Document:

Exhibit 4.1

 

EXECUTION VERSION

 

REGISTRATION RIGHTS AGREEMENT

 

THIS REGISTRATION RIGHTS
AGREEMENT (this “Agreement”) is made and entered into as of March 9, 2015, by and among BioScrip, Inc.,
a Delaware corporation (the “Company”), Coliseum Capital Partners, L.P., a Delaware limited partnership,
Coliseum Capital Partners II, L.P., a Delaware limited partnership and Blackwell Partners, LLC, Series A, a Georgia limited liability
company (each a “Stockholder” and collectively, the “Stockholders”). Each of
the Company and the Stockholders may be referred to in this Agreement as a “Party,” and, collectively,
as the “Parties.” Capitalized terms used but not otherwise defined herein have the meanings assigned
such terms in Section 9 of this Agreement.

 

A.            The
Company and the Stockholders are parties to that certain Securities Purchase Agreement, dated as of March 9, 2015 (the “Purchase
Agreement”), pursuant to which the Stockholders are purchasing an aggregate of 625,000 shares of Series A Convertible
Preferred Stock of the Company, $0.0001 par value per share (the “Purchased Shares”) and warrants to
purchase shares of the Company’s common stock equaling 5.0% of the fully diluted common stock of the Company (“Warrants”).

 

B.            In
connection with the transactions contemplated by the Purchase Agreement, and pursuant to the terms of the Purchase Agreement, the
Parties desire to enter into this Agreement in order to grant to the Stockholders and certain of its permitted transferees certain
demand and piggyback registration rights covering the Purchased Shares, all in accordance with the terms and conditions set forth
below.

 

NOW, THEREFORE, in
consideration of the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Company and the Stockholders hereby agree as follows:

 

1.           Demand
Registrations.

 

(a)          Short-Form
Registrations. At any time after twelve (12) months following the date hereof, each Holder may request registration under the
Securities Act of all or any portion of its Registrable Securities on Form S-3 or any successor form (each, a “Short-Form
Registration”), which may, if so requested, be a “shelf” registration under Rule 415 under the Securities
Act. A registration shall not count as one of the permitted Short-Form Registrations unless and until a registration statement
relating thereto has become effective under the Securities Act. Each request for a Short-Form Registration shall specify the number
of Registrable Securities requested to be registered.

 

(b)          Long-Form
Registrations. At any time that a Holder is then eligible to request registration under the Securities Act of all or any portion
of its Registrable Securities but where Short-Form Registration pursuant to Section 1(a) of this Agreement is not available
to be used by the Company in respect of such proposed registration, but in no event earlier than twelve (12) months following the
date hereof, each Holder shall be entitled to request a registration on Form S-1 or any similar form (each, a “Long-Form
Registration”). A registration shall not count as one of the permitted Long-Form Registrations unless and until a
registration statement relating thereto has become effective under the Securities Act and each requesting Holder is able to register
and sell at least thirty percent (30%) of its Registrable Securities thereunder.

 

    	 

    	 

    

 

(c)          Priority
on Demand Registration. Holders shall have the right to request that a Demand Registration be effected as an underwritten offering
at any time, subject to this Section 1 by delivering to the Company a notice setting forth such request and the number of
Registrable Securities sought to be disposed of by such Holder in such underwritten offering. All Holders proposing to participate
in such underwriting shall (i) enter into an underwriting agreement in customary form with the underwriter(s) selected for such
underwriting by a Majority-in-Interest of the Registrable Securities included in such offering, which underwriter(s) shall be reasonably
acceptable to the Company, provided that, with respect to such underwriting agreement or any other documents reasonably required
under such agreement, (A) no Holder shall be required to make any representation or warranty with respect to or on behalf of the
Company or any other stockholder of the Company and (B) the liability of any Holder shall be limited as provided in Section
6(b) hereof, and (ii) complete and execute all questionnaires, powers-of-attorney, indemnities, opinions and other documents
required under the terms of such underwriting agreement.   If the managing underwriter(s) for an underwritten offering
advise(s) the Company and the Holders in writing that the dollar amount or number of Registrable Securities which the Holders desire
to sell, taken together with all other Common Stock or other securities which the Company desires to sell and the Common Stock
or other securities, if any, as to which registration has been requested pursuant to written contractual piggyback registration
rights held by other stockholders of the Company, if any, who desire to sell or otherwise, exceeds the maximum dollar amount or
maximum number of securities that can be sold in such offering without adversely affecting the proposed offering price, the timing,
the distribution method, or the probability of success of such offering (such maximum dollar amount or maximum number of securities,
as applicable, the “Maximum Threshold”), then the Company shall include in such registration:  (1) first,
the Registrable Securities (pro rata in accordance with the number of Registrable Securities which such Holders have requested
be included in such underwritten offering, regardless of the number of Registrable Securities or other securities held by each
such Person) that can be sold without exceeding the Maximum Threshold; (2) second, to the extent that the Maximum Threshold
has not been reached under the foregoing clause (1), the Common Stock or other securities that the Company desires to sell
that can be sold without exceeding the Maximum Threshold; (3) third, to the extent that the Maximum Threshold has not
been reached under the foregoing clauses (1) and (2), the Common Stock or other securities for the account of other Persons
that the Company is obligated to register pursuant to written contractual arrangements, if any, with such Persons and that can
be sold without exceeding the Maximum Threshold; and (4) fourth, to the extent that the Maximum Threshold has not been
reached under the foregoing clauses (1), (2) and (3), the Common Stock that other stockholders desire to sell that can be
sold without exceeding the Maximum Threshold to the extent that the Company, in its sole discretion, wishes to permit such sales
pursuant to this clause (4).

 

A request for an underwritten
offering may be withdrawn by Holders of a majority of the Registrable Securities proposed to be included in such offering prior
to the consummation thereof, and, in such event, such withdrawal shall not be treated as a request for an underwritten offering
which shall have been effected pursuant to the immediately preceding paragraph. In no event will a Demand Registration count as
a Demand Registration unless at least fifty percent (50%) of all Registrable Securities requested to be registered in such Demand
Registration by the Holders initiating such Demand Registration are, in fact, registered in such registration.

 

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(d)          The
Company shall not be obligated to effect (i) more than 4 Short-Form Registrations or 1 Long-Form Registrations pursuant to this
Agreement, (ii) more than one Demand Registration (including any underwritten offering) during any nine-month period or (iii) any
Demand Registration unless the number of Registrable Securities sought to be registered on such Registration Statement is at least
30% of the Registrable Securities in the case of a Short-Form Registration and 50% of the Registrable Securities in the case of
a Long-Form Registration (subject to adjustment for any stock dividend or stock split or in connection with an exchange or combination
of shares, recapitalization, merger, consolidation or other reorganization).

 

(e)          If
the filings contemplated herein are not permitted under the rules and regulations promulgated by the Securities and Exchange Commission
or by any Commission Guidance, then within ninety (90) days after a written request by one or more Holders to register for resale
any additional Registrable Securities owned by such Holders that have not been registered for resale on a “shelf” Registration
Statement, the Company shall file a Registration Statement similar to the Registration Statement then effective (each, a “Follow-On
Registration Statement”), to register for resale 100%, or such portion as permitted by Commission Guidance (provided
that the Company shall use commercially reasonable efforts to advocate with the Securities and Exchange Commission for the registration
of all or the maximum number of the Registrable Securities as permitted by Commission Guidance), of such additional Registrable
Securities. The Company shall give written notice of the filing of the Follow-On Registration Statement at least twenty-five (25)
days prior to filing the Follow-On Registration Statement to all Holders (the “Follow-On Registration Notice”)
and shall include in such Follow-On Registration Statement all such additional Registrable Securities with respect to which the
Company has received written requests for inclusion therein within twenty (20) days after sending the Follow-On Registration Notice.
Notwithstanding the foregoing, the Company shall not be required to file a Follow-On Registration Statement (i) if it has filed
a Follow-On Registration Statement within the prior 12-month period, or (ii) if the aggregate amount of additional Registrable
Securities requested to be registered on such Follow-On Registration Statement is less than 50% of the Registrable Securities (subject
to adjustment for any stock dividend or stock split or in connection with an exchange or combination of shares, recapitalization,
merger, consolidation or other reorganization). The Company shall use commercially reasonable efforts to cause such Follow-On Registration
Statement to be declared effective as promptly as practicable after filing such Follow-On Registration Statement.

 

(f)          Notwithstanding
any other provision of this Agreement, if any Commission Guidance sets forth a limitation of the number of Registrable Securities
to be registered on a particular Registration Statement (notwithstanding the Company’s commercially reasonable efforts to
advocate with the Securities and Exchange Commission for the registration of all or a greater number of Registrable Securities),
then, unless otherwise directed in writing by a Holder as to its Registrable Securities, the amount of Registrable Securities to
be registered on such Registration Statement will be reduced pro rata among the Holders based on the total number of unregistered
Registrable Securities held by such Holders.

 

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2.           Piggyback
Registrations.

 

(a)          Right
to Piggyback. Whenever the Company proposes to register any of its securities under the Securities Act, and the registration
form proposed to be used may be used to register the resale of Registrable Securities (each, a “Piggyback Registration”),
the Company shall give prompt written notice (in any event at least ten (10) Business Days prior to the anticipated filing date
of the Registration Statement relating to such registration) to each Holder of its intention to effect such a registration and
shall use its commercially reasonable efforts to include in such registration all Registrable Securities with respect to which
the Company has received a written request from each Holder for inclusion therein within five (5) Business Days following such
Holder’s receipt of the Company’s notice. All Holders proposing to distribute their securities through a Piggyback
Registration that involves an underwriter(s) shall enter into an underwriting agreement in reasonable and customary form with
the underwriter(s) selected for such Piggyback Registration, provided that with respect to such underwriting agreement or
any other documents reasonably required under such agreement, (i) no Holder shall be required to make any representation or warranty
with respect to or on behalf of the Company or any other stockholder of the Company and (ii) the liability of any Holder shall
be limited as provided in Section 6(b) hereof and (iii) each Holder shall complete and execute all questionnaires, powers-of-attorney,
indemnities, opinions and other documents reasonably required under the terms of such underwriting agreement.  No registration
effected under this Section 2 shall relieve the Company of its obligations to effect a Demand Registration required
by Section 1. If at any time after giving notice of its intention to register any Company securities pursuant to this
Section 3(a) and prior to the effective date of the registration statement filed in connection with such registration, the Company
shall determine for any reason not to register such securities, the Company shall give notice to all of the Holders participating
in such Piggyback Registration and, thereupon, shall be relieved of its obligation to register any Registrable Securities in connection
with such registration.

 

(b)          Reduction
of Offering. If the managing underwriter(s) for a Piggyback Registration that is to be an underwritten offering advises
the Company and the Holders that in their opinion the dollar amount or number of Common Stock or other securities which the Company
desires to sell, taken together with Common Stock or other securities, if any, as to which registration has been demanded pursuant
to written contractual arrangements with third parties, if any, the Registrable Securities as to which registration has been requested
under this Section 2, and the Common Stock or other securities as to which registration has been requested pursuant
to the written contractual piggyback registration rights of other stockholders of the Company, exceeds the Maximum Threshold, then
the Company shall include in any such registration:

 

(i)          If
the registration is undertaken for the Company’s account:  (A)  first, the Common Stock or other securities
that the Company desires to sell that can be sold without exceeding the Maximum Threshold, and (ii)  second, to the
extent that the Maximum Threshold has not been reached under the foregoing clause (A), the Registrable Securities and the
Common Stock or other securities proposed to be sold for the account of other Persons that the Company is obligated to register
pursuant to any written contractual piggyback registration rights with such Persons and that can be sold without exceeding the
Maximum Threshold (pro rata in accordance with the number of Registrable Securities and Common Stock or other securities which
such Holders and other Persons have requested be included in such underwritten offering, regardless of the number of Registrable
Securities and Common Stock or other securities held by each such Holder or other Person), and

 

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(ii)         If
the registration is a “demand” registration undertaken at the demand of one or more Persons other than the Company
and any Holder, (A)  first, the Common Stock or other securities for the account of such demanding Persons that can
be sold without exceeding the Maximum Threshold; (B)  second, to the extent that the Maximum Threshold has not been
reached under the foregoing clause (A), the Common Stock or other securities that the Company desires to sell that can be
sold without exceeding the Maximum Threshold; and (C)  third, to the extent that the Maximum Threshold has not been
reached under the foregoing clauses (A) and (B), the Registrable Securities and the Common Stock or other securities proposed
to be sold for the account of other Persons that the Company is obligated to register pursuant to any written contractual piggyback
registration rights with such Persons and that can be sold without exceeding the Maximum Threshold (pro rata in accordance
with the number of Registrable Securities and Common Stock or other securities which such Holders and other Persons have requested
be included in such underwritten offering, regardless of the number of Registrable Securities and Common Stock or other securities
held by each such Holder or other Person).

 

(c)          Selection
of Underwriters. If any Piggyback Registration is an underwritten primary offering, the investment banker(s) and manager(s)
for the offering shall be selected by the Company.

 

3.           Market
Standoff Agreement.

 

(a)          The
Company (i) shall not effect any public sale or distribution of its equity securities, or any securities convertible into or exchangeable
or exercisable for such securities, during the period beginning on the date the Company receives a request for an underwritten
offering from any Holder and continuing until sixty (60) days after the commencement of an underwritten offering, unless the underwriters
managing the registered public offering otherwise agree after consultation with a Majority-in-Interest, and (ii) shall cause each
executive officer and director of the Company and each holder of its Common Stock, or any securities convertible into or exchangeable
or exercisable for such Common Stock, purchased from the Company at any time after the date of this Agreement (other than in a
registered public offering) to agree not to effect any public sale or distribution (including sales pursuant to Rule 144 under
the Securities Act) of any such securities during such period (except as part of such underwritten registration, if otherwise permitted),
unless the underwriters managing the registered public offering otherwise agree.

 

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(b)          Each
Holder of Registrable Securities agrees that in connection with any public offering of the Company's equity securities, or any
securities convertible into or exchangeable or exercisable for such securities, and upon the request of the managing underwriter(s)
in such offering, such Holder shall not, without the prior written consent of such managing underwriter(s), during the period commencing
on the date that is ten (10) days prior to the consummation of such offering and continuing until sixty (60) days after the commencement
of an underwritten offering, (i) offer, pledge, sell, contract to sell, grant any option or contract to purchase, purchase any
option or contract to sell, hedge the beneficial ownership of or otherwise dispose of, directly or indirectly, any shares of Common
Stock or any securities convertible into, exercisable for or exchangeable for shares of Common Stock (whether such shares or any
such securities are then owned by the Holder or are thereafter acquired), or (ii) enter into any swap or other arrangement that
transfers to another, in whole or in part, any of the economic consequences of ownership of such securities, whether any such transaction
described in clause (i) or (ii) above is to be settled by delivery of Common Stock or such other securities, in cash or otherwise.
The foregoing provisions of this Section 3(b) shall not apply to sales of Registrable Securities to be included in such
offering pursuant to Sections 1 and 2, and shall be applicable to the holders of Registrable Securities only if all executive
officers and directors of the Company and each holder of its Common Stock, or any securities convertible into or exchangeable or
exercisable for such Common Stock, purchased from the Company at any time after the date of this Agreement are subject to the same
restrictions. Each holder of Registrable Securities agrees to execute and deliver such other agreements as may be reasonably requested
by the Company or the managing underwriter which are consistent with the foregoing or which are necessary to give further effect
thereto. Notwithstanding anything to the contrary contained in this Section 3(b), each holder of Registrable Securities shall
be released, pro rata, from any lock-up agreement entered into pursuant to this Section 3(b) in the event and to the extent
that the managing underwriter or the Company permit any discretionary waiver or termination of the restrictions of any lock-up
agreement pertaining to any executive officer, director or other holder of Common Stock.

