Document:

Exhibit 10.2

 

EXECUTION COPY

 

AMENDED AND RESTATED GUARANTY

 

THIS AMENDED AND RESTATED GUARANTY (as the same may be amended, restated, supplemented or otherwise modified from time to time, the “Guaranty”) is made and entered into as of December 5, 2016, by and among (i) each of the SUBSIDIARY GUARANTORS identified as such on the signature pages to this Guaranty (together with any additional Subsidiaries of the Borrower which become parties to this Guaranty by executing a supplement hereto in the form attached as Annex I, the “Guarantors”), and (ii) JPMORGAN CHASE BANK, N.A., acting as Administrative Agent (“Administrative Agent”), for the benefit of the SECURED PARTIES (as defined in that certain Amended and Restated Credit Agreement dated as of the date hereof (as amended, restated, supplemented or otherwise modified from time to time, the “Credit Agreement”; certain capitalized terms used in this Guaranty have the meanings assigned to such terms in the Credit Agreement unless expressly otherwise defined in this Guaranty and are incorporated by reference herein)) entered into among ALMOST FAMILY, INC., a Delaware corporation (“Borrower”), the Administrative Agent and the Lenders from time to time party thereto.

 

WHEREAS, the Credit Agreement amends and restates in its entirety the Existing Credit Agreement (as defined in the Credit Agreement), providing that the Lenders have severally agreed to make the Commitment for Loans and Letters of Credit and other financial accommodations to or for the account of the Borrower upon the terms and subject to the conditions set forth in the Credit Agreement and, among other things, re-evidences the Borrower’s outstanding obligations under the Credit Agreement.

 

WHEREAS, certain of the Guarantors executed and delivered that certain Guaranty dated as of December 2, 2010 (as previously amended, restated, supplemented or otherwise modified, the “Existing Guaranty”);

 

WHEREAS, each Guarantor party to the Existing Guaranty wishes to affirm its obligations under the terms of the Existing Guaranty and to amend and restate the terms of the Existing Guaranty;

 

WHEREAS, it is a condition precedent to the extensions of credit by the Lenders under the Credit Agreement that each of the Guarantors execute and deliver this Guaranty, whereby each of the Guarantors, without limitation and with full recourse, shall guarantee the payment when due of all Secured Obligations, including, without limitation, all principal, interest, letter of credit reimbursement obligations and other amounts that shall be at any time payable by the Borrower under the Credit Agreement or the other Loan Documents; and

 

WHEREAS, in consideration of the direct and indirect financial and other support that the Borrower has provided, and such direct and indirect financial and other support as the Borrower may in the future provide, to the Guarantors, and in order to induce the Lenders and the Administrative Agent to enter into the Credit Agreement, each of the Guarantors is willing to guarantee the Secured Obligations under the Credit Agreement and the other Loan Documents;

 

 

NOW THEREFORE, in consideration of the premises contained herein and for good and valuable consideration, the receipt and legal sufficiency of which is hereby acknowledged, the parties hereto agree as follows:

 

SECTION 1.                            Reaffirmation and Guaranty.  Each Guarantor party to the Existing Guaranty affirms its obligations under and the terms and conditions of the Existing Guaranty and agrees that such obligations remain in full force and effect and are hereby ratified, reaffirmed and confirmed.  Each Guarantor party to the Existing Guaranty acknowledges and agrees with the Administrative Agent that the Existing Guaranty is amended, restated, and superseded in its entirety pursuant to the terms hereof.  Furthermore, each of the Guarantors, for themselves and their respective successors and assigns, hereby absolutely, irrevocably and unconditionally guarantees, jointly and severally with the other Guarantors, the full and punctual payment and performance when due (whether at stated maturity, upon acceleration or otherwise) of the Secured Obligations, including, without limitation, (i) the principal of and interest on each Loan made to the Borrower pursuant to the Credit Agreement, (ii) obligations owing under or in connection with Letters of Credit, (iii) all other amounts payable by the Borrower or any Subsidiary under the Credit Agreement and the other Loan Documents, and including, without limitation, all Swap Obligations and Banking Services Obligations and (iv) the punctual and faithful performance, keeping, observance, and fulfillment by the Borrower of all of the agreements, conditions, covenants, and obligations of the Borrower contained in the Loan Documents (all of the foregoing being referred to collectively as the “Guaranteed Obligations”; provided, however, that the definition of “Guaranteed Obligations” shall not create any guarantee by any Guarantor of (or grant of security interest by any Guarantor to support, as applicable) any Excluded Swap Obligations of such Guarantor for purposes of determining any obligations of any Guarantor).  Upon the failure by the Borrower, or any of its Affiliates, as applicable, to pay punctually any such amount or perform such obligation, subject to any applicable grace or notice and cure period, each of the Guarantors agrees that it shall forthwith on demand pay such amount or perform such obligation at the place and in the manner specified in the Credit Agreement or the relevant other Loan Document, as the case may be.

 

SECTION 2.                            Continuing Guarantee.  Each of the Guarantors’ obligations hereunder shall constitute a continuing and irrevocable guarantee of all Guaranteed Obligations now or hereafter existing and shall remain in full force and effect until all Guaranteed Obligations shall have been paid in full in cash (other than Unliquidated Obligations that have not yet arisen) and the Commitments and all Letters of Credit issued under the Credit Agreement shall have terminated or expired or, in the case of all Letters of Credit, are fully collateralized on terms reasonably acceptable to the Administrative Agent, at which time, subject to all the foregoing conditions, the guarantees made hereunder shall automatically terminate.  The liability of Guarantors under this Guaranty shall continue, notwithstanding the payment in full of the Guaranteed Obligations, if any payment made on the Guaranteed Obligations (including any amount payable by the Borrower or any other party under the Credit Agreement, any Swap Agreement, any Banking Services Agreement or any other Loan Document) is rescinded, must otherwise be restored or returned upon the insolvency, bankruptcy or reorganization of the Borrower, or is subsequently recovered from Lenders under any federal, state or other bankruptcy, insolvency or similar law, each of the Guarantors’ obligations hereunder with respect to such payment shall be reinstated as though such payment had been due but not made at such time. The Secured Parties shall have the right of immediate recourse against the Guarantors for full and

 

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immediate payment of the Guaranteed Obligations guaranteed at any time after the Guaranteed Obligations, or any part thereof, have not been paid in full according to the tenor and under the terms of the instruments governing such Guaranteed Obligations, whether on demand, at fixed maturity, or maturity accelerated by reason of a default (each reference in this Guaranty to rights and entitlements of the Secured Parties and actions or omissions of the Secured Parties in connection with the enforcement of this Guaranty shall be construed to include rights, entitlements, acts and omissions of the Administrative Agent acting on behalf of the Secured Parties pursuant to the Credit Agreement, whether or not expressly so indicated).

 

SECTION 3.                            Guaranty Absolute.  Each of the Guarantors hereby agrees that this Guaranty is an absolute, irrevocable and unconditional guaranty of payment and is not a guaranty of collection, and Guarantors therefore agree that neither the Administrative Agent nor the Secured Parties shall be obligated prior to or as a condition to seeking recourse against or receiving payment from Guarantors, to do any of the following (although Secured Parties may do so, in whole or in part, at their sole option), all of which are hereby unconditionally waived by each of the Guarantors.

 

A.                                    take any steps whatsoever to collect from the Borrower or to file a claim of any kind against the Borrower; or

 

B.                                    take any steps whatsoever to foreclose, realize on or deal in any manner with the Collateral; or

 

C.                                    in any other respect exercise any diligence whatever in collecting or attempting to collect any of the Guaranteed Obligations by any means.

 

SECTION 4.                            Guaranty Unconditional.  The liability of each of the Guarantors for payment of the Guaranteed Obligations hereunder shall be absolute and unconditional, and nothing whatever except actual full payment to the Secured Parties of all the Guaranteed Obligations shall operate to discharge any Guarantor’s liability. Accordingly, each Guarantor unconditionally and irrevocably waives each and every defense which, under principles of guarantee or suretyship law, would otherwise operate to impair or diminish the liability such Guarantor. Without limiting the generality of the foregoing, each Guarantor agrees that none of the following shall diminish or impair the liability of such Guarantor in any respect (all of which may be done without notice to any Guarantor of any kind):

 

A.                                    any extensions or renewals (regardless of the duration of such renewal term) of any of the Guaranteed Obligations, or any modifications, indulgences, adjustments, forbearances, waivers, compromises, settlements, or variations of, with regard to, affecting or in connection with the interest rate, times of payment of principal or interest, or any of the other terms of any of the Guaranteed Obligations or of any agreement (including the Credit Agreement, any Swap Agreement, any Banking Services Agreement or any other Loan Document) entered into with the Borrower, any Guarantor or any other Person liable or having granted Collateral for or otherwise having entered into an agreement in connection with any part of the Guaranteed Obligations;

 

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B.                                    the voluntary or involuntary discharge or release of any of the Guaranteed Obligations, or of any Person liable therefor, by reason of bankruptcy or insolvency laws or otherwise;

 

C.                                    the acceptance or release, with or without substitution, by Administrative Agent of any Collateral or other guaranty, or Collateral for such other guaranty, or any settlement, compromise or extension with respect to any Collateral, other guaranty or Collateral security for such other guaranty;

 

D.                                    the invalidity, illegality or unenforceability of all or any part of the Guaranteed Obligations, or any document or agreement executed in connection with the Guaranteed Obligations, for any reason whatsoever, including without limitation the fact that (i) the act of creating the Guaranteed Obligations or any part thereof is or was ultra vires, (ii) the officers or representatives executing the documents or otherwise creating the Guaranteed Obligations acted in excess of their authority, (iii) the Borrower has valid defenses, claims or offsets (whether at law, in equity or by agreement) which render the Guaranteed Obligations wholly or partially uncollectible, (iv) the creation, performance or repayment of the Guaranteed Obligations (or the execution, delivery and performance of any document or instrument representing part of the Guaranteed Obligations or executed in connection with the Guaranteed Obligations, or given to secure the repayment of the Guaranteed Obligations) is illegal, uncollectible, legally impossible or unenforceable, or (v) the documents or instruments pertaining to the Guaranteed Obligations have been forged or otherwise are irregular or not genuine or authentic;

 

E.                                     any full or partial release of the liability of the Borrower with respect to the Guaranteed Obligations or any part thereof, of any Guarantor or any guarantors now or hereafter that are not parties to this Guaranty, or any other Person now or hereafter liable, whether directly or indirectly, jointly, severally, or jointly and severally, to pay, perform, guarantee or assure the payment of the Guaranteed Obligations or any part thereof;

 

F.                                      any surrender, exchange, deterioration, waste, loss or impairment (including without limitation negligent, willful, unreasonable or unjustifiable impairment) of any Collateral;

 

G.                                    the fact that any Collateral or Lien contemplated or intended to be given, created or granted as security for the repayment of the Guaranteed Obligations shall not be properly perfected or created, or shall prove to be unenforceable or subordinate to any other security interest or lien (even if due to any failure on the part of the Administrative Agent or any other Secured Party to take any steps to perfect or maintain any security interest in, or to preserve any rights to, any security or collateral for the Guaranteed Obligations);

 

H.                                   the application or allocation by the Administrative Agent or any other Secured Party of payments, collections or credits on any portion of the Guaranteed Obligations regardless of what portion of the Guaranteed Obligations remains unpaid;

 

I.                                        the creation of any new Guaranteed Obligations covered by this Guaranty or renewal of any existing Guaranteed Obligations;

 

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J.                                        the making of a demand, or absence of demand, for payment of the Guaranteed Obligations or giving, or failing to give, any notice of dishonor or protest or any other notice;

 

K.                                    the voluntary or involuntary subordination by any Secured Party of its claim(s) with regard to the Guaranteed Obligations or any collateral security for the Guaranteed Obligations;

 

L.                                     disclosure by any Secured Party or the failure of any Secured Party to disclose to any Guarantor any information regarding the Borrower or any other guarantor of the Guaranteed Obligations;

 

M.                                 the failure of any other Subsidiary to sign or become party to this Guaranty or any amendment, change, or reaffirmation hereof;

 

N.                                    any change in the Borrower or the relationship of any Guarantor to the Borrower or any other guarantor of the Guaranteed Obligations; or

 

O.                                    any lack of diligence by any Secured Party in collecting or attempting to collect any of the Guaranteed Obligations or attempting to realize upon the value of any Collateral.

 

SECTION 5.                            General Waivers.  Each Guarantor unconditionally and irrevocably, knowingly, and expressly waives:

 

A.                                    any acceptance or notice of acceptance of this Guaranty, presentment, demand or action on delinquency, protest, and the benefit of any statutes of limitations;

 

B.                                    any rights to assert against the Administrative Agent and the other Secured Parties any defense (legal or equitable), set-off, counterclaim, or claim which such Guarantor may now or at any time hereafter have against the other Guarantors or any other party liable to the Administrative Agent and the other Secured Parties;

 

C.                                    any defense, set-off, counterclaim, or claim, of any kind or nature, arising directly or indirectly from the present or future lack of perfection, sufficiency, validity, or enforceability of the Guaranteed Obligations or any security therefore against the Administrative Agent or any other Secured Party which would impair the Administrative Agent or such Secured Party’s rights against any Guarantor hereunder;

 

D.                                    any and all rights of subrogation, reimbursement, indemnity, contribution, recourse or other recovery against the Borrower to the extent any of the same would impair the Administrative Agent or any Secured Party’s rights against the Borrower or the Collateral; and

 

E.                                     to the maximum extent permitted by law, any notice, which Guarantor may be otherwise entitled at law or in equity, not provided for herein or under the other Loan Documents.

 

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SECTION 6.                            Subordination of Subrogation; Subordination of Intercompany Indebtedness.

