Document:

Exhibit 10.1

  

   

  

  
     FIRST INCREMENTAL AMENDMENT TO TERM LOAN CREDIT AGREEMENT

     

    This FIRST INCREMENTAL AMENDMENT TO CREDIT AGREEMENT, dated as of November 18, 2021 (this “Amendment”), is entered into by and among the Lenders (as defined below), WILMINGTON TRUST, NATIONAL ASSOCIATION (“Wilmington Trust”) as administrative agent (in such capacity, “Administrative Agent”) and as collateral agent (in such capacity, “Collateral Agent”), CROSS COUNTRY HEALTHCARE, INC., a Delaware corporation (“Borrower”), and the Guarantors party hereto (each, a “Guarantor” and individually and collectively, jointly and severally, the “Guarantors”). Capitalized terms used herein
      and not otherwise defined shall have the meaning assigned thereto in the Credit Agreement (as defined below).

     

    WHEREAS, reference is hereby made to the Term Loan Credit Agreement, dated as of June 8, 2021 (the “Initial Closing Date”) (as amended, restated, supplemented or otherwise modified prior to giving effect to this Amendment, the “Existing Credit Agreement” and, the Existing Credit Agreement as amended by this Amendment, the “Credit Agreement”), among Borrower, the Guarantors party thereto, the lenders party thereto (the “Lenders”),
      the Administrative Agent and the Collateral Agent;

     

    WHEREAS, Borrower has requested that (i) one or more of the Lenders (such Lenders, the “Incremental Lenders”) provide an Incremental Term Facility in an aggregate amount equal to $75,000,000 (such Term Loans provided under such Incremental Term Facility, the
      “First Amendment Incremental Term Loans”) and (ii) the Required Lenders amend the cap set forth in Section 2.14(a)(i) to permit the aggregate
      amount of all Increases to be no greater than $115,000,000;

     

    WHEREAS, the Incremental Lenders have indicated their willingness to make the First Amendment Incremental Term Loans on the
      terms and subject to the conditions of this Amendment in the amounts set forth opposite each such Incremental Lender’s name under the heading “First Amendment Incremental Term Loan Commitments” on Schedule C-1 hereto; and

     

    WHEREAS, the parties hereto are willing, on the terms and subject to the conditions stated below, to amend the Existing Credit
      Agreement as hereinafter set forth.

     

    NOW, THEREFORE, in consideration of the premises and agreements, provisions and covenants herein contained, the parties hereto
      hereby agree as follows:

     

    SECTION 1. Defined Terms; References. The rules
        of construction and other interpretive provisions specified in Sections 1.1, 1.3, 1.4, 1.5, and 1.6 of the Existing Credit Agreement shall apply to this Amendment, including terms defined in the preamble and recitals hereto.

     

    SECTION 2. Incremental Amendment.

     

    (a)            This Amendment is an amendment to incur an additional term loan facility as described in Section 2.14(a) of the Existing Credit Agreement which shall be deemed incurred
        pursuant to this Amendment.  Subject to the satisfaction of the conditions set forth in Section 4 below, each Incremental Lender agrees,
        effective as of the First Amendment Effective Date, to extend the term loan commitments set forth opposite such Incremental Lender’s name under the heading “First Amendment Incremental Term Loan Commitments” on Schedule C-1 hereto on the First Amendment Effective Date (the “First Amendment Incremental Term Loan Commitments”).  From and after the First Amendment Effective Date, (i) each Incremental Lender shall be an
        “Lender” for all purposes under the Credit Agreement and the other Loan Documents, and shall have all of the rights and obligations of a Lender under the Credit Agreement and the other Loan Documents (ii) the First Amendment Incremental Term Loan
        Commitment of each Incremental Lender shall be a “Commitment” for all purposes under the Credit Agreement and the other Loan Documents and Schedule
            C-1 of the Existing Credit Agreement shall be deemed amended and supplemented to include such Schedule C-1 hereto and (iii)
        the First Amendment Incremental Term Loans of the Incremental Lenders shall be “Term Loans” (and have the same terms (including with respect to Guarantees and Collateral and rights to payment and prepayment) as the Term Loans made on the Initial
        Closing Date), for all purposes under the Credit Agreement and the other Loan Documents.  The First Amendment Incremental Term Loans shall be made in a single Borrowing on the First Amendment Effective Date.

     

    
      
        

    

     

    

    (b)            For the avoidance of doubt, the terms and provisions of the First Amendment Incremental Term Loans shall be identical to the Term Loans made on the Initial Closing Date,
        including the same repayment terms and the same Applicable Margin and Prepayment Premium terms set forth in the Existing Credit Agreement.

     

    (c)            Notwithstanding anything to the contrary in the Credit Agreement, (i) the First Amendment Incremental Term Loans will be borrowed at the LIBOR Option, (ii) the initial
        Interest Period applicable to the First Amendment Incremental Term Loans shall end on the same day as the Interest Period in effect on the First Amendment Effective Date with respect to the Term Loans made on the Initial Closing Date and (iii) the
        LIBOR Rate with respect to such initial Interest Period shall be identical to the LIBOR Rate for such Interest Period in effect on the First Amendment Effective Date with respect to the Term Loans made on the Initial Closing Date.

     

    (d)            Notwithstanding anything to the contrary in Section 2.14 of the Existing Credit Agreement, the execution and delivery of this Amendment by Borrower and the satisfaction
        of all conditions precedent to effectiveness of this Amendment pursuant to Section 4 hereof shall be deemed to constitute a properly
        delivered and accepted written notice by Borrower in accordance with the terms of Section 2.14(a) of the Existing Credit Agreement.

     

    (e)            The Borrower and the Lenders party hereto hereby waive the procedures set forth in Section 2.14(b) of the Credit Agreement and acknowledge and agree that each Lender has
        been provided the option to provide up to its Pro Rata Share of the First Amendment Incremental Term Loans.

