SUN HEALTHCARE GROUP INC
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<TYPE>EX-10
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<FILENAME>exhibit101.htm
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<p class=MsoNormal align=right style='text-align:right'><b>EXHIBIT 10.1</b></p>

<p class=MsoNormal align=center style='text-align:center'><b>JOINDER AND FIRST AMENDMENT TO AMENDED AND RESTATED
LOAN AND SECURITY AGREEMENT</b></p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b>THIS
JOINDER AND FIRST AMENDMENT TO AMENDED AND RESTATED LOAN AND SECURITY AGREEMENT</b>
(this &quot;<b>Joinder</b>&quot;) is made and entered into and effective as of
December 9, 2005 (the &quot;<b>Effective Date</b>&quot;), by and among SUN
HEALTHCARE GROUP, INC., a Delaware corporation (the &quot;<b>Company</b>&quot;),
and each direct or indirect Subsidiary of the Company identified on Signature
Page &quot;A&quot; of this Joinder as a borrower (individually an &quot;<b>Existing
Borrower</b>&quot;, and collectively the &quot;<b>Existing Borrowers</b>&quot;),
all entities identified on Signature Page &quot;B&quot; of this Joinder as a
borrower (individually, a &quot;<b>Peak Borrower</b>&quot;, and collectively,
the &quot;<b>Peak Borrowers</b>&quot;; the Company, the Existing Borrowers and
the Peak Borrowers are collectively referred to herein as the &quot;<b>Borrowers</b>&quot;),
the financial institution(s) listed on the signature pages hereof, and their
respective successors and assignees (each, a &quot;<b>Lender</b>&quot; and,
collectively, &quot;<b>Lenders</b>&quot;), and CAPITALSOURCE FINANCE LLC, a
Delaware limited liability company (in its individual capacity as a Lender, &quot;<b>CapitalSource</b>&quot;,
and in its capacity as collateral agent, &quot;<b>Collateral Agent</b>&quot;).</p>

<p class=MsoNormal align=center style='text-align:center'><b>R E C I T A L S</b></p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;WHEREAS,
the Borrowers, Collateral Agent and Lenders entered into that certain Amended
and Restated Loan and Security Agreement (the &quot;<b>Loan Agreement</b>&quot;),
dated as of December 2, 2005.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;WHEREAS,
the Fixed Charge Coverage of the Borrowers for the three months ended October
31, 2005 was less than 1.00 to 1.0, the minimum ratio required by Section A of
the Financial Covenants Rider to the Loan Agreement (the &quot;<b>FCC
Noncompliance</b>&quot;).</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;WHEREAS,
Borrowers have requested that Lenders and Collateral Agent waive the default
caused by the FCC Noncompliance and have agreed to enter into this Joinder to
induce Lenders and Collateral Agent to waive the FCC Noncompliance.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;WHEREAS,
the Borrowers, Collateral Agent and Lenders have agreed to make Loans under the
Loan Agreement available to the Peak Borrowers and to amend the Schedules of
the Loan Agreement to reflect the addition of the Peak Borrowers as Borrowers
under the Loan Agreement.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;WHEREAS,
Borrowers, Collateral Agent and Lenders have agreed to modify and amend the
Loan Agreement on the terms and conditions contained herein.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;NOW,
THEREFORE, in consideration of the agreements and covenants set forth herein,
and other good and valuable consideration, the receipt and sufficiency of which
are hereby acknowledged, the parties hereby amend the Loan Agreement as
follows:</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Definitions</u>.&nbsp;
All capitalized terms used in this Joinder and not otherwise defined herein
shall have the same meanings assigned to such terms in the Loan Agreement.</p>





<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Addition
and Joinder of Peak Borrowers</u><a name="OLE_LINK3">.&nbsp;
The Existing Borrowers, the Peak Borrowers, Collateral Agent and Lenders agree
that, by execution and delivery of this Joinder and satisfaction of the other
conditions set forth herein</a>, each Peak Borrower shall constitute and be deemed
a &quot;Borrower&quot; under and for purposes of the Loan Agreement and all
other Loan Documents.&nbsp; Accordingly, by its execution hereof, each Peak Borrower
hereby agrees as of the Effective Date (A) to be a party to the Loan Agreement
as a &quot;Borrower&quot; thereunder, (B) that it will be deemed to have made
all of the representations and warranties of a &quot;Borrower&quot; under the Loan
Agreement, as amended hereby, to the extent relating to the Peak Borrowers and
to have been and be bound, jointly and severally with all other &quot;Borrowers,&quot; by </p>





