EX-10.1





 Exhibit 10.1 

FOURTH AMENDMENT 

TO CREDIT AGREEMENT 

This Fourth Amendment to Credit Agreement (this “Amendment”) is dated and effective as of March 31, 2021 (the
“Fourth Amendment Effective Date”) by and among ORGANOGENESIS HOLDINGS INC., a Delaware corporation (“Holdings”), ORGANOGENESIS INC., a Delaware corporation
(“Organogenesis”) and PRIME MERGER SUB, LLC, a Delaware limited liability company (“Prime”, and together with Holdings and Organogenesis, individually and collectively, the
“Borrower”), the several banks and other financial institutions from time to time party to this Agreement (each a “Lender” and, collectively, the “Lenders”), SILICON VALLEY
BANK (“SVB”), as the Issuing Lender and the Swingline Lender, and SVB, as administrative agent and collateral agent for the Lenders (in such capacities, together with any successors and assigns in such capacity,
the “Administrative Agent”). 
 W I T N E S S E T H: 

WHEREAS, Borrower, the Administrative Agent, the Issuing Lender and the Swingline Lender are parties to that certain Credit Agreement dated as
of March 14, 2019, as amended by that certain First Amendment to Credit Agreement dated as of November 12, 2019, as further amended by that certain Second Amendment to Credit Agreement dated as of February 13, 2020, and as further
amended by that certain Third Amendment to Credit Agreement dated as of March 26, 2020 (as amended, modified, supplemented or restated and in effect from time to time, the “Credit Agreement”); 

WHEREAS, the Borrower has requested that the Lenders and the Administrative Agent agree to modify and amend certain terms and conditions of
the Credit Agreement to, among other things, extend the Term Loan Amortization Date, subject to the terms and conditions contained herein; and 

WHEREAS, the Lenders are willing to extend the Term Loan Amortization Date and the Administrative Agent and the Lenders agree to amend certain
terms and conditions of the Credit Agreement as provided herein. 
 NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, the parties hereto agree as follows: 
 1. Capitalized Terms. All capitalized terms used
herein and not otherwise defined shall have the same meaning herein as in the Credit Agreement or in the other Loan Documents referred to in the recitals hereto, as applicable. 

2. Amendments to the Credit Agreement. 
  

	 	(a)	 Definitions. Section 1.1 of the Credit Agreement is hereby amended by deleting the following
terms and their existing definitions and inserting the following in lieu thereof: 


 “ “Term Loan
Amortization Date”: July 1, 2021.” 

  
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 “ “Term Loan Maturity Date”: February 1, 2024.” 

 

	 	(b)	 Repayment of Term Loans. The Credit Agreement is hereby amended by deleting Section 2.3 in
its entirety and inserting the following in lieu thereof: 


 “ 2.3 Repayment of Term Loans. Beginning on
the first Interest Payment Date occurring after the Closing Date, and on each Interest Payment Date occurring thereafter through and including the Term Loan Maturity Date, Borrower shall make monthly payments of accrued but unpaid interest on the
outstanding principal balance of the Term Loans. Beginning on the Term Loan Amortization Date, the outstanding principal balance of the Term Loans shall be repaid, monthly, on the first day of each month, in
thirty-two (32) monthly installments of principal, based on a thirty-two (32) month amortization schedule. To the extent not previously paid, all Term Loans
shall be due and payable on the Term Loan Maturity Date, together with accrued and unpaid interest on the principal amount to be paid to but excluding the date of payment.” 

3. Conditions Precedent to Effectiveness. This Amendment shall not be effective until each of the following conditions precedent have
been fulfilled to the satisfaction of the Administrative Agent: 
  

	 	(a)	 This Amendment shall have been duly executed and delivered by the respective parties hereto. The Administrative
Agent shall have received a fully executed copy hereof and of each other document required hereunder. 


  

	 	(b)	 All necessary consents and approvals to this Amendment shall have been obtained. 



 

	 	(c)	 Prior to and immediately after giving effect to this Amendment, no Default or Event of Default shall have
occurred and be continuing. 