 

A.                                    Until the Guaranteed Obligations have been fully and finally performed and indefeasibly paid in full in cash (other than the Unliquidated Obligations), the Guarantors (i) shall have no right of subrogation with respect to such Guaranteed Obligations and (ii) waive any right to enforce any remedy which the the Issuing Bank or any other Secured Party now have or may hereafter have against the Borrower, any endorser or any guarantor of all or any part of the Guaranteed Obligations or any other Person, and until such time the Guarantors waive any benefit of, and any right to participate in, any security or collateral given to the Secured Parties, the Issuing Bank and the Administrative Agent to secure the payment or performance of all or any part of the Guaranteed Obligations or any other liability of the Borrower to the Administrative Agent, the Issuing Bank or any other Secured Party.  Should any Guarantor have the right, notwithstanding the foregoing, to exercise its subrogation rights, each Guarantor hereby expressly and irrevocably (x) subordinates any and all rights at law or in equity to subrogation, reimbursement, exoneration, contribution, indemnification or setoff that such Guarantor may have to the payment in full in cash of the Guaranteed Obligations until the Guaranteed Obligations are indefeasibly paid in full in cash (other than Unliquidated Obligations) and (B) waives any and all defenses available to a surety, guarantor or accommodation co-obligor until the Guaranteed Obligations are indefeasibly paid in full in cash (other than Unliquidated Obligations that have not yet arisen).  Each Guarantor acknowledges and agrees that this subordination is intended to benefit the Administrative Agent and the other Secured Parties and shall not limit or otherwise affect such Guarantor’s liability hereunder or the enforceability of this Guaranty, and that the Administrative Agent, the other Secured Parties and their respective successors and assigns are intended third party beneficiaries of the waivers and agreements set forth in this Section 6(A).

 

B.                                    Each Guarantor agrees that any and all claims of such Guarantor against the Borrower or any other Guarantor hereunder (each an “Obligor”) with respect to any Intercompany Indebtedness (as hereinafter defined), any endorser, obligor or any other guarantor of all or any part of the Guaranteed Obligations, or against any of its properties shall be subordinate and subject in right of payment to the prior payment, in full and in cash, of all Guaranteed Obligations; provided that, as long as no Event of Default has occurred and is continuing, such Guarantor may receive payments of principal and interest from any Obligor with respect to Intercompany Indebtedness.  Notwithstanding any right of any Guarantor to ask, demand, sue for, take or receive any payment from any Obligor, all rights, liens and security interests of such Guarantor, whether now or hereafter arising and howsoever existing, in any assets of any other Obligor shall be and are subordinated to the rights of the Secured Parties and the Administrative Agent in those assets. No Guarantor shall have any right to possession of any such asset or to foreclose upon any such asset, whether by judicial action or otherwise, unless and until all Guaranteed Obligations shall have been fully paid and satisfied (in cash) and all financing arrangements pursuant to any Loan Document, an Swap Agreement or any Banking Services Agreement have been terminated.  If all or any part of the assets of any Obligor, or the proceeds thereof, are subject to any distribution, division or application to the creditors of such Obligor, whether partial or complete, voluntary or involuntary, and whether by reason of liquidation,

 

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bankruptcy, arrangement, receivership, assignment for the benefit of creditors or any other action or proceeding, or if the business of any such Obligor is dissolved or if substantially all of the assets of any such Obligor are sold, then, and in any such event (such events being herein referred to as an “Insolvency Event”), any payment or distribution of any kind or character, either in cash, securities or other property, which shall be payable or deliverable upon or with respect to any indebtedness of any Obligor to any Guarantor (“Intercompany Indebtedness”) shall be paid or delivered directly to the Administrative Agent for application on any of the Guaranteed Obligations, due or to become due, until such Guaranteed Obligations shall have first been fully paid and satisfied (in cash).  Should any payment, distribution, security or instrument or proceeds thereof be received by the applicable Guarantor upon or with respect to the Intercompany Indebtedness after any Insolvency Event and prior to the satisfaction of all of the Guaranteed Obligations and the termination of all financing arrangements pursuant to any Loan Document among the Borrower and the Secured Parties, such Guarantor shall receive and hold the same in trust, as trustee, for the benefit of the Secured Parties and shall forthwith deliver the same to the Administrative Agent, for the benefit of the Secured Parties, in precisely the form received (except for the endorsement or assignment of such Guarantor where necessary), for application to any of the Guaranteed Obligations, due or not due, and, until so delivered, the same shall be held in trust by such Guarantor as the property of the Secured Parties.  If any such Guarantor fails to make any such endorsement or assignment to the Administrative Agent, the Administrative Agent or any of its officers or employees is irrevocably authorized to make the same.  Each Guarantor agrees that until the Guaranteed Obligations (other than Unliquidated Obligations) have been paid in full (in cash) and satisfied and all financing arrangements pursuant to any Loan Document among the Borrower and the Secured Parties have been terminated, no Guarantor will assign or transfer to any Person (other than the Administrative Agent) any claim any such Guarantor has or may have against any Obligor.

 

SECTION 7.                            Financial Information.  Each Guarantor confirms to the Administrative Agent and the other Secured Parties that such Guarantor independently and without any reliance upon any advice or information from the Administrative Agent or any other Secured Party in determining whether to enter into this Guaranty has investigated the operations, business and finances of the Borrower to such Guarantor’s satisfaction and has adequate means of assessing those factors in the future, and acknowledges and agrees that neither the Administrative Agent or any other Secured Party shall have any duty or obligation to advise such Guarantor or supply such Guarantor with any information whatsoever concerning the present or future financial condition or business or affairs of the Borrower.

 

SECTION 8.                            Limitation of Guaranty.  It is the intention of each Guarantor, the Administrative Agent, and the other Secured Parties that the amount of the Guaranteed Obligations guaranteed by each Guarantor pursuant to this Guaranty shall not be in excess of the maximum amount permitted by fraudulent conveyance, fraudulent transfer or similar laws applicable to such Guarantor. Accordingly, notwithstanding anything to the contrary contained in this Guaranty or any other agreement or instrument now or hereafter executed in connection with any of the Guaranteed Obligations, the amount of the Guaranteed Obligations guaranteed by each Guarantor by this Guaranty shall be limited to such amount which after giving effect thereto (i) would not render such Guarantor insolvent, (ii) would not result in the fair salable value of the assets of such

 

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Guarantor being less than the amount required to pay such Guarantor’s debts and other liabilities (including contingent liabilities) as they mature, or (iii) leave such Guarantor with unreasonably small capital to carry out Guarantor’s business as now conducted and as proposed to be conducted, including such Guarantor’s capital needs, as such concepts described in clauses (i), (ii) and (iii) of this paragraph are determined under applicable law, if the obligations of such Guarantor hereunder would otherwise be set aside, terminated, discharged, annulled or voided for such reason by a court of competent jurisdiction in a proceeding actually pending before such court. For purposes of this paragraph, the term “applicable law” means as to each Guarantor each statute, law, ordinance, regulation, order, judgment, injunction or decree of the United States or any state or commonwealth, any municipality, any foreign country, or any territory, possession or tribunal applicable to Guarantor.

 

Each Guarantor agrees that in the event of any bankruptcy, reorganization, winding up, or similar proceedings with respect to the Borrower, no limitation on the liability of the Borrower on any of the Guaranteed Obligations that may now or hereafter be imposed by any federal, state or other statute, law, regulation or judicial or administrative determination applicable to such proceedings shall in any way limit the obligation hereunder of such Guarantor, which obligation is co-extensive with the liability of the Borrower as set forth in the Guaranteed Obligations without regard to any such limitation. In the event any payment by the Borrower to the Administrative Agent or any other Secured Party is held to constitute a preference under the bankruptcy laws, or for any other reason the Administrative Agent or any other Secured Party is required to refund such payment or pay the amount thereof to any other party, such payment by the Administrative Agent or such other Secured Party to the Borrower shall not constitute a release of any Guarantor from any liability hereunder but such Guarantor agrees to pay such amount to the Administrative Agent or such other Secured Party, as applicable, upon demand.

 

SECTION 9.                            Representations and Warranties.  Each Guarantor represents and warrants to the Administrative Agent and the other Secured Parties that:

 

A.                                    The execution, delivery and performance by such Guarantor of this Guaranty (i) is authorized by all documents, agreements, and stipulations limiting the activities of Guarantor, (ii) does not require approval of any Governmental Authority, (iii) will not violate any provision of law, any order of any court or any Governmental Authority, or any indenture, agreement, or other instrument to which such Guarantor is a party or by which Guarantor or any of such Guarantor’s property is bound, (iv) will not be in conflict with, result in a breach of or constitute (with or without due notice and/or lapse of time) a default under any such indenture, agreement or other instrument, and (v) will not result in the creation or imposition of any Lien, charge or encumbrance of any nature whatsoever upon any of such Guarantor’s property or assets. This Guaranty constitutes the legal, valid and binding obligation of such Guarantor, enforceable against such Guarantor in accordance with its terms.

 

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B.                                    Except as otherwise may be disclosed pursuant to the Credit Agreement, there is no action, suit or proceeding pending, or to the knowledge of such Guarantor, threatened, against or affecting such Guarantor or involving the validity or enforceability of this Guaranty, including before or by any Governmental Authority, and such Guarantor is not in default with respect to any order, writ, judgment, decree or demand of any court or other Governmental Authority.

 

C.                                    Neither this Guaranty nor any certificate or other document furnished to the Administrative Agent or any other Secured Party by or on behalf of such Guarantor pursuant to any of the Guaranteed Obligations contains or will contain any untrue statement of a material fact or omits or will omit to state a material fact necessary in order to make the statements contained herein and therein not misleading. Except as otherwise may be disclosed pursuant to the Credit Agreement, there are no facts known to such Guarantor that, individually or in the aggregate, materially adversely affect or involve any substantial possibility of materially adversely affecting such Guarantor’s business condition or affairs, properties or assets considered as an entirety.

 

SECTION 10.                     Joint and Several Liability.  The liability of each Guarantor as to the Guaranteed Obligations guaranteed hereby shall be joint and several with any and each other Guarantor of all or any portion of the Guaranteed Obligations.

 

SECTION 11.                     Successors and Assigns.  This Guaranty shall inure to the benefit of Administrative Agent and the other Secured Parties and their respective successors and assigns, including each and every holder or owner of any of the Guaranteed Obligations guaranteed hereby (including the assignment of any amounts payable under the Credit Agreement, any Swap Agreement, any Banking Services Agreement or the other Loan Documents in accordance with the respective terms thereof), and this Guaranty shall be deemed a separate contract with each such holder and owner.  This Guaranty shall be binding upon each of the Guarantors and their respective successors and assigns.

 

SECTION 12.  Changes in Writing.  No amendment, modification or waiver of this Guaranty shall be deemed to be made by the Administrative Agent or any other Secured Party unless in a writing signed by the Administrative Agent, and any such amendment, modification or waiver shall be strictly construed. No waiver by Administrative Agent shall be construed or deemed to be a waiver of any other provision or condition of this Guaranty or a waiver of a subsequent breach of the same provision or condition, and no failure or delay by the Administrative Agent or any other Secured Party in exercising any right, power or privilege hereunder shall operate as a waiver thereof nor shall any single or partial exercise thereof preclude any other or further exercise thereof or the exercise of any other right, power or privilege.

 

SECTION 13.                     Taxes, Expenses of Enforcement, Etc.

 

A.                                    Taxes.

 

(i)                                     Each payment by any Guarantor hereunder or under any promissory note or application for a Letter of Credit shall be made without withholding for any Taxes,

 

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unless such withholding is required by any law. If any Guarantor determines, in its sole discretion exercised in good faith, that it is so required to withhold Taxes, then such Guarantor may so withhold and shall timely pay the full amount of withheld Taxes to the relevant Governmental Authority in accordance with applicable law. If such Taxes are Indemnified Taxes, then the amount payable by such Guarantor shall be increased as necessary so that, net of such withholding (including such withholding applicable to additional amounts payable under this Section), the applicable Recipient receives the amount it would have received had no such withholding been made.

 

(ii)                                  In addition, such Guarantor shall timely pay any Other Taxes to the relevant Governmental Authority in accordance with applicable law.

 

(iii)                               As soon as practicable after any payment of Indemnified Taxes by any Guarantor to a Governmental Authority, such Guarantor shall deliver to the Administrative Agent the original or a certified copy of a receipt issued by such Governmental Authority evidencing such payment, a copy of the return reporting such payment or other evidence of such payment reasonably satisfactory to the Administrative Agent.

 

(iv)                              The Guarantors shall jointly and severally indemnify each Recipient for any Indemnified Taxes that are paid or payable by such Recipient in connection with any Loan Document (including amounts payable under this Section 13(A)) and any reasonable expenses arising therefrom or with respect thereto, whether or not such Indemnified Taxes were correctly or legally imposed or asserted by the relevant Governmental Authority. The indemnity under this Section 13(A) shall be paid within ten (10) days after the Recipient delivers to any Guarantor a certificate stating the amount of any Indemnified Taxes so payable by such Recipient. Such certificate shall be conclusive of the amount so payable absent manifest error. Such Recipient shall deliver a copy of such certificate to the Administrative Agent. In the case of any Lender making a claim under this Section 13(A) on behalf of any of its beneficial owners, an indemnity payment under this Section 13(A) shall be due only to the extent that such Lender is able to establish that, with respect to the applicable Indemnified Taxes, such beneficial owners supplied to the applicable Persons such properly completed and executed documentation necessary to claim any applicable exemption from, or reduction of, such Indemnified Taxes.

 

(v)  By accepting the benefits hereof, each Lender agrees that it will comply with Section 2.17(f) of the Credit Agreement.

