Document:

KCHS Holdings, Inc. 2006 Equity Incentive Plan

 Exhibit 10.9 
 KCHS HOLDINGS, INC. 
 2006 EQUITY INCENTIVE PLAN 

 TABLE OF CONTENTS 
  

					
	 	  	 	  	Page
	SECTION 1.	  	     PURPOSE
	  	1
			
	SECTION 2.	  	     DEFINITIONS
	  	1
			
	SECTION 3.	  	 ADMINISTRATION
	  	1
			
	 3.1
	  	 Administration of the Plan
	  	1
			
	 3.2
	  	 Administration and Interpretation by Plan Administrator
	  	1
			
	 3.3
	  	 No Exercise of Authority Resulting in Nonqualified Deferred Compensation
	  	2
			
	SECTION 4.	  	     SHARES SUBJECT TO THE PLAN
	  	2
			
	 4.1
	  	 Authorized Number of Shares
	  	2
			
	 4.2
	  	 Share Usage
	  	3
			
	SECTION 5.	  	     ELIGIBILITY
	  	3
			
	SECTION 6.	  	     AWARDS
	  	4
			
	 6.1
	  	 Form, Grant and Settlement of Awards
	  	4
			
	 6.2
	  	 Evidence of Awards
	  	4
			
	SECTION 7.	  	     OPTIONS
	  	4
			
	 7.1
	  	 Grant of Options
	  	4
			
	 7.2
	  	 Option Exercise Price
	  	4
			
	 7.3
	  	 Term of Options
	  	4
			
	 7.4
	  	 Exercise of Options
	  	5
			
	 7.5
	  	 Payment of Exercise Price
	  	5
			
	 7.6
	  	 Effect of Termination of Service
	  	6
			
	SECTION 8.	  	     INCENTIVE STOCK OPTION LIMITATIONS
	  	7
			
	 8.1
	  	 Dollar Limitation
	  	7
			
	 8.2
	  	 Eligible Employees
	  	7
			
	 8.3
	  	 Exercise Price
	  	7
			
	 8.4
	  	 Option Term
	  	8
			
	 8.5
	  	 Exercisability
	  	8
			
	 8.6
	  	 Taxation of Incentive Stock Options
	  	8
			
	 8.7
	  	 Code Definitions
	  	8
			
	SECTION 9.	  	     WITHHOLDING
	  	8
			
	SECTION 10.	  	     ASSIGNABILITY
	  	9

  

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 TABLE OF CONTENTS 
 (continued) 
  

							
	 	  	 	  	 	  	Page
	SECTION 11.	  	     ADJUSTMENTS
	  		  	9
				
	 11.1
	  	 Adjustment of Shares
	  		  	9
				
	 11.2
	  	 Dissolution or Liquidation
	  		  	10
				
	 11.3
	  	 Company Transaction
	  		  	10
				
		  	11.3.1     Effect of a Company Transaction	  		  	10
				
		  	11.3.2     Assumption, Conversion or Substitution	  		  	10
				
	 11.4
	  	 Further Adjustment of Awards
	  		  	11
				
	 11.5
	  	 No Limitations
	  		  	11
				
	 11.6
	  	 Fractional Shares
	  		  	11
				
	 11.7
	  	 Section 409A
	  		  	11
				
	SECTION 12.	  	     AMENDMENT AND TERMINATION
	  		  	11
				
	 12.1
	  	 Amendment, Suspension or Termination
	  		  	11
				
	 12.2
	  	 Term of the Plan
	  		  	12
				
	 12.3
	  	 Consent of Participant
	  		  	12
				
	SECTION 13.	  	     GENERAL
	  		  	12
				
	 13.1
	  	 No Individual Rights
	  		  	12
				
	 13.2
	  	 Issuance of Shares
	  		  	12
				
	 13.3
	  	 Indemnification
	  		  	13
				
	 13.4
	  	 No Rights as a Stockholder
	  		  	14
				
	 13.5
	  	 Compliance With Laws and Regulations
	  		  	14
				
	 13.6
	  	 Participants in Other Countries or Jurisdictions
	  		  	14
				
	 13.7
	  	 No Trust or Fund
	  		  	14
				
	 13.8
	  	 Successors
	  		  	14
				
	 13.9
	  	 Severability
	  		  	14
				
	 13.10
	  	 Choice of Law
	  		  	15
				
	 13.11
	  	 Financial Reports
	  		  	15
				
	 13.12
	  	 Legal Requirements
	  		  	15
				
	SECTION 14.	  	     EFFECTIVE DATE
	  		  	15
		
	PLAN ADOPTION AND AMENDMENTS/ADJUSTMENTS	  	 SUMMARY PAGE 1

				
	APPENDIX A	  	     DEFINITIONS
	  		  	A-1

  

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 KCHS HOLDINGS, INC. 
 2006 EQUITY INCENTIVE PLAN 
 SECTION 1. PURPOSE 
 The purpose of the KCHS Holdings, Inc. 2006 Equity Incentive Plan is to attract, retain and motivate employees, officers, directors, consultants, agents,
advisors and independent contractors of the Company and its Related Companies by providing them the opportunity to acquire a proprietary interest in the Company and to link their interests and efforts to the long-term interests of the Company’s
stockholders. 
 SECTION 2. DEFINITIONS 
 Certain capitalized terms used in the Plan have the meanings set forth in Appendix A. 
 SECTION 3.
ADMINISTRATION 
  

	3.1	Administration of the Plan 

 The Plan shall be
administered by the Board. Notwithstanding the preceding sentence, the Board may delegate concurrent responsibility for administering the Plan, including with respect to designated classes of Eligible Persons, to a committee or committees (which
term includes subcommittees) consisting of two or more members of the Board, subject to such limitations as the Board deems appropriate. If, and so long as, the Common Stock is registered under Section 12(b) or 12(g) of the Exchange Act, the
Board shall select the members of any committee acting as Plan Administrator so as to permit applicable Awards to constitute “performance-based compensation” for purposes of Section 162(m) of the Code and applicable interpretive
authority thereunder. Members of any committee shall serve for such term as the Board may determine, subject to removal by the Board at any time. All references in the Plan to the “Plan Administrator” shall be, as applicable,
to the Board or any committee to whom the Board has delegated authority to administer the Plan. 
  

