Exhibit 4.2


 


EXECUTION


 


AMENDMENT TO INNOVAGE HOLDING CORP.


STOCK PURCHASE WARRANT AGREEMENT


 


This Amendment dated as of February 9,
2021 (this “Amendment”) to the TCO Group Holdings, Inc. Stock Purchase Warrant Agreement, with an issuance
date of March 18, 2019, (the “Warrant Agreement”), is made by and between ADVENTIST HEALTH SYSTEM/WEST,
a California nonprofit religious corporation, d/b/a ADVENTIST HEALTH (the “Holder”), and INNOVAGE HOLDING CORP.
(F.K.A. TCO GROUP HOLDINGS, INC.), a Delaware corporation (the “Company”).


 


WHEREAS, subject to the terms and conditions
set forth in this Amendment, and pursuant to Section 11 of the Warrant Agreement, the parties hereto desire to amend certain
terms of the Warrant Agreement by entering into, and as set forth in, this Amendment.


 


NOW THEREFORE, in consideration of the mutual
promises and conditions contained herein, and for other good and valuable considerations, the receipt and sufficiency of which
hereby are acknowledged, the parties hereby agree as follows:


 


Section 1.           Definitions.
Capitalized terms used herein without definition shall have the meanings ascribed to such terms in the Warrant Agreement unless
otherwise indicated.


 


Section 2.            Amendment
to the Warrant Agreement.


 


(a)         The
preamble of the Warrant Agreement is amended and restated as follows:


 


THIS IS TO CERTIFY that ADVENTIST HEALTH SYSTEM/WEST, a California
nonprofit religious corporation, d/b/a ADVENTIST HEALTH, and its permitted transferees, successors and assigns (the “Holder”),
for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, is entitled to purchase from
INNOVAGE HOLDING CORP. (F.K.A. TCO GROUP HOLDINGS, INC.), a Delaware corporation (the “Company”), shares
of Company Common Stock, par value $0.001 per share, of the Company representing an aggregate number of Company Common Stock equal
to $15,000,000 divided by the price per share of Company Common Stock in the Initial Public Offering, rounded down to the nearest
whole share, at any time on or after the Exercise Date and expiring on the Expiration Date.


 


(b)         Sections
2.1(a), 2.1(b) and 2.1(c) of the Warrant Agreement are amended and restated as follows:


 


(a)          Right
to Exercise.


 


(i)          At
any time on or prior to the Expiration Date, the Holder may exercise this Warrant Agreement, in whole or in part, by delivering
the Notice of Exercise, in the form of Exhibit A attached hereto and made a part hereof (the “Notice of Exercise”),
duly executed. The aggregate Exercise Price (the “Aggregate Exercise Price”) to be paid for the shares of Warrant
Common Stock to be purchased (the “Exercise Amount”) shall be equal to the product of (A) the Exercise
Amount multiplied by (B) the Exercise Price. If the Expiration Date is not a Business Day, then this Warrant Agreement may
be exercised on the next succeeding Business Day.


 


(ii)         Subject
to all other terms and conditions hereof, the Holder only may exercise this Warrant Agreement and deliver a Notice of Exercise
if the Aggregate Exercise Price in respect of such exercise is more than $5,000,000, unless such exercise is for all of the, or
the remainder of any, outstanding, unexercised Warrant Common Stock.


 



     


     


    




 


(b)          Payment
of the Aggregate Exercise Price. Payment of the Aggregate Exercise Price shall be made to the Company in cash or other immediately
available funds or as provided in Section 2(c) or a combination thereof. In the case of payment of all or a portion
of the Aggregate Exercise Price pursuant to Section 2(c), the direction by the Holder to make a “Cashless Exercise”
shall serve as accompanying payment for that portion of the Exercise Price.


 


(c)         Cashless
Exercise. Until the occurrence of any Reorganization Event, the Holder shall have the right to pay all or a portion of the
Aggregate Exercise Price by making a “Cashless Exercise,” by instructing the Company to withhold a number of shares
of Warrant Common Stock then issuable upon exercise of this Warrant with an aggregate Fair Market Value as of the Exercise Date
equal to such Aggregate Exercise Price or such other amount as the Holder so provides. In the event of any withholding of shares
of Warrant Common Stock pursuant to this Section 2(c) where the number of shares whose value is equal to the Aggregate
Exercise Price is not a whole number, the number of shares withheld by the Company shall be rounded up to the nearest whole share
and the Company shall make a cash payment to the Holder (by delivery of a certified or official bank check or by wire transfer
of immediately available funds) based on the incremental fraction of a share being so withheld by the Company in an amount equal
to the product of (x) such incremental fraction of a share being so withheld multiplied by (y) the Fair Market Value
as of the Exercise Date.


 


(c)         Section 5(c) of
the Warrant Agreement is deleted.


 


(d)        Section 6
of the Warrant Agreement is amended by (i) amending and replacing the definitions of “Exercise Date,” “Exercise
Price,” “Expiration Date” and “Fair Market Value” with the respective definition set forth below,
and (ii) adding the defined terms “3-Day Daily VWAP,” “Bloomberg,” “Business Day,” “Closing
Price,” “Company Capital Stock,” “Company Common Stock,” “Company Equity Securities,”
 “Company Stock Plans,” “Daily VWAP,” “Fully Diluted,” “Initial Public Offering,”
 “Market Disruption Event,” “Options or Convertible Securities,” “Person,” and “Trading
Day” in each case, as follows:


 


“3-Day
Daily VWAP” means the average of the Daily VWAP per share of Company Common Stock for each of three consecutive full
Trading Days.


