Limited Waiver and Fourth Amendment to Credit Agreement, dated May 14, 2024 by and among CareMax, Inc., the subsidiary guarantors party thereto, the lenders party thereto and Jefferies Finance LLC, as administrative agent and collateral agent
Exhibit 10.1
[***] CERTAIN INFORMATION IN THIS DOCUMENT HAS BEEN EXCLUDED PURSUANT TO REGULATION S-K, ITEM 601(B)(10). SUCH EXCLUDED INFORMATION IS BOTH NOT MATERIAL AND IS THE TYPE THAT THE REGISTRANT TREATS AS PRIVATE OR CONFIDENTIAL.
Execution Version
LIMITED WAIVER AND FOURTH AMENDMENT TO CREDIT AGREEMENT
THIS LIMITED WAIVER AND FOURTH AMENDMENT TO CREDIT AGREEMENT, dated as of May 14, 2024 (this “Amendment”), is made by and among CareMax, Inc. (the “Borrower”), the Subsidiary Guarantors, the Lenders party hereto, Jefferies Finance LLC, as administrative agent (in such capacity, the “Administrative Agent”) and collateral agent (in such capacity, the “Collateral Agent”) and the undersigned Lenders. All capitalized terms not otherwise defined herein shall have the meanings set forth in the Credit Agreement referred to below.
RECITALS
WHEREAS, the Borrower, the Subsidiary Guarantors from time to time party thereto, the Lenders and Issuing Banks from time to time party thereto, the Administrative Agent and Collateral Agent and the other persons party thereto are party to that certain Credit Agreement, dated as of May 10, 2022 (as amended by that certain Consent and First Amendment to Credit Agreement dated as of November 10, 2022 and that certain Second Amendment to Credit Agreement dated as of March 8, 2023 and as further, restated, supplemented or otherwise modified from time to time immediately prior to the effectiveness of this Amendment, the “Existing Credit Agreement” and, as amended by this Amendment, the “Credit Agreement”);
WHEREAS, the Borrower, the Subsidiary Guarantors, the Lenders party thereto, the Administrative Agent and the Collateral Agent previously entered into that certain Limited Waiver and Third Amendment to Credit Agreement, dated March 17, 2024 (the “Third Amendment”), pursuant to which the Lenders party thereto granted a Limited Waiver (as defined therein) with respect to the Specified Defaults (as defined therein) for the duration of the Temporary Waiver Period;
WHEREAS, the Borrower has requested that (x) the Lenders constituting “Required Lenders” agree to extend the Temporary Waiver Period set forth in the Third Amendment and (y) that the Lenders agree to amend the Existing Credit Agreement in certain respects; and
WHEREAS the undersigned Lenders are willing, on the terms and subject to the conditions set forth herein to extend the Temporary Waiver Period set forth in the Third Amendment and amend the Existing Credit Agreement as hereinafter set forth.
NOW THEREFORE, in consideration of the premises and agreements, provisions and covenants herein contained, the parties hereto hereby covenant and agree as follows:
SECTION 1. Extension of Temporary Waiver Period. Notwithstanding the provisions of the Existing Credit Agreement or the Third Amendment to the contrary, in reliance upon the representations, warranties, acknowledgements, stipulations and covenants of the Loan Parties contained in this Amendment, upon the occurrence of the Fourth Amendment Effective Date, the Lenders hereby agree to extend the Temporary Waiver Period set forth in the Third Amendment to the earlier to occur of a Waiver Termination Event (as defined in the Third Amendment) and June 17, 2024 at 11:59 (New York City time). It being understood, however, that the Lenders do not herein agree to further extend the Temporary Waiver Period. The Borrower and the other Loan Parties each acknowledge that the Lenders have not made any assurances concerning (i) any possibility of any further extension of the Temporary Waiver Period or (ii) any additional waiver, forbearance, restructuring or other accommodations.
