Document:

EX-4.3

 Exhibit 4.3 

JOINDER AGREEMENT TO REGISTRATION RIGHTS AGREEMENT 

February 2, 2015 
 Reference is
hereby made to the Registration Rights Agreement, dated as of December 18, 2014 (the “Registration Rights Agreement”), by and between KINDRED ESCROW CORP. II (“Escrow Corporation”) and CITIGROUP GLOBAL MARKETS
INC., on behalf of itself and the other Initial Purchasers. Unless otherwise defined herein, terms defined in the Registration Rights Agreement and used herein shall have the meanings given to them in the Registration Rights Agreement. 

1. Joinder of the Successor Company. Kindred Healthcare, Inc., a Delaware corporation (“Kindred”), 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 as the “Company”
therein and as if Kindred executed the Registration Rights Agreement on the date thereof. 
 2. Joinder of the Guarantor. Each other
signatory hereto (each, a “Guarantor”), 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 as “Guarantor” therein and as if such Guarantor executed the Registration Rights Agreement on the date thereof. 

3. Governing Law. This Joinder Agreement, and any claim, controversy or dispute arising under or related to this Joinder 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 any number of counterparts and by the parties hereto in separate counterparts, each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. Delivery of an
executed counterpart of a signature page to this Joinder Agreement by facsimile, email or other electronic transmission (i.e., “pdf”) shall be effective as delivery of a manually executed counterpart of this Joinder
Agreement. 
 5. Amendments. No amendment or waiver of any provision of this Joinder 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 in this Joinder Agreement are for convenience of reference only and shall not limit or otherwise affect the meaning hereof. 

[Signature Page Follows] 

 IN WITNESS WHEREOF, the undersigned have executed this Joinder Agreement as of the date first
written above. 
  

					
	KINDRED HEALTHCARE, INC.
		
	By:	 	 /s/ Joseph L. Landenwich

		 	Name:	 	Joseph L. Landenwich
		 	Title:	 	Co-General Counsel and Corporate Secretary

 Aberdeen Holdings, Inc. 

Able Home Healthcare, Inc. 
 Advanced Oncology Services, Inc. 

American VitalCare, LLC 
 Avery Manor Nursing, L.L.C. 

Bayberry Care Center, L.L.C. 
 Braintree Nursing, L.L.C. 

BWB Sunbelt Home Health Services, LLC 
 California Nursing
Centers, L.L.C. 
 Care Center of Rossmoor, L.L.C. 
 Central
Arizona Home Health Care, Inc. 
 Clear Lake Rehabilitation Hospital, L.L.C. 

Compass Hospice, Inc. 
 Country Estates Nursing, L.L.C. 

Courtland Gardens Health Center, Inc. 
 Focus Care Health
Resources, Inc. 
 Forestview Nursing, L.L.C. 
 GBA Holding,
Inc. 
 GBA West, LLC 
 Goddard Nursing, L.L.C. 

Greenbrae Care Center, L.L.C. 
 Greens Nursing and Assisted
Living, L.L.C. 
 Harborlights Nursing, L.L.C. 
 Haven Health,
LLC 
 Helian ASC of Northridge, Inc. 
 Helian Health Group,
Inc. 
 HHS Healthcare Corp. 
 Highgate Nursing, L.L.C. 

Highlander Nursing, L.L.C. 
 Homecare Holdings, Inc. 

Home Health of Rural Texas, Inc. 
 Home Health Services, Inc. 

Homestead Health and Rehabilitation Center, L.L.C. 
 IntegraCare
Holdings, Inc. 
 IntegraCare Home Health Services, Inc. 

IntegraCare Hospice of Abilene, LLC 
 IntegraCare Intermediate
Holdings, Inc. 
 IntegraCare of Abilene, LLC 
 IntegraCare of
Albany, LLC 

 IntegraCare of Athens-Home Health, LLC 

IntegraCare of Athens-Hospice, LLC 
 IntegraCare of Granbury, LLC

 IntegraCare of Littlefield, LLC 
 IntegraCare of Olney Home
Health, LLC 
 IntegraCare of Texas, LLC 
 IntegraCare of West
Texas-Home Health, LLC 
 IntegraCare of West Texas-Hospice, LLC 

IntegraCare of Wichita Falls, LLC 
 J. B. Thomas Hospital, Inc.

 KAH Development 1, L.L.C. 
 KAH Development 2, L.L.C. 

KAH Development 3, L.L.C. 
 KAH Development 4, L.L.C. 

KAH Development 5, L.L.C. 
 KAH Development 6, L.L.C. 

KAH Development 7, L.L.C. 
 KAH Development 8, L.L.C. 

KAH Development 9, L.L.C. 
 KAH Development 10, L.L.C. 

KAH Development 11, L.L.C. 
 KAH Development 12, L.L.C. 

KAH Development 13, L.L.C. 
 KAH Development 14, L.L.C. 

KAH Development 15, L.L.C. 
 Kindred Braintree Hospital, L.L.C.

 Kindred Development 4, L.L.C. 
 Kindred Development 7, L.L.C.

 Kindred Development 8, L.L.C. 
 Kindred Development 9, L.L.C.

 Kindred Development 10, L.L.C. 
 Kindred Development 11,
L.L.C. 
 Kindred Development 12, L.L.C. 
 Kindred Development
13, L.L.C. 
 Kindred Development 15, L.L.C. 
 Kindred
Development 17, L.L.C. 
 Kindred Development 27, L.L.C. 

Kindred Development 29, L.L.C. 
 Kindred Development Holdings 3,
L.L.C. 
 Kindred Development Holdings 5, L.L.C. 
 Kindred
Healthcare Operating, Inc. 
 Kindred Healthcare Services, Inc. 

