Exhibit 10.1

FIRST AMENDMENT TO CREDIT AGREEMENT

THIS FIRST AMENDMENT TO CREDIT AGREEMENT (this “Amendment”), dated as of June 4,
2015, is by and among PREMIER HEALTHCARE ALLIANCE, L.P., a California limited
partnership, PREMIER SUPPLY CHAIN IMPROVEMENT, INC., a Delaware corporation and
PREMIER HEALTHCARE SOLUTIONS, INC., a Delaware corporation (each individually, a
“Borrower” and collectively, the “Co-Borrowers”), PREMIER SERVICES, LLC, a
Delaware limited liability company (“Holdings”), the other Guarantors (as
hereinafter defined) party hereto, the Lenders (as defined below) party hereto
and WELLS FARGO BANK, NATIONAL ASSOCIATION, as administrative agent (the
“Administrative Agent”). Capitalized terms used herein and not otherwise defined
herein shall have the meanings ascribed thereto in the Credit Agreement (as
defined below).

W I T N E S S E T H

WHEREAS, the Co-Borrowers, Holdings, certain Subsidiaries of Holdings party
thereto (together with Holdings, the “Guarantors”), certain banks and financial
institutions (the “Lenders”) and the Administrative Agent are parties to that
certain Credit Agreement dated as of June 24, 2014 (as amended, modified,
extended, restated, replaced, or supplemented from time to time prior to the
date hereof, the “Credit Agreement”);

WHEREAS, the Co-Borrowers have requested that the Required Lenders amend certain
provisions of the Credit Agreement; and

WHEREAS, the Required Lenders are willing to make such amendments to the Credit
Agreement, in accordance with and subject to the terms and conditions set forth
herein.

NOW, THEREFORE, in consideration of the agreements hereinafter set forth, and
for other good and valuable consideration, the receipt and adequacy of which are
hereby acknowledged, the parties hereto agree as follows:

ARTICLE I

AMENDMENTS TO CREDIT AGREEMENT

1.1 Amendment to Definition of Change of Control. Clause (e) contained in the
definition of Change of Control set forth in Section 1.01 of the Credit
Agreement is hereby amended and restated in its entirety to read as follows:

(e) during any period of 12 consecutive months, a majority of the members of the
board of directors or other equivalent governing body of Premier, Inc. 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.

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ARTICLE II

CONDITIONS TO EFFECTIVENESS

2.1 Closing Conditions. This Amendment shall become effective as of the day and
year set forth above (the “Amendment Effective Date”) upon receipt by the
Administrative Agent of a copy of this Amendment duly executed by the
Co-Borrowers, the Guarantors, the Required Lenders and the Administrative Agent.

ARTICLE III

MISCELLANEOUS

3.1 Amended Terms. On and after the Amendment Effective Date, all references to
the Credit Agreement in each of the Loan Documents shall hereafter mean the
Credit Agreement as amended by this Amendment. Except as specifically amended
hereby or otherwise agreed, the Credit Agreement is hereby ratified and
confirmed and shall remain in full force and effect according to its terms.

3.2 Representations and Warranties of Loan Parties. Each Loan Party represents
and warrants as follows:

(a) It has taken all necessary action to authorize the execution, delivery and
performance of this Amendment.

(b) This Amendment has been duly executed and delivered by such person and
constitutes such person’s legal, valid and binding obligation, enforceable in
accordance with its terms, except as such enforceability may be subject to
(i) bankruptcy, insolvency, reorganization, fraudulent conveyance or transfer,
moratorium or similar laws affecting creditors’ rights generally and
(ii) general principles of equity (regardless of whether such enforceability is
considered in a proceeding at law or in equity).

(c) No consent, approval, authorization or order of, or filing, registration or
qualification with, any court or governmental authority or third party is
required in connection with the execution, delivery or performance by such
person of this Amendment.

(d) The representations and warranties set forth in Article V of the Credit
Agreement are (i) with respect to representations and warranties that contain a
materiality qualification, true and correct and (ii) with respect to
representations and warranties that do not contain a materiality qualification,
true and correct in all material respects, in each case as of the date hereof
(except for those which expressly relate to an earlier date).

(e) After giving effect to this Amendment, no event has occurred and is
continuing which constitutes a Default or Event of Default.

(f) The Obligations are not reduced or modified by this Amendment and are not
subject to any offsets, defenses or counterclaims.

3.3 Reaffirmation of Obligations; No Waiver. Each Loan Party hereby ratifies the
Loan Documents to which it is a party and acknowledges and reaffirms (a) that it
is bound by all terms of the Loan Documents applicable to it and (b) that it is
responsible for the observance and full performance of its Obligations. The
execution, delivery and effectiveness of this Amendment shall not, except as
expressly provided herein, operate as a waiver of any right, power or remedy of
any Lender or the Administrative Agent under any of the Loan Documents, nor
constitute a waiver of any provision of any of the Loan Documents.

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3.4 Loan Document. This Amendment shall constitute a Loan Document under the
terms of the Credit Agreement.

3.5 Expenses. The Loan Parties agree to pay all reasonable and
properly-documented actual out-of-pocket costs and expenses of the
Administrative Agent in connection with the preparation, execution and delivery
of this Amendment, including the reasonable and properly-documented actual fees
and expenses of legal counsel for the Administrative Agent.

