Document:

Exhibit 4.1

    EXHIBIT
      4.1

     

    FIRST
      SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”), dated as of April 19,
      2007, among Sun Healthcare Group, Inc., a Delaware corporation (the “Issuer”),
      each of the parties identified as a Harborside Guarantor on the schedules to
      the
      signature pages hereto (each, a “Harborside Guarantor” and collectively, the
“Harborside Guarantors”) and Wells Fargo Bank, National Association, as Trustee
      under the Indenture (the “Trustee”).

     

    W
      I T N E
      S S E T H :

     

    WHEREAS
      the Issuer has heretofore executed and delivered to the Trustee an Indenture
      (the “Indenture”), dated as of April 12, 2007, providing for the issuance of the
      91⁄8% Senior
      Subordinated Notes due 2015 (the “Securities”);

     

    WHEREAS,
      each of the undersigned Harborside Guarantors has deemed it advisable and in
      its
      best interest to execute and deliver this Supplemental Indenture, and to become
      a Harborside Guarantor under the Indenture; and

     

    WHEREAS,
      pursuant to Section 9.01(4) of the Indenture, the Trustee, the Issuer and the
      Harborside Guarantors are authorized to execute and deliver this Supplemental
      Indenture.

     

    NOW
      THEREFORE, in consideration of the foregoing and for good and valuable
      consideration, the receipt of which is hereby acknowledged, the Issuer, the
      Harborside Guarantors and the Trustee mutually covenant and agree for the equal
      and ratable benefit of the Holders of the Securities as follows:

     

    SECTION
      1. Capitalized
      Terms.
      Capitalized terms used herein but not defined shall have the meanings assigned
      to them in the Indenture.

     

    SECTION
      2. Guaranties.
      Each
      Harborside Guarantor hereby agrees to guarantee the Issuer’s obligations under
      the Securities on the terms and subject to the conditions set forth in Article
      11 of the Indenture and to be bound by all other applicable provisions of the
      Indenture as a Subsidiary Guarantor.

     

    SECTION
      3. Ratification
      of Indenture; Supplemental Indentures Part of Indenture.
      Except
      as expressly amended hereby, the Indenture is in all respects ratified and
      confirmed and all the terms, conditions and provisions thereof shall remain
      in
      full force and effect. This Supplemental Indenture shall form a part of the
      Indenture for all purposes, and every holder of Securities heretofore or
      hereafter authenticated and delivered shall be bound hereby.

     

    SECTION
      4. Governing
      Law. THIS
      SUPPLEMENTAL INDENTURE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH,
      THE LAWS OF THE STATE OF NEW YORK.

     

    SECTION
      5. Trustee
      Makes No Representation.
      The
      Trustee makes no representation as to the validity or sufficiency of this
      Supplemental Indenture.

     

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    SECTION
      6. Counterparts.
      The
      parties may sign any number of copies of this Supplemental Indenture. Each
      signed copy shall be an original, but all of them together represent the same
      agreement.

     

    SECTION
      7. Effect
      of Headings.
      The
      Section headings herein are for convenience only and shall not effect the
      construction of this Supplemental Indenture. 

    
      
         

      

      
         

        
          

        

      

      
         

      

    

    IN
      WITNESS WHEREOF, the parties have caused this Supplemental Indenture to be
      duly
      executed as of this 19th day of April, 2007.

    

     

    
      	
              SUN
                HEALTHCARE GROUP, INC.