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<p class=MsoNormal style='text-align:justify'>all of the conditions, <a name="OLE_LINK64">obligations, appointments, </a>covenants,
representations, warranties and other agreements of a &quot;Borrower&quot;
under and as set forth in the Loan Agreement, the Loan Documents and this
Joinder, including, without limitation, the granting of the security interest
in the Collateral under the Loan Documents, and (C) to promptly execute all
further <a name="OLE_LINK30">documentation, amendments, supplements, schedules,
agreements and financing statements required by Collateral Agent consistent and
in connection with the Loan Agreement and this Joinder</a>.&nbsp; In addition, the
Existing Borrowers hereby reaffirm and agree to be bound, jointly and severally
with Peak Borrowers, by all of the conditions, obligations, appointments,
covenants, representations, warranties and other agreements of a &quot;Borrower&quot;
under and as set forth in the Loan Agreement, the Loan Documents and this
Joinder, and hereby agree to promptly execute all further documentation,
amendments, supplements, schedules, agreements and financing statements
required by Collateral Agent consistent and in connection with the Loan
Agreement and this Joinder.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>No
Advances</u>.&nbsp; No Advances under the Revolving Loan shall be made to any Peak
Borrower until such time as, in the Permitted Discretion of Collateral Agent,
Liens in favor of Lenders upon the Accounts of such Peak Borrower have been
perfected and the Accounts of such Peak Borrower have qualified as Eligible
Receivables.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Excluded
Peak Medical Entities</u>. The Existing Borrowers, the Peak Borrowers,
Collateral Agent and Lenders agree that, by execution and delivery of this
Joinder and satisfaction of the other conditions set forth herein, Section 7.11
of the Loan Agreement is hereby amended by adding thereto the following
sentence, which shall be inserted at the end thereof:&nbsp; &quot;Notwithstanding
the preceding provisions of this Section 7.11, the following Subsidiaries shall
not become Borrowers:&nbsp; At Home Personal Care, LLC, Peak Medical FHAPT, Inc.,
Peak Medical Forest Hills, Inc., Peak Medical Mayfair, Inc., Peak Medical
Oklahoma Holdings--Lake Drive, Inc., Peak Medical Oklahoma Holdings--McLoud,
Inc., Peak Medical Rehabilitation Services, Inc., Peak Medical Training
Services, Inc. and PMC Hospice Services, Inc., and the capital stock of the
following Subsidiaries shall not be pledged as Collateral:&nbsp; Peak Medical FHAPT,
Inc., Peak Medical Forest Hills, Inc., Peak Medical Mayfair, Inc., Peak Medical
Oklahoma Holdings--Lake Drive, Inc. and Peak Medical Oklahoma Holdings--McLoud,
Inc.&quot;</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Sublimits
of Certain Peak Borrowers</u>.&nbsp; Notwithstanding any provisions of the Loan
Agreement to the contrary, (a) the aggregate amount of all Advances at any time
outstanding under the Revolving Loan to or on account of Peak Medical Assisted
Living, Inc., a Delaware corporation (&quot;<b>Assisted Living</b>&quot;),
shall not exceed $180,018 (the &quot;<b>Assisted Living Sublimit</b>&quot;),
(b) the aggregate amount of all Advances at any time outstanding under the
Revolving Loan to or on account of Peak Medical Oklahoma No. 12, Inc., a
Delaware corporation (&quot;<b>Oklahoma No. 12</b>&quot;), shall not exceed
$132,721 (the &quot;<b>Oklahoma No. 12 Sublimit</b>&quot;), and (c) the
aggregate amount of all Advances at any time outstanding under the Revolving
Loan to or on account of Peak Medical Oklahoma No. 9, Inc., a Delaware
corporation (&quot;<b>Oklahoma No. 9</b>&quot;), shall not exceed $316,074 (the
&quot;<b>Oklahoma No. 9 Sublimit</b>&quot;).&nbsp; Furthermore, upon the execution
of that certain Intercreditor Agreement between Collateral Agent, GMAC
Commercial Mortgage Corporation, a California corporation, and Peak Medical
Montana Operations, Inc., a Delaware corporation (&quot;<b>Montana Operations</b>&quot;),
the Borrowers, Collateral Agent, and Lenders shall execute an amendment to the
Loan Agreement that shall provide a maximum amount of all Advances at any time
that may be outstanding under the Revolving Loan to or on account of Montana
Operations.&nbsp; Each Advance made under the Revolving Loan shall be subject to the
Assisted Living Sublimit, the Oklahoma No. 12 Sublimit and the Oklahoma No. 9
Sublimit.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Defaults</u>.&nbsp;
The following provisions are hereby added to the Loan Agreement as Section
8.1(W) and (X):</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;(W)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The
occurrence an event of default under any GMAC Loan Documents; or</p>