 

B.                                    Expenses of Enforcement, Etc.  The Guarantors agree to reimburse the Administrative Agent and the other Secured Parties for any reasonable costs and out-of-pocket expenses (including attorneys’ fees) paid or incurred by the Administrative Agent or any other Secured Party in connection with the collection and enforcement of amounts due under the Loan Documents, including without limitation this Guaranty.

 

SECTION 14.                     Severability.  The invalidity or unenforceability of any one or more provisions of this Guaranty shall not impair the validity and enforceability of any of the other provisions of this Guaranty.

 

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SECTION 15.                     Notices.  Each Guarantor irrevocably designates Borrower as the agent for such Guarantor for the purpose of receiving any notices, requests and other communications from Administrative Agent or any other Secured Party pursuant to this Guaranty and agrees that notices provided by Administrative Agent or any other Secured Party to the Borrower shall be effective as notice to such Guarantor if given in a manner stipulated by Section 9.01 of the Credit Agreement.

 

SECTION 16.                     Keepwell.  Each Qualified ECP Guarantor hereby jointly and severally absolutely, unconditionally and irrevocably undertakes to provide such funds or other support as may be needed from time to time by each other Loan Party to honor all of its obligations under this Guaranty or Article X of the Credit Agreement, as applicable, in respect of Specified Swap Obligations (provided, however, that each Qualified ECP Guarantor shall only be liable under this Section 16 for the maximum amount of such liability that can be hereby incurred without rendering its obligations under this Section 25 or otherwise under this Guaranty voidable under applicable law relating to fraudulent conveyance or fraudulent transfer, and not for any greater amount).  The obligations of each Qualified ECP Guarantor under this Section 16 shall remain in full force and effect until a discharge of such Qualified ECP Guarantor’s Guaranteed Obligations in accordance with the terms hereof and the other Loan Documents.  Each Qualified ECP Guarantor intends that this Section 16 constitute, and this Section 16 shall be deemed to constitute, a “keepwell, support, or other agreement” for the benefit of each other Guarantor for all purposes of Section 1a(18)(A)(v)(II) of the Commodity Exchange Act.  As used herein, “Qualified ECP Guarantor” means, in respect of any Specified Swap Obligation, each Guarantor that has total assets exceeding $10,000,000 at the time the relevant Guarantee or grant of the relevant security interest becomes or would become effective with respect to such Specified Swap Obligation or such other Person as constitutes an ECP and can cause another Person to qualify as an ECP at such time by entering into a keepwell under Section 1a(18)(A)(v)(II) of the Commodity Exchange Act.

 

SECTION 17.                     Counterparts and Effectiveness.  This Guaranty may be executed in counterparts (and by different parties hereto on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. Delivery of an executed counterpart of a signature page of this Guaranty by facsimile, e-mailed .pdf or any other electronic means that reproduces an image of the actual executed signature page shall be effective as delivery of a manually executed counterpart of this Guaranty. This Guaranty shall become effective when it shall have been executed by the Administrative Agent and when the Administrative Agent shall have received counterparts hereof which, when taken together, bear the signatures of each of the other parties hereto, and thereafter shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. The words “execution,” “signed,” “signature,” “delivery,” and words of like import in or relating to any document to be signed in connection with this Guaranty and the transactions contemplated hereby shall be deemed to include Electronic Signatures, deliveries or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature, physical delivery thereof or the use of a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any other similar state laws based on the Uniform Electronic Transactions Act; provided that nothing herein shall require the Administrative Agent to accept electronic signatures in any form or format without its prior written consent.

 

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SECTION 18.                     Governing Law.  This Guaranty was negotiated in the Commonwealth of Kentucky and delivered by Guarantors and accepted by Administrative Agent for the benefit of itself and the ratable benefit of the Secured Parties in the Commonwealth of Kentucky, and proceeds of the Guaranteed Obligations have been and/or will be disbursed from the Commonwealth of Kentucky, which state each Guarantor, Administrative Agent and the other Secured Parties agree has a substantial relationship to such Guarantor, Administrative Agent and the other Secured Parties, as applicable, and to the underlying transaction in connection with which this Guaranty is delivered. This Guaranty, including matters of construction, validity and performance, and the obligations arising hereunder, shall be construed in accordance with and otherwise governed in all respects by the laws of the Commonwealth of Kentucky applicable to contracts made and performed in such state and any applicable law of the United States of America, and no defense given or allowed by the laws of any other state or country shall be interposed in any action hereon unless such defense is also given or allowed by the laws of the Commonwealth of Kentucky.

 

This Guaranty supplements and is in addition to any other guaranties given by any Guarantor and any other Persons, respectively, of the Guaranteed Obligations, and shall not be deemed to be in substitution for nor otherwise impair in any manner the enforceability of such other guaranties against any Guarantor or any such other Person.

 

SECTION 19.                  Consent to Jurisdiction and Venue.  Each Guarantor hereby irrevocably consents to the jurisdiction of any state or federal court located within the County of Jefferson, Commonwealth of Kentucky in connection with any action or proceeding pertaining to this Guaranty or the Guaranteed Obligations, and irrevocably agrees that, subject to Administrative Agent’s sole and absolute election, any actions relating to the Guaranteed Obligations shall be litigated in such courts, and each Guarantor waives any objection that such Guarantor may have based on improper venue or forum non conveniens to the conduct of any proceeding in any such court. Nothing contained in this paragraph shall affect the right of Administrative Agent or any Secured Party to bring any action or proceeding against any Guarantor or any Guarantor’s property in the courts of any other jurisdiction.

 

SECTION 20.                  WAIVER OF TRIAL BY JURY.  THE ADMINISTRATIVE AGENT AND THE GUARANTORS ACKNOWLEDGE THAT THE TIME AND EXPENSE REQUIRED FOR TRIAL BY JURY EXCEED THE TIME AND EXPENSE REQUIRED FOR A BENCH TRIAL AND HEREBY KNOWINGLY, VOLUNTARILY, UNCONDITIONALLY. AND IRREVOCABLY WAIVE, TO THE FULLEST EXTENT PERMITTED BY LAW, AND AFTER HAVING CONSULTED OR HAVING HAD AMPLE OPPORTUNITY TO CONSULT THEIR RESPECTIVE LEGAL COUNSEL CONCERNING THE CONSEQUENCES OF SUCH WAIVER, TRIAL BY JURY IN ANY ACTION OR OTHER PROCEEDING (WHETHER BASED ON CONTRACT, TORT OR OTHERWISE) BROUGHT TO ENFORCE OR DEFEND AGAINST COLLECTION OF OR OTHERWISE IN CONNECTION WITH THIS GUARANTY OR THE OTHER LOAN DOCUMENTS.

 

SECTION 21.                  Limitation of Guaranty.  For purposes of Kentucky Revised Statute 371.065, the maximum aggregate liability of each Guarantor under this Guaranty

 

12

 

is $500,000,000.00, exclusive of interest, fees, charges, costs, Swap Obligations, Banking Services Obligations and reasonable attorneys’ fees (but this Guaranty will continue until the Guarantor has paid such maximum aggregate liability, and any interest, fees, charges, costs and fees for which such Guarantor is liable hereunder, or until (i) all of the Guaranteed Obligations have been indefeasibly paid in full and all Commitments have been terminated or (ii) this Guaranty terminated by Administrative Agent, whichever first occurs, and this Guaranty will so continue irrespective of the aggregate amount of Guarantor’s obligations and whether or not such obligations from time to time exceed such maximum aggregate liability).  This Guaranty will terminate on December 5, 2022, but such termination will not affect the liability of the undersigned for Guaranteed Obligations incurred or created prior to such date, or extensions or renewals of interest accruing on, or fees or expenses incurred with respect to, such Guaranteed Obligations on or after such date.

 

<the balance of this page intentionally has been left blank>

 

13

 

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

 

“Guarantors”

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
1
    	
ADULT   DAY CARE OF AMERICA, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
2
    	
AFAM   MERGER, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
3
    	
CAMBRIDGE   HOME HEALTH CARE, INC., an Ohio corporation
    
	
 
    	
 
    	
 
    
	
 
    	
4
    	
CAMBRIDGE   HOME HEALTH CARE, INC./PRIVATE, an Ohio corporation
    
	
 
    	
 
    	
 
    
	
 
    	
5
    	
CAMBRIDGE   HOME HEALTH CARE HOLDINGS, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
6
    	
CARETENDERS   OF CLEVELAND, INC., a Kentucky corporation
    
	
 
    	
 
    	
 
    
	
 
    	
7
    	
CARETENDERS   OF COLUMBUS, INC., a Kentucky corporation
    
	
 
    	
 
    	
 
    
	
 
    	
8
    	
CARETENDERS   VISITING SERVICES EMPLOYMENT COMPANY, INC., a Kentucky corporation
    
	
 
    	
 
    	
 
    
	
 
    	
9
    	
NATIONAL   HEALTH INDUSTRIES, INC., a Kentucky corporation
    
	
 
    	
 
    	
 
    
	
 
    	
10
    	
OMNI   HOME HEALTH HOLDINGS, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
11
    	
PATIENT   CARE MEDICAL SERVICES, INC., a New Jersey corporation
    
	
 
    	
 
    	
 
    
	
 
    	
12
    	
PATIENT   CARE NEW JERSEY, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
13
    	
PATIENT   CARE PENNSYLVANIA, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
14
    	
PATIENT   CARE, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
15
    	
PRIORITY   CARE, INC., a Connecticut corporation
    
	
 
    	
 
    	
 
    
	
 
    	
16
    	
SUNCREST   HEALTHCARE, INC., a Georgia corporation
    
	
 
    	
 
    	
 
    
	
 
    	
17
    	
SUNCREST   HOME HEALTH OF AL, INC., an Alabama corporation
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
18
    	
SUNCREST   HOME HEALTH OF CLAIBORNE COUNTY, INC., a Tennessee corporation
    
	
 
    	
 
    	
 
    
	
 
    	
19
    	
SUNCREST   HOME HEALTH OF GEORGIA, INC., a Georgia corporation
    
	
 
    	
 
    	
 
    
	
 
    	
20
    	
SUNCREST   HOME HEALTH OF MANCHESTER, INC., a Tennessee corporation
    
	
 
    	
 
    	
 
    
	
 
    	
21
    	
SUNCREST   HOME HEALTH OF NASHVILLE, INC., a Tennessee corporation
    
	
 
    	
 
    	
 
    
	
 
    	
22
    	
SUNCREST   HOME HEALTH OF SOUTH GA, INC., a Georgia corporation
    
	
 
    	
 
    	
 
    
	
 
    	
23
    	
SUNCREST   LBL HOLDINGS, INC., a Tennessee corporation
    
	
 
    	
 
    	
 
    
	
 
    	
24
    	
SUNCREST   TELEHEALTH SERVICES, INC., a Tennessee corporation
    
	
 
    	
 
    	
 
    
	
 
    	
25
    	
TENNESSEE   NURSING SERVICES OF MORRISTOWN, INC., a Tennessee corporation
    
	
 
    	
 
    	
 
    
	
 
    	
26
    	
TRIGG   COUNTY HOME HEALTH, INC., a Kentucky corporation
    
	
 
    	
 
    	
 
    
	
 
    	
27
    	
AFAM   ACQUISITION LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
28
    	
ALMOST   FAMILY ACO SERVICES OF KENTUCKY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
29
    	
ALMOST   FAMILY ACO SERVICES OF SOUTH FLORIDA, LLC, a Florida limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
30
    	
ALMOST   FAMILY ACO SERVICES OF TENNESSEE, LLC, a Tennessee limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
31
    	
ALMOST   FAMILY PC OF FT. LAUDERDALE, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
32
    	
ALMOST   FAMILY PC OF KENTUCKY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
33
    	
ALMOST   FAMILY PC OF SW FLORIDA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
34
    	
ALMOST   FAMILY PC OF WEST PALM, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
35
    	
BGR   ACQUISITION, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
36
    	
CARETENDERS   OF JACKSONVILLE, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
37
    	
CARETENDERS   VISITING SERVICES OF DISTRICT 6 LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
38
    	
CARETENDERS   VISITING SERVICES OF DISTRICT 7 LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
39
    	
CARETENDERS   VISITING SERVICES OF GAINESVILLE, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
40
    	
CARETENDERS   VISITING SERVICES OF HERNANDO COUNTY, LLC, a Florida limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
41
    	
CARETENDERS   VISITING SERVICES OF KENTUCKIANA, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
42
    	
CARETENDERS   VISITING SERVICES OF COLUMBUS, LLC, an Ohio limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
43
    	
CARETENDERS   VISITING SERVICES OF OCALA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
44
    	
CARETENDERS   VISITING SERVICES OF ORLANDO, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
45
    	
CARETENDERS   VISITING SERVICES OF PINELLAS COUNTY, LLC, a Florida limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
46
    	
CARETENDERS   VISITING SERVICES OF SOUTHERN ILLINOIS, LLC, an Illinois limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
47
    	
CARETENDERS   VISITING SERVICES OF ST. AUGUSTINE, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
48
    	
CARETENDERS   VISITING SERVICES OF ST. LOUIS, LLC, a Missouri limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
49
    	
CARETENDERS   VNA OF OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
50
    	
CARETENDERS   VS OF BOSTON, LLC, a Massachusetts limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
51
    	
CARETENDERS   VS OF CENTRAL KY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
52
    	
CARETENDERS   VS OF LINCOLN TRAIL, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
53
    	
CARETENDERS   VS OF LOUISVILLE, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
54
    	
CARETENDERS   VS OF OHIO, LLC, an Ohio limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
55
    	
CARETENDERS   VS OF SE OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
56
    	
CARETENDERS   VS OF WESTERN KY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
57
    	