	3.2	Administration and Interpretation by Plan Administrator 

 (a) Except for the terms and conditions explicitly set forth in the Plan, the Plan Administrator shall have full discretionary power and exclusive authority, to the extent permitted by applicable law and subject to such orders or
resolutions not inconsistent with the provisions of the Plan as may from time to time be adopted by the Board or a committee composed of members of the Board, to (i) select the Eligible Persons to whom Awards may from time to time be granted
under the Plan; (ii) determine the type or types of Award to be granted to each Participant under the Plan; (iii) determine the number of shares of Common Stock to be covered by each Award granted under the Plan; (iv) determine the
terms and conditions of any Award granted under the Plan; (v) approve the forms of agreements for use under the Plan; (vi) determine whether, to what extent and under what circumstances Awards may be settled in cash, shares of Common Stock
or other property or canceled or suspended; (vii) determine whether, to what extent and under what circumstances cash, shares of Common Stock, other property and other amounts payable with respect to an Award shall be deferred either
automatically or at the election of the Participant; (viii) interpret and administer the Plan and any 

  

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instrument evidencing an Award; (ix) establish such rules and regulations as it shall deem appropriate for the proper administration of the Plan;
(x) delegate administrative duties to such of the Company’s employees as it so determines; and (xi) make any other determination and take any other action that the Plan Administrator deems necessary or desirable for administration of
the Plan. The Plan Administrator may correct any defect or supply any omission or reconcile any inconsistency in any Award Agreement in the manner and to the extent it shall deem expedient to carry it into effect. 
 (b) Decisions of the Plan Administrator shall be final, conclusive and binding on all persons, including the Company, any Participant, any stockholder
and any Eligible Person. A majority of the members of the Plan Administrator shall determine its actions, expressed either orally at a meeting or in a writing (which may be electronic) in the absence of a meeting. 
 (c) The effect on the vesting of an Award of a Company-approved leave of absence or a Participant’s working less than full-time shall be determined
by the Company’s chief human resources officer or other person performing that function or, with respect to directors or executive officers, by the Board, and its determination shall be final. 
  

	3.3	No Exercise of Authority Resulting in Nonqualified Deferred Compensation 

 Notwithstanding any other provision of the Plan to the contrary, the Plan Administrator shall not exercise its authority with respect to the Plan or any Award in any manner that would result in such Award being
considered “nonqualified deferred compensation,” within the meaning of Section 409A, so as to cause such Award or the Plan to become subject to the requirements of Section 409A. 
 SECTION 4. SHARES SUBJECT TO THE PLAN 
  

	4.1	Authorized Number of Shares 

 Subject to adjustment
from time to time as provided in Section 11.1, a maximum of 3,600,000 shares of Common Stock shall be available for issuance under the Plan. Shares of Common Stock issued under the Plan shall be drawn from authorized and unissued shares
of Common Stock or shares of Common Stock now held or subsequently acquired by the Company as treasury shares. The maximum number of shares of Common Stock available for issuance under the Plan shall automatically be increased to represent 12.5% of
the issued and outstanding shares of Common Stock, determined on a fully-diluted and aggregated basis, until such time as the Company has received $35,000,000 in proceeds from the sale of its capital stock (“Invested
Capital”). Thereafter, until such time as the Company shall have received $95,000,000 of Invested Capital, this anti-dilution protection on the maximum aggregate number of shares of Common Stock available for issuance under the Plan
shall be reduced by 0.5% for every $7,500,000 of additional Invested Capital, with the effect that, at $95,000,000 of Invested Capital, the maximum number of shares of Common Stock available for issuance under the Plan shall equal 8% of the issued
and outstanding shares of Common Stock, determined on a fully-diluted and as-converted basis. The maximum aggregate number of shares of Common Stock available for issuance under the Plan shall be further increased if the Company sells additional
equity in excess of $95,000,000 of its capital stock so that the maximum number of shares of 

  

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Common Stock available for issuance under the Plan will continue to equal 8% of the issued and outstanding shares of Common Stock of the Company, determined
on a fully-diluted and as-converted basis. Notwithstanding the foregoing, the anti-dilution protection set forth in this Section 4.1 shall automatically terminated and be of no further force and effect upon consummation of a Company Transaction
or upon consummation of an initial public offering of the Company’s Common Stock. 
  

	4.2	Share Usage 

 (a) Shares of Common Stock covered by
an Award shall not be counted as used unless and until they are actually issued and delivered to a Participant. If any Award lapses, expires, terminates or is canceled prior to the issuance of shares of Common Stock thereunder or if shares of Common
Stock are issued under the Plan to a Participant and thereafter are forfeited to or otherwise reacquired by the Company, the shares of Common Stock subject to such Awards and the forfeited or reacquired shares shall again be available for issuance
under the Plan. Any shares of Common Stock (i) tendered by a Participant or retained by the Company as full or partial payment to the Company for the purchase price of an Award or to satisfy tax withholding obligations in connection with an
Award or (ii) covered by an Award that is settled in cash or in a manner such that some or all of the shares of Common Stock covered by the Award are not issued shall be available for Awards under the Plan. The number of shares of Common Stock
available for issuance under the Plan shall not be reduced to reflect any dividends or dividend equivalents that are reinvested into additional shares of Common Stock or credited as additional shares of Common Stock subject or paid with respect to
an Award. 
 (b) The Plan Administrator shall also, without limitation, have the authority to grant Awards as an alternative to or as the
form of payment for grants or rights earned or due under other compensation plans or arrangements of the Company. 
 (c) Notwithstanding
anything in the Plan to the contrary, the Plan Administrator may grant Substitute Awards under the Plan; provided however that any such Substitute Awards, and the act of substitution, shall be in compliance with Section 409A. In the event that
a written agreement between the Company and an Acquired Entity pursuant to which a merger or consolidation is completed is approved by the Board and that agreement sets forth the terms and conditions of the substitution for or conversion or
assumption of outstanding awards of the Acquired Entity, those terms and conditions shall be deemed to be the action of the Plan Administrator without any further action by the Plan Administrator, except as may be required for compliance with
Rule 16b-3 under the Exchange Act, and the persons holding such awards shall be deemed to be Participants. 
 (d) Notwithstanding the
foregoing, the maximum number of shares of Common Stock that may be issued upon the exercise of Incentive Stock Options shall equal 3,600,000, subject to adjustment as provided in Section 11.1. 
 SECTION 5. ELIGIBILITY 
 An Award may
be granted to any employee, officer or non-employee director of the Company or a Related Company whom the Plan Administrator, in its sole discretion, from time 

  

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to time selects. An Award may also be granted by the Plan Administrator, in its sole discretion, to any consultant, agent, advisor or independent contractor
for bona fide services rendered to the Company or any Related Company that (a) are not in connection with the offer and sale of the Company’s securities in a capital-raising transaction and (b) do not directly or indirectly promote or
maintain a market for the Company’s securities. 
 SECTION 6. AWARDS 
  

	6.1	Form, Grant and Settlement of Awards 

 The Plan
Administrator shall have the authority, in its sole discretion, to determine the type or types of Awards to be granted under the Plan. Such Awards may be granted either alone, in addition to or in tandem with any other type of Award. Any Award
settlement may be subject to such conditions, restrictions and contingencies as the Plan Administrator shall determine. 
  

