform diligently such duties as are consistent with his capacity as Chief Executive Officer of Newco and such other duties as the Board reasonably determines that are consistent with his position. The Executive will devote his entire working time and attention to the performance of his responsibilities hereunder; provided, the Executive may make personal investments, engage in outside non-competitive business activities or engage in other activities for any charitable or other non-profit institution, provided that such activities do not interfere with the performance of the Executive's duties hereunder.

(c) In connection with the Executive's employment by Newco, the Executive will be based at Newco's place of business which on the date hereof is located in Houston, Texas, or such other location as may, subject to Section 8(d), be designated from time to time by the Board.

4. Base Salary. The Executive will receive from Newco or the Company an annual base salary of One Hundred Seventy-Five Thousand Dollars ($175,000) (as from time to time adjusted, the "Base Salary"), payable in accordance with the standard practice of Newco or the Company with respect to the payment of salaries of its employees. The Board will review the Base Salary annually, and may, in its reasonable discretion, adjust the Base Salary.

5. Annual Bonus. (a) General. The Executive may be paid a bonus annually based upon the attainment of objectives determined by the Board after consultation with the Executive. Within 90 days after the start of each fiscal year, the Board will communicate to the Executive the objectives applicable to such fiscal year and, unless the Board and the Executive shall mutually agree otherwise, such objectives shall apply to such fiscal year. For the year ended December 31, 2005, if the Executive is employed by Newco on December 31, 2005, the Executive shall be entitled to receive a bonus payment equal to 12.5% of the amount, if any, by which Newco EBITDA for the 2005 fiscal year (on a pro forma combined basis, assuming that Newco had been formed on December 31, 2004) exceeds $1,200,000, up to a maximum bonus payment of $175,000; provided, however, the Executive may elect not to receive a bonus payment with respect to any fiscal year by providing written notice of such election to the Company at any time prior to such payment. For purposes of this Agreement, "Newco EBITDA" shall mean, with respect to a fiscal year of Newco, the sum of (without duplication) (a) Newco Net Income for such fiscal year and (b) to the extent Newco Net Income has been reduced thereby, (i) all income taxes of Newco recorded as a tax provision in accordance with GAAP for such period, (ii) Newco Interest Expense, (iii) Newco Non-Cash Charges and (iv) all

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management fees required to be paid by Newco to the Company, all as determined in accordance with GAAP. The components of Newco EBITDA will be determined by the Company's independent auditor in accordance with GAAP, subject to Section 5(c) below.

(b) Definitions. "Newco Interest Expense" shall mean, with respect to a fiscal year of Newco, the sum of (without duplication) (a) the aggregate of the interest expense of Newco for such fiscal year determined in accordance with GAAP and (b) the interest component of capitalized lease obligations accrued by Newco during such period as determined in accordance with GAAP, less (c) the amount of any interest income received by Newco during such fiscal period.

"Newco Net Income" shall mean, with respect to a fiscal year of Newco, the aggregate net income (or loss) of Newco for such fiscal year, determined in accordance with GAAP.

"Newco Non-Cash Charges" shall mean, with respect to a fiscal year of Newco, the aggregate depreciation and amortization of Newco reducing Newco Net Income for such fiscal year (including any depreciation or amortization of the Company or any of its Subsidiaries other than Newco that was allocated to Newco, if applicable).

"GAAP" shall mean United States generally accepted accounting principles as set forth in the opinions and pronouncements of the Accounting Principles Board of the American Institute of Certified Public Accountants and statements and pronouncements of the Financial Accounting Standards Board or in other such statements by such other entity as have been approved by a significant segment of the accounting profession, as in effect for the relevant time period.

(c) Disputes. The determination of Newco EBITDA for the year ended December 31, 2005, and any disputes in respect thereof, shall be handled in the manner specified in Sections 2.07(a) and (b) of the Amended and Restated Agreement and Plan of Merger dated as of July 16, 2004 among the Company, DCPS/MBS Acquisition, Inc., Dennis Cain Physician Solutions, Ltd., Medical Billing Services, Inc. and the sellers party thereto, as amended (the "Merger Agreement").

6. Other Benefits.

(a) During the Term of Employment, the Executive will be provided with such medical, hospitalization, insurance, pension plan, equity incentive, profit sharing and employee benefits, cell phone and such other similar employment privileges and benefits ("Benefits") as are afforded generally from time to time to executive employees of the Company, and four (4) weeks paid vacation each year.

(b) During the term of this Agreement, the Executive shall receive Two Thousand Eighty-Three Dollars and Thirty-Three Cents ($2,083.33) per month (pre-tax) as a personal expense allowance.

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7. Expense Reimbursement. During the Term of Employment, the Executive will be entitled to prompt reimbursement by Newco or the Company for all reasonable out-of-pocket expenses incurred by him in performing services under this Agreement, upon submission of such accounts and records as may be required under Company policy.

8. Termination of Employment. The Executive's employment may be terminated under the following circumstances:

(a) Death. The Executive's employment is terminated upon his death.

(b) Disability. The Executive's employment may be terminated by the Company due to illness or other physical or mental disability of the Executive, resulting in his inability to perform substantially his duties under this Agreement for a period of ninety (90) or more consecutive days or for one hundred eighty (180) days in the aggregate during any consecutive twelve (12) month period ("Disability").

(c) Cause. The Executive's employment may be terminated by the Company for Cause. For purposes of this Agreement, the Company will have "Cause" to terminate the Executive's employment upon:

(i) the Executive's indictment for any crime involving monies or other property or any felony, crime or any offense of moral turpitude, or his commission of fraud, embezzlement, theft, dishonesty, willful misconduct or deliberate injury to the Company or its subsidiaries;

(ii) the Executive's intentional or grossly negligent refusal or failure to perform his duties or carry out written directions of the Company's chief executive officer or Board, which refusal or failure remains uncured or continues more than thirty (30) days after written notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period;

(iii) the Executive's breach of any of his fiduciary duties to Newco or the Company or making of a willful misrepresentation or omission, which breach or misrepresentation or omission might reasonably be expected to have a material adverse effect on Newco's or the Company's business and which remains uncured or continues more than thirty (30) days after written notice from the Company specifying in reasonable detail the nature of the breach or misrepresentation or omission, or recurs within such period;

(iv) the Executive's breach of any material provision of this Agreement, which breach, if curable, remains uncured or continues more than thirty (30) days after written notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period; or

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(v) any misappropriation by the Executive of funds or property of the Company or any affiliate of the Company.

Any termination for "Cause" will not be in limitation of any other right or remedy the Company or Newco may have under this Agreement or otherwise.

(d) Good Reason. The Executive may terminate his employment under this Agreement for Good Reason. For purposes of this Agreement, the Executive will have "Good Reason" to terminate the Executive's employment upon the occurrence of any of the following circumstances, without the Executive's express written consent: (i) a material diminution in the Executive's position or authority (except during periods when the Executive is unable to perform all or substantially all of the Executive's duties and/or responsibilities as a result of the Executive's illness (either physical or mental) or other incapacity); (ii) a requirement by the Company that the Executive change the Executive's principal place of business to a place more than thirty (30) miles from its location on the date of this Agreement; (iii) a termination of employment by the Executive within ninety (90) days following a Change in Control (as defined below), provided, that Good Reason will not exist if the Executive has accepted or agreed to continue employment following the Change of Control with the surviving or successor entity and such surviving or successor entity has agreed to continue or assume this Agreement, provided, further, in the event of a Change of Control, the Executive is under no obligation to continue or accept employment with the surviving or successor entity and may instead elect to terminate his employment for Good Reason upon such Change of Control; (iv) a breach of this Agreement by Newco or the Company which is not cured within thirty (30) days of written notice by the Executive; (v) any reduction in the Executive's Base Salary or any change adverse to the Executive in the bonus objectives applicable to a fiscal year after the communication of such objectives to the Executive pursuant to Section 5(a); or (vi) a failure by the Company (a "Payment Default") to pay any amounts due to a DCPS Seller (as defined in the Merger Agreement) pursuant to (A) Section 2.07(c) of the Merger Agreement or (B) the DCPS Notes (as defined in the Merger Agreement), in either case within 180 days of such payment becoming due. The Executive's right to terminate employment pursuant to this subsection 8(d) will not be affected by the Executive's Disability. The Executive's continued employment will not constitute consent to, or a waiver of rights with respect to, any circumstance constituting consent to, or a waiver of rights with respect to, any circumstance constituting Good Reason; provided, however, that the Executive will be deemed to have waived his rights pursuant to circumstances constituting Good Reason if he has not provided to the Company a Notice of Termination (as defined below) within ninety (90) days following his knowledge of the circumstances constituting Good Reason. A waiver with respect to the circumstances constituting Good Reason will not act as a waiver with respect to other future circumstances constituting Good Reason.

Any termination of the Executive's employment by the Executive must be communicated by written Notice of Termination to the Company in accordance with Section 19. For purposes of this Agreement, a "Notice of Termination" means a notice

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which indicates the specific termination provision in this Agreement relied upon and sets forth in reasonable detail the facts and circumstances claimed to provide a basis for termination of the Executive's employment under the provision so indicated.

For purposes of this Agreement, a "Change in Control" will occur:
(i) upon the sale or other disposition of 50% or more of the consolidated assets of the Company taken as a whole; (ii) if shares representing a majority of the voting power of the Company are acquired by a person or group (as such term is used in Rule 13d-5 promulgated under the Securities Exchange Act of 1934, as amended) of persons other than the holders of the capital stock of the Company as of the date of this Agreement; (iii) upon a merger or consolidation pursuant to which the holders of the equity securities of the Company before the merger or consolidation do not own equity securities representing a majority of the voting power of the surviving entity after the merger or consolidation; or (iv) upon approval by the shareholders of the Company of a complete liquidation or dissolution of the Company.

9. Compensation Upon Termination.

(a) If the Executive's employment is terminated as a result of the Executive's death or Disability, he, or his estate, will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company;

(iv) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment; and

(v) other benefits accrued and earned by the Executive through the date of his death or Disability in accordance with applicable plans and programs of the Company.

(b) If the Executive's employment is terminated by the Company for Cause, or by the Executive other than for Good Reason, or as a result of notice of nonrenewal provided by the Company or the Executive under
Section 2, he will be entitled to:

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(i) any Base Salary earned but not yet paid;

(ii) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) other benefits accrued and earned by the Executive through the date of his termination in accordance with applicable plans and programs of the Company;

(iv) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Executive under Section 2, he will be entitled to a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company; and

(v) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Company under Section 2, he will be entitled to full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

(c) If the Executive's employment is terminated by the Company without Cause, or by the Executive for Good Reason, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) continuation of his Base Salary, at the rate in effect on the date of his termination of employment (which, in the case of a termination of the Executive for Good Reason pursuant to Section
8(d)(v), shall be deemed to be the rate in effect prior to giving any effect to the reduction in Base Salary giving rise to such Good Reason), until the expiration of the Non-Competition Period (as defined below);

(iv) the greater of: (A) a prorated bonus for the year in which employment terminates, prorated based on the number of days worked, or (B) an amount equal to fifty percent (50%) of the average of the bonus payments made pursuant to Section 5 of this Agreement during the two (2) calendar years preceding such termination, if any, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable in

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either event as soon as administratively feasible following the end of the then fiscal year of the Company; provided, however, that this clause (iv) shall not be applicable in the event that the Executive's employment is terminated upon notice of nonrenewal provided by the Company under Section 2;

(v) until the expiration of the Non-Competition Period, subject to any employee contribution applicable to the Executive on the date of termination, continued participation in all of the Company's group medical and dental insurance plans in which he was participating on the date of his termination of employment, provided that the Executive is entitled to continue such participation under applicable law and plan terms;

(vi) reimbursement in accordance with this Agreement of any business expenses incurred by the Executive but not yet paid to him on the date of his termination of employment, payable as soon as administratively feasible following termination of employment; and

(vii) full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

In the event that, under the terms of any employee benefit plan referred to in subsection 9(c)(v) above, the Executive may not continue his participation, he will be provided with the after-tax economic equivalent of the benefits provided under any plan in which he was previously eligible to participate for the period specified in subsection 9(c)(v) above. The economic equivalent of any benefit foregone will be deemed to be the cost that would be incurred by the Executive in obtaining such benefit on the lowest available individual basis.

(d) Any amounts due under this Section 9 are in the nature of severance payments or liquidated damages or both, and, to the extent received by the Executive, will fully compensate the Executive and his dependents or beneficiaries, as the case may be, for any and all direct damages and consequential damages that any of them may suffer as a result of termination of the Executive's employment, and they are not in the nature of a penalty.

(e) Notwithstanding anything contained herein, any obligation of the Company or Newco to the Executive under Sections 9(c)(iii), (iv), (v) and
(vii) is conditioned upon (i) the Executive signing a release of claims in the form attached hereto as Exhibit A (the "Employee Release") within twenty-one days (or such greater period as the Company may specify) following the later of the date on which the Executive (or, in the case of termination by the Executive for Good Reason, the Company) receives notice of termination of employment or the date the Executive receives a copy of the Employee Release and upon the Executive not revoking the Employee Release in a timely manner thereafter and (ii) the Executive's continuing compliance with the provisions of Section 10. If the Executive breaches any provision of Section 10, upon written notice of such

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breach and request for repayment from the Company, the Executive shall promptly pay to the Company an amount equal to the sum of any cash payments previously paid to the Executive pursuant to Sections 9(c)(iii),
(iv), (v) and (vii). Any such repayment shall not be the exclusive remedy for any such breach and the Company and Newco shall retain all rights to pursue other available remedies (whether at law or equity) for any such breach.