HOME   HEALTH AGENCY -CENTRAL PENNSYLVANIA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
58
    	
HOME   HEALTH AGENCY-BREVARD, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
59
    	
HOME   HEALTH AGENCY-BROWARD, Inc., a Florida corporation
    
	
 
    	
 
    	
 
    
	
 
    	
60
    	
HOME   HEALTH AGENCY -COLLIER, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
61
    	
HOME HEALTH   AGENCY -HILLSBOROUGH, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
62
    	
HOME   HEALTH AGENCY -ILLINOIS, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
63
    	
HOME   HEALTH AGENCY -INDIANA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
64
    	
HOME   HEALTH AGENCY - PALM BEACHES, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
65
    	
HOME   HEALTH AGENCY -PENNSYLVANIA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
66
    	
HOME   HEALTH AGENCY -PHILADELPHIA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
67
    	
HOME   HEALTH AGENCY -PINELLAS, LLC, a Florida limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
68
    	
IMPERIUM   HEALTH MANAGEMENT, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
69
    	
IN   HOMECARE NETWORK CENTRAL, LLC, an Indiana limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
70
    	
IN   HOMECARE NETWORK NORTH, LLC, an Indiana limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
71
    	
MEDERI   CARETENDERS VS OF SE FL, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
72
    	
MEDERI   CARETENDERS VS OF BROWARD, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
73
    	
MEDERI   CARETENDERS VS OF SW FL, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
74
    	
MEDERI   CARETENDERS VS OF TAMPA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
75
    	
OMNI   HOME HEALTH SERVICES, LLC, a Delaware limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
76
    	
OMNI   HOME HEALTH - DISTRICT 1, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
77
    	
OMNI   HOME HEALTH - DISTRICT 2, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
78
    	
OMNI   HOME HEALTH - DISTRICT 4, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
79
    	
OMNI   HOME HEALTH -HERNANDO, LLC, a Florida limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
80
    	
OMNI   HOME HEALTH - JACKSONVILLE, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
81
    	
OMNI HEALTH   MANAGEMENT, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
82
    	
PATIENT   CARE CONNECTICUT LLC, a Connecticut limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
83
    	
PRINCETON   HOME HEALTH, LLC, an Alabama limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
84
    	
SUNCREST   COMPANION SERVICES, LLC, a Tennessee limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
85
    	
SUNCREST   HEALTHCARE OF EAST TENNESSEE, LLC, a Tennessee limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
86
    	
SUNCREST   HEALTHCARE OF MIDDLE TN, LLC, a Tennessee limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
87
    	
SUNCREST   HEALTHCARE OF WEST TENNESSEE, LLC, a Tennessee limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
88
    	
SUNCREST   HOME HEALTH OF TAMPA, LLC, a Florida limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
89
    	
SUNCREST   HOME HEALTH OF MO, INC., a Missouri corporation
    
	
 
    	
 
    	
 
    
	
 
    	
90
    	
SUNCREST   HOME HEALTH OF NORTH CAROLINA, INC., a North Carolina corporation
    
	
 
    	
 
    	
 
    
	
 
    	
91
    	
SUNCREST   HOME HEALTH - SOUTHSIDE, LLC, a Georgia limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
92
    	
SUNCREST   OUTPATIENT REHAB SERVICES OF TN, LLC, a Tennessee limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
93
    	
SUNCREST   OUTPATIENT REHAB SERVICES, LLC, a Tennessee limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
94
    	
BRACOR, INC.,   a New York corporation
    
	
 
    	
 
    	
 
    
	
 
    	
95
    	
BHC   SERVICES, INC., a New York corporation
    
	
 
    	
 
    	
 
    
	
 
    	
96
    	
WESTERN   REGION HEALTH CORPORATION, a New York corporation
    
	
 
    	
 
    	
 
    
	
 
    	
97
    	
WILLCARE, INC.,   a New York corporation
    
	
 
    	
 
    	
 
    
	
 
    	
98
    	
PATIENT’S   CHOICE HOMECARE, LLC, a Connecticut limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
99
    	
CONNECTICUT   HOME HEALTH CARE, INCORPORATED, a Connecticut corporation
    
	
 
    	
 
    	
 
    
	
 
    	
100
    	
LITSON   CERTIFIED CARE, INC., a New York corporation
    
	
 
    	
 
    	
 
    
	
 
    	
101
    	
LITSON   HEALTH CARE, INC., a New York corporation
    
	
 
    	
 
    	
 
    
	
 
    	
102
    	
INGENIOS   HEALTH HOLDINGS, INC., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
103
    	
INGENIOS   HEALTH CO., a Delaware corporation
    
	
 
    	
 
    	
 
    
	
 
    	
104
    	
BLACK   STONE OPERATIONS, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
105
    	
BLACK   STONE OF CINCINNATI, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
106
    	
BLACK   STONE OF DAYTON, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
107
    	
BLACK   STONE OF CENTRAL OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
108
    	
BLACK   STONE OF NORTHWEST OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
109
    	
BLACKSTONE   GROUP, LLC, an Ohio limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
110
    	
BLACKSTONE   HEALTH CARE, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
111
    	
S&B   HEALTH CARE, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
112
    	
ADVANCED   GERIATRIC EDUCATION & CONSULTING, LLC, an Ohio limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
113
    	
BLACK   STONE OF NORTHEAST OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
114
    	
MJ   NURSING AT BLACK STONE, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
115
    	
CARE   ADVISORS BY BLACK STONE, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
116
    	
ASSISTED   CARE BY BLACK STONE OF CINCINNATI, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
117
    	
HOME   HEALTH CARE BY BLACK STONE OF CINCINNATI, LLC, an Ohio limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
118
    	
ASSISTED   CARE BY BLACK STONE OF DAYTON, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
119
    	
HOME   HEALTH CARE BY BLACK STONE OF DAYTON, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
120
    	
ASSISTED   CARE BY BLACK STONE OF CENTRAL OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
121
    	
HOME   HEALTH CARE BY BLACK STONE OF CENTRAL OHIO, LLC, an Ohio limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
122
    	
HOME   HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC, an Ohio limited liability   company
    
	
 
    	
 
    	
 
    
	
 
    	
123
    	
ASSISTED   CARE BY BLACK STONE OF NORTHWEST OHIO, LLC, an Ohio limited liability company
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
124
    	
PATIENT   CARE OF HUDSON COUNTY, LLC, a New Jersey limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
125
    	
LONG   TERM SOLUTIONS, INC., a Massachusetts corporation
    
	
 
    	
 
    	
 
    
	
 
    	
126
    	
HOME   HEALTH OF JEFFERSON CO, LLC, a Kentucky limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
127
    	
HHA   OF WISCONSIN, LLC, a Wisconsin limited liability company
    
	
 
    	
 
    	
 
    
	
 
    	
128
    	
PATIENT   CARE HHA, LLC, a Connecticut limited liability company
    

 

	
 
    	
By:
    	
/s/ C. Steven Guenthner
    
	
 
    	
 
    	
C. Steven Guenthner, as   President, Principal Financial Officer, Secretary and Treasurer of each   Subsidiary Guarantor designated as numbers 1-128 above
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

	
 
    	
Accepted on behalf of Secured   Parties by Administrative Agent
    
	
 
    	
 
    
	
 
    	
JPMORGAN CHASE BANK, N.A. 
    
	
 
    	
 
    	
 
    
	
 
    	
By
    	
/s/ Will Barry
    
	
 
    	
 
    	
Name: Will Barry
    
	
 
    	
 
    	
Title: Associate
    

 

[Signature Page to Amended and Restated Guaranty]

 

 

ANNEX I TO GUARANTY

 

Reference is hereby made to the Amended and Restated Guaranty (as the same may be amended, restated, supplemented or otherwise modified from time to time, the “Guaranty”) made as of December 2, 2016, made by each of the Subsidiaries of Almost Family, Inc., a Delaware corporation (the “Borrower”) listed on the signature pages thereto (each an “Initial Guarantor”, and together with any additional Subsidiaries which become parties to the Guaranty by executing Guaranty Supplements thereto substantially similar in form and substance hereto, the “Guarantors”) in favor of the Administrative Agent, for the ratable benefit of the Secured Parties, under the Credit Agreement.  Each capitalized term used herein and not defined herein shall have the meaning given to it in the Guaranty.  By its execution below, the undersigned [NAME OF NEW GUARANTOR], a [corporation] [partnership] [limited liability company], agrees to become, and does hereby become, a Guarantor under the Guaranty and agrees to be bound by such Guaranty as if originally a party thereto.  By its execution below, the undersigned represents and warrants as to itself that all of the representations and warranties contained in Section 8 of the Guaranty are true and correct in all respects as of the date hereof.

 

IN WITNESS WHEREOF, [NAME OF NEW GUARANTOR], a [corporation] [partnership] [limited liability company] has executed and delivered this Annex I counterpart to the Guaranty as of this            day of          , 20   .

 

	
 
    	
[NAME   OF NEW GUARANTOR]
    
	
 
    	
 
    
	
 
    	
By:
    	
 
    
	
 
    	
 
    	
Name:
    
	
 
    	
 
    	
Title:Exhibit 10.3

 

EXECUTION COPY

 

AMENDED AND RESTATED PLEDGE AGREEMENT

 

THIS AMENDED AND RESTATED PLEDGE AGREEMENT (as the same may be amended, restated, supplemented or otherwise modified from time to time, the “Agreement”), dated as of December 5, 2016, is made by ALMOST FAMILY, INC., a Delaware corporation (“Borrower”), the Subsidiaries of the Borrower listed on the signature pages hereto (together with the Borrower, the “Initial Pledgors,” and together with any additional Subsidiaries, whether now existing or hereafter formed or acquired which become parties to this Agreement by executing a Pledge Supplement hereto in substantially the form of Exhibit A, the “Pledgors” and each, a “Pledgor “) for the benefit of JPMORGAN CHASE BANK, N.A. acting as Administrative Agent (“Administrative Agent”) pursuant to the Amended and Restated Credit Agreement dated as of the date hereof (as amended, restated, supplemented or otherwise modified from time to time, the “Credit Agreement”; certain capitalized terms used in this Agreement have the meanings assigned to such terms in the Credit Agreement unless expressly otherwise defined in this Agreement and are incorporated by reference herein) entered into among Borrower, Administrative Agent, and the Lenders from time to time party thereto as defined in the Credit Agreement.

 

RECITALS:

 

A.                                    The Credit Agreement amends and restates in its entirety the Existing Credit Agreement (as defined in the Credit Agreement), providing that the Lenders have severally agreed to make the Commitment for Loans and Letters of Credit and other financial accommodations to or for the account of the Borrower upon the terms and subject to the conditions set forth in the Credit Agreement.

 

B.                                    As a condition to the effectiveness of the Existing Credit Agreement, certain of the Pledgors entered into the Pledge of Equity Interests, dated as of December 2, 2010, with the Administrative Agent (as previously amended, restated, supplemented or otherwise modified from time to time, the “Existing Pledge Agreement”).

 

C.                                    Each Pledgor party to the Existing Pledge Agreement wishes to affirm its obligations under the terms of the Existing Pledge Agreement, and each of the undersigned Pledgors wish to amend and restate the terms of the Existing Pledge Agreement.

 

D.                                    Lenders have required as one of the conditions to the effectiveness of the Credit Agreement that each Pledgor execute and deliver this Agreement to Administrative Agent for the benefit of itself and the ratable benefit of the Secured Parties.

 

NOW, THEREFORE, in consideration of the foregoing recitals and of the mutual covenants set forth in this Agreement and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, each of the Pledgors and the Administrative Agent hereby agree as follows:

 

1.                                      Reaffirmation and Pledge. Each Pledgor party to the Existing Pledge Agreement acknowledges and agrees with the Administrative Agent that the Existing Pledge Agreement is amended, restated and superseded in its entirety pursuant to the terms hereof.  Each Pledgor party to the Existing Pledge Agreement reaffirms its pledge and the security interest granted under the

 

 

terms and conditions of the Existing Pledge Agreement and agrees that such pledge and security interest (including, without limitation, any filings made in connection therewith) remain in full force and effect and are hereby ratified, reaffirmed and confirmed. In order to induce the Lenders to effect the Commitment, each Pledgor hereby grants a security interest in and pledges to the Administrative Agent, for the benefit of itself and for the ratable benefit of the Secured Parties, and as part of the Collateral (as defined below) to secure the prompt and complete payment and performance of the Secured Obligations, all of each such Pledgor’s right, title and interest in and to the following: (a) subject to the last sentence of this Section 1, all of those shares of the capital stock of the Subsidiaries described in Schedule I hereto evidenced by the certificate number(s) identified in Schedule I, (b) subject to the last sentence of this Section 1, all of the membership interest and all of the other right, title and interest of whatever nature including economic rights, control rights and member status, in each Subsidiary identified as one of the “Limited Liability Companies” on Schedule I hereto, (c) all security entitlements of each such Pledgor with respect thereto in each case, whether now owned or hereafter acquired, together with all additions, substitutions, replacements and proceeds and all income, interest, dividends and other distributions thereon, and (d) all additional shares or membership interests and the foregoing rights now owned or hereafter acquired by any Pledgor in any such Subsidiary (the “Collateral”).  Notwithstanding anything herein to the contrary contained in this Section 1, the amount of equity interests in any Foreign Subsidiary pledged or required to be pledged to the Administrative Agent hereunder or under any other Collateral Document shall be automatically limited to the voting stock of such Foreign Subsidiary representing not more than 65% of the total voting power of all outstanding voting stock of such Foreign Subsidiary (and the term “Collateral” shall not include any other equity interests of such Foreign Subsidiary).