 

4.           Registration
Procedures.

 

(a)          Whenever
the Holder has requested that any Registrable Securities be registered pursuant to this Agreement, the Company shall use commercially
reasonable efforts to effect the registration and the sale of such Registrable Securities in accordance with the Holder’s
intended method of disposition thereof, and pursuant thereto the Company shall:

 

(i)          (A)
prepare and file with the Securities and Exchange Commission a Registration Statement with respect to such Registrable Securities
as soon as reasonably practicable, but in any event within twenty (20) days, if a Short-Form Registration, and thirty (30) days,
if a Long-Form Registration, following the date of a demand for registration pursuant to Section 1(a) or Section 1(b)
of this Agreement, as applicable, and (B) use commercially reasonable efforts to cause such Registration Statement (1) to become
effective as soon as practicable, and in any event within fifteen (15) days, if the Securities and Exchange Commission indicates
it will not review the Registration Statement, and ninety (90) days, if the Securities and Exchange Commission indicates it will
review the Registration Statement, following the date of filing such Registration Statement (provided that before filing a Registration
Statement or prospectus or any amendments or supplements thereto, the Company shall furnish to one counsel selected by Holders
of a majority of the Registrable Securities proposed to be included therein copies of all such documents proposed to be filed,
which documents shall be subject to the review and comment of such counsel) and (2) to remain effective and in compliance with
the provisions of the Securities Act until all Registrable Securities (and any other securities, if applicable) covered by such
Registration Statement have been disposed of in accordance with the intended method(s) of distribution set forth in such Registration
Statement or such securities have been withdrawn;

 

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(ii)         respond
to written comments received from the Securities and Exchange Commission upon a review of any Registration Statement in a timely
manner;

 

(iii)        promptly
notify each Holder of the effectiveness of each Registration Statement filed hereunder; by 9:30 a.m. (New York time) on the second
Business Day following such effectiveness, file with the Securities and Exchange Commission in accordance with Rule 424 under the
Securities Act the final prospectus to be used in connection with sales pursuant to such Registration Statement; and prepare and
file with the Securities and Exchange Commission such amendments and supplements to such Registration Statement and the prospectus
used in connection therewith, and otherwise take such actions, as may be necessary to keep such Registration Statement effective
until the earlier of (A) the date as of which each Holder may sell all of the Registrable Securities covered by such Registration
Statement pursuant to Rule 144 under the Securities Act without limitation, restriction or condition thereunder, and (B) the date
on which all of such Registrable Securities have been disposed of by each Holder, and comply with the provisions of the Securities
Act with respect to the disposition of all securities covered by such Registration Statement during such period in accordance with
the intended methods of disposition by the sellers thereof set forth in such Registration Statement;

 

(iv)        promptly
furnish to each Holder such number of copies of such Registration Statement, each amendment and supplement thereto, the prospectus
included in such Registration Statement (including each preliminary prospectus) and such other documents as the Holders may reasonably
request in order to facilitate the disposition of the Registrable Securities owned by each Holder;

 

(v)         if
applicable, use commercially reasonable efforts to register or qualify the shares covered by such Registration Statement under
such other securities or blue sky laws of such jurisdictions as each Holder shall reasonably request and do any and all other acts
and things which may be reasonably necessary or advisable to enable each Holder to consummate the disposition in such jurisdictions
of the Registrable Securities owned by such Holder (provided that the Company shall not be required to (A) qualify generally to
do business in any jurisdiction where it would not otherwise be required to qualify but for this subparagraph, (B) subject itself
to taxation in any such jurisdiction or (C) consent to general service of process in any such jurisdiction);

 

(vi)        notify
each Holder at any time when a prospectus relating thereto is required to be delivered under the Securities Act, of the happening
of any event as a result of which the prospectus included in such Registration Statement contains an untrue statement of a material
fact or omits any fact necessary to make the statements therein not misleading, and, as expeditiously as possible following the
happening of such event, prepare a supplement or amendment to such prospectus so that, as thereafter delivered to the purchasers
of such Registrable Securities, such prospectus shall not contain an untrue statement of a material fact or omit to state any fact
necessary to make the statements therein not misleading;

 

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(vii)       without
limiting any obligations of the Company under the Purchase Agreement, use its commercially reasonable efforts to (x) cause all
such Registrable Securities to be listed on each securities exchange on which similar securities issued by the Company are then
listed, if any, if the listing of such Registrable Securities is then permitted under the rules of such exchange or (y) if such
listing is not then permitted, or no similar securities issued by the Company are then so listed, secure a designation and quotation
of all of the Registrable Securities covered by each Registration Statement on the OTC Bulletin Board;

 

(viii)      provide
a transfer agent and registrar for all such Registrable Securities not later than the effective date of such Registration Statement;

 

(ix)         enter
into such customary agreements (including underwriting agreements in customary form) and take all such other actions as the Holders
or the underwriters, if any, reasonably request in order to expedite or facilitate the disposition of such Registrable Securities
(including effecting a stock split or a combination of shares);

 

(x)          make
available for inspection by any underwriter participating in any disposition pursuant to such Registration Statement and any attorney,
accountant or other agent retained by any such seller or underwriter, all financial and other records, pertinent corporate documents
and properties of the Company, and cause the Company’s officers, directors, employees and independent accountants to supply
all information reasonably requested by any such seller, underwriter, attorney, accountant or agent in connection with such Registration
Statement;

 

(xi)         otherwise
use commercially reasonable efforts to comply with all applicable rules and regulations of the Securities and Exchange Commission,
and make available to its security holders, as soon as reasonably practicable, an earnings statement covering the period of at
least twelve (12) months beginning with the first day of the Company’s first full calendar quarter after the effective date
of the Registration Statement, which earnings statement shall satisfy the provisions of Section 11(a) of the Securities Act and
Rule 158 thereunder, and which requirement will be deemed satisfied if the Company timely files complete and accurate information
on Forms 10-Q and 10-K and Current Reports on Form 8-K under the Exchange Act and otherwise complies with Rule 158 under the Securities
Act;

 

(xii)        in
the event of the issuance of any stop order suspending the effectiveness of a Registration Statement, or of any order suspending
or preventing the use of any related prospectus or suspending the qualification of any Common Stock included in such Registration
Statement for sale in any jurisdiction, the Company shall promptly notify each Holder and use commercially reasonable efforts promptly
to obtain the withdrawal of such order;

 

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(xiii)       use
commercially reasonable efforts to cause such Registrable Securities covered by such Registration Statement to be registered with
or approved by such other governmental agencies or authorities as may be necessary to enable the Holders thereof to consummate
the disposition of such Registrable Securities;

 

(xiv)      permit
any Holder who, in the reasonable judgment of the Company upon the advice of counsel, might be deemed to be an underwriter or controlling
person of the Company, and, if applicable, any underwriter, a cold comfort letter from the Company’s independent public accountants
in customary form and covering such matters of the type customarily covered by cold comfort letters as the Holders of a majority
of the Registrable Securities being sold reasonably request (provided that such Registrable Securities constitute at least ten
percent (10%) of the securities covered by such Registration Statement); and

 

(xv)       cooperate
with each Holder and any broker or dealer through which any such Holder proposes to sell its Registrable Securities in effecting
a filing with FINRA pursuant to FINRA Rule 5110 as requested by such Holder.

 

(b)          Each
Holder that requested that any Registrable Securities be registered pursuant to this Agreement shall deliver to the Company such
requisite information with respect to itself and its Registrable Securities as the Company may reasonably request for inclusion
in the Registration Statement (and the prospectus included therein) as is necessary to comply with all applicable rules and regulations
of the Securities and Exchange Commission, and that it will promptly notify the Company of any material changes in the information
set forth in the Registration Statement furnished by or regarding the Holder or its plan of distribution.

 

(c)          The
Holders shall not effect sales of the shares covered by the Registration Statement (i) prior to the withdrawal of any stop
order suspending the effectiveness of the Registration Statement, or of any order suspending or preventing the use of any related
prospectus or suspending the registration or qualification of any Registrable Securities included in the Registration Statement
for sale in any jurisdiction where such shares had previously been registered or qualified or (ii) after receipt of facsimile
or other written notice from the Company instructing such Holders to suspend sales to permit the Company to correct or update the
Registration Statement or prospectus until such Holder receives copies of a supplemented or amended prospectus that corrects the
misstatement(s) or omission(s) referred to above and receives notice that any required post-effective amendment has become effective.
Such Holder agrees that it will immediately discontinue offers and sales of Registrable Securities under the Registration Statement
until such Holder receives copies of a supplemented or amended prospectus that corrects the misstatement(s) or omission(s) referred
to above and receives notice that any post-effective amendment has become effective.

 

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(d)          Notwithstanding
anything herein to the contrary, the Company shall have the right to suspend the use of a Registration Statement for a period of
not greater than forty-five (45) consecutive days and for not more than ninety (90) days in any twelve (12) month period (“Blackout
Period”), if, in the good faith opinion of the Board of Directors of the Company, after consultation with counsel, material,
nonpublic information exists, including without limitation the proposed acquisition or divestiture of assets by the Company, a
strategic alliance or a financing transaction involving the Company or the existence of pending material corporate developments,
the public disclosure of which would be necessary to cause the Registration Statement to be materially true and to contain no material
misstatements or omissions, and in each such case, where, in the good faith opinion of the Board of Directors, such disclosure
would be reasonably likely to have a Material Adverse Effect (as defined in the Securities Purchase Agreement) on the Company or
on the proposed transaction. The Company must give the Holders notice promptly upon knowledge that a Blackout Period (without indicating
the nature of such Blackout Period) may occur and prompt written notice if a Blackout Period will occur and such notices must be
acknowledged in writing by the Investors. Upon the conclusion of a Blackout Period the Company shall provide the Holder written
notice that the Registration Statement is again available for use.

 

5.           Registration
Expenses. All expenses (other than Selling Expenses) incident to the Company’s performance of or compliance with this
Agreement, including without limitation all registration and filing fees, fees and expenses of compliance with securities or blue
sky laws, printing expenses, messenger and delivery expenses, fees and disbursements of custodians, and fees and disbursements
of counsel for the Company and independent certified public accountants, underwriters (excluding fees, discounts and commissions)
and other persons retained by the Company, and reasonable fees and expenses of one counsel for the Holders in connection with any
Demand Registration or Piggyback Registration (all such expenses being herein called “Registration Expenses”),
shall be borne by the Company. The Company shall not be liable for any Selling Expenses. As used herein, the term “Selling
Expenses” shall mean, collectively, any selling commissions, discounts or brokerage fees. Selling Expenses shall be borne
by the respective seller thereof, in proportion to the respective number of shares of Registrable Securities sold by each of them.

 

6.           Holder's
Obligations. Each Holder covenants and agrees that, in the event the Company informs such Holder in writing that it does not
satisfy the conditions specified in Rule 172 and, as a result thereof, such seller is required to deliver a prospectus in connection
with any disposition of Registrable Securities, it will comply with the prospectus delivery requirements of the Securities Act
as applicable to it (unless an exemption therefrom is available) in connection with sales of Registrable Securities pursuant to
the Registration Statement, and shall sell the Registrable Securities only in accordance with a method of distribution described
in the Registration Statement.

 

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7.           Indemnification.

 

(a)          The
Company shall indemnify, to the extent permitted by applicable law, each Holder, its officers, directors, partners, managers, members,
investment managers, employees, agents and representatives, and each Person who controls each Holder (within the meaning of Section
15 the Securities Act and Section 20 of the Exchange Act) against all losses, claims, damages, liabilities and expenses (including
reasonable legal expenses) arising out of or based upon (i) any untrue or alleged untrue statement of material fact contained in
(or incorporated by reference therein) any Registration Statement, free writing prospectus, prospectus or preliminary prospectus,
filing under any state securities (or blue sky) law or any amendment thereof or supplement thereto or any omission or alleged omission
of a material fact required to be stated therein or necessary to make the statements therein not misleading, (ii) any violation
or alleged violation by the Company of the Securities Act, the Exchange Act, any other law, including any state securities law,
or any rule or regulation thereunder relating to the offer or sale of the Registrable Securities pursuant to a Registration Statement,
or (iii) any breach or violation of this Agreement; provided, however, that the Company shall not be liable to any such indemnified
party in any such case to the extent that (A) such claim arises out of or is based upon any untrue statement or alleged untrue
statement of a material fact contained in (or incorporated by reference therein) any Registration Statement, free writing prospectus,
prospectus or preliminary prospectus, filing under any state securities (or blue sky) law or any amendment thereof or supplement
thereto or any omission or alleged omission of a material fact in reliance upon and in conformity with information furnished to
the Company by or on behalf of such Holder or its representatives by or on behalf of such Holder expressly for use therein, or
(B) such claim is related to the use by a Holder or underwriter, if any, of an outdated or defective prospectus after such party
has received written notice from the Company that such prospectus is outdated or defective. In connection with an underwritten
offering, the Company shall indemnify such underwriters, their officers and directors and each Person who controls such underwriters
(within the meaning of the Securities Act) to the same extent as provided above with respect to the indemnification of the holders
of Registrable Securities.

 

(b)          Each
Holder shall, severally and not jointly, to the extent permitted by applicable law, indemnify the Company, its directors and officers
and each Person who controls the Company (within the meaning of Section 15 the Securities Act and Section 20 of the Exchange Act),
to the fullest extent permitted by applicable law, against any losses, claims, damages, liabilities and expenses (including reasonable
legal expenses) arising out of or based upon any untrue or alleged untrue statement of material fact contained in (or incorporated
by reference therein) the Registration Statement, free writing prospectus, prospectus or preliminary prospectus or any amendment
thereof or supplement thereto or any omission or alleged omission of a material fact required to be stated therein or necessary
to make the statements herein not misleading, but only to the extent that such untrue statement or omission was made in reliance
upon and in conformity with any information furnished in writing to the Company by such Holder or its representatives by or on
behalf of such Holder expressly for use therein; provided that each Holder shall be liable under this Section 6(b) of this
Agreement (and otherwise) for only up to the amount of net amount of proceeds actually received by each Holder as a result of the
sale of Registrable Securities pursuant to the Registration Statement giving rise to such indemnification obligation.

 

(c)          Any
Person entitled to indemnification hereunder shall (i) give prompt written notice to the indemnifying party of any claim with respect
to which it seeks indemnification (provided that the failure to give prompt notice shall not impair any Person’s right to
indemnification hereunder to the extent such failure has not prejudiced the indemnifying party) and (ii) unless, in the Company’s
reasonable judgment, a conflict of interest between such indemnified and indemnifying parties may exist with respect to such claim,
permit such indemnifying party to assume the defense of such claim with counsel reasonably satisfactory to the indemnified party.
After written notice from the indemnifying party to the indemnified party of its election to assume the defense of such claim,
the indemnifying party shall not be subject to any liability for any settlement subsequently made by the indemnified party without
its consent (but such consent shall not be unreasonably withheld, conditioned or delayed). An indemnifying party who is not entitled
to, or elects not to, assume the defense of a claim shall not be obligated to pay the fees and expenses of more than one counsel
for all parties indemnified by such indemnifying party with respect to such claim, unless in the reasonable judgment of the Company,
a conflict of interest may exist between such indemnified party and any other of such indemnified parties with respect to such
claim, in which case the indemnifying party shall be liable for the fees and expenses of one additional firm of attorneys with
respect to the indemnified parties. The indemnifying party shall keep the indemnified party reasonably apprised at all times as
to the status of the defense or any settlement negotiations with respect to such claim. No indemnifying party shall, without the
prior written consent of the indemnified party, consent to entry of any judgment or enter into any settlement or other compromise
which does not include as an unconditional term thereof the giving by the claimant or plaintiff to such indemnified party of a
full release from all liability with respect to such claim.

 

    	- 11 -

    	 

    

 

(d)          The
indemnification provided for under this Agreement shall remain in full force and effect regardless of any investigation made by
or on behalf of the indemnified party or any officer, director, partner, manager, member, investment manager, employee, agent,
representative or controlling Person of such indemnified party and shall survive the transfer of Registrable Securities. The indemnity
agreements contained herein shall be in addition to (i) any cause of action or similar right of the indemnified party against the
indemnifying party or others, and (ii) any liabilities to which the indemnifying party may be subject pursuant to the law.

 

(e)          If
the indemnification provided for in this Section 7 of this Agreement is unavailable to or is insufficient to hold harmless
an indemnified party under the provisions above in respect to any losses, claims, damages or liabilities referred to therein, then
the indemnifying party shall contribute to the amount paid or payable by such indemnified party as a result of such losses, claims,
damages or liabilities to the fullest extent permitted by law; provided, however, that: (i) no Person involved in the sale of Registrable
Securities which Person is guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of the Securities Act) in
connection with such sale shall be entitled to contribution from any Person who was not guilty of such fraudulent misrepresentation,
and (ii) contribution by each Holder shall be limited in amount to the net amount of proceeds actually received by such Holder
from the sale of such Registrable Securities pursuant to the applicable Registration Statement, less the amount of any damages
that such Holder has otherwise been required to pay in connection with such sale.