10. Confidentiality and Non-Competition.

(a) The Executive acknowledges that he has had or will have unlimited access to confidential information and business methods relating to the Company's and Newco's business and operations and that the Company and Newco would be irreparably injured and the goodwill of the Company and Newco would be irreparably damaged if the Executive were to breach the covenants set forth in this Section 10. The Executive further acknowledges that the covenants set forth in this Section 10 are reasonable in scope and duration and do not unreasonably restrict the Executive's association with other business entities, either as an employee or otherwise as set forth herein.

(b) During the Term of Employment and thereafter, except as may be required by law or necessary in connection with any dealings with any public agency or authority or in the ordinary course of business during the Term of Employment pursuant to customary non-disclosure agreements, the Executive will not disclose, disseminate, divulge, discuss, copy or otherwise use or suffer to be used, including but not limited to in competition with, or in a manner harmful to the interests of, the Company or Newco, any confidential information (written or oral) respecting any material aspect of the Company's or Newco's business, excepting only use of such data or information as is (i) at the time disclosed, through no act or failure to act on the part of the Executive, generally known or available; (ii) furnished to the Executive by a third party as a matter of right and without restriction on disclosure; or (iii) required to be disclosed by court order. Upon termination of the Term of Employment, the Executive will return to the Company any and all materials in tangible or electronic form containing confidential information belonging to the Company or Newco.

(c) During the Term of Employment and continuing until the earlier of the termination of the Non-Competition Period or the date on which the Executive terminates his employment with Newco for Good Reason upon a Payment Default, the Executive will not in the states of California, Florida, Georgia, Illinois, Iowa, New Jersey, Ohio or Texas, directly or indirectly, whether as an individual on the Executive's own account, or as a shareholder, partner, member, joint venturer, director, officer, employee, consultant, creditor and/or agent, of any person, firm or organization or otherwise:

(i) own, manage, control or participate in the ownership, management or control of, or be employed or engaged by or otherwise affiliated or associated as a consultant, independent contractor or otherwise with, any other corporation, partnership, proprietorship, firm, association or other business entity or otherwise engage in any business that is engaged in the business of the Company or any of

9

the Company's subsidiaries (collectively, "Subsidiaries"), as such business is conducted on the applicable date during the Term of Employment, or in the case of the Non-Competition Period, as of the date the Executive ceases to be employed by Newco, in any capacity, including as a consultant;

(ii) directly or indirectly solicit, encourage or induce any person who is a present or future employee, officer, agent, affiliate or customer of the Company or any Subsidiary to terminate or materially alter such person's relationship with the Company or such Subsidiary;

(iii) induce any supplier of the Company or any Subsidiary, to refuse to do business with the Company or any Subsidiary, on as favorable terms as previously done with the Company or any Subsidiary, as the case may be; or

(iv) engage in disparagement (which will not include the providing of accurate information without invidious intent) of the Company or any Subsidiary by any means to any person.

For purposes of this Agreement, "Non-Competition Period" shall mean the period during the Term of Employment and thereafter until the second anniversary of the date of termination of the Executive's employment with Newco; provided, however, that the Company may, by written notice to the Executive (whether given before or after the date of termination of the Executive's employment with Newco), shorten the portion of the Non-Competition Period occurring following the date of termination of the Executive's employment with Newco to any date specified in such notice which occurs on or after the earlier of (x) the second anniversary of the date of termination of the Executive's employment with Newco and (y) the date of expiration of the then current Term of Employment. Notwithstanding anything herein to the contrary, the Non-Competition Period shall terminate if the Company and Newco fail to pay any amounts due to the Executive under this Agreement within sixty (60) days of such payment being due. Notwithstanding the foregoing, in the event that the Company or the Executive provides notice of nonrenewal under Section 2, then: (1) the Company shall have the option to continue to pay the Executive his Base Salary, at the rate in effect on the date of his termination of employment, until the expiration of the Non-Competition Period; (2) if the Company exercises such option, it may discontinue the payment of Base Salary at any time; (3) the Executive shall be subject to Section 10(c)(i) only for so long as the Company continues to pay the Executive his Base Salary; and (4) if the Company stops paying the Executive his Base Salary, then the Executive shall no longer be subject to Section 10(c)(i), but shall remain subject to the rest of this Section 10.

(d) Notwithstanding anything herein to the contrary, the Executive will be permitted to own shares of any class of capital stock of any publicly held corporation so long as the aggregate holdings of the Executive represent less than one percent (1%) of the outstanding shares of such class of capital stock.

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11. Rights and Remedies Upon Breach.

(a) The Executive expressly agrees and understands that the remedy at law for any breach by the Executive of Section 10 will be inadequate and that the damages flowing from such breach are not readily susceptible to being measured in monetary terms. Accordingly, it is acknowledged that upon adequate proof of the Executive's violation of Section 10, the Company and Newco will be entitled, among other remedies, to injunctive relief and may obtain a temporary restraining order restraining any threatened or further breach. Nothing in this Section 11(a) will be deemed to limit the Company's or Newco's remedies at law or in equity for any breach by the Executive of any of the provisions of this Agreement which may be pursued or availed of by the Company or Newco.

(b) In the event any court of competent jurisdiction determines that the specified time period or geographical area set forth in Section 10 is unreasonable, arbitrary or against public policy, then a lesser time period or geographical area that is determined by the court to be reasonable, non-arbitrary and not against public policy may be enforced.

12. Withholding Taxes. All payments to the Executive or his beneficiary will be subject to withholding on account of federal, state and local taxes as required by law. If any payment hereunder is insufficient to provide the amount of such taxes required to be withheld, the Company or Newco may withhold such taxes from any other payment due the Executive or his beneficiary.

13. Assignability; Binding Nature. This Agreement will be binding upon and inure to the benefit of the Parties and their respective successors, heirs (in the case of the Executive) and assigns. No rights or obligations of the Company or Newco under this Agreement may be assigned or transferred by the Company or Newco except that such rights or obligations may be assigned or transferred pursuant to (i) a merger or consolidation in which the Company or Newco is not the continuing entity or (ii) a sale or liquidation of all or substantially all of the assets of the Company or Newco, provided that the assignee or transferee is the successor to all or substantially all of the assets of the Company or Newco, as applicable, and such assignee or transferee assumes the liabilities, obligations and duties of the Company or Newco, as applicable, as contained in this Agreement, either contractually or as a matter of law. Each of the Company and Newco further agrees that, in the event of a sale of assets or liquidation as described in the preceding sentence, it will use its best efforts to cause such assignee or transferee to expressly assume the liabilities, obligations and duties of the Company or Newco, as applicable, hereunder. No obligations of the Executive under this Agreement may be assigned or transferred by the Executive. Notwithstanding anything to the contrary contained in this Agreement, if the Sellers exercise the ROFR (as defined in Section 6.11 of the Merger Agreement) and purchase the capital stock or assets of Newco pursuant thereto, this Agreement shall immediately terminate without further obligation on the part of any party hereto; provided, however, that the Executive

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shall continue to be bound by the provisions of Sections 10(a) and 10(b) with respect to confidential information of the Company.

14. Entire Agreement. Except to the extent otherwise provided herein, this Agreement contains the entire understanding and agreement between the Parties concerning the subject matter hereof and supersedes any prior agreements, whether written or oral, between the Parties concerning the subject matter hereof.

15. Amendment or Waiver. No provision in this Agreement may be amended unless such amendment is agreed to in writing and signed by both the Executive and an authorized officer of the Company. No waiver by either Party of any breach by the other Party of any condition or provision contained in this Agreement to be performed by such other Party will be deemed a waiver of a similar or dissimilar condition or provision at the same or any prior or subsequent time. Any waiver must be in writing and signed by the Executive or an authorized officer of the Company, as the case may be.

16. Severability. In the event that any provision or portion of this Agreement is determined to be invalid or unenforceable for any reason, in whole or in part, the remaining provisions of this Agreement will be unaffected thereby and will remain in full force and effect to the fullest extent permitted by law.

17. Survivorship. The respective rights and obligations of the Parties hereunder will survive any termination of the Executive's employment with Newco to the extent necessary to the intended preservation of such rights and obligations as described in this Agreement.

18. Governing Law. This Agreement will be governed by and construed and interpreted in accordance with the laws of the State of Texas, without reference to principles of conflict of laws.

19. Notices. Any notice given to any Party must be in writing and will be deemed to have been given when delivered personally or one (1) day after having been sent by overnight courier service or three (3) days after having been sent by certified or registered mail, postage prepaid, return receipt requested, duly addressed to the Party concerned at the address indicated below or to such changed address as such Party may subsequently give such notice of:

If to the Company, Newco          Orion HealthCorp, Inc.
or the Board:                     10700 Richmond Avenue
                                  Suite 300
                                  Houston, Texas  77042

With a copy to:                   Brantley Partners
                                  3201 Enterprise Parkway, Suite 350
                                  Beachwood, Ohio 44122
                                  Attention: Paul H. Cascio

                                 12

and:                              Ropes & Gray LLP
                                  One International Place
                                  Boston, MA 02110
                                  Attention: Winthrop G. Minot, Esq.

If to the Executive:              Dennis Cain
                                  Address set forth on Schedule I hereto

20. Headings. The headings of the sections contained in this Agreement are for convenience only and will not be deemed to control or affect the meaning or construction of any provision of this Agreement.

21. Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed an original but all of which together will constitute one and the same instrument.

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IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date and year first above written.

ORION HEALTHCORP, INC.

By:   /s/ Keith LeBlanc
   -----------------------------
    Name: Keith LeBlanc
    Title: President

MEDICAL BILLING SERVICES, INC.

By:   /s/ Tommy M. Smith
   -----------------------------
    Name: Tommy M. Smith
    Title: President

DENNIS CAIN

By:   /s/ Dennis Cain
   -----------------------------


EXHIBIT 10.12

EMPLOYMENT AGREEMENT

THIS EMPLOYMENT AGREEMENT (this "Agreement"), dated as of December 15, 2004, between Orion HealthCorp, Inc., a Delaware corporation, with an executive office located at 10700 Richmond Avenue, Suite 300, Houston, Texas 77042 (together with its successors and assigns permitted under this Agreement, the "Company"), Medical Billing Services, Inc., a Texas corporation, with an executive office located at 10700 Richmond Avenue, Suite 320, Houston, Texas 77042 (together with its successors and assigns permitted under this Agreement, "Newco"), and Tom M. Smith, who resides at the address set forth on Schedule I hereto (the "Executive").

WITNESSETH:

WHEREAS, the Company, Newco and the Executive desire to enter into an employment arrangement; and

WHEREAS, the Company and Newco have determined that it is in the best interests of the Company, Newco and the stockholders of the Company to enter into this Agreement setting forth the obligations and duties of each of the Company, Newco and the Executive; and

WHEREAS, the Company and Newco wish to assure themselves of the services of the Executive for the period hereinafter provided, and the Executive is willing to be employed by Newco for said period, upon the terms and conditions provided in this Agreement;

NOW, THEREFORE, in consideration of the premises and mutual covenants contained herein and for other good and valuable consideration, the receipt of which is mutually acknowledged, the Company, Newco and the Executive (individually, a "Party" and together, the "Parties") agree as follows:

1. Employment. Newco hereby agrees to employ the Executive, and the Executive hereby agrees to serve Newco, on the terms and conditions set forth herein. The Executive acknowledges that this Agreement is the only employment agreement to which he is a party as of the date hereof.

2. Term. Subject to the provisions for earlier termination as hereinafter provided, the term of this Employment Agreement will begin on the date hereof and will continue for five (5) years hereafter (the "Initial Term of Employment"). This Agreement will be automatically renewed at the end of the Initial Term of Employment and each successive renewal term thereafter for successive two (2) year terms unless either party sends written notice of termination to the other party not less than ninety (90) days prior to the expiration of the then current Term of Employment (as hereinafter defined). The Initial Term of Employment together with any renewal terms is referred to herein as the "Term of Employment." The nonrenewal of the term of this Agreement by the Company will not be a termination without Cause (as defined in Section 8(c)).


3. Position and Duties; Place of Performance.

(a) The Executive will serve as President and Chief Operating Officer of Newco and will perform all duties customarily attendant to the position of President and Chief Operating Officer and such other duties as may reasonably be assigned from time-to-time by the Board of Directors of the Company (the "Board") that are consistent with his position as President and Chief Operating Officer.

(b) The Executive will devote his full business time and best efforts to his employment and perform diligently such duties as are consistent with his capacity as President and Chief Operating Officer of Newco and such other duties as the Board reasonably determines that are consistent with his position. The Executive will devote his entire working time and attention to the performance of his responsibilities hereunder; provided, the Executive may make personal investments, engage in outside non-competitive business activities or engage in other activities for any charitable or other non-profit institution, provided that such activities do not interfere with the performance of the Executive's duties hereunder.

(c) In connection with the Executive's employment by Newco, the Executive will be based at Newco's place of business which on the date hereof is located in Houston, Texas, or such other location as may, subject to Section 8(d), be designated from time to time by the Board.

4. Base Salary. The Executive will receive from Newco or the Company an annual base salary of One Hundred Seventy-Five Thousand Dollars ($175,000) (as from time to time adjusted, the "Base Salary"), payable in accordance with the standard practice of Newco or the Company with respect to the payment of salaries of its employees. The Board will review the Base Salary annually, and may, in its reasonable discretion, adjust the Base Salary.