 


“Bloomberg”
means Bloomberg Financial Markets.


 


“Business
Day” means a day other than a day on which commercial banks in New York, New York are authorized or required by law to
close.


 


“Closing
Price” of the Company Common Stock on any date of determination means the closing sale price or, if no closing sale
price is reported, the last reported sale price, of the shares of the Company Common Stock on the Nasdaq Global Select Market
on such date, in each case, as reported by Bloomberg. If the Company Common Stock is not traded on the Nasdaq Global Select
Market on any date of determination, the Closing Price of the Company Common Stock on such date of determination means the
closing sale price in the composite transactions for the principal United States securities exchange or automated quotation
system on which the Company Common Stock is so listed or quoted as reported by Bloomberg, or, if no closing sale price is
reported, the last reported sale price on the principal United States securities exchange or automated quotation system on
which the Company Common Stock is so listed or quoted, or if the Company Common Stock is not so listed or quoted on a United
States securities exchange or automated quotation system, the last quoted bid price for the Company Common Stock in the
over-the-counter market as reported by OTC Market Group, Inc. or any similar organization, or, if that bid price is not
available, the market price of the Company Common Stock on that date as determined by a nationally recognized investment
banking firm (unaffiliated with the Company) retained by the Company for such purpose.


 






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“Company
Capital Stock” means Company Common Stock and any other shares of capital stock of the Company.


 


“Company
Common Stock” means common stock, par value $0.001 per share, of the Company.


 


“Company
Equity Securities” means all shares of Company Capital Stock now or hereafter issued and all Options or Convertible Securities
now or hereafter issued.


 


“Company
Stock Plans” means all stock option plans, restricted stock purchase plans, stock option agreements, restricted stock
purchase agreements and other stock-based incentive plans and agreements relating to the issuance of Company Equity Securities.


 


“Daily
VWAP” means, for any Trading Day, the per share volume-weighted average price of the Company-Common Stock as displayed
under the heading “Bloomberg VWAP” on Bloomberg (or, if Bloomberg ceases to publish such price, any successor service
reasonably chosen by the Company) page “InnovAge Holding Corp.” (or its equivalent successor if such page is
not available) in respect of the period from the scheduled open of trading on the relevant Trading Day until the scheduled close
of trading on such Trading Day (or if such volume-weighted average price is unavailable, the market price of one share of Company
Common Stock on such Trading Day determined, using a volume-weighted average method, by a nationally recognized investment banking
firm (unaffiliated with the Company) retained by the Company for such purpose). The Daily VWAP will be determined without regard
to after-hours trading or any other trading outside of the regular trading session.


 


“Exercise
Date” means the date on which the Company consummates its Initial Public Offering.


 


“Exercise
Price” means the price per share of Company Common Stock in the Initial Public Offering.


 


“Expiration
Date” means the date that is 12 months after the date of consummation of the Company’s Initial Public Offering.


 


“Fair
Market Value” means, as of any particular Exercise Date, the 3-Day Daily VWAP ending on the Trading Day immediately preceding
such Exercise Date.


 


“Fully
Diluted” means, with respect to any determination of the number of shares of Company Common Stock outstanding or held
by one or more Persons, the number of shares of Company Common Stock outstanding or held by such Person or Persons (excluding any
unvested shares of restricted stock issued under any Company Stock Plan) assuming the conversion, exercise or exchange of all other
Options or Convertible Securities for Company Common Stock (excluding any unvested stock options issued under any Company Stock
Plan).


 


“Initial
Public Offering” means the sale of shares of Company Common Stock to the public for the first time pursuant to an effective
registration statement (other than a registration statement on Form S-4, Form S-8 or any similar or successor form) filed
under the Securities Act.


 


“Market
Disruption Event” means any suspension of, or limitation imposed on, trading of the Company Common Stock by any
exchange or quotation system on which the Closing Price is determined pursuant to the definition of the term “Closing
Price” (the “Relevant Exchange”) during the one-hour period prior to the close of trading for the
regular trading session on the Relevant Exchange (or for purposes of determining the VWAP per share of Company Common Stock,
any period or periods aggregating one half-hour or longer during the regular trading session on the relevant day) and whether
by reason of movements in price exceeding limits permitted by the Relevant Exchange as to securities generally, or otherwise
relating to the Company Common Stock or options contracts relating to the Company Common Stock on the Relevant Exchange.


 






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“Options
or Convertible Securities” means any securities directly or indirectly convertible into or exercisable or exchangeable
for Company Capital Stock.


 


“Person”
means any natural person, corporation, limited liability company, partnership, trust, joint stock company, business trust, unincorporated
association, joint venture, governmental authority or other legal entity of any nature whatsoever.


 


“Trading
Day” means a Business Day on which (A) trading in the Company Common Stock generally occurs on the principal U.S.
national or regional securities exchange on which the Company Common Stock is then listed or, if the Company Common Stock is not
then listed on a U.S. national or regional securities exchange, on the principal other market on which the Company Common Stock
is then traded and (B) on which there has not occurred a Market Disruption Event.


 


(d)         Section 6
of the Warrant Agreement is further amended by deleting the following defined terms: “Change of Control,” “Consolidated
EBITDA” (including Exhibit B), “Last Fiscal Quarter,” “TCO,” “TTM Consolidated EBITDA,”
and “Valuation Firm.”