 

2.                                      Representations and Warranties. Each Pledgor represents and warrants to the Administrative Agent as follows:

 

A.                                    Each Pledgor identified on Schedule I, as the owner of the Collateral listed thereon, is the legal and beneficial owner of the Collateral identified as being owned by such Pledgor, which in the case of Collateral evidenced by certificates is registered in the name of such Pledgor or a nominee.

 

B.                                    Each Pledgor has full power and authority to assign, pledge and grant the Collateral to Administrative Agent, for the benefit of itself and for the ratable benefit of the Secured Parties, pursuant to this Agreement and such grant does not violate any agreement binding upon Pledgor, or any federal, state or other laws or regulations, including any applicable to securities, or require any registration with, or consent or approval of, or other action by, any federal, state or other Governmental Authority or regulatory body.

 

C.                                    The Collateral is free and clear of any Liens, claims or restrictions of any kind, except (i) those established in favor of Administrative Agent by this Agreement and (ii) Liens permitted under Section 6.02 of the Credit Agreement.

 

D.                                    The pledge and grant of the security interest in the Collateral, together with the delivery to Administrative Agent of the certificates and stock powers evidencing ownership of shares of capital stock of those Subsidiaries that are corporations, and the filing of a UCC financing statement that includes in the description of the Collateral the membership interest of any

 

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Subsidiaries that are limited liability companies in the filing office required under applicable law to perfect the security interest in those membership interests, is effective to vest in the Administrative Agent a valid and perfected exclusive first priority security interest, superior to the rights of any other Person, in and to the Collateral and does not violate or contravene any provision of the articles of incorporation or bylaws or articles of organization or operating agreement or limited liability company agreement (collectively, “Organization Documents”) of any Pledgor or any Subsidiary.  Whether or not constituting securities, all certificates evidencing any Collateral have been delivered to the Administrative Agent on or before the date hereof, together with undated share transfer powers duly endorsed in blank.  Each of the Pledgors hereby authorizes the transfer of possession of all certificates and other evidence of the Collateral to the Administrative Agent.

 

E.                                     Schedule I correctly sets forth the percentage of issued and outstanding capital stock or membership interest of each Subsidiary that is being pledged by the Pledgors pursuant to this Agreement, and such capital stock and membership interests have been duly authorized and validly issued and are fully paid and non-assessable.

 

F.                                      The membership interests of each Subsidiary that is a limited liability company is not represented by a certificate, or by an instrument issued in their or a registered form or issued or dealt with as a medium for investment and, without limitation of the foregoing, the operating agreement or limited liability company agreement of each Subsidiary that is a limited liability company does not provide that the membership interest is a “Security” as defined in Article 8 of the Uniform Commercial Code.

 

3.                                      Covenants. Each of the Pledgors covenants and agrees with Administrative Agent as follows:

 

A.                                    No Pledgor will incur, create, assume or permit to exist any Lien, claim or restriction of any nature whatsoever on any of the Collateral, except for those established in favor of Administrative Agent or any disclosed in and permitted by the express terms of the Loan Documents, or assign, pledge or otherwise encumber any right to receive income from the Collateral.

 

B.                                    No Pledgor shall permit any Organization Documents to be modified without the prior written consent of Administrative Agent.

 

C.                                    Each Pledgor shall be liable for, and shall pay and discharge on or before the date when due all Taxes of any kind whatsoever imposed by any Governmental Authority as a result of or in connection with the ownership interest of each Subsidiary owned by such Pledgor.

 

D.                                    No Pledgor shall do, suffer or permit to occur any act or thing whereby the rights of Administrative Agent in the Collateral would be impaired.

 

4.                                      Voting Rights and Transfer. Prior to the occurrence of an Event of Default, Pledgor will have the right to exercise all voting rights with respect to the Collateral owned by it; provided, however, that no vote shall be cast or corporate or other ownership right exercised or other action taken which, in the Administrative Agent’s reasonable judgment, would impair the Collateral or

 

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which would be inconsistent with or result in any violation of any provision of the Credit Agreement, this Agreement or any other Loan Document. At any time after the occurrence and during the continuance of an Event of Default, the Administrative Agent may transfer any or all of the Collateral into its name or that of its nominee and may exercise all voting rights with respect to the Collateral, but no such transfer shall constitute a taking of such Collateral in satisfaction of any or all of the Secured Obligations unless the Administrative Agent expressly so indicates by written notice to the Pledgors.

 

5.                                      Dividends, Interest and Premiums. The Pledgor owning the Collateral will have the right to receive all cash dividends, interest and premiums declared and paid on the Collateral prior to the occurrence of any Event of Default. In the event any additional shares or membership interests are issued to the Pledgor owning the Collateral as a dividend or distribution in lieu of cash interest on any of the Collateral, including as a result of any split of any of the Collateral, by reclassification or otherwise, any certificates evidencing any such additional ownership interest will be immediately delivered to the Administrative Agent, together with an undated transfer power covering such certificate duly endorsed in blank, and such certificate will be subject to this Agreement and a part of the Collateral to the same extent as the original Collateral. At any time after the occurrence and during the continuance of an Event of Default, the Administrative Agent shall be entitled to receive all cash or stock dividends, distributions, interest and premiums declared or paid on the Collateral, all of which shall be subject to the Administrative Agent’s rights under the “Event of Default and Remedies” Section of this Agreement.

 

6.                                      Event of Default and Remedies.

 

A.                                    Upon the occurrence of any Event of Default, the Administrative Agent shall be entitled in its discretion to declare any or all of the Secured Obligations to be immediately due and payable without demand or notice, all of which are expressly waived, and Administrative Agent may exercise any one or more of the rights and remedies granted pursuant to this Agreement and the other Loan Documents or given to a secured party under the Uniform Commercial Code of the applicable state, as it may be amended from time to time, or otherwise at law or in equity, including without limitation the right to sell or otherwise dispose of any or all of the Collateral at public or private sale, with or without advertisement thereof, upon such terms and conditions as Administrative Agent may deem advisable and at such prices as Administrative Agent may deem best.

 

B.                                    At any bona fide public sale, and to the extent permitted by law, at any private sale, the Administrative Agent shall be free to purchase all or any part of the Collateral, free of any right or equity of redemption in any Pledgor, which right or equity is hereby waived and released. Any such sale may be on cash or credit. The Administrative Agent shall be authorized at any such sale (if it deems it advisable to do so) to restrict the prospective bidders or purchasers to persons who will represent and agree that they are purchasing the Collateral for their own account in compliance with Regulation D of the Securities Act of 1933, as amended (the “Act”) or any other applicable exemption available under such Act. The Administrative Agent will not be obligated to make any sale if it determines not to do so, regardless of the fact that notice of the sale may have been given, and may adjourn any sale and sell at the time and place to which the sale is adjourned. If the Collateral is customarily sold on a recognized market or threatens to decline speedily in value, the Administrative Agent may sell such Collateral at any time without giving

 

4

 

prior notice to any Pledgor. Whenever notice is otherwise required by law to be sent by the Administrative Agent to any Pledgor of any sale or other disposition of the Collateral, ten (10) days written notice sent to any such Pledgor at its address specified above will be reasonable.

 

C.                                    Each Pledgor recognizes that the Administrative Agent may be unable to effect or cause to be effected a public sale of the Collateral by reason of certain prohibitions contained in the Act so that the Administrative Agent may be compelled to resort to one or more private sales to a restricted group of purchasers who will be obligated to agree, among other things, to acquire the Collateral for their own account, for investment and without a view to the distribution or resale thereof. Each Pledgor understands that private sales so made may be at prices and on other terms less favorable to the seller than if the Collateral were sold at public sales, and agrees that the Administrative Agent has no obligation to delay or agree to delay the sale of any of the Collateral for the period of time necessary to permit the issuer of the securities which are part of the Collateral (even if the issuer would agree), to register such securities for sale under the Act. Each Pledgor agrees that private sales made under the foregoing circumstances shall be deemed to have been made in a commercially reasonable manner.

 

D.                                    The net proceeds arising from the disposition of the Collateral after deducting expenses incurred by the Administrative Agent will be applied to the Secured Obligations in accordance with Section 2.18 of the Credit Agreement. If after exhausting all of the Collateral there is a deficiency, the Pledgors will be liable therefor to the Administrative Agent; provided, however, that nothing contained herein will obligate the Administrative Agent to proceed against any Pledgor or other Person prior to proceeding against the Collateral.

 

E.                                     If any demand is made at any time upon the Administrative Agent for the repayment or recovery of any amount received by it in payment or on account of any of the Secured Obligations from the disposition of the Collateral and if the Administrative Agent repays all or any part of such amount, the Pledgors will be and remain liable for the amounts so repaid or recovered to the same extent as if never originally received by Administrative Agent.

 

7.                                      Further Assurances.

 

A.                                    At any time and from time to time, upon demand of the Administrative Agent, the Pledgors will give, execute, file and record any notice, financing statement, continuation statement, instrument, document or agreement that the Administrative Agent may consider necessary or desirable to create, preserve, continue, perfect or validate any security interest granted hereunder or to enable the Administrative Agent to exercise or enforce its rights hereunder with respect to such security interest.

 

B.                                    Upon any Pledgor after the date hereof obtaining a direct ownership of an additional Subsidiary, such Pledgor shall (within thirty (30) days (or such later date as is agreed to by the Administrative Agent in its reasonable discretion)) promptly execute and deliver to the Administrative Agent a pledge supplement substantially in the form of Exhibit A attached hereto (each, a “Pledge Supplement”) in respect of such additional Subsidiary, pursuant to which Exhibit A attached hereto shall be automatically updated with the information set forth on Schedule I to such Pledge Supplement.

 

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C.                                    Without limiting the generality of the foregoing, each Pledgor hereby irrevocably appoints the Administrative Agent as each such Pledgor’s attorney-in-fact to do all acts and things in each such Pledgor’s name that the Administrative Agent may deem necessary or desirable. This power of attorney is coupled with an interest with full power of substitution and is irrevocable. The Administrative Agent is authorized to file financing statements, continuation statements and other documents under the Uniform Commercial Code relating to the Collateral without any such Pledgor’s signature, naming the applicable Pledgor as debtor and the Administrative Agent as secured party.

 

8.                                      Notices. Except for any notice required under applicable law to be given in another manner, any notice given under this Agreement shall be given in the manner stipulated by Section 9.01 of the Credit Agreement. Each Pledgor irrevocably designates Borrower as the agent for such Pledgor for the purpose of receiving any notices from Administrative Agent or any Secured Party pursuant to this Agreement and agrees that notices given by Administrative Agent or any Secured Party to the Borrower shall be effective as notice to such Pledgor if given in a manner stipulated by Section 9.01 of the Credit Agreement.

 

9.                                      Preservation of Rights.

 

A.                                    No delay or omission by the Administrative Agent or any other Secured Party to exercise any right or power arising hereunder will impair any such right or power or be considered a waiver of any such right or power, nor will the action or inaction of any of the same impair any such right or power. The rights and remedies of the Administrative Agent and the other Secured Parties hereunder and under the other Loan Documents are cumulative and not exclusive of any other rights or remedies which it may have under other agreements, at law or in equity.

 

B.                                    The Administrative Agent and the Secured Parties may, at any time and from time to time, without notice to or the consent of any Pledgor, and without impairing or releasing, discharging or modifying any Pledgor’s liabilities hereunder, on one or more occasions in each case (i) change the manner, place, time or terms of payment or performance of or interest rates on, or other terms relating to, any of the Secured Obligations; (ii) renew, substitute, modify, amend or alter, or grant consents or waivers relating to any of the Secured Obligations, any other pledge or security agreements, or any Collateral for any Secured Obligations; (iii) subject to Section 2.18 of the Credit Agreement, apply any and all payments by whomever paid or however realized including any proceeds of any Collateral, to any Secured Obligations of any Pledgor, including the Borrower in such order, manner and amount as the Administrative Agent and the other Secured Parties may determine in their sole discretion; (iv) deal with any other Person with respect to any Secured Obligations in such manner as the Administrative Agent and the Secured Parties deem appropriate in their sole respective discretion; (v) substitute, exchange or release any Collateral or guaranty; and (vi) take such actions and exercise such remedies hereunder as provided herein.

 

10.                               Illegality. In case any one or more of the provisions contained in this Agreement should be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions contained herein shall not in any way be affected or impaired thereby.

 

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11.                               Changes in Writing. No modification, amendment or waiver of any provision of this Agreement nor consent to any departure by any Pledgor therefrom will be effective unless made in a writing signed by the Administrative Agent, and then such waiver or consent shall be effective only in the specific instance and for the purpose for which given. No notice to or demand on any Pledgor in any case will entitle any Pledgor to any other or further notice or demand in the same, similar or other circumstance.

 

12.                               Additional Pledgors.  Pursuant to Section 5.09 of the Credit Agreement, the Borrower may be required to, and/or cause certain Subsidiary Guarantors to, become a Pledgor hereunder (such additional Pledgors, the “Additional Pledgors”).  Upon execution and delivery by the Administrative Agent and an Additional Pledgor of a joinder agreement in substantially the form of Exhibit B hereto (each, a “Joinder Agreement”), such Additional Pledgor shall become a Pledgor hereunder with the same force and effect as if originally named as a Pledgor herein. The execution and delivery of any such Joinder Agreement shall not require the consent of any other Pledgor hereunder. The rights and obligations of each Pledgor hereunder shall remain in full force and effect notwithstanding the addition of any new Pledgor as a party to this Agreement.

 

13.                               Entire Agreement. This Agreement (including the documents and instruments referred to herein) constitutes the entire agreement and supersedes all other prior agreements and understandings, both written and oral, between each of the Pledgors and the Administrative Agent with respect to the subject matter hereof.

