EX-10.1 8-K · CIK 2046386 · 0001193125-26-252557

EX-10.1

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FILING DETAILS

Filer
Medline Inc.
Period of report
May 28, 2026
Filed
Jun 02, 2026
SEC file no.
001-43022
State of inc.
DE
SIC
3841
Location
NORTHFIELD, IL

Exhibit 10.1

SEVENTH AMENDMENT REFINANCING TERM LOANS CUSIP: 58503UAK9

AMENDMENT NO. 7, dated as of May 28, 2026 (this “Amendment”) to the Credit Agreement, dated as of October 21, 2021, among Medline Intermediate, LP, a Delaware limited partnership (“Holdings”), Medline Borrower, LP, a Delaware limited partnership (and successor by merger to Mozart Debt Merger Sub Inc., the “Borrower”), the other Guarantors party thereto from time to time, the lenders and L/C Issuers party thereto from time to time and Bank of America, N.A., as Administrative Agent (in such capacity, the “Administrative Agent”), Collateral Agent, a Lender and an L/C Issuer (as amended by Amendment No. 1 to Credit Agreement, dated as of June 28, 2023, Amendment No. 2 to Credit Agreement, dated as of March 27, 2024, Amendment No. 3 to Credit Agreement, dated as of July 8, 2024, Amendment No. 4 to Credit Agreement, dated as of November 19, 2024, Amendment No. 5 to Credit Agreement, dated as of March 28, 2025, Amendment No. 6 to Credit Agreement, dated as of July 31, 2025, and as further amended, restated, amended and restated, modified and supplemented from time to time, the “Credit Agreement”). Capitalized terms used and not otherwise defined herein shall have the meanings assigned to such terms in the Credit Agreement.

A. Pursuant to Section 2.15 of the Credit Agreement, the Borrower may, from time to time, request Refinancing Term Loans (as defined below), subject to the terms and conditions set forth therein.

B. The Borrower has requested that the Lenders listed on Schedule I hereto (each, a “Refinancing Term Lender”) provide “Refinancing Term Loans” under Section 2.15 of the Credit Agreement (the “Refinancing Term Loans”) to refinance all Sixth Amendment 2030 Refinancing Term Loans outstanding immediately prior to the effectiveness of this Amendment (such Sixth Amendment 2030 Refinancing Term Loans, collectively, and including for the avoidance of doubt, Sixth Amendment 2030 Refinancing Term Loans that are converted, exchanged or rolled into Refinancing Term Loans pursuant to this Amendment, the “Existing Term Loans”).

C. The Refinancing Term Lenders will comprise, and Refinancing Term Loans will be made by, (i) in part, Lenders who hold Existing Term Loans and who agree to convert, exchange or “cashlessly roll” all of their Existing Term Loans to or for Refinancing Term Loans (such Lenders, “Converting Refinancing Term Lenders”); and (ii) in part, Persons providing new Refinancing Term Loans, the proceeds of which will be used by the Borrower to repay holders of Existing Term Loans that will not be so converted, exchanged or rolled.

D. Pursuant to Section 2.15(d) of the Credit Agreement, the Loan Documents may be amended as necessary or appropriate in the reasonable opinion of the Borrower pursuant to a Refinancing Amendment, to effect the provisions of Section 2.15 of the Credit Agreement.

E. Each Refinancing Term Lender is willing, subject to the terms and applicable conditions set forth herein and in the Credit Agreement, to make to the Borrower the amount of the Refinancing Term Loans set forth opposite its name on Schedule I hereto.


F. The Borrower has requested that the Applicable Rate with respect to the Revolving Credit Loans be reduced as set forth herein.

G. (i)(a) Each of BofA Securities, Inc., Goldman Sachs Bank USA and JPMorgan Chase Bank, N.A.(collectively, in such capacity, the “Lead Arrangers”) and (b) each financial institution listed on Schedule II hereto as a “Co-Lead Arranger” (or one or more of its designated affiliates) (collectively, in such capacity, the “Co-Lead Arrangers”) will act as a joint lead arranger and joint bookrunner for the Refinancing Term Loans and (ii) the Lead Arrangers, the Co-Lead Arrangers and each other joint lead arranger and joint bookrunner given a title in connection with the Refinancing Term Loans shall be deemed to be “Lead Arrangers” for all purposes under the Credit Agreement and each other Loan Document, including this Amendment.

Accordingly, in consideration of the mutual agreements herein contained and other good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, and subject to the conditions set forth herein, the parties hereto hereby agree as follows:

ARTICLE I

Refinancing Term Loans and Amendments

The Borrower, the Refinancing Term Lenders, the Administrative Agent and, solely with respect to the amendment to clause (c) of the definition of “Applicable Rate”, the Revolving Credit Lenders, hereby agree that:

A. This Amendment is a Refinancing Amendment referred to in Section 2.15 of the Credit Agreement.

B. Each Refinancing Term Lender hereby agrees to provide the amount of the Refinancing Term Loans set forth opposite its name on Schedule I hereto (the “Refinancing Term Commitments”). The Refinancing Term Commitments shall be subject to all of the terms and conditions set forth herein and in the Credit Agreement.