Kindred Hospice Services, L.L.C. 
 Kindred
Hospital-Pittsburgh-North Shore, L.L.C. 
 Kindred Hospitals East, L.L.C. 

Kindred Hospital Palm Beach, L.L.C. 
 Kindred
Hospital-Springfield, L.L.C. 
 Kindred Hospital-Toledo, L.L.C. 

Kindred Hospitals West, L.L.C. 
 Kindred Nevada, L.L.C. 

Kindred Nursing Centers East, L.L.C. 

 Kindred Nursing Centers North, L.L.C. 

Kindred Nursing Centers South, L.L.C. 
 Kindred Nursing Centers
West, L.L.C. 
 Kindred Rehab Services, Inc. 
 Kindred Systems,
Inc. 
 KND Development 50, L.L.C. 
 KND Development 51, L.L.C.

 KND Development 52, L.L.C. 
 KND Development 53, L.L.C. 

KND Development 54, L.L.C. 
 KND Development 55, L.L.C. 

KND Development 56, L.L.C. 
 KND Development 57, L.L.C. 

KND Development 58, L.L.C. 
 KND Development 59, L.L.C. 

KND Development 60, L.L.C. 
 KND Development 61, L.L.C. 

KND Development 62, L.L.C. 
 KND Development 63, L.L.C. 

KND Hospital Real Estate Holdings, L.L.C. 
 KND Real Estate 1,
L.L.C. 
 KND Real Estate 2, L.L.C. 
 KND Real Estate 3, L.L.C.

 KND Real Estate 4, L.L.C. 
 KND Real Estate 5, L.L.C. 

KND Real Estate 6, L.L.C. 
 KND Real Estate 7, L.L.C. 

KND Real Estate 8, L.L.C. 
 KND Real Estate 9, L.L.C. 

KND Real Estate 10, L.L.C. 
 KND Real Estate 11, L.L.C. 

KND Real Estate 12, L.L.C. 
 KND Real Estate 13, L.L.C. 

KND Real Estate 14, L.L.C. 
 KND Real Estate 15, L.L.C. 

KND Real Estate 16, L.L.C. 
 KND Real Estate 17, L.L.C. 

KND Real Estate 18, L.L.C. 
 KND Real Estate 19, L.L.C. 

KND Real Estate 20, L.L.C. 
 KND Real Estate 21, L.L.C. 

KND Real Estate 22, L.L.C. 
 KND Real Estate 23, L.L.C. 

KND Real Estate 24, L.L.C. 
 KND Real Estate 25, L.L.C. 

KND Real Estate 26, L.L.C. 
 KND Real Estate 27, L.L.C. 

KND Real Estate 28, L.L.C. 
 KND Real Estate 29, L.L.C. 

KND Real Estate 30, L.L.C. 
 KND Real Estate 31, L.L.C. 

 KND Real Estate 32, L.L.C. 

KND Real Estate 33, L.L.C. 
 KND Real Estate 34, L.L.C. 

KND Real Estate 35, L.L.C. 
 KND Real Estate 36, L.L.C. 

KND Real Estate 37, L.L.C. 
 KND Real Estate 38, L.L.C. 

KND Real Estate 39, L.L.C. 
 KND Real Estate 40, L.L.C. 

KND Real Estate 41, L.L.C. 
 KND Real Estate 42, L.L.C. 

KND Real Estate 43, L.L.C. 
 KND Real Estate 44, L.L.C. 

KND Real Estate 45, L.L.C. 
 KND Real Estate 46, L.L.C. 

KND Real Estate 47, L.L.C. 
 KND Real Estate 48, L.L.C. 

KND Real Estate 49, L.L.C. 
 KND Real Estate 50, L.L.C. 

KND Real Estate 51, L.L.C. 
 KND Real Estate Holdings, L.L.C. 

KND Rehab Real Estate Holdings, L.L.C. 
 KND SNF Real Estate
Holdings, L.L.C. 
 Lafayette Health Care Center, Inc. 

Lafayette Specialty Hospital, L.L.C. 
 Laurel Lake Health and
Rehabilitation, L.L.C. 
 Maine Assisted Living, L.L.C. 

Massachusetts Assisted Living, L.L.C. 
 Meadows Nursing, L.L.C.

 MedEquities, Inc. 
 Medical Hill Rehab Center, L.L.C. 

Med-Tech Private Care, Inc. 
 Med-Tech Services of Dade, Inc. 

Med-Tech Services of Palm Beach, Inc. 
 Med. Tech. Services of
South Florida, Inc. 
 Mills Medical Practices, LLC 
 New
Triumph HealthCare of Texas, LLC 
 New Triumph HealthCare, Inc. 

North West Texas Home Health Services, LLC 
 Northland LTACH, LLC

 NP Plus, LLC 
 NRP Holdings Company 

Outreach Health Services of North Texas, LLC 
 Outreach Health
Services of the Panhandle, LLC 
 Pacific Coast Care Center, L.L.C. 

Pacific West Home Care, LLC 
 Peoplefirst HomeCare &
Hospice of California, L.L.C. 
 Peoplefirst HomeCare & Hospice of Colorado, L.L.C. 

Peoplefirst HomeCare & Hospice of Indiana, L.L.C. 

Peoplefirst HomeCare & Hospice of Massachusetts, L.L.C. 

Peoplefirst HomeCare & Hospice of Ohio, L.L.C. 

 Peoplefirst HomeCare & Hospice of Utah, L.L.C. 

Peoplefirst HomeCare of Colorado, L.L.C. 
 Peoplefirst Virginia,
L.L.C. 
 PersonaCare of Connecticut, Inc. 
 PersonaCare of
Huntsville, Inc. 
 PersonaCare of Ohio, Inc. 
 PersonaCare of
Reading, Inc. 
 PersonaCare of Wisconsin, Inc. 
 PF Development
5, L.L.C. 
 PF Development 6, L.L.C. 
 PF Development 7, L.L.C.

