Exhibit (a)(5)(D)

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| | | | NEWS RELEASE Robert M. Thornton, Jr. Chief Executive Officer (770)933-7004 |
SUNLINK HEALTH SYSTEMS, INC. ANNOUNCES EXTENSION OF SHARE REPURCHASE PROGRAM TO REPURCHASE UP TO $750,000 OF ITS COMMON SHARES THROUGH OPEN MARKET TRANSACTIONS AT PREVAILING MARKET PRICES
Atlanta, Georgia (January 31, 2020) – SunLink Health Systems, Inc. (NYSE American: SSY) today announced that it has extended its previously announced Share Repurchase Program to repurchase for cash up to $750,000 of its common shares through open market transactions at prevailing market prices (the “Program”) upon the terms and subject to the conditions described in its Schedule13E-3, as amended, including in the Notice of Share Repurchase Program, as amended (the “Notice”), until 4:00 p.m., New York City time, on Monday, June 1, 2020 (the “Expiration Time”), unless the Program is further extended or earlier terminated by SunLink. The Program was previously scheduled to expire at 4:00 p.m., New York City time, on January 31, 2020. As of 5:00 p.m. Eastern time on January 30, 2020, 8,086 common shares have been purchased pursuant to the Program for an aggregate purchase price of $9,386.
Complete terms and conditions of the Program are set forth in the Schedule13E-3 filed by SunLink Health Systems, Inc. with the Securities and Exchange Commission (the “SEC”) on October 16, 2019, as amended and supplemented by Amendment No. 1 thereto filed with the SEC on October 25, 2019, Amendment No. 2 thereto filed with the SEC on October 28, 2019, and Amendment No. 3 thereto being filed with the SEC on or about January 31, 2020, as such Schedule13E-3 has been or may be further amended or supplemented from time to time, including in the Notice of Share Repurchase Program, as amended, and other related materials that were filed as or incorporated by reference as exhibits to the Schedule13E-3.
Additional Information
This press release is provided for informational purposes only and does not constitute an offer to purchase or the solicitation of an offer to sell any common shares of SunLink Health Systems, Inc. (“SunLink” or the “Company”). Investors and shareholders should read the Schedule13E-3, the Notice of Share Repurchase Program, and the amendments thereto carefully as they contain important information about the Share Repurchase Program.