C. The aggregate Refinancing Term Commitment is $2,750,000,000.00.

D. Subject to and upon the terms and applicable conditions set forth herein, each Refinancing Term Lender severally agrees to make, on the Seventh Amendment Effective Date (as defined below), a Refinancing Term Loan in Dollars to the Borrower (or, in the case of a Converting Refinancing Term Lender, convert, exchange or roll its Existing Term Loans to or for Refinancing Term Loans in an equal principal amount (or such lesser amount as determined by the Lead Arrangers in their discretion)) in an aggregate principal amount equal to the commitment amount set forth next to such Refinancing Term Lender’s name in Schedule I, Part A hereto (in the case of any Refinancing Term Lender funding its Refinancing Term Loan in cash) or Schedule I, Part B hereto (in the case of any Converting Refinancing Term Lender), in each case, under the caption “Refinancing Term Commitment” on the terms set forth in this Amendment. Each Refinancing Term Commitment will terminate in full upon the making of the related Refinancing Term Loan (or conversion, exchange or roll of the related Existing Term Loan, as applicable). In addition, each Refinancing Term Lender waives its right to any compensation pursuant to the Credit Agreement with respect to the prepayment, exchange, roll or conversion of the Existing Term Loans.

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E. Substantially simultaneously with the borrowing of Refinancing Term Loans, the Borrower shall use the proceeds of such Refinancing Term Loans to fully prepay all outstanding Existing Term Loans, together with accrued and unpaid interest thereon to the Seventh Amendment Effective Date; provided that each Converting Refinancing Term Lender irrevocably agrees to accept, in lieu of cash for the outstanding principal amount (or such lesser amount as determined by the Lead Arrangers in their discretion) of its Existing Term Loan so prepaid, on the Seventh Amendment Effective Date an equal principal amount of Refinancing Term Loans in accordance with this Amendment.

F. Subject to the satisfaction of the conditions to the effectiveness of any Refinancing Amendment set forth in subsection 2.15(b) of the Credit Agreement and to the satisfaction of the conditions set forth in Article III below, the funding of the Refinancing Term Loans will occur in one drawing on the date hereof pursuant to the Borrower’s written notice of such borrowing of Refinancing Term Loans as required by Section 2.02 of the Credit Agreement; provided that such requirement shall be satisfied so long as such notices of borrowing shall be delivered on or prior to the Seventh Amendment Effective Date. In the event that all or any portion of the Refinancing Term Loans are not borrowed on or before the date hereof, the unborrowed portion of the Refinancing Term Commitments shall automatically terminate on the date hereof unless the Refinancing Term Lenders shall, in their sole discretion, agree to an extension.

G. The Refinancing Term Commitments provided pursuant to this Amendment shall constitute “Refinancing Term Commitments” referred to in Section 2.15 of the Credit Agreement and, upon the Seventh Amendment Effective Date, the Refinancing Term Commitment of any Refinancing Term Lender shall become the “Refinancing Term Loans” of such Refinancing Term Lender.

H. Except as expressly set forth herein, the Refinancing Term Loans shall have the same terms (after giving effect to the amendments set forth herein) as “Dollar Term Loans” and “Sixth Amendment 2030 Refinancing Term Loans” for all purposes under the Credit Agreement and each other Loan Document; provided that the Refinancing Term Loans shall be established as a new Class of Dollar Term Loans. Each Refinancing Term Lender shall be deemed to be a “Lender”, a “Term Lender”, a “Dollar Term Lender” and a “Secured Party” for all purposes under the Credit Agreement and each other Loan Document; provided that the Refinancing Term Lenders shall be established as a new Class of Dollar Term Lenders.

I. Section 1.01 of the Credit Agreement is hereby amended to add the following definitions:

““Seventh Amendment” means the Seventh Amendment to this Agreement, dated as of the Seventh Amendment Effective Date, among Holdings, the Borrower, the other Guarantors party thereto, the Administrative Agent and the Lenders party thereto.”

““Seventh Amendment Effective Date” means May 28, 2026.”

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““Seventh Amendment Refinancing Term Commitment” has the meaning applicable to the term “Refinancing Term Commitment” in the Seventh Amendment.”

““Seventh Amendment Refinancing Term Loans” has the meaning applicable to the term “Refinancing Term Loans” in the Seventh Amendment.”

J. Section 1.01 of the Credit Agreement is hereby amended by amending the definition of “Applicable Rate” by (i) deleting the words “and Sixth Amendment 2030 Refinancing Term Loans” in clause (b) thereof, (ii) inserting the following new clause (d) in the correct order therein and (iii) amending and restating clause (c) thereof as follows:

“(c) with respect to Revolving Credit Loans, the following percentages per annum, based upon the Consolidated First Lien Net Leverage Ratio as set forth in the most recent Compliance Certificate received by the Administrative Agent pursuant to Section 6.02(a):

Applicable Rate
Pricing Level Consolidated First Lien Net Leverage Ratio Term SOFR and RFR for Revolving Credit Loans Base Rate for Revolving Credit Loans Alternative Currency Daily Rate for Revolving Credit Loans
1 > 3.25:1.00 1.50 % 0.50 % 1.50 %
2 ≤ 3.25:1.00 1.25 % 0.25 % 1.25 %

“(d) with respect to the Seventh Amendment Refinancing Term Loans, a percentage per annum equal to (x) for Term SOFR Loans, 1.50% and (y) for Base Rate Loans, 0.50%.”

K. Section 1.01 of the Credit Agreement is hereby amended by amending and restating clause (iv) of the definition of “Maturity Date” as follows:

“(iv) with respect to the Seventh Amendment Refinancing Term Loans, the date that is seven years after the Seventh Amendment Effective Date,”

L. Section 1.01 of the Credit Agreement is hereby amended by adding “or the Seventh Amendment Refinancing Term Loans incurred on the Seventh Amendment Effective Date” immediately after “Sixth Amendment Effective Date” in the definition of “Repricing Transaction”.