 


(e)         Section 18
of the Warrant Agreement is deleted in its entirety and replaced with the following:


 


(a)          Adjustment
to Exercise Price and Warrant Shares Upon Dividend, Subdivision or Combination of Common Stock. If the Company shall, at any
time or from time to time after the date hereof, (i) pay a dividend or make any other distribution upon the Company Common
Stock or any other capital stock of the Company payable in shares of Company Common Stock or in Options or Convertible Securities,
or (ii) subdivide (by any stock split, recapitalization or otherwise) its outstanding shares of Company Common Stock into
a greater number of shares, the Exercise Price in effect immediately prior to any such dividend, distribution or subdivision shall
be proportionately reduced and the number of shares of Warrant Common Stock issuable upon exercise of this Warrant shall be proportionately
increased. If the Company at any time combines (by combination, reverse stock split or otherwise) its outstanding shares of Company
Common Stock into a smaller number of shares, the Exercise Price in effect immediately prior to such combination shall be proportionately
increased and the number of shares of Warrant Common Stock issuable upon exercise of this Warrant shall be proportionately decreased.
Any adjustment under this Section 18(a) shall become effective at the close of business on the date the dividend, subdivision
or combination becomes effective.


 


(b)          Notice
of any Reorganization, Reclassification, Consolidation or Merger.


 


(i)          At
least 30 Business Days prior to the record date used for any (i) capital reorganization of the Company,
(ii) reclassification of the stock of the Company (other than a change in par value or from par value to no par value or
from no par value to par value or as a result of a stock dividend or subdivision, split-up or combination of shares),
(iii) consolidation or merger of the Company with or into another Person, (iv) sale of all or substantially all of
the Company’s assets to another Person or (v) other similar transaction (other than any such transaction covered
by Section 18(a)), in each case which entitles the holders of Company Common Stock to receive (either directly or upon
subsequent liquidation) stock, securities or assets with respect to or in exchange for Company Common Stock (any such
occurrence in items (i) through (v), a “Reorganization Event”), the Company shall provide the Holder
with advanced written notice of such event or transaction and the Holder shall have the right to elect prior to the
consummation of such Reorganization Event, to give effect to the exercise rights contained in Section 2.


 






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(ii)         In
the event of any Reorganization Event, the Holder shall thereafter have the right to purchase from the Company the number, kind
and amount of securities, cash and other property (the “Exchange Property”) (without any interest on such Exchange
Property and without any right to dividends or distributions on such Exchange Property which have a record date that is prior to
the applicable Exercise Date) that the Holder would have received in such Reorganization Event had such Holder given effect to
the exercise rights contained in Section 2 immediately prior to the effective date of the Reorganization Event. If the kind
or amount of securities, cash and other property receivable upon such Reorganization Event is not the same for each share of Common
Stock held immediately prior to such Reorganization Event by a Person, then for the purpose of this Section 18(b)(ii),
the kind and amount of securities, cash and other property receivable upon conversion following such Reorganization Event will
be deemed to be the weighted average of the types and amounts of consideration received by the holders of Company Common Stock.


 


Section 3              Effectiveness.
This Amendment shall be effective upon the consummation of the Company’s Initial Public Offering. In the event the Company
does not consummate its Initial Public Offering on or before April 30, 2021, this Amendment shall be terminated automatically
and be of no further force or effect, and the terms of the Warrant Agreement, as originally provided for, shall remain unchanged.


 


Section 4.              Miscellaneous.


 


(a)          Each
party hereto hereby represents and warrants that (i) it has all organizational power and authority to execute, deliver and
perform this Amendment, (ii) the execution, delivery and performance of this Amendment by such party has been duly and validly
authorized and approved by all necessary organizational action by it, (iii) this Amendment has been duly and validly executed
and delivered by it and constitutes a valid and legally binding obligation of it, enforceable against it in accordance with the
term of this Amendment, except to the extent that enforceability may be limited by applicable bankruptcy, insolvency, reorganization,
arrangement, moratorium or other similar laws relating to or affecting creditors’ rights and subject to general principles
of equity and (iv) all consents, approvals, authorizations, permits of, filings with and notifications to, any person or party
necessary for the due execution, delivery and performance of this Amendment by such party have been obtained or made.


 


(b)           This
Amendment and the Warrant Agreement constitute the complete agreement and understanding among the parties hereto regarding the
subject matter of this Amendment and supersede any prior understandings, agreement or representations regarding the subject matter
of this Amendment or the Warrant Agreement. No party hereto shall be bound by any amendment, modification, waiver, discharge or
termination of this Amendment unless the each party has agreed in writing to such amendment, modification, waiver, discharge or
termination. This Amendment may be executed in multiple counterparts, all of which taken together shall constitute one instrument.
Delivery of an executed signature page of this Amendment by electronic transmission shall be effective delivery as delivery
of a manually executed counterpart hereof. This Amendment is governed by the laws of the State of Delaware, without regard to conflict
of laws principles. After giving effect to this Amendment, each reference in the Warrant Agreement to “this Warrant”,
this “Warrant Agreement”, “hereof”, “hereunder” or words of like import referring to the Warrant
Agreement or the Warrant shall refer to the Warrant Agreement or the Warrant, as applicable, as amended by this Amendment.


 






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IN WITNESS WHEREOF, the undersigned have
executed and delivered this Amendment as of the date first written above.


 


	 	THE HOLDER
	 	 
	 	ADVENTIST HEALTH SYSTEM/WEST
	 	 	 
	 	By:	/s/
    Brian Wing 
	 	Its: 	President
	 	 
	 	THE COMPANY
	 
	 	INNOVAGE HOLDING CORP.
	 	(F.K.A. TCO GROUP HOLDINGS, INC.)
	 	 