  

	 	(d)	 Prior to and immediately after giving effect to this Amendment, the representations and warranties herein and
in the Credit Agreement and the other Loan Documents shall be true and correct in all material respects on and as of the date hereof, as though made on such date (except to the extent that such representations and warranties relate solely to an
earlier date), in which case such representations and warranties shall have been true and correct in all material respects as of such earlier date. 


  

	 	(e)	 The Lenders and the Administrative Agent shall have received all fees required to be paid, and all expenses for
which invoices have been presented (including the reasonable fees and expenses of legal counsel required to be paid hereunder or under any other Loan Document), on or before the Third Amendment Effective Date. 



  
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 4. Representations and Warranties. Each Loan Party hereby represents and warrants to
the Administrative Agent and the Lenders as follows: 
  

	 	(a)	 This Amendment is, and each other Loan Document to which it is or will be a party, when executed and delivered
by each Loan Party that is a party thereto, will be the legally valid and binding obligation of such Loan Party, enforceable against such Loan Party in accordance with its respective terms, except as enforcement may be limited by equitable
principles or by bankruptcy, insolvency, reorganization, moratorium or similar laws relating to or limiting creditors’ rights generally. 


  

	 	(b)	 The representations and warranties set forth in this Amendment, the Credit Agreement, as amended by this
Amendment and after giving effect hereto, and the other Loan Documents to which it is a party are true and correct in all material respects on and as of the date hereof, as though made on such date (except to the extent that such representations and
warranties relate solely to an earlier date), in which case such representations and warranties shall have been true and correct in all material respects as of such earlier date. 



5. Payment of Costs and Fees. The Borrowers shall pay to the Administrative Agent all reasonable costs,
out-of-pocket expenses, and fees and charges of every kind in connection with the preparation, negotiation, execution and delivery of this Amendment and any documents
and instruments relating hereto (which costs include, without limitation, the reasonable fees and expenses of any attorneys retained by the Administrative Agent or any Lender). 

6. Choice of Law. This Amendment and the rights of the parties hereunder, shall be determined under, governed by, and construed in
accordance with the laws of the State of New York. 
 7. Counterpart Execution. This Amendment may be executed in any number of
counterparts, all of which when taken together shall constitute one and the same instrument, and any of the parties hereto may execute this Amendment by signing any such counterpart. Delivery of an executed counterpart of this Amendment by
telefacsimile or other electronic method of transmission shall be equally as effective as delivery of an original executed counterpart of this Amendment. Any party delivering an executed counterpart of this Amendment by telefacsimile or other
electronic method of transmission also shall deliver an original executed counterpart of this Amendment, but the failure to deliver an original executed counterpart shall not affect the validity, enforceability, and binding effect of this Amendment.

 8. Effect on Loan Documents. 
  

	 	(a)	 The Credit Agreement, as amended hereby, and each of the other Loan Documents shall be and remain in full force
and effect in accordance with their respective terms and hereby are ratified and confirmed in all respects. The execution, delivery, and performance of this Amendment shall not operate, except as expressly set forth herein, as a modification or
waiver of any right, power, or remedy of the Administrative Agent or any Lender under the Credit Agreement or any other Loan Document. The consents, modifications and other agreements herein are limited to the specifics hereof (including facts or
occurrences on which the same are based), shall not apply with respect to any facts or occurrences other 



  
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than those on which the same are based, shall not excuse any non-compliance with the Loan Documents, and shall not operate as a consent or waiver to any
matter under the Loan Documents. Except for the amendments to the Credit Agreement expressly set forth herein, the Credit Agreement and other Loan Documents shall remain unchanged and in full force and effect. The execution, delivery and performance
of this Amendment shall not operate as a waiver of or, except as expressly set forth herein, as an amendment of, any right, power or remedy of the Lenders in effect prior to the date hereof. The amendments, consents, modifications and other
agreements set forth herein are limited to the specifics hereof, shall not apply with respect to any facts or occurrences other than those on which the same are based, and except as expressly set forth herein, shall neither excuse any future non-compliance with the Credit Agreement, nor operate as a waiver of any Default or Event of Default. To the extent any terms or provisions of this Amendment conflict with those of the Credit Agreement or other Loan
Documents, the terms and provisions of this Amendment shall control. 