5. Annual Bonus. (a) General. The Executive may be paid a bonus annually based upon the attainment of objectives determined by the Board after consultation with the Executive. Within 90 days after the start of each fiscal year, the Board will communicate to the Executive the objectives applicable to such fiscal year and, unless the Board and the Executive shall mutually agree otherwise, such objectives shall apply to such fiscal year. For the year ended December 31, 2005, if the Executive is employed by Newco on December 31, 2005, the Executive shall be entitled to receive a bonus payment equal to 12.5% of the amount, if any, by which Newco EBITDA for the 2005 fiscal year (on a pro forma combined basis, assuming that Newco had been formed on December 31, 2004) exceeds $1,200,000, up to a maximum bonus payment of $175,000; provided, however, the Executive may elect not to receive a bonus payment with respect to any fiscal year by providing written notice of such election to the Company at any time prior to such payment. For purposes of this Agreement, "Newco EBITDA" shall mean, with respect to a fiscal year of Newco, the sum of (without duplication) (a) Newco Net Income for such fiscal year and (b) to the extent Newco Net Income has been reduced thereby, (i) all income taxes of Newco recorded as a tax provision in accordance with GAAP for

2

such period, (ii) Newco Interest Expense, (iii) Newco Non-Cash Charges and (iv) all management fees required to be paid by Newco to the Company, all as determined in accordance with GAAP. The components of Newco EBITDA will be determined by the Company's independent auditor in accordance with GAAP, subject to Section 5(c) below.

(b) Definitions. "Newco Interest Expense" shall mean, with respect to a fiscal year of Newco, the sum of (without duplication) (a) the aggregate of the interest expense of Newco for such fiscal year determined in accordance with GAAP and (b) the interest component of capitalized lease obligations accrued by Newco during such period as determined in accordance with GAAP, less (c) the amount of any interest income received by Newco during such fiscal period.

"Newco Net Income" shall mean, with respect to a fiscal year of Newco, the aggregate net income (or loss) of Newco for such fiscal year, determined in accordance with GAAP.

"Newco Non-Cash Charges" shall mean, with respect to a fiscal year of Newco, the aggregate depreciation and amortization of Newco reducing Newco Net Income for such fiscal year (including any depreciation or amortization of the Company or any of its Subsidiaries other than Newco that was allocated to Newco, if applicable).

"GAAP" shall mean United States generally accepted accounting principles as set forth in the opinions and pronouncements of the Accounting Principles Board of the American Institute of Certified Public Accountants and statements and pronouncements of the Financial Accounting Standards Board or in other such statements by such other entity as have been approved by a significant segment of the accounting profession, as in effect for the relevant time period.

(c) Disputes. The determination of Newco EBITDA for the year ended December 31, 2005, and any disputes in respect thereof, shall be handled in the manner specified in Sections 2.07(a) and (b) of the Amended and Restated Agreement and Plan of Merger dated as of July 16, 2004 among the Company, DCPS/MBS Acquisition, Inc., Dennis Cain Physician Solutions, Ltd., Medical Billing Services, Inc. and the sellers party thereto, as amended (the "Merger Agreement").

6. Other Benefits.

(a) During the Term of Employment, the Executive will be provided with such medical, hospitalization, insurance, pension plan, equity incentive, profit sharing and employee benefits, cell phone and such other similar employment privileges and benefits ("Benefits") as are afforded generally from time to time to executive employees of the Company, and four (4) weeks paid vacation each year.

(b) During the term of this Agreement, the Executive shall receive Two Thousand Eighty-Three Dollars and Thirty-Three Cents ($2,083.33) per month (pre-tax) as a personal expense allowance.

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7. Expense Reimbursement. During the Term of Employment, the Executive will be entitled to prompt reimbursement by Newco or the Company for all reasonable out-of-pocket expenses incurred by him in performing services under this Agreement, upon submission of such accounts and records as may be required under Company policy.

8. Termination of Employment. The Executive's employment may be terminated under the following circumstances:

(a) Death. The Executive's employment is terminated upon his death.

(b) Disability. The Executive's employment may be terminated by the Company due to illness or other physical or mental disability of the Executive, resulting in his inability to perform substantially his duties under this Agreement for a period of ninety (90) or more consecutive days or for one hundred eighty (180) days in the aggregate during any consecutive twelve (12) month period ("Disability").

(c) Cause. The Executive's employment may be terminated by the Company for Cause. For purposes of this Agreement, the Company will have "Cause" to terminate the Executive's employment upon:

(i) the Executive's indictment for any crime involving monies or other property or any felony, crime or any offense of moral turpitude, or his commission of fraud, embezzlement, theft, dishonesty, willful misconduct or deliberate injury to the Company or its subsidiaries;

(ii) the Executive's intentional or grossly negligent refusal or failure to perform his duties or carry out written directions of the Company's chief executive officer or Board, which refusal or failure remains uncured or continues more than thirty (30) days after written notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period;

(iii) the Executive's breach of any of his fiduciary duties to Newco or the Company or making of a willful misrepresentation or omission, which breach or misrepresentation or omission might reasonably be expected to have a material adverse effect on Newco's or the Company's business and which remains uncured or continues more than thirty (30) days after written notice from the Company specifying in reasonable detail the nature of the breach or misrepresentation or omission, or recurs within such period;

(iv) the Executive's breach of any material provision of this Agreement, which breach, if curable, remains uncured or continues more than thirty (30) days after written notice from the Company specifying in reasonable detail the nature of the breach, or recurs within such period; or

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(v) any misappropriation by the Executive of funds or property of the Company or any affiliate of the Company.

Any termination for "Cause" will not be in limitation of any other right or remedy the Company or Newco may have under this Agreement or otherwise.

(d) Good Reason. The Executive may terminate his employment under this Agreement for Good Reason. For purposes of this Agreement, the Executive will have "Good Reason" to terminate the Executive's employment upon the occurrence of any of the following circumstances, without the Executive's express written consent: (i) a material diminution in the Executive's position or authority (except during periods when the Executive is unable to perform all or substantially all of the Executive's duties and/or responsibilities as a result of the Executive's illness (either physical or mental) or other incapacity); (ii) a requirement by the Company that the Executive change the Executive's principal place of business to a place more than thirty (30) miles from its location on the date of this Agreement; (iii) a termination of employment by the Executive within ninety (90) days following a Change in Control (as defined below), provided, that Good Reason will not exist if the Executive has accepted or agreed to continue employment following the Change of Control with the surviving or successor entity and such surviving or successor entity has agreed to continue or assume this Agreement, provided, further, in the event of a Change of Control, the Executive is under no obligation to continue or accept employment with the surviving or successor entity and may instead elect to terminate his employment for Good Reason upon such Change of Control; (iv) a breach of this Agreement by Newco or the Company which is not cured within thirty (30) days of written notice by the Executive; (v) any reduction in the Executive's Base Salary or any change adverse to the Executive in the bonus objectives applicable to a fiscal year after the communication of such objectives to the Executive pursuant to Section 5(a); or (vi) a failure by the Company (a "Payment Default") to pay any amounts due to an MBS Seller (as defined in the Merger Agreement) pursuant to (A) Section 2.07(c) of the Merger Agreement or (B) the MBS Notes (as defined in the Merger Agreement), in either case within 180 days of such payment becoming due. The Executive's right to terminate employment pursuant to this subsection 8(d) will not be affected by the Executive's Disability. The Executive's continued employment will not constitute consent to, or a waiver of rights with respect to, any circumstance constituting consent to, or a waiver of rights with respect to, any circumstance constituting Good Reason; provided, however, that the Executive will be deemed to have waived his rights pursuant to circumstances constituting Good Reason if he has not provided to the Company a Notice of Termination (as defined below) within ninety (90) days following his knowledge of the circumstances constituting Good Reason. A waiver with respect to the circumstances constituting Good Reason will not act as a waiver with respect to other future circumstances constituting Good Reason.

Any termination of the Executive's employment by the Executive must be communicated by written Notice of Termination to the Company in accordance with Section 19. For purposes of this Agreement, a "Notice of Termination" means a notice

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which indicates the specific termination provision in this Agreement relied upon and sets forth in reasonable detail the facts and circumstances claimed to provide a basis for termination of the Executive's employment under the provision so indicated.

For purposes of this Agreement, a "Change in Control" will occur:
(i) upon the sale or other disposition of 50% or more of the consolidated assets of the Company taken as a whole; (ii) if shares representing a majority of the voting power of the Company are acquired by a person or group (as such term is used in Rule 13d-5 promulgated under the Securities Exchange Act of 1934, as amended) of persons other than the holders of the capital stock of the Company as of the date of this Agreement; (iii) upon a merger or consolidation pursuant to which the holders of the equity securities of the Company before the merger or consolidation do not own equity securities representing a majority of the voting power of the surviving entity after the merger or consolidation; or (iv) upon approval by the shareholders of the Company of a complete liquidation or dissolution of the Company.

9. Compensation Upon Termination.

(a) If the Executive's employment is terminated as a result of the Executive's death or Disability, he, or his estate, will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company;

(iv) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment; and

(v) other benefits accrued and earned by the Executive through the date of his death or Disability in accordance with applicable plans and programs of the Company.

(b) If the Executive's employment is terminated by the Company for Cause, or by the Executive other than for Good Reason, or as a result of notice of nonrenewal provided by the Company or the Executive under
Section 2, he will be entitled to:

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(i) any Base Salary earned but not yet paid;

(ii) reimbursement in accordance with this Agreement of any business expense incurred by the Executive but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) other benefits accrued and earned by the Executive through the date of his termination in accordance with applicable plans and programs of the Company;

(iv) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Executive under Section 2, he will be entitled to a prorated bonus for the year in which his employment terminates, prorated based on the number of days worked, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable as soon as administratively feasible following the end of the then current fiscal year of the Company; and

(v) if the Executive's employment is terminated as a result of notice of nonrenewal provided by the Company under Section 2, he will be entitled to full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

(c) If the Executive's employment is terminated by the Company without Cause, or by the Executive for Good Reason, he will be entitled to:

(i) any Base Salary earned but not yet paid;

(ii) any bonus awarded pursuant to Section 5 of this Agreement but not yet paid, payable as soon as administratively feasible following termination of employment;

(iii) continuation of his Base Salary, at the rate in effect on the date of his termination of employment (which, in the case of a termination of the Executive for Good Reason pursuant to Section
8(d)(v), shall be deemed to be the rate in effect prior to giving any effect to the reduction in Base Salary giving rise to such Good Reason), until the expiration of the Non-Competition Period (as defined below);

(iv) the greater of: (A) a prorated bonus for the year in which employment terminates, prorated based on the number of days worked, or (B) an amount equal to fifty percent (50%) of the average of the bonus payments made pursuant to Section 5 of this Agreement during the two (2) calendar years preceding such termination, if any, minus any bonus payments made pursuant to Section 5 of this Agreement in respect of the year containing the date of termination, payable in

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either event as soon as administratively feasible following the end of the then fiscal year of the Company; provided, however, that this clause (iv) shall not be applicable in the event that the Executive's employment is terminated upon notice of nonrenewal provided by the Company under Section 2;

(v) until the expiration of the Non-Competition Period, subject to any employee contribution applicable to the Executive on the date of termination, continued participation in all of the Company's group medical and dental insurance plans in which he was participating on the date of his termination of employment, provided that the Executive is entitled to continue such participation under applicable law and plan terms;

(vi) reimbursement in accordance with this Agreement of any business expenses incurred by the Executive but not yet paid to him on the date of his termination of employment, payable as soon as administratively feasible following termination of employment; and

(vii) full vesting of any unvested equity incentives, including without limitation stock options, restricted stock and deferred restricted stock units.

In the event that, under the terms of any employee benefit plan referred to in subsection 9(c)(v) above, the Executive may not continue his participation, he will be provided with the after-tax economic equivalent of the benefits provided under any plan in which he was previously eligible to participate for the period specified in subsection 9(c)(v) above. The economic equivalent of any benefit foregone will be deemed to be the cost that would be incurred by the Executive in obtaining such benefit on the lowest available individual basis.

(d) Any amounts due under this Section 9 are in the nature of severance payments or liquidated damages or both, and, to the extent received by the Executive, will fully compensate the Executive and his dependents or beneficiaries, as the case may be, for any and all direct damages and consequential damages that any of them may suffer as a result of termination of the Executive's employment, and they are not in the nature of a penalty.

(e) Notwithstanding anything contained herein, any obligation of the Company or Newco to the Executive under Sections 9(c)(iii), (iv), (v) and
(vii) is conditioned upon (i) the Executive signing a release of claims in the form attached hereto as Exhibit A (the "Employee Release") within twenty-one days (or such greater period as the Company may specify) following the later of the date on which the Executive (or, in the case of termination by the Executive for Good Reason, the Company) receives notice of termination of employment or the date the Executive receives a copy of the Employee Release and upon the Executive not revoking the Employee Release in a timely manner thereafter and (ii) the Executive's continuing compliance with the provisions of Section 10. If the Executive breaches any provision of Section 10, upon written notice of such

8

breach and request for repayment from the Company, the Executive shall promptly pay to the Company an amount equal to the sum of any cash payments previously paid to the Executive pursuant to Sections 9(c)(iii),
(iv), (v) and (vii). Any such repayment shall not be the exclusive remedy for any such breach and the Company and Newco shall retain all rights to pursue other available remedies (whether at law or equity) for any such breach.

10. Confidentiality and Non-Competition.

(a) The Executive acknowledges that he has had or will have unlimited access to confidential information and business methods relating to the Company's and Newco's business and operations and that the Company and Newco would be irreparably injured and the goodwill of the Company and Newco would be irreparably damaged if the Executive were to breach the covenants set forth in this Section 10. The Executive further acknowledges that the covenants set forth in this Section 10 are reasonable in scope and duration and do not unreasonably restrict the Executive's association with other business entities, either as an employee or otherwise as set forth herein.