            
	 
	
              By:

            	
              /s/
                Michael Newman

            
	
              Name:

            	
              Michael
                Newman

            
	
              Title:

            	
              Executive
                Vice President and General Counsel

            

    

    

     

    

     

    
      	
              WELLS
                FARGO BANK, NATIONAL

              ASSOCIATION,

              as
                Trustee

            
	 
	
              By:

            	
              /s/
                Madaliena Hall

            
	
              Name:

            	
              Madaliena
                Hall

            
	
              Title:

            	
              Vice
                President

            

    

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    
      	
               

               

                 
                /s/ Michael Newman

            
	
              Name:
                Michael Newman

              Title: 

              Vice
                President of Harborside Healthcare Corporation 

              Trustee
                of HHC 1998-1 Trust

              Vice
                President of Maryland Harborside Corp., the

                general
                partner of Massachusetts Holdings II, Limited

                Partnership

              Vice
                President of KHI LLC, the general partner of

                Harborside
                Healthcare Limited Partnership and

                Harborside
                Healthcare Advisors Limited Partnership

              Vice
                President of each of the Group A Guarantors listed

                on
                Schedule A

              Vice
                President of Harborside Health I LLC, the general

                partner
                of each of the Group B Guarantors listed on

                Schedule
                A

              Vice
                President of KHI LLC, the general partner of

                each
                of the Group C Guarantors listed on Schedule A

              Vice
                President of Harborside Toledo Business LLC,

                the
                general partner of each of the Group D Guarantors

                listed
                on Schedule A

              Vice
                President of each of the Group E Guarantors listed

                on
                Schedule A

            

    

    

    

    
      	
              HHC
                Nutrition Services, LLC

               

              /s/
                Michael Berg

            
	
              Name:   Michael
                Berg

              Title:     Secretary

            

    

    
      
        
        

      

      
        S-1

        
          

        

      

      
        
        

      

    

    
      	
              Huntington
                Place Limited Partnership

                By:
                1775 Huntington Lane, LLC, its general partner

              Florida
                Holdings I, LLC

              Florida
                Holdings II, LLC

              Florida
                Holdings III, LLC

              Florida
                Administrative Services, LLC

              1240
                Pinebrook Road, LLC

              1501
                SE 24th Road, LLC

              1775
                Huntington Lane, LLC

              1980
                Sunset Point Road, LLC

              2600
                Highlands Boulevard, North, LLC

              2900
                Twelfth Street North, LLCv

              3865
                Tampa Road, LLC

              4602
                Northgate Court, LLC

              4927
                Voorhees Road, LLC

               

              /s/
                Sam Politz

            
	
              Name:
                Sam Politz

              Title:
                Manager 

            

    

    
      
        
        

      

      
        
          S-2

        

        
          

        

      

      
        
        

      

    

    Schedule
      A

     

    Harborside
      Guarantors

     

    
      	
              Harborside
                Healthcare Corporation

              HHC
                1998-1 Trust

              Massachusetts
                Holdings II, Limited Partnership

               

              “Group
                A Guarantors” 

