Limited Waiver and Seventh Amendment to Credit Agreement, dated June 28, 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

Contract Categories: Business Finance - Credit Agreements
EX-10.4 5 cmax-ex10_4.htm EX-10.4 EX-10.4

Exhibit 10.4

 

[***] 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 SEVENTH AMENDMENT TO CREDIT AGREEMENT

THIS LIMITED WAIVER AND SEVENTH AMENDMENT TO CREDIT AGREEMENT, dated as of June 28, 2024 (this “Amendment”), is made by and among CareMax, Inc. (the “Borrower”), the Subsidiary Guarantors 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, Jefferies Finance LLC, as administrative agent (in such capacity, the “Administrative Agent”) and collateral agent (in such capacity, the “Collateral Agent”) and the other persons party thereto are party to that certain Credit Agreement, dated as of May 10, 2022 (as amended, 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 (as defined therein);

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 Fourth Amendment to Credit Agreement, dated May 14, 2024 (the “Fourth Amendment”), pursuant to which the Lenders party thereto agreed to extend the Temporary Waiver Period;

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 Fifth Amendment to Credit Agreement, dated June 17, 2024 (the “Fifth Amendment”), pursuant to which the Lenders party thereto agreed to extend the Temporary Waiver Period;

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 Sixth Amendment to Credit Agreement, dated June 21, 2024 (the “Sixth Amendment”), pursuant to which the Lenders party thereto agreed to extend the Temporary Waiver Period;

WHEREAS, the Borrower has requested that the Lenders constituting “Required Lenders” agree to further extend the Temporary Waiver Period; and

WHEREAS the undersigned Lenders are willing, on the terms and subject to the conditions set forth herein to further extend the Temporary Waiver Period 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, the Third Amendment, the Fourth Amendment, the Fifth Amendment or the Sixth 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 Seventh Amendment Effective Date, the Lenders hereby agree to extend the Temporary Waiver Period to the earlier to occur of a Waiver Termination Event (as defined in the Third Amendment) and July 8, 2024 at 11:59 p.m. (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 Seventh 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:

(a)
The definition of “Third Amendment Specified Period” set forth in Section 1.01 of the Existing Credit Agreement is hereby amended by deleting the reference to “June 28, 2024” appearing therein and replacing it with a reference to “July 8, 2024”.
(b)
Section 5.21 of the Existing Credit Agreement is hereby amended by deleting the reference to [***] appearing therein and replacing it with a reference to [***].

SECTION 3. Conditions to Effectiveness. This Amendment shall become effective on the first date (the “Seventh 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 Seventh Amendment Effective Date in accordance with the Credit Agreement, including, to the extent invoiced on or prior to the Seventh 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 Lenders party hereto to enter into this Amendment, each Loan Party hereby represents and warrants that:

(a)
The execution, delivery and performance of this Amendment by each Loan Party (i) are within such Loan Party’s corporate or other power, (ii) have been duly authorized by all necessary corporate

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or other organizational action required to be taken by such Loan Party and (iii) do not and will not (x) contravene the terms of any Loan Party’s Organizational Documents, (y) conflict with or result in any breach or contravention of, or the creation of any Lien (other than under the Loan Documents and Permitted Liens) under (A) any Contractual Obligation to which such Loan Party is a party or affecting such Loan Party or by which any of its property is or may be bound or (B) any applicable order of any court or any rule, regulation or order of any Governmental Authority or (z) violate any provision of law, statute, rule or regulation, except with respect to clause (iii) (other than with respect to the creation of Liens) as would not reasonably be expected to have, individually or in the aggregate, a Material Adverse Effect.
(b)
This Amendment has been duly executed and delivered by the Loan Parties.
(c)
This Amendment constitutes a legal, valid and binding obligation of each Loan Party, enforceable against each such Person in accordance with its terms, except as such enforceability may be limited by Debtor Relief Laws by general principles of equity (regardless of whether such enforceability is considered in a proceeding in equity or at law).
(d)
No Default or Event of Default has occurred or is continuing or would exist, in each case, after giving effect to this Amendment.
(e)
As of the Seventh Amendment Effective Date, including after giving effect to this Amendment, the representations and warranties of the Borrower, and each of the other Loan Parties contained in the Credit Agreement and each other Loan Document are 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.

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.

(f)
Except as expressly provided herein (i) the Credit Agreement and the other Loan Documents shall be unmodified and shall continue to be in full force and effect in accordance with their terms, (ii) the agreements of the Administrative Agent and Lenders set forth herein shall be limited strictly as written and shall not constitute a consent or agreement to any transaction not specifically described in connection with any such agreement and (iii) this Amendment shall not be deemed a waiver of any term or condition of any Loan Document and shall not be deemed to prejudice any right or rights which Administrative Agent or any Lender may now have or may have in the future under or in connection with any Loan Document or any of the instruments or agreements referred to therein, as the same may be amended from time to time.
(g)
This Amendment shall constitute a Loan Document.

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(h)
The Borrower, on behalf of itself and each other Loan Party, hereby confirms and agrees that, notwithstanding the effectiveness of this Amendment, each Loan Document to which any Loan Party is a party is, and the obligations of each Loan Party contained in the Credit Agreement, this Amendment or in any other Loan Document to which it is a party are, and shall continue to be, in full force and effect and are hereby ratified and confirmed in all respects, in each case as modified by this Amendment. For greater certainty and without limiting the foregoing, the Borrower, on behalf of itself and each other Loan Party, hereby confirms that the existing security interests granted by the Loan Parties in favor of the Secured Parties pursuant to the Loan Documents in the Collateral described therein shall continue to secure the Obligations as and to the extent provided in the Loan Documents.

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 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. [Reserved].

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

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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 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 Seventh 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

 

CARE GARAGE, LLC

[Signature Page to Waiver and Seventh Amendment to Credit Agreement]


 

 

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 Seventh 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 Seventh Amendment to Credit Agreement]


BLACKROCK INC., agreeing on behalf of itself and each of the entities included within the definition of “BlackRock Lenders” to be bound and to abide by all of the terms and provisions in the Agreement to which this signature page is attached as are applicable to a Lender.

 

 

By: /s/ Oliver Hammond
Name: Oliver Hammond
Title: Managing Director

[Signature Page to Waiver and Seventh Amendment to Credit Agreement]


CRESTLINE MANAGEMENT, L.P., agreeing on behalf of itself and each of the entities included within the definition of “Crestline Lenders” to be bound and to abide by all of the terms and provisions in the Agreement to which this signature page is attached as are applicable to a Lender.

 

BY: CRESTLINE INVESTORS, INC., its General Partner

By: /s/ John Cochran
Name: John Cochran
Title: Vice President

[Signature Page to Waiver and Seventh Amendment to Credit Agreement]