 PF Development 8, L.L.C. 
 PF Development 9, L.L.C. 

PF Development 10, L.L.C. 
 PF Development 15, L.L.C. 

PF Development 16, L.L.C. 
 PF Development 17, L.L.C. 

PF Development 18, L.L.C. 
 PF Development 19, L.L.C. 

PF Development 20, L.L.C. 
 PF Development 21, L.L.C. 

PF Development 22, L.L.C. 
 PF Development 23, L.L.C. 

PF Development 26, L.L.C. 
 PF Development 27, L.L.C. 

PHH Acquisition Corp. 
 Professional Healthcare at Home, LLC 

Professional Healthcare, LLC 
 Rehab Insurance Corporation 

Rehab Staffing, L.L.C. 
 RehabCare Development 2, L.L.C. 

RehabCare Development 3, L.L.C. 
 RehabCare Development 4, L.L.C.

 RehabCare Development 5, L.L.C. 
 RehabCare Group, Inc. 

RehabCare Group East, Inc. 
 RehabCare Group Management Services,
Inc. 
 RehabCare Group of California, LLC 
 RehabCare Group of
Texas, LLC 
 RehabCare Hospital Holdings, L.L.C. 
 Salt Lake
Physical Therapy Associates, Inc. 
 SCCI Health Services Corporation 

SCCI Hospital – Easton, Inc. 
 SCCI Hospital – El Paso,
Inc. 
 SCCI Hospital – Mansfield, Inc. 
 SCCI Hospital
Ventures, Inc. 
 SCCI Hospitals of America, Inc. 
 Senior Home
Care, Inc. 
 SHC Holding, Inc. 
 SHC Rehab, Inc. 

Siena Care Center, L.L.C. 

 Smith Ranch Care Center, L.L.C. 

Southern California Specialty Care, Inc. 
 Southern Nevada Home
Health Care, Inc. 
 Southern Utah Home Health, Inc. 
 Southern
Utah Home Oxygen & Medical Equipment, Inc. 
 Specialty Healthcare Services, Inc. 

Specialty Hospital of Cleveland, Inc. 
 Specialty Hospital of
Philadelphia, Inc. 
 Specialty Hospital of South Carolina, Inc. 

Springfield Park View Hospital, L.L.C. 
 Symphony Health Services,
LLC 
 Synergy, Inc. 
 Synergy Healthcare Group, Inc. 

Synergy Home Care-Acadiana Region, Inc. 
 Synergy Home
Care-Capitol Region, Inc. 
 Synergy Home Care-Central Region, Inc. 

Synergy Home Care-Northeastern Region, Inc. 
 Synergy Home
Care-Northshore Region, Inc. 
 Synergy Home Care-Northwestern Region, Inc. 

Synergy Home Care-Southeastern Region, Inc. 
 Texas Health
Management Group, LLC 
 THC – Chicago, Inc. 
 THC –
Houston, Inc. 
 THC – North Shore, Inc. 
 THC –
Orange County, Inc. 
 THC–Seattle, Inc. 
 TherEX, Inc.

 The Therapy Group, Inc. 
 Tower Hill Nursing, L.L.C. 

Transitional Hospitals Corporation of Indiana, Inc. 
 Transitional
Hospitals Corporation of Louisiana, Inc. 
 Transitional Hospitals Corporation of Nevada, Inc. 

Transitional Hospitals Corporation of New Mexico, Inc. 

Transitional Hospitals Corporation of Tampa, Inc. 
 Transitional
Hospitals Corporation of Texas, Inc. 
 Transitional Hospitals Corporation of Wisconsin, Inc. 

Trinity Hospice of Texas, LLC 
 Triumph HealthCare Holdings, Inc.

 Triumph HealthCare Second Holdings, LLC 
 Triumph HealthCare
Third Holdings, LLC 
 Triumph Hospital Northwest Indiana, Inc. 

Triumph Rehabilitation Hospital Northern Indiana, LLC 
 Triumph
Rehabilitation Hospital of Northeast Houston, LLC 
 Tucker Nursing Center, Inc. 

Tulsa Specialty Hospital L.L.C. 
 Vernon Home Health Care Agency,
LLC 
 VTA Management Services, LLC 
 VTA Staffing Services, LLC

 Wellstream Health Services, LLC 
 West Texas, LLC 

Ygnacio Valley Care Center, L.L.C. 

 Foothill Nursing Company Partnership 

Hillhaven–MSC Partnership 
 Kindred Hospitals Limited
Partnership 
 Kindred Nursing Centers Central Limited Partnership 

Kindred Nursing Centers Limited Partnership 
 New Triumph
HealthCare, LLP 
 RehabCare Group of Amarillo, LP 
 RehabCare
Group of Arlington, LP 
 ABC Hospice, LLC 
 Access Home Health
of Florida, LLC 
 Alpine Home Health Care, LLC 
 Alpine Home
Health II, Inc. 
 Alpine Home Health, Inc. 
 Alpine Resource
Group, Inc. 
 American Homecare Management Corp. 
 American
Hospice, Inc. 
 Asian American Home Care, Inc. 
 Bethany
Hospice, LLC 
 California Hospice, LLC 
 Capital Care Resources
of South Carolina, LLC 
 Capital Care Resources, LLC 
 Capital
Health Management Group, LLC 
 Chaparral Hospice, Inc. 

Chattahoochee Valley Home Care Services, LLC 
 Chattahoochee
Valley Home Health, LLC 
 CHMG Acquisition LLC 
 CHMG of
Atlanta, LLC 
 CHMG of Griffin, LLC 
 Colorado Hospice, L.L.C.