              Bradford
                Square Nursing, LLC

              Caring
                Choices Hospice LLC

              Connecticut
                Holdings I, LLC

              Crestview
                Nursing, LLC

              Falmouth
                Healthcare, LLC

              Grant
                Manor LLC

              Harborside
                Administrative Services, LLC

              Harborside
                Health I LLC

              Harborside
                Holdings I, LLC

              Harborside
                Point Place, LLC

              Harborside
                Swanton, LLC

              Harborside
                Sylvania, LLC

              Harborside
                Toledo Business LLC

              Harborside
                Troy, LLC

              HBR
                Danbury, LLC

              HBR
                Kentucky, LLC

              HBR
                Stamford, LLC

              HBR
                Trumbull, LLC

              HBR
                Madisonville, LLC

              HBR
                Campbell Lane, LLC

              HBR
                Owensboro, LLC

              HBR
                Woodburn, LLC

              HBR
                Lewisport, LLC

              HBR
                Brownsville, LLC

              HBR
                Bardwell LLC

              HBR
                Paducah, LLC

              HBR
                Barkely Drive, LLC

              HBR
                Bowling Green LLC

              HBR
                Elizabethtown, LLC

              Kentucky
                Holdings I, LLC

              KHI
                LLC

              Klondike
                Manor LLC

              Leisure
                Years Nursing, LLC

              LTC
                Leasing, LLC

              Marietta
                Healthcare, LLC

              Mashpee
                Healthcare, LLC

              Massachusetts
                Holdings I, LLC

              New
                Hampshire Holdings, LLC

              Northwest
                Holdings I, LLC

              395
                Harding Street, LLC

              1104
                Wesley Avenue, LLC

              Ohio
                Holdings I, LLC

              Owenton
                Manor Nursing, LLC

              Pine
                Tree Villa LLC

              Regency
                Nursing, LLC

              Vital
                Care Services, LLC

              Wakefield
                Healthcare, LLC

              Westfield
                Healthcare, LLC

              Woodspoint
                LLC

            	
              “Group
                B Guarantors” 

              Harborside
                of Cleveland Limited Partnership

              Harborside
                Connecticut Limited Partnership

              Harborside
                Danbury Limited Partnership

              Harborside
                of Dayton Limited Partnership

              Harborside
                Healthcare Baltimore Limited Partnership

              Harborside
                Massachusetts Limited Partnership 

              Harborside
                North Toledo Limited Partnership 

              Harborside
                of Ohio Limited Partnership 

              Harborside
                Rhode Island Limited Partnership

              Harborside
                Rehabilitation Limited Partnership

              Riverside
                Retirement Limited Partnership

               

              “Group
                C Guarantors” 

              Harborside
                Healthcare Advisors Limited Partnership

              Harborside
                Healthcare Limited Partnership

               

              “Group
                D Guarantors”

              Harborside
                New Hampshire Limited Partnership

              Harborside
                Toledo Limited Partnership

              HHCI
                Limited Partnership

               

              “Group
                E Guarantors” 

              Bay
                Tree Nursing Center Corp. 

              Belmont
                Nursing Center Corp. 

              Countryside
                Care Center Corp. 

              Maryland
                Harborside Corp. 

              Oakhurst
                Manor Nursing Center Corp. 

              Orchard
                Ridge Nursing Center Corp. 

              Sunset
                Point Nursing Center Corp. 

              West
                Bay Nursing Center Corp. 

               

            

    

     

    Schedule
      A - 1Exhibit 4.2

    EXHIBIT
      4.2

     

    SUN
      HEALTHCARE GROUP, INC.

     

     

    $200,000,000
      Senior Subordinated Notes Due 2015

     

     

    JOINDER
      TO THE REGISTRATION RIGHTS AGREEMENT

     

    April
      19,
      2007

     

    CREDIT
      SUISSE SECURITIES (USA) LLC,

    CIBC
      WORLD MARKETS CORP.,

    UBS
      SECURITIES LLC,

    JEFFERIES
      & COMPANY, INC.,

         c/o
      Credit Suisse Securities (USA) LLC,

         Eleven
      Madison Avenue,

         New
      York, New York 10010-3629

     

    Ladies
      and Gentlemen:

     

    Reference
      is made to the Purchase Agreement (the “Purchase Agreement”) dated March 22,
      2007, among Sun Healthcare Group, Inc., a Delaware corporation (the “Company”),
      its subsidiary guarantors (the “Guarantors”), Credit Suisse Securities (USA)
      LLC, CIBC World Markets Corp., UBS Securities LLC, and Jefferies & Company,
      Inc. (collectively, the “Purchasers”), concerning the purchase of the Initial
      Securities from the Company by the Purchasers. This is the Joinder Agreement
      to
      the Registration Rights Agreement dated April 12, 2007 (the “Registration Rights
      Agreement” or this “Agreement”). Capitalized terms used herein but not defined
      herein shall have the meanings ascribed to such terms in the Registration Rights
      Agreement. 

     

    Each
      of
      the parties hereto agrees that this Agreement is being executed and delivered
      in
      connection with the issue and sale of the Initial Securities pursuant to the
      Purchase Agreement and to induce the Purchasers to purchase the Initial
      Securities thereunder. This Agreement is being executed on the Closing Date
      or,
      if applicable, the Escrow Release Date, concurrently with the consummation
      of
      the Acquisition.