SECTION 2. Amendments to the Existing Credit Agreement. As of the Fourth Amendment Effective Date (as defined below) and subject to the satisfaction of the conditions precedent set forth in Section 3 of this Amendment, the Existing Credit Agreement is hereby amended as follows:
“From time to time and reasonably promptly, but in any event, no later than five (5) Business Days after reasonably requested by the Administrative Agent or any Lender (i), such other reasonably available information regarding the operations, business affairs and financial condition of the Borrower, its Subsidiaries or any Physician-Owned Practice, compliance with the terms of any Loan Document, any Specified Hedging Agreement or any Bank Product Agreement, the environmental condition of any Real Property or the [***], and (ii) information regarding the Borrower’s, its Subsidiaries’ or any Physician-Owned Practice’s leases, material contracts or other liabilities in such form and with such details as requested.”
“From and after the Fourth Amendment Effective Date, the Borrower shall hold a weekly conference call attended by [***].”
“Section 5.23 Fourth Amendment Milestones.
“(i) default shall be made in the due observance or performance by any Company of any
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covenant, condition or agreement contained Section 5.19, Section 5.21, Section 5.22 or Section 5.23 and such default shall continue unremedied or shall not be waived for a period of three (3) Business Days after the earlier of (x) knowledge of such failure by a Responsible Officer of any Loan Party or (y) receipt by Borrower of a written notice thereof from the Administrative Agent, (ii) default shall be made in the due observance or performance by any Company of any covenant, condition or agreement contained in Section 5.01, Section 5.10 or Section 5.18 and such default shall continue unremedied or shall not be waived for a period of five (5) Business Days after receipt by Borrower of a written notice thereof from the Administrative Agent or (iii) default shall be made in the due observance or performance by any Company of any covenant, condition or agreement contained in any Loan Document (other than those specified in paragraphs(a), (b), (d) or (e)(i) or (e)(ii) immediately above) and such default shall continue unremedied or shall not be waived for a period of thirty (30) days after receipt by Borrower of a written notice thereof from the Administrative Agent; or”
SECTION 3. Conditions to Effectiveness. This Amendment shall become effective on the first date (the “Fourth Amendment Effective Date”) when, and only when, each of the applicable conditions set forth below have been satisfied in accordance with the terms herein:
(a) Amendment. this Amendment shall have been executed and delivered by the Borrower, the Subsidiary Guarantors, and Lenders constituting “Required Lenders”.
(b) Representations and Warranties. The representations and warranties set forth in Section 4 of this Amendment shall be true and correct in all material respects; provided that, to the extent that such representations and warranties specifically refer to an earlier date, they shall be true and correct in all material respects as of such earlier date; provided, further, that any representation and warranty that is qualified as to “materiality,” “Material Adverse Effect” or similar language shall be true and correct (after giving effect to any qualification therein) in all respects on such respective dates.
(c) Fees and Expenses. The Administrative Agent, the Lead Manager and the Lenders shall have received all other fees and amounts due and payable on or prior to the Fourth Amendment Effective Date in accordance with the Credit Agreement, including, to the extent invoiced on or prior to the Fourth Amendment Effective Date, reimbursement or payment of all reasonable and documented out-of-pocket expenses (including, without limitation, the reasonable and documented fees, charges and disbursements of Ropes & Gray LLP, Guggenheim Securities, LLC and other advisors of the Lenders) and other expenses required to be reimbursed or paid by the Borrower in connection with this Amendment pursuant to Section 11.03 of the Credit Agreement.
SECTION 4. Representations and Warranties. To induce the Administrative Agent and Lenders party hereto to enter into this Amendment, each Loan Party hereby represents and warrants that:
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Section 6. Expenses. The Borrower, on behalf of itself and each of the other Loan Parties, hereby reconfirms the respective obligations of the Loan Parties pursuant to Section 11.03 of the Credit Agreement to pay all reasonable and documented or invoiced out-of-pocket costs and expenses incurred by the Administrative Agent, the Lead Manager and the Lenders in connection with this Amendment (including, without limitation, the reasonable and documented fees, charges and disbursements of Ropes & Gray LLP, Guggenheim Securities, LLC and other advisors of the Lenders) and other expenses required to be reimbursed or paid by the Borrower in connection with this Amendment and the other Loan Documents.