 Eastern Carolina Home Health Agency, LLC 
 Faith Home Health
and Hospice, LLC 
 Faith in Home Services, L.L.C. 
 FHI GP,
Inc. 
 FHI Health Systems, Inc. 
 FHI LP, Inc. 

First Home Health, Inc. 
 Gentiva Certified Healthcare Corp. 

Gentiva Health Services (Certified), Inc. 
 Gentiva Health
Services (USA) LLC 
 Gentiva Health Services Holding Corp. 

Gentiva Health Services, Inc. 
 Gentiva Rehab Without Walls, LLC

 Gentiva Services of New York, Inc. 
 Georgia Hospice, LLC

 Gilbert’s Home Health Agency, Inc. 
 Gilbert’s
Hospice Care, LLC 
 Gilbert’s Hospice Care of Mississippi, LLC 

Girling Health Care Services of Knoxville, Inc. 
 Girling Health
Care, Inc. 
 Harden Clinical Services, LLC 
 Harden HC Texas
Holdco, LLC 

 Harden Healthcare Holdings, LLC 

Harden Healthcare Services, LLC 
 Harden Healthcare, LLC 

Harden Home Health, LLC 
 Harden Home Option, LLC 

Harden Hospice, LLC 
 Hawkeye Health Services, Inc. 

Healthfield Home Health, LLC 
 Healthfield Hospice Services, LLC

 Healthfield of Southwest Georgia, LLC 
 Healthfield of
Statesboro, LLC 
 Healthfield of Tennessee, LLC 
 Healthfield
Operating Group, LLC 
 Healthfield, LLC 
 Home Health Care
Affiliates of Central Mississippi, L.L.C. 
 Home Health Care Affiliates of Mississippi, Inc. 

Home Health Care Affiliates, Inc. 
 Home Health Care of Carteret
County, LLC 
 HomeCare Plus, Inc. 
 Horizon Health Care
Services, Inc. 
 Horizon Health Network LLC 
 Hospice Care of
Kansas and Missouri, L.L.C. 
 Hospice Care of Kansas, L.L.C. 

Hospice Care of the Midwest, L.L.C. 
 Iowa Hospice, L.L.C. 

Isidora’s Health Care Inc. 
 Lakes Hospice, L.L.C. 

Lighthouse Hospice Management, LLC 
 Lighthouse Hospice Partners,
LLC 
 Lighthouse Hospice - Coastal Bend, LLC 
 Lighthouse
Hospice - Metroplex, LLC 
 Lighthouse Hospice-San Antonio, LLC 

Mid-South Home Care Services, LLC 
 Mid-South Home Health Agency,
LLC 
 Mid-South Home Health of Gadsden, LLC 
 Mid-South Home
Health, LLC 
 Missouri Home Care of Rolla, Inc. 
 New York
Healthcare Services, Inc. 
 Nursing Care - Home Health Agency, Inc. 

Odyssey HealthCare Austin, LLC 
 Odyssey HealthCare Detroit, LLC

 Odyssey HealthCare Fort Worth, LLC 
 Odyssey HealthCare GP,
LLC 
 Odyssey HealthCare Holding Company 
 Odyssey HealthCare
LP, LLC 
 Odyssey HealthCare of Augusta, LLC 
 Odyssey
HealthCare of Flint, LLC 
 Odyssey HealthCare of Marion County, LLC 

Odyssey HealthCare of Savannah, LLC 
 Odyssey HealthCare of St.
Louis, LLC 
 Odyssey HealthCare, Inc. 

 OHS Service Corp. 

Omega Hospice, LLC 
 PHHC Acquisition Corp. 

QC-Medi New York, Inc. 
 Quality Care - USA, Inc. 

Saturday Partners, LLC 
 Tar Heel Health Care Services, LLC 

The American Heartland Hospice Corp. 
 The Home Option, LLC 

The Home Team of Kansas, LLC 
 Total Care Home Health of
Louisburg, LLC 
 Total Care Home Health of North Carolina, LLC 

Total Care Home Health of South Carolina, LLC 
 Van Winkle Home
Health Care, Inc. 
 Vista Hospice Care, LLC 
 VistaCare of
Boston, LLC 
 VistaCare USA, LLC 
 VistaCare, LLC 

Voyager Home Health, Inc. 
 Voyager HospiceCare, Inc. 

We Care Home Health Services, Inc. 
 Wiregrass Hospice Care, LLC

 Wiregrass Hospice of South Carolina, LLC 
 Wiregrass Hospice
LLC 
 Family Hospice, Ltd. 
 FHI Management, Ltd. 

Odyssey HealthCare Management, LP 
 Odyssey HealthCare Operating
A, LP 
 Odyssey HealthCare Operating B, LP 
 Voyager
Acquisition, L.P. 
 Centerre Healthcare Corporation 
 CHC
Management Services, LLC 
 CRH of Arlington, LLC 
 CRH of Avon,
LLC 
 CRH of Cleveland, LLC 
 CRH of Dallas, LLC 

CRH of Fort Worth, LLC 
 CRH of Indianapolis, LLC 

CRH of Lancaster, LLC 
 CRH of Langhorne, LLC 

CRH of Madison, LLC 
 CRH of Memphis, LLC 

CRH of Oklahoma City, LLC 
 CRH of Springfield, LLC 

CRH of St. Louis, LLC 
 CRH of Waukesha, LLC, 

					
	as Guarantors
		
	By:	 	 /s/ Joseph L. Landenwich

		 	Name:	 	Joseph L. Landenwich
		 	Title:	 	Co-General Counsel and Corporate SecretaryEX-4.4

 Exhibit 4.4 

JOINDER AGREEMENT TO REGISTRATION RIGHTS AGREEMENT 

February 2, 2015 
 Reference is
hereby made to the Registration Rights Agreement, dated as of December 18, 2014 (the “Registration Rights Agreement”), by and between KINDRED ESCROW CORP. II (“Escrow Corporation”) and CITIGROUP GLOBAL MARKETS
INC., on behalf of itself and the other Initial Purchasers. Unless otherwise defined herein, terms defined in the Registration Rights Agreement and used herein shall have the meanings given to them in the Registration Rights Agreement. 

