Exhibit 10.1

FOURTH AMENDMENT TO CREDIT AGREEMENT

THIS FOURTH AMENDMENT TO CREDIT AGREEMENT (this “Amendment”), dated as of July
    , 2011, is entered into by and among INFUSYSTEM HOLDINGS, INC., a Delaware
corporation (“Holdings”), INFUSYSTEM, INC., a California corporation
(“InfuSystem”) and FIRST BIOMEDICAL, INC., a Kansas corporation (“FBI” and
together with Holdings and InfuSystem, the “Borrowers” and each individually a
“Borrower”), BANK OF AMERICA, N.A. in its capacity as an Administrative Agent
and as a Lender (“Agent”) and the other lenders party hereto (collectively,
together with the Agent in its capacity as a Lender, the “Lenders”).

WHEREAS, the Borrowers and the Agent and the Lenders are parties to that certain
Credit Agreement dated as of June 15, 2010 as amended by (i) that certain First
Amendment to Credit Agreement dated as of January 27, 2011, (ii) that certain
Second Amendment to Credit Agreement dated as of April 1, 2011 and (iii) that
certain Third Amendment to Credit Agreement dated as of May 20, 2011 (the
“Existing Credit Agreement” and as such Existing Credit Agreement is amended by
this Amendment, the “Amended Credit Agreement”);

WHEREAS, the Borrowers have requested that the Agent and the Lenders modify the
Existing Credit Agreement in certain respects and the Agent and Lenders have
agreed to amend the terms of the Existing Credit Agreement on the terms and
conditions set forth in this Amendment.

NOW, THEREFORE, in consideration of the premises and mutual agreements herein
contained, the parties hereto agree as follows.

SECTION 1

DEFINED TERMS

Capitalized terms used but not defined herein shall have the meanings ascribed
to such terms in the Existing Credit Agreement.

SECTION 2

AMENDMENTS TO EXISTING CREDIT AGREEMENT

2.1 Amendments to Definition Section. Section 1.01 of the Existing Credit
Agreement is hereby amended by adding the following definitions in proper
alphabetical order:

“Bank of America Equipment Loan” means a term loan facility in a maximum
aggregate amount up to $3,000,000 which Bank of America may, in its sole
discretion, agree to make available to IFC pursuant to certain credit
agreements, promissory notes and other certificates and instruments which are in
a form acceptable to Bank of America in its sole discretion. For the avoidance
of doubt, each Borrower acknowledges that Bank of America is under no obligation
to make the Bank of America Equipment Loan available to IFC or any Borrower and
no Bank of America Equipment Loan will be made unless and until Bank of

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America and its counsel complete their due diligence investigation, including,
without limitation, a full business, credit, and legal analysis of the proposed
Bank of America Equipment Loan and such due diligence is satisfactory to Bank of
America in its sole discretion.

2.2 Amendments to Permitted Lien Section. Section 7.01 of the Existing Credit
Agreement is hereby amended by adding the following subsection (n) in proper
alphabetical order:

“(n) Liens granted by IFC securing Indebtedness permitted under Section 7.03(i)
hereof; provided that such Liens do not at any time encumber any property other
than the Equipment (and all proceeds and products thereof) of IFC.”

2.3 Amendments to Permitted Indebtedness Covenant.

(a) Amendment to Capital Expenditure Limitation. Subsection (f) of Section 7.03
of the Existing Credit Agreement is hereby amended by deleting the subsection in
its entirety and substituting the following therefor:

“(f) Indebtedness in respect of Capital Leases, Synthetic Lease Obligations and
purchase money obligations for fixed or capital assets within the limitations
set forth in Section 7.01(i); provided, however, that: the aggregate amount of
all such Indebtedness attributable to the Borrowers and their Subsidiaries
(which shall include Indebtedness of the Borrowers and their Subsidiaries
disclosed on Schedule 7.03 to the extent such amounts remain outstanding and
constitute Capital Leases, Synthetic Lease Obligations or purchase money
obligations for fixed or capital assets) at any one time outstanding shall not
exceed the following amounts during the following times:

 

Fiscal Year

   Maximum Aggregate
Amount  

during Fiscal Year 2010

   $ 4,000,000   

during Fiscal Year 2011

   $ 5,400,000   

during Fiscal Year 2012

   $ 6,800,000   

During Fiscal Year 2013 and at all times thereafter

   $ 8,000,000   

; and”

 

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(b) Addition of Bank of America Equipment Loan. Section 7.03 of the Existing
Credit Agreement is hereby amended by adding the following subsection (i) in
proper alphabetical order:

“(i) Indebtedness of IFC in respect of the Bank of America Equipment Loan not to
exceed $3,000,000 in the aggregate at any one time outstanding.”