     

    (f)            Notwithstanding anything to the contrary contained herein, if funding of the First Amendment Incremental Term Loans shall not have occurred on the First Amendment
        Effective Date, this Amendment shall immediately terminate on the day after the First Amendment Effective Date and shall no longer be in force and effect, and the First Amendment Incremental Term Loan Commitments hereunder shall automatically
        terminate on such date.

     

    SECTION 3. Amendments to Credit Agreement.  The
        Existing Credit Agreement is, subject to satisfaction of each of the conditions set forth in Section 4 herein, amended as of the First
        Amendment Effective Date, as follows:

     

    (a)             the following defined terms and related definitions shall be added to Section 1.01 of the Existing Credit Agreement in proper alphabetical order:

     

    
      
        

    

    

    

    “First Amendment”
      means that certain First Incremental Amendment to Credit Agreement, dated as of November 18, 2021, by and among Borrower, the other Loan Parties party thereto, the Lenders party thereto and the Administrative Agent.

     

    “First Amendment Incremental
          Term Loans” has the meaning set forth in the First Amendment.

     

    “First Amendment Effective Date”
      has the meaning provided in the First Amendment.

     

    (b)            Section 2.4(d)(i) of the Existing Credit Agreement shall be amended and restated in its entirety to read:

     

    (i)            In addition to any other mandatory prepayments pursuant to this Section 2.4(d), on each date set forth below, Borrower shall be required to repay, to the Administrative Agent for the ratable account of the Lenders, that principal amount of the Term Loans
        (including, for the avoidance of doubt, the First Amendment Incremental Term Loans), to the extent then outstanding, as is set forth opposite each such date below:

     

    	
            Date

          	
            Amount

          
	 	 
	
            December 31, 2021

          	
            $437,500

          
	
            March 31, 2022

          	
            $437,500

          
	
            June 30, 2022

          	
            $437,500

          
	
            September 30, 2022

          	
            $437,500

          
	
            December 31, 2022

          	
            $437,500

          
	
            March 31, 2023

          	
            $437,500

          
	
            June 30, 2023

          	
            $437,500

          
	
            September 30, 2023

          	
            $437,500

          
	
            December 31, 2023

          	
            $437,500

          
	
            March 31, 2024

          	
            $437,500

          
	
            June 30, 2024

          	
            $437,500

          
	
            September 30, 2024

          	
            $437,500

          
	
            December 31, 2024

          	
            $437,500

          
	
            March 31, 2025

          	
            $437,500

          
	
            June 30, 2025

          	
            $437,500

          
	
            September 30, 2025

          	
            $437,500

          
	
            December 31, 2025

          	
            $437,500

          
	
            March 31, 2026

          	
            $437,500

          
	
            June 30, 2026

          	
            $437,500

          
	
            September 30, 2026

          	
            $437,500

          
	
            December 31, 2026

          	
            $437,500

          
	
            March 31, 2027

          	
            $437,500

          
	
            Maturity Date for Term Loans

          	
            All unpaid aggregate

            principal amounts of any

            outstanding Term Loans

          

     

    

    
      
        

    

     

    

    (c)            Section 2.14(a)(i) of the Existing Credit Agreement shall be amended and restated in its entirety to read:

     

    (i)            the aggregate amount of all such increases shall not exceed $115,000,000,

     

    SECTION 4. Conditions to Effectiveness.  The
        effectiveness of the First Amendment Incremental Term Loan Commitments, the funding of the First Amendment Incremental Term Loans and the effectiveness of the amendments and waivers to the Existing Credit Agreement set forth herein are each subject
        to the satisfaction of all of the following conditions precedent (the date on which such conditions shall have been satisfied or waived, the “First
            Amendment Effective Date”):

     

    (a)  the Incremental Lenders and the Administrative Agent shall have received
      executed counterparts of this Amendment from the Loan Parties, each Incremental Lender, the Agents and the Required Lenders;

     

    

     (b)  the Incremental Lenders shall have received executed counterparts of the fee
      letter dated as of the First Amendment Effective Date between the Borrower and the Incremental Lenders (the “First Amendment Fee Letter”);

     

    

     (c)  no Default or Event of Default shall have occurred and be continuing on the
      First Amendment Effective Date immediately before or after giving effect to this Amendment;

     

    

    (d)  the representations and warranties of each Loan Party or its Subsidiaries
      contained in the Credit Agreement or in the other Loan Documents shall be true and correct in all material respects (except that such materiality qualifier shall not be applicable to any representations and warranties that already are qualified or
      modified by materiality in the text thereof) on and as of the First Amendment Effective Date, as though made on and as of 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 be true and correct in all material respects (except that such materiality qualifier shall not be applicable to any representations and warranties that already are qualified or modified by materiality in the text
      thereof) as of such earlier date);

     

    

    (e)  the Administrative Agent and BXC Representative shall have received fully
      executed counterparts of (i) the First Amendment to the Intercreditor Agreement (the “First Amendment to Intercreditor Agreement”), and (ii)
      Amendment No. 4 to ABL Credit Agreement, in each case, in form and substance reasonably satisfactory to the BXC Representative;

     

    

    (f)  the Administrative Agent and BXC Representative shall have received a
      certificate from the Secretary of each Loan Party (i) attesting to the resolutions of such Loan Party’s board of directors or equivalent body authorizing its execution, delivery, and performance of this Amendment, (ii) authorizing specific officers
      of such Loan Party to execute the same, and (iii) attesting to the incumbency and signatures of such specific officers of such Loan Party;

     

    