1. Joinder of the Successor Company. Kindred Healthcare, Inc., a Delaware corporation (“Kindred”), 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 as the “Company”
therein and as if Kindred executed the Registration Rights Agreement on the date thereof. 
 2. Joinder of the Guarantor. Each other
signatory hereto (each, a “Guarantor”), 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 as “Guarantor” therein and as if such Guarantor executed the Registration Rights Agreement on the date thereof. 

3. Governing Law. This Joinder Agreement, and any claim, controversy or dispute arising under or related to this Joinder 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 any number of counterparts and by the parties hereto in separate counterparts, each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. Delivery of an
executed counterpart of a signature page to this Joinder Agreement by facsimile, email or other electronic transmission (i.e., “pdf”) shall be effective as delivery of a manually executed counterpart of this Joinder
Agreement. 
 5. Amendments. No amendment or waiver of any provision of this Joinder 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 in this Joinder Agreement are for convenience of reference only and shall not limit or otherwise affect the meaning hereof. 

[Signature Page Follows] 

 IN WITNESS WHEREOF, the undersigned have executed this Joinder Agreement as of the date first
written above. 
  

					
	KINDRED HEALTHCARE, INC.
		
	By:	 	 /s/ Joseph L. Landenwich

		 	Name:	 	Joseph L. Landenwich
		 	Title:	 	Co-General Counsel and Corporate Secretary

 Aberdeen Holdings, Inc. 

Able Home Healthcare, Inc. 
 Advanced Oncology Services, Inc. 

American VitalCare, LLC 
 Avery Manor Nursing, L.L.C. 

Bayberry Care Center, L.L.C. 
 Braintree Nursing, L.L.C. 

BWB Sunbelt Home Health Services, LLC 
 California Nursing
Centers, L.L.C. 
 Care Center of Rossmoor, L.L.C. 
 Central
Arizona Home Health Care, Inc. 
 Clear Lake Rehabilitation Hospital, L.L.C. 

Compass Hospice, Inc. 
 Country Estates Nursing, L.L.C. 

Courtland Gardens Health Center, Inc. 
 Focus Care Health
Resources, Inc. 
 Forestview Nursing, L.L.C. 
 GBA Holding,
Inc. 
 GBA West, LLC 
 Goddard Nursing, L.L.C. 

Greenbrae Care Center, L.L.C. 
 Greens Nursing and Assisted
Living, L.L.C. 
 Harborlights Nursing, L.L.C. 
 Haven Health,
LLC 
 Helian ASC of Northridge, Inc. 
 Helian Health Group,
Inc. 
 HHS Healthcare Corp. 
 Highgate Nursing, L.L.C. 

Highlander Nursing, L.L.C. 
 Homecare Holdings, Inc. 

Home Health of Rural Texas, Inc. 
 Home Health Services, Inc. 

Homestead Health and Rehabilitation Center, L.L.C. 
 IntegraCare
Holdings, Inc. 
 IntegraCare Home Health Services, Inc. 

IntegraCare Hospice of Abilene, LLC 
 IntegraCare Intermediate
Holdings, Inc. 
 IntegraCare of Abilene, LLC 
 IntegraCare of
Albany, LLC 
 IntegraCare of Athens-Home Health, LLC 

 IntegraCare of Athens-Hospice, LLC 

IntegraCare of Granbury, LLC 
 IntegraCare of Littlefield, LLC

 IntegraCare of Olney Home Health, LLC 
 IntegraCare of Texas,
LLC 
 IntegraCare of West Texas-Home Health, LLC 
 IntegraCare
of West Texas-Hospice, LLC 
 IntegraCare of Wichita Falls, LLC 

J. B. Thomas Hospital, Inc. 
 KAH Development 1, L.L.C. 

KAH Development 2, L.L.C. 
 KAH Development 3, L.L.C. 

KAH Development 4, L.L.C. 
 KAH Development 5, L.L.C. 

KAH Development 6, L.L.C. 
 KAH Development 7, L.L.C. 

KAH Development 8, L.L.C. 
 KAH Development 9, L.L.C. 

KAH Development 10, L.L.C. 
 KAH Development 11, L.L.C. 

KAH Development 12, L.L.C. 
 KAH Development 13, L.L.C. 

KAH Development 14, L.L.C. 
 KAH Development 15, L.L.C. 

Kindred Braintree Hospital, L.L.C. 
 Kindred Development 4, L.L.C.

 Kindred Development 7, L.L.C. 
 Kindred Development 8, L.L.C.

 Kindred Development 9, L.L.C. 
 Kindred Development 10,
L.L.C. 
 Kindred Development 11, L.L.C. 
 Kindred Development
12, L.L.C. 
 Kindred Development 13, L.L.C. 
 Kindred
Development 15, L.L.C. 
 Kindred Development 17, L.L.C. 

Kindred Development 27, L.L.C. 
 Kindred Development 29, L.L.C.

 Kindred Development Holdings 3, L.L.C. 
 Kindred Development
Holdings 5, L.L.C. 
 Kindred Healthcare Operating, Inc. 

