On September 28, 2012, Graymark Healthcare, Inc. and its wholly-owned subsidiary, TSH Acquisition, LLC, entered into an amendment (the "Amendment") to the Membership Interest Purchase Agreement, dated as of August 13, 2012, with Foundation Healthcare Affiliates, LLC ("Seller"). Pursuant to the Amendment, a party may terminate the agreement if the closing of the acquisition does not occur on or before October 31, 2012, and an additional closing condition was added requiring the Seller to obtain the consent of the holder of preferred interests in certain subsidiaries of Seller prior to the closing of the acquisition. A copy of the Amendment is filed herewith as Exhibit 2.1 and is incorporated herein by reference.

(d) Exhibits.

Exhibit No.       Description
2.1               Amendment to Membership Interest Purchase Agreement, dated as of
                  September 28, 2012, among Graymark Healthcare, Inc., TSH
                  Acquisition, LLC and Foundation Healthcare Affiliates, LLC