	6.2	Evidence of Awards 

 Awards granted under the Plan
shall be evidenced by an Award Agreement. Each Award Agreement shall contain such terms, conditions, limitations and restrictions as the Plan Administrator, in its sole discretion, shall deem advisable and that are not inconsistent with the Plan.

 SECTION 7. OPTIONS 
  

	7.1	Grant of Options 

 The Plan Administrator may grant
Options designated as Incentive Stock Options, subject to Section 8.2, or Nonqualified Stock Options. 
  

	7.2	Option Exercise Price 

 The exercise price for
shares of Common Stock purchased under an Option shall be as established by the Plan Administrator. Notwithstanding the preceding sentence, to the extent required under applicable law, the exercise price for shares of Common Stock purchased under an
Option shall not be less than (a) 100% of the Fair Market Value of the Common Stock on the Grant Date with respect to Nonqualified Stock Options, (b) the minimum exercise price required by Section 8.3 with respect to Incentive Stock
Options, except in the case of Substitute Awards, and (c) in the case of an Option granted to a Participant who is a Ten Percent Stockholder, 110% of the Fair Market Value of the Common Stock on the Grant Date. 
  

	7.3	Term of Options 

 Subject to earlier termination in
accordance with the terms of the Plan and the Award Agreement, the maximum term of an Option (the “Option Term”) shall be as established for that Option by the Plan Administrator and set forth in the Award Agreement or, if
not set forth in the Award Agreement, shall be ten years from the Grant Date. For Incentive Stock Options, the Option Term shall be as specified in Section 8.4. 
  

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	7.4	Exercise of Options 

 The Plan Administrator shall
establish and set forth in the Award Agreement the time at which, or the installments in which, the Option shall vest and become exercisable, any of which provisions may be waived or modified by the Plan Administrator at any time. If not set forth
in the Award Agreement, the Option shall vest and become exercisable according to the following schedule, which may be waived or modified, subject to Section 12.3, by the Plan Administrator at any time: 
  

				
	 Period of Participant’s Continuous Employment or Service With the Company or Its Related
 Companies From the Vesting Commencement Date
	  	Portion of Total Option That
Is Vested and Exercisable	 
	 On the First Anniversary of the Vesting Commencement Date
	  	25	%
	 On the Second Anniversary of the Vesting Commencement Date
	  	50	%
	 On the Third Anniversary of the Vesting Commencement Date
	  	75	%
	 On the Fourth Anniversary of the Vesting Commencement Date
	  	100	%

 To the extent an Option has vested and become exercisable, the Option may be exercised in whole or
from time to time in part by delivery to the Company of a properly executed stock option exercise agreement or notice, in a form and in accordance with procedures established by the Plan Administrator, setting forth the number of shares of Common
Stock with respect to which the Option is being exercised, the restrictions imposed on the shares of Common Stock purchased under such exercise agreement or notice, if any, and such representations and agreements as may be required by the Plan
Administrator, accompanied by payment in full as described in Sections 7.5 and 9. An Option may be exercised only for whole shares of Common Stock and may not be exercised for less than a reasonable number of shares of Common Stock at any one
time, as determined by the Plan Administrator. 
  

	7.5	Payment of Exercise Price 

 The exercise price for
shares of Common Stock purchased under an Option shall be paid in full to the Company by delivery of consideration equal to the product of the Option exercise price and the number of shares of Common Stock purchased. Such consideration must be paid
before the Company will issue the shares of Common Stock being purchased and must be in a form or a combination of forms acceptable to the Plan Administrator for that purchase, which forms may include: 
 (a) cash; 
  

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 (b) check or wire transfer; 
 (c) tendering (either actually or, if and so long as the Common Stock is registered under Section 12(b) or 12(g) of the Exchange Act, by
attestation) shares of Common Stock that on the day prior to the exercise date have a Fair Market Value equal to the aggregate exercise price of the shares of Common Stock being purchased under the Option; 
 (d) if and so long as the Common Stock is registered under Section 12(b) or 12(g) of the Exchange Act, and to the extent permitted by law, delivery
of a properly executed exercise agreement or notice, together with irrevocable instructions to a brokerage firm designated or approved by the Company to deliver promptly to the Company the aggregate amount proceeds to pay the Option exercise price
and any withholding tax obligations that may arise in connection with the exercise, all in accordance with the regulations of the Federal Reserve Board; or 
 (e) such other consideration as the Plan Administrator may permit. 
  

	7.6	Effect of Termination of Service 

 The Plan
Administrator shall establish and set forth in the Award Agreement whether the Option shall continue to be exercisable, and the terms and conditions of such exercise, after a Termination of Service, any of which provisions may be waived or modified
by the Plan Administrator at any time. Except as may otherwise be provided in Section 8.5 with regard to Incentive Stock Options, if not so established in the Award Agreement, the Option shall be exercisable according to the following terms and
conditions, which may be waived or modified by the Plan Administrator at any time: 
 (a) Any portion of an Option that is not vested and
exercisable on the date of a Participant’s Termination of Service shall expire on such date. 
 (b) Any portion of an Option that is
vested and exercisable on the date of a Participant’s Termination of Service shall expire on the earliest to occur of: 
 (i) if the Participant’s Termination of Service occurs for reasons other than Cause, Retirement, Disability or death, the date that is 180 days after such Termination of Service; 
 (ii) if the Participant’s Termination of Service occurs by reason of Retirement, Disability or death, the one-year anniversary of
such Termination of Service; and 
 (iii) the last day of the Option Term (the “Option Expiration
Date”). 
 Notwithstanding the foregoing, if a Participant dies after the Participant’s Termination of Service but while an
Option is otherwise exercisable, the portion of the Option that is vested and exercisable on the date of such Termination of Service shall expire upon the earlier to occur of (y) the Option Expiration Date and (z) the one-year anniversary
of the date of death, unless the Plan Administrator determines otherwise. 
  

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 Also notwithstanding the foregoing, in case a Participant’s Termination of Service occurs for Cause,
all Options granted to the Participant shall automatically expire upon first notification to the Participant of such termination, unless the Plan Administrator determines otherwise. If a Participant’s employment or service relationship with the
Company is suspended pending an investigation of whether the Participant shall be terminated for Cause, all the Participant’s rights under any Option shall likewise be suspended during the period of investigation. If any facts that would
constitute termination for Cause are discovered after a Participant’s Termination of Service, any Option then held by the Participant may be immediately terminated by the Plan Administrator, in its sole discretion. 
 (c) A Participant’s change in status from an employee of the Company or a Related Company to a nonemployee director, consultant, advisor or
independent contractor of the Company or a Related Company or a change in status from a nonemployee director, consultant, advisor or independent contractor of the Company or a Related Company to an employee of the Company or a Related Company shall
not be considered a Termination of Service for purposes of this Section 7.6. 
 SECTION 8. INCENTIVE STOCK OPTION LIMITATIONS 

 Notwithstanding any other provisions of the Plan, the terms and conditions of any Incentive Stock Options shall in addition comply in all
respects with Section 422 of the Code or any successor provision and any applicable regulations thereunder, including, to the extent required thereunder, the following: 
  

	8.1	Dollar Limitation 

 To the extent the aggregate Fair
Market Value (determined as of the Grant Date) of Common Stock with respect to which a Participant’s Incentive Stock Options are exercisable for the first time by an individual during any calendar year (under the Plan and all other stock option
plans of the Company and its parent and subsidiary corporations) exceeds $100,000 (or such other individual limit as may be in effect under the Code on the Grant Date), such portion in excess of $100,000 shall be treated as a Nonqualified Stock
Option. In the event the Participant holds two or more such Incentive Stock Options that become exercisable for the first time in the same calendar year, such limitation shall be applied on the basis of the order in which such Options are granted
and in accordance with applicable provisions of the Code, Treasury Regulations and other administrative pronouncements. 
  