 

8.           Reports
under the Exchange Act. With a view to making available to the each Holder the benefits of Rule 144 under the Securities Act
or any other similar rule or regulation of the Securities and Exchange Commission that may at any time permit a Holder to sell
securities of the Company to the public without registration (“Rule 144”), at all times during which
there are Registrable Securities outstanding that have not been previously (i) sold to or through a broker or dealer or underwriter
in a public distribution or (ii) sold in a transaction exempt from the registration and prospectus delivery requirements of the
Securities Act under Section 4(1) thereof, in the case of either clause (i) or clause (ii) in such a manner that, upon the consummation
of such sale, all transfer restrictions and restrictive legends with respect to such shares are removed upon the consummation of
such sale, the Company agrees to use its commercially reasonable efforts to:

 

(a)          make
and keep public information available, as those terms are understood and defined in Rule 144;

 

    	- 12 -

    	 

    

 

(b)          file
with the Securities and Exchange Commission in a timely manner all reports and other documents required of the Company under the
Exchange Act, so long as the Company remains subject to such requirements and the filing of such reports and other documents is
required for the applicable provisions of Rule 144; and

 

(c)          furnish
to each Holder so long as such Holder owns Registrable Securities, promptly upon request, (i) a written statement by the Company,
if true, that it has complied with the reporting requirements of Rule 144 and the Exchange Act, (ii) a copy of the most recent
annual or quarterly report of the Company and such other reports and documents so filed by the Company, and (iii) such other information
as may be reasonably requested to permit each Holder to sell such securities pursuant to Rule 144 without registration.

 

9.           Preservation
of Rights. Without the prior written consent of a Majority-in-Interest, the Company shall not, on or after the date of this
Agreement, (i) grant any registration rights to third parties which are more favorable than or inconsistent with the rights granted
hereunder, or (ii) enter into any agreement, take any action, or permit any change to occur, with respect to its securities that
is inconsistent with or violates or subordinates the rights expressly granted to each Holder in this Agreement, such as (A) affecting
the ability of each Holder to include the Registrable Securities in a registration undertaken pursuant to this Agreement or (B)
affecting the marketability of such Registrable Securities in any such registration (including effecting a stock split or a combination
of shares).

 

10.         Definitions.

 

“Affiliate” means
(i) any Person that directly, or indirectly through one or more intermediaries, controls, is controlled by or is under common control
with such other Person, (ii) any executive officer or general partner of such other Person and (iii) any legal entity for which
such Person acts as executive officer or general partner, and “control” for these purposes means the
direct or indirect power to direct or cause the direction of the management and policies of another Person, whether by operation
of law or regulation, through ownership of securities, as trustee or executor or in any other manner.

 

“Business Day”
means any day on which the principal offices of the Securities and Exchange Commission in Washington, DC are open to accept filings.

 

“Commission
Guidance” means (i) any publicly available written guidance or rule of general applicability of the Securities and
Exchange Commission staff or (ii) written comments, requirements or requests of the Securities and Exchange Commission staff to
the Company in connection with the review of a Registration Statement.

 

“Common
Stock” means the common stock, par value $0.01 per share, of the Company, and includes all securities of the Company
issued or issuable with respect to such securities by way of a stock split, stock dividend, or in exchange for or upon conversion
of such shares or otherwise in connection with a combination of shares, distribution, recapitalization, merger, consolidation,
or other corporate reorganization.

 

“Demand
Registration” means a Short-Form Registration or a Long-Form Registration.

 

    	- 13 -

    	 

    

 

“Exchange
Act” means the Securities Exchange Act of 1934, as amended from time to time, and the rules and regulations promulgated
thereunder.

 

“FINRA”
means the Financial Industry Regulatory Authority, and any agency or authority succeeding to the functions thereof.

 

“Holder”
means (i) each Stockholder in its capacity as a holder of record of Registrable Securities, (ii) any Affiliate of a Stockholder
that is a direct or indirect transferee of Registrable Securities from a Stockholder or any subsequent Holder and (iii) any direct
or indirect transferee of Registrable Securities from a Stockholder or any subsequent Holder.

 

“Majority-in-Interest”
means Holders of more than fifty percent (50%) of the Registrable Securities.

 

“Person”
means an individual, a partnership, a corporation, a limited liability company, an association, a joint stock company, a trust,
a joint venture, an unincorporated organization or a governmental entity (or any department, agency or political subdivision thereof).

 

“Registrable
Securities” means the Common Stock that has been or will be issued upon conversion of the Preferred Stock or the
exercise of the Warrant, together with any securities issued or issuable upon any stock split, dividend or other distribution,
recapitalization or similar event with respect to the foregoing. For purposes of this Agreement, a Person shall be deemed to be
a holder of Registrable Securities whenever such Person has the right to acquire such Registrable Securities (upon conversion or
exercise, in connection with a transfer of securities or otherwise, but disregarding any restrictions or limitations upon the exercise
of such right), whether or not such acquisition has actually been effected. As to any particular Registrable Securities, such securities
shall cease to be Registrable Securities when (A) a Registration Statement covering such securities has been declared effective
by the Securities and Exchange Commission and such securities have been disposed of pursuant to such effective Registration Statement,
(B) such securities are sold under circumstances in which all of the applicable conditions of Rule 144 (or any similar provisions
then in force) under the Securities Act are met, (C) such securities are eligible for sale by the Holder without registration pursuant
to Rule 144 (or any similar provisions then in force) under the Securities Act without limitation thereunder on volume or manner
of sale, (D) such securities are otherwise transferred and such securities may be resold without limitation or subsequent registration
under the Securities Act, (E) such securities shall have ceased to be outstanding, or (F) the stock certificates or evidences of
book-entry registration relating to such securities have had all restrictive legends removed.

 

“Registration
Statement” means any registration statement of the Company which covers any of the Registrable Securities pursuant
to the provisions of this Agreement, including the prospectus, amendments, and supplements to such Registration Statement, including
post-effective amendments, all exhibits and all materials incorporated by reference in such Registration Statement.

 

“Securities
Act” means the Securities Act of 1933, as amended from time to time, and the rules and regulations promulgated thereunder.

 

    	- 14 -

    	 

    

 

“Securities
and Exchange Commission” means the United States Securities and Exchange Commission, and any governmental body or
agency succeeding to the functions thereof.

 

11.         Miscellaneous.

 

(a)          Remedies.
Each Party shall be entitled to enforce its rights under any provision of this Agreement specifically to recover damages caused
by reason of any breach of any provision of this Agreement and to exercise all other rights granted by applicable law. The Parties
agree and acknowledge that money damages may not be an adequate remedy for any breach of the provisions of this Agreement and that
any Party may, in its sole discretion, apply to any court of law or equity of competent jurisdiction (without posting any bond
or other security) for specific performance and for other injunctive relief in order to enforce or prevent violation of the provisions
of this Agreement.

 

(b)          Termination.
All rights and obligations of the Company hereunder other than pursuant to Sections 5 and 7 hereof shall terminate on the date
on which no Registrable Securities are outstanding.

 

(c)          Amendments
and Waivers. Except as otherwise provided herein, the provisions of this Agreement may be amended, modified or waived only
upon the prior written consent of the Company, a Majority-in-Interest and any Holder that would be materially and disproportionately
affected by such an amendment or waiver. The failure of any party to enforce any of the provisions of this Agreement shall in no
way be construed as a waiver of such provisions and shall not affect the right of such party thereafter to enforce each and every
provision of this Agreement in accordance with its terms.

 

(d)          Assignment;
No Third Party Beneficiaries. This Agreement and the rights, duties and obligations of the Company hereunder may not be assigned
or delegated by the Company in whole or in part. This Agreement and the rights, duties and obligations of the Holders hereunder
may be freely assigned or delegated by such Holder in conjunction with and to the extent of any transfer of Registrable Securities.
This Agreement and the provisions hereof shall be binding upon and shall inure to the benefit of each of the Parties and their
respective permitted successors and assigns; provided, however, that no such transfer or assignment shall be binding upon or obligate
the Company to any such assignee, and no such assignee shall be deemed a Holder hereunder, unless and until the Company shall have
received written notice of such transfer or assignment as herein provided and a written agreement of the assignee to be bound by
the provisions of this Agreement. This Agreement is not intended to confer any rights or benefits on any Persons that are not party
hereto other than as expressly set forth in Section 7 and this Section 11(d).

 

(e)          Severability.
Whenever possible, each provision of this Agreement shall be interpreted in such manner as to be effective and valid under applicable
law, but if any provision of this Agreement is held to be prohibited by or invalid under applicable law, such provision shall be
ineffective only to the extent of such prohibition or invalidity, without invalidating the remainder of this Agreement.

 

    	- 15 -

    	 

    

 

(f)          Counterparts.
This Agreement may be executed in one or more counterparts, all of which shall be considered one and the same agreement and shall
become effective when one or more counterparts have been signed by each Party to this Agreement and delivered to the other Party,
it being understood that all Parties need not sign the same counterpart. Signatures delivered by electronic methods shall have
the same effect as signatures delivered in person.

 

(g)          Descriptive
Headings. The descriptive headings of this Agreement are inserted for convenience only and do not constitute a part of this
Agreement.

 

(h)          Governing
Law; Waiver of Jury Trial. This Agreement shall be governed by and construed in accordance with the internal laws of New York
applicable to parties residing in New York, without regard applicable principles of conflicts of law. Each Party irrevocably consents
to the exclusive jurisdiction of any court located within New York County, New York, in connection with any matter based upon or
arising out of this Agreement or the matters contemplated hereby and it agrees that process may be served upon it in any manner
authorized by the laws of the State of New York for such Persons and waives and covenants not to assert or plead any objection
which it might otherwise have to such jurisdiction and such process. EACH PARTY TO THIS AGREEMENT ACKNOWLEDGES AND AGREES THAT
ANY CONTROVERSY WHICH MAY ARISE UNDER THIS AGREEMENT IS LIKELY TO INVOLVE COMPLICATED AND DIFFICULT ISSUES, AND THEREFORE, IT HEREBY
IRREVOCABLY AND UNCONDITIONALLY WAIVES ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION DIRECTLY OR INDIRECTLY
ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY. EACH PARTY TO THIS AGREEMENT CERTIFIES AND
ACKNOWLEDGES THAT (I) NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH
OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE EITHER OF SUCH WAIVERS, (II) IT UNDERSTANDS AND HAS CONSIDERED
THE IMPLICATIONS OF SUCH WAIVERS, (III) IT MAKES SUCH WAIVERS VOLUNTARILY, AND (IV) IT HAS BEEN INDUCED TO ENTER INTO THIS AGREEMENT
BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION 12(h).

 

(i)          Notices.
All notices and other communications hereunder shall be in writing and shall be deemed duly delivered: (i) upon receipt if delivered
personally; (ii) three (3) Business Days after being mailed by registered or certified mail, postage prepaid, return receipt requested;
(iii) one (1) Business Day after it is sent by commercial overnight courier service; or (iv) upon transmission if sent via facsimile
or electronic mail with confirmation of receipt to the Parties to this Agreement at the addresses set forth in the Purchase Agreement
(or at such other address for a Party as shall be specified upon like notice).

 

(j)          Rules
of Construction. The Parties agree that they have each been represented by counsel during the negotiation, preparation and
execution of this Agreement (or, if executed following the date hereof by counterpart, have been provided with an opportunity to
review the Agreement with counsel) and, therefore, waive the application of any law, regulation, holding or rule of construction
providing that ambiguities in an agreement or other document will be construed against the Party drafting such agreement or document.

 

    	- 16 -

    	 

    

 

(k)          Interpretation.
This Agreement shall be construed in accordance with the following rules: (i) the terms defined in this Agreement include the plural
as well as the singular; (ii) all references in the Agreement to designated “Sections” and other subdivisions are to
the designated sections and other subdivisions of the body of this Agreement; (iii) pronouns of either gender or neuter shall include,
as appropriate, the other pronoun forms; (iv) the words “herein,” “hereof” and “hereunder”
and other words of similar import refer to this Agreement as a whole and not to any particular Section or other subdivision; and
(v) the words “includes” and “including” are not limiting.

 

[Remainder of page intentionally left
blank. Signature Pages Follow.]

 

    	- 17 -

    	 

    

 

IN WITNESS WHEREOF,
the Parties have executed this Agreement on the date first above written.

 

	 	COMPANY:
	 	 
	 	BioScrip, Inc.
	 	 
	 	By:	 
	 	Name:	 
	 	Title:	 
	 	 	 
	 	STOCKHOLDERS:
	 	 
	 	Coliseum Capital Partners, L.P.
	 	 	 
	 	By:	 
	 	Name:	 
	 	Title:	 
	 	 	 
	 	Coliseum Capital Partners II, L.P.
	 	 	 
	 	By:	 
	 	Name:	 
	 	Title:	 
	 	 	 
	 	Blackwell Partners, LLC, Series A
	 	By: Coliseum Capital Management, LLC
	 	Attorney-in-fact
	 	 	 
	 	By: 	 
	 	Name: 	 
	 	Title:	 

 

Registration Rights AgreementExhibit 10.1

 

EXECUTION VERSION

 

 

 

SECURITIES PURCHASE AGREEMENT

 

between

 

BIOSCRIP, INC.

 

and

 

THE INVESTORS NAMED HEREIN

 

Dated March 9, 2015

  

 

 

    	 

    	 

    

 

Table
of Contents

 

	 	 	Page
	 	 	 
	Article 1	SALE AND PURCHASE; CLOSING	1
	 	 	 
	1.1	Authorization of Issuance and Sale	1
	 	 	 
	1.2	Commitment to Purchase the Purchased Securities	1
	 	 	 
	1.3	Payment of the Subscription Price and Purchase Price for the Purchased Securities	2
	 	 	 
	1.4	Closing of the Purchased Securities	2
	 	 	 
	Article 2	REPRESENTATIONS AND WARRANTIES OF THE COMPANY	2
	 	 	 
	2.1	Reporting Compliance	2
	 	 	 
	2.2	Common Stock; Preferred Stock	2
	 	 	 
	2.3	Capitalization and Other Capital Stock Matters	3
	 	 	 
	2.4	No Material Misstatement or Omission	3
	 	 	 
	2.5	Preparation of the Financial Statements	4
	 	 	 
	2.6	Disclosure Controls and Procedures	4
	 	 	 
	2.7	Independent Accountants	5
	 	 	 
	2.8	No Material Adverse Change	5
	 	 	 
	2.9	Rating Agencies	5
	 	 	 
	2.10	Subsidiaries	6
	 	 	 
	2.11	Incorporation and Good Standing of the Company and its Subsidiaries	6
	 	 	 
	2.12	Legal Power and Authority	6
	 	 	 
	2.13	This Agreement	6
	 	 	 
	2.14	Compliance with Existing Instruments	7
	 	 	 
	2.15	No Conflicts	7
	 	 	 
	2.16	No Consents	7
	 	 	 
	2.17	No Material Applicable Laws or Proceedings	7
	 	 	 
	2.18	All Necessary Permits	8
	 	 	 
	2.19	Title to Properties	8
	 	 	 
	2.20	Tax Law Compliance	8
	 	 	 
	2.21	Intellectual Property Rights	8
	 	 	 
	2.22	ERISA Matters	9
	 	 	 
	2.23	Labor Matters	9

 

    	-i-

    	 

    

 

Table
of Contents

(continued)

 

	 	 	Page
	 	 	 
	2.24	Compliance with Environmental Laws	10
	 	 	 
	2.25	Insurance	10
	 	 	 
	2.26	Accounting System	11
	 	 	 
	2.27	Use of Proceeds; Solvency; Going Concern	11
	 	 	 
	2.28	No Price Stabilization or Manipulation	11
	 	 	 
	2.29	No Registration Required Under the Securities Act	12
	 	 	 
	2.30	No Integration	12
	 	 	 
	2.31	No Applicable Registration or Other Similar Rights	12
	 	 	 
	2.32	Investment Company Act	12
	 	 	 
	2.33	No Brokers	12
	 	 	 
	2.34	No Restrictions on Payments of Dividends	12
	 	 	 
	2.35	Sarbanes-Oxley	13
	 	 	 
	2.36	No Unlawful Contributions or Other Payments	13
	 	 	 
	2.37	Foreign Corrupt Practices Act	13
	 	 	 
	2.38	Money Laundering	13
	 	 	 
	2.39	OFAC	13
	 	 	 
	2.40	Related Party Transactions	14
	 	 	 
	2.41	Stamp Taxes	14
	 	 	 
	2.42	Compliance with Health Care Laws	14
	 	 	 
	2.43	No Contract Terminations	16
	 	 	 
	2.44	Certificates	17
	 	 	 
	Article 3	REPRESENTATIONS OF THE INVESTORS	17
	 	 	 
	3.1	Existence and Good Standing; Authority	17
	 	 	 
	3.2	Authorization of Agreement; Enforceability	17
	 	 	 
	3.3	Accredited Investor	17
	 	 	 
	3.4	No Disqualification Event	17
	 	 	 
	3.5	Information; Knowledge of Business	17
	 	 	 
	3.6	Investment Intent	18
	 	 	 
	3.7	No Manipulation or Stabilization of Price	18
	 	 	 
	3.8	Compliance with Securities Laws	18

 

    	-ii-

    	 

    

 

Table
of Contents

(continued)

 