	 	By:	/s/ Maureen Hewitt
	 	Name: 	Maureen Hewitt   
	 	Its:	Chief Executive Officer and President



 



    


     


    

 


Execution Version


 


THIS STOCK PURCHASE WARRANT AGREEMENT AND THE WARRANT COMMON
STOCK THAT MAY BE PURCHASED HEREUNDER HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 OR UNDER THE SECURITIES LAWS
OF ANY STATE. THIS STOCK PURCHASE WARRANT AGREEMENT HAS BEEN ACQUIRED FOR INVESTMENT PURPOSES AND NOT WITH A VIEW TO DISTRIBUTION,
AND THIS STOCK PURCHASE WARRANT AGREEMENT AND THE WARRANT COMMON STOCK THAT MAY BE PURCHASED HEREUNDER MAY NOT BE SOLD
OR OFFERED FOR SALE IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933, AND REGISTRATION OR
QUALIFICATION UNDER APPLICABLE STATE SECURITIES LAWS OR AN OPINION OF COUNSEL THAT THE PROPOSED TRANSACTION DOES NOT VIOLATE THE
SECURITIES ACT OF 1933, AND APPLICABLE STATE SECURITIES LAWS. THIS STOCK PURCHASE WARRANT AGREEMENT AND THE WARRANT COMMON STOCK
THAT MAY BE PURCHASED HEREUNDER ARE SUBJECT TO RESTRICTIONS ON VOTING AND TRANSFER AND REQUIREMENTS OF SALE AND OTHER PROVISIONS
AS SET FORTH IN THE STOCKHOLDERS AGREEMENT.


 


TCO GROUP HOLDINGS, INC.


STOCK PURCHASE WARRANT AGREEMENT


 


Date
of Issuance: March 18, 2019        Certificate No. W-1


 


THIS
IS TO CERTIFY that ADVENTIST HEALTH SYSTEM/WEST, a California nonprofit religious corporation, d/b/a ADVENTIST
HEALTH, and its permitted transferees, successors and assigns (the “Holder”), for good and valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, is entitled to purchase from TCO GROUP HOLDINGS, INC.,
a Delaware corporation (the “Company”), shares of Company Common Stock, par value $0.001 per share, of the Company
representing an aggregate number of Company Common Stock equal to five percent (5%) of the issued and outstanding equity interests
of the Company on a Fully Diluted basis determined at the time of and after giving effect to the exercise of this Warrant in full
at an exercise price equal to the Fair Market Value Per Share of such Company Common Stock at the time of the exercise of this
Warrant (the “Exercise Price”), at any time on or after the Exercise Date and expiring on the Expiration Date.
The number of Warrant Common Stock which may be purchased pursuant to this Stock Purchase Warrant Agreement (as amended, modified
or supplemented from time to time, this “Warrant Agreement” or this “Warrant”) are referred
to herein as the “Aggregate Number.” Capitalized terms used but not defined herein shall have the meanings ascribed
to such terms in that certain Stockholders Agreement dated as May 13, 2016, as amended from time to time, by and among the
Company and the other parties named therein (the “Stockholders Agreement”).


 


SECTION 1


THE WARRANT AGREEMENT; TRANSFER AND EXCHANGE;
VESTING


 


(a)           The
Warrant Agreement. This Warrant Agreement and the rights and privileges of the Holder hereunder may be exercised by the Holder
in whole or in part as provided herein.


 



    


     


    




 


(b)          Transfer
and Exchanges. The Company shall initially record this Warrant Agreement on a register to be maintained by the Company with
its other books and records and subject to Stockholders Agreement, from time to time thereafter shall reflect the transfer of this
Warrant Agreement on such register when surrendered for transfer in accordance with the terms of this Warrant and the Stockholders
Agreement and properly endorsed, accompanied by appropriate instructions. Upon any such transfer, a new warrant agreement on the
same terms and conditions as set forth herein shall be issued to the transferee and the Holder (in the event the Warrant is only
partially transferred) and the surrendered warrant shall be canceled.


 


(c)           Vesting.
This Warrant shall be fully vested on the Exercise Date.


 


SECTION 2


EXERCISE; PAYMENT; ISSUANCE


 


(a)           Right
to Exercise.


 


(i)          At
any time on or after the Exercise Date and on or before the Expiration Date, and subject to any applicable regulatory requirements
(in which the Company shall comply with such regulatory requirements on a timely basis), but only once per six-month period, the
Holder, in accordance with the terms hereof, may provide a written request to the Company for the most current TTM Consolidated
EBITDA (the “Exercise TTM Consolidated EBITDA”), and, within 10 Business Days of such request, the Company will
provide in writing to the Holder (x) the most current TTM Consolidated EBITDA, (y) the Company’s calculation of
the Fair Market Value Per Share, and (z) the back-up information supporting such calculation. Within 30 days of receipt of
the Company’s calculation of the Fair Market Value Per Share and such supporting information, the Holder may elect to have
the Fair Market Value Per Share be determined by the Valuation Firm. The Holder and the Company shall work in good faith to select
the Valuation Firm within 15 Business Days of the Holder’s election. The determination by such firm shall be final and conclusive,
and the fees and expense of such firm shall be borne solely by the Holder.