	8.2	Eligible Employees 

 Individuals who are not
employees of the Company or one of its parent or subsidiary corporations may not be granted Incentive Stock Options. 
  

	8.3	Exercise Price 

 The exercise price of an Incentive
Stock Option shall be at least 100% of the Fair Market Value of the Common Stock on the Grant Date and, in the case of an Incentive Stock Option granted to a Participant who is a Ten Percent Stockholder shall not be less than 110% of the Fair Market
Value of the Common Stock on the Grant Date. The determination of more than 10% ownership shall be made in accordance with Section 422 of the Code. 
  

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	8.4	Option Term 

 Subject to earlier termination in
accordance with the terms of the Plan and the instrument evidencing the Option, the Option Term of an Incentive Stock Option shall not exceed ten years, and in the case of an Incentive Stock Option granted to a Ten Percent Stockholder, shall not
exceed five years. 
  

	8.5	Exercisability 

 An Option designated as an
Incentive Stock Option shall cease to qualify for favorable tax treatment as an Incentive Stock Option to the extent it is exercised (if permitted by the terms of the Option) (a) more than three months after the date of a Participant’s
Termination of Service if termination was for reasons other than death or Disability, (b) more than one year after the date of a Participant’s Termination of Service if termination was by reason of Disability, or (c) after the
Participant has been on leave of absence for more than 90 days, unless the Participant’s reemployment rights are guaranteed by statute or contract. 
  

	8.6	Taxation of Incentive Stock Options 

 In order to
obtain certain tax benefits afforded to Incentive Stock Options under Section 422 of the Code, the Participant must hold the shares of Common Stock acquired upon the exercise of an Incentive Stock Option for two years after the Grant Date and
one year after the date of exercise. A Participant may be subject to the alternative minimum tax at the time of exercise of an Incentive Stock Option. The Participant shall give the Company prompt notice of any disposition of shares of Common Stock
acquired on the exercise of an Incentive Stock Option prior to the expiration of such holding periods. 
  

	8.7	Code Definitions 

 For the purposes of this
Section 8, notwithstanding the definitions in Appendix A, the terms “disability,” “parent corporation” and “subsidiary corporation” shall have the meanings attributed to those terms for purposes of Section 422
of the Code. 
 SECTION 9. WITHHOLDING 
 The Company may require the Participant to pay to the Company the amount of (a) any taxes that the Company is required by applicable federal, state, local or foreign law to withhold with respect to the grant,
vesting or exercise of an Award (“tax withholding obligations”) and (b) any amounts which the Participant and the Company or Related Company agree are due from the Participant to the Company or to any Related Company
(“other obligations”). The Company shall not be required to issue any shares of Common Stock or otherwise settle an Award under the Plan until such tax withholding obligations and other obligations are satisfied. 

 

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 The Plan Administrator may permit or require a Participant to satisfy all or part of the
Participant’s tax withholding obligations and other obligations by (a) paying cash to the Company, (b) having the Company withhold an amount from any cash amounts otherwise due or to become due from the Company to the Participant,
(c) having the Company withhold a number of shares of Common Stock that would otherwise be issued to the Participant having a Fair Market Value equal to the tax withholding obligations and other obligations, or (d) surrendering a number of
shares of Common Stock the Participant already owns having a value equal to the tax withholding obligations and other obligations. 
 SECTION 10. ASSIGNABILITY 
 No Award or interest in an Award may be sold, assigned, pledged (as collateral for a loan or as
security for the performance of an obligation or for any other purpose) or transferred by a Participant or made subject to attachment or similar proceedings otherwise than by will or by the applicable laws of descent and distribution, except to the
extent the Participant designates one or more beneficiaries on a Company-approved form who may exercise the Award or receive payment under the Award after the Participant’s death. During a Participant’s lifetime, an Award may be exercised
only by the Participant. Notwithstanding the foregoing and to the extent permitted by Section 422 of the Code, the Plan Administrator, in its sole discretion, may permit a Participant to assign or transfer an Award, subject to such terms and
conditions as the Plan Administrator shall specify. 
 SECTION 11. ADJUSTMENTS 
  

	11.1	Adjustment of Shares 

 In the event, at any time or
from time to time, a stock dividend, stock split, spin-off, combination or exchange of shares, recapitalization, merger, consolidation, distribution to stockholders other than a normal cash dividend, or other change in the Company’s corporate
or capital structure results in (a) the outstanding shares of Common Stock, or any securities exchanged therefor or received in their place, being exchanged for a different number or kind of securities of the Company or any other company or
(b) new, different or additional securities of the Company or any other company being received by the holders of shares of Common Stock, then the Plan Administrator shall make proportional adjustments in (i) the maximum number and kind of
securities available for issuance under the Plan; (ii) the maximum number and kind of securities issuable as Incentive Stock Options as set forth in Section 4.2(d); and (iii) the number and kind of securities that are subject to
any outstanding Award and the per share price of such securities, without any change in the aggregate price to be paid therefor. 
 The
determination by the Plan Administrator as to the terms of any of the foregoing adjustments shall be conclusive and binding. 
 Notwithstanding the foregoing, the issuance by the Company of shares of stock of any class, or securities convertible into shares of stock of any class, for cash or property, or for labor or services rendered, either upon direct sale or
upon the exercise of rights or warrants to subscribe therefor, or upon conversion of shares or obligations of the Company convertible into such shares or other securities, shall not affect, and no adjustment by reason thereof shall be made with
respect to, outstanding Awards. Also notwithstanding the foregoing, a dissolution or liquidation of the Company or a Company Transaction shall not be governed by this Section 11.1 but shall be governed by Sections 11.2 and 11.3,
respectively. 
  

