Document:

EX-4.4

 Exhibit 4.4 

This FIRST SUPPLEMENTAL INDENTURE, (this “Supplemental Indenture”) dated as of March 29, 2022, by and among the parties
that are signatories hereto as Guarantors (the “Guaranteeing Entities” and each a “Guaranteeing Entity”), Owens & Minor, Inc., as Issuer, and Regions Bank, a national banking association, as Trustee under
the Indenture referred to below. 
 W I T N E S S E T H: 

WHEREAS, each of Owens & Minor, Inc., the Guarantors named therein and the Trustee have heretofore executed and delivered an
indenture dated as of March 10, 2021 (as amended, supplemented, waived or otherwise modified, the “Indenture”), providing for the issuance of an aggregate principal amount of $500.0 million of 4.500% Senior Notes due 2029
of the Issuer (the “Notes”); 
 WHEREAS, the Indenture provides that under certain circumstances each Guaranteeing Entity
shall execute and deliver to the Trustee a supplemental indenture pursuant to which such Guaranteeing Entity shall unconditionally guarantee, on a joint and several basis with the other Guarantors, all of the Issuer’s Obligations under the
Notes and the Indenture on the terms and conditions set forth herein and under the Indenture (the “Guarantee”); and 

WHEREAS, pursuant to Section 9.1 of the Indenture, the Issuer, any Guarantor and the Trustee are authorized to
execute and deliver a supplemental indenture to add additional Guarantors, without the consent of any Holder; 
 NOW, THEREFORE, in
consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Guaranteeing Entity, the Issuer, the other Guarantors and the Trustee mutually covenant and agree for the equal and
ratable benefit of the Holders as follows: 
 ARTICLE I 

DEFINITIONS 
 Section 1.1
Defined Terms. As used in this Supplemental Indenture, terms defined in the Indenture or in the preamble or recitals hereto are used herein as therein defined. The words “herein,” “hereof” and “hereby” and other
words of similar import used in this Supplemental Indenture refer to this Supplemental Indenture as a whole and not to any particular Section hereof. 

ARTICLE II 
 AGREEMENT TO BE BOUND;
GUARANTEE 
 Section 2.1 Agreement to be Bound. Each Guaranteeing Entity hereby becomes a party to the Indenture as a Guarantor
and as such will have all of the rights and be subject to all of the obligations and agreements of a Guarantor under the Indenture. 

Section 2.2 Guarantee. Each Guaranteeing Entity agrees, on a joint and several basis with all the existing Guarantors and the
other Guaranteeing Entities, to fully, unconditionally and irrevocably Guarantee to each Holder of the Notes and the Trustee the Guaranteed Obligations pursuant to Article X of the Indenture on a senior basis. 

 ARTICLE III 

MISCELLANEOUS 
 Section 3.1
Notices. All notices and other communications to the Guaranteeing Entities shall be given as provided in the Indenture to such Guaranteeing Entities, at their addresses set forth below, with a copy to the Issuer as provided in the Indenture
for notices to the Issuer. 
 Owens & Minor, Inc. 

9120 Lockwood Boulevard 

Mechanicsville, Virginia 23116 

Attention: Treasurer 
 Facsimile:
(804) 723-7000 
 Section 3.2 Merger and Consolidation. No Guaranteeing Entity shall
sell or otherwise dispose of all or substantially all of its assets to, or consolidate with or merge with or into another Person (other than the Issuer or any Restricted Subsidiary that is a Guarantor or becomes a Guarantor concurrently with the
transaction) except in accordance with Section 4.1(f) of the Indenture. 
 Section 3.3 Release of Guarantee. This Guarantee
shall be released in accordance with Section 10.2 of the Indenture. 
 Section 3.4 Parties. Nothing expressed or mentioned
herein is intended or shall be construed to give any Person, firm or corporation, other than the Holders and the Trustee, any legal or equitable right, remedy or claim under or in respect of this Supplemental Indenture or the Indenture or any
provision herein or therein contained. 
 Section 3.5 Governing Law. This Supplemental Indenture shall be governed by, and
construed in accordance with, the laws of the State of New York. 
 Section 3.6 Severability. In case any provision in this
Supplemental Indenture shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby and such provision shall be ineffective only to the extent
of such invalidity, illegality or unenforceability. 
 Section 3.7 Benefits Acknowledged. Each Guaranteeing Entity’s
Guarantee is subject to the terms and conditions set forth in the Indenture. Each Guaranteeing Entity acknowledges that it will receive direct and indirect benefits from the financing arrangements contemplated by the Indenture and this Supplemental
Indenture and that the guarantee and waivers made by it pursuant to this Guarantee are knowingly made in contemplation of such benefits. 