    (g)  the Administrative Agent and BXC Representative shall have received copies of
      each Loan Party’s Organization Documents, as amended, modified, or supplemented to the First Amendment Effective Date, which Organization Documents shall be (i) certified by the Secretary or an Authorized Person of such Loan Party, and (ii) with
      respect to Organization Documents that are charter documents, certified as of a recent date (not more than thirty (30) days prior to the Closing Date) by the appropriate governmental official;

     

    

    
      
        

    

     

    

    (h)  the Administrative Agent and BXC Representative shall have received a
      certificate of status with respect to each Loan Party, dated within thirty (30) days of the First Amendment Effective Date, such certificate to be issued by the appropriate officer of the jurisdiction of organization of such Loan Party, which
      certificate shall indicate that such Loan Party is in good standing in such jurisdiction;

     

    

    (i)  the Administrative Agent and BXC Representative shall have received a solvency
      certificate, in form and substance reasonably satisfactory to BXC Representative, certifying as to the solvency of the Loan Parties taken as a whole after giving effect to the transactions contemplated under the Agreement on the First Amendment
      Effective Date;

     

    

    (j)  the Administrative Agent and BXC Representative shall have received favorable
      opinions of counsel to the Loan Parties in form and substance reasonably satisfactory to BXC Representative addressed to Administrative Agent and Lenders with respect to the Loan Parties, this Amendment and such other matters as BXC Representative
      shall reasonably request (which such opinions shall expressly permit reliance by permitted successors and assigns of the addressees thereof);

     

    

    (k)  the Administrative Agent shall have received a Committed Term Loan Notice in
      accordance with Section 2.3(a) of the Credit Agreement;

     

    

    (l)  the Incremental Lenders shall have received (or contemporaneously with the First
      Amendment Effective Date) the fees required to be paid pursuant to the First Amendment Fee Letter;

     

    

    (m) the Administrative Agent shall have received (or shall receive contemporaneously
      with the First Amendment Effective Date) an amendment fee in the amount of $5,000 in respect of this Amendment;

     

    

    (n)  Borrower shall have paid all Lender Group Expenses incurred in connection with
      the transactions evidenced by this Amendment, including the reasonable, documented and invoiced legal fees of one firm of counsel for each of (i) the Agents and (ii) the BXC Representative.

     

    

    SECTION 5. Representations and Warranties of Loan
          Parties. Borrower and each other Loan Party represent and warrant as follow:

     

    (a)            As to each Loan Party, the execution, delivery, and performance by such Loan Party of this Amendment has been duly authorized by all necessary action on the part of such
        Loan Party.

     

    (b)            this Amendment has been duly executed and delivered by each Loan Party that is a party thereto and is 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; and

     

    
      
        

    

     

    

    (c)            the representations and warranties of each Loan Party or its Subsidiaries contained in the Credit Agreement or in the other Loan Documents are true and correct in all
        material respects (except that such materiality qualifier shall not be applicable to any representations and warranties that already are qualified or modified by materiality in the text thereof) on and as of the First Amendment Effective Date, as
        though made on and as of such date (except to the extent that such representations and warranties relate solely to an earlier date, in which case such representations and warranties are true and correct in all material respects (except that such
        materiality qualifier shall not be applicable to any representations and warranties that already are qualified or modified by materiality in the text thereof) as of such earlier date).

     

    SECTION 6. Effect of Amendment; Etc.  Except as
        expressly set forth herein, this Amendment and the foregoing waivers shall be effective only to the extent specifically set forth herein and such waivers shall not (a) be construed as a waiver of any breach, Default or Event of Default known or
        unknown to Agents and/or the Lenders, (b) affect the right of the Lenders to demand compliance by the Loan Parties with all terms and conditions of the Credit Agreement and the Loan Documents, except as specifically waived by the terms hereof, (c)
        be deemed a waiver of any transaction or future action on the part of the Loan Parties requiring the Lenders’ or the Required Lenders’ consent or approval under the Credit Agreement or the Loan Documents, (d) be deemed or construed to be a waiver
        or release of, or a limitation upon, Agents’ or the Lenders’ exercise of any rights or remedies under the Credit Agreement or any Loan Document, whether arising as a consequence of any Default or Event of Default which may now exist or otherwise,
        all such rights and remedies hereby being expressly reserved, or (e) be deemed to waive or modify any other requirement or term of the Credit Agreement or any of the Loan Documents.  Without limiting the foregoing, Borrower acknowledges and agrees
        that each Loan Document to which it is a party is hereby confirmed and ratified and shall remain in full force and effect according to its respective terms (in the case of the Existing Credit Agreement, as amended hereby).  On and as of the First
        Amendment Effective Date, (i) this Amendment shall be a Loan Document and (ii) each reference in the Credit Agreement to “this Amendment”, “hereof”, “hereunder”, “herein” and “hereby” and each other similar reference, and each reference in any
        other Loan Document to “the Credit Agreement”, “thereof”, “thereunder”, “therein” or “thereby” or any other similar reference to the Credit Agreement shall refer to the Existing Credit Agreement as amended hereby.

     

    SECTION 7. Choice of Law and Venue; Jury Trial Waiver;
          Judicial Reference Provision.  The provisions of Section 12 to the Credit Agreement are hereby incorporated by reference as if such Section was fully set forth herein.

     

    SECTION 8. Reaffirmation of the Loan Parties.  Each Loan Party hereby confirms and agrees that, notwithstanding the effectiveness of this Amendment, each Loan Document to which such
        Loan Party is a party is, and the obligations of such Loan Party contained in the Existing Credit Agreement, this Amendment or in any other Loan Document to which it is a party are, and shall continue to be, in full force and effect and are hereby
        ratified and confirmed in all respects, in each case as amended, modified, or waived by this Amendment.  For greater certainty and without limiting the foregoing, each Loan Party hereby confirms that the existing security interests granted by such
        Loan Party in favor of the Administrative Agent for the benefit of, among others, the Lenders pursuant to the Loan Documents in the Collateral described therein shall continue to secure the obligations of the Loan Parties under the Credit Agreement
        and the other Loan Documents as and to the extent provided in the Loan Documents.