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<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(X)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The
occurrence of, or any GMAC Creditor asserts the occurrence of, a &quot;Possession
Date&quot; (as defined in the GMAC Intercreditor Agreements) under any of the
GMAC Intercreditor Agreements, or the occurrence of any event which, with the
giving of notice or passage of time, would give rise to a Possession Date under
any of the GMAC Intercreditor Agreements.&quot;</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;7.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Waiver
and Fee</u>.&nbsp; The undersigned, as Lenders and Collateral Agent, hereby (a)
consent to the FCC Noncompliance and (b) agree that the FCC Noncompliance shall
not be deemed a Default or an Event of Default under Section 8.1(C) or 8.1(D)
of the Loan Agreement.&nbsp; In consideration of Collateral Agent and Lenders
entering into this Amendment, Borrowers hereby agree to pay to Lenders a nonrefundable
waiver and amendment fee in the amount One Hundred Thousand Dollars ($100,000)
(the &quot;<b>Amendment Fee</b>&quot;).</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;8.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Additional
Amendments to Loan Agreement</u>.&nbsp; The Loan Agreement is hereby amended as
follows:</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;A.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The
following paragraph is added to the end of Section 2.2(B) of the Loan
Agreement:</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;Solely
for the purposes of calculating interest amounts and fees due hereunder, to the
extent that the outstanding amount of Advances (the &quot;<b>Outstanding
Advance Amount</b>&quot;) on any day is less than Ten Million Dollars
($10,000,000) (the &quot;<b>Minimum Balance</b>&quot;), the difference between
the Minimum Balance and the Outstanding Advance Amount shall be deemed to be an
outstanding Advance and shall incur interest as a Base Rate Loan (and interest
shall accrue thereon as with any other Base Rate Loan), and, in addition, the
Collateral Management Fee and Unused Line Fee during such period shall also be
based on an amount of Advances equal to the greater of (1) the Outstanding
Advance Amount and (2) the Minimum Balance (regardless as to the actual amount
outstanding).&nbsp; By way of example, if the Outstanding Advance Amount on any day
is $8,900,000, then in addition to all other amounts owing hereunder,
additional interest shall also be deemed to accrue (at the interest rate
otherwise due for a Base Rate Loan) an amount equal to $1,100,000 (i.e.,
$10,000,000 less $8,900,000).&nbsp; In addition, the Collateral Management Fee and
the Unused Line Fee would also be based on an Outstanding Advance Amount equal
to Ten Million Dollars ($10,000,000) (rather than $8,900,000).&quot;</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;B.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Section
2.1(a)(2) (ii) of the Loan Agreement is hereby deleted in its entirety and
replaced with the following:</p>





<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;If
(a) Borrowers terminate the Revolving Facility in whole under this subsection
2.1(A)(2); (b) Borrowers voluntarily or involuntarily repay the Obligations in
whole (other than reductions to zero of the outstanding balance of the
Revolving Facility resulting from the ordinary course operation of the
provisions of subsection 2.4), whether by virtue of Lenders' exercising their
right of set off or otherwise; or (c) the Obligations are accelerated in whole
by Lenders (each of the events described in (a), (b) and (c) above being
hereinafter referred to as, a &quot;<b>Full Revolver Termination</b>&quot;),
then at the effective date of any such Full Revolver Termination, Borrowers
shall pay Lenders (in addition to the then outstanding principal, accrued
interest and other Obligations relating to the Revolving Facility pursuant to
the terms of this Agreement and any other Loan Document), to compensate Lenders
for the loss of bargain and not as a penalty, an amount equal to Three Million
Dollars ($3,000,000) if the Full Revolver Termination occurs on or prior to
June 1, 2007, less any Partial Revolver Termination fees paid prior thereto,
and an amount equal to One Million Five Hundred Thousand Dollars ($1,500,000)
if the Full Revolver Termination occurs after June 1, 2007 but prior to
September 1, 2008, less any Partial Revolver Termination fees paid prior
thereto.&nbsp; If (a) Borrowers terminate the Revolving Facility in part under this
subsection 2.1(A)(2) (a &quot;<b>Partial Revolver Termination</b>&quot;), then at the
effective date of any such Partial Revolver Termination, Borrowers shall pay
Lenders (in addition to the then outstanding principal, accrued interest and
other Obligations relating to the Revolving Facility pursuant to the terms of </p>