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	11.2	Dissolution or Liquidation 

 To the extent not
previously exercised or settled, and unless otherwise determined by the Plan Administrator in its sole discretion, Options shall terminate immediately prior to the dissolution or liquidation of the Company. To the extent a vesting condition,
forfeiture provision or repurchase right applicable to an Award has not been waived by the Plan Administrator, the Award shall be forfeited immediately prior to the consummation of the dissolution or liquidation. 
  

	11.3	Company Transaction 

 11.3.1 Effect of a Company
Transaction 
 Notwithstanding any other provision of the Plan to the contrary, unless the Plan Administrator shall determine otherwise at
the time of grant with respect to a particular Award, in the event of a Company Transaction that is not a Related Party Transaction, all outstanding Awards shall become fully and immediately exercisable, and all applicable restriction limitations
and forfeiture provisions shall lapse, immediately prior to the Company Transaction, and then terminate upon effectiveness of the Company Transaction. Notwithstanding the foregoing, with respect to Options, the Plan Administrator, in its sole
discretion, may instead provide that a Participant’s outstanding Options shall terminate upon consummation of such Company Transaction and that each such Participant shall receive, in exchange therefor, a cash payment equal to the amount (if
any) by which (a) the Acquisition Price multiplied by the number of shares of Common Stock subject to such outstanding Options (whether or not then exercisable) exceeds (b) the respective aggregate exercise price for such Options.

 11.3.2 Assumption, Conversion or Substitution 
 For the purposes of this Section 11.3, an Award shall be considered assumed, converted or substituted for if following the Company Transaction, the option or right confers the right to purchase or receive, for
each share of Common Stock subject to the Award immediately prior to the Company Transaction, the consideration (whether stock, cash, or other securities or property) received in the Company Transaction by holders of Common Stock for each share held
at the effective time of the Company Transaction (and if holders were offered a choice of consideration, the type of consideration chosen by the holders of a majority of the outstanding shares); provided, however, that if such consideration received
in the Company Transaction is not solely common stock of the Successor Company, the Plan Administrator may, with the consent of the Successor Company, provide for the consideration to be received upon the exercise or settlement of the Award, for
each share of Common Stock subject to the Award, to be solely common stock of the Successor Company substantially equal in fair market value to the per share consideration received by holders of Common Stock in the Company Transaction. The
determination of such substantial equality of value of consideration shall be made by the Plan Administrator, and its determination shall be conclusive and binding. 
  

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	11.4	Further Adjustment of Awards 

 Subject to
Sections 11.2 and 11.3, the Plan Administrator shall have the discretion, exercisable at any time before a sale, merger, consolidation, reorganization, liquidation, dissolution or change in control of the Company, as defined by the Plan
Administrator, to take such further action as it determines to be necessary or advisable with respect to Awards. Such authorized action may include (but shall not be limited to) establishing, amending or waiving the type, terms, conditions or
duration of, or restrictions on, Awards so as to provide for earlier, later, extended or additional time for exercise, lifting restrictions and other modifications, and the Plan Administrator may take such actions with respect to all Participants,
to certain categories of Participants or only to individual Participants. The Plan Administrator may take such action before or after granting Awards to which the action relates and before or after any public announcement with respect to such sale,
merger, consolidation, reorganization, liquidation, dissolution or change in control that is the reason for such action. 
  

	11.5	No Limitations 

 The grant of Awards shall in no way
affect the Company’s right to adjust, reclassify, reorganize or otherwise change its capital or business structure or to merge, consolidate, dissolve, liquidate or sell or transfer all or any part of its business or assets. 
  

	11.6	Fractional Shares 

 In the event of any adjustment
in the number of shares of Common Stock covered by any Award, each such Award shall cover only the number of full shares of Common Stock resulting from such adjustment. 
  

	11.7	Section 409A 

 Notwithstanding anything in the
Plan to the contrary, (a) any adjustments made pursuant to this Section 11 to Awards that are considered “deferred compensation” within the meaning of Section 409A shall be made in compliance with the requirements of
Section 409A; (b) any adjustments made pursuant to Section 11 to Awards that are not considered “deferred compensation” subject to Section 409A shall be made in such a manner as to ensure that after such adjustment the
Awards either (i) continue not to be subject to Section 409A or (ii) comply with the requirements of Section 409A; and (c) in any event, the Plan Administrator shall not have the authority to make any adjustments pursuant to
Section 11 to the extent the existence of such authority would cause an Award that is not intended to be subject to Section 409A at the time of grant to be subject thereto. 
 SECTION 12. AMENDMENT AND TERMINATION 
  

	12.1	Amendment, Suspension or Termination 

 The Board in
its sole discretion may amend, suspend or terminate the Plan or any portion of the Plan at any time and in such respects as it shall deem advisable; provided, however, that, to the extent required by applicable law, regulation or stock exchange
rule, stockholder approval shall be required for any amendment to the Plan. Subject to Section 12.3, the Board may amend the terms of any outstanding Award, prospectively or retroactively. Any termination of the Plan pursuant to this
Section 12 shall comply with the requirements of Section 409A, if applicable. 
  

 -11- 

	12.2	Term of the Plan 

 The Plan shall have no fixed
expiration date. After the Plan is terminated, no future Awards may be granted, but Awards previously granted shall remain outstanding in accordance with their applicable terms and conditions and the Plan’s terms and conditions. Notwithstanding
the foregoing, no Incentive Stock Options may be granted more than ten years after the later of (a) the adoption of the Plan by the Board and (b) the adoption by the Board of any amendment to the Plan that constitutes the adoption of a new
plan for purposes of Section 422 of the Code. Notwithstanding the foregoing, no Award may be granted to a resident of California more than ten years after the earlier of the date of adoption of the Plan and the date the Plan is approved by the
stockholders. 
  

	12.3	Consent of Participant 

 The amendment, suspension
or termination of the Plan or a portion thereof or the amendment of an outstanding Award shall not, without the Participant’s consent, materially adversely affect any rights under any Award theretofore granted to the Participant under the Plan.
Any change or adjustment to an outstanding Incentive Stock Option shall not, without the consent of the Participant, be made in a manner so as to constitute a “modification” that would cause such Incentive Stock Option to fail to continue
to qualify as an Incentive Stock Option. Notwithstanding the foregoing, any adjustments made pursuant to Sections 14.2 and 14.3 shall not be subject to these restrictions. 
 SECTION 13. GENERAL 
  

	13.1	No Individual Rights 

 No individual or Participant
shall have any claim to be granted any Award under the Plan, and the Company has no obligation for uniformity of treatment of Participants under the Plan. 
 Furthermore, nothing in the Plan or any Award granted under the Plan shall be deemed to constitute an employment contract or confer or be deemed to confer on any Participant any right to continue in the employ of, or
to continue any other relationship with, the Company or any Related Company or limit in any way the right of the Company or any Related Company to terminate a Participant’s employment or other relationship at any time, with or without cause.