     

    SECTION 9. Notices; Successors.  All communications and notices hereunder shall be given as provided in the Credit Agreement.  The terms of this Amendment shall be
        binding upon, and shall inure to the benefit of, the parties hereto and their respective successors and assigns.

     

    
      
        

    

     

    

    SECTION 10. Severability.  Any provision of this Amendment that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of
        such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction.

     

    SECTION 11. Counterparts.  This Amendment may be executed in any number of counterparts and by different parties on separate counterparts, each of which, when executed and
        delivered, shall be deemed to be an original, and all of which, when taken together, shall constitute but one and the same Amendment.  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 Agreement but the failure to deliver an original executed counterpart shall not affect the validity, enforceability, and binding effect of this Amendment.  The words “execution,” “signed,” “signature,” and
        words of like import in this Amendment shall be deemed to include electronic signatures or the keeping of records in electronic form, each of which shall be of the same legal effect, validity or enforceability as a manually executed signature or
        the use of a paper based recordkeeping system, as the case may be, to the extent and as provided for in any applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures
        and Records Act, or any other similar state laws based on the Uniform Electronic Transactions Act.

     

    SECTION 12. Incorporation of Credit Agreement
          Miscellaneous Provisions. Each of the provisions provided in the following sections of the Credit Agreement is hereby incorporated herein by this reference with the same effect as though set forth in its entirety herein, mutatis mutandis,
        and as if “this Amendment” in any such provision read “this Amendment”: Section 17.1 (Effectiveness) and Section 17.9 (Confidentiality).

     

    SECTION 13. Agents.  The Lenders party hereto,
        constituting all of the Lenders, hereby (i) direct each of the Agents to execute and deliver this Amendment and the First Amendment to Intercreditor Agreement and (ii) acknowledge and agree that (x) the direction in this Section 13 constitutes a direction from the Lenders under the provisions of Section 15 of the Credit Agreement and (y) the Agents shall be entitled to all of the rights, benefits, exculpations and protections set forth in the Credit Agreement (including, without limitation, those set forth in Section 15 of the Credit Agreement (including Sections
            15.3 and 15.7 of the Credit Agreement)) in connection with any and all actions taken by the Agents in accordance with such
        direction.

     

    [Remainder of Page Intentionally Blank]

     

     

    

     

    

     

    

    
      
        

    

     

    

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

     

     

    

    BORROWER:
                                                                                 

      

    	 	
            CROSS COUNTRY HEALTHCARE, INC.,

            a Delaware corporation 

            

             

            

          
	 	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: Co-Founder, CEO and President

          

    

    

    

    

    GUARANTORS:

    	 	
            CEJKA SEARCH, INC.,

            a Delaware corporation 

            

             

            

          
	
            

            

          	
            By: /s/ William Burns

              Name: William Burns

              Title: Vice President

             

                

             

                

          
	 	
            CROSS COUNTRY STAFFING, INC.,

            a Delaware corporation 

            

             

            

          
	 	
            By: /s/ William Burns

              Name: William Burns

              Title: Vice President

             

                

             

                

          
	 	
            ASSIGNMENT AMERICA, LLC.,

            a Delaware limited liability company 

            

             

            

          
	 	By: /s/ William Burns

            Name: William Burns

            Title: Vice President 

          

    

    

    

    

    
      [Signature Page to First Incremental Amendment]

    

    
      
        

    

     

    	 	
            TRAVEL STAFF, LLC,

            a Delaware limited liability company 

            

             

            

          
	 	
            By: /s/ William Burns

              Name: William Burns

              Title: Vice President

             

             

            

          
	 	
            OWS, LLC,

            a Delaware limited liability company 

            

             

            

          
	 	
            By: /s/ William Burns

              Name: William Burns

              Title: Vice President

             

             

            

          
	 	
            NEW MEDISCAN II, LLC,

            a California limited liability company 

            

             

            

          
	 	
            By: /s/ William Burns

              Name: William Burns

              Title: Vice President

          

    

    

    

    

    [Signature Page to First Incremental Amendment]

    
      
        

    

     

    

    	 	
            MEDICAL DOCTOR ASSOCIATES, LLC,

            a Delaware limited liability company

             
	 	
            By: /s/ William Burns

              Name: William Burns

              Title: Vice President

          

     

    

     

    

    
      [Signature Page to First Incremental Amendment]

    

    
      
        

    

     

    

    	 	
            MDA HOLDINGS, INC.,

            a Delaware corporation

             
	 	
            
              By: /s/ William Burns

                Name: William Burns

                Title: Vice President

              

              

              

            

          
	 	
            CREDENT VERIFICATION AND LICENSING SERVICES, LLC,

             a Delaware limited liability company 

            

             

            

          
	 	
            By: /s/ William Burns

              Name: William Burns

              Title: Vice President

          

    

    

    

    

    [Signature Page to First Incremental Amendment]

    
      
        

    

    
       

      

      	 	WILMINGTON TRUST, NATIONAL ASSOCIATION,

              as Administrative Agent and Collateral Agent
               

              

            
	 	By: 

            	
              /s/ Joseph B. Feil

                  Name: Joseph B. Feil

                  Title: Vice President

            

      

      

       

    [Signature Page to First Incremental Amendment]

    

    

    
      
        

    

     

    
      	

            	
              BLACKSTONE ALTERNATIVE CREDIT
                  ADVISORS LP,

               as BXC Representative

               
	 	