SECTION 3

REPRESENTATIONS AND WARRANTIES

Each Borrower hereby represents and warrants to the Agent and Lenders that:

3.1 Due Authorization, etc. The execution and delivery by it of this Amendment
and the performance by it of its obligations under the Existing Credit Agreement
are duly authorized by all necessary corporate action, do not require any filing
or registration with or approval or consent of any governmental agency or
authority, do not and will not conflict with, result in any violation of or
constitute any default under any provision of its certificate or articles of
incorporation, as applicable, or by-laws or those of any of its Subsidiaries or
any material agreement or other document binding upon or applicable to it or any
of its Subsidiaries (or any of their respective properties) or any material law
or governmental regulation or court decree or order applicable to it or any of
its Subsidiaries, and will not result in or require the creation or imposition
of any Lien in any of its properties or the properties of any of its
Subsidiaries pursuant to the provisions of any agreement binding upon or
applicable to it or any of its Subsidiaries.

3.2 Validity. This Amendment has been duly executed and delivered by such
Borrower and, together with the Existing Credit Agreement, are the legal, valid
and binding obligations of such Borrower, enforceable against such Borrower in
accordance with their respective terms subject, as to enforcement only, to
bankruptcy, insolvency, reorganization, moratorium or similar laws affecting the
enforceability of the rights of creditors generally.

3.3 Representations and Warranties. The representations and warranties contained
in Article V of the Existing Credit Agreement are true and correct on the date
of this Amendment in all material respects (except for those that are qualified
by “materiality” or “Material Adverse Effect”, in which case such
representations and warranties shall have been true and correct in all
respects), except to the extent (a) that such representations and warranties
solely relate to an earlier date or (b) have been changed by circumstances
permitted by the Existing Credit Agreement.

 

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SECTION 4

CONDITIONS PRECEDENT

The amendment to the Existing Credit Agreement set forth in Section 2 of this
Amendment shall become effective upon satisfaction of all of the following
conditions precedent:

4.1 Receipt of Documents. Agent shall have received all of the following, each
in form and substance satisfactory to Agent:

(a) Amendment. A counterpart original of this Amendment duly executed by
Borrowers.

(b) Secretary’s Certificate. A certificate of the secretary of each Borrower
dated the date hereof or such other date as shall be acceptable to Agent,
substantially in the form of Exhibit A to this Amendment.

4.2 Other Conditions. No Event of Default or Default shall have occurred and be
continuing.

SECTION 5

MISCELLANEOUS

5.1 Warranties and Absence of Defaults. In order to induce the Agent and Lenders
to enter into this Amendment, Borrowers hereby warrant to the Agent and each
Lender, as of the date of the actual execution of this Amendment (a) no Event of
Default or Default has occurred which is continuing as of such date and (b) the
representations and warranties in Section 3 of this Amendment are true and
correct.

5.2 Documents Remain in Effect. Except as amended and modified by this
Amendment, the Existing Credit Agreement and the other documents executed
pursuant to the Existing Credit Agreement remain in full force and effect and
each Borrower hereby ratifies, adopts and confirms its representations,
warranties, agreements and covenants contained in, and obligations and
liabilities under, the Existing Credit Agreement and the other documents
executed pursuant to the Existing Credit Agreement.

5.3 Reference to Loan Agreement. On and after the effective date of this
Amendment, each reference in the Existing Credit Agreement to “this Agreement,”
“hereunder,” “hereof,” “herein” or words of like import, and each reference to
the “Loan Agreement” in any Loan Documents, or other agreements, documents or
other instruments executed and delivered pursuant to the Existing Credit
Agreement, shall mean and be a reference to the Amended Credit Agreement.

5.4 Headings. Headings used in this Amendment are for convenience of reference
only, and shall not affect the construction of this Amendment.

5.5 Counterparts. This Amendment may be executed in any number of counterparts,
and by the parties hereto on the same or separate counterparts, and each such
counterpart, when executed and delivered, shall be deemed to be an original, but
all such counterparts shall together constitute but one and the same Amendment.

 

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5.6 Expenses. Borrowers agree, jointly and severally, to pay on demand all
reasonable out-of-pocket costs and expenses of Agent (including reasonable fees,
charges and disbursements of Agent’s attorneys) in connection with the
preparation, negotiation, execution, delivery and administration of this
Amendment and all other instruments or documents provided for herein or
delivered or to be delivered hereunder or in connection herewith. In addition,
Borrowers agree, jointly and severally, to pay, and save Agent and each Lender
harmless from all liability for, any stamp or other taxes which may be payable
in connection with the execution or delivery of this Amendment, the borrowings
under the Amended Credit Agreement, and the execution and delivery of any
instruments or documents provided for herein or delivered or to be delivered
hereunder or in connection herewith, in each case to the same extent required
under the Credit Agreement. All obligations provided in this Section 6.6 shall
survive any termination of this Amendment or the Amended Credit Agreement.