Section 3.8 Ratification of Indenture; Supplemental Indentures Part of Indenture. Except as expressly amended hereby, the
Indenture is in all respects ratified and confirmed and all the terms, conditions and provisions thereof shall remain in full force and effect. This Supplemental Indenture shall form a part of the Indenture for all purposes, and every Holder of
Notes heretofore or hereafter authenticated and delivered shall be bound hereby. 

  
 2 

 Section 3.9 The Trustee. The Trustee makes no representation or warranty as to
the validity or sufficiency of this Supplemental Indenture or with respect to the recitals contained herein, all of which recitals are made solely by the other parties hereto. 

Section 3.10 Counterparts. The parties hereto may sign any number of copies of this Supplemental Indenture. Each signed copy shall
be an original, but all of them together represent the same agreement. 
 The exchange of copies of this Indenture and of signature pages by
facsimile, PDF or other electronic transmission (including a digital signature provided by DocuSign) shall constitute effective execution and delivery of this Indenture as to the parties hereto and may be used in lieu of the original Indenture for
all purposes. Signatures of the parties hereto transmitted by facsimile, PDF or other electronic methods shall be deemed to be their original signatures for all purposes. Unless otherwise provided in this Indenture or in any Note, the words
“execute”, “execution”, “signed”, and “signature” and words of similar import used in or related to any document to be signed in connection with this Indenture, any Note or any of the transactions contemplated
hereby (including amendments, waivers, consents and other modifications) shall be deemed to include electronic signatures and 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 in ink or the use of a paper-based recordkeeping system, as applicable, to the fullest 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, and any other similar state laws based on the Uniform Electronic Transactions Act; provided that, notwithstanding anything to the contrary set forth herein, the Trustee is under no
obligation to agree to accept electronic signatures in any form or format unless expressly agreed to by the Trustee pursuant to procedures approved by the Trustee. 

Section 3.11 Execution and Delivery. Each Guaranteeing Entity agrees that its Guarantee shall remain in full force and effect
notwithstanding any failure to endorse on each Note a notation of any such Guarantee. 
 Section 3.12 Headings. The headings of
the Articles and the Sections in this Supplemental Indenture are for convenience of reference only and shall not be deemed to alter or affect the meaning or interpretation of any provisions hereof. 

  
 3 

 IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly
executed as of the date first above written. 
  

			
	OWENS & MINOR, INC.
	
	
                    /s/
Nicholas J. Pace

	Name:	 	Nicholas J. Pace
	Title:	 	Executive Vice President, General Counsel & Corporate Secretary

 [Signature Page to First Supplemental Indenture] 

 
			
	APRIA, INC.,
	APRIA HEALTHCARE GROUP LLC,
	APRIA HEALTHCARE LLC,
	APRIA HOLDCO LLC, 
	CPAP SLEEP STORE LLC,
	DMEHUB LLC,
	HEALTHY LIVING HOME MEDICAL LLC, 
	as Guarantors
	
	             /s/ Daniel J.
Starck

	Name:	 	Daniel J. Starck
	Title:	 	Chief Executive Officer

 [Signature Page to First Supplemental Indenture] 

 
			
	LOFTA, as Guarantor
	
	             /s/ Bharat V.
Patel

	Name:	 	Bharat V. Patel
	Title:	 	President

  

