Document:

Amendment No. 1 to Business Loan Agreement and Promissory Note

 Exhibit 4.2 
  
 

 
  
 AMENDMENT NO. 1 TO BUSINESS
LOAN AGREEMENT 
  
 This Amendment No. 1 (the
“Amendment”) dated as of January 31, 2005, is between Bank of America, N.A. (the “Bank”) and Transcend Services, Inc. (the “Borrower”). 
  
 RECITALS 
  

A. The Bank and the Borrower entered into a certain Business Loan Agreement dated as of March 8, 2004 (together with any previous amendments, the
“Agreement”). 
  
 B. The Bank and the Borrower desire to
amend the Agreement. 
  
 AGREEMENT

  
 1. Definitions. Capitalized terms used but not
defined in this Amendment shall have the meaning given to them in the Agreement. 
  
 2. Amendments. The Agreement is hereby amended as follows: 
  
 (a) Paragraph entitled “Accounts Receivable Aging Reports” is hereby deleted in its entirety. 
  
 (b) The following paragraph is hereby added to the section entitled
“Affirmative Covenants”: 
  
 Subordination. Prior to disbursement of any loan proceeds, deliver to Lender a subordination agreement on Lender’s forms, executed by Borrower’s creditor named below, subordinating all of Borrower’s indebtedness to
such creditor, or such lesser amount as may be agreed to by Lender in writing, and any security interests in collateral securing that indebtedness to the Loans and security interest of Lender. 
  

				
	 Name of Creditor

	  	Total Amount of Debt

	 Susan McGrogan
	  	$	3,500,000.00

  
 3. Representations
and Warranties. When the Borrower signs this Amendment, the Borrower represents and warrants to the Bank that: (a) there is no event which is, or with notice or lapse of time or both would be, a default under the Agreement except those events,
if any, that have been disclosed in writing to the Bank or waived in writing by the Bank, (b) the representations and warranties in the Agreement are true as of the date of this Amendment as if made on the date of this Amendment, (c) this Amendment
does not conflict with any law, agreement, or obligation by which the Borrower is bound, and (d) this Amendment is within the Borrower’s powers, has been duly authorized, and does not conflict with any of the Borrower’s organizational
papers. 
  
 4. Conditions. This Amendment will be effective
when the Bank receives the following items, in form and content acceptable to the Bank: 
  
 (a) Payment by the Borrower of a loan fee in the amount of Seventy Five Hundred Dollars ($7,500.00). 
  
 (b) Subordination agreements in favor of the Bank signed by Susan McGrogan. 
  
 5. Effect of Amendment. Except as provided in this Amendment, all of the terms and conditions of the Agreement shall
remain in full force and effect. 

 6. Counterparts. This Amendment may be executed in counterparts, each of which when so executed
shall be deemed an original, but all such counterparts together shall constitute but one and the same instrument. 
  
 7. FINAL AGREEMENT. BY SIGNING THIS DOCUMENT EACH PARTY REPRESENTS AND AGREES THAT: (A) THIS DOCUMENT REPRESENTS THE FINAL AGREEMENT BETWEEN
PARTIES WITH RESPECT TO THE SUBJECT MATTER HEREOF, (B) THIS DOCUMENT SUPERSEDES ANY COMMITMENT LETTER, TERM SHEET OR OTHER WRITTEN OUTLINE OF TERMS AND CONDITIONS RELATING TO THE SUBJECT MATTER HEREOF, UNLESS SUCH COMMITMENT LETTER, TERM SHEET OR
OTHER WRITTEN OUTLINE OF TERMS AND CONDITIONS EXPRESSLY PROVIDES TO THE CONTRARY, (C) THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES, AND (D) THIS DOCUMENT MAY NOT BE CONTRADICTED BY EVIDENCE OF ANY PRIOR, CONTEMPORANEOUS, OR SUBSEQUENT
ORAL AGREEMENTS OR UNDERSTANDINGS OF THE PARTIES. 
  
 This
Amendment is executed as of the date stated at the beginning of this Amendment. 
  

							
	 Borrower:
	 	 Bank:

		
	 Transcend Services, Inc.
	 	 Bank of America, N.A.