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<p class=MsoNormal style='text-align:justify'>this Agreement and any other Loan Document), to compensate Lenders for the
loss of bargain and not as a penalty, an amount equal to the product of Three
Million Dollars ($3,000,000) multiplied by a fraction with a numerator equal to
the amount of the reduction of the Commitment and the denominator equal to the
then effective Facility Cap if the Partial Revolver Termination occurs on or
prior to June 1, 2007 (but in no event shall the aggregate amount of
termination fees for a Partial Revolver Termination exceed an amount equal to
the product of One Million Five Hundred Thousand Dollars ($1,500,000)
multiplied by a fraction with a numerator equal to the amount of the reduction
of the Commitment and the denominator equal to the then effective Facility Cap
if the Partial Revolver Termination occurs after June 1, 2007 but prior to
September 1, 2008; provided, however, that in no event may the aggregate amount
of Partial Revolver Termination fees exceed $3,000,000.&nbsp; Notwithstanding the
above provisions of this paragraph, if a Full Revolver Termination occurs and,
in connection therewith, CapitalSource Finance LLC participates in any
replacement financing (in its sole and absolute discretion with no obligation
to participate or to consider participating), instead of the amounts provided
above for a Full Revolver Termination, Borrowers shall pay Lenders (in addition
to the then outstanding principal, accrued interest and other Obligations
relating to the Revolving Facility pursuant to the terms of this Agreement and
any other Loan Document), to compensate Lenders for the loss of bargain and not
as a penalty, an amount equal to One Million Five Hundred Thousand Dollars
($1,500,000) if the Full Revolver Termination occurs on or prior to June 1,
2007, less any Partial Revolver Termination fees paid prior thereto, and an
amount equal to Seven Hundred Fifty Thousand Dollars ($750,000) if the Full
Revolver Termination occurs after June 1, 2007 but prior to September 1, 2008,
less any Partial Revolver Termination fees paid prior thereto.&quot;</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;9.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Additional
Definitions</u>.&nbsp; The following terms shall be added as defined terms to the
Loan Agreement:</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(a)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Assisted
Living Creditor</b>&quot; shall mean GMAC Commercial Mortgage Corporation, or
any successor thereto under the GMAC-Assisted Living Loan Documents.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(b)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Assisted
Living Intercreditor Agreement</b>&quot; shall mean that certain Intercreditor
Agreement by and among GMAC-Assisted Living Creditor, Collateral Agent, and
Assisted Living.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(c)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Assisted
Living Loan Documents</b>&quot; shall mean that certain loan agreement by and
between GMAC-Assisted Living Creditor and Assisted Living, and the other
agreements, documents and instruments delivered in connection therewith.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(d)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC
Creditor</b>&quot; means any of GMAC-Assisted Living Creditor, GMAC-Oklahoma
No. 9 Creditor, or GMAC-Oklahoma No. 12 Creditor.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(e)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC
Intercreditor Agreements</b>&quot; means the GMAC-Assisted Living Intercreditor
Agreement, the GMAC-Oklahoma No. 9 Intercreditor Agreement, and the
GMAC-Oklahoma No. 12 Intercreditor Agreement.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(e)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC
Loan Documents</b>&quot; means the GMAC-Assisted Living Loan Documents, the
GMAC-Oklahoma No. 9 Loan Documents, and the GMAC-Oklahoma No. 12 Loan
Documents.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(f)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Oklahoma
No. 9 Creditor</b>&quot; shall mean GMAC Commercial Mortgage Corporation, or
any successor thereto under the GMAC-Oklahoma No. 9 Loan Documents.</p>







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<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(f)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Oklahoma
No. 9 Intercreditor Agreement</b>&quot; shall mean that certain Intercreditor
Agreement by and among GMAC-Oklahoma No. 9 Creditor, Collateral Agent, and
Oklahoma No. 9.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(f)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Oklahoma
No. 9 Loan Documents</b>&quot; shall mean that certain loan agreement by and
between GMAC-Oklahoma No. 9 Creditor and Oklahoma No. 9, and the other
agreements, documents and instruments delivered in connection therewith.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(g)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Oklahoma
No. 12 Creditor</b>&quot; shall mean GMAC Commercial Mortgage Corporation, or
any successor thereto under the GMAC-Oklahoma No. 12 Loan Documents.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(h)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Oklahoma
No. 12 Intercreditor Agreement</b>&quot; shall mean that certain Intercreditor
Agreement by and among GMAC-Oklahoma No. 12 Creditor, Collateral Agent, and
Oklahoma No. 12.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(i)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&quot;<b>GMAC-Oklahoma
No. 12 Loan Documents</b>&quot; shall mean that certain loan agreement by and
between GMAC-Oklahoma No. 12 Creditor and Oklahoma No. 12, and the other
agreements, documents and instruments delivered in connection therewith.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;10.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Amended
Schedules</u>.&nbsp; Attached hereto as Exhibit A are supplements to certain
Schedules to the Loan Agreement that reflect the addition of Peak Borrowers as
Borrowers.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;11.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Conditions
to Effectiveness</u>.&nbsp; The effectiveness of this Joinder is subject to the
satisfaction of the following conditions precedent in a manner satisfactory to
Collateral Agent, unless specifically waived in writing by Collateral Agent:</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;A.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Collateral
Agent shall have received all of the following, each in form and substance
satisfactory to Collateral Agent in its sole discretion, and, where applicable,
each duly executed by each party thereto, other than Lenders:</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(1)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;This
Joinder, duly executed by the Borrowers; </p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(2)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(a)&nbsp;
the certificate of formation, bylaws or similar organizational documents of
each Peak Borrower, (b) good standing certificates for each Peak Borrower
issued by its jurisdiction of organization, (c) copies of the resolutions of
the board of directors or managers of each Peak Borrower authorizing the
execution, delivery and performance of the Loan Documents to which such Peak
Borrower is a party, (d) certificates of the managers or secretaries of each
Peak Borrower, in form and substance satisfactory to Lenders, as to the
incumbency and signature of the officers executing any agreements, documents
and instruments in connection herewith, and (e) each document (including,
without limitation, any UCC financing statement) required by any Loan Document
or under law or requested by Collateral Agent to be filed or recorded in order
to create, in favor of Lenders, a perfected first priority security interest in
or Lien upon such Collateral owned by Peak Borrowers and evidence of each such
filing, registration or recordation and of the payment by Borrowers of any
necessary fee, tax or expense relating thereto; </p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(3)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;the
Amendment Fee; and</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(4)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;All
other documents Collateral Agent may reasonably request with &nbsp;&nbsp;respect to any
matter relevant to this Joinder or the transactions contemplated hereby.</p>





