EX-10.1



 Exhibit 10.1 

[EXECUTION VERSION] 
 SECOND
AMENDMENT TO CREDIT AGREEMENT 
 THIS SECOND AMENDMENT TO CREDIT AGREEMENT (this “Amendment”), dated as of
September 19, 2016, is entered into among AMN HEALTHCARE, INC., a Nevada corporation (the “Borrower”), AMN HEALTHCARE SERVICES, INC., a Delaware corporation (the “Parent”), the Subsidiary Guarantors
identified on the signature pages hereto, the lenders identified on the signature pages hereto (the “Lenders”) and SUNTRUST BANK, as Administrative Agent (the “Administrative Agent”). 

W I T N E S S E T H 

WHEREAS, the Borrower, the Parent, the Subsidiary Guarantors, the Lenders party thereto, the Administrative Agent and the Syndication
Agent (as defined therein) have entered into that certain Credit Agreement dated as of April 18, 2014, as amended by that certain First Amendment to Credit Agreement dated as of January 4, 2016 (the “Existing Credit Agreement”);

 WHEREAS, the Credit Parties have requested that the Lenders amend the Existing Credit Agreement as provided herein;

WHEREAS, the Requisite Lenders have agreed to amend the Existing Credit Agreement on the terms and conditions hereinafter set forth.

 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: 
 PART 1 

DEFINITIONS 
 SUBPART
1.1 Certain Definitions. Unless otherwise defined herein or the context otherwise requires, the following terms used in this Amendment, including its preamble and recitals, have the following meanings: 

“Amended Credit Agreement” means the Existing Credit Agreement as amended hereby. 

“Second Amendment” has the meaning set forth in Part 3. 

SUBPART 1.2 Other Definitions. Unless otherwise defined herein or the context otherwise requires, terms used in
this Amendment, including its preamble and recitals, have the meanings provided in the Existing Credit Agreement. 
 PART 2 

AMENDMENTS TO EXISTING CREDIT AGREEMENT 

Effective on (and subject to the occurrence of) the Second Amendment Effective Date, the Existing Credit Agreement is hereby amended as
follows: 
 SUBPART 2.1 New Definitions. The following definitions are hereby
added to Section 1.1 of the Credit Agreement in the appropriate alphabetical order: 







 “Fixed Incremental Amount” shall mean, at any time, an amount
equal to (x) $125,000,000 less (y) the aggregate principal amount of all increases in the Revolving Committed Amount pursuant to Section 2.7 and all Incremental Term Loans, pursuant to Section 2.6, in each case, previously incurred or issued in
reliance on the Fixed Incremental Amount. 
 “Incremental Cap” shall mean (a) the Fixed Incremental Amount
plus (b) the aggregate amount of any voluntary prepayment of Term Loans and/or any permanent reductions of the commitments under any Revolving Facility. 

SUBPART 2.2 Amendments to Section 2.6. Clause (i) of Section 2.6(a) of the Existing Credit Agreement is hereby
amended and restated in its entirety to read as follows: 
 (i) the aggregate original principal amount of all Incremental
Term Loans made pursuant to this Section 2.6 and the aggregate amount of all increases in the Revolving Committed Amount made pursuant to Section 2.7, in each case following the First Amendment
Effective Date, shall not, in the aggregate, exceed the Incremental Cap at the time such Incremental Term Loans are established.

SUBPART 2.3 Amendment to Section 2.7. Clause (a) of Section 2.7 of the Existing Credit Agreement is hereby
amended and restated in its entirety to read as follows: 
 (a) the aggregate original principal amount of all Incremental
Term Loans made pursuant to Section 2.6 and the aggregate amount of all increases in the Revolving Committed Amount made pursuant to this Section 2.7, in each case following the First Amendment
Effective Date, shall not, in the aggregate, exceed the Incremental Cap at the time such increase in the Revolving Committed Amount is established.

SUBPART 2.4 Amendment to Section 8.1. Clause (g)(iv) of Section 8.1 of the Existing Credit Agreement is hereby
amended and restated in its entirety to read as follows: 
 (iv) such Indebtedness shall not be required to be repaid,
prepaid, redeemed, repurchased or defeased, whether on one or more fixed dates, upon the occurrence of one or more events or at the option of any holder thereof prior to the latest Maturity Date in effect at the time of incurrence of such
Indebtedness; provided that it is understood and agreed that a customary mandatory offer to purchase notes as a result of a change of control or sale of assets provision in a note indenture shall not violate this clause (g)(iv);

PART 3 
 CONDITIONS TO
EFFECTIVENESS 
 SUBPART 3.1 Second Amendment Effective Date. This Amendment shall be and become
effective as of the date hereof (the “Second Amendment Effective Date”) when all of the conditions set forth in this Part 3 shall have been satisfied, and thereafter this Amendment shall be known, and may be referred to, as
the “Second Amendment”. 
 SUBPART 3.2 Execution of Counterparts of Amendment. The
Administrative Agent shall have received counterparts of this Amendment, which collectively shall have been duly executed on behalf of each of the Borrower, the Parent, the Subsidiary Guarantors, the Requisite Lenders and the Administrative Agent.


