0001362310-08-008303 Sample Contracts

PROMISSORY NOTE
Tri-Isthmus Group, Inc. • December 17th, 2008 • Services-general medical & surgical hospitals, nec

FOR VALUE RECEIVED, RHA TISHOMINGO, LLC, an Oklahoma limited liability company, d/b/a Johnston Memorial Hospital (hereinafter referred to as the “Borrower”), unconditionally promises to pay to the order of CANADIAN STATE BANK (“Lender”), at 2500 S. Cornwell Drive, Yukon, OK 73099, or at such other place as may be designated in writing by the holder of this promissory note, the principal sum not to exceed ONE MILLION TWO HUNDRED THOUSAND AND 00/100 Dollars ($1,200,000.00), together with interest thereon at the rate hereinafter specified:

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LOAN AGREEMENT among RHA ANADARKO, LLC as Borrower and TRI-ISTHMUS GROUP, INC. RURAL HOSPITAL ACQUISITION, LLC SURGICAL CENTER ACQUISITION HOLDINGS, INC. RHA STROUD, LLC RHA TISHOMINGO, LLC TSG PHYSICIANS GROUP, LLC as Guarantors and CANADIAN STATE...
Loan Agreement • December 17th, 2008 • Tri-Isthmus Group, Inc. • Services-general medical & surgical hospitals, nec • Oklahoma

THIS LOAN AGREEMENT (the “Agreement”) is made effective the 6th day of November, 2008, at Oklahoma City, Oklahoma, among RHA ANADARKO, LLC, an Oklahoma limited liability company, d/b/a The Physicians’ Hospital in Anadarko (herein “Borrower”), TRI-ISTHMUS GROUP, INC., a Delaware Corporation, SURGICAL CENTER ACQUISITION HOLDINGS, INC., a Nevada corporation, RURAL HOSPITAL ACQUISITION, LLC, an Oklahoma limited liability company, RHA TISHOMINGO, LLC, an Oklahoma limited liability company, RHA STROUD, LLC, an Oklahoma limited liability company, TSG PHYSICIANS GROUP, LLC, an Oklahoma limited liability company (herein collectively “Guarantors”), and CANADIAN STATE BANK, a state banking association (“Bank”), having an address of 2500 S. Cornwell Drive, Yukon, OK 73099.

LOAN AGREEMENT among RHA TISHOMINGO, LLC as Borrower and TRI-ISTHMUS GROUP, INC. RURAL HOSPITAL ACQUISITION, LLC SURGICAL CENTER ACQUISITION HOLDINGS, INC. RHA STROUD, LLC RHA ANADARKO, LLC TSG PHYSICIANS GROUP, LLC as Guarantors and CANADIAN STATE...
Loan Agreement • December 17th, 2008 • Tri-Isthmus Group, Inc. • Services-general medical & surgical hospitals, nec • Oklahoma

THIS LOAN AGREEMENT (the “Agreement”) is made effective the 6th day of November, 2008, at Oklahoma City, Oklahoma, among RHA TISHOMINGO, LLC, an Oklahoma limited liability company, d/b/a Johnston Memorial Hospital (herein “Borrower”), TRI-ISTHMUS GROUP, INC., a Delaware Corporation, SURGICAL CENTER ACQUISITION HOLDINGS, INC., a Nevada corporation, RURAL HOSPITAL ACQUISITION, LLC, an Oklahoma limited liability company, RHA ANADARKO, LLC, an Oklahoma limited liability company, TSG PHYSICIANS GROUP, LLC, an Oklahoma limited liability company (herein collectively “Guarantors”) (herein collectively “Guarantors”), and CANADIAN STATE BANK, a banking organization (“Bank”), having an address of 2500 S. Cornwell Drive, Yukon, OK 73099.

MEMBERSHIP INTEREST PURCHASE AGREEMENT BY AND AMONG RURAL HOSPITAL ACQUISITION, LLC, AS THE BUYER AND CAROL SCHUSTER, AS THE SELLER AND TRI-ISTHMUS GROUP, INC SURGICAL CENTER ACQUISITION HOLDING, INC RHA TISHOMINGO, LLC RHA STROUD, LLC RHA ANADARKO,...
Membership Interest Purchase Agreement • December 17th, 2008 • Tri-Isthmus Group, Inc. • Services-general medical & surgical hospitals, nec • Oklahoma

This Membership Interest Purchase Agreement (this “Agreement”) is made and entered into as of December 11, 2008 (the “Closing Date”), by and between Rural Hospital Acquisition, LLC., an Oklahoma Limited Liability Company (“Buyer”), and Carol Schuster, an individual residing in Oklahoma (“Seller”). Tri-Isthmus Group, Inc., a Delaware Corporation (“TIGroup”) Surgical Center Acquisition Holdings, Inc., a Nevada Corporation, (“SCAH”) and RHA Tishomingo, an Oklahoma Limited Liability Company, (“RHA Tishomingo”), RHA Stroud, an Oklahoma Limited Liability Company, (“RHA Stroud”), and RHA Anadarko, an Oklahoma Limited Liability Company, (“RHA Anadarko”) and Mike Schuster all join this Agreement for the limited purposes set forth herein. RHA Tishomingo, RHA Stroud, and RHA Anadarko are sometimes referred to as the “Hospitals”. Buyer, TIGroup, SCAH, Hospitals, and Seller, are each individually referred to herein from time to time as a “Party,” and collectively as the “Parties.”

GUARANTY OF TRI-ISTHMUS GROUP, INC. (Carol Schuster $1,500,000.00)
Guaranty Agreement • December 17th, 2008 • Tri-Isthmus Group, Inc. • Services-general medical & surgical hospitals, nec • Oklahoma

THIS GUARANTY AGREEMENT (the “Guaranty”) is made effective the 11th day of December, 2008, by the undersigned, Tri-Isthmus Group, Inc., a Delaware corporation (“Guarantor” or “Tri-Isthmus”), to and for the benefit of Carol Schuster, an individual (“Schuster”). For $100 and other good and valuable consideration, the receipt and sufficiency which are hereby acknowledged, the Company agrees to enter into this Guaranty.

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