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REGISTRATION RIGHTS AGREEMENT

Registration Rights Agreement

REGISTRATION RIGHTS AGREEMENT | Document Parties: ORION HEALTHCORP INC | Brantley Partners IV, L.P | Phoenix Life Insurance Company You are currently viewing:
This Registration Rights Agreement involves

ORION HEALTHCORP INC | Brantley Partners IV, L.P | Phoenix Life Insurance Company

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Title: REGISTRATION RIGHTS AGREEMENT
Governing Law: New York     Date: 4/2/2007
Industry: Healthcare Facilities     Law Firm: Benesch, Friedlander, Coplan & Aronoff LLP;Ober Kaler Grimes & Shriver, P.C.     Sector: Healthcare

REGISTRATION RIGHTS AGREEMENT, Parties: orion healthcorp inc , brantley partners iv  l.p , phoenix life insurance company
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                                                                   EXHIBIT 10.19


                          REGISTRATION RIGHTS AGREEMENT
                          -----------------------------

         THIS REGISTRATION RIGHTS AGREEMENT (the "Agreement") is entered into as
of December 1, 2006 by and among Orion HealthCorp, Inc., a Delaware corporation
(the "Company"), Brantley Partners IV, L.P., a Delaware limited partnership
("Brantley"), and Phoenix Life Insurance Company, a New York corporation
("Phoenix," and sometimes together with Brantley the "Investors").

                                R E C I T A L S :

         WHEREAS, the Investors have agreed to purchase shares of Class D Common
Stock (as defined below) from the Company pursuant to a Stock Purchase Agreement
dated as of September 8, 2006 (the "Stock Purchase Agreement"), which shares of
Class D Common Stock are convertible into shares of Class A Common Stock (as
defined below);

         WHEREAS, contemporaneously with the closing under the Stock Purchase
Agreement, Phoenix will purchase a $3,350,000 Senior Unsecured Subordinated Note
(the "Note") from the Company and will receive a Common Stock Warrant
Certificate dated December 1, 2006 (the "Warrants") to purchase shares of Class
A Common Stock; and

         WHEREAS, the Company and the Investors wish to provide for certain
arrangements with respect to the registration under the Securities Act of the
shares of Class A Common Stock held by the Investors pursuant to the Stock
Purchase Agreement and by Phoenix on exercise of the Warrants.

                                    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.

         "Brantley" is defined in the Preamble.

         "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.


<PAGE>

         "Class D Common Stock" means the Class D 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.

         "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.

         "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 D Common Stock to have been converted into Class A Common Stock, at the
applicable conversion ratios immediately prior to the applicable time of
determination.

         "Note" is defined in the Recitals.

         "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.

         "Phoenix" is defined in the Preamble.

         "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.


                                       2
<PAGE>

         "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 D 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.

         "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 Purchase Agreement" is defined in the recitals.

2.        REQUIRED REGISTRATIONS.

         2.1    Demand Registrations. At any one (1) 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 $10,000,000.


                                       3
<PAGE>

         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 $1,000,000.

         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.

         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.


                                       4
<PAGE>

         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.

         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.


                                       5
<PAGE>

         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 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.


                                       6
<PAGE>

         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


 
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