<p class=MsoNormal style='text-align:justify'>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;B.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;All representations and warranties of the
Borrowers in the Loan Agreement or &nbsp;&nbsp;any other Loan Document shall be true and
correct in all material respects at and as of the date hereof and </p>





<p class=MsoFooter align=center style='text-align:center'>5</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>










<p class=MsoNormal style='text-align:justify'>as of the effective date of this Joinder as though
then made, except (1)&nbsp;to the extent of the changes caused by the
transactions expressly contemplated herein, and (2)&nbsp;for such
representations and warranties as by their terms expressly speak as of an
earlier date.</p>



<p class=MsoNormal style='text-align:justify;page-break-after:avoid'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;C.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;No
Material Adverse Effect or Material Adverse Change shall have occurred or be
reasonably expected to occur.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;D.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;No
Default or Event of Default shall have occurred and be continuing, unless such
Default or Event of Default has been otherwise specifically waived in writing
by Requisite Lenders or, only to the extent required by the Loan Agreement, all
Lenders.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;E.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;All
corporate proceedings taken in connection with the transactions contemplated by
this Joinder and all documents, instruments and other legal matters incident
thereto shall be duly authorized and executed.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;F.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Payment
by Borrowers of all reasonable fees and costs incurred by Collateral Agent in
preparation and execution of this Joinder (including reasonable attorneys' fees
and costs, title costs and recording fees); provided, however, that the
Borrowers shall only be required to pay such fees and costs that are invoiced
to the Borrowers no later than one business day prior to funding in order to
comply with this condition to effectiveness (but in all events, such fees and
costs shall be paid promptly after invoiced to the Borrowers regardless as to
whether such invoice is delivered later than one business day prior to
funding).</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;12.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Waiver</u>.&nbsp;
Except for the waiver set forth in Section 7 above, nothing contained herein
shall be construed as a waiver by Lenders of any covenant or provision of the
Loan Agreement, the other Loan Documents, this Joinder or any other contract or
instrument among Lenders and the Borrowers.&nbsp; The failure of Lenders at any time
or times hereafter to require strict performance by the Borrowers of any
provision thereof shall not waive, affect or diminish any right of Lenders to
thereafter demand strict compliance therewith.&nbsp; Lenders hereby reserve all
rights granted under the Loan Agreement, the other Loan Documents, this
Joinder, and any other contract or instrument among the Borrowers and Lenders.&nbsp;
Without limitation, Lender may insist upon strict compliance with the terms and
conditions of the Financial Covenants Rider, including future compliance with
the Fixed Charge Coverage for subsequent periods.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;13.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Ratification</u>.&nbsp;
The terms and provisions set forth in this Joinder shall modify and supersede
all inconsistent terms and provisions set forth in the Loan Agreement and the
other Loan Documents, and, except as expressly modified by this Joinder, each
and every covenant, warranty and other provision of the Notes and the other
Loan Documents is hereby ratified and reaffirmed (as though restated in this
Joinder as of the date hereof) and shall remain in full force and effect.&nbsp; The
Borrowers and Lenders agree that the Loan Agreement and the other Loan
Documents, as amended hereby, shall continue to be legal, valid, binding and
enforceable in accordance with their respective terms except as may be limited
by bankruptcy, insolvency, reorganization, moratorium or similar laws relating
to or limiting creditors' rights generally or by equitable principles relating
to enforceability.&nbsp; This Joinder is not intended and shall in no way act as a
novation of the Loans or a release, relinquishment, alteration or reissue of
the liens and security interests securing the payment of the Notes.</p>