				
	 By
	 	 /s/ Larry G. Gerdes
                                        
  (Seal)

	 	 By
	 	 /s/ Scott Yost

	 	 	 Larry G. Gerdes, Chief Executive Officer
	 	 	 	 Scott Yost, Senior Vice President

  

 2 

 

 
  
 Subordination Agreement

  

			
	Bank of America, N.A.	 	 
	(hereinafter called Bank)	 	 
	3700 Crestwood Parkway, Suite 1050	 	 
	Duluth, GA 30096	 	January 31, 2005

  
 Gentlemen: 
  
 The undersigned, Susan McGrogan, (hereinafter referred to as
“Creditor”) is a creditor of Transcend Services, Inc., a Delaware Corporation (hereinafter referred to as “Borrower”) and desires that Bank of America, N.A., a national banking association (hereinafter referred to as
“Bank”) continue to extend or extend such financial accommodations to Borrower as Borrower may request and as Bank may deem proper. At the present time Borrower is indebted to Creditor in the principal sum of $3,500,000.00 plus accrued
interest, if any, thereon. For the purpose of inducing Bank to grant, continue or renew such financial accommodations, and in consideration thereof, Creditor agrees as follows: 
  
 1. Any and all claims of Creditor against Borrower, now or hereafter existing, are, and shall be at all times, subject and
subordinate to any and all claims, now or hereafter existing which Bank may have against Borrower (including any claim by Bank for interest accruing after any assignment for the benefit of creditors by Borrower or the institution by or against
Borrower of any proceedings under the Bankruptcy Code, or any claim by Bank for any such interest which would have accrued in the absence of such assignment or the institution of such proceedings). 
  
 2. Creditor agrees not to sue upon, or to collect, or to receive payment of
the principal or interest of any claim or claims now or hereafter existing which Creditor may hold against Borrower, and not to sell, assign, transfer, pledge, hypothecate, or encumber such claim or claims except subject expressly to this Agreement,
and not to enforce or apply any security now or hereafter existing therefor, nor to file or join in any petition to commence any proceeding under the Bankruptcy Code, nor to take any lien or security on any of Borrower’s property, real or
personal, so long as any claim of Bank against Borrower shall exist. 
  
 3. In case of any assignment for the benefit of creditors by Borrower or in case any proceedings under the Bankruptcy Code are instituted by or against Borrower, or in case of the appointment of any receiver for Borrower’s business or
assets, or in case of any dissolution or winding up of the affairs of Borrower; (a) Borrower and any assignee, trustee in bankruptcy, receiver, debtor in possession or other person or persons in charge are hereby directed to pay to Bank the full
amount of Bank’s claims against Borrower (including interest to the date of payment) before making any payment of principal or interest to Creditor, and insofar as may be necessary for that purpose, Creditor hereby assigns and transfers to Bank
all security or the proceeds thereof, and all rights to any payments, dividends or other distributions, and (b) Creditor hereby irrevocably constitutes and appoints Bank its true and lawful attorney to act in its name and stead: (i) to file the
appropriate claim or claims on behalf of Creditor if Creditor does not do so prior to 30 days before the expiration of the time to file claims in such proceeding and if Bank elects at its sole discretion to file such claim or claims and (ii) to
accept or reject any plan of reorganization or arrangement on behalf of Creditor, and to otherwise vote Creditor’s claim in respect of any indebtedness now or hereafter owing from Borrower to Creditor in any manner Bank deems appropriate for
its own benefit and protection. 
  
 4. Bank is hereby authorized
by Creditor to: (a) renew, compromise, extend, accelerate or otherwise change the time of payment, or any other terms, of any existing or future claim of Bank against Borrower, (b) increase or decrease the rate of interest payable thereon or any
part thereof, (c) exchange, enforce, waive or release any security therefor, (d) apply such security and direct the order or 
  

 -1- 

 manner of sale thereof in such manner as Bank may at its discretion determine, (e) release Borrower or any guarantor of
any indebtedness of Borrower from liability, and (f) make optional future advances to Borrower, all without notice to Creditor and without affecting the subordination provided by this Agreement. 
  
 5. On request of Bank, Creditor shall deliver to Bank the original of any
promissory note or other evidence of any existing or future indebtedness of Borrower to Creditor, and mark same with a conspicuous legend which reads substantially as follows: 
  
 “THIS PROMISSORY NOTE IS SUBORDINATED TO ANY PRESENT OR FUTURE INDEBTEDNESS OWING FROM THE MAKER TO
BANK OF AMERICA, N.A. AND ITS ASSIGNS, AND MAY BE ENFORCED ONLY IN ACCORDANCE WITH THAT CERTAIN SUBORDINATION AGREEMENT DATED              BETWEEN
                     AND BANK OF AMERICA, N.A.” 
  

6. In the event that any payment or any cash or noncash distribution is made to Creditor in violation of the terms of this Agreement, Creditor shall
receive same in trust for the benefit of Bank, and shall forthwith remit it to Bank in the form in which it was received, together with such endorsements or documents as may be necessary to effectively negotiate or transfer same to Bank. 

 
 7. Until all such claims of Bank against Borrower, now or hereafter
existing, shall be paid in full, no gift or loan shall be made by Borrower to Creditor. 
  