  

	13.2	Issuance of Shares 

 Notwithstanding any other
provision of the Plan, the Company shall have no obligation to issue or deliver any shares of Common Stock under the Plan or make any other distribution of benefits under the Plan unless, in the opinion of the Company’s counsel, such issuance,
delivery or distribution would comply with all applicable laws (including, without limitation, the requirements of the Securities Act or the laws of any state or foreign jurisdiction) and the applicable requirements of any securities exchange or
similar entity. 
  

 -12- 

 The Company shall be under no obligation to any Participant to register for offering or resale or to
qualify for exemption under the Securities Act, or to register or qualify under the laws of any state or foreign jurisdiction, any shares of Common Stock, security or interest in a security paid or issued under, or created by, the Plan, or to
continue in effect any such registrations or qualifications if made. 
 As a condition to the exercise of an Option or any other receipt of
Common Stock pursuant to an Award under the Plan, the Company may require (a) the Participant to represent and warrant at the time of any such exercise or receipt that such shares of Common Stock are being purchased or received only for the
Participant’s own account and without any present intention to sell or distribute such shares and (b) such other action or agreement by the Participant as may from time to time be necessary to comply with the federal, state and foreign
securities laws. At the option of the Company, a stop-transfer order against any such shares may be placed on the official stock books and records of the Company, and a legend indicating that such shares may not be pledged, sold or otherwise
transferred, unless an opinion of counsel is provided (concurred in by counsel for the Company) stating that such transfer is not in violation of any applicable law or regulation, may be stamped on stock certificates to ensure exemption from
registration. The Plan Administrator may also require the Participant to execute and deliver to the Company a purchase agreement or such other agreement as may be in use by the Company at such time that describes certain terms and conditions
applicable to the shares of Common Stock. 
 To the extent the Plan or any Award Agreement or other instrument evidencing an Award provides
for issuance of stock certificates to reflect the issuance of shares of Common Stock, the issuance may be effected on a noncertificated basis, to the extent not prohibited by applicable law or the applicable rules of any stock exchange. 

 

	13.3	Indemnification 

 To the maximum extent permitted by
law, each person who is or shall have been a member of the Board, or a committee appointed by the Board to whom authority was delegated in accordance with Section 3.1 shall be indemnified and held harmless by the Company against and from any
loss, cost, liability or expense that may be imposed upon or reasonably incurred by such person in connection with or resulting from any claim, action, suit or proceeding to which such person may be a party or in which such person may be involved by
reason of any action taken or failure to act under the Plan and against and from any and all amounts paid by such person in settlement thereof, with the Company’s approval, or paid by such person in satisfaction of any judgment in any such
claim, action, suit or proceeding against such person; provided, however, that such person shall give the Company an opportunity, at its own expense, to handle and defend the same before such person undertakes to handle and defend it on such
person’s own behalf, unless such loss, cost, liability or expense is a result of such person’s own willful misconduct or except as expressly provided by statute. 
 The foregoing right of indemnification shall not be exclusive of any other rights of indemnification to which such person may be entitled under the
Company’s certificate of incorporation or bylaws, as a matter of law, or otherwise, or of any power that the Company may have to indemnify such person or hold such person harmless. 
  

 -13- 

	13.4	No Rights as a Stockholder 

 Unless otherwise
provided by the Plan Administrator or in the Award Agreement, no Option shall entitle the Participant to any cash dividend, voting or other right of a stockholder unless and until the date of issuance under the Plan of the shares of Common Stock
that are the subject of such Award. 
  

	13.5	Compliance With Laws and Regulations 

 In
interpreting and applying the provisions of the Plan, any Option granted as an Incentive Stock Option pursuant to the Plan shall, to the extent permitted by law, be construed as an “incentive stock option” within the meaning of
Section 422 of the Code. 
  

	13.6	Participants in Other Countries or Jurisdictions 

 Without amending the Plan, the Plan Administrator may grant Awards to eligible persons who are foreign nationals on such terms and conditions different from those specified in the Plan, which may, in the judgment of the Plan Administrator,
be necessary or desirable to foster and promote achievement of the purposes of the Plan and shall have the authority to adopt such modifications, procedures, and subplans and the like as may be necessary or desirable to comply with provisions of the
laws or regulations of other countries or jurisdictions in which the Company or any Related Company may operate or have employees to ensure the viability of the benefits from Awards granted to Participants employed in such countries or
jurisdictions, meet the requirements that permit the Plan to operate in a qualified or tax efficient manner, comply with applicable foreign laws or regulations and meet the objectives of the Plan. 
  

	13.7	No Trust or Fund 

 The Plan is intended to
constitute an “unfunded” plan. Nothing contained herein shall require the Company to segregate any monies or other property, or shares of Common Stock, or to create any trusts, or to make any special deposits for any immediate or deferred
amounts payable to any Participant, and no Participant shall have any rights that are greater than those of a general unsecured creditor of the Company. 
  

	13.8	Successors 

 All obligations of the Company under
the Plan with respect to Awards shall be binding on any successor to the Company, whether the existence of such successor is the result of a direct or indirect purchase, merger, consolidation, or otherwise, of all or substantially all the business
and/or assets of the Company. 
  

	13.9	Severability 

 If any provision of the Plan or any
Award Agreement is determined to be invalid, illegal or unenforceable in any jurisdiction, or as to any person, or would disqualify the Plan or any Award under any law deemed applicable by the Plan Administrator, such provision shall be construed or
deemed amended to conform to applicable laws, or, if it cannot be so construed or deemed amended without, in the Plan Administrator’s determination, materially altering the intent of the Plan or the Award, such provision shall be stricken as to
such jurisdiction, person or Award, and the remainder of the Plan and any such Award Agreement shall remain in full force and effect. 
  

 -14- 

	13.10	Choice of Law 

 The Plan, all Awards granted
thereunder and all determinations made and actions taken pursuant hereto, to the extent not otherwise governed by the laws of the United States, shall be governed by the laws of the State of Delaware without giving effect to principles of conflicts
of law. 
  

	13.11	Financial Reports 

 To the extent required by
applicable law, the Company shall provide annual financial statements of the Company to each Participant. Such financial statements need not be audited and need not be issued to employees whose duties within the Company assure them access to
equivalent information. 
  

	13.12	Legal Requirements 

 The granting of Awards and the
issuance of shares of Common Stock under the Plan is subject to all applicable laws, rules and regulations, and to such approvals by any governmental agencies or national securities exchanges as may be required. 
 SECTION 14. EFFECTIVE DATE 
 The
effective date (the “Effective Date”) is the date on which the Plan is adopted by the Board. If the stockholders of the Company do not approve the Plan on or within 12 months after the Board’s adoption of the Plan,
(a) any Award exercised or settled before the stockholders of the Company approve the Plan shall be rescinded and any such shares of Common Stock shall not be counted in determining whether such stockholder approval is obtained, and
(b) any Incentive Stock Options granted under the Plan will be treated as Nonqualified Stock Options. 
  