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M. Section 2.05(a)(iv) of the Credit Agreement is hereby amended by amending and restating such section in its entirety as follows:

“In the event that, with respect to the Seventh Amendment Refinancing Term Loans, on or prior to the six-month anniversary of the Seventh Amendment Effective Date, the Borrower (x) prepays, refinances, substitutes or replaces any Seventh Amendment Refinancing Term Loans pursuant to a Repricing Transaction (including, for avoidance of doubt, any prepayment made pursuant to Section 2.05(b)(iii) that constitutes a Repricing Transaction), or (y) effects any amendment, amendment and restatement or other modification of this Agreement resulting in a Repricing Transaction, the Borrower shall pay to the Administrative Agent, for the ratable account of each of the applicable Term Lenders holding Seventh Amendment Refinancing Term Loans, (1) in the case of clause (x) above, a prepayment premium of 1.00% of the aggregate principal amount of the applicable Seventh Amendment Refinancing Term Loans incurred on the Seventh Amendment Effective Date so prepaid, refinanced, substituted or replaced and (2) in the case of clause (y) above, a fee equal to 1.00% of the aggregate principal amount of the applicable Seventh Amendment Refinancing Term Loans amended or otherwise modified pursuant to such amendment. If, with respect to the Seventh Amendment Refinancing Term Loans, on or prior to the six-month anniversary of the Seventh Amendment Effective Date, any Term Lender holding Seventh Amendment Refinancing Term Loans, as applicable, that is a Non-Consenting Lender and is replaced pursuant to Section 3.07(a) in connection with any amendment, amendment and restatement or other modification of this Agreement resulting in a Repricing Transaction, such Term Lender holding Seventh Amendment Refinancing Term Loans, as applicable (and not any Person who replaces such Term Lender pursuant to Section 3.07(a)), shall receive its pro rata portion (as determined immediately prior to it being so replaced) of the prepayment premium or fee described in the preceding sentence. Such amounts shall be due and payable on the date of effectiveness of such Repricing Transaction.”

N. Section 2.06(b) of the Credit Agreement is hereby amended by adding the following immediately prior to the final sentence thereof:

“The Seventh Amendment Refinancing Term Commitment of each Refinancing Term Lender shall be automatically and permanently reduced to $0 upon the funding of the Refinancing Term Loans to be made by it on the Seventh Amendment Effective Date.”

O. The second to last sentence of Section 2.07(a) of the Credit Agreement is hereby amended by amending and restating such sentence in its entirety as follows:

“The Borrower shall repay to the Administrative Agent for the ratable account of the applicable Seventh Amendment Refinancing Term Lenders (i) on the last Business Day of each March, June, September and December, commencing with June 30, 2026, an aggregate principal amount of Seventh Amendment Refinancing Term Loans equal to 0.25% of the aggregate principal amount of all Seventh Amendment Refinancing Term Loans outstanding on the Seventh Amendment Effective Date (which payments shall be reduced as a result of the application of prepayments in accordance with the order of priority set forth in Section 2.05) and (ii) on the Maturity Date for the Seventh Amendment Refinancing Term Loans, the aggregate principal amount of all Seventh Amendment Refinancing Term Loans outstanding on such date.”

P. Section 6.18 of the Credit Agreement is hereby amended by adding the following immediately after the second sentence thereof:

“The proceeds of the Refinancing Term Loans received on the Seventh Amendment Effective Date, shall be used (i) to repay the Sixth Amendment 2030 Refinancing Term Loans outstanding hereunder immediately prior to the Seventh Amendment Effective Date in full, (ii) to pay fees, costs and expenses in connection with the transactions contemplated by the Seventh Amendment and (iii) for working capital, general corporate purposes and any other purpose not prohibited hereunder.”

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ARTICLE II

Representations and Warranties

Each Loan Party represents and warrants, as of the Seventh Amendment Effective Date, to the Administrative Agent and to the Refinancing Term Lenders that:

A. This Amendment has been duly executed and delivered by such Loan Party and constitutes the legal, valid and binding obligation of such Loan Party, enforceable against such Loan Party in accordance with its terms, except to the extent that the enforceability thereof may be limited by Debtor Relief Laws and by general principles of equity.

B. The representations and warranties of each Loan Party set forth in the Loan Documents (including, for the avoidance of doubt, this Amendment as a Loan Document) are true and correct in all material respects (except that any such representation and warranty that is qualified as to “materiality” or “Material Adverse Effect” is true and correct in all respects as so qualified) on and as of the date such representation and warranty is made, except to the extent such representations and warranties expressly relate to an earlier date (in which case such representations and warranties were true and correct in all material respects as of such earlier date).

C. At the time that the Refinancing Term Loans are made (and after giving effect thereto), no Default or Event of Default has occurred and is continuing.

ARTICLE III

Conditions to Effectiveness

This Amendment shall become effective on the date (the “Seventh Amendment Effective Date”) on which each of the following conditions is satisfied:

A. The Administrative Agent (or its counsel) shall have received (a) a counterpart of this Amendment or a completed converting lender election substantially in the form of Exhibit A hereto from each Refinancing Term Lender, (b) with respect to the amendment to clause (c) of the definition of “Applicable Rate” set forth in this Amendment, a counterpart of this Amendment from each Revolving Credit Lender and (c) a counterpart of this Amendment from each Loan Party signed on behalf of such party.

