Exhibit 10.1

FIRST AMENDMENT TO CREDIT AGREEMENT

THIS FIRST AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) dated as of June 16,
2015 to the Credit Agreement referenced below is by and among AAC Holdings,
Inc., a Nevada corporation (the “Borrower”), the Guarantors, the Lenders
identified on the signature pages hereto and Bank of America, N.A., in its
capacities as Administrative Agent, Swingline Lender and L/C Issuer.

W I T N E S S E T H

WHEREAS, a credit facility has been extended to the Borrower pursuant to the
terms of that certain Credit Agreement dated as of March 9, 2015 (as amended,
modified, supplemented, increased and extended from time to time, the “Credit
Agreement”) among the Borrower, the Guarantors, the Lenders, the Swingline
Lender, the L/C Issuer and the Administrative Agent; and

WHEREAS, the Loan Parties have requested that the Lenders amend the definition
of “Change of Control” set forth in Section 1.01 of the Credit Agreement in
order to eliminate the so-called “dead hand” provision thereof;

WHEREAS, the Lenders (by act of the Required Lenders) have agreed to provide
such requested amendment subject to the terms and conditions herein;

NOW, THEREFORE, IN CONSIDERATION of the premises and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto agree as follows:

1. Introductory Paragraph and Recitals. The above introductory paragraph and
recitals of this Amendment are incorporated herein by reference as if fully set
forth herein.

2. Defined Terms. Capitalized terms used herein but not otherwise defined herein
shall have the meanings provided to such terms in the Credit Agreement.

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3. Amendment. Clause (b) of the definition of Change of Control in Section 1.01
of the Credit Agreement is amended in its entirety to read as follows:

(b) during any period of twenty-four (24) consecutive months, a majority of the
members of the board of directors or other equivalent governing body of the
Borrower cease to be composed of individuals (i) who were members of that board
or equivalent governing body on the first day of such period, (ii) whose
election or nomination to that board or equivalent governing body was approved
by individuals referred to in clause (i) above constituting at the time of such
election or nomination at least a majority of that board or equivalent governing
body or (iii) whose election or nomination to that board or other equivalent
governing body was approved by individuals referred to in clauses (i) and
(ii) above constituting at the time of such election or nomination at least a
majority of that board or equivalent governing body.

4. Condition Precedent. This Amendment shall become effective as of the date
hereof upon receipt by the Administrative Agent of counterparts of this
Amendment duly executed by the Borrower, the Guarantors, the Administrative
Agent and the Required Lenders.

5. Amendment is a “Loan Document”. This Amendment shall be deemed to be, and is,
a Loan Document and all references to a “Loan Document” in the Credit Agreement
and the other Loan Documents (including, without limitation, all such references
in the representations and warranties in the Credit Agreement and the other Loan
Documents) shall be deemed to include this Amendment.

6. Representations and Warranties; No Default. Each Loan Party hereby represents
and warrants to the Administrative Agent, each Lender, the Swingline Lender and
the L/C Issuer that, after giving effect to this Amendment, (a) the
representations and warranties of each Loan Party contained in the Credit
Agreement or any other Loan Document, or which are contained in any document
furnished at any time under or in connection with the Credit Agreement or any
other Loan Document, are true and correct in all material respects (other than
any representation and warranty that is expressly qualified by materiality, in
which case such representation and warranty is true and correct in all respects)
on and as of the date hereof, except to the extent that such representations and
warranties specifically refer to an earlier date, in which case they are true
and correct in all material respects (other than any representation and warranty
that is expressly qualified by materiality, in which case such representation
and warranty is true and correct in all respects) as of such earlier date and
(b) no Default or Event of Default exists.

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7. Reaffirmation of Obligations. Each Loan Party (a) acknowledges and consents
to all of the terms and conditions of this Amendment, (b) affirms all of its
obligations under the Loan Documents and (c) agrees that this Amendment and all
documents, agreements and instruments executed in connection with this Amendment
do not operate to reduce or discharge such Loan Party’s obligations under the
Loan Documents.

8. Reaffirmation of Security Interests. Each Loan Party (a) affirms that each of
the Liens granted in or pursuant to the Loan Documents is valid and subsisting
and (b) agrees that this Amendment and all documents, agreements and instruments
executed in connection with this Amendment do not in any manner impair or
otherwise adversely affect any of the Liens granted in or pursuant to the Loan
Documents.

9. No Other Changes. Except as modified hereby, all of the terms and provisions
of the Loan Documents shall remain in full force and effect.

10. Counterparts; Delivery. This Amendment may be executed in any number of
counterparts, each of which when so executed and delivered shall be deemed an
original and it shall not be necessary in making proof of this Amendment to
produce or account for more than one such counterpart. Delivery of an executed
counterpart of this Amendment by facsimile or form of electronic attachment
(e.g., “.pdf”) shall be effective as such party’s original executed counterpart
and shall constitute a representation that such party’s original executed
counterpart will be delivered.

11. Fees and Expenses. The Loan Parties agree to pay all reasonable
out-of-pocket fees and expenses of the Administrative Agent in connection with
the preparation, execution and delivery of this Amendment, including without
limitation the reasonable fees and expenses of Moore & Van Allen, PLLC, counsel
to the Administrative Agent.

12. Governing Law. THIS AMENDMENT AND ANY CLAIMS, CONTROVERSY, DISPUTE OR CAUSE
OF ACTION (WHETHER IN CONTRACT OR TORT OR OTHERWISE) BASED UPON, ARISING OUT OF
OR RELATING TO THIS AMENDMENT AND THE TRANSACTIONS CONTEMPLATED HEREBY SHALL BE
GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK.