SECTION 7. No Other Amendments; Reaffirmation of the Loan Parties.
SECTION 8. No Reliance, Etc. For the avoidance of doubt, and without limitation of any other provisions of the Credit Agreement or the other Loan Documents, Jefferies Finance LLC, in its capacity as
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Administrative Agent, shall be entitled to the benefits of Article X and Sections 11.03 and 11.16 of the Credit Agreement as if such provisions were set forth in full herein mutatis mutandis.
Section 9. Lender Direction. Pursuant to Section 10.03 of the Existing Credit Agreement, each of the undersigned Lenders hereby directs each of the Administrative Agent and the Collateral Agent to execute and deliver this Amendment, to give consents hereunder and to perform their respective obligations hereunder.
SECTION 10. Amendment, Modification and Waiver. This Amendment may not be amended, modified or waived except in accordance with Section 11.02 of the Credit Agreement.
SECTION 11. Integration; Effect of Modifications. This Amendment, together with the Credit Agreement and the other Loan Documents, comprises the complete and integrated agreement of the parties on the subject matter hereof and thereof and supersedes all prior agreements, written or oral, on such subject matter. In the event of any conflict between the provisions of this Amendment and those of any other Loan Document, the provisions of this Amendment shall control; provided that the inclusion of supplemental rights or remedies in favor of the Agents or the Lenders in any other Loan Document shall not be deemed a conflict with this Amendment. Each Loan Document was drafted with the joint participation of the respective parties thereto and shall be construed neither against nor in favor of any party, but rather in accordance with the fair meaning thereof. Except as expressly set forth herein, this Amendment shall not by implication or otherwise limit, impair, constitute a waiver of, or otherwise affect the rights and remedies of any party under, the Credit Agreement, nor alter, modify, amend or in any way affect any of the terms, conditions, obligations, covenants or agreements contained in the Credit Agreement, all of which are ratified and affirmed in all respects and shall continue in full force and effect. It is understood and agreed that each reference in each Loan Document to the Credit Agreement, whether direct or indirect, shall hereafter be deemed to be a reference to the Credit Agreement as modified hereby and that this Amendment is a Loan Document.
SECTION 12. GOVERNING LAW; JURISDICTION, SERVICE OF PROCESS; WAIVER OF RIGHT TO TRIAL BY JURY. THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. SECTIONS 11.09 AND 11.10 OF THE CREDIT AGREEMENT ARE HEREBY INCORPORATED BY REFERENCE INTO THIS AMENDMENT MUTATIS MUTANDIS AND SHALL APPLY HERETO.
SECTION 13. Severability. If any provision of this Amendment is held to be illegal, invalid or unenforceable, the legality, validity and enforceability of the remaining provisions of this Amendment shall not be affected or impaired thereby. The invalidity of a provision in a particular jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction.
SECTION 14. Counterparts. This Amendment may be executed by one or more of the parties to this Amendment on any number of separate counterparts, and all of said counterparts taken together shall be deemed to constitute one and the same contract, and shall become effective as provided herein. Signature pages may be detached from multiple separate counterparts and attached to a single counterpart. Delivery of an executed counterpart to this Amendment by facsimile or other electronic transmission (e.g., “PDF” or “TIFF”) shall be as effective as delivery of a manually executed counterpart hereof. The words “execution,” “signed,” “signature,” and words of like import in this Amendment, in or related to any document to be signed in connection with this Amendment and the transactions contemplated hereby or in any amendment or other modification hereof (including waivers and consents) shall be deemed to include electronic signatures, the electronic matching of assignment terms and contract formations on electronic platforms approved by the Administrative Agent, or the keeping of records in electronic form, each of
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which shall be of the same legal effect, validity or enforceability as a manually executed signature or the use of a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any other similar state laws based on the Uniform Electronic Transactions Act.
[Remainder of Page Intentionally Blank]
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IN WITNESS WHEREOF, each of the undersigned has caused its duly authorized officer to execute and deliver this Amendment as of the date first written above.