 


(ii)         Within
30 days of receipt of the later of (x) the Exercise TTM Consolidated EBITDA and Fair Market Value Per Share from the Company
or (y) the determination of the Fair Market Value Per Share by the Valuation Firm, subject to Section 2(a)(iii),
the Holder may exercise this Warrant Agreement, in whole or in part, by delivering the Notice of Exercise, in the form of Exhibit A
attached hereto and made a part hereof (the “Notice of Exercise”), duly executed. The aggregate Exercise Price
(the “Aggregate Exercise Price”) to be paid for the Warrant Common Stock to be purchased (the “Exercise
Amount”) shall be equal to the product of (A) the Exercise Amount multiplied by (B) the Exercise Price. If
the Expiration Date is not a Business Day, then this Warrant Agreement may be exercised on the next succeeding Business Day.


 


(iii)        Subject
to all other terms and conditions hereof, the Holder only may exercise this Warrant Agreement and deliver a Notice of Exercise
(A) once per twelve-month period and (B) if the Aggregate Exercise Price in respect of such exercise is more than Five
Million Dollars ($5,000,000), unless, in the case of clause (B), such exercise is for all of the, or the remainder of any, outstanding,
unexercised Warrant Common Stock.


 






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(b)          Payment
of the Aggregate Exercise Price. Payment of the Aggregate Exercise Price shall be made to the Company in cash or other immediately
available funds or as provided in Section 2(c) or a combination thereof. In the case of payment of all or a portion
of the Aggregate Exercise Price pursuant to Section 2(c), the direction by the Holder to make a “Cashless Exercise”
shall serve as accompanying payment for that portion of the Exercise Price.


 


(c)          Cashless
Exercise. The Holder shall have the right to pay all or a portion of the Aggregate Exercise Price by making a “Cashless
Exercise” in connection with a Change of Control, in which case the proceeds to be received by the Holder in respect of the
Aggregate Number of shares of Warrant Common Stock that are being acquired upon the exercise of this Warrant in connection with
the Change of Control will be reduced by the portion of the Aggregate Exercise Price that is to be paid through the “Cashless
Exercise” (which will be retained by the Company).


 


(d)          Issuance
of Company Common Stock. Upon receipt by the Company of the Notice of Exercise and payment of the Aggregate Exercise Price,
the Holder shall be deemed to be the holder of record of the Company Common Stock issuable upon such exercise, notwithstanding
that certificates representing such Company Common Stock may not then be actually delivered. Within three (3) Business Days
after such delivery of the Notice of Exercise and payment of the Aggregate Exercise Price, the Company shall issue and cause to
be delivered to the Holder a certificate or certificates (in the name of the Holder) for the Exercise Amount.


 


(e)          Fractional
Shares. The Company may, but shall not be required to, deliver fractions of Company Common Stock upon exercise of this Warrant
Agreement. If any fraction of a share of Company Common Stock would be deliverable upon an exercise of this Warrant Agreement,
the Company may, in lieu of receiving such fraction of a share of Company Common Stock, require the Holder to accept a cash payment
in an amount equal to the same fraction of the Fair Market Value Per Share.


 


SECTION 3


PAYMENT OF TAXES; REPLACEMENT WARRANT


 


The Company shall pay all stamp taxes attributable
to the initial issuance of Warrant Common Stock or other securities issuable upon the exercise of this Warrant Agreement, excluding
any tax or taxes which may be payable because of the transfer involved in the issuance or delivery of any certificates for Warrant
Common Stock or other securities in a name other than that of the Holder in respect of which such Warrant Common Stock or securities
are issued.


 


IN CASE THIS WARRANT AGREEMENT IS MUTILATED, LOST, STOLEN OR
DESTROYED, THE COMPANY SHALL ISSUE AND DELIVER IN EXCHANGE AND SUBSTITUTION FOR AND UPON CANCELLATION OF THE MUTILATED WARRANT
AGREEMENT, OR IN LIEU OF AND IN SUBSTITUTION FOR THE WARRANT AGREEMENT LOST, STOLEN OR DESTROYED, A NEW WARRANT AGREEMENT WITH
THE SAME TERMS AND CONDITIONS AS SET FORTH HEREIN AND REPRESENTING AN EQUIVALENT RIGHT OR INTEREST, BUT ONLY UPON RECEIPT OF EVIDENCE
REASONABLY SATISFACTORY TO THE COMPANY OF SUCH LOSS, THEFT OR DESTRUCTION OF SUCH WARRANT AGREEMENT.


 






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SECTION 4


ISSUANCE OF STOCK


 


(a)            Regulatory
Requirements and Restrictions. In the event of any reasonable determination by the Holder that, by reason of any existing or
future federal or state law, statute, rule, regulation, guideline, order, court or administrative ruling, request or directive
(whether or not having the force of law and whether or not failure to comply therewith would be unlawful) (collectively, a “Regulatory
Requirement”), the Holder is effectively restricted or prohibited from holding this Warrant Agreement or the Warrant
Common Stock (including any Company Common Stock or other securities distributable to the Holder in any merger, reorganization,
readjustment or other reclassification), or otherwise realizing upon or receiving the benefits intended under this Warrant Agreement,
the Company shall, and shall use its commercially reasonable efforts to have its Stockholders take such action as the Holder and
the Company shall jointly agree in good faith to be necessary to permit the Holder to comply with such Regulatory Requirement.
The reasonable costs of taking such action, whether by the Company, the Holder or otherwise, shall be borne by the Company if such
Regulatory Requirement is applicable to the Company, and the Holder if such Regulatory Requirement is applicable to the Holder.