 -15- 

 PLAN ADOPTION AND AMENDMENTS/ADJUSTMENTS 
 SUMMARY PAGE 
  

							
	 Date of Board Action
	  	Action	  	Section/Effect of
Amendment	  	Date of Stockholder
Approval
	 September 19, 2006
	  	Initial Plan Adoption	  		  	September 19, 2006

 APPENDIX A 
 DEFINITIONS 
 The following capitalized words and phrases, when used in the text of this document shall have the
meanings set forth below. Except where otherwise clearly indicated by the context, words in the masculine gender include the feminine gender, and vice versa, and, wherever any words are used in the singular form, they shall be construed as if they
were also used in the plural form in all cases where the plural form would so apply, and vice versa. Where a definition includes rules regarding the definition, those rules shall apply. 
 “Acquired Entity” means any entity acquired by the Company or a Related Company or with which the Company or a Related Company merges or combines. 
 “Acquisition Price” means the fair market value of the securities, cash or other property, or any combination thereof, receivable upon
consummation of a Company Transaction in respect of a share of Common Stock. 
 “Award” means, individually or collectively, any
Option. 
 “Award Agreement” means the written, including electronic, instrument between a Participant and the Company or a Related
Company evidencing the Award, which could include a written (including electronic) employment, services or other agreement between the Participant and the Company or a Related Company. Each Award Agreement shall constitute a part of the Plan.
Notwithstanding any other provision of the Plan to the contrary, Award Agreements related to Options shall not contain any provision that would result in such Option being considered “nonqualified deferred compensation,” within the meaning
of Section 409A, so as to cause such Option or the Plan to become subject to the requirements of Section 409A. 
 “Board”
means the Board of Directors of the Company. 
 “Cause,” unless otherwise defined in the instrument evidencing the Award or in a
written employment, services or other agreement between the Participant and the Company or a Related Company, means dishonesty, fraud, serious willful misconduct, unauthorized use or disclosure of confidential information or trade secrets, or
conduct prohibited by law (except minor violations), in each case as determined by the Company’s chief human resources officer or other person performing that function or, in the case of directors and executive officers, the Board, each of
whose determination shall be conclusive and binding. 
 “Code” means the Internal Revenue Code of 1986, as amended from time to time.
Reference in the Plan to any section of the Code shall be deemed to include any amendments or successor provisions to such section and any regulation promulgated by the U.S. Department of Treasury under such section. 
 “Common Stock” means the common stock, par value $0.001 per share, of the Company. 
 “Company” means KCHS Holdings, Inc., a Delaware corporation. 
  

 A - 1 

 “Company Transaction” means, unless otherwise defined in the Award Agreement, consummation of

 (a) a merger or consolidation of the Company with or into any other company or other entity that results in a transfer of change of
ownership of more than 50% of the voting control of the Company, 
 (b) a sale in one transaction or a series of transactions undertaken with
a common purpose of all of the Company’s outstanding voting securities, or 
 (c) a sale, lease, exchange or other transfer in one
transaction or a series of related transactions undertaken with a common purpose of all or substantially all of the Company’s assets. 
 Where a series
of transactions undertaken with a common purpose is deemed to be a Company Transaction, the date of such Company Transaction shall be the date on which the last of such transactions is consummated. 
 “Disability” means, except as set forth in Section 8.7 with respect to an Incentive Stock Option and unless otherwise
defined in the Award Agreement, a mental or physical impairment of the Participant that is expected to result in death or that has lasted or is expected to last for a continuous period of 12 months or more and that causes the Participant to be
unable to perform his or her material duties for the Company or a Related Company and to be engaged in any substantial gainful activity, in each case as determined by the Company’s chief human resources officer or other person performing that
function or, in the case of directors and executive officers, the Board, each of whose determination shall be conclusive and binding.  
 “Effective Date” has the meaning set forth in Section 14. 
 “Eligible Person” means any person
eligible to receive an Award as set forth in Section 5. 
 “Exchange Act” means the Securities Exchange Act of 1934, as amended
from time to time. 
 “Fair Market Value” means, as of any specified date: 
 (a) In the event that the Common Stock is not Publicly Traded at the time a determination of its Fair Market Value is required to be made hereunder, the
Plan Administrator shall determine the Common Stock’s Fair Market Value by the reasonable application of a reasonable methodology, as it deems appropriate, taking into account all available information material to the value of the Company.

 (b) If the Company is Publicly Traded, the average of the reported high and low sales prices of the Common Stock on the stock exchange
composite tape on that date, or if no sales prices are reported on that date, on the last preceding date on which such prices of the Common Stock are so reported. If the Common Stock is traded over-the-counter at the time a determination of its Fair
Market Value is required to be made hereunder, its Fair Market Value shall be deemed to be equal to the average between the reported high and low or closing bid and asked prices of the Common Stock on the most recent date on which the Common Stock
was Publicly Traded. 
  

 A - 2 

 “Grant Date” means the later of (a) the date on which the Plan Administrator
completes the corporate action authorizing the grant of an Award or such later date specified by the Plan Administrator or (b) the date on which all conditions precedent to an Award have been satisfied, provided that conditions to the
exercisability or vesting of Awards shall not defer the Grant Date.  
 “Incentive Stock Option” means an Option
granted with the intention that it qualify as an “incentive stock option” as that term is defined for purposes of Section 422 of the Code. 
 “Invested Capital” has the meaning set forth in Section 4.1. 
 “Nonqualified Stock Option”
means an Option other than an Incentive Stock Option. 
 “Option” means an Award granted hereunder of an Option to purchase shares of
Common Stock and includes both Incentive Stock Options and Nonqualified Stock Options. 
 “Option Expiration Date” has the meaning
set forth in Section 7.6. 
 “Option Term” means the maximum term of an Option as set forth in Section 7.3 or, with respect
to Incentive Stock Options, Section 8.4. 
 “Participant” means any Eligible Person to whom an Award is granted. 
 “Plan” means the KCHS Holdings, Inc. 2006 Equity Incentive Plan, as amended from time to time, together with each Award Agreement. 
 “Plan Administrator” has the meaning set forth in Section 3.1. 
 “Publicly Traded” means any time that the Common Stock is listed on a national securities exchange or quoted on NASDAQ. 
 “Related Company” means any entity that, at the time of reference, directly or indirectly, is in control of, is controlled by or is under common control with, the Company. 
 “Related Party Transaction” means (a) a merger or consolidation of the Company in which the holders of the outstanding voting securities of
the Company immediately prior to the merger or consolidation hold at least a majority of the outstanding voting securities of the Successor Company immediately after the merger or consolidation; (b) a sale, lease, exchange or other transfer of
all or substantially all of the Company’s assets to a majority-owned subsidiary company; or (c) a transaction undertaken for the principal purpose of restructuring the capital of the Company, including, but not limited to, reincorporating
the Company in a different jurisdiction, converting the Company to a limited liability company or creating a holding company. 
  