Kindred Healthcare Services, Inc. 
 Kindred Hospice Services,
L.L.C. 
 Kindred Hospital-Pittsburgh-North Shore, L.L.C. 

Kindred Hospitals East, L.L.C. 
 Kindred Hospital Palm Beach,
L.L.C. 
 Kindred Hospital-Springfield, L.L.C. 
 Kindred
Hospital-Toledo, L.L.C. 
 Kindred Hospitals West, L.L.C. 

Kindred Nevada, L.L.C. 
 Kindred Nursing Centers East, L.L.C. 

Kindred Nursing Centers North, L.L.C. 

 Kindred Nursing Centers South, L.L.C. 

Kindred Nursing Centers West, L.L.C. 
 Kindred Rehab Services,
Inc. 
 Kindred Systems, Inc. 
 KND Development 50, L.L.C. 

KND Development 51, L.L.C. 
 KND Development 52, L.L.C. 

KND Development 53, L.L.C. 
 KND Development 54, L.L.C. 

KND Development 55, L.L.C. 
 KND Development 56, L.L.C. 

KND Development 57, L.L.C. 
 KND Development 58, L.L.C. 

KND Development 59, L.L.C. 
 KND Development 60, L.L.C. 

KND Development 61, L.L.C. 
 KND Development 62, L.L.C. 

KND Development 63, L.L.C. 
 KND Hospital Real Estate Holdings,
L.L.C. 
 KND Real Estate 1, L.L.C. 
 KND Real Estate 2, L.L.C.

 KND Real Estate 3, L.L.C. 
 KND Real Estate 4, L.L.C. 

KND Real Estate 5, L.L.C. 
 KND Real Estate 6, L.L.C. 

KND Real Estate 7, L.L.C. 
 KND Real Estate 8, L.L.C. 

KND Real Estate 9, L.L.C. 
 KND Real Estate 10, L.L.C. 

KND Real Estate 11, L.L.C. 
 KND Real Estate 12, L.L.C. 

KND Real Estate 13, L.L.C. 
 KND Real Estate 14, L.L.C. 

KND Real Estate 15, L.L.C. 
 KND Real Estate 16, L.L.C. 

KND Real Estate 17, L.L.C. 
 KND Real Estate 18, L.L.C. 

KND Real Estate 19, L.L.C. 
 KND Real Estate 20, L.L.C. 

KND Real Estate 21, L.L.C. 
 KND Real Estate 22, L.L.C. 

KND Real Estate 23, L.L.C. 
 KND Real Estate 24, L.L.C. 

KND Real Estate 25, L.L.C. 
 KND Real Estate 26, L.L.C. 

KND Real Estate 27, L.L.C. 
 KND Real Estate 28, L.L.C. 

KND Real Estate 29, L.L.C. 
 KND Real Estate 30, L.L.C. 

KND Real Estate 31, L.L.C. 
 KND Real Estate 32, L.L.C. 

 KND Real Estate 33, L.L.C. 

KND Real Estate 34, L.L.C. 
 KND Real Estate 35, L.L.C. 

KND Real Estate 36, L.L.C. 
 KND Real Estate 37, L.L.C. 

KND Real Estate 38, L.L.C. 
 KND Real Estate 39, L.L.C. 

KND Real Estate 40, L.L.C. 
 KND Real Estate 41, L.L.C. 

KND Real Estate 42, L.L.C. 
 KND Real Estate 43, L.L.C. 

KND Real Estate 44, L.L.C. 
 KND Real Estate 45, L.L.C. 

KND Real Estate 46, L.L.C. 
 KND Real Estate 47, L.L.C. 

KND Real Estate 48, L.L.C. 
 KND Real Estate 49, L.L.C. 

KND Real Estate 50, L.L.C. 
 KND Real Estate 51, L.L.C. 

KND Real Estate Holdings, L.L.C. 
 KND Rehab Real Estate Holdings,
L.L.C. 
 KND SNF Real Estate Holdings, L.L.C. 
 Lafayette
Health Care Center, Inc. 
 Lafayette Specialty Hospital, L.L.C. 

Laurel Lake Health and Rehabilitation, L.L.C. 
 Maine Assisted
Living, L.L.C. 
 Massachusetts Assisted Living, L.L.C. 

Meadows Nursing, L.L.C. 
 MedEquities, Inc. 

Medical Hill Rehab Center, L.L.C. 
 Med-Tech Private Care, Inc.

 Med-Tech Services of Dade, Inc. 
 Med-Tech Services of Palm
Beach, Inc. 
 Med. Tech. Services of South Florida, Inc. 

Mills Medical Practices, LLC 
 New Triumph HealthCare of Texas,
LLC 
 New Triumph HealthCare, Inc. 
 North West Texas Home
Health Services, LLC 
 Northland LTACH, LLC 
 NP Plus, LLC 

NRP Holdings Company 
 Outreach Health Services of North Texas,
LLC 
 Outreach Health Services of the Panhandle, LLC 
 Pacific
Coast Care Center, L.L.C. 
 Pacific West Home Care, LLC 

Peoplefirst HomeCare & Hospice of California, L.L.C. 

Peoplefirst HomeCare & Hospice of Colorado, L.L.C. 

Peoplefirst HomeCare & Hospice of Indiana, L.L.C. 

Peoplefirst HomeCare & Hospice of Massachusetts, L.L.C. 

Peoplefirst HomeCare & Hospice of Ohio, L.L.C. 

Peoplefirst HomeCare & Hospice of Utah, L.L.C. 

 Peoplefirst HomeCare of Colorado, L.L.C. 

Peoplefirst Virginia, L.L.C. 
 PersonaCare of Connecticut, Inc.

 PersonaCare of Huntsville, Inc. 
 PersonaCare of Ohio, Inc.