(b) During the Term of Employment and thereafter, except as may be required by law or necessary in connection with any dealings with any public agency or authority or in the ordinary course of business during the Term of Employment pursuant to customary non-disclosure agreements, the Executive will not disclose, disseminate, divulge, discuss, copy or otherwise use or suffer to be used, including but not limited to in competition with, or in a manner harmful to the interests of, the Company or Newco, any confidential information (written or oral) respecting any material aspect of the Company's or Newco's business, excepting only use of such data or information as is (i) at the time disclosed, through no act or failure to act on the part of the Executive, generally known or available; (ii) furnished to the Executive by a third party as a matter of right and without restriction on disclosure; or (iii) required to be disclosed by court order. Upon termination of the Term of Employment, the Executive will return to the Company any and all materials in tangible or electronic form containing confidential information belonging to the Company or Newco.

(c) During the Term of Employment and continuing until the earlier of the termination of the Non-Competition Period or the date on which the Executive terminates his employment with Newco for Good Reason upon a Payment Default, the Executive will not in the states of California, Florida, Georgia, Illinois, Iowa, New Jersey, Ohio or Texas, directly or indirectly, whether as an individual on the Executive's own account, or as a shareholder, partner, member, joint venturer, director, officer, employee, consultant, creditor and/or agent, of any person, firm or organization or otherwise:

(i) own, manage, control or participate in the ownership, management or control of, or be employed or engaged by or otherwise affiliated or associated as a consultant, independent contractor or otherwise with, any other corporation, partnership, proprietorship, firm, association or other business entity or otherwise engage in any business that is engaged in the business of the Company or any of

9

the Company's subsidiaries (collectively, "Subsidiaries"), as such business is conducted on the applicable date during the Term of Employment, or in the case of the Non-Competition Period, as of the date the Executive ceases to be employed by Newco, in any capacity, including as a consultant;

(ii) directly or indirectly solicit, encourage or induce any person who is a present or future employee, officer, agent, affiliate or customer of the Company or any Subsidiary to terminate or materially alter such person's relationship with the Company or such Subsidiary;

(iii) induce any supplier of the Company or any Subsidiary, to refuse to do business with the Company or any Subsidiary, on as favorable terms as previously done with the Company or any Subsidiary, as the case may be; or

(iv) engage in disparagement (which will not include the providing of accurate information without invidious intent) of the Company or any Subsidiary by any means to any person.

For purposes of this Agreement, "Non-Competition Period" shall mean the period during the Term of Employment and thereafter until the second anniversary of the date of termination of the Executive's employment with Newco; provided, however, that the Company may, by written notice to the Executive (whether given before or after the date of termination of the Executive's employment with Newco), shorten the portion of the Non-Competition Period occurring following the date of termination of the Executive's employment with Newco to any date specified in such notice which occurs on or after the earlier of (x) the second anniversary of the date of termination of the Executive's employment with Newco and (y) the date of expiration of the then current Term of Employment. Notwithstanding anything herein to the contrary, the Non-Competition Period shall terminate if the Company and Newco fail to pay any amounts due to the Executive under this Agreement within sixty (60) days of such payment being due. Notwithstanding the foregoing, in the event that the Company or the Executive provides notice of nonrenewal under Section 2, then: (1) the Company shall have the option to continue to pay the Executive his Base Salary, at the rate in effect on the date of his termination of employment, until the expiration of the Non-Competition Period; (2) if the Company exercises such option, it may discontinue the payment of Base Salary at any time; (3) the Executive shall be subject to Section 10(c)(i) only for so long as the Company continues to pay the Executive his Base Salary; and (4) if the Company stops paying the Executive his Base Salary, then the Executive shall no longer be subject to Section 10(c)(i), but shall remain subject to the rest of this Section 10.

(d) Notwithstanding anything herein to the contrary, the Executive will be permitted to own shares of any class of capital stock of any publicly held corporation so long as the aggregate holdings of the Executive represent less than one percent (1%) of the outstanding shares of such class of capital stock.

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11. Rights and Remedies Upon Breach.

(a) The Executive expressly agrees and understands that the remedy at law for any breach by the Executive of Section 10 will be inadequate and that the damages flowing from such breach are not readily susceptible to being measured in monetary terms. Accordingly, it is acknowledged that upon adequate proof of the Executive's violation of Section 10, the Company and Newco will be entitled, among other remedies, to injunctive relief and may obtain a temporary restraining order restraining any threatened or further breach. Nothing in this Section 11(a) will be deemed to limit the Company's or Newco's remedies at law or in equity for any breach by the Executive of any of the provisions of this Agreement which may be pursued or availed of by the Company or Newco.

(b) In the event any court of competent jurisdiction determines that the specified time period or geographical area set forth in Section 10 is unreasonable, arbitrary or against public policy, then a lesser time period or geographical area that is determined by the court to be reasonable, non-arbitrary and not against public policy may be enforced.

12. Withholding Taxes. All payments to the Executive or his beneficiary will be subject to withholding on account of federal, state and local taxes as required by law. If any payment hereunder is insufficient to provide the amount of such taxes required to be withheld, the Company or Newco may withhold such taxes from any other payment due the Executive or his beneficiary.

13. Assignability; Binding Nature. This Agreement will be binding upon and inure to the benefit of the Parties and their respective successors, heirs (in the case of the Executive) and assigns. No rights or obligations of the Company or Newco under this Agreement may be assigned or transferred by the Company or Newco except that such rights or obligations may be assigned or transferred pursuant to (i) a merger or consolidation in which the Company or Newco is not the continuing entity or (ii) a sale or liquidation of all or substantially all of the assets of the Company or Newco, provided that the assignee or transferee is the successor to all or substantially all of the assets of the Company or Newco, as applicable, and such assignee or transferee assumes the liabilities, obligations and duties of the Company or Newco, as applicable, as contained in this Agreement, either contractually or as a matter of law. Each of the Company and Newco further agrees that, in the event of a sale of assets or liquidation as described in the preceding sentence, it will use its best efforts to cause such assignee or transferee to expressly assume the liabilities, obligations and duties of the Company or Newco, as applicable, hereunder. No obligations of the Executive under this Agreement may be assigned or transferred by the Executive. Notwithstanding anything to the contrary contained in this Agreement, if the Sellers exercise the ROFR (as defined in Section 6.11 of the Merger Agreement) and purchase the capital stock or assets of Newco pursuant thereto, this Agreement shall immediately terminate without further obligation on the part of any party hereto; provided, however, that the Executive shall continue to be bound by the provisions of Sections 10(a) and 10(b) with respect to confidential information of the Company.

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14. Entire Agreement. Except to the extent otherwise provided herein, this Agreement contains the entire understanding and agreement between the Parties concerning the subject matter hereof and supersedes any prior agreements, whether written or oral, between the Parties concerning the subject matter hereof.

15. Amendment or Waiver. No provision in this Agreement may be amended unless such amendment is agreed to in writing and signed by both the Executive and an authorized officer of the Company. No waiver by either Party of any breach by the other Party of any condition or provision contained in this Agreement to be performed by such other Party will be deemed a waiver of a similar or dissimilar condition or provision at the same or any prior or subsequent time. Any waiver must be in writing and signed by the Executive or an authorized officer of the Company, as the case may be.

16. Severability. In the event that any provision or portion of this Agreement is determined to be invalid or unenforceable for any reason, in whole or in part, the remaining provisions of this Agreement will be unaffected thereby and will remain in full force and effect to the fullest extent permitted by law.

17. Survivorship. The respective rights and obligations of the Parties hereunder will survive any termination of the Executive's employment with Newco to the extent necessary to the intended preservation of such rights and obligations as described in this Agreement.

18. Governing Law. This Agreement will be governed by and construed and interpreted in accordance with the laws of the State of Texas, without reference to principles of conflict of laws.

19. Notices. Any notice given to any Party must be in writing and will be deemed to have been given when delivered personally or one (1) day after having been sent by overnight courier service or three (3) days after having been sent by certified or registered mail, postage prepaid, return receipt requested, duly addressed to the Party concerned at the address indicated below or to such changed address as such Party may subsequently give such notice of:

If to the Company, Newco       Orion HealthCorp, Inc.
or the Board:                  10700 Richmond Avenue
                               Suite 300
                               Houston, Texas  77042

With a copy to:                Brantley Partners
                               3201 Enterprise Parkway, Suite 350
                               Beachwood, Ohio 44122
                               Attention: Paul H. Cascio

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and:                           Ropes & Gray LLP
                               One International Place
                               Boston, MA 02110
                               Attention: Winthrop G. Minot, Esq.

If to the Executive:           Tom M. Smith
                               Address set forth on Schedule I hereto

20. Headings. The headings of the sections contained in this Agreement are for convenience only and will not be deemed to control or affect the meaning or construction of any provision of this Agreement.

21. Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed an original but all of which together will constitute one and the same instrument.

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IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date and year first above written.

ORION HEALTHCORP, INC.

By:   /s/ Keith LeBlanc
   ----------------------------------------
    Name: Keith LeBlanc
    Title: President

MEDICAL BILLING SERVICES, INC.

By:   /s/ Dennis Cain
   ----------------------------------------
    Name: Dennis Cain
    Title: Chief Executive Officer

TOM M. SMITH

By:   /s/ Tom M. Smith
   ----------------------------------------


EXHIBIT 10.13

REGISTRATION RIGHTS AGREEMENT

THIS REGISTRATION RIGHTS AGREEMENT (the "Agreement") is entered into as of December 15, 2004 by and among Orion HealthCorp, Inc., a Delaware corporation formerly known as SurgiCare, Inc. (the "Company") and the investors set forth on Schedule I hereto (the "Investors").

RECITALS

WHEREAS, the Investors have agreed to purchase shares of Class B Common Stock (as defined below) from the Company pursuant to an Amended and Restated Stock Subscription Agreement dated as of February 9, 2004 (as amended and supplemented from time to time, the "Stock Subscription Agreement");

WHEREAS, contemporaneously with the closing under the Stock Subscription Agreement, certain stockholders and debt holders (collectively, the "IPS Stockholders") of Integrated Physician Solutions, Inc., a Delaware corporation, will receive shares of Class A Common Stock (as defined below) from the Company pursuant to an Amended and Restated Agreement and Plan of Merger dated as of February 9, 2004 (as amended from time to time, the "IPS Merger Agreement") and an Amended and Restated Debt Exchange Agreement dated as of February 9, 2004 (as amended from time to time, the "Debt Exchange Agreement");

WHEREAS, contemporaneously with the closing under the Stock Subscription Agreement, certain holders of equity interests (collectively, the "DCPS/MBS Equity Holders") in Medical Billing Services, Inc., a Texas corporation, and Dennis Cain Physician Solutions, Ltd., a Texas limited partnership, will receive shares of Class C Common Stock from the Company pursuant to an Amended and Restated Agreement and Plan of Merger dated as of July 16, 2004 (as amended from time to time, the "DCPS/MBS Merger Agreement"); and

WHEREAS, the Company and the Investors wish to provide for certain arrangements with respect to the registration of shares of capital stock of the Company under the Securities Act.

AGREEMENT

NOW, THEREFORE, in consideration of the mutual promises and obligations contained herein, the parties agree as follows:

1. CERTAIN DEFINITIONS. As used in this Agreement, the following terms will have the following respective meanings:

"Agreement" is defined in the Preamble.

"Best Efforts" means the commercially reasonable efforts that a prudent Person desirous of achieving a result would use in similar circumstances to ensure that such result is achieved as expeditiously as reasonably possible.


"Business Day" means any day that is not a Saturday, a Sunday or a day on which banks in the State of New York are generally closed for business.

"Class A Common Stock" means the Class A Common Stock, $0.001 par value, of the Company.

"Class B Common Stock" means the Class B Common Stock, $0.001 par value, of the Company.

"Class C Common Stock" means the Class C Common Stock, $0.001 par value, of the Company.

"Commission" means the U.S. Securities and Exchange Commission, or any other federal agency at the time administering the Securities Act or the Exchange Act.

"Company" is defined in the Preamble.

"Covered Person" is defined in Section 6.1 of this Agreement.

"DCPS/MBS Equity Holders" is defined in the recitals.

"DCPS/MBS Merger Agreement" is defined in the recitals.

"Debt Exchange Agreement" is defined in the recitals.

"Effectiveness Period" means the period beginning on the date on which a Registration Statement is declared effective and ending on the date on which the Selling Holders shall have sold or otherwise disposed of all the Registrable Shares included in the Registration Statement.

"Exchange Act" means the Securities Exchange Act of 1934, and any successor to such statute, and the rules and regulations of the Commission issued under such Act, as they each may, from time to time, be amended and in effect.

"First Year Registration" is defined in Section 2.3.

"Holder" means any Person owning Registrable Shares or any Permitted Transferee thereof in accordance with Section 7.2 hereof.

"Investors" is defined in the Preamble.

"IPS Merger Agreement" is defined in the recitals.

"IPS Stockholders" is defined in the recitals.

"Majority in Interest of the Registrable Shares" means the Holders of greater than 50% of all Registrable Shares (or, where reference is made to a Majority in Interest of Registrable Shares proposed to be included in a Registration Statement, the Holders of greater than 50% of the Registrable Shares so proposed to be included), deeming for such purposes all shares of Class B Common Stock and Class C Common Stock to have been converted into Class A Common

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Stock, at the applicable conversion ratios immediately prior to the applicable time of determination.

"Permitted Transferee" is defined in Section 7.2.

"Person" means any individual, partnership, corporation, company, association, trust, joint venture, limited liability company, unincorporated organization, entity or division, or any government, governmental department or agency or political subdivision thereof.