					
	REGIONS BANK, as Trustee
		
	By:	 	             /s/ Kristine
Prall

		 	Name:	 	Kristine Prall
		 	Title:	 	Vice President

 [Signature Page to First Supplemental Indenture]EX-4.5

 Exhibit 4.5 

Execution Version 

Supplemental Indenture to Add Guarantors 

FIRST SUPPLEMENTAL INDENTURE, (this “Supplemental Indenture”) dated as of March 29, 2022, by and among the parties that
are signatories hereto as Guarantors (the “Guaranteeing Entities” and each a “Guaranteeing Entity”), Owens & Minor, Inc., as Issuer, and Regions Bank, a national banking association, as Trustee under the
Indenture referred to below. 
 W I T N E S S E T H: 

WHEREAS, each of Owens & Minor, Inc., the Guarantors named therein and the Trustee have heretofore executed and delivered an
indenture dated as of March 29, 2022 (as amended, supplemented, waived or otherwise modified, the “Indenture”), providing for the issuance of an aggregate principal amount of $600.0 million of 6.625% Senior Notes due 2030
of the Issuer (the “Notes”); 
 WHEREAS, the Indenture provides that under certain circumstances each Guaranteeing Entity
shall execute and deliver to the Trustee a supplemental indenture pursuant to which such Guaranteeing Entity shall unconditionally guarantee, on a joint and several basis with the other Guarantors, all of the Issuer’s Obligations under the
Notes and the Indenture on the terms and conditions set forth herein and under the Indenture (the “Guarantee”); and 

WHEREAS, pursuant to Section 9.1 of the Indenture, the Issuer, any Guarantor and the Trustee are authorized to
execute and deliver a supplemental indenture to add additional Guarantors, without the consent of any Holder; 
 NOW, THEREFORE, in
consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Guaranteeing Entity, the Issuer, the other Guarantors and the Trustee mutually covenant and agree for the equal and
ratable benefit of the Holders as follows: 
 ARTICLE I 

DEFINITIONS 
 Section 1.1.
Defined Terms. As used in this Supplemental Indenture, terms defined in the Indenture or in the preamble or recitals hereto are used herein as therein defined. The words “herein,” “hereof” and “hereby” and other
words of similar import used in this Supplemental Indenture refer to this Supplemental Indenture as a whole and not to any particular Section hereof. 

ARTICLE II 
 AGREEMENT TO BE
BOUND; GUARANTEE 
 Section 2.1. Agreement to be Bound. Each Guaranteeing Entity hereby becomes a party to the Indenture as a
Guarantor and as such will have all of the rights and be subject to all of the obligations and agreements of a Guarantor under the Indenture. 

Section 2.2. Guarantee. Each Guaranteeing Entity agrees, on a joint and several basis with all the existing Guarantors and the
other Guaranteeing Entities, to fully, unconditionally and irrevocably Guarantee to each Holder of the Notes and the Trustee the Guaranteed Obligations pursuant to Article X of the Indenture on a senior basis. 

 

  
 1 

 ARTICLE III 

MISCELLANEOUS 
 Section 3.1.
Notices. All notices and other communications to the Guaranteeing Entities shall be given as provided in the Indenture to such Guaranteeing Entities, at their addresses set forth below, with a copy to the Issuer as provided in the Indenture
for notices to the Issuer. 
 If to the Issuer or to any Guarantor: 

Owens & Minor, Inc. 

9120 Lockwood Boulevard 

Mechanicsville, Virginia 23116 

Attention: Treasurer 
 Facsimile:
(804) 723-7000 
 With a copy to: 

Kirkland & Ellis LLP 

601 Lexington Ave 
 New York, New
York 10022 
 Attention: Tim Cruickshank, P.C. 

Facsimile: (212) 446-4900 

Section 3.2. Merger and Consolidation. No Guaranteeing Entity shall sell or otherwise dispose of all or substantially all of its
assets to, or consolidate with or merge with or into another Person (other than the Issuer or any Restricted Subsidiary that is a Guarantor or becomes a Guarantor concurrently with the transaction) except in accordance with
Section 4.1(f) of the Indenture. 
 Section 3.3. Release of Guarantee. This Guarantee shall be
released in accordance with Section 10.2 of the Indenture. 
 Section 3.4. Parties. Nothing expressed
or mentioned herein is intended or shall be construed to give any Person, firm or corporation, other than the Holders and the Trustee, any legal or equitable right, remedy or claim under or in respect of this Supplemental Indenture or the Indenture
or any provision herein or therein contained. 
 Section 3.5. Governing Law. This Supplemental Indenture shall be governed by,
and construed in accordance with, the laws of the State of New York. 
 Section 3.6. Severability. In case any provision in this
Supplemental Indenture shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby and such provision shall be ineffective only to the extent
of such invalidity, illegality or unenforceability. 
 Section 3.7. Benefits Acknowledged. Each Guaranteeing Entity’s
Guarantee is subject to the terms and conditions set forth in the Indenture. Each Guaranteeing Entity acknowledges that it will receive direct and indirect benefits from the financing arrangements contemplated by the Indenture and this Supplemental
Indenture and that the guarantee and waivers made by it pursuant to this Guarantee are knowingly made in contemplation of such benefits. 