 8. For violation of this Agreement, Creditor shall be liable for all loss and damage sustained by reason of such breach, and upon any such violation Bank may, at its option, accelerate the maturity of any of its
existing or future claims against Borrower. 
  
 9. This Agreement
shall be binding upon the heirs, successors and assigns of Creditor, Borrower and Bank. This Agreement and any existing or future claim of Bank against Borrower may be assigned by Bank, in whole or in part, without notice to Creditor or Borrower.

  
 10. Notwithstanding the provisions of Paragraph 2, so long as
there has been no occurrence of any default under any agreement between Borrower and Bank, now existing or hereafter entered into, Creditor may receive regularly scheduled principal and interest payments on the presently existing indebtedness of
Borrower to Creditor, provided, however, that Creditor shall not receive any prepayment of principal or interest on said indebtedness without the prior written consent of Bank. 
  

	
	 Susan McGrogan

	
	 /s/ Susan McGrogan

	 Creditor

  

 -2- 

 Acceptance of Subordination Agreement by Borrower 
  
 The undersigned being the Borrower named in the foregoing Subordination Agreement, hereby accepts and consents thereto and
agrees to be bound by all the provisions thereof and to recognize all priorities and other rights granted thereby to Bank of America, N.A., its successors and assigns, and to perform in accordance therewith. 
  

			
	 	 	Transcend Services, Inc.
		
	 Dated: JANUARY 31, 2005
	 	 /s/ Larry G. Gerdes
                                        
    (Seal)

	 	 	 Borrower

  

 -3- 

 

 
  
 PROMISSORY NOTE 

 

							
	 Borrower:
	  	 Transcend Services, Inc.
 945 East Paces Ferry Rd., Suite 1475
 Atlanta, GA 30326
	  	 Lender:
	  	 Bank of America, N.A.
 CCS-Commercial Banking
 FL9-100-03-15
 600 Peachtree St. NE
 Atlanta, GA 30308

  

			
	Principal Amount: $1,500,000.00	 	Date of Note: January 31, 2005

  
 PROMISE TO PAY. Transcend Services,
Inc. (“Borrower”) promises to pay to Bank of America, N.A. (“Lender”), or order, in lawful money of the United States of America, the principal amount of One Million Five Hundred Thousand & 00/100 Dollars ($1,500,000.00) or
so much as may be outstanding, together with interest on the unpaid outstanding principal balance of each advance. Interest shall be calculated from the date of each advance until repayment of each advance. 
  
 PAYMENT. Borrower will pay this loan in one payment of all outstanding principal plus all
accrued unpaid interest on April 30, 2006. In addition, Borrower will pay regular monthly payments of all accrued unpaid interest due as of each payment date, beginning February 28, 2005, with all subsequent interest payments to be due on the last
day of each month after that. Unless otherwise agreed or required by applicable law, payments will be applied first to any accrued unpaid interest; then to principal; then to any late charges; and then to any unpaid collection costs. The annual
interest rate for this Note is computed on a 365/360 basis; that is, by applying the ratio of the annual interest rate over a year of 360 days, multiplied by the outstanding principal balance, multiplied by the actual number of days the principal
balance is outstanding. Borrower will pay Lender at Lender’s address shown above or at such other place as Lender may designate in writing. 
  
 VARIABLE INTEREST RATE. The interest rate on this Note is subject to change from time to time based on changes in an index which is the rate of interest publicly
announced from time to time by the Lender as its Prime Rate. The Prime Rate is set by the Lender based on various factors, including the Lender’s costs and desired return, general economic conditions and other factors, and is used as a
reference point for pricing some loans. The Lender may price loans to its customers at, above, or below the Prime Rate. Any change in the Prime Rate shall take effect at the opening of business on the day specified in the public announcement of a
change in the Lender’s Prime Rate (the “Index”). The index is not necessarily the lowest rate charged by Lender on its loans and is set by Lender in its sole discretion. If the index becomes unavailable during the term of this loan,
Lender may designate a substitute index after notifying Borrower. Lender will tell Borrower the current index rate upon Borrower’s request. The interest rate change will not occur more often than each date of such change in the index. Borrower
understands that Lender may make loans based on other rates as well. The interest rate to be applied to the unpaid principal balance of this Note will be at a rate equal to the Index. NOTICE: Under no circumstances will the interest rate on this
Note be more than the maximum rate allowed by applicable law. 
  