"Public Offering" means a public offering and sale of Class A Common Stock for cash pursuant to an effective Registration Statement.

"Register," "registered," and "registration" refer to a registration effected by preparing and filing one or more Registration Statements or similar documents in compliance with the Securities Act and any applicable rules and regulations promulgated thereunder (including, in the case of a Registration Statement on Form S-3, Rule 415) and the automatic effectiveness or the declaration or ordering of effectiveness of such Registration Statement or similar document by the Commission.

"Registrable Shares" means, subject to Section 2.3 hereof, any shares of Class A Common Stock (including Class A Common Stock into which shares of Class B Common Stock or other Company securities are convertible) currently issued or issued at any future time to the Investors or a Permitted Transferee, including by way of stock dividend or stock split or in connection with a combination of shares, recapitalization, merger, consolidation, other reorganization or otherwise. Registrable Shares will cease to be Registrable Shares pursuant to the provisions of Section 5.4 hereof.

"Registration Expenses" means all expenses incurred by the Company in complying with Sections 2 and 3 hereof, including, without limitation, all registration and filing fees, listing fees, all fees and expenses of complying with securities or blue sky laws, all printing expenses, fees and disbursements of counsel for the Company and its independent public accountants, including the expenses of any special audits required by or incident to such performance and compliance, and legal fees and disbursements of the Selling Holders, but excluding underwriting discounts, selling commissions, applicable transfer taxes, if any.

"Registration Statement" means a registration statement filed by the Company with the Commission for a Public Offering under the Securities Act (other than a registration statement on Form S-8 or Form S-4, or their successors, or any other form for a similar limited purpose).

"Rule 144" means Rule 144 promulgated under the Securities Act, and any successor rule or regulation thereto, and in the case of any referenced section of such rule, any successor section thereto, collectively and as from time to time amended and in effect.

"Rule 415" means Rule 415 promulgated under the Securities Act, or any successor rule or regulation providing for offering securities on a continuous or delayed basis.

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"Securities Act" means the Securities Act of 1933, and any successor to such statute, and the rules and regulations of the Commission issued under such Act, as they each may, from time to time, be amended and in effect.

"Selling Holder" means any Holder on whose behalf Registrable Shares are registered pursuant to Section 2 or 3 hereof.

"Stock Subscription Agreement" is defined in the recitals.

2. REQUIRED REGISTRATIONS.

2.1. Demand Registrations. At any time after the date hereof, a Holder or Holders holding in the aggregate at least 50 percent of the Registrable Shares may, by written notice to the Company, request that the Company effect the registration for a Public Offering on Form S-1 (or any other form that includes substantially the same information as would be required to be included in a Registration Statement on such form as currently constituted) of Registrable Shares having an anticipated net aggregate offering price of at least $5,000,000.

2.2. Registration on Form S-3. At any time that the Company is eligible to file a Registration Statement on Form S-3 (or any successor form relating to secondary offerings), a Holder or Holders of the Registrable Shares may, by written notice to the Company, request that the Company effect the registration on Form S-3 (or any successor form) of Registrable Shares having an anticipated net aggregate offering price of at least $500,000.

2.3. Notice to Other Holders of Registrable Shares. Promptly after receipt of notice requesting registration pursuant to Section 2.1 or 2.2, the Company will give written notice of such requested registration to all other holders of Registrable Shares. Subject to the limitations set forth in Sections 2.4 and 5.2, as applicable, the Company will use its Best Efforts to effect the registration under the Securities Act of the Registrable Shares which the Company has been requested to register by the Holders requesting such registration and all other Registrable Shares which the Company has been requested to register by other holders of Registrable Shares by notice delivered to the Company within 20 days after the giving of such notice by the Company. Solely with respect to any registration requested pursuant to Section 2.1 or 2.2 (or a registration under Section 3 in which other Registrable Shares are participating) prior to the first anniversary of the date of this Agreement (a "First Year Registration"), and solely for purposes of this Section 2.3 and Sections 3, 4.1-4.7, 4.9, 4.11, 4.14-4.17, 5.1-5.4 and 6 the term "Registrable Shares" shall include any shares of Class A Common Stock issued to the IPS Stockholders pursuant to the IPS Merger Agreement or the Debt Exchange Agreement and any shares of Class A Common Stock issued to the DCPS/MBS Equity Holders pursuant to the DCPS/MBS Merger Agreement (including Class A Common Stock into which shares of Class C Common Stock are convertible), so long as such shares are held by such IPS Stockholders or DCPS/MBS Equity Holders, as applicable. Any IPS Stockholder or DCPS/MBS Equity Holder that requests to have Registrable Shares included in a First Year Registration shall be deemed upon such request to have agreed to all provisions of this Agreement applicable to Selling Holders in such First Year Registration, and such IPS Stockholder's or DCPS/MBS Equity Holder's participation in such registration shall be conditioned upon compliance with all such provisions. The IPS

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Stockholders and the DCPS/MBS Equity Holders are intended third-party beneficiaries of this Agreement to the extent applicable to them.

2.4. Time Limitation. The Company will not be required to effect any registration pursuant to Section 2.1 within six months after the effective date of any Registration Statement that was requested pursuant to Section 2.1.

2.5. Selection of Underwriter. If a Majority in Interest of the Registrable Shares intend to distribute the Registrable Shares in an underwritten offering, they will so advise the Company in their request. A Majority in Interest of the Registrable Shares making such request will have the right to designate the managing underwriter, subject to the approval of the Company, which approval may not be unreasonably withheld.

3. INCIDENTAL REGISTRATION.

3.1. Company Registration. If at any time the Company proposes to register any of its equity securities under the Securities Act, for its own account (other than a Registration Statement on Form S-4 or S-8 or any successor thereto) or for the account of any holder of its securities other than Registrable Shares, then at least 20 days prior to the anticipated filing date of the applicable Registration Statement the Company will give written notice to all Holders (which notice will describe the proposed registration and state the intended method of disposition and provide such Holders the opportunity to register the number of Registrable Shares as each such Holder may request, subject in each case to the terms of this Agreement) of such proposed filing, and upon the written request of a Holder or Holders given within 20 days after the Company provides such notice, the Company will use its Best Efforts to cause all Registrable Shares that the Company has been requested to register to be registered under the Securities Act to the extent necessary to permit their sale or other disposition in accordance with the intended methods of distribution specified in the request of such Holder(s); provided that, the Company will have the right to postpone or withdraw any registration initiated by the Company pursuant to this Section 3.1 without obligation to any Holder; provided, further, that in the case of a proposed underwritten offering, the Company shall use its Best Efforts to cause the managing underwriter or underwriters to permit each of the Holders who have requested in writing to participate in the offering to include such Holder's Registrable Shares in such offering on the same terms and conditions as are applicable to the securities of the Company or other stockholders, as the case may be, included therein.

3.2. Excluded Transactions. The Company will not be obligated to effect any registration of Registrable Shares under this Section 3 incidental to the registration of any of its securities in connection with: (a) a registration on Form S-8 relating to employee benefit plans or dividend reinvestment plans; or
(b) a registration on Form S-4 relating to the acquisition or merger after the date hereof by the Company or any of its subsidiaries of or with any other businesses.

4. REGISTRATION PROCEDURES. If and whenever the Company is required by the provisions of this Agreement to use its Best Efforts to effect the registration of any of the Registrable Shares under the Securities Act, the Company and the Selling Holders will take the actions described below in this Section 4.

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4.1. Registration Statement. The Company will prepare and (in the case of a registration pursuant to Section 2 hereof, promptly and in any event within 60 days after the end of the period within which requests for registration may be delivered to the Company) file with the Commission a Registration Statement with respect to such Registrable Shares and use its Best Efforts to cause such Registration Statement to become effective within 60 days after the filing of such Registration Statement. Such Registration Statement shall be for an offering to be made on a continuous or delayed basis (a so-called "shelf registration statement") if (i) the Company is eligible for the use thereof and
(ii) the Holders requesting such registration have asked for a shelf registration statement, and the Company shall keep such Registration Statement effective pursuant to Rule 415 for the Effectiveness Period.

4.2. Amendments and Supplements. The Company will prepare and file with the Commission such amendments (including post-effective amendments) and supplements to such Registration Statement and the prospectus used in connection therewith as may be necessary to keep such Registration Statement effective during the Effectiveness Period, and during such period to comply with the provisions of the Securities Act with respect to the disposition of all Registrable Shares and other securities, if any, covered by such Registration Statement until the end of the Effectiveness Period.

4.3. Cooperation. The Company will use its Best Efforts to cooperate with the Selling Holders in the disposition of the Registrable Shares covered by such Registration Statement, including without limitation in the case of an underwritten offering pursuant to Section 2.1 entering into and performing customary agreements (including an underwriting agreement in customary form with the managing underwriter) and causing key executives of the Company and its subsidiaries to participate under the direction of the managing underwriter in a "road show" scheduled by such managing underwriter in such locations and of such duration as in the judgment of such managing underwriter are appropriate for such underwritten offering.

4.4. Copies of Prospectus. The Company will furnish to each Selling Holder, without charge, (i) promptly after such Registration Statement is filed with the Commission, such reasonable numbers of copies of the prospectus, including a preliminary prospectus, in conformity with the requirements of the Securities Act, and any amendments thereto, including financial statements and schedules and all exhibits, (ii) upon the effectiveness of such Registration Statement, such number of copies of the prospectus included in such Registration Statement, including all amendments and supplements thereto, and (iii) such other documents, in each case, as the Selling Holder may reasonably request in order to facilitate the public sale or other disposition of the Registrable Shares owned by the Selling Holder.

4.5. Blue Sky Qualification. The Company will use its Best Efforts to register or qualify the Registrable Shares covered by the Registration Statement under the securities or "blue sky" laws of such states or jurisdictions in the United States as the Selling Holders reasonably request, and do any and all other acts and things that may be necessary or desirable to enable the Selling Holders to consummate the public sale or other disposition in such jurisdictions of the Registrable Shares covered by the Registration Statement, including preparing and filing 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 Effectiveness Period (in the case of a shelf

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registration statement); provided, however, that the Company will not be obligated to file any general consent to service of process or to qualify as a foreign corporation in any jurisdiction in which it is not so qualified or to subject itself to taxation in respect of doing business in any jurisdiction in which it would not otherwise be so subject. The Company shall promptly notify each Selling Holder of the receipt by the Company of any notification with respect to the suspension of the registration or qualification of any Registrable Shares for sale under the securities or "blue sky" laws of any jurisdiction in the United States or its receipt of actual notice of the initiation or threat of any proceeding for such purpose.

4.6. Opinion of Counsel; Comfort Letter. In the case of an underwritten offering, the Company will use its Best Efforts to obtain all legal opinions, auditors' consents and comfort letters and experts' cooperation as may be required, including furnishing to each Selling Holder of such Registrable Shares a signed counterpart, addressed or confirmed to such Selling Holder, of (a) an opinion of counsel for the Company and (b) a "cold comfort" letter signed by the independent public accountants who have certified the Company's financial statements included in such Registration Statement, covering substantially the same matters as are customarily covered in opinions of issuer's counsel and in accountants' letters delivered to underwriters in underwritten public offerings of securities.

4.7. Listing and Transfer Agent. The Company will cause all Registrable Shares covered by the Registration Statement to be listed on each securities exchange or automated quotation system on which the Class A Common Stock is then listed. The Company will provide and cause to be maintained a transfer agent and registrar for all Registrable Shares covered by the Registration Statement not later than the effective date of such Registration Statement. The Company will pay all fees and expenses in connection with satisfying its obligations under this Section 4.7.

4.8. General Compliance with Federal Securities Laws; Section 11(a) Earning Statement. The Company will use its Best Efforts to comply with the Securities Act, the Exchange Act and any other applicable rules and regulations of the Commission, and make available to its securities holders, as soon as reasonably practicable, an earning statement covering the period of at least 12 months after the effective date of such Registration Statement, which earnings statement shall be in a form complying with and satisfying Section 11(a) of the Securities Act and any applicable regulations thereunder, including the provisions of Rule 158.

4.9. Notice of Prospectus Defects. The Company will immediately notify the Selling Holders of the happening of any event, as a result of which the prospectus included or to be included in the Registration Statement, as then in effect, includes an untrue statement of a material fact or omits to state any material fact required to be stated therein or necessary to make the statements therein not misleading in the light of the circumstances then existing (provided that such notice shall not contain any material, non-public information). The Company will promptly revise such prospectus as may be necessary so that such prospectus shall not include an untrue statement of a material fact or omit to state such a material fact required to be stated therein or necessary to make the statements therein not misleading in the light of the circumstances then existing. The Company will promptly deliver copies of such revised prospectus to the Selling Holders. Following receipt of the revised prospectus, the Selling Holders will be free to resume making offers of the Registrable Shares. The Company will

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extend the period during which the Registration Statement must be kept effective pursuant to this Agreement by the number of days during the period from and including the date of giving such notice to and including the date when the Selling Holders shall have received copies of the revised prospectus.

4.10. Company Lock-Up. In the case of an underwritten offering requested to be effected by the Holders hereunder, the Company will refrain, without the consent of the managing underwriter, for a period from 15 days before the effective date of the registration sale until 90 days after such effective date, from directly or indirectly selling, offering to sell, granting any option for the sale of, or otherwise disposing of any common equity or securities convertible into common equity other than pursuant to Company employee equity plans.