 


(b)            Validly
Issued Company Common Stock. The Company covenants that all Company Common Stock that may be issued pursuant to this Warrant
Agreement, assuming full payment of the Aggregate Exercise Price shall, upon delivery by the Company, be duly authorized and validly
issued, fully paid and nonassessable, free and clear from all taxes, liens and charges with respect to the issue or delivery thereof
and otherwise free and clear of all other security interests, encumbrances and claims of any nature whatsoever (other than restrictions
under applicable federal and/or state securities laws). The Company shall at all times during the term of the Warrant (i) have
authorized and reserved shares of Company Common Stock as will be sufficient to satisfy the requirements of this Warrant Agreement
and (ii) take all such actions as may be necessary or appropriate in order that the Company Common Stock that may be issued
upon exercise of this Warrant pursuant to the terms hereof be validly issued, fully paid and nonassessable, issued without violation
of any preemptive or similar rights of any equityholder of the Company, and free and clear from all taxes, liens and charges with
respect to the issue or delivery thereof, and otherwise free and clear of all other security interests, encumbrances and claims
of any nature whatsoever (other than restrictions under applicable federal and/or state securities laws).


 


(c)            Rights
as Stockholders. No holder of this Warrant, as such, shall be entitled to vote or receive dividends or be deemed the holder
of shares of Company Common Stock, nor shall anything contained herein be construed to confer upon the holder of this Warrant,
as such, any of the rights of a stockholder of the Company or any right to vote for the election of directors or upon any matter
submitted to stockholders at any meeting thereof, or to receive notice of meetings, or to receive dividends or subscription rights
or otherwise until this Warrant shall have been exercised as provided herein.


 






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SECTION 5 


TRANSFERS OF THE WARRANT AGREEMENT OR
WARRANT COMMON STOCK


 


(a)            Acknowledgment
of the Holder. This Warrant Agreement has not been, and the Warrant Common Stock at the time of their issuance may not be,
registered under the Securities Act and except as provided in this Warrant Agreement, the Company shall not be required to so register
this Warrant Agreement and the Warrant Common Stock. This Warrant Agreement and the Warrant Common Stock are issued or issuable
subject to the provisions and conditions contained herein, and every Holder hereof by accepting the same (i) agrees with the
Company to such provisions and conditions, and (ii) represents to the Company that this Warrant Agreement has been acquired
and the Warrant Common Stock will be acquired for the account of the Holder for investment and not with a view to or for sale in
connection with any distribution thereof.


 


(b)            Compliance
with Securities Laws. The Holder agrees that this Warrant Agreement and the Warrant Common Stock may not be sold or otherwise
disposed of except pursuant to an effective registration statement under the Securities Act and applicable state securities laws
or pursuant to an applicable exemption from the registration requirements of the Securities Act and applicable state securities
laws. In the event that the Holder transfers this Warrant Agreement or the Warrant Common Stock pursuant to an applicable exemption
from registration, the Company may request, at its expense, that the Holder deliver an opinion of counsel reasonably acceptable
to the Company that the proposed transfer does not violate the Securities Act and applicable state securities laws.


 


(c)            Restrictive
Securities Legend. Shares of Company Common Stock issued upon exercise of this Warrant or otherwise delivered in satisfaction
of this Warrant will bear such legends as may be required or provided for under the terms of the Stockholders Agreement.


 


SECTION 6 


DEFINITIONS


 


As used herein, the following terms shall
have the following meanings.


 


“Aggregate
Exercise Price” has the meaning set forth in Section 2(a)(ii).


 


“Aggregate
Number” has the meaning set forth in the Preamble.


 


“Board”
means the Board of Directors of the Company.


 


“Change
of Control” means any of (i) a consolidation, merger, or similar transaction or series of related transactions involving
the Company, including a sale or other disposition of equity securities of the Company, as a result of which, the Company (or the
surviving entity of such transaction) is controlled by a Third Party or Third Parties acting in concert, or which results in the
acquisition of all or substantially all of the Company’s then outstanding equity by a Third Party or by a group of Third
Parties acting in concert or (ii) a sale or transfer of all or substantially all of the Company’s assets to a Third
Party or a group of Third Parties acting in concert. For the avoidance of doubt, if an event or condition constitutes a Change
of Control, then no other event or condition shall thereafter constitute a Change of Control hereunder.


 






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“Company”
has the meaning set forth in the Preamble.


 


“Consolidated
EBITDA” has the meaning set forth in the then-current credit agreement between TCO and TCO’s senior secured lender.
The definition of “Consolidated EBITDA” as of the date hereof is attached hereto at Exhibit B.


 


“Exercise
Amount” has the meaning set forth in Section 2(a)(ii).


 


“Exercise
Date” means the date on which the Holder or its Affiliate has made aggregate capital contributions in an amount greater
than Twenty-Five Million U.S. Dollars ($25,000,000) to one or more joint venture entities in which the Holder or its Affiliate,
on the one hand, and the Company or one of its Affiliates, on the other hand, hold equity.


 


“Exercise
Price” has the meaning set forth in the Preamble.


 


“Exercise
TTM Consolidated EBITDA” has the meaning set forth in Section 2(a)(i).


 


“Expiration
Date” means the earlier of earlier of (i) the liquidation, dissolution or winding up of the Company or (ii) a
Change of Control, provided that if the Change of Control occurs after the Exercise Date, the Holder has the opportunity
to exercise this Warrant Agreement, in whole or in part, in connection with a Change of Control.