 PREPAYMENT. Borrower may pay without penalty all or a portion of the amount owed earlier than it is due. Early payments will not, unless agreed to by Lender in writing, relieve Borrower of Borrower’s obligation to continue to
make payments of accrued unpaid interest. Rather, early payments will reduce the principal balance due. Borrower agrees not to send Lender payments marked “paid in full”, “without recourse”, or similar language. If Borrower sends
such a payment, Lender may accept it without losing any of Lender’s rights under this Note, and Borrower will remain obligated pay any further amount owed to Lender. All written communications concerning disputed amounts, including any check or
other payment instrument that indicates that the payment constitutes “payment in full” of the amount owed or that is tendered with other conditions or limitations or as full satisfaction of a disputed amount must be mailed or delivered to:
Bank of America, N.A., FL9-100-03-15, P.O. Box 45247 Jacksonville, FL 32203-0329. 
  
 LATE CHARGE. If a payment is 15 days or more late, Borrower will be charged 4.000% of the unpaid portion of the regularly scheduled payment, regardless of any partial payments Lender has received. 
  
 INTEREST AFTER DEFAULT. Upon default, including failure to pay upon final maturity,
Lender, at its option, may, if permitted under applicable law, increase the variable interest rate on this Note to 6.000 percentage points over the Index. The interest rate will not exceed the maximum rate permitted by applicable law. 
  
 DEFAULT. Each of the following shall constitute an event of default (“Event of
Default”) under this Note: 
  
 Payment Default.
Borrower fails to make any payment when due under this Note. 
  
 Other Defaults. Borrower fails to comply with or to perform any other term, obligation, covenant or condition contained in this Note or in any of the related documents or to comply with or to perform any term, obligation, covenant or
condition contained in any other agreement between Lender and Borrower. 
  
 Default in Favor of Third Parties. Borrower or any Grantor defaults under any loan, extension of credit, security agreement, purchase or sales agreement, or any other agreement, in favor of any other creditor
or person that may materially affect any of Borrower’s property or Borrower’s ability to repay this Note or perform Borrower’s obligations under this Note or any of the related documents. 
  
 False Statements. Any warranty, representation or statement made or
furnished to Lender by Borrower or on Borrower’s behalf under this Note or the related documents is false or misleading in any material respect, either now or at the time made or furnished or becomes false or misleading at any time thereafter.

  
 Insolvency. The dissolution or termination of
Borrower’s existence as a going business, the insolvency of Borrower, the appointment of a receiver for any part of Borrower’s property, any assignment for the benefit of creditors, any type of creditor workout, or the commencement of any
proceeding under any bankruptcy or insolvency laws by or against Borrower. 
  
 Creditor or Forfeiture Proceedings. Commencement of foreclosure or forfeiture proceedings, whether by judicial proceeding, self-help, repossession or any other method, by any creditor of Borrower or by any
governmental agency against any collateral securing the loan. This includes a garnishment of any of Borrower’s accounts, including deposit accounts, with Lender. However, this Event of Default shall not apply if there is a good faith dispute by
Borrower as to the validity or reasonableness of the claim which is the basis of the creditor or forfeiture proceeding and if Borrower gives Lender written notice of the creditor or forfeiture proceeding and deposits with Lender monies or a surety
bond for the creditor or forfeiture proceeding, in an amount determined by Lender, in its sole discretion, as being an adequate reserve or bond for the dispute. 
  
 Events Affecting Guarantor. Any of the preceding events occurs with respect to any guarantor, endorser, surety, or
accommodation party of any of the indebtedness or any guarantor, endorser, surety, or accommodation party dies or becomes incompetent, or revokes or disputes the validity of, or liability under, any guaranty of the indebtedness evidenced by this
Note. 

					
	Loan No: 3892414-307/315	 	 PROMISSORY NOTE
 (Continued)
	 	Page 2

  
 Change In
Ownership. Any change in ownership of twenty-five percent (25%) or more of the common stock of Borrower. 
  
 Adverse Change. A material adverse change occurs in Borrower’s financial condition, or Lender believes the prospect of payment or performance
of this Note is impaired. 
  
 Insecurity. Lender in good
faith believes itself insecure. 
  
 LENDER’S RIGHTS. Upon default,
Lender may declare the entire unpaid principal balance on this Note and all accrued unpaid interest immediately due, and then Borrower will pay that amount. 
  
 ATTORNEYS’ FEES; EXPENSES. Lender may hire or pay someone else to help collect this Note if Borrower does not pay. Borrower will pay Lender that amount. This
includes, subject to any limits under applicable law, Lender’s costs of collection, including court costs and fifteen percent (15%) of the principal plus accrued interest as attorneys’ fees, if any sums owing under this Note are collected
by or through an attorney at law, whether or not there is a lawsuit, and legal expenses for bankruptcy proceedings (including efforts to modify or vacate any automatic stay or injunction), and appeals. If not prohibited by applicable law, Borrower
also will pay any court costs, in addition to all other sums provided by law. 
  
 GOVERNING LAW. This Note will be governed by, construed and enforced in accordance with federal law and the laws of the State of Georgia. This Note has been accepted by Lender in the State of Georgia. 
  