4.11. Delay of Registration and Suspension of Offering. If at any time
(a) after a request to effect a registration pursuant to Section 2 of this Agreement or (b) after a Registration Statement has become effective, the Company is engaged in any plan, proposal or agreement with respect to any financing, acquisition, recapitalization, reorganization or other material transaction or development the public disclosure of which would be would be detrimental to the Company, then the Company may direct that such request be delayed or that use of the prospectus contained in the Registration Statement be suspended, as applicable, for a period of up to 30 days. The Company will notify all Holders requesting the registration or all Selling Holders, as the case may be, of the delay or suspension. In the case of notice suspending an effective Registration Statement, each Selling Holder will immediately discontinue any sales of Registrable Shares pursuant to such Registration Statement until such Selling Holder has received copies of a supplemented or amended prospectus or until such Selling Holder is advised in writing by the Company that the then-current prospectus may be used and has received copies of any additional or supplemental filings that are incorporated or deemed incorporated by reference in such prospectus. The Company may exercise the rights provided by this Section 4.11 on only one occasion within any 365-day period.

4.12. Participation by Selling Security Holders. In connection with the preparation and filing of each Registration Statement, and before filing any such Registration Statement or any other document in connection therewith, the Company must give the participating Holders and their underwriters, if any, and their respective counsel and accountants, the opportunity to participate in the preparation of such Registration Statement, each prospectus included therein or filed with the Commission, each amendment thereof or supplement thereto and any related underwriting agreement or other document to be filed, and give each of the aforementioned Persons such access to its books and records and such opportunities to discuss the business of the Company with its officers and the independent public accountants who have certified its financial statements as shall be necessary, in the opinion of such Holders, underwriters, counsel or accountants, to conduct a reasonable investigation within the meaning of the Securities Act.

4.13. Requests by Selling Holders. If requested by a Selling Holder, the Company shall (i) as soon as practicable incorporate in a prospectus supplement or post-effective amendment such information as a Selling Holder reasonably requests to be included therein relating to the sale and distribution of Registrable Shares, including, without limitation, information with respect to the number of Registrable Shares being offered or sold, the purchase price being paid therefor and any other terms of the offering of the Registrable Shares to be sold in such other

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offering provided that such information is required to be included in the Registration Statement by the Securities Act; (ii) as soon as practicable make all required filings of such prospectus supplement or post-effective amendment after being notified of the matters to be incorporated in such prospectus supplement or post-effective amendment; and (iii) as soon as practicable, supplement or make amendments to any Registration Statement if reasonably requested by a Selling Holder of such Registrable Shares.

4.14. Stop Orders. The Company shall use its Best Efforts to prevent the issuance of any stop order or other suspension of effectiveness of a Registration Statement, or the suspension of the qualification of any of the Registrable Shares for sale in any jurisdiction and, if such an order or suspension is issued, to obtain the withdrawal of such order or suspension at the earliest possible moment and to notify each Selling Holder of the issuance of such order and the resolution thereof or its receipt of actual notice of the initiation or threat of any proceeding for such purpose.

4.15. Certificates. The Company shall reasonably cooperate with the Selling Holders and, to the extent applicable, facilitate the timely preparation and delivery of certificates representing the Registrable Shares to be offered pursuant to a Registration Statement and enable such certificates to be in such denominations or amounts, as the case may be, as the Selling Holders may reasonably request and registered in such names as the Selling Holders may request.

4.16. Notice of Effectiveness. Within two business days after a Registration Statement that includes the Registrable Shares is declared effective by the Commission, the Company shall deliver, and shall cause legal counsel for the Company to deliver, to the transfer agent for such Registrable Shares (with copies to the Selling Holders) written confirmation that such Registration Statement has been declared effective by the Commission.

4.17. Governmental Approvals. The Company shall use its Best Efforts to cause the Registrable Shares covered by the Registration Statement to be registered with or approved by such other governmental agencies or authorities as may be necessary to consummate the disposition of such Registrable Shares.

5. CERTAIN OTHER PROVISIONS.

5.1. Additional Procedures. Selling Holders will take all such actions and execute all such documents and instruments that are reasonably requested by the Company to effect the sale of their shares in such Public Offering, including, without limitation, being parties to the underwriting agreement entered into by the Company and any other Selling Holders in connection therewith; provided, however, that the aggregate amount of any liability of any Selling Holder pursuant to such underwriting or other agreement will not exceed such Selling Holder's net proceeds from such offering. In addition, each Selling Holder will furnish to the Company such information regarding such Selling Holder and the distribution proposed by such Selling Holder as the Company may reasonably request in writing and as will be required in connection with any registration, qualification or compliance referred to in Section 4.

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5.2. Underwriter's Cutback. Notwithstanding any other provision of this Agreement, if the managing underwriter determines that the inclusion of all shares requested to be registered in an underwritten offering would adversely affect the offering, the Company may limit the number of Registrable Shares to be included in the Registration Statement for such offering. If the registration has been requested by the Holders pursuant to Section 2 hereof, the number of shares that are entitled to be included in the registration and underwriting will be reduced in the following manner: (a) first, shares of Company equity securities, other than Registrable Shares, requested to be included in such registration by shareholders will be excluded, (b) second, shares of Company equity securities that the Company desires to include in such registration will be excluded and (c) third, Registrable Shares requested to be included in such registration by the Holders will be excluded. If the registration has been initiated other than pursuant to Section 2 hereof, the number of shares that are entitled to be included in the Registration Statement for such offering will be reduced in the following manner: (x) first, shares of Company equity securities, other than Registrable Shares, requested to be included in such registration by shareholders will be excluded, (y) second, Registrable Shares requested to be included in such registration by Holders will be excluded and (z) third, shares of Company equity securities that the Company desires to include in such registration will be excluded. To the extent that the underwriters do not deem it necessary to exclude all of the shares requested to be registered by any category of shareholders contemplated above, the number of shares that may be included in the registration will be allocated to the members of such category requesting registration in proportion, as nearly as practicable, to the respective number of shares of Class A Common Stock (assuming conversion of any convertible securities held by such shareholders) that they held at the time the Company gives the notice specified in Section 2 or 3.

5.3. Registration Expenses. The Company hereby agrees to pay all Registration Expenses in connection with all registrations effected pursuant to this Agreement. The Company, however, shall not be required to pay for any expenses of a registration requested pursuant to Sections 2.1 or 2.2 hereof if the registration request is withdrawn at any time at the request of Holders of a majority of the Registrable Shares to be included in such registration (in which case all Holders requesting such withdrawal shall bear such expenses). However, if the requesting Holders have learned of information (other than information known to them at the time they made their request) that, in the good faith judgment of the requesting Holders, is reasonably likely to have a material adverse effect on the business or prospects of the Company, then the Holders shall not be required to pay any of such expenses in the case of a registration requested pursuant to Section 2.1 or 2.2.

5.4. Termination of Status as Registrable Shares. Registrable Shares will cease to be Registrable Shares and cease to have the rights accorded to such shares under this Agreement upon the earliest to occur of the following events: (x) such shares shall have been sold pursuant to an effective Registration Statement under the Securities Act or (y) such shares shall have been sold pursuant to a transaction under Rule 144.

5.5. Limitations on Subsequent Registration Rights. The Company will not, without the prior written consent of Holders of at least a majority of the Registrable Shares, enter into any agreements with any holder or prospective holder of Company securities that grant such holder or prospective holder rights to include securities of the Company in any Registration Statement, unless such rights are subordinated to the rights granted to the Holders under this

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Agreement, including, without limitation, by providing that (a) the holders of such subordinated rights may not request a registration until at least 180 days after the date on which the Holders can request a registration pursuant to
Section 2.1 and 2.2 and (b) the holders of such subordinated rights shall have the number of shares of their Company securities requested to be included in a Registration Statement reduced pursuant to any underwriters' cut-back provision before the Holders suffer any reduction in the number of Registrable Shares that they are permitted to include in such registration .

6. INDEMNIFICATION.

6.1. Company Indemnification. In the event of any registration of any of the Registrable Shares under the Securities Act pursuant to this Agreement, then to the extent permitted by law, the Company will indemnify and hold harmless each Selling Holder, its partners, directors and officers and each other Person, if any, who controls such Selling Holder within the meaning of the Securities Act or the Exchange Act (each such Person being a "Covered Person") against any losses, claims, damages or liabilities, joint or several, to which such Covered Person may become subject under the Securities Act, the Exchange Act, state securities laws or otherwise, insofar as such losses, claims, damages or liabilities (or actions in respect thereof) arise out of or are based upon
(a) any untrue statement or alleged untrue statement of any material fact contained in any Registration Statement under which such Registrable Shares were registered under the Securities Act, any preliminary or final prospectus contained in the Registration Statement, or any amendment or supplement to such Registration Statement or (b) the omission or alleged omission to state a material fact required to be stated therein or necessary to make the statements therein not misleading; and the Company will reimburse such Covered Person for any legal or any other expenses reasonably incurred by such Covered Person in connection with investigating or defending any such loss, claim, damage, liability or action; provided, however, that the Company will not be liable to any Covered Person in any such case (x) to the extent that any such loss, claim, damage or liability arises out of or is based upon any untrue statement or omission made in such Registration Statement or prospectus, or any such amendment or supplement, in reliance upon and in conformity with information furnished to the Company, in writing, by or on behalf of such Covered Person specifically for use in the preparation thereof or (y) in the case of a sale directly by a Selling Holder (including a sale of such Registrable Shares through any underwriter retained by such Selling Holder engaging in a distribution solely on behalf of such Selling Holder), such untrue statement or omission was contained in a preliminary prospectus and corrected in a final or amended prospectus, and such Selling Holder failed to deliver a copy of the final or amended prospectus at or prior to the confirmation of the sale of the Registrable Shares to the person asserting any such loss, claim, damage or liability in any case in which such delivery is required by the Securities Act.

6.2. Seller Indemnification. In the event of any registration of any of the Registrable Shares under the Securities Act pursuant to this Agreement, then to the extent permitted by law, each Selling Holder will indemnify and hold harmless the Company, each of its directors and officers and each Person (other than such Selling Holder), if any, who controls the Company within the meaning of the Securities Act or the Exchange Act, against any losses, claims, damages or liabilities to which the Company, such directors and officers, or controlling person may become subject under the Securities Act, Exchange Act, state securities laws or otherwise,

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insofar as such losses, claims, damages or liabilities (or actions in respect thereof) arise out of or are based upon (a) any untrue statement of a material fact contained in any Registration Statement under which such Registrable Shares were registered under the Securities Act, any preliminary or final prospectus contained in the Registration Statement, or any amendment or supplement to the Registration Statement or (b) the omission to state a material fact required to be stated therein or necessary to make the statements therein not misleading, if the statement or omission was made in reliance upon and in conformity with information furnished in writing to the Company by or on behalf of such Selling Holder, specifically for use in connection with the preparation of such Registration Statement, prospectus, amendment or supplement; provided, however, that the obligations of such Selling Holder hereunder will be limited to an amount equal to the net proceeds to such Selling Holder (after deducting all underwriter's discounts and commissions and all other expenses paid by such Holder in connection with the registration in question) from the disposition of Registrable Shares pursuant to such registration.

6.3. Notice of Claims, etc. Promptly after receipt by an indemnified party of notice of the commencement of any action or proceeding involving a claim of the type referred to in the foregoing provisions of this Section 6, such indemnified party will, if a claim in respect thereof is to be made against any indemnifying party, give written notice to each such indemnifying party of the commencement of such action; provided, however, that the failure of any indemnified party to give such notice will not relieve such indemnifying party of its obligations under this Section 6, except to the extent that such indemnifying party is materially prejudiced by such failure. In case any such action is brought against an indemnified party, each indemnifying party will be entitled to participate in and to assume the defense thereof, jointly with any other indemnifying party similarly notified, to the extent that it may wish, with counsel reasonably satisfactory to such indemnified party, and (subject to the following sentence) after notice from an indemnifying party to such indemnified party of its election so to assume the defense thereof, such indemnifying party will not be liable to such indemnified party for any legal or other expenses subsequently incurred by the latter in connection with the defense thereof. The indemnified party may participate in such defense at such party's expense; provided, however, that the indemnifying party will pay such expense if representation of such indemnified party by the counsel retained by the indemnifying party would be inappropriate due to actual or potential conflict of interests between the indemnified party and any other party represented by such counsel in such proceeding; provided, further, that in no event will the indemnifying party be required to pay the expenses of more than one law firm as counsel for all indemnified parties pursuant to this sentence. If, within 30 days after receipt of the notice, such indemnifying party has not elected to assume the defense of the action, such indemnifying party will be responsible for any legal or other expenses reasonably incurred by such indemnified party in connection with the defense of the action, suit, investigation, inquiry or proceeding. An indemnifying party may, in the defense of any such claim or litigation, consent to the entry of a judgment or enter into a settlement without the consent of the indemnified party only if such judgment or settlement contains a general release of the indemnified party in respect of such claims or litigation.

6.4. Contribution. If the indemnification provided for in Sections 6.1 or 6.2 hereof is unavailable to a party that would have been an indemnified party under any such Section in respect of any losses, claims, damages or liabilities (or actions or proceedings in respect thereof) referred to therein, then each party that would have been an indemnifying party thereunder will, in lieu of indemnifying such indemnified party, contribute to the amount paid or payable by such

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indemnified party as a result of such losses, claims, damages or liabilities (or actions or proceedings in respect thereof) in such proportion as is appropriate to reflect the relative fault of such indemnifying party on the one hand and such indemnified party on the other in connection with the statements or omissions which resulted in such losses, claims, damages or liabilities (or actions or proceedings in respect thereof). The relative fault will be determined by reference to, among other things, whether the untrue or alleged untrue statement of a material fact or the omission or alleged omission to state a material fact relates to information supplied by such indemnifying party or such indemnified party and the parties' relative intent, knowledge, access to information and opportunity to correct or prevent such statement or omission. The parties agree that it would not be just and equitable if contribution pursuant to this Section 6.4 were determined by pro rata allocation or by any other method of allocation that does not take account of the equitable considerations referred to in the preceding sentence. The amount paid or payable by a contributing party as a result of the losses, claims, damages or liabilities (or actions or proceedings in respect thereof) referred to in this
Section 6.4 will include any legal or other expenses reasonably incurred by such indemnified party in connection with investigating or defending any such action or claim. No Person guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of the Securities Act) will be entitled to contribution from any Person who was not guilty of such fraudulent misrepresentation.