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[Signature Pages Follow]

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IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart of this
Amendment to be duly executed and delivered as of the date first above written.

 

BORROWER: AAC HOLDINGS, INC., a Nevada corporation By:

/s/ Michael T. Cartwright

Name: Michael T. Cartwright Title: Chairman and Chief Executive Officer

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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GUARANTORS: AMERICAN ADDICTION CENTERS, INC., a Nevada corporation By:

/s/ Michael T. Cartwright

Name: Michael T. Cartwright Title: Chairman and Chief Executive Officer FORTERUS
HEALTH CARE SERVICES, INC., a Delaware corporation SAN DIEGO ADDICTION TREATMENT
CENTER, INC., a Delaware corporation By:

/s/ Michael T. Cartwright

Name: Michael T. Cartwright Title: Chairman B&B HOLDINGS INTL LLC, a Florida
limited liability company

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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GREENHOUSE TREATMENT CENTER, LLC, a Texas limited liability company CONCORDE
TREATMENT CENTER, LLC, a Nevada limited liability company SINGER ISLAND RECOVERY
CENTER LLC, a Florida limited liability company RECOVERY FIRST OF FLORIDA, LLC,
a Delaware limited liability company RI – CLINICAL SERVICES, LLC, a Delaware
limited liability company NEW JERSEY ADDICTION TREATMENT CENTER, LLC, a Delaware
limited liability company By:

/s/ Michael T. Cartwright

Name: Michael T. Cartwright Title: Manager

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FITRX, LLC, a Tennessee limited liability company AAC LAS VEGAS OUTPATIENT
CENTER, LLC, a Delaware limited liability company AAC DALLAS OUTPATIENT CENTER,
LLC, a Delaware limited liability company ADDICTION LABS OF AMERICA, LLC, a
Delaware limited liability company PARALLAX CENTER, LLC, a Delaware limited
liability company

        By:

American Addiction Centers, Inc.,
its sole member         By:

/s/ Michael T. Cartwright

        Name: Michael T. Cartwright         Title: Chairman and Chief Executive
Officer

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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CLINICAL REVENUE MANAGEMENT SERVICES, LLC, a Tennessee limited liability company
        By: AAC Holdings, Inc.,
its sole member         By:

/s/ Michael T. Cartwright

        Name: Michael T. Cartwright         Title: Chairman and Chief Executive
Officer BEHAVIORAL HEALTHCARE REALTY, LLC, a Delaware limited liability company
CONCORDE REAL ESTATE, LLC, a Nevada limited liability company GREENHOUSE REAL
ESTATE, LLC, a Texas limited liability company BHR ALISO VIEJO REAL ESTATE, LLC,
a Delaware limited liability company BHR RINGWOOD REAL ESTATE, LLC, a Delaware
limited liability company

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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        By:

/s/ Michael T. Cartwright

        Name: Michael T. Cartwright         Title: Manager

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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THE ACADEMY REAL ESTATE, LLC, a Delaware limited liability company         By:
Behavioral Healthcare Realty, LLC, its sole
member         By:

/s/ Michael T. Cartwright

        Name: Michael T. Cartwright         Title: Manager PALM BEACH
PROFESSIONAL GROUP, PROFESSIONAL CORPORATION, a Florida professional corporation
LAS VEGAS PROFESSIONAL GROUP – CALARCO, P.C., a Nevada professional corporation

GRAND PRAIRIE PROFESSIONAL GROUP, P.A., a Texas professional association By:

/s/ Mark A. Calarco

Name: Mark A. Calarco Title: President, Secretary and Treasurer

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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BRENTWOOD PROFESSIONAL GROUP, P.C., a Tennessee professional corporation By:

/s/ Mark A. Calarco

Name: Mark A. Calarco Title: President and Treasurer SAN DIEGO PROFESSIONAL
GROUP, P.C., a California professional corporation By:

/s/ Mark A. Calarco

Name: Mark A. Calarco Title: President, Secretary and Chief Financial Officer

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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BANK OF AMERICA, N.A., as Administrative Agent By:

/s/ Erik M. Truette

Name: Erik M. Truette Title: Vice President

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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LENDERS: BANK OF AMERICA, N.A., as a Lender, L/C Issuer and Swingline Lender By:

/s/ Mark Hardison

Name: Mark Hardison Title: Senior Vice President

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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SUNTRUST BANK, as a Lender By:

/s/ Mary E. Coke

Name: Mary E. Coke Title: Vice President

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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BMO HARRIS BANK, N.A., as a Lender By:

/s/ Eric Oppenheimer

Name: Eric Oppenheimer Title: Director

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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RAYMOND JAMES BANK, N.A., as a Lender By:

/s/ Alexander L. Rody

Name: Alexander L. Rody Title: Senior Vice President

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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RELIANT BANK, as a Lender By:

/s/ Stephen Fawehinmi

Name: Stephen Fawehinmi Title: Vice President

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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TEXAS CAPITAL BANK, N.A., as a Lender By:

/s/ Leslie Tieszen

Name: Leslie Tieszen Title: Senior Vice President

 

AAC HOLDINGS, INC.

FIRST AMENDMENT

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WESTERN ALLIANCE BANK, as a Lender By:

/s/ Mark Niles

Name: Mark Niles Title: Vice President

 

AAC HOLDINGS, INC.

FIRST AMENDMENT