	 	 	Page
	 	 	 
	3.9	Reliance on Own Investigation	18
	 	 	 
	3.10	Placement Agent	19
	 	 	 
	3.11	Share Ownership	19
	 	 	 
	Article 4	CONDITIONS TO CLOSING	19
	 	 	 
	4.1	Conditions to Obligations of the Investors for Closing	19
	 	 	 
	4.2	Conditions to Obligations of the Company for Closing	20
	 	 	 
	Article 5	COVENANTS	20
	 	 	 
	5.1	Access to Records	20
	 	 	 
	5.2	Financial Reporting	20
	 	 	 
	5.3	Tax Matters	21
	 	 	 
	5.4	NASDAQ Listing	21
	 	 	 
	5.5	Use of Proceeds	21
	 	 	 
	5.6	Asset Sales	21
	 	 	 
	5.7	Stockholder Approvals	21
	 	 	 
	5.8	Rights Offering	21
	 	 	 
	5.9	HSR Filing	22
	 	 	 
	5.10	Survival	22
	 	 	 
	Article 6	INDEMNIFICATION	23
	 	 	 
	Article 7	MISCELLANEOUS	24
	 	 	 
	7.1	Construction	24
	 	 	 
	7.2	Fees and Expenses	24
	 	 	 
	7.3	Assignment; Parties in Interest	25
	 	 	 
	7.4	Entire Agreement; Severability	25
	 	 	 
	7.5	No Third-Party Beneficiaries	25
	 	 	 
	7.6	Notices	25
	 	 	 
	7.7	Amendments; Waivers	26
	 	 	 
	7.8	Counterparts	26
	 	 	 
	7.9	Headings	27
	 	 	 
	7.10	Governing Law; Consent to Jurisdiction and Venue; Waiver of Jury Trial	27
	 	 	 
	7.11	No Investor Joint and Several Liability	27

 

    	-iii-

    	 

    

 

INDEX OF SCHEDULES & EXHIBITS

 

	Exhibits	 
	Exhibit A:	Certificate of Designations of Preferences and Rights of Series A Preferred Stock
	Exhibit B:	Form of Warrant
	Exhibit C:	Form of Opinion of Counsel to the Company
	Exhibit D:	Registration Rights Agreement
	 	 
	Schedules	 
	Schedule 1.2:	Investor Allocations
	Schedule 2.3:	Capitalization and Other Capital Stock Matters
	Schedule 2.4:	No Material Misstatement or Omission
	Schedule 2.6:	Disclosure Controls and Procedures
	Schedule 2.8:	No Material Adverse Change
	Schedule 2.10:	Subsidiaries
	Schedule 2.14:	Compliance with Existing Instruments
	Schedule 2.22:	ERISA Matters
	Schedule 2.23:	Labor Matters
	Schedule 2.28:	No Price Stabilization or Manipulation
	Schedule 2.33:	No Brokers
	Schedule 2.34:	No Restrictions
	Schedule 2.42:	Compliance with Health Care Laws
	Schedule 2.43:	No Contract Terminations
	Schedule 5.6:	Asset Sales

 

    	-iv-

    	 

    

 

THIS SECURITIES PURCHASE
AGREEMENT dated as of March 9, 2015 (this “Agreement”), by and among BioScrip, Inc., a Delaware corporation
(the “Company”), Coliseum Capital Partners, L.P., a Delaware limited partnership, Coliseum Capital Partners
II, L.P., a Delaware limited partnership, and Blackwell Partners, LLC, Series A, a Georgia limited liability company (each,
an “Investor”) and collectively the “Investors”).

 

RECITALS

 

WHEREAS, the Company desires to sell to the
Investors, and the Investors desire to purchase from the Company (i) 625,000 shares (the “Preferred Shares”)
of Series A Convertible Preferred Stock of the Company, $0.0001 par value per share (the “Series A Preferred Stock”),
with the designations, preferences, and rights set forth in the Certificate of Designations of Preferences and Rights of Series
A Preferred Stock, dated the date hereof, in the form of Exhibit A hereto (the “Series A Certificate”)
and (ii) warrants (the “Warrants”), in substantially the form attached the warrant agreement attached hereto
as Exhibit B (the “Warrant Agreement”) and together with this Agreement, the Series A Certificate, the
Registration Rights Agreement (as defined herein) and the Warrants, the “Transaction Documents”)), to acquire
up to that number of shares of common stock of the Company, par value $0.0001 per share (the, “Common Stock”),
equal to five percent (5%) of the fully diluted outstanding Common Stock on the date hereof but immediately prior to the issuance
of the Preferred Shares (rounded up to the nearest whole share) (the shares of Common Stock issuable upon exercise of or otherwise
pursuant to the Warrants collectively are referred to herein as the “Warrant Shares”).

 

WHEREAS, the Company intends
to use at least seventy-five percent (75%) of the net proceeds from the offering of the Purchased Securities Shares pursuant to
the terms of this Agreement (the “Offering”) for the repayment of outstanding indebtedness, and intends to use
the remaining net proceeds for general corporate purposes (the “Use of Proceeds”);

 

NOW THEREFORE, in consideration
of the foregoing and of the agreements set forth below, the parties agree as follows:

 

Article
1

 

SALE AND PURCHASE; CLOSING

 

1.1           Authorization
of Issuance and Sale. Subject to the terms and conditions hereof, the Company has authorized the issuance and sale of the Preferred
Shares and the Warrants (together, the “Purchased Securities”). The Conversion Price (as defined in the Series
A Certificate) of the Series A Preferred Stock shall be equal to the consolidated closing bid price of the Company’s Common
Stock on the NASDAQ Global Market (“NASDAQ”) the trading day on the Closing Date (as defined below), as determined
in consultation with NASDAQ.

 

1.2           Commitment
to Purchase the Purchased Securities. Subject to the terms and conditions of this Agreement:

 

    	 

    	 

    

 

(a)          The
Investors shall purchase from the Company the Preferred Shares, and the Company shall issue and deliver to the Investors stock
certificates representing the Preferred Shares. Schedule 1.2 sets forth the number of Preferred Shares to be purchased by
each Investor (each such number of Preferred Shares, an “Investor’s Allocation”).

 

(b)          The
Company shall have issued the Warrants to purchase Warrant Shares to the Investors.

 

1.3           Payment
of the Subscription Price and Purchase Price for the Purchased Securities. All payments pursuant to this Section 1.3
shall be made by each Investor by wire transfer of immediately available funds to the Company. The account for payment shall be
designated by the Company to the Investors at least one business day prior to the Closing Date. On the Closing Date each Investor
shall pay such dollar amount equal to the product of (a) $100.00 (one hundred dollars) (the “Per Share Purchase Price”)
and (b) the Investor’s Allocation (collectively, for all Investors, the “Preferred Shares Purchase Price”).

 

1.4           Closing
of the Purchased Securities. The closing of the purchase and sale of the Purchased Securities (the “Closing”)
shall take place upon the execution of this Agreement via e-mail by means of PDF copies of signed documents (with the original
signed documents to be delivered promptly after Closing), or at such other time and by such other means as shall be agreed to by
the Company and the Investors (such date, the “Closing Date”).

 

Article
2

 

REPRESENTATIONS AND WARRANTIES
OF THE COMPANY

 

The Company hereby represents
and warrants to the Investors as of the date hereof as follows:

 

2.1           Reporting
Compliance. The Company is subject to, and is in full compliance in all material respects with, the reporting requirements
of Section 13 and Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended (the “Exchange
Act”). All reports (including all current, quarterly and annual reports) filed under the Exchange Act (including filings
incorporated by reference therein) are herein referred to collectively as the “Company Disclosure Package.”

 

2.2           Common
Stock; Preferred Stock. The authorized capital stock of the Company consists of 125,000,000 shares of Common Stock, of
which 68,636,965 shares are issued and outstanding, and 5,000,000 shares preferred stock, par value $0.0001 (“Preferred
Stock”), none of which are issued and outstanding. Upon consummation of the transactions contemplated by the Transaction
Documents (the “Transactions”), (a) 625,000 shares of Preferred Stock shall be designated as Series A Preferred
Stock pursuant to the terms of the Series A Certificate, all of which will be duly authorized, are validly issued, fully paid and
non-assessable and (b) the shares of Common Stock issuable upon conversion of the Series A Preferred Stock will have been duly
authorized for issuance, and, when so issued, will be validly issued, fully paid and non-assessable. As of Closing, the Investors
shall own all of the outstanding Preferred Stock, free and clear of all liens, security interests, mortgages, pledges, charges,
equities, claims or restrictions on transferability or encumbrances of any kind (collectively, “Liens”) and
none of the shares of Series A Preferred Stock, or shares of Common Stock issuable upon conversion of the Series A Preferred Stock,
will have been, or will be, issued in violation of the preemptive rights of any security holders of the Company arising as a matter
of law or under or pursuant to the Company’s certificate of incorporation, as amended, the Company’s bylaws, as amended,
or any material agreement or instrument to which the Company is a party or by which it is bound, and the holders thereof shall
be entitled to all rights accorded to a holder of Series A Preferred Stock or Common Stock, as applicable.

 

    	-2-

    	 

    

 

 

2.3           Capitalization
and Other Capital Stock Matters. All of the issued and outstanding shares of capital stock of the Company and each of the Subsidiaries
(as defined herein) have been duly authorized and validly issued, are fully paid and nonassessable and were not issued in violation
of, and are not subject to, any preemptive or similar rights. The table attached hereto as Schedule 2.3 sets forth,
as of the date hereof, the capitalization of the Company. All of the outstanding shares of capital stock or other equity interests
of each of the Subsidiaries are owned, directly or indirectly, by the Company, free and clear of all Liens, other than those Liens
(i) for taxes or governmental assessments, charges or claims, in each case the payment of which is not yet due and for which
the Company has established adequate reserves, (ii) imposed by applicable law such as mechanics’, materialmen’s,
landlords’, warehousemen’s and carriers’ liens and other similar liens securing obligations incurred in the ordinary
course of business, (iii) under workers’ compensation, unemployment insurance, social security or similar legislation,
in each case for which the Company has established adequate reserves, or (iv) created, suffered, incurred, assumed, existing,
or permitted under the Existing Indebtedness Agreements (as defined below) (collectively, “Permitted Liens”),
and those imposed by the Securities Act of 1933, as amended (the “Securities Act”), and the securities
or “Blue Sky” laws of certain U.S. state or non-U.S. jurisdictions. Except as disclosed in the Company Disclosure
Package, there are no outstanding (A) options, warrants or other rights to purchase from the Company or any of the Subsidiaries,
(B) agreements, contracts, arrangements or other obligations of the Company or any of the Subsidiaries to issue or (C) other
rights to convert any obligation into or exchange any securities for, in the case of each of clauses (A) through (C), shares
of capital stock of or other ownership or equity interests in the Company or any of the Subsidiaries. For purposes of this Agreement,
the term “Existing Indebtedness Agreements” shall mean (x) that certain credit agreement, dated July 31,
2013 (as amended, modified or supplemented to date), by and among the Company, the several banks and other financial institutions
and lenders from time to time party thereto, and SunTrust Bank, in its capacity as administrative agent (the “Credit Facility”)
and (y) the Company’s 8.875% Senior Notes due 2021 issued pursuant to that indenture, dated as of February 11,
2014, by and among the Company, the guarantors party thereto and U.S. Bank National Association, as trustee (the “Senior
Notes Indenture”).

 

2.4           No
Material Misstatement or Omission. (i) The Company Disclosure Package, as of the date hereof did not, and as of the Closing
Date will not, include any untrue statement of a material fact or omit to state a material fact necessary to make the statements
therein, in the light of the circumstances under which they were made, not misleading. No injunction or order has been issued that
either (i) asserts that any of the Transactions is subject to the registration requirements of the Securities Act or (ii) would
prevent or suspend the issuance or sale of any of the Shares or the use of the Company Disclosure Package in any jurisdiction,
and no proceeding for either such purpose has commenced or is pending or, to the Knowledge (defined below) of the Company and the
Subsidiaries, is contemplated. For purposes of this Agreement, “Knowledge” means in the case of the Company
and the Subsidiaries, the actual knowledge, as of the date of this Agreement, of the individuals listed on Schedule 2.4.

 

    	-3-

    	 

    

 

2.5           Preparation
of the Financial Statements. Each of the consolidated financial statements (audited and unaudited) and related notes and supporting
schedules of the Company and the Subsidiaries contained in the Company Disclosure Package present fairly in all material respects
the financial position, results of operations and cash flows of the Company and its consolidated Subsidiaries as of the respective
dates and for the respective periods to which they apply and have been prepared in accordance with U.S. generally accepted accounting
principles (“GAAP”) applied on a consistent basis throughout the periods involved and the requirements of Regulation S-X.
All other financial, statistical and market and industry data and forward-looking statements (within the meaning of Section 27A
of the Securities Act and Section 21E of the Exchange Act) contained in the Company Disclosure Package are fairly and accurately
presented, are based on or derived from sources that the Company believes to be reliable and accurate and are presented on a reasonable
basis. The interactive data in extensible Business Reporting Language in the Company Disclosure Package fairly presents the information
called for in all material respects and has been prepared in accordance with the U.S. Securities and Exchange Commission’s
(the “SEC”) rules and guidelines applicable thereto.

 

2.6           Disclosure
Controls and Procedures. Except as set forth on Schedule 2.6(a), the Company and the Subsidiaries maintain an effective
system of “disclosure controls and procedures” (as defined in Rule 13a-15(e) of the Exchange Act) that is designed
to ensure that information required to be disclosed by the Company in reports that it files or submits under the Exchange Act is
recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, including controls
and procedures designed to ensure that such information is accumulated and communicated to the Company’s management as appropriate
to allow timely decisions regarding required disclosure. The Company and the Subsidiaries have carried out evaluations of the effectiveness
of their disclosure controls and procedures as required by Rule 13a-15 of the Exchange Act. The statements relating to disclosure
controls and procedures made by the principal executive officers (or their equivalents) and principal financial officers (or their
equivalents) of the Company in the certifications required by the Sarbanes-Oxley Act of 2002 and the rules and regulations
promulgated in connection therewith are complete and correct. The Company Disclosure Package describes all outstanding and identified
material weaknesses, and Schedule 2.6(b) sets forth the Company’s plans to remediate all outstanding and identified
material weaknesses, including the material weakness related to establishment of accounts receivable related reserves disclosure
in the Company’s Annual Report on Form 10-K for the period ended December 31, 2014 and the material weaknesses related to
deferred financing costs and separation of I.T. in the Company’s Annual Report on Form 10-K for the period ended December
31, 2014.

 

    	-4-

    	 

    

 

2.7           Independent
Accountants.

 

(a)          Ernst
& Young LLP, who have certified and expressed their opinion with respect to the audited financial statements of the Company
and the Subsidiaries including the related notes thereto and supporting schedules contained in the Company Disclosure Package through
the Company’s Quarterly Report on Form 10-Q for the period ended September 30, 2014, were, to the Company’s Knowledge
after due inquiry, at all times prior to their resignation as disclosed in the Company’s
Current Report on Form 8-K, filed with the SEC on September 8, 2014 (the “Auditor 8-K”): (i) an independent
registered public accounting firm with respect to the Company and the Subsidiaries within the applicable rules and regulations
adopted by the SEC and as required by the Securities Act, (ii) in compliance with the applicable requirements relating to
the qualification of accountants under Regulation S-X and (iii) a registered public accounting firm as defined by the
Public Company Accounting Oversight Board (United States) whose registration has not been suspended or revoked and who has not
requested such registration to be withdrawn.

 

(b)          KPMG
LLP, who were engaged as auditors as of September 8, 2014, are, to the Company’s Knowledge after due inquiry, (i) an
independent registered public accounting firm with respect to the Company and the Subsidiaries within the applicable rules and
regulations adopted by the SEC and as required by the Securities Act, (ii) in compliance with the applicable requirements
relating to the qualification of accountants under Regulation S-X and (iii) a registered public accounting firm as defined
by the Public Company Accounting Oversight Board (United States) whose registration has not been suspended or revoked and who has
not requested such registration to be withdrawn.

 

(c)          The
Company’s disclosure in the Auditor 8-K, including with respect to the resignation of Ernst & Young LLP and the appointment
of KPMG LLP, is true and accurate in all material respects.

 

2.8           No
Material Adverse Change. Subsequent to the respective dates as of which information is contained in the Company Disclosure
Package, except as disclosed in the Company Disclosure Package, (i) except as incurred in the ordinary course of business,
neither the Company nor any of the Subsidiaries has incurred any liabilities, direct or contingent, including without limitation
any losses or interference with its business from fire, explosion, flood, earthquakes, accident or other calamity, whether or not
covered by insurance, or from any strike, labor dispute or court or governmental action, order or decree, that are material, individually
or in the aggregate, to the Company and the Subsidiaries, taken as a whole, or has entered into any transactions not in the ordinary
course of business, (ii) there has not been any material decrease in the capital stock or, other than in the ordinary course
of business, any material increase in any short-term or long-term indebtedness of the Company or the Subsidiaries, or any payment
of or declaration to pay any dividends or any other distribution with respect to the Company, and (iii) there has not been
any material adverse change, or any development that could reasonably be expected to result in a material adverse change, in the
properties, business, prospects, operations, earnings, assets, liabilities or condition (financial or otherwise) of the Company
and the Subsidiaries, taken as a whole (each of clauses (i), (ii)  and (iii) , a “Material Adverse
Change”).