 CHOICE OF VENUE. If there is a lawsuit, Borrower agrees upon Lender’s request to
submit to the Jurisdiction of the courts of any County, State of Georgia. 
  
 RIGHT OF SETOFF. To the extent permitted by applicable law. Lender reserves a right of setoff in all Borrower’s accounts with Lender (whether checking, savings, or some other account). This includes all accounts Borrower holds
jointly with someone else and all accounts Borrower may open in the future. However, this does not include any IRA or Keogh accounts, or any trust accounts for which setoff would be prohibited by law. Borrower authorizes Lender, to the extent
permitted by applicable law, to charge or setoff all sums owing on the debt against any and all such accounts. 
  
 LINE OF CREDIT. This Note evidences a revolving line of credit. Advances under this Note, as well as directions for payment from Borrower’s accounts, may be requested orally or in writing by Borrower or by
an authorized person. Lender may, but need not, require that all oral requests be confirmed in writing. Borrower agrees to be liable for all sums either: (A) advanced in accordance with the instructions of an authorized person or (B) credited to any
of Borrower’s accounts with Lender. The unpaid principal balance owing on this Note at any time may be evidenced by endorsements on this Note or by Lender’s internal records, including daily computer print-outs. Lender will have no
obligation to advance funds under this Note if: (A) Borrower or any guarantor is in default under the terms of this Note or any agreement that Borrower or any guarantor has with Lender, including any agreement made in connection with the signing of
this Note; (B) Borrower or any guarantor ceases doing business or is insolvent; (C) any guarantor seeks, claims or otherwise attempts to limit, modify or revoke such guarantor’s guarantee of this Note or any other loan with Lender; (D) Borrower
has applied funds provided pursuant to this Note for purposes other than those authorized by Lender; or (E) Lender in good faith believes itself insecure. 
  
 ARBITRATION. (a) This paragraph concerns the resolution of any controversies or claims between the parties, whether arising in contract, tort or by statute,
including but not limited to controversies of claims that arise out of or relate to: (i) this agreement (including any renewals, extensions or modifications); or (ii) any document related to this agreement (collectively a “Claim”). For the
purposes of this arbitration provision only, the term “parties” shall include any parent corporation, subsidiary or affiliate of the Bank involved in the servicing, management or administration of any obligation described or evidenced by
this agreement. 
  
 (b) At the request of any party to this agreement, any Claim
shall be resolved by binding arbitration in accordance with the Federal Arbitration Act (Title 9. U. S. Code) (the “Act”). The Act will apply even though this agreement provides that it is governed by the law of a specified state.

  
 (c) Arbitration proceedings will be determined in accordance with the Act, the
applicable rules and procedures for the arbitration of disputes of JAMS or any successor thereof (“JAMS”), and the terms of this paragraph. In the event of any inconsistency, the terms of this paragraph shall control. 
  
 (d) The arbitration shall be administered by JAMS and conducted, unless otherwise required by
law, in any U.S. state where real or tangible personal property collateral for this credit is located or if there is no such collateral, in the state specified in the governing law section of this agreement. All Claims shall be determined by one
arbitrator; however, if Claims exceed $5,000,000, upon the request of any party, the Claims shall be decided by three arbitrators. All arbitration hearings shall commence within 90 days of the demand for arbitration and close within 90 days of
commencement and the award of the arbitrator(s) shall be issued within 30 days of the close of the hearing. However, the arbitrator(s), upon a showing of good cause, may extend the commencement of the hearing for up to an additional 60 days. The
arbitrator(s) shall provide a concise written statement of reasons for the award. The arbitration award may be submitted to any court having jurisdiction to be confirmed, judgment entered and enforced. 
  
 (e) The arbitrator(s) will have the authority to decide whether any Claim is barred by the
statute of limitations and, if so, to dismiss the arbitration on that basis. For purposes of the application of the statute of limitations, the service on JAMS under applicable JAMS rules of a notice of Claim is the equivalent of the filing of a
lawsuit. Any dispute concerning this arbitration provision or whether a Claim is arbitratable shall be determined by the arbitrator(s). The arbitrator(s) shall have the power to award legal fees pursuant to the terms of this agreement. 

 
 (f) This paragraph does nor limit the right of any party to: (i) exercise self-help
remedies, such as but not limited to, setoff; (ii) initiate judicial or nonjudicial foreclosure against any real or personal property collateral; (iii) exercise any judicial or power of sale rights, or (iv) act in a court of law to obtain an interim
remedy, such as but not limited to, injunctive relief, writ of possession or appointment of a receiver, or additional or supplementary remedies. 
  
 (g) The filing of a court action is not intended to constitute a waiver of the right of any party, including the suing party, thereafter to require submittal of the Claim
to arbitration. 
  
