EX-4.4






 Exhibit 4.4 

AVEANNA HEALTHCARE HOLDINGS INC. 

FIRST AMENDMENT TO STOCKHOLDERS AGREEMENT 

THIS FIRST AMENDMENT TO STOCKHOLDERS AGREEMENT is made as of April 18, 2018 (this “Amendment”), by and among
(i) Aveanna Healthcare Holdings Inc., a Delaware corporation f/k/a BCPE Eagle Holdings Inc. (the “Company”) and (ii) each of the undersigned Sponsors party hereto (the “Undersigned Sponsors”). 

WHEREAS, each of the parties hereto are party to that certain Stockholders Agreement (the “Agreement”) dated March 16,
2017, by and among (i) the Company, (ii) each of the Sponsors party thereto, (iii) each of the Executives and (iv) each of the Other Investors. Except as otherwise specified herein, all capitalized terms used herein shall have
the definitions used in the Agreement. 
 WHEREAS, pursuant to Section 18(b) of the Agreement, except as otherwise provided
therein, the provisions of the Agreement may be amended only with the prior written consent of each Sponsor holding at least 1% of the outstanding shares of voting Company Capital Stock on a fully-diluted basis; provided that no such amendment that
by its terms would materially and adversely affect a holder or group of holders of Stockholder Shares in a manner materially different than any other holder or group of holders of Stockholder Shares shall be effective against such holder or group of
holders of Stockholder Shares without the consent of the holders of a majority of the Stockholder Shares that are held by the group of holders that is materially and adversely affected thereby. 

WHEREAS, the Undersigned Sponsors constitute each Sponsor holding at least 1% of the outstanding shares of voting Company Capital Stock on a
fully-diluted basis. 
 WHEREAS, the consent of the other holders of Stockholder Shares is not required to approve the amendments to the
Agreement set forth herein. 
 NOW THEREFORE, in consideration of the mutual covenants herein contained and other valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 
  

	 	1.	 Names. 


  

	 	(a)	 Each reference in the Agreement to “BCPE Eagle Holdings Inc.” shall be deleted and replaced with
“Aveanna Healthcare Holdings Inc.”. 


  

	 	(b)	 Each reference in the Agreement to “BCPE Eagle Intermediate Holdings LLC” shall be deleted and
replaced with “Aveanna Healthcare Intermediate Holdings LLC”. 
















	 	(c)	 Each reference in the Agreement to “BCPE Eagle Buyer LLC” shall be deleted and replaced with
“Aveanna Healthcare LLC”. 


  

	 	2.	 Definitions. The reference in Section 1. Definitions. of “Whitney Employee Director”
shall be deleted in its entirety and replaced with the following: “Whitney Employee/Designee Director” has the meaning set forth in Section 2(a)(ii)(B).” 



 

	 	3.	 Election of Directors. 



 

	 	(a)	 Section 2(a)(ii)(B) of the Agreement shall be deleted in its entirety and replaced with the following:



 “3 directors designated by the Whitney Sponsors, of which one (the “Whitney VII VCOC Director”)
will be an employee of the Whitney Sponsors or their Affiliates and designated by J.H. Whitney VII, L.P. (“Whitney VII”), who shall be initially Robert Williams, one (the “Whitney Employee/Designee Director”) will
be an employee or other designee of the Whitney Sponsors or their Affiliates and designated by Whitney VII, who shall be initially Steven Rodgers, and one (the “Whitney Independent Director”) will be an independent director designated by
the Whitney Sponsors, who shall be initially Sheldon Retchin (collectively with their respective successors as Whitney VII and the Whitney Sponsors, as applicable, may appoint from time to time in accordance with the terms and conditions of this
Agreement, the “Whitney Directors”);” 
  

	 	(b)	 The reference in Section 2(a)(vi) of the Agreement to “Whitney Employee Director” shall be
deleted and replaced with “Whitney Employee/Designee Director”. 


 The reference in Section 2(a)(ix) to
“employee director,” shall be deleted and replaced with “employee or employee/designee director, as applicable,”. 
  