              By: /s/ Marisa J. Beeney

                Name: Marisa J. Beeney

                Title: Authorized Signatory

               

              

               

              

            
	 	
              BGSL BRECKENRIDGE FUNDING LLC,

              as a Lender
                 

                

                 By: Blackstone Secured Lending Fund, as sole member

                 

                

              

            
	 	
              By: /s/ Marisa J. Beeney

                Name: Marisa J. Beeney

                

              Title: Authorized Signatory
                

                

                

                

              

            
	 	
              BLACKSTONE PRIVATE CREDIT FUND,

              as an Incremental Lender

               
	 	
              By: /s/ Marisa J. Beeney

                Name: Marisa J. Beeney

                Title: Authorized Signatory

              

              

               
	 	
              
                BCRED GRANITE PEAK FUNDING LLC,

                BCRED SUMMIT PEAK FUNDING LLC,

                as both Lenders and
                  Incremental Lenders

                 

              By: Blackstone Private Credit Fund, as sole member 

               

              

            
	 	
              By: /s/ Marisa J. Beeney

                Name: Marisa J. Beeney

                Title: Authorized Signatory

            

      

      

    

    

    

    
      [Signature Page to First Incremental Amendment]

      
        
          

      

    

     

      	

            	
              
                BXC JADE SUB 1 LLC, as a Lender

                 

              By: BXC Jade Topco 1 LP, its sole member 

               

              

              By:  BXC Jade Associates LLC, its general partner 

               

              

            
	 	
              
                By: /s/ Marisa J. Beeney

                  Name: Marisa J. Beeney

                  Title: Authorized Signatory

                

                

              

               

              

            
	 	
              BXC JADE SUB 2 LLC, , as a Lender

               

              By: BXC Jade Topco 2 LP, its sole member

               

              By:  BXC Jade Associates LLC, its general partner

               

            
	 	
              By: /s/ Marisa J. Beeney

                Name: Marisa J. Beeney

                Title: Authorized Signatory

              

              

              
                

                

              

            
	 	
              BXC JADE SUB 3 LLC, , as a Lender

               

              By: BXC Jade Topco 3 LP, its sole member

               

              By:  BXC Jade Associates LLC, its general partner

               

            
	 	
              
                By:  /s/ Marisa J. Beeney

                  Name: Marisa J. Beeney

                  Title: Authorized Signatory

                

                

              

               

            
	 	
              BXC JADE SUB 4 LLC, Lender

               

              By: BXC Jade Topco 4 LP, its sole member

               

              By:  BXC Jade Associates LLC, its general partner

               

            
	 	
              
                By: /s/ Marisa J. Beeney

                  Name: Marisa J. Beeney

                  Title: Authorized Signatory

              

            

      

      

      

      

    

    [Signature Page to First Incremental Amendment]

    
      
        

    

     

    

    
      	

            	
              BXC JADE SUB 5-B LLC, as an
                Incremental Lender

               

              By: BXC Jade Top Sub 5-B LLC, its sole member

               

              By:  BXC Jade Topco 5-B LP, its sole member

               

              By:  BXC Jade Associates LLC, its general partner

               

            
	 	
              
                By: /s/ Marisa J. Beeney

                  Name: Marisa J. Beeney

                  Title: Authorized Signatory

                

                

              

               

              

            
	 	
              BXC JADE SUB 6-B LLC, as an
                Incremental Lender

               

              By: BXC Jade Top Sub 6-B LLC, its sole member

               

              By:  BXC Jade Topco 6-B LP, its sole member

               

              By:  BXC Jade Associates LLC, its general partner

               

            
	 	
              By: /s/ Marisa J. Beeney

                Name: Marisa J. Beeney

                Title: Authorized Signatory

              

              

              
                

                

              

            
	 	
              BXC JADE SUB 7-B LLC, as an
                Incremental Lender

               

              By: BXC Jade Top Sub 7-B LLC, its sole member

               

              By:  BXC Jade Topco 7-B LP, its sole member

               

              By:  BXC Jade Associates LLC, its general partner

               

               

            
	 	
              
                By: /s/ Marisa J. Beeney

                  Name: Marisa J. Beeney

                  Title: Authorized Signatory

                

                

              

               

            
	 	
              BXC JADE SUB 8-B LLC, as an
                Incremental Lender

               

              By: BXC Jade Top Sub 8 B LLC, its sole member

               

              By:  BXC Jade Topco 8-B LP, its sole member

               

              By:  BXC Jade Associates LLC, its general partner

               

            
	 	
              By: /s/ Marisa J. Beeney

                Name: Marisa J. Beeney

                Title: Authorized Signatory

            

    

    

    

    
      

      

      [Signature Page to First Incremental Amendment]

    

    
      
        

    

    

    
      
        	 	
                BXC JADE SUB 9-B LLC, as an
                  Incremental Lender

                 

                By: BXC Jade Top Sub 9-B LLC, its sole member

                 

                By:  BXC Jade Topco 9-B LP, its sole member

                 

                By:  BXC Jade Associates LLC, its general partner

                 

              
	 	
                
                  By: /s/ Marisa J. Beeney

                    Name: Marisa J. Beeney

                    Title: Authorized Signatory

                  

                  

                

                 

              
	 	
                BXC JADE SUB 10-B LLC, as
                  an Incremental Lender

                 

                By: BXC Jade Top Sub 10-B LLC, its sole member

                 

                By:  BXC Jade Topco 10-B LP, its sole member

                 

                By:  BXC Jade Associates LLC, its general partner

                 

              
	 	
                
                  By: /s/ Marisa J. Beeney

                    Name: Marisa J. Beeney

                    Title: Authorized Signatory

                

              

      

      

      

    

    

    [Signature Page to First Incremental Amendment]

    

    
      
        

    

     

    

    Schedule C-1

      Commitments

    