 

14.                               Successors and Assigns. This Agreement will be binding upon and inure to the benefit of each of the Pledgors and the Administrative Agent and their respective successors and assigns; provided, however, that no Pledgor may assign this Agreement in whole or in part without the Administrative Agent’s prior written consent and the Administrative Agent at any time may assign this Agreement in whole or in part.

 

15.                               Interpretation. In this Agreement, unless the Administrative Agent and the Pledgors otherwise agree in writing, the singular includes the plural and the plural the singular; references to statutes are to be construed as including all statutory provisions consolidating, amending or replacing the statute referred to; the word “or” shall be deemed to include “and/or,” the words “including,” “includes” and “include” shall be deemed to be followed by the words “without limitation.” Section headings in this Agreement are included for convenience of reference only and shall not constitute a part of this Agreement for any other purpose.

 

16.                               Indemnity. Without limitation of its indemnification obligations under the Credit Agreement and other Loan Documents, each of the Pledgors jointly and severally agrees to indemnify each of the Administrative Agent and the other Indemnities (as defined in the Credit Agreement), their respective directors, officers and employees and agents (the “Indemnified Parties”) and to hold each Indemnified Party harmless from and against any and all claims, damages, losses, liabilities and expenses (including all reasonable fees of counsel with whom any Indemnified Party may consult and all reasonable expenses of litigation or preparation therefor) that any Indemnified Party may incur or that may be asserted against any Indemnified Party as a result of the execution of or performance under this Agreement; provided, however, that the foregoing indemnity agreement shall not apply to claims, damages, losses, liabilities and expenses solely attributable to an Indemnified Party’s gross negligence or willful misconduct. The

 

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indemnity agreement contained in this Section shall survive the termination of this Agreement. Each of the Pledgors may participate at its respective expense in the defense of any such claim.

 

17.                               Counterparts and Effectiveness.  This Agreement may be executed in counterparts (and by different parties hereto on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. Delivery of an executed counterpart of a signature page of this Agreement by facsimile, e-mailed .pdf or any other electronic means that reproduces an image of the actual executed signature page shall be effective as delivery of a manually executed counterpart of this Agreement. This Agreement shall become effective when it shall have been executed by the Administrative Agent and when the Administrative Agent shall have received counterparts hereof which, when taken together, bear the signatures of each of the other parties hereto, and thereafter shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. The words “execution,” “signed,” “signature,” “delivery,” and words of like import in or relating to any document to be signed in connection with this Agreement and the transactions contemplated hereby shall be deemed to include Electronic Signatures, deliveries or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature, physical delivery thereof or the use of a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any other similar state laws based on the Uniform Electronic Transactions Act; provided that nothing herein shall require the Administrative Agent to accept electronic signatures in any form or format without its prior written consent.

 

18.                               Consent to Jurisdiction and Venue. Each Pledgor hereby consents to the jurisdiction of any state or federal court located within the County of Jefferson, Commonwealth of Kentucky, and irrevocably agrees that, subject to the Administrative Agent’s sole and absolute election, any case or proceeding relating to Title XI of the United States Code and any actions relating to the Secured Obligations secured hereby shall be litigated in such courts, and each Pledgor waives any objection any such Pledgor may have based on improper venue or forum non conveniens to the conduct of any proceeding in any such court. Nothing contained in this Section shall affect the right of the Administrative Agent or any other Secured Party to bring any action or proceeding against any Pledgor or the property of any Pledgor in the courts of any other jurisdiction.

 

19.                               WAIVER OF TRIAL BY JURY. THE ADMINISTRATIVE AGENT AND PLEDGORS ACKNOWLEDGE THAT THE TIME AND EXPENSE REQUIRED FOR TRIAL BY JURY EXCEED THE TIME AND EXPENSE REQUIRED FOR A BENCH TRIAL AND HEREBY KNOWINGLY, VOLUNTARILY, AND IRREVOCABLY WAIVE, TO THE FULLEST EXTENT PERMITTED BY LAW, AND AFTER HAVING CONSULTED OR HAVING HAD AMPLE OPPORTUNITY TO CONSULT THEIR RESPECTIVE LEGAL COUNSEL CONCERNING THE CONSEQUENCES OF SUCH WAIVER, TRIAL BY JURY IN ANY ACTION (WHETHER BASED ON CONTRACT, TORT OR OTHERWISE) OR OTHER PROCEEDING BROUGHT TO ENFORCE OR DEFEND AGAINST COLLECTION OF OR OTHERWISE IN CONNECTION WITH THIS AGREEMENT OR THE OTHER LOAN DOCUMENTS.

 

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[the balance of this page intentionally has been left blank]

 

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WITNESS, the due execution hereof as of the date first written above.

 

	
 
    	
INITIAL   PLEDGORS:
    
	
 
    	
 
    
	
 
    	
ALMOST   FAMILY, INC., a Delaware corporation
    

 

	
 
    	
By:
    	
/s/   C. Steven Guenthner
    
	
 
    	
 
    	
C. Steven Guenthner, as   President, Principal Financial Officer, Secretary and Treasurer
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
ADULT   DAY CARE OF AMERICA, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
AFAM   MERGER, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
CAMBRIDGE   HOME HEALTH CARE, INC., an Ohio corporation
    
	
 
    	
 
    
	
 
    	
CAMBRIDGE   HOME HEALTH CARE, INC./PRIVATE, an Ohio corporation
    
	
 
    	
 
    
	
 
    	
CAMBRIDGE   HOME HEALTH CARE HOLDINGS, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
CARETENDERS   OF CLEVELAND, INC., a Kentucky corporation
    
	
 
    	
 
    
	
 
    	
CARETENDERS   OF COLUMBUS, INC., a Kentucky corporation
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES EMPLOYMENT COMPANY, INC., a Kentucky corporation
    
	
 
    	
 
    
	
 
    	
NATIONAL   HEALTH INDUSTRIES, INC., a Kentucky corporation
    
	
 
    	
 
    
	
 
    	
OMNI   HOME HEALTH HOLDINGS, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
PATIENT   CARE MEDICAL SERVICES, INC., a New Jersey corporation
    
	
 
    	
 
    
	
 
    	
PATIENT   CARE NEW JERSEY, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
PATIENT   CARE PENNSYLVANIA, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
PATIENT   CARE, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
PRIORITY   CARE, INC., a Connecticut corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   HEALTHCARE, INC., a Georgia corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF AL, INC., an Alabama corporation
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
SUNCREST   HOME HEALTH OF CLAIBORNE COUNTY, INC., a Tennessee corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF GEORGIA, INC., a Georgia corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF MANCHESTER, INC., a Tennessee corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF NASHVILLE, INC., a Tennessee corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF SOUTH GA, INC., a Georgia corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   LBL HOLDINGS, INC., a Tennessee corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   TELEHEALTH SERVICES, INC., a Tennessee corporation
    
	
 
    	
 
    
	
 
    	
TENNESSEE   NURSING SERVICES OF MORRISTOWN, INC., a Tennessee corporation
    
	
 
    	
 
    
	
 
    	
TRIGG   COUNTY HOME HEALTH, INC., a Kentucky corporation
    
	
 
    	
 
    
	
 
    	
AFAM   ACQUISITION LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
ALMOST   FAMILY ACO SERVICES OF KENTUCKY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
ALMOST   FAMILY ACO SERVICES OF SOUTH FLORIDA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
ALMOST   FAMILY ACO SERVICES OF TENNESSEE, LLC, a Tennessee limited liability company
    
	
 
    	
 
    
	
 
    	
ALMOST   FAMILY PC OF FT. LAUDERDALE, LLC, a Florida limited liability company
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
ALMOST   FAMILY PC OF KENTUCKY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
ALMOST   FAMILY PC OF SW FLORIDA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
ALMOST   FAMILY PC OF WEST PALM, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
BGR   ACQUISITION, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   OF JACKSONVILLE, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF DISTRICT 6 LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF DISTRICT 7 LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF GAINESVILLE, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF HERNANDO COUNTY, LLC, a Florida limited liability   company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF KENTUCKIANA, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF COLUMBUS, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF OCALA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF ORLANDO, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF PINELLAS COUNTY, LLC, a Florida limited liability   company
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
CARETENDERS   VISITING SERVICES OF SOUTHERN ILLINOIS, LLC, an Illinois limited liability   company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF ST. AUGUSTINE, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VISITING SERVICES OF ST. LOUIS, LLC, a Missouri limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VNA OF OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VS OF BOSTON, LLC, a Massachusetts limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VS OF CENTRAL KY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VS OF LINCOLN TRAIL, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VS OF LOUISVILLE, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VS OF OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VS OF SE OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
CARETENDERS   VS OF WESTERN KY, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY -CENTRAL PENNSYLVANIA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY-BREVARD, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY-BROWARD, Inc., a Florida corporation
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY -COLLIER, LLC, a Florida limited liability company
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
HOME   HEALTH AGENCY -HILLSBOROUGH, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY -ILLINOIS, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY -INDIANA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY - PALM BEACHES, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY -PENNSYLVANIA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY -PHILADELPHIA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH AGENCY -PINELLAS, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
IMPERIUM   HEALTH MANAGEMENT, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
IN   HOMECARE NETWORK CENTRAL, LLC, an Indiana limited liability company
    
	
 
    	
 
    
	
 
    	
IN   HOMECARE NETWORK NORTH, LLC, an Indiana limited liability company
    
	
 
    	
 
    
	
 
    	
MEDERI   CARETENDERS VS OF SE FL, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
MEDERI   CARETENDERS VS OF BROWARD, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
MEDERI   CARETENDERS VS OF SW FL, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
MEDERI   CARETENDERS VS OF TAMPA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
OMNI   HOME HEALTH SERVICES, LLC, a Delaware limited liability company
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
OMNI   HOME HEALTH - DISTRICT 1, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
OMNI   HOME HEALTH - DISTRICT 2, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
OMNI   HOME HEALTH - DISTRICT 4, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
OMNI   HOME HEALTH -HERNANDO, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
OMNI   HOME HEALTH -JACKSONVILLE, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
OMNI   HEALTH MANAGEMENT, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
PATIENT   CARE CONNECTICUT LLC, a Connecticut limited liability company
    
	
 
    	
 
    
	
 
    	
PRINCETON   HOME HEALTH, LLC, an Alabama limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   COMPANION SERVICES, LLC, a Tennessee limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   HEALTHCARE OF EAST TENNESSEE, LLC, a Tennessee limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   HEALTHCARE OF MIDDLE TN, LLC, a Tennessee limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   HEALTHCARE OF WEST TENNESSEE, LLC, a Tennessee limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF TAMPA, LLC, a Florida limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF MO, INC., a Missouri corporation
    
	
 
    	
 
    
	
 
    	
SUNCREST   HOME HEALTH OF NORTH CAROLINA, INC., a North Carolina corporation
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
SUNCREST   HOME HEALTH - SOUTHSIDE, LLC, a Georgia limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   OUTPATIENT REHAB SERVICES OF TN, LLC, a Tennessee limited liability company
    
	
 
    	
 
    
	
 
    	
SUNCREST   OUTPATIENT REHAB SERVICES, LLC, a Tennessee limited liability company
    
	
 
    	
 
    
	
 
    	
BRACOR, INC.,   a New York corporation
    
	
 
    	
 
    
	
 
    	
BHC   SERVICES, INC., a New York corporation
    
	
 
    	
 
    
	
 
    	
WESTERN   REGION HEALTH CORPORATION, a New York corporation
    
	
 
    	
 
    
	
 
    	
WILLCARE, INC.,   a New York corporation
    
	
 
    	
 
    
	
 
    	
PATIENT’S   CHOICE HOMECARE, LLC, a Connecticut limited liability company
    
	
 
    	
 
    
	
 
    	
CONNECTICUT   HOME HEALTH CARE, INCORPORATED, a Connecticut corporation
    
	
 
    	
 
    
	
 
    	
LITSON   CERTIFIED CARE, INC., a New York corporation
    
	
 
    	
 
    
	
 
    	
LITSON   HEALTH CARE, INC., a New York corporation
    
	
 
    	
 
    
	
 
    	
INGENIOS   HEALTH HOLDINGS, INC., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
INGENIOS   HEALTH CO., a Delaware corporation
    
	
 
    	
 
    
	
 
    	
BLACK   STONE OPERATIONS, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
BLACK   STONE OF CINCINNATI, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
BLACK   STONE OF DAYTON, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
BLACK   STONE OF CENTRAL OHIO, LLC, an Ohio limited liability company
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
BLACK   STONE OF NORTHWEST OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
BLACKSTONE   GROUP, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
BLACKSTONE   HEALTH CARE, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
S&B   HEALTH CARE, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
ADVANCED   GERIATRIC EDUCATION & CONSULTING, LLC, an Ohio limited liability   company
    
	
 
    	
 
    
	
 
    	
BLACK   STONE OF NORTHEAST OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
MJ   NURSING AT BLACK STONE, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
CARE   ADVISORS BY BLACK STONE, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
ASSISTED   CARE BY BLACK STONE OF CINCINNATI, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH CARE BY BLACK STONE OF CINCINNATI, LLC, an Ohio limited liability   company
    
	
 
    	
 
    
	
 
    	
ASSISTED   CARE BY BLACK STONE OF DAYTON, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH CARE BY BLACK STONE OF DAYTON, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
ASSISTED   CARE BY BLACK STONE OF CENTRAL OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH CARE BY BLACK STONE OF CENTRAL OHIO, LLC, an Ohio limited liability   company
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC, an Ohio limited liability   company
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
ASSISTED   CARE BY BLACK STONE OF NORTHWEST OHIO, LLC, an Ohio limited liability company
    
	
 
    	
 
    
	
 
    	
PATIENT   CARE OF HUDSON COUNTY, LLC, a New Jersey limited liability company
    
	
 
    	
 
    
	
 
    	
LONG   TERM SOLUTIONS, INC., a Massachusetts corporation
    
	
 
    	
 
    
	
 
    	
HOME   HEALTH OF JEFFERSON CO, LLC, a Kentucky limited liability company
    
	
 
    	
 
    
	
 
    	
HHA   OF WISCONSIN, LLC, a Wisconsin limited liability company
    
	
 
    	
 
    
	
 
    	
PATIENT   CARE HHA, LLC, a Connecticut limited liability company
    
	
 
    	
 
    
	
 
    	
    By:
    	
/s/ C. Steven Guenthner
    
	
 
    	
 
    	
C. Steven Guenthner, as   President, Principal Financial Officer, Secretary and Treasurer of each   Initial Pledgor above
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

	
 
    	
ADMINISTRATIVE   AGENT:
    
	
 
    	
 
    	
 
    
	
 
    	
JPMORGAN   CHASE BANK, N.A.,   as Administrative Agent
    
	
 
    	
 
    	
 
    
	
 
    	
By
    	
/s/   Will Barry
    
	
 
    	
 
    	
Name:   Will Barry
    
	
 
    	
 
    	
Title:   Associate
    

 

[Signature Page to Amended and Restated Pledge Agreement]

 

 

 

Schedule I

 

(List of Almost Family, Inc. Subsidiaries)

 

	
Subsidiary
    	
 
    	
Ownership
    	
 
    	
Certificate No.
    	