CAREMAX, INC., as Borrower
By /s/ Kevin Wirges
Name: Kevin Wirges
Title: Chief Executive Officer
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
IN WITNESS WHEREOF, each of the undersigned has caused its duly authorized officer to execute and deliver this Amendment as of the date first written above.
CAREMAX MEDICAL GROUP, L.L.C.
CAREMAX MEDICAL CENTER OF BROWARD, L.L.C
CAREMAX MEDICAL CENTER OF HIALEAH, L.L.C.
CAREMAX MEDICAL CENTER OF HOMESTEAD, L.L.C.
CAREMAX OF MIAMI, L.L.C.
CAREMAX MEDICAL CENTER OF NORTH MIAMI, L.L.C.
CAREMAX MEDICAL CENTER OF PEMBROKE PINES, L.L.C.
CAREMAX MEDICAL CENTER OF CORAL WAY, L.L.C.
CAREMAX MEDICAL CENTER OF TAMARAC, L.L.C.
CAREMAX MEDICAL CENTER OF WESTCHESTER, L.L.C.
CAREMAX MEDICAL CENTER OF LITTLE HAVANA, L.L.C.
CAREMAX MEDICAL CENTER OF LITTLE HAVANA II, L.L.C.
PINES CARE MEDICAL CENTER, LLC
CAREMAX MEDICAL CENTER OF EAST HIALEAH, L.L.C.
CAREMAX MEDICAL CENTER, LLC
CARE ALLIANCE, LLC
CARE HOLDINGS GROUP, L.L.C.
CARE OPTIMIZE, LLC
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
CARE GARAGE, LLC
HEALTHCARE ADVISORY SOLUTIONS, L.L.C.
MANAGED HEALTHCARE PARTNERS LLC
CLEAR SCRIPTS, L.L.C.
ANALITICO, LLC
STALLION MEDICAL MANAGEMENT, LLC
SENIOR MEDICAL ASSOCIATES LLC
CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA, LLC
CAREMAX MANAGEMENT LLC
IMC TRANSPORT FLEET, LLC
JOSE ORCASITA-NG, LLC
JESUS MONTESANO MD, LLC
CAREMED PHARMACY LLC
CAREMAX IPA, LLC
IMC MEDICAL GROUP HOLDINGS, LLC
INTERAMERICAN MEDICAL CENTER GROUP, LLC
PHYSICIAN SERVICE ORGANIZATION, LLC
SUNSET HOLDING, LLC
SUNSET CARDIOLOGY, LLC
PRIMARY PROVIDER, INC.
CAREMAX HOLDINGS, LLC
SPARTA MERGER SUB I LLC
SPARTA MERGER SUB II LLC
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
SPARTA MERGER SUB III LLC
SPARTA TEXAS ACO, INC.
CAREMAX ACCOUNTABLE CARE NETWORK, LLC
CAREMAX HEALTH PARTNERS, LLC
CAREMAX NATIONAL CARE NETWORK, LLC
Each as a Subsidiary Guarantor
By /s/ Kevin Wirges
Name: Kevin Wirges
Title: Chief Financial Officer
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
TENNENBAUM SENIOR LOAN FUND II, LP
TENNENBAUM SENIOR LOAN FUND V, LLC
TCP DIRECT LENDING FUND VIII-A, LLC
TCP DIRECT LENDING FUND VIII-S, LLC
TCP DIRECT LENDING FUND VIII-T, LLC
PHILADELPHIA INDEMNITY INSURANCE COMPANY
RELIANCE STANDARD LIFE INSURANCE COMPANY
SAFETY NATIONAL CASUALTY CORPORATION
U.S. SPECIALTY INSURANCE COMPANY
BUILD PRIVATE CREDIT, L.P.