	 	4.	 Controlling Effect; Full Force. The parties acknowledge and agree that to the extent that the
terms of this Amendment are in conflict with the terms of the Agreement, this Amendment shall control. Except as modified by this Amendment, all of the terms and conditions of the Agreement shall remain in full force and effect.



  

	 	5.	 Governing Law. All issues and questions concerning the construction, validity, interpretation and
enforcement of this Amendment shall be governed by, and construed in accordance with, the laws of the State of Delaware, without giving effect to any choice of law or conflict of law rules or provisions (whether of the State of Delaware or any other
jurisdiction) that would cause the application of the laws of any jurisdiction other than the State of Delaware. In furtherance of the foregoing, the internal law of the State of Delaware shall control the interpretation and construction of this
Amendment, even though under that jurisdiction’s choice of law or conflict of law analysis, the substantive law of some other jurisdiction would ordinarily apply. 
















	 	6.	 Counterparts. This Amendment may be executed in multiple counterparts, any one of which need not contain
the signatures of more than one party, but all such counterparts taken together shall constitute one and the same agreement. 


  

	 	7.	 Electronic Delivery. This Amendment, the agreements referred to herein and each other agreement or
instrument entered into in connection herewith or therewith or contemplated hereby or thereby, and any amendments hereto or thereto, to the extent executed and delivered by means of a photographic, photostatic, facsimile or similar reproduction of
such signed writing using a facsimile machine or electronic mail shall be treated in all manner and respects as an original agreement or instrument and shall be considered to have the same binding legal effect as if it were the original signed
version thereof delivered in person. At the request of any party hereto or to any such agreement or instrument, each other party hereto or thereto shall re-execute original forms thereof and deliver them to
all other parties. No party hereto or to any such agreement or instrument shall raise the use of a facsimile machine or electronic mail to deliver a signature or the fact that any signature or agreement or instrument was transmitted or communicated
through the use of a facsimile machine or electronic mail as a defense to the formation or enforceability of a contract and each such party forever waives any such defense. 



*  *  *  *  * 













 IN WITNESS WHEREOF, the parties have executed this First Amendment to Stockholders
Agreement as of the date first written above 
  

			
	 AVEANNA HEALTHCARE HOLDINGS INC.

		
	By:	 	 /s/ Rodney D. Windley

	Name:	 	Rodney D. Windley
	Title:	 	Executive Chairman



  
 [Signature Page to First
Amendment to Stockholders Agreement] 














 
			
	BAIN CAPITAL FUND XI, L.P.
		
	By:	 	Bain Capital Partners XI, L.P.,
	Its:	 	General Partner


 
			
		
	By:	 	Bain Capital Investors, LLC,
	Its:	 	General Partner


 
			
		
	By:	 	 /s/ Devin O’Reilly

	Name:	 	Devin O’Reilly
	Title:	 	Managing Director



  
 [Signature Page to First
Amendment to Stockholders Agreement] 














 
			
	PSA HEALTHCARE HOLDINGS LLC
		
	By:	 	 /s/ Rodney D. Windley

	Name:	 	Rodney D. Windley
	Title:	 	Executive Chairman



  
 [Signature Page to First
Amendment to Stockholders Agreement] 














 
			
	J.H. WHITNEY VII, L.P.
		
	By:	 	J.H. Whitney Equity Partners VII, LLC,
	Its:	 	General Partner


 
			
		
	By:	 	 /s/ Robert M. Williams, Jr.

	Name:	 	Robert M. Williams, Jr.
	Title:	 	Managing Member



  
 [Signature Page to First
Amendment to Stockholders Agreement] 














 
			
	PSA ILIAD HOLDINGS LLC
		
	By:	 	 /s/ David Zatlukal

	Name:	 	David Zatlukal
	Title:	 	Vice President and Secretary



  
 [Signature Page to First
Amendment to Stockholders Agreement] 














 
			
	JHW ILIAD HOLDINGS LLC
		
	By:	 	 /s/ David Zatlukal

	Name :	 	David Zatlukal
	Title:	 	Vice President and Secretary



  
 [Signature Page to First
Amendment to Stockholders Agreement]