B. The Administrative Agent (or its counsel) shall have received a legal opinion from Simpson Thacher & Bartlett LLP, New York counsel to the Loan Parties in form and substance reasonably satisfactory to the Administrative Agent and its legal counsel.

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C. The Administrative Agent (or its counsel) shall have received certificates of good standing (to the extent such concept exists) from the applicable secretary of state of the state of organization of each Loan Party (“Good Standing Certificates”), certificates of resolution or other action, incumbency certificates, certificates of incorporation and/or other certificates of Responsible Officers of each Loan Party as the Administrative Agent may reasonably require evidencing the identity, authority and capacity of each Responsible Officer thereof authorized to act as a Responsible Officer in connection with this Amendment and the other Loan Documents to which such Loan Party is a party or is to be a party on the Seventh Amendment Effective Date; provided that in lieu of such documents or agreements, other than certificates of resolution or other action and the Good Standing Certificates, referred to above, such certificate may certify that since the Sixth Amendment Effective Date, there have been no changes to the Organizational Documents of such Loan Party (except as otherwise attached to such certificate and certified therein as being the only amendments thereto as of such date) and no changes have been made to the incumbency certificate of the officers of such Loan Party delivered on the Closing Date, the Second Amendment Effective Date, the Third Amendment Effective Date, the Fourth Amendment Effective Date, the Fifth Amendment Effective Date or the Sixth Amendment Effective Date, as applicable, by such Loan Party.

D. The Administrative Agent shall have received at least three Business Days prior to the Seventh Amendment Effective Date all documentation and other information about the Borrower and the Guarantors required under applicable “know your customer” and anti-money laundering rules and regulations, including the USA PATRIOT Act that has been requested by the Administrative Agent in writing at least ten Business Days prior to the Seventh Amendment Effective Date.

E. The Borrower shall have (i)(a) paid all reasonable fees and out-of-pocket and documented costs and expenses of the Administrative Agent in connection with the execution and delivery of this Amendment pursuant to the terms of the Credit Agreement (to the extent invoiced prior to the Seventh Amendment Effective Date) and (b) all fees and expenses required to be paid by the Borrower, including pursuant to the engagement letter, dated as of May 12, 2026, by and among the Borrower and the Lead Arrangers and (ii) simultaneously with the borrowing of Refinancing Term Loans hereunder, fully prepaid any outstanding Existing Term Loans, together with accrued and unpaid interest thereon to the Seventh Amendment Effective Date;

F. The Borrower shall have delivered to the Administrative Agent a certificate of a Responsible Officer, dated the date of borrowing, in form and substance reasonably satisfactory to the Administrative Agent, certifying as of the date of borrowing to clauses (B) and (C) of Article II above.

G. The Borrower shall have delivered to the Administrative Agent one or more notices of such borrowing of Refinancing Term Loans as required by Section 2.02 of the Credit Agreement; provided that such requirement shall be satisfied so long as such notices of borrowing shall be delivered on or prior to the Seventh Amendment Effective Date.

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ARTICLE IV

Further Acknowledgments

A. The Borrower (x) acknowledges and agrees that (i) it shall be liable for all Obligations with respect to the Refinancing Term Commitments provided hereby including, without limitation, all Refinancing Term Loans made available pursuant hereto, (ii) all such Obligations (including all such Refinancing Term Loans) shall be entitled to the benefits of the Loan Documents and (iii) after giving effect to this Amendment, the Collateral Documents continue to be in full force and effect and (y) affirms and confirms the pledge of and/or grant of security interest in its assets as Collateral to secure the Obligations, which continue in full force and effect.

B. Each Guarantor acknowledges and agrees to each of the provisions of this Amendment and to the incurrence of the Refinancing Term Loans to be made pursuant hereto. Each Guarantor acknowledges and agrees that all Obligations with respect to the Refinancing Term Commitments provided hereby including, without limitation, all Refinancing Term Loans made available pursuant hereto shall (i) be fully guaranteed pursuant to the Guaranty as, and to the extent, provided herein and in the Credit Agreement and (ii) be entitled to the benefits of the Loan Documents. Each Guarantor acknowledges and agrees that after giving effect to this Amendment, the Guaranty and the Collateral Documents continue to be in full force and effect and affirms and confirms its guarantee of the Obligations and the pledge of and/or grant of security interest in its assets as Collateral to secure the Obligations, which continue in full force and effect.

ARTICLE V

Miscellaneous

A. Credit Agreement. 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 the Lenders, the Administrative Agent, the Lead Arrangers, the other Secured Parties, the Borrower or any other Loan Party under the Credit Agreement or any other Loan Document, and shall not alter, modify, amend or in any way affect any of the terms, conditions, obligations, covenants or agreements contained in the Credit Agreement or any other Loan Document or any exhibits or schedules thereto, all of which are ratified and affirmed in all respects and shall continue in full force and effect after giving effect to this Amendment. After the Seventh Amendment Effective Date, any reference to the Credit Agreement shall mean the Credit Agreement as modified hereby. This Amendment shall constitute a “Loan Document” for all purposes of the Credit Agreement and the other Loan Documents.