 ADDITIONAL DEFAULTS. 
  
 Each of the following shall constitute an additional event of default (“Event of
Default”) under this Note: 
  
 Event of Default Under Related
Documents. A default or additional event of default occurs under the terms of any promissory note, guaranty, pledge agreement, security agreement or other agreement or instrument executed by Borrower or any guarantor, pledgor, accommodation
party or other obligor in connection with or relating to this Note. 
  
 Judgment. The entry of a judgment against any Borrower or guarantor, pledgor, accommodation party or other obligor which Lender deems to be of a material nature, in Lender’s sole discretion. 
  
 ASSIGNMENT. Lender may sell or offer to sell this Note, together with any and all
documents guaranteeing, securing or executed in connection 

					
	  
 Loan No: 3892414-307/315
	 	 PROMISSORY NOTE
 (Continued)
	 	  
 Page 3

  
 with this Note, to one or more
assignees without notice to or consent of Borrower. Lender is hereby authorized to share any information it has pertaining to the loan evidenced by this Note, including without limitation credit information on the undersigned, any of its principals,
or any guarantors of this Note, to any such assignee or prospective assignee. 
  
 COUNTERPARTS. This Note may be executed in any number of counterparts, each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. 
  
 PRE BILLING. If the Borrower and Lender elect to use pre-billing calculation, for each
payment date (the “Due Date”) the amount of each payment debit will be determined as follows: On the “Billing Date” Lender will prepare and mail to Borrower an invoice of the amounts that will be due on that Due Date
(“Billed Amount”). (The “Billing Date” will be a date that is a specified number of calendar days prior to the Due Date, which number of days will be mutually agreed from time to time by Lender and Borrower.) The calculation of
the Billed Amount will be made on the assumption that no new extensions of credit or payments will be made between the Billing Date and the Due Date, and that there will be no changes in the applicable interest rate. On the Due Date Lender will
debit the Designated Account for the Billed Amount, regardless of the actual amount due on that date (“Accrued Amount”). If the Due Date does not fall on a Business Day, Lender shall debit the Designated Account on the first Business Day
following the Due Date. For purposes of this Agreement, “Business Day” means a day other than Saturday, Sunday or other day on which commercial banks are authorized to close or are in fact closed in the state where the Lender’s
lending office is located. If the Billed Amount debited to the Designated Account differs from the Accrued Amount, the difference will be treated as follows: If the Billed Amount is less than the Accrued Amount, the Billed Amount for the following
Due Date will be increased by the amount of the underpayment. Borrower will not be in default by reason of any such underpayment. If the Billed Amount is more than the Accrued Amount, the Billed Amount for the following Due Date will be decreased by
the amount of the overpayment. Regardless of any such difference, interest will continue to accrue based on the actual amount of principal outstanding without compounding. Lender will not pay interest on any overpayment. 
  
 AUTOMATIC PAYMENTS. Borrower hereby authorizes Lender automatically to deduct from
Borrower’s account numbered 3279435327 the amount of any loan payment. If the funds in the account are insufficient to cover any payment, Lender shall not be obligated to advance funds to cover the payment. At any time and for any reason,
Borrower or Lender may voluntarily terminate Automatic Payments. 
  
 TERMINATION OF AUTOMATIC PAYMENTS. In the event that Borrower terminates the Automatic Payment arrangement with Lender, Borrower agrees that the interest rate under the Note will increase, at the discretion of the Lender, by one-half
percentage point (0.50%) per annum over the rate of interest stated in the Note, and the amount of each interest installment will be increased accordingly. The effective rate of interest under the Note shall not in any event exceed the maximum rate
permitted by law. 
  
 OPTIONAL RENEWAL CLAUSE. This Note will be considered
renewed if and only if Lender has sent to Borrower a written notice of renewal (the “Renewal Notice”) effective as of the Expiration Date. If this Note is renewed, it will continue to be subject to all the terms and conditions set forth
herein except as modified by the Renewal Notice. If this Note is renewed, the term “Expiration Date” shall mean the date set forth in the Renewal Notice as the Expiration Date, and all outstanding principal plus all accrued interest shall
be paid on the Expiration Date. The same process for renewal will apply to any subsequent renewal of this Note. A renewal fee may be charged at Lender’s option. The amount of the renewal fee will be specified in the Renewal Notice. 

 
 ADVANCES UNDER THE LINE OF CREDIT. Except as otherwise provided in this Note,
advances under the line of credit provided under this Note will be available until the earlier of any event of default under this Note, or April 30, 2006 (the “Expiration Date”). Borrower may borrow, repay and re-borrow under this Note at
any time until the Expiration Date. The total principal amount outstanding under this Note at any one time must not exceed the principal amount of this Note, provided that the amount advanced hereunder does not exceed any borrowing base or other
limitation on borrowings by Borrower. 
  