 

2.9           Rating
Agencies. No “nationally recognized statistical rating organization” (as that term is used in Rule 15c3-1(c)(2)(vi)(F)
under the Exchange Act) (i) has imposed (or has informed the Company that it is considering imposing) any condition (financial
or otherwise) to retain any rating assigned to the Company or any of the Subsidiaries or to any securities of the Company or any
of the Subsidiaries or (ii) has indicated to the Company that it is considering (A) the downgrading, suspension, or withdrawal
of, or any review (or of any potential or intended review) for a possible change in, any rating so assigned (including, without
limitation, the placing of any of the foregoing ratings on credit watch with negative or developing implications or under review
with an uncertain direction) or (B) any change in the outlook for any rating of the Company or any of the Subsidiaries or
any securities of the Company or any of the Subsidiaries.

 

    	-5-

    	 

    

 

2.10         Subsidiaries.
Each corporation, partnership or other entity in which the Company, directly or indirectly through any of its subsidiaries, owns
more than fifty percent (50%) of any class of equity securities or interests is listed on Schedule 2.10 (the “Subsidiaries”).

 

2.11         Incorporation
and Good Standing of the Company and its Subsidiaries. The Company and each of the Subsidiaries (i) has been duly organized
or formed, as the case may be, is validly existing and is in good standing under the laws of its jurisdiction of organization,
(ii) has all requisite power and authority to carry on its business and to own, lease and operate its properties and assets
as described in the Company Disclosure Package and (iii) is duly qualified or licensed to do business and is in good standing
as a foreign corporation, partnership or other entity as the case may be, authorized to do business in each jurisdiction in which
the nature of such businesses or the ownership or leasing of such properties requires such qualification, except where the failure
to be so qualified or, solely with respect to the Subsidiaries, in good standing would not, individually or in the aggregate, have
a material adverse effect on (A) the properties, business, prospects, operations, earnings, assets, liabilities or condition
(financial or otherwise) of the Company and the Subsidiaries, taken as a whole, (B) the ability of the Company or any Subsidiary
to perform its obligations in all material respects under any Transaction Document, (C) the validity or enforceability of
any of the Transaction Documents, or (D) the consummation of any of the Transactions (each, a “Material Adverse Effect”).

 

2.12         Legal
Power and Authority. The Company has all necessary power and authority to execute, deliver and perform its obligations under
the Transaction Documents and to consummate the Transactions, and no stockholder actions are necessary for the Company’s
execution, delivery and performance of its obligations under the Transaction Documents and to consummate the Transactions.

 

2.13         This
Agreement. This Agreement has been duly and validly authorized, executed and delivered by the Company and constitutes a legal,
valid and binding obligation of the Company a, enforceable against the Company in accordance with its terms, except that the enforcement
thereof may be subject to (i) bankruptcy, insolvency, reorganization, receivership, moratorium, fraudulent conveyance, fraudulent
transfer or other similar laws now or hereafter in effect relating to creditors’ rights generally, (ii) general principles
of equity (whether applied by a court of law or equity) and the discretion of the court before which any proceeding therefor may
be brought and (iii) with respect to the rights to indemnity or contribution hereunder, federal and state securities laws
and public policy considerations.

 

    	-6-

    	 

    

 

2.14         Compliance
with Existing Instruments. Neither the Company nor any of the Subsidiaries is (i) in violation of its certificate of incorporation,
by-laws or other organizational documents (the “Charter Documents”); (ii) in violation of any U.S. or
non-U.S. federal, state or local statute, law (including, without limitation, common law) or ordinance, or any judgment, decree,
rule, regulation, order or injunction (collectively, “Applicable Law”) of any U.S. or non-U.S. federal,
state, local or other governmental or regulatory authority, governmental or regulatory agency or body, court, arbitrator or self-regulatory
organization (each, a “Governmental Authority”), applicable to any of them or any of their respective properties,
except as would not result in a Material Adverse Effect; or (iii) in breach of or default under any Applicable Agreement (defined
below) , except as set forth in Schedule 2.14. To the Company’s Knowledge, all Applicable Agreements are in full force
and effect and are legal, valid and binding obligations, other than as disclosed in the Company Disclosure Package. For purposes
of this Agreement, “Applicable Agreement” means any agreement or instrument entered into by the Company, including
the Existing Indebtedness Agreements, a breach or default of which could reasonably be expected to have a Material Adverse Effect.

 

2.15         No
Conflicts. Neither the execution, delivery or performance of the Transaction Documents nor the consummation of any of the Transactions
(including the Use of Proceeds from the sale of the Shares as described above) will conflict with, violate, constitute a breach
of or a default (with the passage of time or otherwise) or a “Debt Repayment Triggering Event” under, or result
in the imposition of a Lien on any assets of the Company or any of its Subsidiaries, or the imposition of any penalty under or
pursuant to (i) the Charter Documents, (ii) any Applicable Agreement, (iii) any Applicable Law or (iv) any
order, writ, judgment, injunction, decree, determination or award binding upon the Company and the Subsidiaries. As used herein,
a “Debt Repayment Triggering Event” means any event or condition that gives, or with the giving of notice or
lapse of time would give, the holder of any note, debenture or other evidence of indebtedness (or any person acting on such holder’s
behalf) the right to require the repurchase, redemption or repayment of all or a portion of such indebtedness by the Company or
any of the Subsidiaries or any of their respective properties.

 

2.16         No
Consents. No consent, approval, authorization, order, filing or registration of or with any Governmental Authority or third
party is required for execution, delivery or performance of the Transaction Documents or the consummation of the Transactions,
except (i) those that have been official or made, as the case may be, that are in full force and effect and (ii) as may
be required under the securities or “Blue Sky” laws of U.S. state or non-U.S. jurisdictions.

 

2.17         No
Material Applicable Laws or Proceedings. (i) No Applicable Law shall have been enacted, adopted or issued, (ii) no
stop order suspending the qualification or exemption from qualification of any of the Shares in any jurisdiction shall have been
issued and no proceeding for that purpose shall have been commenced or, to the Company’s Knowledge, be pending or contemplated
as of the Closing Date, and (iii) there is no legal, administrative, arbitral or other proceeding, action, claim, suit, demand,
hearing, arbitration, mediation, governmental or regulatory investigation or audit, notice of violation or deficiency, or proceeding
pending, or, to the Knowledge of the Company or any of the Subsidiaries threatened or contemplated by Governmental Authorities
or threatened by others (collectively, “Proceedings”) that, with respect to clauses (i), (ii),  and
(iii) of this Section 2.17 would at the date hereof restrain, enjoin, prevent or interfere with the consummation of
the Offering or any of the Transactions or would, individually or in the aggregate, have a Material Adverse Effect.

 

    	-7-

    	 

    

 

2.18         All
Necessary Permits. Other than the permits and accreditation contemplated in Section 2.42(d), each of the Company and
the Subsidiaries possess all material licenses, permits, certificates, consents, orders, approvals and other authorizations from,
and has made all declarations and filings with, all Governmental Authorities, presently required or necessary to own or lease,
as the case may be, and to operate its properties and to carry on its businesses as now, or proposed to be, conducted as described
in the Company Disclosure Package (“Permits”); each of the Company and the Subsidiaries has fulfilled and performed
in all material respects all of its obligations with respect to such Permits; to the Knowledge of the Company or any Subsidiary,
no event has occurred which allows, or after notice or lapse of time would allow, revocation or termination of any such Permit
or has resulted, or after notice or lapse of time would result, in any other material impairment of the rights of the holder of
any such Permit the result of which would have a Material Adverse Effect; and none of the Company or the Subsidiaries has received
or has any reason to believe it will receive any notice of any proceeding relating to revocation or modification of any such Permit,
except as described in the Company Disclosure Package.  

 

2.19         Title
to Properties. Each of the Company and the Subsidiaries has good, marketable and valid title to all real property owned by
it and good title to all personal property owned by it and, to the Knowledge of the Company, good and valid title to all leasehold
estates in real and personal property being leased by it (except where the failure to hold good title or good and valid title,
as applicable, would not materially impair the operations of the Company or its Subsidiaries) and, as of the date hereof, are free
and clear of all Liens other than Permitted Liens.

 

2.20         Tax
Law Compliance. All material Tax (as hereinafter defined) returns required to be filed by the Company and each of the Subsidiaries
have been filed and all such returns are true, complete and correct in all material respects. All material Taxes that are due from
the Company and the Subsidiaries have been paid other than those (i) currently payable without penalty or interest or (ii) being
contested in good faith and by appropriate proceedings and for which adequate accruals have been established in accordance with
GAAP, applied on a consistent basis throughout the periods involved. To the Knowledge of the Company, there are no actual or proposed
Tax assessments against the Company or any of the Subsidiaries that would, individually or in the aggregate, have a Material Adverse
Effect. The accruals on the books and records of the Company and the Subsidiaries in respect of any material Tax liability for
any period not finally determined are adequate to meet any assessments of Tax for any such period. For purposes of this Agreement,
the term “Tax” and “Taxes” shall mean all U.S. and non-U.S. federal, state, local
and taxes, and other assessments of a similar nature (whether imposed directly or through withholding), including any interest,
additions to tax or penalties applicable thereto.

 

2.21         Intellectual
Property Rights. Each of the Company and the Subsidiaries owns, or has the right to use, all patents, patent rights, licenses,
inventions, copyrights, know-how (including trade secrets and other unpatented and/or unpatentable proprietary or confidential
information, systems or procedures), trademarks, service marks, domain names and trade names (collectively, “Intellectual
Property”) necessary for the conduct of its businesses and, as of the date hereof, the Intellectual Property is free
and clear of all Liens, other than Permitted Liens. The Company is not a party to, or bound by, any options, licenses or agreements
with respect to the intellectual property rights of any other person or entity that are necessary to be described in the Company
Disclosure Package to avoid a material misstatement or omission and are not described therein. The Company has not received notice
of any claims or notices of any potential claim by any person challenging the use of any such Intellectual Property by the Company
or any of the Subsidiaries or questioning the validity or effectiveness of any Intellectual Property or any license or agreement
related thereto, other than any claims that, if successful, would not, individually or in the aggregate, have a Material Adverse
Effect. None of the intellectual property used by the Company or any of the Subsidiaries has been obtained or is being used by
the Company or any of the Subsidiaries in violation of any contractual obligation binding on the Company or any of the Subsidiaries
or, to the Company or any of the Subsidiaries’ Knowledge, its officers, directors or employees or otherwise in violation
of the rights of any person.

 

    	-8-

    	 

    

 

2.22         ERISA
Matters. Each of the Company, the Subsidiaries and each ERISA Affiliate (as hereinafter defined) has fulfilled, in all material
respects, its obligations, if any, under the minimum funding standards of Section 302 of the United States Employee Retirement
Income Security Act of 1974, as amended (“ERISA”) with respect to each “pension plan” (as defined
in Section 3(2) of ERISA), subject to Section 302 of ERISA, which the Company, the Subsidiaries or any ERISA Affiliate
sponsors or maintains, or with respect to which it has (or within the last three years had) any obligation to make contributions,
and each such plan is in compliance in all material respects with the presently applicable provisions of ERISA and the Internal
Revenue Code of 1986, as amended (the “Code”). None of the Company, the Subsidiaries or any ERISA Affiliate
has incurred any material unpaid liability to the Pension Benefit Guaranty Corporation (other than for the payment of premiums
in the ordinary course) or to any such plan under Title IV of ERISA. “ERISA Affiliate” means a corporation,
trade or business that is, along with the Company or any Subsidiary, a member of a controlled group of corporations or a controlled
group of trades or businesses, as described in Section 414 of the Code or Section 4001 of ERISA.

 

2.23         Labor
Matters. (i) Neither the Company nor any of the Subsidiaries is party to or bound by any collective bargaining agreement
with any labor organization; (ii) there is no union representation question existing with respect to the employees of the
Company or the Subsidiaries, and, to the Knowledge of the Company, no union organizing activities are taking place that, could,
individually or in the aggregate, have a Material Adverse Effect; (iii) to the Knowledge of the Company, no union organizing
or decertification efforts are underway or threatened against the Company or the Subsidiaries; (iv) no labor strike, work
stoppage, slowdown or other material labor dispute is pending against the Company or the Subsidiaries, or, to the Company’s
Knowledge, threatened against the Company or the Subsidiaries; (v) to the Knowledge of the Company and the Subsidiaries, there
is no worker’s compensation liability, experience or matter that could be reasonably expected to have a Material Adverse
Effect; (vi) to the Knowledge of the Company, there is no threatened or pending liability against the Company or the Subsidiaries
pursuant to the Worker Adjustment Retraining and Notification Act of 1988, as amended, or any similar state or local law;
(vii)  there is no employment-related charge, complaint, grievance, investigation, unfair labor practice claim or inquiry
of any kind, pending against the Company or the Subsidiaries that could, individually or in the aggregate, have a Material Adverse
Effect; (viii) to the Knowledge of the Company and the Subsidiaries, no employee or agent of the Company or the Subsidiaries
has committed any act or omission giving rise to liability for any violation identified in subsection (vi) and (vii) above,
other than such acts or omissions that would not, individually or in the aggregate, have a Material Adverse Effect; and (viii) no
term or condition of employment exists through arbitration awards, settlement agreements or side agreement that is contrary to
the express terms of any applicable collective bargaining agreement.

 

    	-9-

    	 

    

 

2.24         Compliance
with Environmental Laws. Each of the Company and the Subsidiaries (i) is in material compliance with any and all applicable
U.S. or non-U.S. federal, state and local laws and regulations relating to health and safety, or the pollution or the
protection of the environment or hazardous or toxic substances of wastes, pollutants or contaminants (“Environmental Laws”),
(ii) has received and is in material compliance with all permits, licenses or other approvals required of them under applicable
Environmental Laws to conduct its respective businesses and (iii) has not received notice of, and is not aware of, any actual
or potential liability for damages to natural resources or the investigation or remediation of any disposal, release or existence
of hazardous or toxic substances or wastes, pollutants or contaminants, in each case except where such non-compliance with Environmental
Laws, failure to receive and comply with required permits, licenses or other approvals, or liability would not, individually or
in the aggregate, have a Material Adverse Effect. Neither the Company nor any of the Subsidiaries has been named as a “potentially
responsible party” under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended,
or any similar U.S. or non-U.S. state or local Environmental Laws or regulation requiring the Company or any of the Subsidiaries
to investigate or remediate any pollutants or contaminants, except where such requirements would not, individually or in the aggregate,
have a Material Adverse Effect, whether or not arising from transactions in the ordinary course of business. In the ordinary course
of its business, the Company periodically reviews the effects of Environmental Laws on the business, operations and properties
of the Company and the Subsidiaries, in the course of which it identifies and evaluates associated costs and liabilities (including,
without limitation, any capital or operating expenditures required for clean-up, closure of properties or compliance with Environmental
Laws, or any permit, license or approval, any related constraints on operating activities and any potential liabilities to third
parties). On the basis of such review, the Company has reasonably concluded that such associated costs would not have a Material
Adverse Effect.

 

2.25         Insurance.
Each of the Company and the Subsidiaries are insured by insurers of recognized financial responsibility against such losses and
risks and in such amounts as are prudent and customary in the businesses in which they are engaged. All policies of insurance insuring
the Company or any of the Subsidiaries or their respective businesses, assets, employees, officers and directors are in full force
and effect. The Company and the Subsidiaries are in compliance with the terms of such policies and instruments in all material
respects, and there are no claims by the Company or any of the Subsidiaries under any such policy or instrument as to which any
insurance company is denying liability or defending under a reservation of rights clause, except claims that if finally denied
or successfully defended by any insurance company, would not have a Material Adverse Effect on the Company and its Subsidiaries.
Except as to claims not meeting coverage requirements, neither the Company nor any such Subsidiary has been refused any insurance
coverage sought or applied for, and neither the Company nor any such Subsidiary has any reason to believe that it will not be able
to renew its existing insurance coverage or obtain such coverage as may be necessary and appropriate for the continuation of the
Company’s business at a cost that would not, individually or in the aggregate, have a Material Adverse Effect. 