7. MISCELLANEOUS.

7.1. Reports under the Exchange Act. With a view to making available to the Holders the benefits of Rule 144 and any other rule or regulation of the Commission that may at any time permit such Holder to sell securities of the Company to the public without registration and with a view to making it possible for Holders to register the Registrable Shares pursuant to a registration statement on Form S-3, the Company agrees from the date hereof to use its best efforts to:

(a) make and keep public information available, as those terms are understood and defined in Rule 144 under the Securities Act;

(b) file with the Commission 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 are required for the applicable provisions of Rule 144 to apply;

(c) file with the Commission in a timely manner all reports and other documents required of the Company under the Securities Act and the Exchange Act and take such other actions as will permit Holders to use Form S-3 for the resale of their Registrable Shares; and .

(d) furnish to any Holder forthwith upon request (i) a written statement by the Company as to its compliance with the reporting requirements of Rule 144, the Securities Act and the Exchange Act, or as to its qualification as a registrant whose securities may be resold pursuant to Form S-3 (at any time after it so qualifies), (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

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in availing any Holder of any rule or regulation of the Commission that permits the selling of any such securities without registration or pursuant to such form.

7.2. Transfer of Rights. The rights to cause the Company to register Registrable Shares pursuant to Sections 2 and 3 may be assigned by any Holder to a Permitted Transferee (as defined below), and by such Permitted Transferee to a subsequent Permitted Transferee, but only if such rights are transferred (a) to an affiliate or partner of such Holder or Permitted Transferee or a trustee or an account managed or advised by a manager or adviser of such Holder or Permitted Transferee or (b) in connection with the sale or other transfer of not less than an aggregate of 100,000 Registrable Shares or some lesser number, if such lesser number represents all the Registrable Shares then held by such Holder. Any transferee to whom rights under this Agreement are transferred will
(x) as a condition to such transfer, deliver to the Company a written instrument by which such transferee agrees to be bound by the obligations imposed upon Holders under this Agreement to the same extent as if such transferee were a Holder under this Agreement and (y) be deemed to be a Holder hereunder. Any Person to whom rights under this Agreement are transferred in accordance with this Section 7.2 shall be a "Permitted Transferee."

7.3. Governing Law. This Agreement, the rights of the parties and all claims, actions, causes of action, suits, litigation, controversies, hearings, charges, complaints or proceedings arising in whole or in part under or in connection herewith, will be governed by and construed in accordance with the domestic substantive laws of the State of New York, without giving effect to any choice or conflict of law provision or rule that would cause the application of the laws of any other jurisdiction.

7.4. Entire Agreement; Amendment and Waiver. This Agreement, together with any documents, instruments and certificates explicitly referred to herein, constitutes the entire agreement among the parties hereto with respect to the subject matter hereof and supersedes any and all prior discussions, negotiations, proposals, undertakings, understandings and agreements, whether written or oral, with respect thereto. Any term of this Agreement may be amended or terminated and the observance of any term of this Agreement may be waived (either generally or in a particular instance and either retroactively or prospectively) with the written consent of the Company and a Majority in Interest of the Registrable Shares; provided, however, that any such amendment or waiver treats all holders the same (without regard to any differences in effect that such amendment or waiver may have on the Holders due to the differing amounts of Registrable Shares held by such Holders). Any such amendment, termination or waiver will be binding on all Holders.

7.5. Notices. All notices, requests, demands, claims and other communications required or permitted to be delivered, given or otherwise provided under this Agreement must be in writing and must be delivered, given or otherwise provided:

(a) by hand (in which case, it will be effective upon delivery);

(b) by facsimile (in which case, it will be effective upon receipt of confirmation of good transmission); or

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(c) by overnight delivery by a nationally recognized courier service (in which case, it will be effective on the Business Day after being deposited with such courier service;

in each case, to the address (or facsimile number) listed below:

If to the Company, to it at:

10700 Richmond Avenue, Suite 300
Houston, TX 77042

Facsimile number: (713) 722-0921 Attention: Keith LeBlanc

with a copy to:

Strasburger & Price, LLP 1401 McKinney, Suite 2200 Houston, Texas 77010.4035 Facsimile number: (713) 951-5660 Attention: Ivan Wood Jr., Esq.

If to the Investors, to them at the addresses set forth on Schedule II hereto

with a copy to:

Ropes & Gray, LLP
One International Place Boston, Massachusetts 02110 Telephone number: (617) 951-7000 Facsimile number: (617) 951-7050 Attention: Winthrop G. Minot, Esq.

Each of the parties to this Agreement may specify a different address or facsimile number by giving notice in accordance with this Section 7.5 to each of the other parties hereto.

7.6. Binding Effect; Assignment. This Agreement will be binding upon and inure to the benefit of the personal representatives, successors and assigns of the respective parties hereto.

7.7. Severability. If any provision of this Agreement is found by any court of competent jurisdiction to be invalid or unenforceable, the parties hereby waive such provision to the extent that it is found to be invalid or unenforceable. Such provision will, to the maximum extent allowable by law, be modified by such court so that it becomes enforceable, and, as modified, will be enforced as any other provision hereof, all the other provisions hereof continuing in full force and effect.

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7.8. Headings. The headings contained in this Agreement are for convenience purposes only and will not in any way affect the meaning or interpretation hereof.

7.9. Counterparts. This Agreement may be executed in any number of counterparts, each of which will be deemed an original, but all of which together will constitute but one and the same instrument.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

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Orion HealthCorp, Inc. Registration Rights Agreement

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

ORION HEALTHCORP, INC.

By: /s/ Keith LeBlanc
    ----------------------------------
    Name: Keith LeBlanc
    Title: President


Orion HealthCorp, Inc. Registration Rights Agreement

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

BRANTLEY PARTNERS IV, L.P.

By: Brantley Venture Management IV,
L.P., its general partner

By: /s/ Paul H. Cascio
    ----------------------------------
    Name: Paul H. Cascio
    Title: Authorized Signatory


Orion HealthCorp, Inc. Registration Rights Agreement

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

CROSSROADS CORNERSTONE
DIRECT/CO-INVEStMENT FUND V, L.P.

By: Crossroads Corporate Investors,
L.P., general partner

By: /s/ Brad K. Heppner
    ----------------------------------
    Brad K. Heppner
    Chief Executive Officer

CROSSROADS 1999 SERIES DIRECT/CO-
INVESTMENT PORTFOLIO A, L.P.

By: Crossroads Corporate Investors
II, L.P., general partner

By: /s/ Brad K. Heppner
    ---------------------------------
    Brad K. Heppner
    Chief Executive Officer


Orion HealthCorp, Inc. Registration Rights Agreement

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

BRANTLEY CAPITAL CORPORATION

By: /s/ Paul H. Cascio
    ----------------------------------
    Name: Paul H. Cascio
    Title: Vice President


Orion HealthCorp, Inc. Registration Rights Agreement

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

JEFFREY J. PENSO

 /s/ Jeffrey J. Penso
--------------------------------------
Jeffrey J. Penso


Orion HealthCorp, Inc. Registration Rights Agreement

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

MBM COMMUNITY, LLC

By: /s/ Michael A. Mineo
    ----------------------------------
    Name: Michael A. Mineo
    Title: Authorized Signatory


Orion HealthCorp, Inc. Registration Rights Agreement

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

STRANCOINVESTMENTS, LTD.

By: /s/ Ghazwa Yousif
    ----------------------------------
    Name: Ghazwa Yousif
    Title: Director


Orion HealthCorp, Inc. Registration Rights Agreement

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

ROBERT AND MARGEE HELMS FAMILY
PARTNERSHIP, LTD.

By: /s/ Robert N. Helms, Jr
    ----------------------------------
    Name: Robert N. Helms, Jr.
    Title: Managing Partner


Orion HealthCorp, Inc. Registration Rights Agreement

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

LAUREN WEINER

 /s/ Lauren Weiner
--------------------------------------
Lauren Weiner


Orion HealthCorp, Inc. Registration Rights Agreement

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

MICHAEL RUNYON

 /s/ Michael Runyon
--------------------------------------
Michael Runyon


Orion HealthCorp, Inc. Registration Rights Agreement

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

SPARROW FUND, LP

By: /s/ Michael Runyon
    ----------------------------------
    Name: Michael Runyon
    Title: General Partner


Orion HealthCorp, Inc. Registration Rights Agreement

SCHEDULE I

INVESTORS

Brantley Partners IV, L.P.
Brantley Capital Corporation
Crossroads Cornerstone Direct/Co-investment Fund V, L.P. Crossroads 1999 Series Direct/Co-investment Portfolio A, L.P. Robert and Margee Helms Family Partnership, Ltd. Jeffrey J. Penso
Michael Runyon
StrancoInvestments, ltd.
MBM Community, LLC
Lauren Weiner
Sparrow Fund, LP


EXHIBIT 10.14

STOCKHOLDERS AGREEMENT

This Stockholders Agreement (this "Agreement") is made as of December 15, 2004 by and among:

(i) Orion HealthCorp, Inc., a Delaware corporation (the "Company");

(ii) each of Brantley Partners IV, L.P. ("Brantley IV"), Brantley Venture Partners III, L.P. ("Brantley III") and Brantley Capital Corporation ("Brantley Capital"; and, collectively with Brantley IV and Brantley III, the "Investors"); and

(iii) such other Persons who from time to time become party hereto by executing a counterpart signature page hereof and are designated by the Board as "Other Holders" (the "Other Holders"; and, collectively with the Investors, the "Stockholders").

Recitals

1. On or about the date hereof, the Company is issuing shares of its Common Stock to the Investors.

2. After giving effect to such issuance, the Investors will control a majority of the voting power of the Common Stock.

3. The parties believe that it is in the best interests of the Company and the Stockholders to set forth their agreements on certain matters.

Agreement

Therefore, the parties hereto hereby agree as follows:

1. EFFECTIVENESS; DEFINITIONS.

1.1. Closing. This Agreement shall become effective upon consummation of the closing (the "Closing") under the Amended and Restated Subscription Agreement dated as of February 9, 2004, as from time to time in effect.

1.2. Definitions. Certain terms are used in this Agreement as specifically defined herein. These definitions are set forth or referred to in
Section 6 hereof.

2. VOTING AGREEMENT.

2.1. Election of Directors. Each holder of Shares hereby agrees to cast all votes to which such holder is entitled in respect of the Shares, whether at any annual or special meeting, by written consent or otherwise, (a) to fix the number of members of the board of directors of the Company (the "Board") at five or such other number as may be specified from time to time by


the Majority Investors, (b) to elect as a member of the Board such individual, if any, as shall have been nominated by Brantley IV, (c) to elect as a member of the Board such individual, if any, as shall have been nominated by Brantley III and (d) to elect as a member of the Board such individual, if any, as shall have been nominated by Brantley Capital.

2.2. The Company. The Company agrees not to give effect to any action by any holder of Shares or any other Person which is in contravention of this
Section 2.

2.3. Period. The foregoing provisions of this Section 2 shall expire on the earlier of (a) a Change of Control and (b) the last date permitted by law.

3. REMEDIES. The Company and each holder of Shares shall have all remedies available at law, in equity or otherwise in the event of any breach or violation of this Agreement or any default hereunder by the Company or any holder of Shares. The parties acknowledge and agree that in the event of any breach of this Agreement, in addition to any other remedies which may be available, each of the parties hereto shall be entitled to specific performance of the obligations of the other parties hereto and, in addition, to such other equitable remedies (including, without limitation, preliminary or temporary relief) as may be appropriate in the circumstances.

4. LEGENDS. Each certificate representing Shares shall have the following legend endorsed conspicuously thereupon:

The voting of the shares of stock represented by this certificate are subject to the provisions of a Stockholders Agreement to which the issuer and certain of its stockholders are party, a copy of which may be inspected at the principal office of the issuer or obtained from the issuer without charge.

Each certificate representing Investor Shares shall also have the following legend endorsed conspicuously thereupon:

The shares of stock represented by this certificate were originally issued to, or issued with respect to shares originally issued to, the following Investor: __________.

Each certificate representing Other Holder Shares shall also have the following legend endorsed conspicuously thereupon:

The shares of stock represented by this certificate were originally issued to, or issued with respect to shares originally issued to, the following Other Holder: ______.

Any person who acquires Shares which are not subject to all or part of the terms of this Agreement shall have the right to have such legend (or the applicable portion thereof) removed from certificates representing such Shares.

5. AMENDMENT, TERMINATION, ETC.

5.1. Oral Modifications. This Agreement may not be orally amended, modified, extended or terminated, nor shall any oral waiver of any of its terms be effective.

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5.2. Written Modifications. This Agreement may be amended, modified, extended or terminated, and the provisions hereof may be waived, only by an agreement in writing signed by the Majority Investors; provided, however, that
(a) the consent of the Majority Other Holders shall be required for any amendment, modification, extension, termination or waiver which has a material adverse effect on the rights of the holders of Other Holder Shares as such under this Agreement. Each such amendment, modification, extension, termination and waiver shall be binding upon each party hereto and each holder of Shares subject hereto. In addition, each party hereto and each holder of Shares subject hereto may waive any right hereunder by an instrument in writing signed by such party or holder.