     

    1.  Joinder.
      Each of
      Harborside and the Harborside Guarantors listed on Schedule II to the
      Registration Rights Agreement (together, the “Joining Parties”) hereby agrees to
      become bound by the terms, conditions and other provisions of the Registration
      Rights Agreement with all attendant rights, duties and obligations stated
      therein, with the same force and effect as if originally named therein as a
      party and as if such party executed the Registration Rights Agreement on the
      date thereof.

     

    2.  Representations
      and Warranties of the Joining Parties.
      Each
      of
      the Joining Parties represents and warrants to, and agrees with, the Purchasers
      on and as of the date hereof that this Agreement has been duly authorized,
      executed and delivered by such Joining Party.

     

    3.  GOVERNING
      LAW.
       THIS
      AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF
      THE
      STATE OF NEW YORK.

     

    4.  Counterparts.
      This
      Agreement may be executed in one or more counterparts, each of which shall
      each
      be deemed to be an original, but all such counterparts shall together constitute
      one and the same instrument.

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    5.  Amendments.
      No
      amendment or waiver of any provision of this Agreement, nor any consent or
      approval to any departure therefrom, shall in any event be effective unless
      the
      same shall be in writing and signed by the parties hereto.

     

    6.  Headings.
      The
      headings herein are inserted for convenience of reference only and are not
      intended to be part of, or to affect the meaning or interpretation of, this
      Agreement.

     

    

     

    

     

    

     

    

     

    

     

    

     

    2

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    If
      the
      foregoing is in accordance with your understanding, please indicate your
      acceptance of this Agreement by signing in the space provided
      below.

     

    Very
      truly yours,

     

    
      	
               

               

                 
                /s/ Michael Newman

            
	
              Name:
                Michael Newman

              Title: 

              Vice
                President of Harborside Healthcare Corporation

              Trustee
                of HHC 1998-1 Trust

                 Vice
                President of Maryland Harborside Corp., the 

                 general
                partner of Massachusetts Holdings II, Limited

                 Partnership

              Vice
                President of KHI LLC, the general partner of

                Harborside
                Healthcare Limited Partnership and

                Harborside
                Healthcare Advisors Limited Partnership

              Vice
                President of each of the Group A Guarantors listed

                on
                Schedule A

              Vice
                President of Harborside Health I LLC, the general

                
                partner of each of the Group B Guarantors listed on

                Schedule
                A

              Vice
                President of KHI LLC, the general partner of each

                of
                the Group C Guarantors listed on Schedule A

              Vice
                President of Harborside Toledo Business LLC, the

                general
                partner of each of the Group D Guarantors

                listed
                on Schedule A

              Vice
                President of each of the Group E Guarantors listed

                on
                Schedule A

            

    

    

    

    
      	
              HHC
                Nutrition Services, LLC

               

              /s/
                Michael Berg

            
	
              Name:
                Michael Berg

              Title:
                Secretary

            

    

    

    

    

    

    

    

    S-1

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    
      	
              Huntington
                Place Limited Partnership

                  
                By: 1775 Huntington Lane, LLC, its general
 partner

              Florida
                Holdings I, LLC

              Florida
                Holdings II, LLC

              Florida
                Holdings III, LLC

              Florida
                Administrative Services, LLC

              1240
                Pinebrook Road, LLC

              1501
                SE 24th Road, LLC

              1775
                Huntington Lane, LLC

              1980
                Sunset Point Road, LLC

              2600
                Highlands Boulevard, North, LLC

              2900
                Twelfth Street North, LLC

              3865
                Tampa Road, LLC

              4602
                Northgate Court, LLC

               

              4927
                Voorhees Road, LLC

               

              /s/
                Sam Politz

            
	