  

	 	(b)	 To the extent that any terms and conditions in any of the Loan Documents shall contradict or be in conflict
with any terms or conditions of the Credit Agreement, after giving effect to this Amendment, such terms and conditions are hereby deemed modified or amended accordingly to reflect the terms and conditions of the Credit Agreement as modified or
amended hereby. 


  

	 	(c)	 This Amendment is a Loan Document. 



9. Entire Agreement. This Amendment, and terms and provisions hereof, the Credit Agreement and the other Loan Documents constitute the
entire understanding and agreement between the parties hereto with respect to the subject matter hereof and supersedes any and all prior or contemporaneous amendments or understandings with respect to the subject matter hereof, whether express or
implied, oral or written. 
 10. No Defenses. Each Loan Party hereby absolutely and unconditionally releases and forever
discharges the Administrative Agent, each Lender, and any and all participants, parent corporations, subsidiary corporations, affiliated corporations, insurers, indemnitors, successors and assigns thereof, together with all of the present and former
directors, officers, agents, attorneys and employees of any of the foregoing (each, a “Releasee” and collectively, the “Releasees”), from any and all claims, demands or causes of action of any kind,
nature or description, whether arising in law or equity or upon contract or tort or under any state or federal law or otherwise (each, a “Claim” and collectively, the “Claims”), which such Loan Party
has had, now has or has made claim to have against any such person for or by reason of any act, omission, matter, cause or thing whatsoever arising from the beginning of time to and including the date of this Amendment which relates directly or
indirectly, to the Credit Agreement or any other Loan Document, whether such claims, demands and causes of action are matured or unmatured or known or unknown, except for the duties and obligations set forth in this Amendment and other than with
respect to the acts or omissions of any Releasee that a court of competent jurisdiction determines to have resulted from the gross negligence, willful misconduct or bad faith of such Releasee. 

  
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 11. Ratification. The Loan Parties hereby restate, ratify and reaffirm each and every
term and condition set forth in the Credit Agreement and the Loan Documents effective as of the date hereof and as amended hereby. 
 12.
Severability. In case any provision in this Amendment shall be invalid, illegal or unenforceable, such provision shall be severable from the remainder of this Amendment and the validity, legality and enforceability of the remaining provisions
shall not in any way be affected or impaired thereby. 
 [Signature pages follow] 

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

 

			
	BORROWER:
	
	ORGANOGENESIS HOLDINGS INC.
		
	By:	 	 /s/ Henry Hagopian

	Name:	 	Henry Hagopian
	Title:	 	Senior Vice President, Finance & Treasurer
	
	ORGANOGENESIS INC.
		
	By:	 	 /s/ Henry Hagopian

	Name:	 	Henry Hagopian
	Title:	 	Senior Vice President, Finance & Treasurer
	
	PRIME MERGER SUB, LLC
		
	By:	 	 /s/ Henry Hagopian

	Name:	 	Henry Hagopian
	Title:	 	Senior Vice President, Finance & Treasurer














 
			
	ADMINISTRATIVE AGENT:
	
	SILICON VALLEY BANK
		
	By:	 	 /s/ Matt Griffiths

	Name:	 	Matt Griffiths
	Title:	 	Director














 
			
	LENDERS:
	
	SILICON VALLEY BANK,
	as Issuing Lender, Swingline Lender and as a Lender
		
	By:	 	 /s/ Matt Griffiths

	Name:	 	Matt Griffiths
	Title:	 	Director














 
			
	ELM 2020-4 TRUST
	as a Lender
	
	By: MidCap Financial Services Capital Management, LLC, as Servicer
		
	By:	 	 /s/ John O’Dea

	Name:	 	John O’Dea
	Title:	 	Authorized Signatory














 
			
	MIDCAP FUNDING XIII TRUST
	as a Lender
	
	By: Apollo Capital Management, L.P., its investment manager
	
	By: Apollo Capital Management GP, LLC,
	its general partner
		
	By:	 	 /s/ Maurice Amsellem

	Name:	 	Maurice Amsellem
	Title:	 	Authorized Signatory














 
			
	ELM 2020-3 TRUST
	as a Lender
	
	By: MidCap Financial Services Capital Management, LLC, as Servicer
		
	By:	 	 /s/ John O’Dea

	Name:	 	John O’Dea
	Title:	 	Authorized Signatory