<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;14.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Representations
and Warranties</u>.&nbsp; Each of the Borrowers, including, without limitation, each
Peak Borrower, hereby represents and warrants to Lenders that (A) the
execution, delivery and performance of this Joinder and any and all other Loan
Documents executed and delivered in connection herewith (i) have been authorized
by all requisite corporate, partnership or limited liability company action on
the part of each Borrower, (ii) are within its powers, (iii) have been duly
authorized, and (iv) do not contravene (a) its articles of incorporation or
bylaws or other organizational documents or (b) any </p>





<p class=MsoFooter align=center style='text-align:center'>6</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>










<p class=MsoNormal style='text-align:justify'>applicable
law; (B) each Borrower is authorized to execute, deliver and perform this Joinder and any and all other Loan Documents executed and/or delivered in
connection herewith; (C) the representations and warranties contained in the
Loan Agreement, as amended hereby, and any other Loan Documents are true and
correct in all material respects on and as of the date hereof and on and as of
the date of execution hereof as though made on and as of each such date, except
for such representations and warranties as are by their express terms limited
to a specific date and taking into account any amendment to schedules or
exhibits pursuant to this Joinder or as a result of any disclosure made by
Borrowers to Collateral Agent after the Closing Date and approved in writing by
the Collateral Agent; (D) no Default or Event of Default under the Loan
Agreement, as amended hereby, has occurred and is continuing; (E) each Borrower
is in full compliance with all covenants and agreements contained in the Loan
Agreement and the other Loan Documents, as amended hereby; (F) no Borrower has
amended its articles of incorporation or bylaws or other organizational
documents since the date of the Loan Agreement; and (G) no consent, license,
permit, approval or authorization of, or registration, filing or declaration
with any governmental authority or other Person, is required in connection with
the execution, delivery, performance, validity or enforceability of this
Joinder or the Loan Documents executed in connection herewith, as applicable,
by or against such Borrower.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;15.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Survival
of Representations and Warranties</u>.&nbsp; All representations and warranties made
herein and in the Loan Agreement or any other Loan Document, including, without
limitation, any document furnished in connection with this Joinder, shall
survive the execution and delivery of this Joinder and the other Loan
Documents, and no investigation by the Lenders or any closing shall affect the
representations and warranties or the right of the Lenders to rely upon them.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;16.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Release</u>.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;A.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;As
of the date hereof, each of the Borrowers, including, without limitation, each
Peak Borrower, and the Company, for themselves and their successors and assigns
(collectively, the &quot;<b>Borrower Parties</b>&quot;) hereby fully and
forever releases, discharges and acquits each of the Lenders, the Collateral
Agent and their parent, subsidiary, affiliate and predecessor corporations, and
their respective past and present officers, directors, shareholders, partners,
attorneys, legal representatives, agents and employees, and their successors,
heirs and assigns and each of them, of and from and against any and all claims,
demands, obligations, duties, liabilities, damages, expenses, indebtedness,
debts, breaches of contract, duty or relationship, acts, omissions,
misfeasance, malfeasance, causes of action, sums of money, accounts,
compensation, contracts, controversies, promises, damages, costs, losses and
remedies therefor, choses in action, rights of indemnity or liability of any
type, kind, nature, description or character whatsoever, and irrespective of
how, why or by reason of what facts, whether liquidated or unliquidated, known
or unknown, to any of the Borrowers (collectively, &quot;<b>Claims</b>&quot;),
which any of such Borrower Parties may now have against any of said persons,
firms or entities, by reason of, arising out of or based upon conduct, events
or occurrences on or before the date hereof relating to:&nbsp; (i)&nbsp;any of the
Loans or the Loan Documents; (ii)&nbsp;the review, approval or disapproval of
any and all documents, instruments, projections, advances, estimates, plans,
specifications, drawings and all other items submitted to any of the Lenders or
Collateral Agent in connection with the Loans or the Loan Documents;
(iii)&nbsp;the disbursements of funds under the Loan Documents; (iv)&nbsp;the
amendment or modification of the Loan Agreement made pursuant to this Joinder;
(v)&nbsp;any Lender's or Collateral Agent's acts, statements, conduct,
representations and omissions made in connection with the Loans or Loan
Documents and any amendment or modification relating thereto; or (vi) any fact,
matter, transaction or event relating as of the date hereof, provided that
nothing contained herein shall be deemed a release of any Lenders' or
Collateral Agent's obligations under this Joinder or (to the extent first
arising and accruing after the date hereof) the Loan Agreement, as modified, or
(to the extent first arising and accruing after the date hereof) a release of
any Lender's or Collateral Agent's obligations under the Loan Documents as
expressly set forth therein.</p>



<p class=MsoFooter align=center style='text-align:center'>7</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>