 


“Fair
Market Value Per Share” means (a) an amount equal to (i) (A) 10.5 multiplied by (B) the Exercise
TTM Consolidated EBITDA minus (C) the Company’s and its Subsidiaries’ aggregate debt as of the last day
of the Last Fiscal Quarter that is used for calculating the Exercise TTM Consolidated EBITDA plus (D) the Company’s
and its Subsidiaries’ aggregate cash as of the last day of the Last Fiscal Quarter that is used for calculating the Exercise
TTM Consolidated EBITDA minus (E) all cash reserved by the Company and its Subsidiaries as required by Program of All-Inclusive
Care for the Elderly law as of the last day of the Last Fiscal Quarter that is used for calculating the Exercise TTM Consolidated
EBITDA plus (F) the cash proceeds received by the Company assuming all issued and outstanding in-the-money Options
or Convertible Securities (other than warrants) are exercised as of the last day of the Last Fiscal Quarter that is used for calculating
the Exercise TTM Consolidated EBITDA divided by (ii) the then-current number of issued and outstanding Company Common
Stock assuming all issued and outstanding in-the- money Options or Convertible Securities (other than warrants) are exercised as
of the last day of the Last Fiscal Quarter that is used for calculating the Exercise TTM Consolidated EBITDA without giving effect
to the exercise of this Warrant, or (b) in the event the Holder elects to have the Fair Market Value Per Share determined
by the Valuation, then the value per share of the Company Common Stock as determined by the Valuation Firm.


 


“Holder”
has the meaning set forth in the Preamble.


 


“Last
Fiscal Quarter” means the most recently completed quarterly accounting period of the Company for which unaudited financial
statements have been completed.


 


“Notice
of Exercise” has the meaning set forth in Section 2(a)(ii).


 






    - 6 -


     


    






 


“TCO”
means Total Community Options, Inc., a Colorado corporation and indirect Subsidiary of the Company.


 


“TTM
Consolidated EBITDA” means the trailing twelve-month Consolidated EBITDA as of the last day of the Last Fiscal Quarter.


 


“Valuation
Firm” means a nationally recognized investment banking, accounting or valuation firm jointly selected by the Board and
the Holder and engaged by the Company.


 


“Warrant”
has the meaning set forth in the Preamble.


 


“Warrant
Agreement” has the meaning set forth in the Preamble.


 


“Warrant
Common Stock” means the Company Common Stock issued or issuable upon exercise of this Warrant Agreement in accordance
with its terms.


 


“Warrant
Securities” means the Warrant Agreement and the Warrant Common Stock, collectively.


 


SECTION 7 


SURVIVAL OF PROVISIONS


 


ALL OF THE PROVISIONS OF THIS WARRANT AGREEMENT SHALL EXPRESSLY
SURVIVE ANY EXERCISE OF THIS WARRANT AGREEMENT UNTIL THE DATE ON WHICH THE HOLDER NO LONGER HOLDS ANY WARRANT SECURITIES.


 


SECTION 8 


CAPTIONS


 


The titles and captions of the Sections
and other provisions of this Warrant Agreement are for convenience of reference only and are not to be considered in construing
this Warrant Agreement.


 


SECTION 9 


NOTICES


 


Any notice, request, demand, claim or
other communication required or permitted to be delivered, given or otherwise provided under this Warrant Agreement must be
in writing and must be delivered personally, delivered by nationally recognized overnight courier service, sent by certified
or registered mail, postage prepaid, or (if a facsimile number is provided below) sent by facsimile (subject to electronic
confirmation of good facsimile transmission). Any such notice, request, demand, claim or other communication will be deemed
to have been delivered and given (a) when delivered, if delivered personally, (b) the Business Day after it is
deposited with such nationally recognized overnight courier service, if sent for overnight delivery by a nationally
recognized overnight courier service, (c) the day of sending, if sent by facsimile prior to 5:00 p.m. (Eastern
time) on any Business Day or the next succeeding Business Day if sent by facsimile after 5:00 p.m. (Eastern time) on any
Business Day or on any day other than a Business Day or (d) five Business Days after the date of mailing, if mailed by
certified or registered mail, postage prepaid, in each case, to the following address or, if applicable, facsimile number, or
to such other address or addresses or facsimile number or numbers as such party may subsequently designate to the other
parties by notice given hereunder:


 






    - 7 -


     


    






 


If to the Company:


 


c/o Welsh, Carson, Anderson & Stowe 


320 Park Avenue Suite 2500 


New York, New York 10022-6815 


Facsimile number: (212) 893-9575 


Attention: Thomas A. Scully and Sean M. Traynor


 


with a copy to:


 


McDermott Will & Emery LLP 


444 West Lake Street 


Chicago, Illinois 60606 


Facsimile number: (312) 277-2813 


Attention: John Callahan and Patrick Martinez


 


If to Holder:


 


Adventist Health 


2100 Douglas Blvd. 


Roseville, CA 95661 


Facsimile number: (916) 774-3326 


Attn: President


 


with a copy (not constituting notice) to:


 


Meredith Jobe 


Vice President, General Counsel 


Adventist Health 


2100 Douglas Blvd. 


Roseville, CA 95661 


Facsimile number: (916) 406-2324


 


Latham & Watkins LLP 


355 South Grand Ave., Suite 100 


Los Angeles, CA 90071-1560 


Attn: Daniel K. Settelmayer 


Facsimile number: (213) 891-8763


 


Each of the parties to this Warrant Agreement may specify a
different address or addresses or facsimile number or facsimile numbers by giving notice in accordance with this Section 9
to each of the other parties hereto.