 

    	-10-

    	 

    

 

2.26         Accounting
System. The Company and each of the Subsidiaries make and keep accurate books and, except as set forth on Schedule 2.6,
records and maintain a system of internal accounting controls and procedures sufficient to provide reasonable assurance that (i) transactions
are executed in accordance with management’s general or specific authorization, (ii) transactions are recorded as necessary
to permit preparation of financial statements in conformity with GAAP, and to maintain asset accountability, (iii) access
to assets is permitted only in accordance with management’s general or specific authorization and (iv) the recorded
accountability for assets is compared with the existing assets at reasonable intervals and appropriate action is taken with respect
to any material differences. The Company’s independent auditors and board of directors have been advised of: (i) all
“material weaknesses” and “significant deficiencies” (each, as defined in Rule 12b-2 of the Exchange
Act), if any, in the design or operation of the Company’s internal controls which could adversely affect the Company’s
ability to record, process, summarize and report financial data and (ii) all fraud, if any, whether or not material, that
involves management or other employees who have a role in the Company’s internal controls (whether or not remediated); all
such material weaknesses and significant deficiencies, if any, have been disclosed in the Company Disclosure Package in all material
respects; and, except as set forth on Schedule 2.6, since the date of the most recent evaluation of such disclosure controls
and procedures and internal controls, there have been no significant changes in internal controls or in other factors that could
significantly affect internal controls, including any corrective actions with regard to significant deficiencies and material weaknesses.

 

2.27         Use
of Proceeds; Solvency; Going Concern. As of the date hereof, after giving pro forma effect to the Offering and the Use of Proceeds,
the Company and the Subsidiaries, on a consolidated basis, will be Solvent (as hereinafter defined). As used in this paragraph,
the term “Solvent” means, with respect to any particular date, that on such date (a) the fair value of the property
of the Company is greater than the total amount of liabilities, including subordinated and contingent liabilities, of the Company;
(b) the present fair saleable value of the assets of the Company is not less than the amount that will be required to pay the probable
liability of the Company on its debts and liabilities, including subordinated and contingent liabilities as they become absolute
and matured; (c) the Company does not intend to, and does not believe that it will, incur debts or liabilities beyond the Company’s
ability to pay as such debts and liabilities mature; and (d) the Company is not engaged in a business or transaction, and is not
about to engage in a business or transaction, for which the Company’s property would constitute an unreasonably small capital.
The amount of contingent liabilities (such as litigation, guaranties and pension plan liabilities) at any time shall be computed
as the amount that, in light of all the facts and circumstances existing at the time, represents the amount that would reasonably
be expected to become an actual or matured liability.

 

2.28         No
Price Stabilization or Manipulation. Other than actions taken in the ordinary course with respect the Company’s most
recent earnings release (which actions do not include the disclosure of the existence or pendency of the Transactions contemplated
hereby), neither the Company nor any of its Affiliates has and, to the Company’s Knowledge, no one acting on its behalf has,
(i) taken, directly or indirectly, any action designed to cause or to result in, or that has constituted or which might reasonably
be expected to constitute, the stabilization or manipulation of the price of any security of the Company, whether to facilitate
the sale or resale of any of the Purchased Securities or otherwise, (ii) sold, bid for, purchased, or paid anyone any compensation
for soliciting purchases of, any of the Purchased Securities, (iii) except as disclosed in the Schedule 2.28, paid
or agreed to pay to any person any compensation for soliciting another to purchase any other securities of the Company, or (iv)
taken, directly or indirectly, any action designed to cause or to result in, or that has constituted or which might reasonably
be expected to constitute an impact on the price that will be used to set the Conversion Price (as defined in the Series A Certificate).
“Affiliates” has the meaning set forth in Rule 405 of the Securities Act.

 

    	-11-

    	 

    

 

2.29         No
Registration Required Under the Securities Act. Without limiting any provision herein, no registration under the Securities
Act is required for the offer or sale of the Purchased Securities to the Investors as contemplated hereby.

 

2.30         No
Integration. No securities of the Company of the same class as the Purchased Securities have been offered, issued or sold by
the Company or any of its Affiliates within the six-month period immediately prior to the date hereof; and the Company does not
have any intention of making, and will not make, an offer or sale of such securities of the Company of the same class as the Purchased
Securities, for a period of six months after the date of this Agreement, except for the offering of the Purchased Securities as
contemplated by this Agreement and the rights offering contemplated in Section 5.8 of this Agreement. As used in this paragraph,
the terms “offer” and “sale” have the meanings specified in Section 2(a)(3) of the Securities Act.

 

2.31         No
Applicable Registration or Other Similar Rights. Except as disclosed in the Company Disclosure Package, there are no persons
with registration or other similar rights to have any equity or debt securities of the Company or any “Affiliate” registered
for sale under a registration statement, except for rights as have been duly waived.

 

2.32         Investment
Company Act. The Company has been advised of the Investment Company Act of 1940, as amended, and the rules and regulations
of the SEC thereunder (collectively, the “Investment Company Act”); as of the date hereof and, after giving
effect to the Offering and the Use of Proceeds of the Offering, each of the Company and its Subsidiaries is not and will not be,
individually or on a consolidated basis, an “investment company” that is required to be registered under the Investment
Company Act; and following the Closing, the Company and its Subsidiaries will conduct their businesses in a manner so as not to
be required to register under the Investment Company Act.

 

2.33         No
Brokers. Other than as set forth in Schedule 2.33, neither the Company nor any of its Affiliates has engaged any broker,
finder, commission agent or other person in connection with the Offering or any of the Transactions, and neither the Company nor
any of its Affiliates is under any obligation to pay any broker’s fee or commission in connection with such Transactions.

 

2.34         No
Restrictions on Payments of Dividends. Except as prohibited or restricted by applicable law or as disclosed in the Schedule
2.34 or as otherwise disclosed in the Company Disclosure Package, there is no encumbrance or restriction on the ability of
any Subsidiary of the Company (x) to pay dividends or make other distributions on such Subsidiary’s capital stock or
to pay any indebtedness to the Company or any other Subsidiary of the Company, (y) to make loans or advances or pay any indebtedness
to, or investments in, the Company or any other Subsidiary or (z) to transfer any of its property or assets to the Company
or any other Subsidiary of the Company.

 

    	-12-

    	 

    

 

2.35         Sarbanes-Oxley.
There is and has been no failure on the part of the Company and the Subsidiaries or any of the officers and directors of the Company
or any of the Subsidiaries, in their capacities as such, to comply in all material respects with the applicable provisions of the
Sarbanes-Oxley Act of 2002 and the rules and regulations promulgated in connection therewith.

 

2.36         No
Unlawful Contributions or Other Payments. Neither the Company nor any of the Subsidiaries nor, to the best of the Company’s
Knowledge, any employee or agent of the Company or any Subsidiary, has made any contribution or other payment to any official of,
or candidate for, any federal, state or foreign office in violation of any law or of the character required to be disclosed in
the Company Disclosure Package.

 

2.37         Foreign
Corrupt Practices Act. None of the Company or any Subsidiary or, to the Knowledge of the Company, any director, officer, employee
or any agent or other person acting on behalf of the Company or any Subsidiary has, in the course of its actions for, or on behalf
of, the Company or any Subsidiary (i) used any corporate funds for any unlawful contribution, gift, entertainment or other
unlawful expenses relating to political activity; (ii) made any direct or indirect unlawful payment to any domestic government
official, “foreign official” (as defined in the U.S. Foreign Corrupt Practices Act of 1977, as amended, and
the rules and regulations thereunder (collectively, the “FCPA”) or employee from corporate funds; (iii) violated
or is in violation of any provision of the FCPA or any applicable non-U.S. anti-bribery statute or regulation; or (iv) made
any unlawful bribe, rebate, payoff, influence payment, kickback or other unlawful payment to any domestic government official,
such foreign official or employee; and the Company and the Subsidiaries, and, to the Knowledge of the Company and the Subsidiaries,
its and their other affiliates have conducted their businesses in compliance with the FCPA and have instituted and maintain policies
and procedures designed to ensure, and which are reasonably expected to ensure, continued compliance therewith.

 

2.38         Money
Laundering. The operations of the Company and the Subsidiaries are and have been conducted at all times in compliance with
applicable financial recordkeeping and reporting requirements of the Currency and Foreign Transactions Reporting Act of 1970,
as amended, the money laundering statutes of all applicable jurisdictions, the rules and regulations thereunder and any related
or similar rules, regulations or guidelines issued, administered or enforced by any governmental agency (collectively, the “Money
Laundering Laws”), and no action, suit or proceeding by or before any court or governmental agency, authority or body
or any arbitrator involving the Company or the Subsidiaries with respect to the Money Laundering Laws is pending or, to the Company’s
Knowledge, threatened.

 

2.39         OFAC.
Neither the Company nor the Subsidiaries, any director, officer, nor, to the Knowledge of the Company or the Subsidiaries, any
agent, employee or Affiliate of the Company or any of the Subsidiaries or other person acting on their behalf is currently subject
to any U.S. sanctions administered by the Office of Foreign Assets Control of the U.S. Treasury Department (“OFAC”);
and the Company will not directly or indirectly use the proceeds of the Offering, or lend, contribute or otherwise make available
such proceeds to any subsidiary, joint venture partner or other person or entity, for the purpose of financing the activities of
or business with any person, or in any country or territory, that currently is the subject to any U.S. sanctions administered
by OFAC or in any other manner that will result in a violation by any person (including any person participating in the transaction
whether as advisor, investor or otherwise) of U.S. sanctions administered by OFAC.

 

    	-13-

    	 

    

 

2.40         Related
Party Transactions. No relationship, direct or indirect, exists between or among any of the Company or any affiliate of the
Company, on the one hand, and any director, officer, member, stockholder, customer or supplier of the Company or any affiliate
of the Company, on the other hand, which is required by the Securities Act to be disclosed in a registration statement on Form S-1
which is not so disclosed in the Company Disclosure Package. There are no outstanding loans, advances (except advances for business
expenses in the ordinary course of business) or guarantees of indebtedness by the Company or any affiliate of the Company to or
for the benefit of any of the officers or directors of the Company or any affiliate of the Company or any of their respective family
members.

 

2.41         Stamp
Taxes. There are no stamp or other issuance or transfer taxes or duties or other similar fees or charges required to be paid
in connection with the execution and delivery of this Agreement or the issuance or sale of the Purchased Securities pursuant to
this Agreement.

 

2.42         Compliance
with Health Care Laws.

 

(a)          “Health
Care Programs” means all third-party private payor programs and health benefit programs that are sponsored by a Governmental
Authority in which the Company or any of its Subsidiaries participate, whether pursuant to one or more contracts with the applicable
Governmental Authority or otherwise, including state Medicaid programs, Medicare, the TRICARE program and Medicare Advantage.

 

(b)          “Health
Care Laws” means Applicable Laws relating to: (i) the licensure, certification, qualification or authority to transact
business in connection with the payment for, or arrangement of durable medical equipment, respiratory care services, pharmacy-related
services, pharmacy management services, and the administration and coordination of health benefits; (ii) health care or insurance
fraud or abuse, including the following statutes: the Federal anti-kickback law (42 U.S.C. § 1320a-7b), the Stark laws (42
U.S.C. § 1395nn), the Federal False Claims Act (31 U.S.C. §§ 3729, et seq.), the Federal Civil Monetary Penalties
Law (42 U.S.C. § 1320a-7a), the Federal Program Fraud Civil Remedies Act (31 U.S.C. § 3801 et seq.) and the Federal Health
Care Fraud Law (18 U.S.C. § 1347); (iii) the provision of administrative, management or other services related
to any Health Care Programs, (iv) the Consolidated Omnibus Budget Reconciliation Act of 1985; (v) the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003; (vi) the Medicare Improvements for Patients and Providers Act of 2008; (vii)
the Health Insurance Portability and Accountability Act of 1996 (Pub. L. No. 104-191), as amended by the Health Information
Technology for Economic and Clinical Health Act (Pub. L. No. 111-5) and their implementing regulations (collectively, “HIPAA”);
and (viii) the Patient Protection and Affordable Care Act (Pub. L. 111-148) as amended by the Health Care and Education
Reconciliation Act of 2010 (Pub. L. 111-152) (collectively, “ACA”).

 

    	-14-

    	 

    

 

(c)          Other
than as set forth on Schedule 2.42(c), the Company and each of its Subsidiaries are and at all times since January 1, 2012
have been in compliance with all Health Care Laws, other than noncompliance which would not result in a Material Adverse Effect.
Other than as set forth on Schedule 2.42(c), there is no claim or Proceeding, pending or, to the Knowledge of the Company,
threatened against the Company or any of its Subsidiaries alleging any failure to comply with Health Care Laws. Sections 2.42(d)
through 2.42(m) shall not limit the generality of this Section 2.42(c).

 

(d)          The
Company and its Subsidiaries hold all material permits and accreditations that are required under applicable Health Care Laws in
connection with the conduct, ownership, use, occupancy or operation of their respective businesses or assets (the “Health
Care Permits”) as currently conducted. The Company and each of its Subsidiaries are in compliance with all the terms
of the Health Care Permits, except as would not result in a Material Adverse Effect. No consent, approval, order or authorization
of, or registration, declaration or filing with, or notice to, any Governmental Authority or other Person is required to be obtained
or made by or with respect to the Health Care Permits in connection with the consummation of the transactions contemplated hereby.

 

(e)          With
respect to participation in Health Care Programs, the Company and each of the Subsidiaries of the Company currently meet all the
requirements for participation in, and receipt of payment from, the Government Sponsored Health Care Programs in which the Company
or such Subsidiary currently participates, other than as would not result in a Material Adverse Effect.

 

(f)          Neither
the Company nor any of its Subsidiaries, nor any director, executive officer or other employee of the Company or any of its Subsidiaries,
(i) has been assessed a civil monetary penalty under Section 1128A of the Social Security Act, (ii) has been excluded
from participation in any Health Care Programs, (iii) has been convicted of any criminal offense relating to the delivery
of any item or service under any Health Care Program or (iv) has been or is a party to or subject to any claim or Proceeding
concerning any of the matters described in the foregoing clauses (i) through (iii).

 

(g)          All
individuals who are employed by Company or any its Subsidiaries and currently provide, and, to the Knowledge of the Company, all
individuals who have been employed by the Company since January 1, 2012 have provided, on behalf of or, to the Company or any of
its Subsidiaries, any professional services that require any certification or license pursuant to applicable Health Care Laws (each,
a “Licensed Professional”) have been duly licensed or certified, as applicable, to practice his or her profession
in each applicable jurisdiction during the applicable time period such individuals were providing such services to or on behalf
of the Company or any of its Subsidiaries, except as would not result in a Material Adverse Effect. To the Knowledge of the Company,
no event has occurred and no fact, circumstance, or condition exists that has or would reasonably be expected to result in the
denial, loss, revocation, or rescission of or to any professional license or specialist certification except as would not result
in a Material Adverse Effect.

 

(h)          To
the Knowledge of the Company, no Licensed Professional has been sanctioned, excluded, or disciplined by any Governmental Authority,
professional society, hospital, or third-party payor except as would not result in a Material Adverse Effect.

 

    	-15-

    	 

    

 

 

(i)          There
is no pending or, to the Knowledge of the Company, threatened Proceeding alleging that the businesses of the Company or its Subsidiaries
has violated any Applicable Laws regarding (i) the organization or ownership of persons that employ Licensed Professionals, (ii)
the manner in which the Licensed Professionals may split or share with non-Licensed Professionals fees generated from the provision
of professional services, or (iii) the unlicensed practice of pharmacy.

 

(j)          The
Company and its Subsidiaries are and have at all times since January 1, 2012 been in compliance with all HIPAA and state laws governing
the privacy and security of health-related medical information or personal information and any “business associate”
agreement entered into by the Company and/or any of its Subsidiaries, except as would not have a Material Adverse Effect.
The Company and its Subsidiaries have in place plans, policies, and procedures (collectively, “HIPAA Policies and Procedures”)
designed to comply with HIPAA. The Company and its Subsidiaries have provided Investors with complete copies of all HIPAA Policies
and Procedures currently in place. Neither the Company nor any of its Subsidiaries has received notice of, and there is no pending
or, to the Knowledge of the Company, threatened, Proceeding with respect to any alleged “breach” as defined in 45 C.F.R.
§ 164.402 or any other violation of HIPAA by the Company or any of its Subsidiaries.

 

(k)          Except
as set forth on Schedule 2.42(j), neither the Company nor any of its Subsidiaries is a party to any agreement or settlement
with any Governmental Authority with respect to any actual or alleged violation of any Health Care Law. The Company and its Subsidiaries
are not a party to, or otherwise bound by, a corporate integrity agreement with the Office of Inspector General of the U.S. Department
of Health and Human Services or any similar agreement with any Governmental Authority with respect to any applicable Health Care
Laws. The Company and its Subsidiaries have not been requested to enter into, and the Company and its Subsidiaries are not in the
process of negotiating, any such agreement.