B. No Novation. This Amendment shall not extinguish the Obligations for the payment of money outstanding under the Credit Agreement or discharge or release the lien or priority of any Loan Document or any other security therefor or any guarantee thereof, and the liens and security interests existing immediately prior to the Seventh Amendment Effective Date in favor of the Collateral Agent for the benefit of the Secured Parties securing payment of the Obligations are in all respects continuing and in full force and effect with respect to all Obligations. Except as expressly provided, nothing herein contained shall be construed as a substitution or

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novation, or a payment and reborrowing, or a termination, of the Obligations outstanding under the Credit Agreement or instruments guaranteeing or securing the same, which shall remain in full force and effect, except as modified hereby or by instruments executed concurrently herewith. Nothing expressed or implied in this Amendment or any other document contemplated hereby shall be construed as a release or other discharge of any Loan Party under the Credit Agreement or any Loan Document from any of its obligations and liabilities thereunder, and except as expressly provided, such obligations are in all respects continuing with only the terms being modified as provided in this Amendment.

C. Successors and Assigns. This Amendment shall be binding upon the parties hereto and their respective successors and assigns and shall inure to the benefit of the parties hereto and the successors and assigns of the Refinancing Term Lenders (it being understood that rights of assignment of the parties hereto are subject to the further provisions of Section 10.07 of the Credit Agreement).

D. Governing Law; Jurisdiction. THIS AMENDMENT AND ANY CLAIM, CONTROVERSY OR DISPUTE (WHETHER BASED ON CONTRACT, TORT OR ANY OTHER THEORY AND WHETHER AT LAW OR IN EQUITY) ARISING UNDER, OR RELATED TO, THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. ANY LEGAL ACTION OR PROCEEDING (WHETHER BASED IN CONTRACT, TORT OR ANY OTHER THEORY AND WHETHER AT LAW OR IN EQUITY) ARISING UNDER THIS AMENDMENT OR IN ANY WAY CONNECTED WITH OR RELATED OR INCIDENTAL TO THE DEALINGS OF THE PARTIES HERETO OR ANY OF THEM WITH RESPECT TO THIS AMENDMENT, OR THE TRANSACTIONS RELATED THERETO, IN EACH CASE WHETHER NOW EXISTING OR HEREAFTER ARISING, SHALL BE BROUGHT IN THE COURTS OF THE STATE OF NEW YORK SITTING IN NEW YORK COUNTY OR OF THE UNITED STATES FOR THE SOUTHERN DISTRICT OF SUCH STATE, AND BY EXECUTION AND DELIVERY OF THIS AMENDMENT, EACH LOAN PARTY, THE ADMINISTRATIVE AGENT AND EACH LENDER PARTY HERETO CONSENTS, FOR ITSELF AND IN RESPECT OF ITS PROPERTY, TO THE EXCLUSIVE JURISDICTION OF THOSE COURTS AND AGREES THAT IT WILL NOT COMMENCE OR SUPPORT ANY SUCH ACTION OR PROCEEDING IN ANOTHER JURISDICTION. EACH LOAN PARTY, THE ADMINISTRATIVE AGENT AND EACH LENDER PARTY HERETO IRREVOCABLY WAIVES ANY OBJECTION, INCLUDING ANY OBJECTION TO THE LAYING OF VENUE OR BASED ON THE GROUNDS OF FORUM NON CONVENIENS, WHICH IT MAY NOW OR HEREAFTER HAVE TO THE BRINGING OF ANY ACTION OR PROCEEDING IN SUCH JURISDICTION IN RESPECT OF THIS AMENDMENT OR OTHER DOCUMENT RELATED HERETO. EACH PARTY HERETO IRREVOCABLY CONSENTS TO SERVICE OF PROCESS IN ANY ACTION OR PROCEEDING ARISING OUT OF OR RELATING TO THIS AMENDMENT IN THE MANNER PROVIDED FOR NOTICES (OTHER THAN TELECOPIER OR OTHER ELECTRONIC TRANSMISSION) IN SECTION 10.02 OF THE CREDIT AGREEMENT. NOTHING IN THIS AMENDMENT WILL AFFECT THE RIGHT OF ANY PARTY HERETO TO SERVE PROCESS IN ANY OTHER MANNER PERMITTED BY APPLICABLE LAW. NOTHING IN THIS AMENDMENT SHALL AFFECT ANY RIGHT THAT THE ADMINISTRATIVE AGENT OR ANY LENDER MAY OTHERWISE HAVE TO BRING ANY ACTION TO ENFORCE ANY AWARD OR JUDGMENT OR EXERCISE ANY RIGHT UNDER THE COLLATERAL DOCUMENTS AGAINST ANY COLLATERAL OR ANY OTHER PROPERTY OF ANY LOAN PARTY IN ANY OTHER FORUM IN ANY JURISDICTION IN WHICH COLLATERAL IS LOCATED.

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E. Waiver of Right to Jury Trial. TO THE EXTENT PERMITTED BY APPLICABLE LAW, EACH PARTY TO THIS AMENDMENT HEREBY EXPRESSLY WAIVES ANY RIGHT TO TRIAL BY JURY OF ANY CLAIM, DEMAND, ACTION OR CAUSE OF ACTION ARISING UNDER THIS AMENDMENT OR IN ANY WAY CONNECTED WITH OR RELATED OR INCIDENTAL TO THE DEALINGS OF THE PARTIES HERETO OR ANY OF THEM WITH RESPECT TO THIS AMENDMENT, OR THE TRANSACTIONS RELATED HERETO, IN EACH CASE WHETHER NOW EXISTING OR HEREAFTER ARISING, AND WHETHER FOUNDED IN CONTRACT OR TORT OR OTHERWISE; AND EACH PARTY HEREBY AGREES AND CONSENTS THAT ANY SUCH CLAIM, DEMAND, ACTION OR CAUSE OF ACTION SHALL BE DECIDED BY COURT TRIAL WITHOUT A JURY, AND THAT ANY PARTY TO THIS AMENDMENT MAY FILE AN ORIGINAL COUNTERPART OR A COPY OF THIS SECTION WITH ANY COURT AS WRITTEN EVIDENCE OF THE CONSENT OF THE SIGNATORIES HERETO TO THE WAIVER OF THEIR RIGHT TO TRIAL BY JURY.