<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;B.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Each
of the Borrower Parties represents and warrants that it has not heretofore
assigned or transferred, or purported to assign or to transfer, to any person
or entity any matter released hereunder or any portion thereof or interest
therein, and each of the Borrower Parties agrees, jointly and severally, to
indemnify, defend and hold the parties set forth hereinabove harmless from and
against any and all claims based on or arising out of any such assignment or
transfer or purported assignment or transfer.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;C.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;It
is hereby further understood and agreed that the acceptance of delivery of this
release by the parties released hereby shall not be deemed or construed as an
admission of liability of any nature whatsoever arising from or related to the
subject of the within release.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;D.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Each
of the Borrower Parties hereby agrees, represents and warrants that it has had
advice of counsel of its own choosing in negotiations for and the preparation
of this Joinder, including the foregoing release and waivers, that it has read
the provisions of this Joinder, including the foregoing release and waivers,
that it has had the foregoing release and waivers fully explained by such
counsel, and that it is fully aware of its contents and legal effect.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;17.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Entire
Agreement</u>.&nbsp; This Joinder, the Loan Documents and the schedules and exhibits
attached thereto constitute the entire agreement of the Collateral Agent, the
Borrowers and Lenders concerning the transactions contemplated by this Joinder
and supersede and cancel any and all previous negotiations, arrangements,
agreements, understandings or letters of interest or intent.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;18.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Governing
Law</u>.&nbsp; This Joinder shall be governed by, and construed in accordance with,
the law of the State of New York.</p>



<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;19.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<u>Counterparts</u>.&nbsp;
This Joinder may be executed via telecopier or facsimile transmission in any
number of counterparts and by different parties hereto in separate
counterparts, each of which when so executed and delivered shall be deemed an
original, but all of which counterparts together shall constitute one and the
same instrument.&nbsp; This Joinder shall become effective upon the execution and
delivery of an executed counterpart hereof by each of the parties hereto.</p>





<p class=MsoFooter align=center style='text-align:center'>8</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>



</div>


<div class=Section2>









<p class=MsoNormal style='text-align:justify'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;IN
WITNESS WHEREOF, the undersigned has executed and delivered this Joinder on and
as of December 9, 2005.</p>



<div align=right>

<table class=MsoTableGrid border=0 cellspacing=0 cellpadding=0
 style='margin-left:-.75in;border-collapse:collapse'>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>CAPITALSOURCE
  FINANCE LLC, as</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Collateral
  Agent and as Lender</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>By:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/s/
  Keith D. Reuben</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Name:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Keith
  D. Reuben</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Title:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Managing
  Director</p>
  </td>
 </tr>
</table>

</div>





<p class=MsoFooter align=center style='text-align:center'>9</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>



</div>


<div class=Section3>

<p class=MsoHeader align=center style='text-align:center'>Signature Page
&quot;A&quot;</p>





<table class=MsoTableGrid border=0 cellspacing=0 cellpadding=0
 style='margin-left:185.4pt;border-collapse:collapse'>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>


  <p class=MsoNormal>ACKNOWLEDGED AND AGREED TO<br>
  as of the 9th day of December, 2005 on<br>
  behalf of all Borrowers</p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal><b>&nbsp;</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal><b>SUN HEALTHCARE GROUP,
  INC.,</b><br>
  a Delaware corporation</p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>By:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/s/
  Michael Newman</p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Name:&nbsp;&nbsp;Michael
  Newman</p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Title:&nbsp;&nbsp;&nbsp;&nbsp;Executive
  Vice President</p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Americare
  Health Services Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>BP
  SunAlliance, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Brent-Lox
  Hall Nursing Home, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Care
  Home Health Services</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>CareerStaff
  Services Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>CareerStaff
  Unlimited, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Coalinga
  Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Covina
  Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Fairfield
  Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Fullerton
  Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>HTA
  of New York, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Libbie
  Rehabilitation Center, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Manatee
  Springs Nursing Center, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Masthead
  Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Mediplex
  Management of Palm Beach County, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Mediplex
  Management, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Mediplex
  of Concord, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Mediplex
  of Connecticut, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Mediplex
  of Massachusetts, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Mediplex
  Rehabilitation of Massachusetts, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Pacific
  Health Care, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>ProCare
  One Nurses, LLC</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Regency
  Health Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SHG
  Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunAlliance
  Healthcare Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Beckley Health Care Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Braswell Enterprises, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Brittany Rehabilitation Center, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Care Enterprises, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Care Enterprises West</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Carmichael Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Charlton Healthcare, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>By:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/s/
  Michael Newman</p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Name:&nbsp;&nbsp;&nbsp;Michael
  Newman</p>
  </td>
 </tr>
 <tr>
  <td width=390 valign=top style='width:292.5pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Title:&nbsp;&nbsp;&nbsp;&nbsp;Vice
  President</p>
  </td>
 </tr>
</table>

<p class=MsoFooter align=center style='text-align:center'>S-A-1</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>



</div>


<div class=Section4>

<p class=MsoHeader align=center style='text-align:center'>Signature Page
&quot;A&quot;</p>