 

(l)          The
Company and its Subsidiaries have not made and are not in the process of making a voluntary self-disclosure under the Medicare
self-referral disclosure protocol established by the Secretary of the U.S. Department of Health and Human Services pursuant to
Section 6409 of ACA, or under the self-disclosure protocol established and maintained by the Office of Inspector General of the
U.S. Department of Health and Human Services, or any United States Attorney or other Governmental Authority with respect to any
applicable Health Care Laws. The Company and its Subsidiaries are not currently considering any such self-disclosure, and to the
Knowledge of the Company, the Company and its Subsidiaries do not have an obligation to make any such self-disclosure in lieu of
repayment under section 6402(a) of ACA.

 

(m)          The
Company and its Subsidiaries have in place plans, policies and procedures designed to comply with applicable Health Care Laws.

 

2.43         No
Contract Terminations. Neither the Company nor any of the Subsidiaries has sent or received any communication regarding termination
of, or intent not to renew, any of the material contracts or agreements referred to or described in the Company Disclosure Package,
and no such termination or non-renewal has been threatened by the Company or any of the Subsidiaries or, to the Company’s
Knowledge, any other party to any such contract or agreement, which threat of termination or non-renewal has not been rescinded
as of the date hereof.

 

    	-16-

    	 

    

 

2.44         Certificates.
Each certificate signed by any officer of the Company or any of the Subsidiaries, delivered to the Investors shall be deemed a
representation and warranty by the Company or any such Subsidiary (and not individually by such officer) to the Investors with
respect to the matters covered thereby.

 

Article
3

 

REPRESENTATIONS OF THE INVESTORS

 

Each Investor, severally
and not jointly, represents to the Company as follows:

 

3.1           Existence
and Good Standing; Authority. Such Investor is validly existing and in good standing under the laws of the state of its formation
and has all requisite power and authority to carry on its business as now conducted.

 

3.2           Authorization
of Agreement; Enforceability. This Agreement has been duly and validly authorized, executed and delivered by such Investor.
This Agreement is valid, binding and enforceable against such Investor in accordance with its terms, subject to (i) bankruptcy,
insolvency, reorganization, receivership, moratorium, fraudulent conveyance, fraudulent transfer or other similar laws now or hereafter
in effect relating to creditors’ rights generally, (ii) general principles of equity (whether applied by a court of
law or equity) and the discretion of the court before which any proceeding therefor may be brought and (iii) with respect
to the rights to indemnity or contribution hereunder, federal and state securities laws and public policy considerations.

 

3.3           Accredited
Investor. Such Investor is an “accredited investor” as that term is defined in Regulation D promulgated under the
Securities Act.

 

3.4           No
Disqualification Event. Such Investor is not, or to the extent it has them, any of its shareholders, members, managers, general
partners, directors, or executive officers are not, subject to any Disqualification Event set forth in Rule 506(d) under the Securities
Act. Such Investor confirms that it has exercised reasonable care to determine whether it or any of the aforementioned persons
are subject to a Disqualification Event. The purchase of the Purchased Securities by such Investor will not subject the Company
to any Disqualification Event. Such Investor shall notify the Company immediately in writing of the occurrence of any Disqualification
Event that has not previously been disclosure to the Company.

 

3.5           Information;
Knowledge of Business. Such Investor is familiar with the business in which the Company is engaged. Such Investor has knowledge
and experience in financial and business matters; is familiar with the investments of the type that it is undertaking to purchase;
is fully aware of the problems and risks involved in making an investment of this type; and is capable of evaluating the merits
and risks of this investment. Such Investor acknowledges that, prior to executing this Agreement, it (and each of its representatives)
has had the opportunity to ask questions of and receive answers or obtain additional information from a representative of the Company
concerning the financial and other affairs of the Company.

 

    	-17-

    	 

    

 

3.6           Investment
Intent. Such Investor is acquiring the Purchased Securities in the ordinary course of its business and for its own account,
with the intention of holding such shares for investment purposes and with no present intention of participating, directly or indirectly,
in a distribution of such shares in violation of applicable securities laws.

 

3.7           No
Manipulation or Stabilization of Price. Such Investor has not taken and will not take, directly or indirectly, any action designed
to, or that would constitute or that might reasonably be expected to, cause or result in, under the Exchange Act or otherwise,
stabilization or manipulation of the price of any security of the Company in order to facilitate the sale or resale of any securities
of the Company, and such Investor is not aware of any such action taken or to be taken by any person.

 

3.8           Compliance
with Securities Laws. Such Investor will not, directly or indirectly, offer, sell, pledge, transfer or otherwise dispose of
(or solicit any offers to buy, purchase or otherwise acquire or take a pledge of) any of the Purchased Securities except in compliance
with the Securities Act, and the rules and regulations promulgated thereunder, and such Investor acknowledges that certificates
representing such the Purchased Securities shall bear the following legend:

 

THE SECURITIES REPRESENTED
BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”), AND MAY NOT
BE OFFERED, SOLD, TRANSFERRED, PLEDGED OR HYPOTHECATED WITHOUT AN EFFECTIVE REGISTRATION STATEMENT FOR SUCH SECURITIES UNDER THE
ACT, AN OPINION OF COUNSEL SATISFACTORY TO THE CORPORATION THAT REGISTRATION IS NOT REQUIRED UNDER THE ACT OR UNLESS SUCH OFFER,
SALE, TRANSFER OR HYPOTHECATION IS IN COMPLIANCE WITH THE REQUIREMENTS OF RULE 144 PROMULGATED UNDER THE ACT.

 

3.9           Reliance
on Own Investigation. Such Investor has conducted its own independent review and analysis of the business, assets, condition,
operations and prospects of the Company. In entering into this Agreement, such Investor has relied solely upon its own investigation
and analysis, and the Investor acknowledges that, except for the representations and warranties of the Company expressly set forth
in Article 2, none of the Company or its subsidiaries nor any of their respective representatives makes any representation
or warranty, either express or implied, as to the accuracy or completeness of any of the information provided or made available
to the Investor or any of its representatives. Without limiting the generality of the foregoing, none of the Company or its subsidiaries
nor any of their respective representatives or any other person has made a representation or warranty to such Investor with respect
to (a) projections, estimates or budgets for the Company or its subsidiaries or (b) except as expressly and specifically covered
by a representation or warranty set forth in Article 2, any material, documents or information relating to the Company or
its subsidiaries made available to such Investor or its representative in any “data room” (electronic or otherwise),
confidential memorandum or otherwise.

 

    	-18-

    	 

    

 

3.10         Placement
Agent. Such Investor understands that the placement agent (“Placement Agent”) engaged by the Company has
acted solely as the agent of the Company in this placement of the Securities and such Investor has not relied on the business or
legal advice of the Placement Agent or any of its agents, counsel or affiliates in making its investment decision hereunder, and
confirms that none of such persons has made any representations or warranties to such Investor in connection with the transactions
contemplated by the Transaction Documents.

 

3.11         Share
Ownership. As of the date of this Agreement, neither such Investor nor any of its “Affiliates” (as defined in Rule 405
of the Securities Act) owns, directly or indirectly, beneficially (as such term is used in Rule 13d-3 promulgated under the Exchange
Act) or of record, any capital stock or other securities of the Company or any options, warrants or other rights to acquire capital
stock or other securities of, or any other economic interest (through derivative securities or otherwise) in, the Company except
pursuant to this Agreement.

 

Article
4

 

CONDITIONS TO CLOSING

 

4.1           Conditions
to Obligations of the Investors for Closing. The Investors acknowledge that the following conditions have been satisfied, or
have been waived on or before Closing:

 

(a)          Series
A Certificate. The Series A Certificate shall have been filed with and accepted by the Secretary of State of the State of Delaware
and shall have become effective.

 

(b)          Registration
Rights Agreement. The Company shall have executed and delivered to the Investors the Registration Rights Agreement, in the
form attached hereto as Exhibit D.

 

(c)          Warrant
Agreement. The Company shall have executed and delivered to the Investors the Warrant Agreement and related Warrant Certificates,
in the form attached hereto as Exhibit B.

 

(d)          Required
Consents. All consents, approvals and other actions of, and notices and filings with, all Governmental Authorities and other
third parties, as may be necessary or required under law or any contract to which the Company is a party with respect to the execution
and delivery by the parties of the Transaction Documents and the consummation by the parties of the transactions contemplated thereby,
shall have been obtained or made, except for any filings, consents and approvals required under any federal or state securities
laws required to be made following Closing.

 

(e)          Authorizing
Actions of the Company. The Investors shall have received certified copies of all requisite corporate actions taken by the
Company to authorize the Company’s execution and delivery of the Transaction Documents to which it is a party and its consummation
of the transactions contemplated thereby, and such other documents and other instruments as the Investors or their counsel may
reasonably request.

 

    	-19-

    	 

    

 

(f)          Opinion
of Counsel. The Investors shall have received from Polsinelli PC, counsel to the Company, a legal opinion, dated as of the
Closing Date and in the form attached hereto as Exhibit C.

 

4.2           Conditions
to Obligations of the Company for Closing. The Company acknowledges that the following conditions have been satisfied, or have
been waived on or before Closing:

 

(a)          Compliance
with Covenants. The Investors shall have performed and complied in all material respects with all agreements and covenants
contained in the Transaction Documents as of the Closing Date.

 

(b)          Required
Consents. All consents, approvals and other actions of, and notices and filings with, all Governmental Authorities as may be
necessary or required with respect to the execution and delivery by the parties of the Transaction Documents and the consummation
by the parties of the transactions contemplated thereby, shall have been obtained or made, including all filings, consents and
approvals required under any state securities laws.

 

Article
5

 

COVENANTS

 

5.1           Access
to Records. From the date hereof until the Purchased Securities are converted, redeemed, exercised or repurchased in full in
accordance with the Series A Certificate, the Warrant, or this Agreement, upon the prior written request of any Investor, subject
to the execution by such Investor of a confidentiality agreement in form and substance reasonably acceptable to the Company (it
being understood that if the Investor has already signed a confidentiality agreement with the Company, an agreement on substantially
identical terms shall be acceptable), and during reasonable hours and in a manner so as not to interfere with normal business operations
of the Company and its subsidiaries, the Company and its subsidiaries shall afford to such Investor and its authorized employees,
counsel, accountants and other representatives (it being understood that such information shall not be provided to any Investor
other than the Investor requesting such information), (i) full access at the Company’s and its subsidiaries’ offices
and to true and correct copies of all documents, reports financial data and other information, and (ii) an opportunity to
interview, consult with and advise any officer or director, representative, accountant, and other advisor of the Company or any
of its subsidiaries regarding the Company’s or such subsidiary’s affairs.

 

5.2           Financial
Reporting. The Company agrees and covenants to remain in full compliance in all material respects with, the reporting requirements
of Section 13 and Section 15(d), as applicable, of the Exchange Act. From the date hereof until the Purchased Securities
are converted, redeemed, exercised or repurchased in accordance with the Series A Certificate, the Warrant or this Agreement, if
at any time the Company is no longer subject to the reporting requirements of Section 13 and Section 15(d), as applicable,
of the Exchange Act, the Company shall deliver to the Investors the following: (a) all quarterly and annual reports that would
be required to be filed with the SEC on Forms 10-Q and 10-K if the Company were required to file such reports; and (b) all
current reports that would be required to be filed with the SEC on Form 8-K if the Company were required to file such reports.
All such reports will be prepared in all material respects in accordance with all of the rules and regulations applicable to such
reports. Each annual report on Form 10-K will include a report on the Company’s consolidated financial statements by
the Company’s independent registered public accounting firm.

 

    	-20-

    	 

    

 

5.3           Tax
Matters. For so long as any Preferred Shares remain outstanding, the Company will not (i) treat dividends in arrears with
respect to Preferred Shares as constructively paid or received for U.S. federal income purposes if such dividends were not
declared or paid or issue a Form 1099 with respect to such dividends in arrears, or (ii) treat the Preferred Shares as
other than capital stock for U.S. federal income tax purposes; provided that (A) there shall not have been a change in the
Applicable Law that otherwise requires the treatment contemplated in Section 5.3(i) or 5.3(ii), or (B) the Company shall not be
subject to any action by the Internal Revenue Service (“IRS”) challenging the treatment of the Preferred Shares contemplated
in Section 5.3(i) or 5.3(ii).  Prior to any change to the treatment of dividends by the Company in response to an action contemplated
in Section 5.3(B), the Company shall make commercially reasonable efforts to challenge or shall make commercially reasonably efforts
to assist with a challenge by a holder of Preferred Shares or its affiliates. The IRS action so long as the Investors assume responsibility
for any and all Company cost, fees (including attorney’s fees) and expenses associated with any such challenge.

 

5.4           NASDAQ
Listing. After Closing, the Company shall use its commercially reasonable efforts to list all of the Common Stock into which
the Series A Preferred Stock is convertible on NASDAQ.

 

5.5           Use
of Proceeds. The Company agrees and covenants that it will use at least seventy-five percent (75%) of the net proceeds from
the offering of the Preferred Shares pursuant to the terms of this Agreement for the repayment of outstanding indebtedness under
the Existing Indebtedness Agreements, and intends to use the remaining net proceeds for general corporate purposes.

 

5.6           Asset
Sales. Unless otherwise agreed to by the Investors in writing and subject in all respects to the terms of the Existing Indebtedness
Agreements, the Company agrees and covenants that it will use the “Net Proceeds” from any “Asset Sale”
identified on Schedule 5.6 and/or the “Net Cash Proceeds” from a “Prepayment Event” (each as defined
in the Credit Facility) for the repayment of the Company’s then-outstanding indebtedness.

 

5.7           Stockholder
Approvals. The Company shall use its commercially reasonable efforts to obtain Stockholder Approvals as required by the listing
standards of NASDAQ.

 

5.8           Rights
Offering. Within 180 days of the date hereof, the Company shall have the right to commence and consummate a rights offering
to holders of Common Stock of the Company (without over-allotment options or backstop purchasers) to purchase up to 200,000 shares
of Series A Preferred Stock and related Warrants as a unit in the same proportions as offered hereby to the Investors. The
Investors shall not have a right to participate in any rights offering contemplated in this Section 5.8.

 

    	-21-

    	 

    

 

5.9           HSR
Filing.

 

(a)          If
approval of the Transactions under the Hart-Scott Rodino Antitrust Improvements Act of 1976, as amended (the “HSR Act”)
is required to allow the Investors to exercise any Warrants, then, upon written notice of the Investors to the Company of any Investor’s
intent to exercise such Warrants, the parties hereto shall (i) prepare and file any notification and report form and related material
required or may be required under the HSR Act as promptly as practicable following the date the Company receives such written notice
from the Investors (provided that such filing shall be made within fifteen (15) business days of receipt of such notice) and thereafter
to respond as promptly as practicable to any request for additional information or documentary material that may be made under
the HSR Act and (ii) use their reasonable best efforts to take such actions as are necessary or advisable to obtain prompt approval
of the consummation of the Transactions or expiration of applicable waiting periods under the HSR Act.

 

(b)          Any
filing fees associated with the filings pursuant to the HSR Act that are contemplated in this Section 5.9 shall be borne by both
the Company and the Investors, with each of the Company and the Investors responsible for fifty percent (50%) of such expenses.

 

5.10         Survival.
Irrespective of any investigation, inquiry or examination made by, for or on behalf of the Investors, or the acceptance by the
Investors of any certificate or opinion, the representations and warranties contained herein shall survive Closing for a period
not to exceed 24 months and the covenants set forth herein shall survive until the earlier of the (1) full satisfaction of the
obligations under the covenant or (2) the date in which all the Purchased Securities have been converted, redeemed, exercised or
repurchased in full in accordance with the Series A Certificate, the Warrant, or this Agreement. This Section 5.10 shall
not limit any covenant or agreement of the Parties to this Agreement which, by its terms, expressly contemplates performance after
such 24-month period.