    

    

    

    	
            Lender

          	
            First Amendment

            Incremental Term

            Loan Commitments

             

          	 	
            First Amendment

            Incremental Term Loan

            Commitment Percentage

          	 
	
            BCRED Granite Peak Funding LLC

          	
            $14,914,234.85

          	 	
            19.885646467

          	% 

          
	
            BCRED Summit Peak Funding LLC

          	
            $40,471,530.25

          	 	
            53.962040333

          	%
	
            Blackstone Private Credit Fund

          	
            $3,600,000.00

          	 	
            4.800000000

          	%
	
            BXC Jade Sub 5-B LLC

          	
            $2,669,039.15

          	 	
            3.558718867

          	%
	
            BXC Jade Sub 6-B LLC

          	
            $2,669,039.15

          	 	
            3.558718867

          	%
	
            BXC Jade Sub 7-B LLC

          	
            $2,669,039.15

          	 	
            3.558718867

          	%
	
            BXC Jade Sub 8-B LLC

          	
            $2,669,039.15

          	 	
            3.558718867

          	%
	
            BXC Jade Sub 9-B LLC

          	
            $2,669,039.15

          	 	
            3.558718867

          	%
	
            BXC Jade Sub 10-B LLC

          	
            $2,669,039.15

          	 	
            3.558718867

          	%
	
            Total Commitments:

          	
            $75,000,000.00

          	 	
            100.000000000

          	%Exhibit 10.2

  

   

  

  
    AMENDMENT NO. 4 TO ABL CREDIT AGREEMENT

     

    AMENDMENT NO. 4 TO ABL CREDIT AGREEMENT, dated as of November 18, 2021 (this “Amendment No. 4”), is by and among Wells Fargo Bank, National
      Association, a national banking association, as administrative agent for each member of the Lender Group and the Bank Product Providers (in such capacity, together with its successors and assigns in such capacity, “Agent”), Wells Fargo Bank, National
      Association, a national banking association, in its capacity as sole lead arranger (in such capacity, together with its successors and assigns in such capacity, the “Lead Arranger”), Wells Fargo Bank, National Association, a national banking
      association as sole book runner (in such capacity, together with their successors and assigns in such capacity, the “Book Runner”), Wells Fargo Bank, National Association, a national banking association, as collateral agent (in such capacity,
      together with its successors and assigns in such capacity, “Collateral Agent”), Cross Country Healthcare, Inc., a Delaware corporation (“Parent”), Cejka Search, Inc., a Delaware corporation (“Cejka”), Cross Country Staffing, Inc., a Delaware
      corporation (“Cross Country Staffing”), Assignment America, LLC., a Delaware limited liability company (“Assignment America”), Travel Staff, LLC, a Delaware limited liability company (“Travel Staff”), Medical Doctor Associates, LLC, a Delaware
      limited liability company (“Medical Doctor”), OWS, LLC, a Delaware limited liability company (“OWS”), New Mediscan II, LLC, a California limited liability company (“New Mediscan” and together with Parent, Cejka, Cross Country Staffing, Assignment
      America, Travel Staff, Medical Doctor, OWS and those additional persons that hereafter become parties thereto as Borrowers in accordance with the terms thereof, each, a “Borrower” and individually and collectively, jointly and severally, the
      “Borrowers”), MDA Holdings, Inc., a Delaware corporation (“MDA Holdings”), Credent Verification and Licensing Services, LLC, a Delaware limited liability company (“Credent Verification” and together with MDA Holdings and those additional persons that
      hereafter become parties thereto as Guarantors in accordance with the terms thereof, each, a “Guarantor” and individually and collectively, jointly and severally, the “Guarantors”).

     

    W I T N E S S E T H:

     

    WHEREAS, Agent, Lenders, Borrowers and Guarantors have entered into senior secured asset-based revolving credit facility pursuant to which
      Lenders (or Agent on behalf of Lenders) have made and may make loans and advances and provide other financial accommodations to Borrowers as set forth in the ABL Credit Agreement, dated as of October 25, 2019, by and among Agent, Lenders, Borrowers
      and Guarantors, as amended by Amendment No. 1 to ABL Credit Agreement, dated as of June 30, 2020, by and among Agent, Lenders, Borrowers and Guarantors, Amendment No. 2 to ABL Credit Agreement and Amendment No. 1 to Guaranty and Security Agreement,
      dated as of March 8, 2021, by and among Agent, Lenders, Borrowers and Guarantors and Amendment No. 3 to ABL Credit Agreement, dated as of June 8, 2021, by and among Agent, Lenders, Borrowers and Guarantors (as the same is amended hereby and may from
      time to time hereafter be further amended, modified, supplemented, extended, renewed, restated or replaced, the “Credit Agreement”);

     

    WHEREAS, Borrowers and Guarantors have requested that Agent and Lenders agree to certain amendments to the Credit Agreement and Security
      Agreement and Agent and Lenders are willing to agree to such amendments subject to the terms and conditions contained herein;

     

    WHEREAS, Agent, Lenders, Borrowers and Guarantors intend to evidence such amendments pursuant to the terms hereof;

     

    NOW, THEREFORE, in consideration of the foregoing and the mutual agreements and covenants contained herein, and other good and valuable
      consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

     

    
      
        

    

     

    

    1.    Amendments to Credit Agreement.

     

    1.1.    Additional Definitions.  The Credit Agreement is hereby amended to include, in addition and not in limitation, the
        following definitions:

     

     “Amendment No. 4” means Amendment No. 4 to ABL Credit Agreement, dated as of November 18, 2021, by and among Agent, Lenders, Borrowers and
      Guarantors, as the same now exists or may hereafter be amended, amended and restated, modified, supplemented, extended, renewed, restated or replaced.