5.3. Effect of Termination. No termination under this Agreement shall relieve any Person of liability for breach prior to termination.

6. DEFINITIONS. For purposes of this Agreement:

6.1. Certain Matters of Construction. In addition to the definitions referred to or set forth below in this Section 6:

(a) The words "hereof", "herein", "hereunder" and words of similar import shall refer to this Agreement as a whole and not to any particular Section or provision of this Agreement, and reference to a particular Section of this Agreement shall include all subsections thereof;

(b) Definitions shall be equally applicable to both nouns and verbs and the singular and plural forms of the terms defined; and

(c) The masculine, feminine and neuter genders shall each include the other.

6.2. Definitions. The following terms shall have the following meanings:

"Affiliate" shall mean, with respect to any specified Person, (a) any other Person which directly or indirectly through one or more intermediaries controls, or is controlled by, or is under common control with, such specified Person (for the purposes of this definition, "control" (including, with correlative meanings, the terms "controlling," "controlled by" and "under common control with"), as used with respect to any Person, means the possession, directly or indirectly, of the power to direct or cause the direction of the management or policies of such Person, whether through the ownership of voting securities, by agreement or otherwise) and (b) with respect to any natural Person, any Member of the Immediate Family of such natural Person.

"Agreement" shall have the meaning set forth in the Preamble.

"Board" shall have the meaning set forth in Section 2.1.

"Brantley III" shall have the meaning set forth in the Preamble.

"Brantley IV" shall have the meaning set forth in the Preamble.

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"Brantley Capital" shall have the meaning set forth in the Preamble.

"Change of Control" shall mean (a) any change in the ownership of the capital stock of the Company if, immediately after giving effect thereto, any Person (or group of Persons acting in concert pursuant to an agreement) other than the Investors and their Affiliates will have the direct or indirect power to elect a majority of the members of the Board or (b) any change in the ownership of the capital stock of the Company if, immediately after giving effect thereto, the Investors and their Affiliates shall own less than 25% of the Equivalent Shares.

"Class A Stock" shall mean the Class A Common Stock, par value $.001 per share, of the Company.

"Class B Stock" shall mean the Class B Common Stock, par value $.001 per share, of the Company.

"Class C Stock" shall mean the Class C Common Stock, par value $.001 per share, of the Company.

"Closing" shall have the meaning set forth in Section 1.1.

"Common Stock" shall mean the common stock of the Company including without limitation the Class A Stock, the Class B Stock and the Class C Stock.

"Company" shall have the meaning set forth in the Preamble.

"Convertible Securities" shall mean any evidence of indebtedness, shares of stock (other than Common Stock) or other securities (other than Options and Warrants) which are directly or indirectly convertible into or exchangeable or exercisable for shares of Common Stock.

"Equivalent Shares" shall mean, at any date of determination, (a) as to any outstanding shares of Common Stock, such number of shares of Common Stock and (b) as to any outstanding Options, Warrants or Convertible Securities which constitute Shares, the maximum number of shares of Common Stock for which or into which such Options, Warrants or Convertible Securities may at the time be exercised, converted or exchanged (or which will become exercisable, convertible or exchangeable on or prior to, or by reason of, the transaction or circumstance in connection with which the number of Equivalent Shares is to be determined).

"Investor Shares" shall mean (a) all shares of Common Stock originally issued to, or issued with respect to shares originally issued to, or held by, an Investor, whenever issued, including, without limitation, all shares of Common Stock issued upon the exercise, conversion or exchange of any Options, Warrants or Convertible Securities and (b) all Options, Warrants and Convertible Securities originally granted or issued to an Investor (treating such Options, Warrants and Convertible Securities as a number of Shares equal to the number of Equivalent Shares represented by such Options, Warrants and Convertible Securities for all purposes of this Agreement except as otherwise specifically set forth herein).

"Investors" shall have the meaning set forth in the Preamble.

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"Majority Investors" shall mean, as of any date, the holders of a majority of the Investor Shares outstanding on such date.

"Majority Other Holders" shall mean, as of any date, the holders of a majority of the Other Holder Shares outstanding on such date.

"Members of the Immediate Family" shall mean, with respect to any individual, each spouse or child or other descendants of such individual, each trust created solely for the benefit of one or more of the aforementioned Persons and their spouses and each custodian or guardian of any property of one or more of the aforementioned Persons in his capacity as such custodian or guardian.

"Options" shall mean any options to subscribe for, purchase or otherwise directly acquire Common Stock.

"Other Holder Shares" shall mean (a) all shares of Common Stock originally issued to, or issued with respect to shares originally issued to, or held by, an Other Holder, whenever issued, including without limitation all shares of Common Stock issued upon the exercise, conversion or exchange of any Options, Warrants or Convertible Securities and (b) all Options, Warrants and Convertible Securities originally granted or issued to an Other Holder (treating such Options, Warrants and Convertible Securities as a number of Shares equal to the number of Equivalent Shares represented by such Options, Warrants and Convertible Securities for all purposes of this Agreement except as otherwise specifically set forth herein).

"Person" shall mean any individual, partnership, corporation, company, association, trust, joint venture, limited liability company, unincorporated organization, entity or division, or any government, governmental department or agency or political subdivision thereof.

"Shares" shall mean all Investor Shares and Other Holder Shares.

"Stockholders" shall have the meaning set forth in the Preamble.

"Transfer" shall mean any sale, pledge, assignment, encumbrance or other transfer or disposition of any Shares to any other Person, whether directly, indirectly, voluntarily, involuntarily, by operation of law, pursuant to judicial process or otherwise.

"Warrants" shall mean any warrants to subscribe for, purchase or otherwise directly acquire Common Stock.

7. MISCELLANEOUS.

7.1. Authority; Effect. Each party hereto represents and warrants to and agrees with each other party that the execution and delivery of this Agreement and the consummation of the transactions contemplated hereby have been duly authorized on behalf of such party and do not violate any agreement or other instrument applicable to such party or by which its assets are bound. This Agreement does not, and shall not be construed to, give rise to the creation of a

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partnership among any of the parties hereto, or to constitute any of such parties members of a joint venture or other association.

7.2. Notices. Any notices and other communications required or permitted in this Agreement shall be effective if in writing and (a) delivered personally or (b) sent (i) by Federal Express, DHL or UPS or (ii) by registered or certified mail, postage prepaid, in each case, addressed as follows:

If to the Company, to it at:

Orion HealthCorp, Inc.
1805 Old Alabama Road
Suite 350
Roswell, Georgia 30076

If to an Investor, to it at:

c/o Brantley Partners
3201 Enterprise Parkway, Suite 350
Beachwood, Ohio 44122
Attention: Paul H. Cascio

with a copy to:

Ropes & Gray LLP
One International Place
Boston, Massachusetts 02110
Attention: Winthrop G. Minot, Esq.

If to an Other Investor to it at the address set forth in the stock record book of the Company.

Notice to the holder of record of any shares of capital stock shall be deemed to be notice to the holder of such shares for all purposes hereof.

Unless otherwise specified herein, such notices or other communications shall be deemed effective (a) on the date received, if personally delivered, (b) two business days after being sent by Federal Express, DHL or UPS and (c) three business days after deposit with the U.S. Postal Service, if sent by registered or certified mail. Each of the parties hereto shall be entitled to specify a different address by giving notice as aforesaid to each of the other parties hereto.

7.3. Binding Effect, Etc. Except for restrictions on Transfer of Shares set forth in other agreements, plans or other documents, this Agreement constitutes the entire agreement of the parties with respect to its subject matter, supersedes all prior or contemporaneous oral or written agreements or discussions with respect to such subject matter, and shall be binding upon

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and inure to the benefit of the parties hereto and their respective heirs, representatives, successors and assigns.

7.4. Descriptive Headings. The descriptive headings of this Agreement are for convenience of reference only, are not to be considered a part hereof and shall not be construed to define or limit any of the terms or provisions hereof.

7.5. Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one instrument.

7.6. Severability. In the event that any provision hereof would, under applicable law, be invalid or unenforceable in any respect, such provision shall be construed by modifying or limiting it so as to be valid and enforceable to the maximum extent compatible with, and possible under, applicable law. The provisions hereof are severable, and in the event any provision hereof should be held invalid or unenforceable in any respect, it shall not invalidate, render unenforceable or otherwise affect any other provision hereof.

8. GOVERNING LAW.

8.1. Governing Law. This Agreement shall be governed by and construed in accordance with the domestic substantive laws of the State of New York without giving effect to any choice or conflict of laws provision or rule that would cause the application of the domestic substantive laws of any other jurisdiction.

8.2. Consent to Jurisdiction. Each party to this Agreement, by its execution hereof, (a) hereby irrevocably submits to the exclusive jurisdiction of the state and federal courts sitting in the State of New York for the purpose of any action, claim, cause of action or suit (in contract, tort or otherwise), inquiry, proceeding or investigation arising out of or based upon this Agreement or relating to the subject matter hereof, (b) hereby waives to the extent not prohibited by applicable law, and agrees not to assert, and agrees not to allow any of its subsidiaries to assert, by way of motion, as a defense or otherwise, in any such action, any claim that it is not subject personally to the jurisdiction of the above-named courts, that its property is exempt or immune from attachment or execution, that any such proceeding brought in one of the above-named courts is improper, or that this Agreement or the subject matter hereof or thereof may not be enforced in or by such court and (c) hereby agrees not to commence or maintain any action, claim, cause of action or suit (in contract, tort or otherwise), inquiry, proceeding or investigation arising out of or based upon this Agreement or relating to the subject matter hereof or thereof other than before one of the above-named courts nor to make any motion or take any other action seeking or intending to cause the transfer or removal of any such action, claim, cause of action or suit (in contract, tort or otherwise), inquiry, proceeding or investigation to any court other than one of the above-named courts whether on the grounds of inconvenient forum or otherwise. Notwithstanding the foregoing, to the extent that any party hereto is or becomes a party in any litigation in connection with which it may assert indemnification rights set forth in this agreement, the court in which such litigation is being heard shall be deemed to be included in clause (a) above. Each party hereto hereby consents to service of process in any such proceeding

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in any manner permitted by Delaware law, and agrees that service of process by registered or certified mail, return receipt requested, at its address specified pursuant to Section 7.2 hereof is reasonably calculated to give actual notice.

8.3. WAIVER OF JURY TRIAL. TO THE EXTENT NOT PROHIBITED BY APPLICABLE LAW WHICH CANNOT BE WAIVED, EACH PARTY HERETO HEREBY WAIVES AND COVENANTS THAT IT WILL NOT ASSERT (WHETHER AS PLAINTIFF, DEFENDANT OR OTHERWISE) ANY RIGHT TO TRIAL BY JURY IN ANY FORUM IN RESPECT OF ANY ISSUE OR ACTION, CLAIM, CAUSE OF ACTION OR SUIT (IN CONTRACT, TORT OR OTHERWISE), INQUIRY, PROCEEDING OR INVESTIGATION ARISING OUT OF OR BASED UPON THIS AGREEMENT OR THE SUBJECT MATTER HEREOF OR IN ANY WAY CONNECTED WITH OR RELATED OR INCIDENTAL TO THE TRANSACTIONS CONTEMPLATED HEREBY, IN EACH CASE WHETHER NOW EXISTING OR HEREAFTER ARISING. EACH PARTY HERETO ACKNOWLEDGES THAT IT HAS BEEN INFORMED BY THE OTHER PARTIES HERETO THAT THIS SECTION 8.3 CONSTITUTES A MATERIAL INDUCEMENT UPON WHICH THEY ARE RELYING AND WILL RELY IN ENTERING INTO THIS AGREEMENT. ANY PARTY HERETO MAY FILE AN ORIGINAL COUNTERPART OR A COPY OF THIS SECTION 8.3 WITH ANY COURT AS WRITTEN EVIDENCE OF THE CONSENT OF EACH SUCH PARTY TO THE WAIVER OF ITS RIGHT TO TRIAL BY JURY.

8.4. Exercise of Rights and Remedies. No delay of or omission in the exercise of any right, power or remedy accruing to any party as a result of any breach or default by any other party under this Agreement shall impair any such right, power or remedy, nor shall it be construed as a waiver of or acquiescence in any such breach or default, or of any similar breach or default occurring later; nor shall any such delay, omission nor waiver of any single breach or default be deemed a waiver of any other breach or default occurring before or after that waiver.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

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IN WITNESS WHEREOF, each of the undersigned has duly executed this Agreement (or caused this Agreement to be executed on its behalf by its officer or representative thereunto duly authorized) under seal as of the date first above written.

THE COMPANY: ORION HEALTHCORP, INC.

                                           By:   /s/ Keith G. LeBlanc
                                               ---------------------------------
                                               Name:  Keith G. LeBlanc
                                               Title: President

THE INVESTORS:                             BRANTLEY PARTNERS IV, L.P.

                                           By: Brantley Venture Management IV,
                                               L.P., its general partner

                                           By:   /s/ Paul H. Cascio
                                               ---------------------------------
                                               Name:  Paul H. Cascio
                                               Title: Authorized Signatory

                                           BRANTLEY VENTURE PARTNERS III, L.P.

                                           By: Brantley Venture Management III,
                                               L.P., its general partner

                                           By:   /s/ Paul H. Cascio
                                               ---------------------------------
                                               Name:  Paul H. Cascio
                                               Title: Authorized Signatory

                                           BRANTLEY CAPITAL CORPORATION

                                           By:   /s/ Paul H. Cascio
                                               ---------------------------------
                                               Name:  Paul H. Cascio
                                               Title: Vice President

BROKERAGE PARTNERS