 

    	-22-

    	 

    

 

Article
6

 

INDEMNIFICATION

 

6.1           The
Company shall indemnify, defend and hold the Investors and their Affiliates and each officer, director, member, partner, Affiliate,
employee, agent and representative of the Investors (collectively, “Investor Indemnitees”) harmless against
all liability, loss, and damage (including taxes thereon) together with all reasonable and properly documented costs and expenses
related thereto (including reasonable and properly documented legal fees and expenses), relating to or arising from: (i) any
breach of any of the representations, warranties, covenants or agreements of the Company contained in the Transaction Documents,
and (ii) the execution or delivery of any Transaction Document or any other agreement or instrument contemplated hereby or
thereby, the performance by the parties to the Transaction Documents of their respective obligations thereunder or the consummation
of the transactions contemplated hereby or thereby, except to the extent that any such losses, claims, damages, expenses and liabilities
are attributable to the gross negligence, willful misconduct or fraud of such Investor Indemnitee and Affiliates and each officer,
director, member, partner, Affiliate, employee, agent and representative of the Investor Indemnitee. In the event that any Investor
Indemnitee claims any such right of indemnification, such Investor Indemnitee shall provide to the Company written notice thereof,
together with reasonable detail regarding such claims and in the event that such claim involves third party claims, allow the Company
at its expense to defend such claim(s) on the Investor Indemnitee’s behalf. The Company shall promptly reimburse each Investor
Indemnitee for any reasonable and properly documented legal and any other necessary expenses incurred by such Investor Indemnitee
in connection with investigating and defending any such expense, loss, judgment, claim, damage, liability or action, but only to
the extent incurred prior to the assumption by the Company of the defense thereof. Any reimbursement by the Company under this
Section 6.1 shall be within sixty (60) days, provided that any individual expense in excess of $10,000 shall require the
Company’s prior approval.  Notwithstanding the foregoing, the Company reserves the right to withhold approval where
in the good faith judgment of the Company, the expenses are not reasonable or properly documented.  The Company agrees that
it will not, without the Investor Indemnitee’s prior written consent, settle or compromise any claim or consent to entry
of any judgment in respect thereof in any pending or threatened action, suit, claim or proceeding in respect of which indemnification
has been sought hereunder unless such settlement or compromise includes an unconditional release of such Investor Indemnitee from
all liability arising out of such action, suit, claim or proceeding. The obligations of the Company under this Article 6
shall survive Closing and the transfer, conversion, exchange or redemption of any Series A Preferred Stock. Notwithstanding anything
contained in the Transaction Documents to the contrary, the Company shall not be liable to any Investor Indemnitee for any consequential,
incidental, indirect, special, exemplary or punitive damages of such Investor Indemnitee relating to any matters for which indemnification
is provided for under this Article 6, other than any such damages arising from a claim of a third party. Except for fraud,
the provisions of this Article 6 are intended to and shall provide for the exclusive monetary remedy for any and all Investor
Indemnitees for the matters for which an Investor Indemnitee may be indemnified under this Article 6 following Closing.

 

6.2           Each
Investor shall, severally, not jointly, indemnify, defend and hold the Company and their Affiliates and each officer, director,
member, partner, Affiliate, employee, agent and representative of the Company (collectively, “Company Indemnitees”)
harmless against all liability, loss, and damage (including taxes thereon) together with all reasonable and properly documented
costs and expenses related thereto (including reasonable and properly documented legal fees and expenses), relating to or arising
from any breach of any of the representations, warranties, covenants or agreements of the Investors contained in the Transaction
Documents. In the event that any Company Indemnitee claims any such right of indemnification, such Company Indemnitee shall provide
to such Investor written notice thereof, together with reasonable detail regarding such claims and in the event that such claim
involves third party claims, allow such Investor at its expense to defend such claim(s) on the Company Indemnitee’s behalf.
Such Investor shall promptly reimburse the Company Indemnitee for any reasonable and properly documented legal and any other necessary
expenses incurred by the Company Indemnitee in connection with investigating and defending any such expense, loss, judgment, claim,
damage, liability or action, but only to the extent incurred prior to the assumption by such Investor of the defense thereof. Any
reimbursement by the Investor under this Section 6.2 shall be within sixty (60) days, provided that any individual expense
in excess of $10,000 shall require such Investor’s prior approval.  Notwithstanding the foregoing, such Investor reserves
the right to withhold approval where in the good faith judgment of such Investor, the expenses are not reasonable or properly documented. 
The Company agrees that it will not, without the Company Indemnitee’s prior written consent, settle or compromise any claim
or consent to entry of any judgment in respect thereof in any pending or threatened action, suit, claim or proceeding in respect
of which indemnification has been sought hereunder unless such settlement or compromise includes an unconditional release of such
Company Indemnitee from all liability arising out of such action, suit, claim or proceeding. The obligations of such Investor under
this Article 6 shall survive Closing and the transfer, conversion, exchange or redemption of any Series A Preferred Stock.
Notwithstanding anything contained in the Transaction Documents to the contrary, such Investor shall not be liable to any Company
Indemnitee for any consequential, incidental, indirect, special, exemplary or punitive damages of such Company Indemnitee relating
to any matters for which indemnification is provided for under this Article 6, other than any such damages arising from
a claim of a third party. Except for fraud, the provisions of this Article 6 are intended to and shall provide for the exclusive
monetary remedy for any and all Company Indemnitees for the matters for which a Company Indemnitee may be indemnified under this
Article 6 following Closing.

 

    	-23-

    	 

    

 

Article
7

 

MISCELLANEOUS

 

7.1           Construction.
Unless the context of this Agreement otherwise requires, (a) words of any gender are deemed to include the other gender; (b) words
using the singular or plural number also include the plural or singular number, respectively; (c) the terms “hereof,”
“herein,” “hereby,” “hereto” and derivative or similar words refer to this Agreement as a whole
and not to any particular provision; (d) the terms “Article,” “Section,” “Schedule” and
“Exhibit” refer to the specified Article or Section of or Schedule or Exhibit to this Agreement; (f) the term
“including” and other forms of such term, with respect to any matter or thing, mean “including but not limited
to” such matter or thing; (g) the term “control” shall include, without limitation, the possession, directly
or indirectly, of the power to direct the management and policies of a person, whether through the ownership of voting securities,
by contract or otherwise; (h) all references to “dollars” or “$” refer to currency of the United States
of America; and (i) when calculating the period of time within or following which any act is to be done, any notice is to
be given or any other action is to be taken, the date which is the reference date in such period shall be excluded and if the last
day of such period is not a business day, then such period shall end on the next succeeding day that is a business day.

 

7.2           Fees
and Expenses. Each of the Company, on the one hand, and the Investors, on the other hand, shall pay all of their respective
expenses incurred in connection with the preparation, execution and delivery of the Transaction Documents and the consummation
of the transactions contemplated thereby; provided, however, that the Company shall pay, and hold the Investors, their Affiliates
and each of their representatives harmless against all liability for the payment of (i)  the reasonable and properly
documented fees and charges of Paul Hastings LLP, counsel to the Investors, up to a maximum amount of $125,000 that are incurred
in connection with the consummation of the transactions contemplated thereby, including the preparation, execution and delivery
of the Transaction Documents and (ii) any stamp or similar taxes which may be determined to be payable in connection with the execution
and delivery and performance of any Transaction Document or any modification, amendment or alteration of any Transaction Document,
and all issue taxes in respect of the issuance of any Purchased Securities. At Closing, the Company shall pay or reimburse the
Investors pursuant to this Section 7.2 for the reasonable and properly documented fees and charges of Paul Hastings
LLP, which shall be fulfilled at Closing by permitting the Investors to deduct such fees and charges from the proceeds payable
by the Investors to the Company and to wire such amounts directly to Paul Hastings LLP at Closing.

 

    	-24-

    	 

    

 

7.3           Assignment;
Parties in Interest. This Agreement shall bind and inure to the benefit of the parties and each of their respective successors
and permitted assigns. The Company may not assign either this Agreement or any of its rights, interests, or obligations hereunder.
Each Investor may assign any of its rights, interests or obligations hereunder, either prior to or following the Closing; provided,
however, that the transferee agrees to be bound by, and entitled to the benefits of, this Agreement as an original party hereto.
In the event that such Investor shall assign only a portion of its rights pursuant to this Agreement, or assign its rights pursuant
to this Agreement in connection with the transfer of less than all of its shares of Series A Preferred Stock, such Investor shall
also retain its rights with respect to its remaining shares of Series A Preferred Stock.

 

7.4           Entire
Agreement; Severability. This Agreement contains the entire understanding of the parties with respect to the subject matter
hereof and supersedes all prior agreements and understandings among the parties with respect to such subject matter. It is the
desire and intent of the parties that the provisions of this Agreement be enforced to the fullest extent permissible under the
law and public policies applied in each jurisdiction in which enforcement is sought. Accordingly, in the event that any provision
of this Agreement would be held in any jurisdiction to be invalid, prohibited or unenforceable for any reason, such provision,
as to such jurisdiction, shall be ineffective, without invalidating the remaining provisions of this Agreement or affecting the
validity or enforceability of such provision in any other jurisdiction. Notwithstanding the foregoing, if such provision could
be more narrowly drawn so as not be invalid, prohibited or unenforceable in such jurisdiction, it shall, as to such jurisdiction,
be so narrowly drawn, without invalidating the remaining provisions of this Agreement or affecting the validity or enforceability
of such provision in any other jurisdiction.

 

7.5           No
Third-Party Beneficiaries. This Agreement is intended for the benefit of the parties hereto
and their respective successors and permitted assigns and is not for the benefit of, nor may any provision hereof be enforced by,
any other Person, except the Placement Agent is an intended third party beneficiary of Article 3 hereof and the Investor
Indemnitees and Company Indemnitees are intended third party beneficiaries of Article 6 hereof.

 

7.6           Notices.
All notices, claims, certificates, requests, demands and other communications hereunder shall be in writing and shall be deemed
to have been duly given if personally delivered or if sent by nationally-recognized overnight courier, or by registered or certified
mail, return receipt requested and postage prepaid, addressed as follows:

 

if to the Company:

 

BioScrip, Inc.

 

    	-25-

    	 

    

 

100 Clearbrook Road

Elmsford, New York 10523

Attention: Richard M. Smith, President and CEO

  

with a copy to:

 

Polsinelli PC

100 S. Fourth Street, Suite 1000

St. Louis, MO 63102

Attention: Mark H. Goran

 

if to the Investors

 

Coliseum Capital Management, LLC

One Station Place, 7th Floor South

Stamford, CT 06902

Attention: Christopher Shackelton;

 

with a copy to:

 

Paul Hastings LLP

75 East 55th Street

New York, NY 10022

Attention: Barry A. Brooks

 

or to such other address as the party to whom
notice is to be given may have furnished to the other parties in writing in accordance herewith. Any such notice or communication
shall be deemed to have been received (a) in the case of personal delivery, on the date of such delivery if a business day
or, if not a business day, the next succeeding business day, (b) in the case of nationally-recognized overnight courier, on
the next business day after the date when sent, and (c) in the case of registered or certified mail, return receipt requested
and postage prepaid, on the third business day after the date when sent.

 

7.7           Amendments;
Waivers. The terms and provisions of this Agreement may only be modified or amended pursuant to an instrument signed by the
Company and the Investors. Any waiver of any term or provision of this Agreement requested by any party hereto must be granted
in advance, in writing, by the Company (if an Investor is requesting such waiver) or by the holders of at least a majority of the
Preferred Shares outstanding at the time of such waiver (if the Company is requesting such waiver), as the case may be.

 

7.8           Counterparts.
This Agreement may be executed in any number of original or facsimile counterparts, and each such counterpart shall be deemed to
be an original instrument, but all such counterparts together shall constitute but one agreement. Any such counterpart may be delivered
by facsimile, “pdf” or other form of electronic transmission and such delivery shall be deemed to be the physical delivery
of a manually executed counterpart.

 

    	-26-

    	 

    

 

7.9           Headings.
The section and paragraph headings contained in this Agreement are for reference purposes only and shall not affect in any way
the meaning or interpretation of this Agreement.

 

7.10         Governing
Law; Consent to Jurisdiction and Venue; Waiver of Jury Trial. This Agreement shall be governed by and construed in accordance
with the laws of the State of New York, without giving effect to any law or rule that would cause the laws of any jurisdiction
other than the State of New York to be applied. ANY PROCEEDING AGAINST THE PARTIES RELATING IN ANY WAY TO THIS AGREEMENT SHALL
BE BROUGHT AND ENFORCED IN THE COURTS OF THE STATE OF NEW YORK SITTING IN THE BOROUGH OF MANHATTAN IN THE CITY OF NEW YORK OR THE
UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK, TO THE EXTENT SUBJECT MATTER JURISDICTION EXISTS THEREFOR,
AND THE PARTIES IRREVOCABLY SUBMIT TO THE JURISDICTION OF BOTH SUCH COURTS IN RESPECT OF ANY SUCH PROCEEDING. EACH OF THE PARTIES
IRREVOCABLY WAIVE, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION THAT THEY MAY NOW OR HEREAFTER HAVE TO THE LAYING OF VENUE
OF ANY SUCH PROCEEDING IN THE COURTS OF THE STATE OF NEW YORK LOCATED IN NEW YORK COUNTY OR THE SOUTHERN DISTRICT OF NEW YORK AND
ANY CLAIM THAT ANY SUCH PROCEEDING BROUGHT IN ANY SUCH COURT HAS BEEN BROUGHT IN ANY INCONVENIENT FORUM. ANY JUDGMENT MAY BE ENTERED
IN ANY COURT HAVING JURISDICTION THEREOF. EACH OF THE PARTIES HERETO HEREBY IRREVOCABLY WAIVES ALL RIGHT TO TRIAL BY JURY IN ANY
PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT.

 

7.11         No
Investor Joint and Several Liability. No Investor shall have any Liability or obligation of any nature whatsoever in connection
with or under this Agreement or the Transaction Documents or the transactions contemplated thereby with respect to Liabilities
or obligations of other Investors hereunder, and there shall be no joint and several liability among the Investors. Without limiting
the generality of the foregoing, the Company’s agreement with each Investor is a separate agreement, the sale of Purchased
Securities to each Investor is a separate sale, and no Investor shall have any obligation to purchase any Purchased Securities
not purchased by another Investor.

 

[Remainder of page intentionally left blank;
signatures on next succeeding page.]

 

    	-27-

    	 

    

 

IN WITNESS WHEREOF, the
parties have executed and delivered this Securities Purchase Agreement on the date first above written.

 

	 	BIOSCRIP, INC.
	 	 	 
	 	By: 	                           
	 	Name:
	 	Title:
	 	 	 
	 	COLISEUM CAPITAL PARTNERS, L.P.
	 	 	 
	 	By:	                            
	 	Name:
	 	Title:
	 	 	 
	 	COLISEUM CAPITAL PARTNERS II, L.P.
	 	 	 
	 	By: 	                           
	 	Name:
	 	Title:
	 	 	 
	 	BLACKWELL PARTNERS, LLC, SERIES A
	 	By:  Coliseum Capital Management, LLC,
	 	Attorney-in-fact
	 	By: 	                           
	 	 	Name:
	 	 	Title: Manager

 

    	 

    	 

    

 

INDEX OF DEFINED TERMS

 

	ACA	Section 2.42(b)
	Affiliates	Section 2.28
	Agreement	Preamble
	Applicable Agreement	Section 2.14
	Applicable Law	Section 2.14
	Auditor 8-K	Section 2.7
	Charter Documents	Section 2.14
	Closing	Section 1.4
	Closing Date	Section 1.4
	Code	Section 2.22
	Common Stock	Recitals
	Company	Preamble
	Company Disclosure Package	Section 2.1
	Company Indemnitees	Section 6.2
	Credit Facility	Section 2.3
	Debt Repayment Triggering Event	Section 2.15
	Environmental Laws	Section 2.24
	ERISA	Section 2.22
	ERISA Affiliate	Section 2.22
	Exchange Act	Section 2.1
	Existing Indebtedness Agreements	Section 2.3
	FCPA	Section 2.37
	GAAP	Section 2.5
	Governmental Authority	Section 2.14
	Health Care Laws	Section 2.42(b)
	Health Care Permits	Section 2.42(d)
	Health Care Programs	Section 2.42(a)
	HIPAA	Section 2.42(b)
	HIPAA Policies and Procedures	Section 2.42(l)
	Intellectual Property	Section 2.21
	Investment Company Act	Section 2.32
	Investor	Preamble
	Investor Indemnitees	Section 6.1
	Investor’s Allocation	Section 1.2
	Investors	Preamble
	Knowledge	Section 2.4
	Licensed Professional	Section 2.42(h)
	Liens	Section 2.2
	Material Adverse Change	Section 2.8
	Material Adverse Effect	Section 2.11
	Money Laundering Laws	Section 2.38
	NASDAQ	Section 1.1
	OFAC	Section 2.39
	Offering	Recitals
	Per Share Purchase Price	Section 1.3
	Permits	Section 2.18
	Permitted Liens	Section 2.3
	Placement Agent	Section 3.10
	Preferred Shares	Recitals
	Preferred Stock	Section 2.2
	Proceedings	Section 2.17
	Purchase Price	Section 1.3
	Purchased Securities	Section 1.1
	SEC	Section 2.5
	Securities Act	Section 2.4
	Senior Notes Indenture	Section 2.3
	Series A Certificate	Recitals
	Series A Preferred Stock	Recitals
	Solvent	Section 2.27
	Subsidiaries	Section 2.10
	Tax	Section 2.20
	Taxes	Section 2.20
	Transaction Documents	Recitals
	Transactions	Section 2.2
	Use of Proceeds	Recitals
	Warrant Agreement	Recitals
	Warrant Shares	Recitals
	Warrants	Recitals

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