<table class=MsoTableGrid border=0 cellspacing=0 cellpadding=0
 style='margin-left:185.4pt;border-collapse:collapse'>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>


  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Circleville Health Care Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Clipper Home of North Conway, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Clipper Home of Portsmouth, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Clipper Home of Rochester, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Clipper Home of Wolfeboro, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Dunbar Health Care Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Gardendale Health Care Center, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Glenville Health Care, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Goodwin Nursing Home, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  G. P. Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Hallmark Health Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Harbor View Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Healthcare Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge,
  Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Jeff Davis Healthcare, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Maplewood Healthcare Center of Jackson, Tennessee, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Marion Health Care Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Meadowbrook Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Mountain Care Management, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Nursing Home, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Paradise Rehabilitation Center, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Putnam Health Care Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Regency Rehab Hospitals, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Regency-North Carolina, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Regency-Tennessee, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Retirement Care Associates, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Salem Health Care Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  San Bernardino Rehabilitation Hospital, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Shandin Hills Rehabilitation Center</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Statesboro Health Care Center, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Stockton Rehabilitation Center, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  Summers Landing, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunBridge
  West Tennessee, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunDance
  Rehabilitation Agency, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunDance
  Rehabilitation Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunDance
  Services Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunHealth
  Specialty Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunMark
  of New Mexico, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunPlus
  Home Health Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunScript
  Medical Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>By:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/s/
  Michael Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Name:&nbsp;&nbsp;Michael
  Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Title:&nbsp;&nbsp;&nbsp;&nbsp;Vice
  President</p>
  </td>
 </tr>
</table>

<p class=MsoFooter align=center style='text-align:center'>S-A-2</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>



</div>


<div class=Section5>

<p class=MsoHeader align=center style='text-align:center'>Signature Page
&quot;A&quot;</p>





<table class=MsoTableGrid border=0 cellspacing=0 cellpadding=0
 style='margin-left:185.4pt;border-collapse:collapse'>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>


  <p class=MsoNormal style='text-align:justify'><b>SunScript
  Pharmacy Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>SunSolution,
  Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>The
  Mediplex Group, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>U.S.
  Laboratory Corp.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>By:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/s/
  Michael Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Name:&nbsp;&nbsp;Michael
  Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Title:&nbsp;&nbsp;&nbsp;&nbsp;Vice
  President</p>
  </td>
 </tr>
</table>



<p class=MsoFooter align=center style='text-align:center'>S-A-3</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>



</div>


<div class=Section6>

<p class=MsoHeader align=center style='text-align:center'>Signature Page
&quot;B&quot;</p>





<table class=MsoTableGrid border=0 cellspacing=0 cellpadding=0
 style='margin-left:185.4pt;border-collapse:collapse'>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>


  <p class=MsoNormal>ACKNOWLEDGED AND AGREED TO<br>
  as of the 9th day of December, 2005 </p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Great
  Falls Health Care Company, LLC</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Ancillary Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Assisted Living, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Colorado No. 2, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Colorado No. 3, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Corporation</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Farmington, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Gallup, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Idaho Operations, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Las Cruces No. 2, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Las Cruces, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Montana Operations, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical New Mexico No. 3, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical NM Management Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical of Boise, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical of Colorado, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical of Idaho, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical of Montana, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical of Utah, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 1, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 10, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 11, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 12, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 13, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 2, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 3, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 4, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 5, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 7, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 8, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma No. 9, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Oklahoma Operations, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Peachtree, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>By:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/s/
  Michael Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Name:&nbsp;&nbsp;Michael
  Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Title:&nbsp;&nbsp;&nbsp;&nbsp;Vice
  President</p>
  </td>
 </tr>
</table>

<p class=MsoFooter align=center style='text-align:center'>S-B-1</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>



</div>


<div class=Section7>

<p class=MsoHeader align=center style='text-align:center'>Signature Page
&quot;B&quot;</p>





<table class=MsoTableGrid border=0 cellspacing=0 cellpadding=0
 style='margin-left:185.4pt;border-collapse:collapse'>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>


  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Roswell, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>Peak
  Medical Utah No. 2, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>PM
  Henryetta Holdings, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'><b>PM
  Oxygen Services, Inc.</b></p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>

  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  &nbsp;</td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>By:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/s/
  Michael Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Name:&nbsp;&nbsp;Michael
  Newman</p>
  </td>
 </tr>
 <tr>
  <td width=391 valign=top style='width:293.4pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal style='text-align:justify'>Title:&nbsp;&nbsp;&nbsp;&nbsp;Vice
  President</p>
  </td>
 </tr>
</table>

<p class=MsoFooter align=center style='text-align:center'>S-B-2</p>

<div class=MsoNormal align=center style='text-align:center'>

<hr size=2 width="100%" noshade color=navy align=center>

</div>





</div>

</body>

</html>
</TEXT>
</DOCUMENT>