On behalf of each of the above entities:
By: TENNENBAUM CAPITAL PARTNERS, LLC
Its: Investment Manager
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
BLACKROCK MT. HOOD CLO X, LLC
By: BlackRock Capital Investment Advisors, LLC
Its: Collateral Manager, acting as agent and attorney-in-fact
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
BLACKROCK SHASTA SENIOR LOAN FUND VII, LLC
BLACKROCK DLF IX 2019 CLO, LLC
BLACKROCK DLF IX 2020-1 CLO, LLC
BLACKROCK DLF IX CLO 2021-1, LLC
BLACKROCK DLF IX CLO 2021-2, LLC
By: BlackRock Capital Investment Advisors, LLC
Its: Collateral Manager
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
BLACKROCK MAROON BELLS CLO XI, LLC
By: BlackRock Capital Investment Advisors, LLC,
Its: Investment Manager
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
BLACKROCK DLF IX ICAV,
an umbrella type Irish collective asset management vehicle acting solely for and on behalf of its sub-fund
BLACKROCK DIRECT LENDING FUND IX-U (IRELAND)
By: Blackrock Capital Investment Advisors, LLC
Its: Investment Manager acting as attorney-in-fact
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
BLACKROCK DLF IX ICAV,
an umbrella type Irish collective asset management vehicle acting solely for and on behalf of its sub-fund
BLACKROCK DIRECT LENDING FUND IX-L (IRELAND)
By: Blackrock Capital Investment Advisors, LLC
Its: Investment Manager acting as attorney-in-fact
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
DLF IX-L FUNDING, LP
By: Blackrock Capital Investment Advisors, LLC
Its: Investment Manager acting as attorney-in-fact
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
BLACKROCK LISI CREDIT FUND, LP
By: BlackRock Capital Investment Advisors, LLC,
Its: Sub-Advisor
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
BLACKROCK DIVERSIFIED PRIVATE DEBT FUND MASTER LP
By: BlackRock Capital Investment Advisors, LLC,
Its: Sub-Investment Manager
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
BLACKROCK DIRECT LENDING FUND IX-U (LUXEMBOURG) SCSP BLACKROCK RAINIER CLO VI, LTD
TCP WHITNEY CLO, LTD BLACKROCK ELBERT CLO V, LLC BLACKROCK BAKER CLO 2021-1 LTD
By: BlackRock Capital Investment Advisors, LLC,
Its: Manager
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
ASG 2022 CAYMAN HOLDINGS V, LTD.
By: BlackRock Financial Management, Inc.
Its: Manager
By: /s/ Paul Braude
Name: Paul Braude
Title: Managing Director
ASG 2022 Offshore Holdings II, LP
By: BlackRock Financial, Management, Inc.
Its: Manager
By: /s/ Paul Braude
Name: Paul Braude
Title: Managing Director
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
TCP DLF VIII-S FUNDING, LLC
By: TCP Direct Lending Fund VIII-S, LLC Its: Sole Member
By: Tennenbaum Capital Partners, LLC
Its: Investment Manager
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
TCP DLF VIII-T FUNDING, LLC
By: TCP Direct Lending Fund VIII-T, LLC
Its: Sole Member
By: Tennenbaum Capital Partners, LLC
Its: Investment Manager
By: /s/ Rajneesh Vig
Name: Rajneesh Vig
Title: Managing Director
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
AMERICAN LIFE & SECURITY CORP.,
for and on behalf of the ALSC CL Re 1 FW account
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
AMERICAN NATIONAL INSURANCE COMPANY
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
CRESTLINE EAGLE CREEK, L.P. (OF)
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
CRESTLINE LION FUND MINI-MASTER, L.P.
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
CRESTLINE OPPORTUNISTIC CREDIT IA FUND, L.P. (OF)
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]
CRESTLINE SPECIALTY LENDING III, L.P.
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
CSL FUNDING III, L.P.
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
CRESTLINE DIRECT LENDING UL MASTER FUND, L.P.
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
CRESTLINE STEPSTONE OPPORTUNISTIC CREDIT MASTER FUND I, L.P.
By: Crestline Management, L.P., its investment manager
By: Crestline Investors, Inc., its general partner
By: /s/ Will Palmer
Name: Will Palmer
Title: Managing Director
[Signature Page to Waiver and Fourth Amendment to Credit Agreement]