 
    	
State
   of
   Incorporation
    	
 
    	
State ID.
   No.
    
	
Adult Day Care of America, Inc.
    	
 
    	
1,000 shares of common   stock, $.001 par value per share, owned by Almost Family, Inc.
    	
 
    	
4
    	
 
    	
DE
    	
 
    	
2128204
    
	
AFAM Merger, Inc.
    	
 
    	
100 shares, owned by Almost   Family, Inc.
    	
 
    	
1
    	
 
    	
DE
    	
 
    	
4743144
    
	
Cambridge Home Health Care   Holdings, Inc.
    	
 
    	
100,968.048 shares, owned   by National Health Industries, Inc.
    	
 
    	
19
    	
 
    	
DE
    	
 
    	
3752185
    
	
Cambridge Home Health Care,   Inc.
    	
 
    	
10 shares, owned by   Cambridge Home Health Care Holdings, Inc.
    	
 
    	
2
    	
 
    	
OH
    	
 
    	
866131
    
	
Cambridge Home Health Care,   Inc./Private
    	
 
    	
10 shares, owned by   Cambridge Home Health Care Holdings, Inc.
    	
 
    	
2
    	
 
    	
OH
    	
 
    	
866130
    
	
Caretenders of Cleveland, Inc.
    	
 
    	
100 shares owned by   National Health Industries, Inc.
    	
 
    	
1
    	
 
    	
KY
    	
 
    	
0418732
    
	
Caretenders of Columbus, Inc.
    	
 
    	
100 shares owned by   National Health Industries, Inc.
    	
 
    	
1
    	
 
    	
KY
    	
 
    	
0414266
    
	
Caretenders Visiting   Services Employment Company, Inc.
    	
 
    	
100 shares owned by   National Health Industries, Inc.
    	
 
    	
2
    	
 
    	
KY
    	
 
    	
0456266
    
	
National Health Industries,   Inc.
    	
 
    	
1,000 shares of common   stock without par value, owned by Almost Family, Inc.
    	
 
    	
78
    	
 
    	
KY
    	
 
    	
0119806
    
	
OMNI Home Health Holdings, Inc.
    	
 
    	
10 shares of xxx stock   owned by National Health Industries, Inc.
    	
 
    	
2
    	
 
    	
DE
    	
 
    	
4508006
    
	
Patient Care Medical   Services, Inc.
    	
 
    	
10 shares of common stock;   owned by Patient Care, Inc.
    	
 
    	
1
    	
 
    	
NJ
    	
 
    	
100027270
    
	
Patient Care New Jersey, Inc.
    	
 
    	
1,000 shares of common   stock; owned by Patient Care, Inc.
    	
 
    	
1
    	
 
    	
DE
    	
 
    	
3848463
    
	
Patient Care Pennsylvania, Inc.
    	
 
    	
100 shares of common stock;   owned by Patient Care, Inc.
    	
 
    	
1
    	
 
    	
DE
    	
 
    	
3623151
    

 

 

	
Patient Care, Inc.
    	
 
    	
1,000 shares of common   stock, $.01 par value per share; owned by AFAM Acquisition, LLC
    	
 
    	
6
    	
 
    	
DE
    	
 
    	
2320425
    
	
Priority Care, Inc.
    	
 
    	
100 shares of common stock;   owned by Patient Care, Inc.
    	
 
    	
 
    	
 
    	
CT
    	
 
    	
561909
    
	
SunCrest Healthcare, Inc
    	
 
    	
265,148 shares of common   stock owned by National Health Industries, Inc.; 90,667 shares of B-1 Preferred   Stock, 19,708 shares of B-2 Preferred Stock, and 403,856 shares of C   Preferred Stock all owned by OMNI Home Health Holdings, Inc.
    	
 
    	
Common   Stock — Certificate 55
   B-1 Preferred — Certificate B-1-005
   B-2 Preferred — Certificate B-2-020
   C Preferred — Certificate C-004
    	
 
    	
GA
    	
 
    	
400237
    
	
SunCrest Home Health of AL,   Inc.
    	
 
    	
1,000 shares of common   stock; owned by SunCrest Healthcare, Inc.
    	
 
    	
1
    	
 
    	
AL
    	
 
    	
261-690
    
	
SunCrest Home Health of   Claiborne County, Inc.
    	
 
    	
1,000 shares of common   stock; owned by SunCrest Healthcare, Inc.
    	
 
    	
1
    	
 
    	
TN
    	
 
    	
000655066
    
	
SunCrest Home Health of   Georgia, Inc.
    	
 
    	
100 shares of common stock;   owned by SunCrest Healthcare, Inc.
    	
 
    	
1
    	
 
    	
GA
    	
 
    	
2511213
    
	
SunCrest Home Health of   Manchester, Inc.
    	
 
    	
1,000 shares of common   stock; owned by SunCrest Healthcare, Inc.
    	
 
    	
1
    	
 
    	
TN
    	
 
    	
000642295
    
	
SunCrest Home Health of   Nashville, Inc.
    	
 
    	
1,000 shares of common   stock; owned by SunCrest Healthcare, Inc.
    	
 
    	
2
    	
 
    	
TN
    	
 
    	
000627890
    
	
SunCrest Home Health of   South GA, Inc.
    	
 
    	
1,000 shares of common   stock; owned by SunCrest Healthcare, Inc.
    	
 
    	
1
    	
 
    	
GA
    	
 
    	
3037586
    
	
SunCrest LBL Holdings, Inc.
    	
 
    	
1,000 shares of common   stock; owned by SunCrest Healthcare, Inc.
    	
 
    	
1
    	
 
    	
TN
    	
 
    	
000642297
    
	
SunCrest TeleHealth   Services, Inc.
    	
 
    	
1,000 shares of common   stock; owned by SunCrest Healthcare, Inc.
    	
 
    	
1
    	
 
    	
TN
    	
 
    	
000645556
    
	
Tennessee Nursing Services   of Morristown, Inc.
    	
 
    	
1,000 shares of common   stock owned by SunCrest Home Health of Claiborne County, Inc.
    	
 
    	
4
    	
 
    	
TN
    	
 
    	
00060015
    
	
Trigg County Home Health, Inc.
    	
 
    	
970 shares of common stock   owned by Suncrest LBL Holdings, Inc.
    	
 
    	
1
    	
 
    	
KY
    	
 
    	
0715426
    
	
AFAM Acquisition, LLC
    	
 
    	
100% by Almost Family, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0705309
    
	
Almost Family ACO Services   of Kentucky, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0888128
    

 

 

	
Almost Family ACO Services   of South Florida, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L14000077192
    
	
Almost Family ACO Services   of Tennessee, LLC
    	
 
    	
100% by SunCrest Health   Care, Inc.
    	
 
    	
N/A
    	
 
    	
TN
    	
 
    	
000758873
    
	
Almost Family PC of Ft.   Lauderdale, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L07000103414
    
	
Almost Family PC of   Kentucky, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0675489
    
	
Almost Family PC of SW   Florida, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L07000103411
    
	
Almost Family PC of West   Palm, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L07000103413
    
	
BGR Acquisition, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L06000098860
    
	
Caretenders of   Jacksonville, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L06000110767
    
	
Caretenders Visiting   Services of District 6, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0565533
    
	
Caretenders Visiting   Services of District 7, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0565534
    
	
Caretenders Visiting   Services of Gainesville, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L05000016996
    
	
Caretenders Visiting   Services of Hernando County, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L06000104096
    
	
Caretenders Visiting   Services of Kentuckiana, LLC
    	
 
    	
100% by National Health Industries,   Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0615538
    
	
Caretenders Visiting   Services of Columbus, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1676001
    
	
Caretenders Visiting   Services of Ocala, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L06000028455
    
	
Caretenders Visiting   Services of Orlando, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0597949
    
	
Caretenders Visiting   Services of Pinellas County, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L06000104100
    
	
Caretenders Visiting   Services of Southern Illinois, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
IL
    	
 
    	
2013258
    
	
Caretenders Visiting   Services of St. Augustine, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L05000052409
    

 

 

	
Caretenders Visiting Services   of St. Louis, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
MO
    	
 
    	
LC0774505
    
	
Caretenders VNA of Ohio,   LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1970058
    
	
Caretenders VS of Boston,   LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
MA
    	
 
    	
962269
    
	
Caretenders VS of Central   KY, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0675492
    
	
Caretenders VS of Lincoln   Trail, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0715613
    
	
Caretenders VS of   Louisville, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0675491
    
	
Caretenders VS of Ohio, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1812627
    
	
Caretenders VS of SE Ohio,   LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
2007716
    
	
Caretenders VS of Western   KY, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0675497
    
	
Home Health Agency-Central   Pennsylvania, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043051
    
	
Home Health Agency-Brevard,   LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043050
    
	
Home Health Agency-Broward,   LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043050
    
	
Home Health Agency-Collier,   LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043052
    
	
Home Health   Agency-Hillsborough, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043054
    
	
Home Health   Agency-Illinois, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043056
    
	
Home Health Agency-Indiana,   LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043055
    
	
Home Health Agency-Palm   Beaches, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043057
    
	
Home Health   Agency-Pennsylvania, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043058
    
	
Home Health   Agency-Philadelphia, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043059
    

 

 

	
Home Health   Agency-Pinellas, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043060
    
	
Imperium Health Management,   LLC
    	
 
    	
JV Entity-72.04% owned by   Almost Family, Inc.)
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0794561
    
	
IN Homecare Network   Central, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
IN
    	
 
    	
2013061000795
    
	
IN Homecare Network North,   LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
IN
    	
 
    	
2013061000766
    
	
Mederi Caretenders VS of SE   FL, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L07000103410
    
	
Mederi Caretenders VS of   Broward, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L07000103409
    
	
Mederi Caretenders VS of SW   FL, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L07000103412
    
	
Mederi Caretenders VS of   Tampa, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L07000104055
    
	
OMNI Home Health Services,   LLC
    	
 
    	
100% by OMNI Home Health   Holdings, Inc.
    	
 
    	
N/A
    	
 
    	
DE
    	
 
    	
4508002
    
	
OMNI Home Health-District   1, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043061
    
	
OMNI Home Health-District   2, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043062
    
	
OMNI Home Health-District   4, LLC
    	
 
    	
JV Entity 70% by OMNI Home   Health Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043063
    
	
OMNI Home Health-Hernando,   LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043064
    
	
OMNI Home   Health-Jacksonville, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043066
    
	
OMNI Health Management, LLC
    	
 
    	
100% by OMNI Home Health   Services, LLC
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L08000043081
    
	
Patient Care Connecticut,   LLC
    	
 
    	
100% by Priority Care, Inc.
    	
 
    	
N/A
    	
 
    	
CT
    	
 
    	
0979769
    
	
Princeton Home Health, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
AL
    	
 
    	
DLL   480-611
    
	
SunCrest Companion   Services, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
TN
    	
 
    	
000559681
    
	
SunCrest Healthcare of East   Tennessee, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
TN
    	
 
    	
000588238
    
	
SunCrest Healthcare of   Middle TN, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
TN
    	
 
    	
000534537
    

 

 

	
SunCrest Healthcare of West   Tennessee, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
TN
    	
 
    	
000559681
    
	
SunCrest Home Health of   Tampa, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
FL
    	
 
    	
L10000107528
    
	
SunCrest Home Health of MO,   Inc.
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
1
    	
 
    	
MO
    	
 
    	
986620
    
	
SunCrest Home Health of   North Carolina, Inc.
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
1
    	
 
    	
NC
    	
 
    	
1141297
    
	
SunCrest Home   Health-Southside, LLC
    	
 
    	
60% by SunCrest Home Health   of Georgia, Inc.
    	
 
    	
N/A
    	
 
    	
GA
    	
 
    	
4014293
    
	
SunCrest Outpatient Rehab   Services of TN, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
TN
    	
 
    	
000603548
    
	
SunCrest Outpatient Rehab   Services, LLC
    	
 
    	
100% by SunCrest   Healthcare, Inc.
    	
 
    	
N/A
    	
 
    	
TN
    	
 
    	
563554
    
	
Bracor, Inc.
    	