 FINAL AGREEMENT, BY SIGNING THIS
DOCUMENT EACH PARTY REPRESENTS AND AGREES THAT: (A) THIS DOCUMENT REPRESENTS THE FINAL AGREEMENT BETWEEN THE PARTIES WITH RESPECT TO THE SUBJECT MATTER HEREOF, (B) THIS DOCUMENT SUPERSEDES ANY COMMITMENT LETTER, TERM SHEET OR OTHER WRITTEN OUTLINE
OF TERMS AND CONDITIONS RELATING TO THE SUBJECT MATTER HEREOF, UNLESS SUCH COMMITMENT LETTER, TERM SHEET OR OTHER WRITTEN OUTLINE OF TERMS AND CONDITIONS EXPRESSLY PROVIDES TO THE CONTRARY, (C) THERE ARE NO ORAL AGREEMENTS BETWEEN THE PARTIES, AND
(D) THIS DOCUMENT MAY NOT BE CONTRADICTED BY EVIDENCE OF ANY PRIOR, CONTEMPORANEOUS, OR SUBSEQUENT ORAL AGREEMENTS OR UNDERSTANDINGS OF THE PARTIES. 
  
 FEE FOR LATE FINANCIAL STATEMENTS. If any of the financial information required by this Agreement is not provided to Lender within the time limits provided in this
Agreement, Lender may, at its option, charge a late fee to the defaulting party in an amount set by Lender. The imposition and payment of a late fee shall not constitute a waiver of Lender’s rights with respect to the default. 
  
 ADDRESS FOR NOTICES. Any notice required to be given under this Note shall be given in
writing, and shall be effective when actually delivered, when actually received by telefacsimile (unless otherwise required by law), when deposited with a nationally recognized overnight courier, or, if mailed, when deposited in the United States
mail, as first class, certified or registered mail postage prepaid, directed if to Borrower at the address shown near the beginning of this Note and if to Lender at the address set forth below. Any party may change its address for notices under this
Note by giving formal written notice to the other parties, specifying that the purpose of the notice is to change the party’s address. For notice purposes, Borrower agrees to keep Lender informed at all times of Borrower’s current address.
Unless otherwise provided or required by law, if there is more than one Borrower, any notice given by Lender to any Borrower is deemed to be notice given to all Borrowers. Notwithstanding anything to the contrary herein, all notices and
communications to the Lender shall be directed to the following address: 
  
 Bank of America, N.A. 
 Jacksonville CCS - Attn: Notice Address 
 9000 Southside Blvd., Bldg. 100, 3rd Floor 
 Jacksonville, FL 32256. 
  
 WITHIN-LINE FACILITIES. 
 LETTERS OF CREDIT 
  
 (a) This line of credit may be used for financing: 
  
 (i) A standby letter of credit with a maximum maturity of April 30, 2006. The standby letters of credit may include a provision providing that the maturity date will be automatically extended each year for an
additional year unless Lender gives written notice to the contrary. 
  
 (b) The
amount of the letters of credit outstanding at any one time (including the drawn and unreimbursed amounts of the letters of credit) may not exceed One Hundred Thousand Dollars ($100,000.00). 
  
 (c) In calculating the principal amount outstanding under this Note, the calculation shall
include the amount of any letters of credit outstanding, including amounts drawn on any letters of credit and not yet reimbursed. 
  
  

					
	  
 Loan No: 3892414-307/315
	 	 PROMISSORY NOTE
 (Continued)
	 	  
 Page 4

  
 (d) The following letters of credit
are outstanding from Lender for the account of Borrower: 
  

				
	 Letter of Credit Number

	  	Amount

	 7414990
	  	$	100,000.00

  
 As of the date of this Note, these
letters of credit shall be deemed to be outstanding under this Note, and shall be subject to all the terms and conditions stated in this Note. 
  
 (e) Borrower agrees: 
  
 (i) Any sum drawn under a letter of credit may, at the option of Lender, be added to the principal amount outstanding under this Note. The amount will
bear interest and be due as described elsewhere in this Note. 
  
 (ii) If there is a default under this Note or any Related Document, to immediately prepay and make Lender whole for any outstanding letters of credit. 
  

(iii) The issuance of any letter of credit and any amendment to a letter of credit is subject to Lender’s written approval and must be in form and
content satisfactory to Lender and in favor of a beneficiary acceptable to Lender. 
  
 (iv) To sign Lender’s form Application and Agreement for Commercial Letter of Credit or Application and Agreement for Standby Letter of Credit, as applicable. 
  