F. Counterparts. This Amendment may be executed in any number of counterparts and by the different parties hereto on separate counterparts, each of which counterparts shall be an original, but all of which shall together constitute one and the same instrument. This Amendment may be delivered by facsimile, electronic mail (including pdf) or any electronic signature complying with the U.S. federal ESIGN Act of 2000 or the New York Electronic Signature and Records Act or other electronic transmission of the relevant signature pages hereof, and any counterpart so delivered shall be deemed to have been duly and validly delivered and be valid and effective for all purposes to the fullest extent permitted by applicable law. For the avoidance of doubt, the foregoing also applies to any amendment, extension or renewal of this Amendment. Each of the parties hereto represents and warrants to the other parties that it has the corporate capacity and authority to execute this Amendment through electronic means and that there are no restrictions for doing so in that party’s constitutive documents. A set of counterparts executed by all the parties hereto shall be lodged with the Borrower and the Administrative Agent.

G. Headings. The headings of the several sections and subsections of this Amendment are inserted for convenience only and shall not in any way affect the meaning or construction of any provision of this Amendment.

H. Amendments; Severability.

A. This Amendment may not be amended nor may any provision hereof be waived except pursuant to a writing signed by each of the parties hereto; and

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B. Any provision of this Amendment held to be invalid, illegal or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such invalidity, illegality or unenforceability without affecting the validity, legality and enforceability of the remaining provisions hereof; and the invalidity of a particular provision in a particular jurisdiction shall not invalidate such provision in any other jurisdiction. The parties shall endeavor in good-faith negotiations to replace the invalid, illegal or unenforceable provisions with valid provisions, the economic effect of which comes as close as possible to that of the invalid, illegal or unenforceable provisions.

[Signature Pages Follow]

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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed by their respective authorized officers as of the day and year first written above.

MEDLINE BORROWER, LP
as Borrower
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary
MEDLINE INTERMEDIATE, LP
as Holdings
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary
MEDLINE CO-ISSUER, INC., as a Subsidiary Guarantor
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary

[Signature Page - Amendment No. 7]


APLICARE PRODUCTS, LLC
ESMA-MED-UXBRIDGE, LLC
ESNY-MED-MONTGOMERY, LLC
EXCELSIOR MEDICAL, LLC
HEALTHCARE RECOVERY SERVICES LLC
MBSI, LLC
MEDLINE MEXICO HOLDINGS, LLC
MEDLINE MILLS INDUSTRIES LLC
MEDLINE MILLS LLC
MEDLINE PHARMACY LLC
MEDLINE SOONER ACQUISITION, LLC
MEDLINE UNITED KINGDOM LLC
MEDLINE VENTURES, LLC
MEDTRANS LLC
NORTHPOINT MEDICAL PROCESSING, LLC
PDM HOLDINGS, LLC
SIMCON INTERNATIONAL, LLC
SURGICAL INSTRUMENT SERVICES AND SAVINGS, LLC
SUTURE EXPRESS, LLC
TRI-STATE MEXICO HOLDINGS, LLC
MEDLINE INTERNATIONAL TWO, LLC
PREFCONNECT, LLC,
each, as a Subsidiary Guarantor
By: MEDLINE INDUSTRIES, LP
Its: Manager
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary
MEDLINE INTERNATIONAL HOLDCO, INC., as a Subsidiary Guarantor
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary

[Signature Page - Amendment No. 7]


CENTURION MEDICAL PRODUCTS, LP
MEDLINE INDUSTRIES, LP, each as a Subsidiary Guarantor
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary
MEDLINE BERMUDA HOLDINGS LLC
MEDLINE INTERNATIONAL, LLC
MEDLINE SOLUCIONES MEDICAS HOLDINGS, LLC
MEXICALI DIRECTO HOLDINGS, LLC
MICROTEK DOMINICANA HOLDINGS, LLC
MSMH NL, LLC
PMM HOLDINGS, LLC
RCI HUDSON MEXICO HOLDINGS, LLC
THIN CANDIED SHELL, LLC, each as a Subsidiary Guarantor
By: STELLAR HOLDCO, LLC
Its: Manager
By: /s/ Michael B. Drazin
Name: Michael B. Drazin
Title: Director
MEDLINE INDUSTRIES HOLDINGS, L.P., as a Subsidiary Guarantor
By: MEDLINE MILLS INDUSTRIES LLC
Its: General Partner
By: MEDLINE INDUSTRIES, LP
Its: Manager
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary

[Signature Page - Amendment No. 7]


ML PRODUCTS, LLC
MMS, L.L.C., each as a Subsidiary Guarantor
By: MEDLINE SOONER ACQUISITION, LLC
Its: Manager
By: MEDLINE INDUSTRIES, LP
Its: Manager
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary
PLUROGEN THERAPEUTICS, LLC, as a Subsidiary Guarantor
By: /s/ Sameer Garg
Name: Sameer Garg
Title: Manager
By: /s/ Stuart J. Schneider
Name: Stuart J. Schneider
Title: Manager
STELLAR HOLDCO, LLC, as a Subsidiary Guarantor
By: /s/ Michael B. Drazin
Name: Michael B. Drazin
Title: Director