5.7 Governing Law. This Amendment shall be a contract made under and governed by
the internal laws of the State of Illinois. Wherever possible, each provision of
this Amendment shall be interpreted in such manner as to be effective and valid
under applicable laws, but if any provision of this Amendment shall be
prohibited by or invalid under such laws, such provisions shall be ineffective
only to the extent of such prohibition or invalidity, without invalidating the
remainder of such provision or the remaining provisions of this Amendment.

5.8 Successors. This Amendment shall be binding upon Borrowers, Agent, each
Lender and their respective successors and assigns, and shall inure to the
benefit of Borrowers, Agent, each Lender and the successors and assigns of the
Agent and such Lender.

[signature page attached]

 

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IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed
by their respective officers thereunto duly authorized and delivered at Chicago,
Illinois as of the date first above written.

BORROWERS:

 

INFUSYSTEM HOLDINGS, INC.     FIRST BIOMEDICAL, INC. By:  

 

    By:  

 

Name:  

James Froisland

    Name:  

James Froisland

Title:  

CFO

    Title:  

CFO

INFUSYSTEM, INC.       By:  

 

      Name:  

James Froisland

      Title:  

CFO

      AGENTS AND LENDERS:      

BANK OF AMERICA, N.A., in its

capacity as Administrative Agent,

      By:  

 

      Name:  

 

      Title:  

 

     

BANK OF AMERICA, N.A., in its

capacity as a Lender

      By:  

 

      Name:  

Sophia Love

      Title:  

Senior Vice President

     

KEYBANK NATIONAL ASSOCIATION, in its

capacity as a Lender

      By:  

 

      Name:  

 

      Title:  

 

     

Fourth Amendment to Credit Agreement

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Exhibit A

Secretary’s Certificate

[see attached]

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SECRETARY’S CERTIFICATE

 

To: Bank of America, N.A., as administrative agent

This Certificate is being furnished pursuant to Section 4.1(b) of that certain
Fourth Amendment to Credit Agreement (the “Amendment”), dated as of July     ,
2011 by and among INFUSYSTEM HOLDINGS, INC., a Delaware corporation
(“Holdings”), INFUSYSTEM, INC., a California corporation (“InfuSystem”) and
FIRST BIOMEDICAL, INC., a Kansas corporation (“FBI” and together with Holdings
and InfuSystem, the “Borrowers” and each individually a “Borrower”), BANK OF
AMERICA, N.A. in its capacity as an Administrative Agent and as a Lender
(“Agent”) and the other lenders party thereto (collectively, together with the
Agent in its capacity as a Lender, the “Lenders”), which amends that certain
Credit Agreement dated as of June 15, 2010 as amended by (i) that certain First
Amendment to Credit Agreement dated as of January 27, 2011, (ii) that certain
Second Amendment to Credit Agreement dated as of April 1, 2011 and (iii) that
certain Third Amendment to Credit Agreement dated as of May 20, 2011 (the
“Existing Credit Agreement” and as the Existing Credit Agreement is amended and
modified by the Amendment, the “Amended Credit Agreement”). Capitalized terms
used but not defined herein shall have the meanings ascribed to such terms in
the Amendment.

The undersigned, Secretary of each Borrower, hereby certifies on behalf of such
Borrower, that:

1. Such Borrower has adopted resolutions sufficient to authorize the proper
officers of such Borrower to execute and deliver the Amendment in the name and
on behalf of such Borrower, and each of them is authorized to cause such
Borrower to borrow funds under the Amended Credit Agreement. Such resolutions
have not been rescinded or amended and are in full force and effect on and as of
the date hereof.

2. Other than the resolutions referred to in clause 1 above, there is no
corporate action, consent or governmental approval required for the execution,
delivery and performance by such Borrower of the Amendment or any other
document, instrument or agreement contemplated by the Amendment.

3. The following named persons were duly elected to, and are validly acting in,
the offices listed opposite each of their names and are authorized to execute on
behalf of and in the name of each Borrower the Amendment and any and all other
agreements, instruments or documents contemplated by the Amendment, and their
respective signatures set forth below are their genuine signatures.

 

Name

  

Title

  

Signature

James Froisland    Chief Financial Officer   

 

 

   Secretary   

 

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4. I know of no proceeding for the dissolution or liquidation of any Borrower or
threatening the existence of any Borrower.

5. There have been no amendments to the Articles or Certificates of
Incorporation or to the By-laws of any Borrower since the date of the certified
copies thereof provided to you in connection with the execution of the Existing
Credit Agreement.

6. Agent and the Lenders may rely on this Certificate until advised by a like
certificate of any changes herein.

[signature page attached]

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IN WITNESS WHEREOF, I have executed this Certificate on July     , 2011.

 

By:  

 

Name:  

 

Title:  

Secretary

I, the undersigned, Chief Executive Officer of each Borrower, DO HEREBY CERTIFY
that                                          is the duly elected and qualified
Secretary of such Borrower, and the signature above is a genuine signature.

WITNESS my hand this      day of July, 2011.

 

By:  

 

Name:  

 

Title:   Chief Executive Officer