  
 2 

 Section 3.8. Ratification of Indenture; Supplemental Indentures Part of
Indenture. Except as expressly amended hereby, the Indenture is in all respects ratified and confirmed and all the terms, conditions and provisions thereof shall remain in full force and effect. This Supplemental Indenture shall form a part of
the Indenture for all purposes, and every Holder of Notes heretofore or hereafter authenticated and delivered shall be bound hereby. 

Section 3.9. The Trustee. The Trustee makes no representation or warranty as to the validity or sufficiency of this Supplemental
Indenture or with respect to the recitals contained herein, all of which recitals are made solely by the other parties hereto. 

Section 3.10. Counterparts. The parties hereto may sign any number of copies of this Supplemental Indenture. Each signed copy
shall be an original, but all of them together represent the same agreement. 
 The exchange of copies of this Indenture and of signature
pages by facsimile, PDF or other electronic transmission (including a digital signature provided by DocuSign) shall constitute effective execution and delivery of this Indenture as to the parties hereto and may be used in lieu of the original
Indenture for all purposes. Signatures of the parties hereto transmitted by facsimile, PDF or other electronic methods shall be deemed to be their original signatures for all purposes. Unless otherwise provided in this Indenture or in any Note, the
words “execute”, “execution”, “signed”, and “signature” and words of similar import used in or related to any document to be signed in connection with this Indenture, any Note or any of the transactions
contemplated hereby (including amendments, waivers, consents and other modifications) shall be deemed to include electronic signatures and 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 in ink or the use of a paper-based recordkeeping system, as applicable, to the fullest 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, and any other similar state laws based on the Uniform Electronic Transactions Act; provided that, notwithstanding anything to the contrary set forth herein, the
Trustee is under no obligation to agree to accept electronic signatures in any form or format unless expressly agreed to by the Trustee pursuant to procedures approved by the Trustee. 

Section 3.11. Execution and Delivery. Each Guaranteeing Entity agrees that its Guarantee shall remain in full force and effect
notwithstanding any failure to endorse on each Note a notation of any such Guarantee. 
 Section 3.12. Headings. The headings of
the Articles and the Sections in this Supplemental Indenture are for convenience of reference only and shall not be deemed to alter or affect the meaning or interpretation of any provisions hereof. 

  
 3 

 IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly
executed as of the date first above written. 
  

			
	APRIA, INC., 
	APRIA HEALTHCARE GROUP LLC , 
	APRIA HEALTHCARE LLC,
	APRIA HOLDCO LLC,
	CPAP SLEEP STORE LLC,
	DMEHUB LLC,
	HEALTHY LIVING HOME MEDICAL LLC,
	as Guarantors
		
	By:	 	             /s/ Daniel J. Starck

		 	Name: Daniel J. Starck
		 	Title: Chief Executive Officer
	
	LOFTA,
	as a Guarantor
		
	By:	 	             /s/ Bharat V. Patel

		 	Name: Bharat V. Patel
		 	Title: President
	
	OWENS & MINOR, INC.
		
	By:	 	             /s/ Nicholas J. Pace

		 	Name: Nicholas J. Pace
		 	Title: Executive Vice President, General Counsel & Corporate Secretary

 [Signature Page to Supplemental Indenture] 

 
			
	REGIONS BANK,
	as Trustee
		
	By:	 	             /s/ Kristine Prall

		 	Name: Kristine Prall
		 	Title: Vice President

 [Signature Page to Supplemental Indenture]

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