[Signature Page - Amendment No. 7]


THIN CANDY SHELL, LLC
By: CENTURION MEDICAL PRODUCTS, LP
Its: Manager
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary
MEDICAL STERILIZATION HOLDINGS, LP
MEDICAL STERILIZATION COMPANY (NLMX), LP
MEDICAL STERILIZATION COMPANY (US), LP, as a Subsidiary Guarantor
By: MEDICAL STERILIZATION GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Secretary
MEDLINE DME, LP
MEDLINE DME TN, LP, as a Subsidiary Guarantor
By: MEDLINE DME GP, LLC
Its: General Partner
By: /s/ James Boyle
Name: James Boyle
Title: Manager
By: /s/ Bradley Mariam
Name: Bradley Mariam
Title: Manager

[Signature Page - Amendment No. 7]


UNITED MEDCO, LLC, as a Subsidiary Guarantor
By: /s/ Bradley Mariam
Name: Bradley Mariam
Title: President
TCS NUEVO LAREDO, LLC, as a Subsidiary Guarantor
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Secretary
MRE PROPCO, LP, as a Subsidiary Guarantor
By: MOZART GP, LLC
Its: General Partner
By: /s/ Alexander M. Liberman
Name: Alexander M. Liberman
Title: Chief Legal Officer, Secretary

[Signature Page - Amendment No. 7]


BANK OF AMERICA, N.A., as Administrative Agent
By: /s/ David J. Smith
Name: David J. Smith
Title: Vice President

[Signature Page - Amendment No. 7]


BANK OF AMERICA, N.A., as L/C Issuer, a Revolving Credit Lender and a Refinancing Term Lender
By: /s/ Geoff Blair
Name: Geoff Blair
Title: Director

[Signature Page - Amendment No. 7]


JPMORGAN CHASE BANK, N.A., as a Revolving Credit Lender and an L/C Issuer
By: /s/ Helen D. Davis
Name: Helen D. Davis
Title: Executive Director

[Signature Page - Amendment No. 7]


Goldman Sachs Bank USA, as a Revolving Credit Lender, and an L/C Issuer
By: /s/ Elizabeth Tosin
Name: Elizabeth Tosin
Title: Authorized Signatory

[Signature Page - Amendment No. 7]


Barclays Bank PLC, as a Revolving Credit Lender and an L/C Issuer
By: /s/ Ronnie Glenn
Name: Ronnie Glenn
Title: Director

[Signature Page - Amendment No. 7]


MORGAN STANLEY SENIOR FUNDING, INC., as a Revolving Credit Lender [and an L/C Issuer]
By: /s/ Tayo Lapite
Name: Tayo Lapite
Title: Vice President

[Signature Page - Amendment No. 7]


Santander Bank, N.A, as a Revolving Credit Lender
By: /s/ Joseph Min
Name: Joseph Min
Title: Senior Vice President

[Signature Page - Amendment No. 7]


Bank of Montreal, as a Revolving Credit Lender and an L/C Issuer
By: /s/ Eric Oppenheimer
Name: Eric Oppenheimer
Title: Managing Director

[Signature Page - Amendment No. 7]


Citibank N.A., as a Revolving Credit Lender
By: /s/ Ioannis Theocharis
Name: Ioannis Theocharis
Title: Vice President
Citicorp North America, Inc., as a Revolving Credit Lender
By: /s/ Ioannis Theocharis
Name: Ioannis Theocharis
Title: Vice President

[Signature Page - Amendment No. 7]


INTESA SANPAOLO S.P.A., NEW YORK BRANCH, as a Revolving Credit Lender
By: /s/ Bastian Schlesinger
Name: Bastian Schlesinger
Title: Managing Director
By: /s/ Pasquale Brutto
Name: Pasquale Brutto
Title: Business Director

[Signature Page - Amendment No. 7]


BNP PARIBAS, as a Revolving Credit Lender
By: /s/ John Bosco
Name: John Bosco
Title: Managing Director
By: /s/ Angela Barbieri
Name: Angela Barbieri
Title: Director

[Signature Page - Amendment No. 7]


U.S. Bank National Association, as a Revolving Credit Lender
By: /s/ GEOFFREY BILLINGSLEY
Name: GEOFFREY BILLINGSLEY
Title: SENIOR VICE PRESIDENT

[Signature Page - Amendment No. 7]


WELLS FARGO BANK, NATIONAL ASSOCIATION, as a Revolving Credit Lender and an L/C Issuer
By: /s/ Adam Kampwerth
Name: Adam Kampwerth
Title: Vice President

[Signature Page - Amendment No. 7]


UBS AG, STAMFORD BRANCH, as a Revolving Credit Lender
By: /s/ Andrea Moore
Name: Andrea Moore
Title: Associate Director
By: /s/ Joselin Fernandes
Name: Joselin Fernandes
Title: Director

[Signature Page - Amendment No. 7]


MUFG BANK Ltd., as a Revolving Credit Lender
By: /s/ Jessica Munoz
Name: Jessica Munoz
Title: Vice President

[Signature Page - Amendment No. 7]