 PersonaCare of Reading, Inc. 
 PersonaCare of Wisconsin, Inc.

 PF Development 5, L.L.C. 
 PF Development 6, L.L.C. 

PF Development 7, L.L.C. 
 PF Development 8, L.L.C. 

PF Development 9, L.L.C. 
 PF Development 10, L.L.C. 

PF Development 15, L.L.C. 
 PF Development 16, L.L.C. 

PF Development 17, L.L.C. 
 PF Development 18, L.L.C. 

PF Development 19, L.L.C. 
 PF Development 20, L.L.C. 

PF Development 21, L.L.C. 
 PF Development 22, L.L.C. 

PF Development 23, L.L.C. 
 PF Development 26, L.L.C. 

PF Development 27, L.L.C. 
 PHH Acquisition Corp. 

Professional Healthcare at Home, LLC 
 Professional Healthcare,
LLC 
 Rehab Insurance Corporation 
 Rehab Staffing, L.L.C. 

RehabCare Development 2, L.L.C. 
 RehabCare Development 3, L.L.C.

 RehabCare Development 4, L.L.C. 
 RehabCare Development 5,
L.L.C. 
 RehabCare Group, Inc. 
 RehabCare Group East, Inc.

 RehabCare Group Management Services, Inc. 
 RehabCare Group
of California, LLC 
 RehabCare Group of Texas, LLC 
 RehabCare
Hospital Holdings, L.L.C. 
 Salt Lake Physical Therapy Associates, Inc. 

SCCI Health Services Corporation 
 SCCI Hospital – Easton,
Inc. 
 SCCI Hospital – El Paso, Inc. 
 SCCI Hospital
– Mansfield, Inc. 
 SCCI Hospital Ventures, Inc. 
 SCCI
Hospitals of America, Inc. 
 Senior Home Care, Inc. 
 SHC
Holding, Inc. 
 SHC Rehab, Inc. 
 Siena Care Center, L.L.C.

 Smith Ranch Care Center, L.L.C. 

 Southern California Specialty Care, Inc. 

Southern Nevada Home Health Care, Inc. 
 Southern Utah Home
Health, Inc. 
 Southern Utah Home Oxygen & Medical Equipment, Inc. 

Specialty Healthcare Services, Inc. 
 Specialty Hospital of
Cleveland, Inc. 
 Specialty Hospital of Philadelphia, Inc. 

Specialty Hospital of South Carolina, Inc. 
 Springfield Park View
Hospital, L.L.C. 
 Symphony Health Services, LLC 
 Synergy,
Inc. 
 Synergy Healthcare Group, Inc. 
 Synergy Home
Care-Acadiana Region, Inc. 
 Synergy Home Care-Capitol Region, Inc. 

Synergy Home Care-Central Region, Inc. 
 Synergy Home
Care-Northeastern Region, Inc. 
 Synergy Home Care-Northshore Region, Inc. 

Synergy Home Care-Northwestern Region, Inc. 
 Synergy Home
Care-Southeastern Region, Inc. 
 Texas Health Management Group, LLC 

THC – Chicago, Inc. 
 THC – Houston, Inc. 

THC – North Shore, Inc. 
 THC – Orange County, Inc. 

THC–Seattle, Inc. 
 TherEX, Inc. 

The Therapy Group, Inc. 
 Tower Hill Nursing, L.L.C. 

Transitional Hospitals Corporation of Indiana, Inc. 
 Transitional
Hospitals Corporation of Louisiana, Inc. 
 Transitional Hospitals Corporation of Nevada, Inc. 

Transitional Hospitals Corporation of New Mexico, Inc. 

Transitional Hospitals Corporation of Tampa, Inc. 
 Transitional
Hospitals Corporation of Texas, Inc. 
 Transitional Hospitals Corporation of Wisconsin, Inc. 

Trinity Hospice of Texas, LLC 
 Triumph HealthCare Holdings, Inc.

 Triumph HealthCare Second Holdings, LLC 
 Triumph HealthCare
Third Holdings, LLC 
 Triumph Hospital Northwest Indiana, Inc. 

Triumph Rehabilitation Hospital Northern Indiana, LLC 
 Triumph
Rehabilitation Hospital of Northeast Houston, LLC 
 Tucker Nursing Center, Inc. 

Tulsa Specialty Hospital L.L.C. 
 Vernon Home Health Care Agency,
LLC 
 VTA Management Services, LLC 
 VTA Staffing Services, LLC

 Wellstream Health Services, LLC 
 West Texas, LLC 

Ygnacio Valley Care Center, L.L.C. 
 Foothill Nursing Company
Partnership 

 Hillhaven–MSC Partnership 

Kindred Hospitals Limited Partnership 
 Kindred Nursing Centers
Central Limited Partnership 
 Kindred Nursing Centers Limited Partnership 

New Triumph HealthCare, LLP 
 RehabCare Group of Amarillo, LP 

RehabCare Group of Arlington, LP 
 ABC Hospice, LLC 

Access Home Health of Florida, LLC 
 Alpine Home Health Care, LLC

 Alpine Home Health II, Inc. 
 Alpine Home Health, Inc. 

Alpine Resource Group, Inc. 
 American Homecare Management Corp.

 American Hospice, Inc. 
 Asian American Home Care, Inc. 

Bethany Hospice, LLC 
 California Hospice, LLC 

Capital Care Resources of South Carolina, LLC 
 Capital Care
Resources, LLC 
 Capital Health Management Group, LLC 

Chaparral Hospice, Inc. 
 Chattahoochee Valley Home Care Services,
LLC 
 Chattahoochee Valley Home Health, LLC 
 CHMG Acquisition
LLC 
 CHMG of Atlanta, LLC 
 CHMG of Griffin, LLC 

Colorado Hospice, L.L.C. 
 Eastern Carolina Home Health Agency,
LLC 
 Faith Home Health and Hospice, LLC 
 Faith in Home
Services, L.L.C. 
 FHI GP, Inc. 
 FHI Health Systems, Inc. 