 
    	
100% by National Health   Industries, Inc.; 11,970.44 shares of Series A Voting common stock,   474,029.55 shares of Series A Preferred Stock, and 110,000 shares of Series B   Preferred Stock
    	
 
    	
Voting   Stock — Certificate V-6
   Series A Preferred — Certificate A-10
   Series B Preferred — Certificate B-4
    	
 
    	
NY
    	
 
    	
1006710
    
	
BHC Services, Inc.
    	
 
    	
100% by National Health   Industries, Inc.; 20 shares of Class A Voting common stock
    	
 
    	
4
    	
 
    	
NY
    	
 
    	
1006102
    
	
Western Region Health   Corporation
    	
 
    	
200 Shares of Common Stock   held by Bracor, Inc.
    	
 
    	
9
    	
 
    	
NY
    	
 
    	
1414890
    
	
Willcare, Inc.
    	
 
    	
197 Shares of Comon Stock   held by Bracor, Inc.
    	
 
    	
16
    	
 
    	
NY
    	
 
    	
850900
    
	
Patient’s Choice Homecare,   LLC
    	
 
    	
100% by Bracor, Inc.
    	
 
    	
N/A
    	
 
    	
CT
    	
 
    	
750330
    
	
Connecticut Home   Healthcare, Incorporated
    	
 
    	
100% by Bracor, Inc.; 100   shares of Class A common stock, 100 shares of Class B common stock
    	
 
    	
Class   A Common Stock — Certificate A-14;
   Class B Common Stock — Certificate B-19
    	
 
    	
CT
    	
 
    	
227105
    
	
Litson Certified Care, Inc.
    	
 
    	
200 shares of Common Stock   held by Western Region Health Corporation
    	
 
    	
7
    	
 
    	
NY
    	
 
    	
1860786
    
	
Litson Health Care, Inc.
    	
 
    	
100 shares of Common Stock   held by Willcare, Inc.
    	
 
    	
8
    	
 
    	
NY
    	
 
    	
734269
    
	
Ingenios Health Holdings, Inc.
    	
 
    	
12,000,000 shares of Common   Stock held by Almost Family, Inc.
    	
 
    	
1
    	
 
    	
DE
    	
 
    	
5186601
    

 

 

	
Ingenios Health Co.
    	
 
    	
100 shares of Common Stock   by Ingenios Health Holdings, Inc.
    	
 
    	
1
    	
 
    	
DE
    	
 
    	
5199166
    
	
Black Stone Operations, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
2246704
    
	
Black Stone of Cincinnati,   LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1973918
    
	
Black Stone of Dayton, LLC
    	
 
    	
100% by Black Stone Operations,   LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1973919
    
	
Black Stone of Central   Ohio, LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1901026
    
	
Black Stone of Northwest   Ohio, LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
2237128
    
	
Blackstone Group, LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1500968
    
	
Blackstone Health Care, LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
935407
    
	
S&B Health Care, LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
967995
    
	
Advanced Geriatric   Education and Consulting, LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1713783
    
	
Black Stone of Northeast   Ohio, LLC
    	
 
    	
100% by Black Stone   Operations, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
2337621
    
	
MJ Nursing at Black Stone,   LLC
    	
 
    	
100% by Black Stone of   Cincinnati, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1822088
    
	
Care Advisors by Black Stone,   LLC
    	
 
    	
100% by Black Stone of   Cincinnati, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1859959
    
	
Assisted Care by Black   Stone of Cincinnati, LLC
    	
 
    	
100% by Black Stone of   Cincinnati, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1973921
    
	
Home Health Care by Black   Stone of Cincinnati, LLC
    	
 
    	
100% by Black Stone of Cincinnati,   LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1973920
    
	
Assisted Care by Black   Stone of Dayton, LLC
    	
 
    	
100% by Black Stone of   Dayton, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1973922
    
	
Home Health Care by Black   Stone of Dayton, LLC
    	
 
    	
100% by Black Stone of   Dayton, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1973923
    
	
Assisted Care by Black   Stone of Central Ohio, LLC
    	
 
    	
100% by Black Stone of   Central Ohio, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1901025
    
	
Home Health Care by Black   Stone of Central Ohio, LLC
    	
 
    	
100% by Black Stone of   Central Ohio, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
1901027
    
	
Home Health Care by Black   Stone of Northwest Ohio, LLC
    	
 
    	
100% by Black Stone of   Northwest Ohio, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
818998
    

 

 

	
Assisted Care by Black   Stone of Northwest Ohio, LLC
    	
 
    	
100% by Black Stone of   Northwest Ohio, LLC
    	
 
    	
N/A
    	
 
    	
OH
    	
 
    	
2371178
    
	
Patient Care of Hudson   County, LLC
    	
 
    	
100% by Patient Care New   Jersey, Inc.
    	
 
    	
N/A
    	
 
    	
NJ
    	
 
    	
600423970
    
	
Long Term Solutions, Inc.
    	
 
    	
2,000 Shares of Voting   Stock owned by National Health Industries, Inc. 18,000 shares of Non-Voting   Stock owned by National Health Industries, Inc.
    	
 
    	
Voting   Stock — Certificate 13
   Non-Voting Stock — Certificate 14
    	
 
    	
MA
    	
 
    	
000670795
    
	
Home Health of Jefferson   Co, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
KY
    	
 
    	
0951587
    
	
HHA of Wisconsin, LLC
    	
 
    	
100% by National Health   Industries, Inc.
    	
 
    	
N/A
    	
 
    	
WI
    	
 
    	
H057746
    
	
Patient Care HHA, LLC
    	
 
    	
100% by Priority Care, Inc.
    	
 
    	
N/A
    	
 
    	
CT
    	
 
    	
1204832
    

 

 

 

EXHIBIT A

to

AMENDED AND RESTATED PLEDGE OF EQUITY INTERESTS

 

FORM OF PLEDGE SUPPLEMENT

 

Reference is hereby made to the Amended and Restated Pledge Agreement (as the same may be amended, restated, supplemented or otherwise modified from time to time, the “Pledge Agreement”) dated as of December 5, 2016, by and between ALMOST FAMILY, INC., a Delaware corporation (the “Borrower”), certain of its Subsidiaries (together with the Borrower, the “Pledgors”) and JPMORGAN CHASE BANK, N.A. acting as Administrative Agent (“Administrative Agent”), whereby certain Pledgors have pledged certain capital stock, membership interests and partnership interests, as applicable, of certain of their subsidiaries as collateral to the Administrative Agent, for the benefit of itself and for the ratable benefit of the Secured Parties, as more fully described in the Pledge Agreement.  This Pledge Supplement is a “Pledge Supplement” as defined in the Pledge Agreement and is, together with the acknowledgments, certificates, and powers delivered herewith, subject in all respects to the terms and provisions of the Pledge Agreement.  Capitalized terms used herein and not defined herein shall have the meanings given to them in the Pledge Agreement.

 

By its execution below, the undersigned hereby agrees that, subject to Section 1 of the Pledge Agreement, (a) all of those shares of the capital stock of the Subsidiaries described in Schedule I hereto evidenced by the certificate number(s) identified in Schedule I, (b) all of the membership interest and all of the other right, title and interest of whatever nature including economic rights, control rights and member status, in each Subsidiary identified as one of the “Limited Liability Companies” on Schedule I hereto, (c) all security entitlements of each such Pledgor with respect thereto in each case, whether now owned or hereafter acquired, together with all additions, substitutions, replacements and proceeds and all income, interest, dividends and other distributions thereon, and (d) all additional shares or membership interests and the foregoing rights now owned or hereafter acquired by any Pledgor in any such Subsidiary (the “New Collateral”) shall be and become part of the Collateral, and are  pledged to the Administrative Agent as Collateral.

 

By its execution below, the Pledgor represents and warrants that it has full power and authority to execute this Pledge Supplement and that the representations and warranties contained in Section 2 of the Pledge Agreement are true and correct in all respects as of the date hereof and after taking into account the pledge of the New Collateral.  The Pledge Agreement, as amended and modified hereby, remains in full force and effect and is hereby ratified and confirmed.

 

This Pledge Supplement may be executed in counterparts (and by different parties hereto on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. Delivery of an executed counterpart of a signature page of this Pledge Supplement by facsimile, e-mailed .pdf or any other electronic means that reproduces an image of the actual executed signature page shall be effective as delivery of a manually executed counterpart of this Pledge Supplement. This Pledge Supplement shall become effective when it shall have been executed by the Administrative Agent and when the Administrative Agent shall have received counterparts hereof which, when taken together, bear

 

 

the signatures of each of the other parties hereto, and thereafter shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. The words “execution,” “signed,” “signature,” “delivery,” and words of like import in or relating to any document to be signed in connection with this Pledge Supplement and the transactions contemplated hereby shall be deemed to include Electronic Signatures, deliveries or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature, physical delivery thereof or the use of a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any other similar state laws based on the Uniform Electronic Transactions Act; provided that nothing herein shall require the Administrative Agent to accept electronic signatures in any form or format without its prior written consent.

 

[the balance of this page intentionally has been left blank]

 

 

IN WITNESS WHEREOF, the Pledgor has executed and delivered this Pledge Supplement to the Pledge Agreement as of this          day of                           ,         .

 

	
 
    	
[PLEDGOR]
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
By:
    	
 
    
	
 
    	
 
    	
Name:
    
	
 
    	
 
    	
Title:
    

 

 

Schedule I 
 to
 Pledge Supplement

 

CORPORATIONS

 

	
Subsidiary and its
   Tax Identification #
    	
 
    	
Ownership
    	
 
    	
State of
   Incorporation
    	
 
    	
State ID. No.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

LIMITED LIABILITY COMPANIES

 

	
Name and Federal 
   ID No.
    	
 
    	
Ownership
    	
 
    	
State of
   Organization
    	
 
    	
State ID. No.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

 

 

EXHIBIT B

to

AMENDED AND RESTATED PLEDGE AGREEMENT

 

FORM OF JOINDER AGREEMENT

 

Reference is hereby made to the Amended and Restated Pledge Agreement (as amended, restated, supplemented or otherwise modified from time to time, the “Pledge Agreement”), dated as of December 5, 2016, made by each of ALMOST FAMILY, INC., a Delaware corporation (the “Borrower”) and the other Subsidiaries of the Borrower listed on the signature pages thereto (together with the Borrower, the “Initial Pledgors”, and together with any additional Subsidiaries, including the undersigned, which become parties thereto by executing a Joinder Agreement in substantially the form hereof, the “Pledgors”), in favor of the Administrative Agent.  Capitalized terms used herein and not defined herein shall have the meanings given to them in the Pledge Agreement.

 

By its execution below, the undersigned, [NAME OF NEW PLEDGOR], a [                    ] [corporation/limited liability company/limited partnership] (the “New Pledgor”) agrees to become, and does hereby become, a Pledgor under the Pledge Agreement and agrees to be bound by the Pledge Agreement as if originally a party thereto.  The New Pledgor hereby grants a security interest in and pledges to the Administrative Agent, for the benefit of itself and for the ratable benefit of the Secured Parties, and as part of the Collateral, a security interest in all of the New Grantor’s right, title and interest in and to the Collateral, whether now owned or hereafter acquired, to secure the prompt and complete payment and performance of the Secured Obligations; provided that, the foregoing grant and pledge shall be subject to Section 1 of the Pledge Agreement.

 

By its execution below, the undersigned represents and warrants as to itself  that all of the representations and warranties contained in the Pledge Agreement are, and that Schedule I attached hereto is, true and correct in all respects as of the date hereof and that Schedule I hereby supplements and shall be added to Schedule I to the Pledge Agreement.  The New Pledgor represents and warrants that the supplements to the Exhibits to the Pledge Agreement attached hereto are true and correct in all respects and that such supplements set forth all information required to be scheduled under the Pledge Agreement with respect to the New Pledgor.  The New Pledgor shall take all steps necessary and required under the Pledge Agreement to perfect, in favor of the Administrative Agent, a first-priority security interest in and lien against the New Pledgor’s Collateral.

 

This Joinder Agreement may be executed in counterparts (and by different parties hereto on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. Delivery of an executed counterpart of a signature page of this Joinder Agreement by facsimile, e-mailed .pdf or any other electronic means that reproduces an image of the actual executed signature page shall be effective as delivery of a manually executed counterpart of this Joinder Agreement. This Joinder Agreement shall become effective when it shall have been executed by the Administrative Agent and when the Administrative Agent shall have received counterparts hereof which, when taken together, bear the signatures of each of the other parties hereto, and thereafter shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. The words “execution,” “signed,” “signature,”

 

 

“delivery,” and words of like import in or relating to any document to be signed in connection with this Joinder Agreement and the transactions contemplated hereby shall be deemed to include Electronic Signatures, deliveries or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature, physical delivery thereof or the use of a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any other similar state laws based on the Uniform Electronic Transactions Act; provided that nothing herein shall require the Administrative Agent to accept electronic signatures in any form or format without its prior written consent.

 

[the balance of this page intentionally has been left blank]

 

 

IN WITNESS WHEREOF, the New Pledgor has duly executed this Joinder Agreement to the Pledge Agreement as of the day and year first above written.

 

	
 
    	
[NEW PLEDGOR]
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
By:
    	
 
    
	
 
    	
 
    	
Name:
    
	
 
    	
 
    	
Title:
    

 

 

Schedule I 
 to
 Joinder Agreement

 

CORPORATIONS

 

	
Subsidiary and its
   Tax Identification #
    	
 
    	
Ownership
    	
 
    	
State of
   Incorporation
    	
 
    	
State ID. No.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

LIMITED LIABILITY COMPANIES

 

	
Name and Federal
   ID No.
    	
 
    	
Ownership
    	
 
    	
State of
   Organization
    	
 
    	
State ID. No.

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