              Name:
                Sam Politz

              Title:
                Manager 

            

    

    

    

    

    

    

    

    

    S-2

    
      
        
        

      

      
        
        

        
          

        

      

      
        
        

      

    

    Schedule
      A

     

    Harborside
      Guarantors

     

    
      	
              Harborside
                Healthcare Corporation

              HHC
                1998-1 Trust

              Massachusetts
                Holdings II, Limited Partnership

               

              “Group
                A Guarantors” 

              Bradford
                Square Nursing, LLC

              Caring
                Choices Hospice LLC

              Connecticut
                Holdings I, LLC

              Crestview
                Nursing, LLC

              Falmouth
                Healthcare, LLC

              Grant
                Manor LLC

              Harborside
                Administrative Services, LLC

              Harborside
                Health I LLC

              Harborside
                Holdings I, LLC

              Harborside
                Point Place, LLC

              Harborside
                Swanton, LLC

              Harborside
                Sylvania, LLC

              Harborside
                Toledo Business LLC

              Harborside
                Troy, LLC

              HBR
                Danbury, LLC

              HBR
                Kentucky, LLC

              HBR
                Stamford, LLC

              HBR
                Trumbull, LLC

              HBR
                Madisonville, LLC

              HBR
                Campbell Lane, LLC

              HBR
                Owensboro, LLC

              HBR
                Woodburn, LLC

              HBR
                Lewisport, LLC

              HBR
                Brownsville, LLC

              HBR
                Bardwell LLC

              HBR
                Paducah, LLC

              HBR
                Barkely Drive, LLC

              HBR
                Bowling Green LLC

              HBR
                Elizabethtown, LLC

              Kentucky
                Holdings I, LLC

              KHI
                LLC

              Klondike
                Manor LLC

              Leisure
                Years Nursing, LLC

              LTC
                Leasing, LLC

              Marietta
                Healthcare, LLC

              Mashpee
                Healthcare, LLC

              Massachusetts
                Holdings I, LLC

              New
                Hampshire Holdings, LLC

              Northwest
                Holdings I, LLC

              395
                Harding Street, LLC

              1104
                Wesley Avenue, LLC

              Ohio
                Holdings I, LLC

              Owenton
                Manor Nursing, LLC

              Pine
                Tree Villa LLC

              Regency
                Nursing, LLC

              Vital
                Care Services, LLC

              Wakefield
                Healthcare, LLC

              Westfield
                Healthcare, LLC

              Woodspoint
                LLC

            	
              “Group
                B Guarantors” 

              Harborside
                of Cleveland Limited Partnership

              Harborside
                Connecticut Limited Partnership

              Harborside
                Danbury Limited Partnership

              Harborside
                of Dayton Limited Partnership

              Harborside
                Healthcare Baltimore Limited Partnership

              Harborside
                Massachusetts Limited Partnership 

              Harborside
                North Toledo Limited Partnership 

              Harborside
                of Ohio Limited Partnership 

              Harborside
                Rhode Island Limited Partnership

              Harborside
                Rehabilitation Limited Partnership

              Riverside
                Retirement Limited Partnership

               

              “Group
                C Guarantors” 

              Harborside
                Healthcare Advisors Limited Partnership

              Harborside
                Healthcare Limited Partnership

               

              “Group
                D Guarantors” 

              Harborside
                New Hampshire Limited Partnership

              Harborside
                Toledo Limited Partnership

              HHCI
                Limited Partnership

               

              “Group
                E Guarantors”

              Bay
                Tree Nursing Center Corp. 

              Belmont
                Nursing Center Corp. 

              Countryside
                Care Center Corp. 

              Maryland
                Harborside Corp. 

              Oakhurst
                Manor Nursing Center Corp. 

              Orchard
                Ridge Nursing Center Corp. 

              Sunset
                Point Nursing Center Corp. 

              West
                Bay Nursing Center Corp.

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