 






    - 8 -


     


    












 


SECTION 10 


ASSIGNMENT, SUCCESSORS AND ASSIGNS


 


This Warrant and all of the provisions hereof
shall be binding upon and inure to the benefit of the parties hereto and their respective successors and permitted assigns, but
neither this Warrant nor any of the rights, interests or obligations hereunder shall be assigned by any of the parties hereto without
the prior written consent of the other parties.


 


SECTION 11 


AMENDMENTS


 


Neither this Warrant Agreement nor any term
hereof may be amended, changed, waived, discharged or terminated without the prior written consent of the Holder and the Company
to such action.


 


SECTION 12 


SEVERABILITY


 


If any one or more of the provisions contained
herein, or the application thereof in any circumstance, is held invalid, illegal or unenforceable in any respect for any reason,
the validity, legality and enforceability of any such provision in every other respect and of the remaining provisions hereof shall
not be in any way impaired, unless the provisions held invalid, illegal or unenforceable shall substantially impair the benefits
of the remaining provisions hereof.


 


SECTION 13 


GOVERNING LAW


 


This Warrant Agreement is to be construed
and enforced in accordance with and governed by the laws of the State of Delaware and without regard to the principles of conflicts
of law of such state.


 


SECTION 14 


ENTIRE AGREEMENT


 


This Warrant Agreement, the Stockholders
Agreement and the agreements, documents and instruments entered hereby are intended by the parties as a final expression of their
agreement and are intended to be a complete and exclusive statement of the agreement and understanding of the parties hereto in
respect of the subject matter contained herein and therein.


 


SECTION 15


RULES OF CONSTRUCTION


 


Unless the context otherwise requires, “or”
is not exclusive, and references to sections or subsections refer to sections or subsections of this Warrant Agreement. All pronouns
and any variations thereof refer to the masculine, feminine or neuter, singular or plural, as the context may require. The use
in this Warrant of the term “including” means “including, without limitation”.


 






    - 9 -


     


    






 


SECTION 16 


COUNTERPARTS


 


This Warrant Agreement may be executed in
any number of counterparts, and each such counterpart hereof shall be deemed to be an original instrument, but all such counterparts
together shall constitute but one agreement. The parties hereto may deliver executed signature pages to this Warrant Agreement
by facsimile or email transmission. No party hereto may raise as a defense to the formation or enforceability of this Warrant Agreement,
and each party hereto forever waives any such defense, either (i) the use of a facsimile or email transmission to deliver
a signature or (ii) the fact that any signature was signed and subsequently transmitted by facsimile or email transmission.


 


SECTION 17 


EXPENSES


 


Each party will pay their own respective
financial advisory, legal, accounting and other expenses incurred by them or for their benefit in connection with the preparation
and execution of this Warrant Agreement, the compliance herewith and the consummation of the transactions contemplated hereby.


 


SECTION 18 


JOINDER TO STOCKHOLDERS AGREEMENT


 


By acceptance of the Warrant Common Stock,
the undersigned agrees hereby to become a party to, and be bound by the terms of, the Stockholders Agreement, as a Stockholder.


 


[Remainder of Page Intentionally
omitted]


 






    - 10 -


     


    

 


IN
WITNESS WHEREOF, the Company has caused this Warrant Agreement to be issued and executed in its corporate name by its
duly authorized officer as of the date of issuance set forth above.


 


	 	TCO GROUP HOLDINGS, INC.
	 	 	 
	 	By:	/s/ Maureen Hewitt
	 	Name:	Maureen Hewitt
	 	Title:	Chief Executive Officer and President


 


ACKNOWLEDGED AND ACCEPTED this 6 day of
March, 2019.


 


	 	ADVENTIST HEALTH SYSTEM/WEST
	 	 	 
	 	By:	/s/ Illegible
	 	Name:	                         
	 	Title:	 


 






     


     


    







 


EXHIBIT A


 


NOTICE OF EXERCISE


 





	To:	 	 
	 	 	 
	 	 	 
	 	 	 
	 	 	 



 


1.            Capitalized
terms used but not otherwise defined herein have the meanings ascribed thereto in the Warrant Agreement. The undersigned, pursuant
to the provisions of the Warrant Agreement, hereby elects to exercise the Warrant Agreement with respect to shares of Warrant Common
Stock representing  ___ % of the issued and outstanding equity interest of the Company on a Fully Diluted, as of the date hereof
after giving effect to the exercise of the Warrant Agreement. Subject to adjustment after confirmation with the Company, the Holder
has calculated the number of shares of Warrant Common Stock to be   _______shares.


 


2.            Subject
to adjustment after confirmation with the Company, the undersigned herewith tenders payment for such Company Common Stock, together
with any applicable transfer taxes, in the following manner (please check type, or types, of payment and indicate the portion of
the Exercise Price to be paid by each type of payment):


 


________ Exercise for Cash


 


________ Cashless Exercise


 


3.            Please
issue a certificate or certificates representing the Company Common Stock issuable in respect hereof under the terms of the attached
Warrant Agreement, as follows:


 


	 	 
	 	(Name of Record Holder/Transferee)


 


and deliver such certificate or certificates to the following
address:


 


	 	 
	 	(Address of Record Holder/Transferee)


 


4.            The
undersigned represents that the aforesaid Company Common Stock are being acquired for the account of the undersigned for investment
and not with a view to, or for resale in connection with, the distribution thereof and that the undersigned has no present intention
of distributing or reselling such Company Common Stock.


 


	 	 
	 	(Signature)
	 	 
	 	(Date)


 






     


     


    

 


EXHIBIT
B


 


DEFINITION OF
 “ CONSOLIDATED EBITDA”


 


[Intentionally Omitted]