DEUTSCHE BANK AG NEW YORK BRANCH, as a Revolving Credit Lender
By: /s/ Philip Tancorra
Name: Philip Tancorra
Title: Director
By: /s/ Craig Cheverko
Name: Craig Cheverko
Title: Vice President

[Signature Page - Amendment No. 7]


HSBC Bank USA, National Association, as a Revolving Credit Lender
By: /s/ Rusty Miller
Name: Rusty Miller
Title: Director

[Signature Page - Amendment No. 7]


ING CAPITAL LLC, as a Revolving Credit Lender
By: /s/ Tim van den Berg
Name: Tim van den Berg
Title: Director
By: /s/ Will Felder
Name: Will Felder
Title: Director

[Signature Page - Amendment No. 7]


JEFFERIES FINANCE LLC, as a Revolving Credit Lender
By: /s/ J.R. Young
Name: J.R. Young
Title: Managing Director

[Signature Page - Amendment No. 7]


Blackstone Private Credit Fund, as a
Revolving Credit Lender
By: Blackstone Private Credit Strategies LLC,
as Investment Advisor
By: Blackstone Credit BDC Advisors, LLC, as
Sub-Investment Advisor
By: /s/ Marisa Beeney
Name: Marisa Beeney
Title: Authorized Signatory

[Signature Page - Amendment No. 7]


MIZUHO BANK, LTD., as a Revolving Credit Lender
By: /s/ Tracy Rahn
Name: Tracy Rahn
Title: Managing Director

[Signature Page - Amendment No. 7]


ROYAL BANK OF CANADA, as a Revolving Credit Lender
By: /s/ Sean Young
Name: Sean Young
Title: Authorized Signatory

[Signature Page - Amendment No. 7]


SOCIÉTÉ GÉNÉRALE, as a Revolving Credit Lender
By: /s/ Pranav Chandra
Name: Pranav Chandra
Title: Managing Director

[Signature Page - Amendment No. 7]


Sumitomo Mitsui Banking Corporation, as a Revolving Credit Lender
By: /s/ Waki Iwayama
Name: Waki Iwayama
Title: Executive Director

[Signature Page - Amendment No. 7]


Refinancing Term Lender Signature pages on file with the Administrative Agent

[Signature Page - Amendment No. 7]


Exhibit A

Converting Lender Election

Reference is made to the Amendment No. 7 (the “Seventh Amendment”) to Credit Agreement, dated as of October 21, 2021 (as amended, restated, amended and restated, supplemented or otherwise modified from time to time prior to the date hereof, the “Credit Agreement”), among Medline Intermediate, LP, a Delaware limited partnership (“Holdings”), Medline Borrower, LP, a Delaware limited partnership (and successor by merger to Mozart Debt Merger Sub Inc., the “Borrower”), the other Guarantors party thereto from time to time, the lenders and L/C Issuers party thereto from time to time and Bank of America, N.A., as Administrative Agent (in such capacity, the “Administrative Agent”), Collateral Agent, a Lender and an L/C Issuer. Capitalized terms used but not otherwise defined herein shall have the meanings ascribed to them in the Credit Agreement or the Seventh Amendment as applicable.

Signature Page to the Seventh Amendment dated as of the date first above written
_______________________________________, as a Consenting Lender
By:
Name:
Title:
[[For Lenders requiring a second signature block]
By:
Name:
Title:]

PROCEDURE FOR LENDERS:

The above-named Lender elects to (Check Option A or Option B as applicable):

OPTION A – CONSENT TO THE SEVENTH AMENDMENT AND CONTINUATION OF 100% OF SUCH LENDER’S SIXTH AMENDMENT 2030 REFINANCING TERM LOANS AS REFINANCING TERM LOANS (CASHLESS OPTION): Consent and agree to this Seventh Amendment and continue as a Lender under the Credit Agreement after giving effect to the Seventh Amendment with respect to the Sixth Amendment 2030 Refinancing Term Loans allocated to such Lender by the Lead Arrangers with the remaining amount (if any) prepaid and/or terminated on the Seventh Amendment Effective Date.
OPTION B – CONSENT TO THE SEVENTH AMENDMENT VIA CASH SETTLEMENT WITH RESPECT TO 100% OF SUCH LENDER’S SIXTH AMENDMENT 2030 REFINANCING TERM LOANS: Consent to the Seventh Amendment and agree to have an amount equal to 100% of its existing Sixth Amendment 2030 Refinancing Term Loans prepaid and terminated, respectively, on the Seventh Amendment Effective Date and to acquire the new Refinancing Term Loans pursuant to the Seventh Amendment by assignment of new Refinancing Term Loans in an equal principal amount (or a lesser principal amount of new Refinancing Term Loans allocated to such Lender by the Lead Arrangers).

SCHEDULE I

Refinancing Term Commitments

Part A

[To be held on file with the Agent]

Part B

[To be held on file with the Agent]


SCHEDULE II

Co-Lead Arrangers

Barclays Bank PLC

BMO Capital Markets Corp.

BNP Paribas Securities Corp.

Citibank, N.A.

Deutsche Bank Securities Inc.

HSBC Securities (USA) Inc.

ING Capital LLC

Intesa Sanpaolo S.p.A., New York Branch

Jefferies Finance LLC

Mizuho Bank, LTD

Morgan Stanley Senior Funding, Inc.

MUFG Bank, Ltd.

RBC Capital Markets LLC

Santander Bank, N.A.

Sumitomo Mitsui Banking Corporation

Société Générale

U.S. Bank National Association

UBS Securities LLC

Wells Fargo Securities, LLC

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