     

    “Amendment No. 4 Effective Date” means the first date upon which each of the conditions set forth in Section 4 of the Amendment No. 4 have
      been satisfied (or waived in writing).

     

    “First Amendment to Intercreditor Agreement” means the First Amendment to Intercreditor Agreement, dated as of November 18, 2021, by and
      among Agent and Term Loan Agent, as acknowledged and agreed to by Loan Parties.

     

    “First Amendment to Term Loan Credit Agreement” means the First Incremental Amendment to Credit Agreement, dated as of November 18, 2021,
      by and among Term Loan Agent, Term Loan Lenders and Loan Parties.

     

    1.2.    Amendment to Definition.  Clause (r) of the definition of the term “Permitted Indebtedness” in the Credit Agreement is
        hereby deleted in its entirety and replaced with the following:

     

    (r)  Indebtedness under the Term Loan Agreement (including Refinancing Indebtedness in respect thereof in accordance
      with the Intercreditor Agreement) in an aggregate principal amount outstanding at any time not to exceed $175,000,000 (as such amount may be increased in accordance with the Intercreditor Agreement),

     

    1.3.    Interpretation.  For purposes of this Amendment No. 4, all terms used herein which are not otherwise defined herein,
        including but not limited to, those terms used in the recitals hereto, shall have the respective meanings assigned thereto in the Credit Agreement.

     

    2.    [Reserved].

     

    3.    Representations, Warranties and Covenants.  Each Loan Party, jointly and severally, represents and warrants with and to Agent and
        Lenders as follows, which representations and warranties shall survive the execution and delivery hereof:

     

    3.1.   This Amendment No. 4 has been duly executed and delivered by each Loan Party that is party hereto.  This Amendment No. 4 constitutes a legal, valid and binding obligation of each Loan Party, enforceable against
        such Loan Party that is party hereto in accordance with its 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.

     

    3.2.    The representations and warranties of each Loan Party or its Subsidiaries contained in the Credit Agreement, the Security Agreement or any of the other Loan Documents shall be true and correct in all material
        respects (except that such materiality qualifier shall not be applicable to any representations and warranties that already are qualified or modified by materiality or Material Adverse Effect (or words of similar import) in the text thereof) on and
        as of the date hereof, as though made on and as of 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 be true and correct in all
        material respects (except that such materiality qualifier shall not be applicable to any representations and warranties that already are qualified or modified by materiality or Material Adverse Effect (or words of similar import in the text
        thereof) as of such earlier date).

     

    
      
        

    

     

    

    3.3.    Loan Parties have delivered to Agent a complete and correct copy of the First Amendment to the Term Loan Credit Agreement, including all schedules and exhibits thereto, as executed on or before the Amendment No. 4
        Effective Date.

     

    3.4.    No Default or Event of Default exists or has occurred and is continuing as of the date of, and after giving effect to, this Amendment No. 4.

     

    4.    Conditions Precedent.  This Amendment No. 4 shall be effective upon the satisfaction of each of the following conditions precedent:

     

    4.1.    Agent shall have received each of the following:

     

    (a)    this Amendment No. 4, duly authorized, executed and delivered by the Required Lenders and Loan Parties;

     

    (b)    the First Amendment to Term Loan Credit Agreement duly authorized, executed and delivered by the Term Loan Agent, Term Loan Lenders and Loan Parties;

     

    (c)    the First Amendment to the Intercreditor Agreement duly authorized, executed and delivered by the Term Loan Agent and Loan Parties;

     

    4.2.    as of the date of this Amendment No. 4, and after giving effect thereto, no Default or Event of Default shall exist or have occurred and be continuing;

     

    4.3.    each of the conditions set forth in this Section 3 shall be satisfied on or before November 30,  2021.

     

    5.    Effect of Amendment No. 4.  Except as expressly set forth herein and in prior amendments, no other amendments, changes or
        modifications to the Loan Documents are intended or implied, and in all other respects the Loan Documents are hereby specifically ratified, restated and confirmed by all parties hereto as of the effective date hereof and the Loan Parties shall not
        be entitled to any other or further amendment by virtue of the provisions of this Amendment No. 4 or with respect to the subject matter of this Amendment No. 4.  To the extent of conflict between the terms of this Amendment No. 4 and the other Loan
        Documents, the terms of this Amendment No. 4 shall control.  The Credit Agreement and this Amendment No. 4 shall be read and construed as one agreement.  This Amendment No. 4 is a Loan Document.  The Credit Agreement remains in full force and
        effect, and nothing contained in this Amendment No. 4 will constitute a waiver of any right, power or remedy under the Credit Agreement, the Security Agreement or any other Loan Document.

     

    6.    Governing Law.  The validity, interpretation and enforcement of this Amendment No. 4 and any dispute arising out of the relationship
        between the parties hereto whether in contract, tort, equity or otherwise, shall be governed by the internal laws of the State of New York but excluding any principles of conflicts of law or other rule of law that would cause the application of the
        law of any jurisdiction other than the laws of the State of New York.

     

    
      
        

    

     

    

    7.    Jury Trial Waiver.    LOAN PARTIES, AGENT AND LENDERS EACH HEREBY WAIVES ANY RIGHT TO TRIAL BY JURY OF ANY CLAIM, DEMAND, ACTION OR
        CAUSE OF ACTION ARISING UNDER THIS AMENDMENT NO. 4 OR IN ANY WAY CONNECTED WITH OR RELATED OR INCIDENTAL TO THE DEALINGS OF THE PARTIES HERETO IN RESPECT OF THIS AMENDMENT NO. 4 OR THE TRANSACTIONS RELATED HERETO OR THERETO IN EACH CASE WHETHER NOW
        EXISTING OR HEREAFTER ARISING, AND WHETHER IN CONTRACT, TORT, EQUITY OR OTHERWISE.  LOAN PARTIES, AGENT AND LENDERS EACH HEREBY AGREES AND CONSENTS THAT ANY SUCH CLAIM, DEMAND, ACTION OR CAUSE OF ACTION SHALL BE DECIDED BY COURT TRIAL WITHOUT A
        JURY AND THAT EACH LOAN PARTY, AGENT OR LENDER MAY FILE AN ORIGINAL COUNTERPART OF A COPY OF THIS AMENDMENT NO. 4 WITH ANY COURT AS WRITTEN EVIDENCE OF THE CONSENT OF THE PARTIES HERETO TO THE WAIVER OF THEIR RIGHT TO TRIAL BY JURY.