  
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 SUBPART 3.3 Fees and Expenses. The Administrative Agent or one of its
affiliates shall have received from the Borrower all reasonable and documented out-of-pocket costs 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. 
 PART 4 

MISCELLANEOUS 
 SUBPART
4.1 Representations and Warranties. The Borrower hereby represents and warrants to the Administrative Agent and the Lenders that, (a) no Default or Event of Default exists under the Existing Credit Agreement, both before
and after giving effect to this Amendment and (b) the representations and warranties set forth in Section 6 of the Amended Credit Agreement are, subject to the limitations set forth therein, true and correct in all material respects (except to the
extent that any representation and warranty is qualified by materiality, in which case such representation and warranty shall be true and correct in all respects) as of the date hereof (except for those which expressly relate to an earlier date, in
which case, they were true and correct in all material respects as of such earlier date). 
 SUBPART
4.2 Cross-References. References in this Amendment to any Part or Subpart are, unless otherwise specified, to such Part or Subpart of this Amendment. 

SUBPART 4.3 Instrument Pursuant to Existing Credit Agreement. This Amendment is executed pursuant to the
Existing Credit Agreement and shall (unless otherwise expressly indicated therein) be construed, administered and applied in accordance with the terms and provisions of the Existing Credit Agreement. 

SUBPART 4.4 References in Other Credit Documents. At such time as this Amendment shall become effective
pursuant to the terms of Subpart 3.1, all references to the “Credit Agreement” shall be deemed to refer to the Amended Credit Agreement. 

SUBPART 4.5 Counterparts. This Amendment may be executed by the parties hereto in several counterparts, each of
which shall be deemed to be an original and all of which shall constitute together but one and the same agreement. Delivery of executed counterparts of the Amendment by facsimile or other electronic transmission shall be effective as an
original and shall constitute a representation that an original shall be delivered upon the request of the Administrative Agent. 

SUBPART 4.6 Governing Law. THIS AMENDMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED BY THE LAWS
OF THE STATE OF NEW YORK. 
 SUBPART 4.7 Acknowledgment. The Guarantors acknowledge and consent to all of the
terms and conditions of this Amendment and agree that this Amendment does not operate to reduce or discharge the Guarantors’ obligations under the Amended Credit Agreement or the other Credit Documents. The Guarantors further acknowledge
and agree that the Guarantors have no claims, counterclaims, offsets, or defenses to the Credit Documents and the performance of the Guarantors’ obligations thereunder or if the Guarantors did have any such claims, counterclaims, offsets or
defenses to the Credit Documents or any transaction related to the Credit Documents, the same are hereby waived, relinquished and released in consideration of the Lenders’ execution and delivery of this Amendment. Each Guarantor also
hereby confirms and agrees that notwithstanding the effectiveness of this Amendment, the Collateral Documents to which each of the undersigned is a party and all of the Collateral described therein do, and shall continue to, secure the payment of
all of the Credit Party Obligations. 
 SUBPART 4.8 Binding Effect. This Amendment, the Existing Credit
Agreement as amended by 

  
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this Amendment and the other Credit Documents embody the entire agreement between the parties and supersede all prior agreements and understandings, if any, relating to the subject matter
hereof. These Credit Documents represent the final agreement between the parties and may not be contradicted by evidence of prior, contemporaneous or subsequent oral agreements of the parties. Except as expressly modified and amended in
this Amendment, all the terms, provisions and conditions of the Credit Documents shall remain unchanged and shall continue in full force and effect. 

SUBPART 4.9 Successors and Assigns. This Amendment shall be binding upon and inure to the benefit of the
parties hereto and their respective successors and assigns. 
 SUBPART 4.10 General. Except as amended
hereby, the Existing Credit Agreement and all other credit documents shall continue in full force and effect. 
 SUBPART 4.11
Severability. If any provision of this Amendment is determined to be illegal, invalid or unenforceable, such provision shall be fully severable and the remaining provisions shall remain in full force and effect and shall be construed
without giving effect to the illegal, invalid or unenforceable provisions. 
 SUBPART 4.12 Ratification. Each Credit
Party acknowledges and consents to the terms set forth herein and agrees that this Amendment does not impair, reduce or limit any of its obligations under the Credit Documents, as amended hereby, and that each of the Credit Documents, as amended
hereby, is ratified and confirmed in all respects. This Agreement is a Credit Document. 
 [Remainder of Page Intentionally Left Blank]


  
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 [EXECUTION VERSION] 

IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the date first above written. 