 A - 3 

 “Retirement” means, unless otherwise defined in the Award Agreement, “retirement” as
defined for purposes of the Plan by the Plan Administrator or the Company’s chief human resources officer or other person performing that function or, if not so defined, means Termination of Service on or after the date the Participant reaches
“normal retirement age,” as that term is defined in Section 411(a)(8) of the Code. 
 “Section 409A” means
Section 409A of the Code and any related guidance and regulations (including, until finalized, proposed Treasury regulations issued in October of 2005) promulgated thereunder. 
 “Securities Act” means the Securities Act of 1933, as amended from time to time. 
 “Substitute Awards” means Awards granted or shares of Common Stock issued by the Company in assumption of, or in substitution or exchange for, awards previously granted by an Acquired Entity. 
 “Successor Company” means the surviving company, the successor company, the acquiring company or its parent, as applicable, in connection with a
Company Transaction. 
 “Termination of Service” means a Participant’s termination of employment or service relationship with
the Company or a Related Company for any reason, whether voluntary or involuntary, including by reason of death, Disability or Retirement. Any question as to whether and when there has been a Termination of Service for the purposes of an Award and
the cause of such Termination of Service shall be determined by the Company’s chief human resources officer or other person performing that function or, with respect to directors and executive officers, by the Board, and its determination shall
be conclusive and binding. Transfer of a Participant’s employment or service relationship between the Company and any Related Company shall not be considered a Termination of Service for purposes of an Award. Unless the Board in its sole
discretion determines otherwise, a Termination of Service shall be deemed to occur if the Participant’s employment or service relationship is with an entity that has ceased to be a Related Company. 
 “Ten Percent Stockholder” means a Participant who, at the time an Option is granted to him or her, owns more than 10% of the total combined
voting power of all classes of stock of the Company or of any parent corporation or subsidiary corporations thereof (both as defined in Section 424 of the Code), within the meaning of Section 422(b)(6) of the Code. 
 “Vesting Commencement Date” means the Grant Date or such other date selected by the Plan Administrator as the date from which the Award begins to
vest. 
  

 A - 4Amendment to the KCHS Holdings, Inc. 2006 Equity Incentive Plan

 Exhibit 10.10 
 AMENDMENT 
 TO THE 
 KCHS HOLDINGS, INC. 2006 EQUITY INCENTIVE PLAN 
 THIS
AMENDMENT (“Amendment”) is made as of this 1st day of June, 2007, to the KCHS Holdings, Inc. 2006 Equity Incentive Plan (the
“Plan”). 
 RECITALS 
 WHEREAS, Section 12 of the Plan provides that the Board of Directors of KCHS Holdings, Inc. (the “Company”) in its sole discretion may amend the Plan or any portion of the Plan at any time and in such respects as it
shall deem advisable; provided, however, that, to the extent required by applicable law, regulation or stock exchange rule, stockholder approval shall be required for any amendment to the Plan; and 
 WHEREAS, the Board of Directors of the Company (the “Board”) desires to amend the Plan in order to provide that the Company’s initial public
offering shall constitute a “Company Transaction” as defined in the Plan; and 
 WHEREAS, the Board has determined that it is within its authority
under the Plan to amend the Plan as set forth herein, that such amendment is desired and appropriate at this time and that, although stockholder approval of such amendment is not required, the effectiveness of such amendment shall be subject to
stockholder approval; and 
 WHEREAS, the Board has determined that the terms of this amendment shall be effective with respect to each Participant (as
defined in the Plan) to whom one or more options under the Plan have been previously granted; and 
 WHEREAS, the undersigned has been authorized by the
Board to execute this Amendment on the Board’s behalf. 
 AMENDMENT 
 NOW, THEREFORE, the Plan is hereby amended as follows: 
  

	1.	The definition of “Company Transaction” as contained in Appendix A to the Plan is hereby amended in its entirety to read as follows: 

 “Company Transaction” means, unless otherwise defined in the Award Agreement, 
  

	 	(a)	consummation of 

  

	 	(1)	a merger or consolidation of the Company with or into any other company or other entity that results in a transfer of change of ownership of more than 50% of the voting control of
the Company, 

	 	(2)	a sale in one transaction or a series of transactions undertaken with a common purpose of all of the Company’s outstanding voting securities, or 

  

	 	(3)	a sale, lease, exchange or other transfer in one transaction or a series of related transactions undertaken with a common purpose of all or substantially all of the Company’s
assets, or 

  

	 	(4)	an Initial Public Offering. 

 Where a series of
transactions undertaken with a common purpose is deemed to be a Company Transaction, the date of such Company Transaction shall be the date on which the last of such transactions is consummated. 
  

	2.	All references to “Sale of the Company” in any Award Agreement shall be deemed to be references to “Company Transaction” as defined in the Plan and amended by
this Amendment. 

  

	3.	The definition of “Related Party Transaction” as contained in Appendix A to the Plan is hereby amended in its entirety to read as follows: 

 “Related Party Transaction” means (a) a merger or consolidation of the Company in which the holders of the outstanding voting
securities of the Company immediately prior to the merger or consolidation hold at least a majority of the outstanding voting securities of the Successor Company immediately after the merger or consolidation; (b) a sale, lease, exchange or
other transfer of all or substantially all of the Company’s assets to a majority-owned subsidiary company; or (c) a transaction undertaken for the principal purpose of restructuring the capital of the Company, including, but not limited
to, reincorporating the Company in a different jurisdiction, converting the Company to a limited liability company or creating a holding company. Notwithstanding anything in this definition to the contrary, in no event shall the term “Related
Party Transaction” include the Company’s initial public offering. 
  

	4.	The following definition is added to Appendix A to the Plan: 

 “Initial Public Offering” means the Company’s initial public offering of securities pursuant to a registration statement on a Form S-1 (or any other form equivalent thereto) whereby Common Stock is sold to the
public by the Company in a public offering registered under the 1933 Act, resulting in aggregate gross proceeds to the Company of not less than $20,000,000. 
  

	5.	Any inconsistent provisions of the Plan shall be read consistent with this Amendment. 

  

	6.	Except as amended above, each and every other provision of the Plan, as effective immediately prior to this Amendment, shall remain in full force and effect without change or
modification. 

  

 2 

	7.	The Effective Date of this Amendment shall be June 1, 2007. 

 IN WITNESS WHEREOF, the undersigned, being authorized by the Board to execute this Amendment in evidence of the adoption of this Amendment by the Board, has executed this Amendment as of the date first written above. 
  

			
	KCHS HOLDINGS, INC.
		
	By:	 	/s/ Robert Cucuel
		 	Robert Cucuel
		 	Chief Executive Officer and President

  

 3

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