FHI LP, Inc. 
 First Home Health, Inc. 

Gentiva Certified Healthcare Corp. 
 Gentiva Health Services
(Certified), Inc. 
 Gentiva Health Services (USA) LLC 
 Gentiva
Health Services Holding Corp. 
 Gentiva Health Services, Inc. 

Gentiva Rehab Without Walls, LLC 
 Gentiva Services of New York,
Inc. 
 Georgia Hospice, LLC 
 Gilbert’s Home Health
Agency, Inc. 
 Gilbert’s Hospice Care, LLC 

Gilbert’s Hospice Care of Mississippi, LLC 
 Girling Health
Care Services of Knoxville, Inc. 
 Girling Health Care, Inc. 

Harden Clinical Services, LLC 
 Harden HC Texas Holdco, LLC 

Harden Healthcare Holdings, LLC 

 Harden Healthcare Services, LLC 

Harden Healthcare, LLC 
 Harden Home Health, LLC 

Harden Home Option, LLC 
 Harden Hospice, LLC 

Hawkeye Health Services, Inc. 
 Healthfield Home Health, LLC 

Healthfield Hospice Services, LLC 
 Healthfield of Southwest
Georgia, LLC 
 Healthfield of Statesboro, LLC 
 Healthfield of
Tennessee, LLC 
 Healthfield Operating Group, LLC 

Healthfield, LLC 
 Home Health Care Affiliates of Central
Mississippi, L.L.C. 
 Home Health Care Affiliates of Mississippi, Inc. 

Home Health Care Affiliates, Inc. 
 Home Health Care of Carteret
County, LLC 
 HomeCare Plus, Inc. 
 Horizon Health Care
Services, Inc. 
 Horizon Health Network LLC 
 Hospice Care of
Kansas and Missouri, L.L.C. 
 Hospice Care of Kansas, L.L.C. 

Hospice Care of the Midwest, L.L.C. 
 Iowa Hospice, L.L.C. 

Isidora’s Health Care Inc. 
 Lakes Hospice, L.L.C. 

Lighthouse Hospice Management, LLC 
 Lighthouse Hospice Partners,
LLC 
 Lighthouse Hospice - Coastal Bend, LLC 
 Lighthouse
Hospice - Metroplex, LLC 
 Lighthouse Hospice-San Antonio, LLC 

Mid-South Home Care Services, LLC 
 Mid-South Home Health Agency,
LLC 
 Mid-South Home Health of Gadsden, LLC 
 Mid-South Home
Health, LLC 
 Missouri Home Care of Rolla, Inc. 
 New York
Healthcare Services, Inc. 
 Nursing Care - Home Health Agency, Inc. 

Odyssey HealthCare Austin, LLC 
 Odyssey HealthCare Detroit, LLC

 Odyssey HealthCare Fort Worth, LLC 
 Odyssey HealthCare GP,
LLC 
 Odyssey HealthCare Holding Company 
 Odyssey HealthCare
LP, LLC 
 Odyssey HealthCare of Augusta, LLC 
 Odyssey
HealthCare of Flint, LLC 
 Odyssey HealthCare of Marion County, LLC 

Odyssey HealthCare of Savannah, LLC 
 Odyssey HealthCare of St.
Louis, LLC 
 Odyssey HealthCare, Inc. 
 OHS Service Corp. 

 Omega Hospice, LLC 

PHHC Acquisition Corp. 
 QC-Medi New York, Inc. 

Quality Care - USA, Inc. 
 Saturday Partners, LLC 

Tar Heel Health Care Services, LLC 
 The American Heartland
Hospice Corp. 
 The Home Option, LLC 
 The Home Team of Kansas,
LLC 
 Total Care Home Health of Louisburg, LLC 
 Total Care
Home Health of North Carolina, LLC 
 Total Care Home Health of South Carolina, LLC 

Van Winkle Home Health Care, Inc. 
 Vista Hospice Care, LLC 

VistaCare of Boston, LLC 
 VistaCare USA, LLC 

VistaCare, LLC 
 Voyager Home Health, Inc. 

Voyager HospiceCare, Inc. 
 We Care Home Health Services, Inc.

 Wiregrass Hospice Care, LLC 
 Wiregrass Hospice of South
Carolina, LLC 
 Wiregrass Hospice LLC 
 Family Hospice, Ltd.

 FHI Management, Ltd. 
 Odyssey HealthCare Management, LP 

Odyssey HealthCare Operating A, LP 
 Odyssey HealthCare Operating
B, LP 
 Voyager Acquisition, L.P. 
 Centerre Healthcare
Corporation 
 CHC Management Services, LLC 
 CRH of Arlington,
LLC 
 CRH of Avon, LLC 
 CRH of Cleveland, LLC 

CRH of Dallas, LLC 
 CRH of Fort Worth, LLC 

CRH of Indianapolis, LLC 
 CRH of Lancaster, LLC 

CRH of Langhorne, LLC 
 CRH of Madison, LLC 

CRH of Memphis, LLC 
 CRH of Oklahoma City, LLC 

CRH of Springfield, LLC 
 CRH of St. Louis, LLC 

CRH of Waukesha, LLC,as Guarantors 
  

					
	By:	 	 /s/ Joseph L. Landenwich

		 	Name:	 	Joseph L. Landenwich
		 	Title:	 	Co-General Counsel and Corporate Secretary

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00239-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00239-of-00352.parquet"}]]