 

							
	BORROWER:	 		 	AMN HEALTHCARE, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
	PARENT:	 		 	AMN HEALTHCARE SERVICES, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
	SUBSIDIARY	 		 	
	GUARANTORS:	 		 	AMN SERVICES, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	O’GRADY-PEYTON INTERNATIONAL (USA), INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	AMN STAFFING SERVICES, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	MERRITT, HAWKINS & ASSOCIATES, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	AMN HEALTHCARE ALLIED, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer









							
		 		 	STAFF CARE, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	AMN ALLIED SERVICES, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	NURSEFINDERS, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	RX PRO HEALTH, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	LINDE HEALTH CARE STAFFING, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	SHIFTWISE, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	THE FIRST STRING HEALTHCARE, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	MILLICANSOLUTIONS, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer


  
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		 		 	AVANTAS, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	ONWARD HEALTHCARE, LLC
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	LOCUM LEADERS, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	MEDEFIS, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	HEALTHSOURCE GLOBAL STAFFING, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	PEAK HEALTH SOLUTIONS, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	PEAK GOVERNMENT SERVICES, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	PEAK PROVIDER SOLUTIONS, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	B.E. SMITH INTERIM SERVICES, INC.


  
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		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	B.E. SMITH INTERNATIONAL, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	B.E. SMITH, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer
			
		 		 	JOSEM HOLDING, INC.
				
		 		 	By:	 	 /s/ Brian Scott

		 		 	Name:	 	Brian Scott
		 		 	Title:	 	Chief Financial Officer


  
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	ADMINISTRATIVE AGENT:	 		 	SUNTRUST BANK,
		 		 	in its capacity as Administrative Agent
				
		 		 	By:	 	 /s/ Jared Cohen

		 		 	Name:	 	Jared Cohen
		 		 	Title:	 	Vice President
			
	LENDERS:	 		 	SUNTRUST BANK,
		 		 	in its capacity as Lender, Issuing Lender and Swingline Lender
				
		 		 	By:	 	 /s/ Jared Cohen

		 		 	Name:	 	Jared Cohen
		 		 	Title:	 	Vice President


  
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		 		 	Wells Fargo Bank, N.A, as a Lender
				
		 		 	By:	 	 /s/ Darin Mullis

		 		 	Name:	 	Darin Mullis
		 		 	Title:	 	Director


  
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		 		 	KeyBank National Association, as a Lender
				
		 		 	By:	 	 /s/ Thomas A. Crandell

		 		 	Name:	 	Thomas A. Crandell
		 		 	Title:	 	Senior Vice President









							
		 		 	Bank of America, N.A., as a Lender
				
		 		 	By:	 	 /s/ Heath Lipson

		 		 	Name:	 	Heath Lipson
		 		 	Title:	 	Senior Vice President









							
		 		 	COMERICA BANK, as a Lender
				
		 		 	By:	 	 /s/ Liz V Gonzalez

		 		 	Name:	 	Liz V Gonzalez
		 		 	Title:	 	Assistant Vice President & Relationship Manager









							
		 		 	JPMorgan Chase Bank, N.A., as a Lender
				
		 		 	By:	 	 /s/ Anna C. Araya

		 		 	Name:	 	Anna C. Araya
		 		 	Title:	 	Executive Director









							
		 		 	MANUFACTURERS BANK, as a Lender
				
		 		 	By:	 	 /s/ Sandy Lee

		 		 	Name:	 	Sandy Lee
		 		 	Title:	 	Vice President









							
		 		 	The Bank of Tokyo-Mitsubishi UFJ, Ltd., as a Lender
				
		 		 	By:	 	 /s/ Teuta Ghilaga

		 		 	Name:	 	Teuta Ghilaga
		 		 	Title:	 	Director









							
		 		 	Compass Bank, as a Lender
				
		 		 	By:	 	 /s/ James Ligman

		 		 	Name:	 	James Ligman
		 		 	Title:	 	SVP









							
		 		 	Fifth Third Bank, as a Lender
				
		 		 	By:	 	 /s/ Thomas Avery

		 		 	Name:	 	Thomas Avery
		 		 	Title:	 	Vice President