     

    8.    Binding Effect.  This Amendment No. 4 shall be binding upon and inure to the benefit of each of the parties hereto and their
        respective successors and assigns.

     

    9.    Waiver, Modification, Etc.  No provision or term of this Amendment No. 4 may be modified, altered, waived, discharged or terminated
        orally, but only by an instrument in writing executed by the party against whom such modification, alteration, waiver, discharge or termination is sought to be enforced.

     

    10.    Further Assurances.  The Loan Parties shall execute and deliver such additional documents and take such additional action
        as may be reasonably requested by Agent to effectuate the provisions and purposes of this Amendment No. 4.

     

    11.    Entire Agreement.  This Amendment No. 4, the Credit Agreement and the other Loan Documents represent the entire agreement
        and understanding concerning the subject matter hereof among the parties hereto, and supersedes all other prior agreements, understandings, negotiations and discussions, representations, warranties, commitments, proposals, offers and contracts
        concerning the subject matter hereof, whether oral or written.

     

    12.    Headings.  The headings listed herein are for convenience only and do not constitute matters to be construed in
        interpreting this Amendment No. 4.

     

    13.    Counterparts.  This Amendment No. 4, any documents executed in connection herewith and any notices delivered under this
        Amendment No. 4, may be executed by means of (i) an electronic signature that complies with the federal Electronic Signatures in Global and National Commerce Act, state enactments of the Uniform Electronic Transactions Act, or any other relevant
        and applicable electronic signatures law; (ii) an original manual signature; or (iii) a faxed, scanned, or photocopied manual signature.  Each electronic signature or faxed, scanned, or photocopied manual signature shall for all purposes have the
        same validity, legal effect, and admissibility in evidence as an original manual signature. Agent reserves the right, in its sole discretion, to accept, deny, or condition acceptance of any electronic signature on this Amendment No. 4 or on any
        notice delivered to Agent under this Amendment No. 4.  This Amendment No. 4 and any notices delivered under this Amendment No. 4 may be executed in any number of counterparts, each of which shall be deemed to be an original, but such counterparts
        shall, together, constitute only one instrument.  Delivery of an executed counterpart of a signature page of this Amendment No. 4 and any notices as set forth herein will be as effective as delivery of a manually executed counterpart of this
        Amendment No. 4 or notice.

     

    [remainder of page intentionally left blank]

     

    

     

    

     

    

     

    

    
      
        

    

     

    

    IN WITNESS WHEREOF, the parties hereto have caused this Amendment No. 4 to be duly executed and delivered as of the day and year first
      above written.

     

    BORROWERS:                                                                                    

    	 	
            CROSS COUNTRY HEALTHCARE, INC. 

            

             

              

          
	 	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: Co-founder, CEO and President

             

                

             

                

          
	 	
            CEJKA SEARCH, INC. 

            

             

              

          
	 	
            
              
                By: /s/ Kevin C. Clark

                  Name: Kevin C. Clark

                  Title: EVP

                 

                    

                 

                    

              

            

          
	 	
            CROSS COUNTRY STAFFING, INC. 

            

             

              

          
	 	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: EVP 

            

             

                

             

                

          
	 	
            ASSIGNMENT AMERICA, LLC 

            

             

              

          
	 	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: EVP 

            

             

                

             

                

          
	 	
            TRAVEL STAFF, LLC 

            

             

              

          
	 	By: /s/ Kevin C. Clark

            Name: Kevin C. Clark

            Title: EVP 

          

    

    

    

    

    
      
        

    

     

    

    	 	
            OWS, LLC 

            

             

              

          
	 	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: EVP

             

             

          
	 	
            NEW MEDISCAN II, LLC 

            

             

              

          
	 	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: Vice President

             

             

            

          
	 	
            MEDICAL DOCTOR ASSOCIATES, LLC 

            

             

              

          
	 	
            
              By: /s/ Kevin C. Clark

                Name: Kevin C. Clark

                Title: EVP

               

             

            

          

    

    

    GUARANTORS:

    	 	
            MDA HOLDINGS, INC. 

            

             

              

          
	
            

            

          	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: EVP

             

                

             

                

          
	 	
            CREDENT VERIFICATION AND LICENSING SERVICES, LLC 

            

             

              

          
	 	
            By: /s/ Kevin C. Clark

              Name: Kevin C. Clark

              Title: EVP

          

    

    

     

    
      
        

    

    

    

    
      	

            	
              WELLS FARGO BANK, NATIONAL ASSOCIATION,

                a national banking association, as Administrative Agent,

                Collateral Agent and as a Lender 

              

               

            
	
              

              

            	
              By: 

              

              Name:

              

            	
              /s/ Rina Shinoda

                Rina Shinoda

                Its Authorized Signatory

            

      

    

     

    

    

    
      
        

    

    
      

      

      	 	
              PNC BANK, NATIONAL ASSOCIATION,

              as a Lender 

                 

                

              

            
	 	
              By: 

              

              Name:

              

            	
              /s/ Robert Fernandez

                Robert Fernandez, Vice President

                Its Authorized Signatory

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