3.6 Further Assurances. Each Loan Party agrees to promptly take such action,
upon the request of the Administrative Agent, as is reasonably necessary to
carry out the intent of this Amendment.

3.7 Entirety. This Amendment and the other Loan Documents embody the entire
agreement among the parties hereto and supersede all prior agreements and
understandings, oral or written, if any, relating to the subject matter hereof.

3.8 Counterparts; Telecopy. This Amendment may be executed in any number of
counterparts, each of which when so executed and delivered shall be an original,
but all of which shall constitute one and the same instrument. Delivery of an
executed counterpart to this Amendment by telecopy or other electronic means
shall be effective as an original and shall constitute a representation that an
original will be delivered.

3.9 No Actions, Claims, Etc. As of the date hereof, each Loan Party hereby
acknowledges and confirms that it has no knowledge of any actions, causes of
action, claims, demands, damages and liabilities of whatever kind or nature, in
law or in equity, against the Administrative Agent or the Administrative Agent’s
officers, employees, representatives, agents, counsel or directors arising from
any action by such persons, or failure of such persons to act under the Credit
Agreement on or prior to the date hereof.

3.10 GOVERNING LAW. THIS AMENDMENT SHALL BE GOVERNED BY, AND SHALL BE CONSTRUED
AND ENFORCED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK (INCLUDING
SECTIONS 5-1401 AND 5-1402 OF THE NEW YORK GENERAL OBLIGATIONS LAW).

3.11 Successors and Assigns. This Amendment shall be binding upon and inure to
the benefit of the parties hereto and their respective successors and assigns.

3.12 Consent to Jurisdiction; Service of Process; Waiver of Jury Trial. The
jurisdiction, service of process and waiver of jury trial provisions set forth
in Sections 10.14 and 10.15 of the Credit Agreement are hereby incorporated by
reference, mutatis mutandis.

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IN WITNESS WHEREOF the parties hereto have caused this Amendment to be duly
executed on the date first above written.

 

CO-BORROWERS: PREMIER HEALTHCARE ALLIANCE, L.P., a California limited
partnership By: PREMIER SERVICES, LLC, its general partner By:

/s/ Craig McKasson

Name: Craig McKasson Title: Chief Financial Officer PREMIER SUPPLY CHAIN
IMPROVEMENT, INC., a Delaware corporation PREMIER HEALTHCARE SOLUTIONS, INC., a
Delaware corporation By:

/s/ Craig McKasson

Name: Craig McKasson Title: Chief Financial Officer

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GUARANTORS: PREMIER PHARMACY BENEFIT MANAGEMENT, LLC, a Delaware limited
liability company PREMIER SERVICES, LLC, a Delaware limited liability company
PROVIDER SELECT, LLC, a Delaware limited liability company NS3 HEALTH, LLC, a
Florida limited liability company NS3 SOFTWARE SOLUTIONS, LLC, a Florida limited
liability company COMMCARE PHARMACY - FTL, LLC, a Florida limited liability
company COMMCARE PHARMACY - WPB, LLC, a Florida limited liability company
COMMCARE PHARMACY - MIA, LLC, a Florida limited liability company MEDDIUS,
L.L.C., a Virginia limited liability company PREMIER MARKETPLACE, LLC, a
Delaware limited liability company MEMDATA, LLC, a Texas limited liability
company SVS LLC, a Maryland limited liability company APEREK, INC., a North
Carolina corporation THERADOC, INC., a Delaware corporation By:

/s/ Craig McKasson

Name: Craig McKasson Title: Chief Financial Officer SYMMEDRX, LLC, a Kansas
limited liability company By:

/s/ Craig McKasson

Name: Craig McKasson Title: Treasurer

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ADMINISTRATIVE AGENT:

 

WELLS FARGO BANK, NATIONAL ASSOCIATION, as Administrative Agent and as a Lender
By:

/s/ Matt Olson

Name:

Matt Olson

Title:

Vice President

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LENDERS:

 

Bank of America, N.A., as a Lender By:

/s/ Suzanne B. Smith

Name:

Suzanne B. Smith

Title:

Senior Vice President

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LENDERS:

 

SUNTRUST BANK, as a Lender By:

/s/ Jared Cohen

Name:

Jared Cohen

Title:

Vice President

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LENDERS:

 

MORGAN STANLEY BANK, N.A., as a Lender By:

/s/ Alice Lee

Name:

Alice Lee

Title:

Authorized Signatory

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LENDERS:

 

KeyBank National Association, as a Lender By:

/s/ Meghan Starr

Name:

Meghan Starr

Title:

Vice President

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LENDERS:

 

JPMORGAN CHASE BANK N.A., as a Lender By:

/s/ Patrick S. Thornton

Name:

Patrick S. Thornton

Title:

Executive Director

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LENDERS:

 

CITIBANK, N.A., as a Lender By:

/s/ Patricia Guerra Heh

Name:

Patricia Guerra Heh

Title:

Vice President

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LENDERS:

 

U.S. BANK NATIONAL ASSOCIATION as a Lender By:

/s/ Joseph M. Schnorr

Name:

Joseph M. Schnorr

Title:

Senior Vice President

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LENDERS:

 

Fifth Third Bank, as a Lender By:

/s/ John McChesney

Name:

John McChesney

Title:

Officer

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LENDERS:

 

Northern Trust, as a Lender By:

/s/ John C. Canty

Name:

John C. Canty

Title:

Senior Vice President