 (v) To pay any issuance and/or other fees that Lender notifies Borrower will
be charged for issuing and processing letters of credit for Borrower. 
  
 (vi) To allow Lender to automatically charge its checking account for applicable fees, discounts, and other charges. 
  
 SUCCESSOR INTERESTS. The terms of this Note shall be binding upon Borrower, and upon Borrower’s heirs, personal representatives, successors and assigns, and
shall inure to the benefit of Lender and its successors and assigns. 
  
 GENERAL PROVISIONS. Lender may delay or forgo enforcing any of its rights or remedies under this Note without losing them. Borrower and any other person who signs, guarantees or endorses this Note, to the extent allowed by law, waive
presentment, demand for payment, and notice of dishonor. Upon any change in the terms of this Note, and unless otherwise expressly stated in writing, no party who signs this Note, whether as maker, guarantor, accommodation maker or endorser, shall
be released from liability. All such parties waive any right to require Lender to take action against any other party who signs this Note as provided in O.C.G.A. Section 10-7-24 and agree that Lender may renew or extend (repeatedly and for any
length of time) this loan or release any party or guarantor or collateral; or impair, fail to realize upon or perfect Lender’s security interest in the collateral; and take any other action deemed necessary by Lender without the consent of or
notice to anyone. An such parties also agree that Lender may modify this loan without the consent of or notice to anyone other than the party with whom the modification is made. The obligations under this Note are joint and several. 
  
 THIS NOTE IS GIVEN UNDER SEAL AND IT IS INTENDED THAT THIS NOTE IS AND SHALL CONSTITUTE
AND HAVE THE EFFECT OF A SEALED INSTRUMENT ACCORDING TO LAW. 
  
 BORROWER:

  
 TRANSCEND SERVICES, INC. 
  

			
	By:	 	 COPY /s/ Larry G.Gerdes
                        (Seal)

	 	 	 Larry G. Gerdes, Chief Exec. Officer of Transcend
 Services, Inc.Promissory Note

 Exhibit 4.3 
  

PROMISSORY NOTE 
  

			
	$3,500,000.00	 	January 31, 2005
	Atlanta, Georgia	 	 

  
 FOR VALUE RECEIVED,
TRANSCEND SERVICES, INC., a Delaware corporation (“Payor”), hereby promises to pay to SUSAN McGROGAN, an individual resident of the State of Florida (“Payee”), at 10109 Cortez Boulevard, Brooksville, Florida 34613,
or at such other place as Payee may designate to Payor in writing from time to time, the principal sum of THREE MILLION FIVE HUNDRED THOUSAND AND NO/100THS DOLLARS ($3,500,000.00), subject to adjustment from time to time as provided herein, or so
much thereof as is then due and payable, subject to and in accordance with the terms and conditions set forth in this promissory note (this “Note”). The principal amount of this Note shall be adjusted from time to time in accordance
with the provisions of Sections 8.5 of that certain Stock Purchase Agreement (the “Purchase Agreement”), of even date herewith, by and between Payor, as Buyer, and Payee, as Seller (each such adjustment, a “Principal Amount
Adjustment”). Unless otherwise provided in the Purchase Agreement, any such Principal Amount Adjustment shall be effective as of the original date of this Note regardless of when such Principal Amount Adjustment is finally determined and
regardless of whether such adjustment is reflected in a replacement promissory note pursuant to the terms of the Purchase Agreement. All payments under this Note shall be made in lawful money of the United States of America. As used herein, the term
“Business Day” shall mean any day that is not a Saturday, a Sunday or a day on which banks are required or permitted to be closed in the State of Georgia. Any capitalized term used but not otherwise defined herein shall have the
same meaning ascribed to such term in the Purchase Agreement. 
  
 1. Payment Provisions 
  
 1.1 Interest.
The outstanding principal balance of this Note shall bear simple interest at a rate equal to five percent (5%) per annum. 
  
 1.2 Payment and Maturity. The principal balance of this Note and accrued interest thereon shall become due and payable as follows: 
  
 (a) On the first (1st) anniversary of the date hereof, all accrued but unpaid interest hereon, together with one-third (1/3) of the then remaining principal balance hereof, shall
become due and payable. 
  
 (b) On the second (2nd) anniversary of the date hereof, all accrued but unpaid interest hereon, together with one-half (1/2) of the then remaining
principal balance hereof, shall become due and payable. 
  
 (c) On
the third (3rd) anniversary of the date hereof, all accrued but unpaid interest hereon, together with the then
remaining principal balance hereof, shall become due and payable. 
  

 1 

 1.3 Prepayment. This Note may be prepaid at any time in whole or in part without penalty or
premium and without the prior consent of Payee. All such optional prepayments shall be applied first in reduction of accrued but unpaid interest hereon and thereafter in reduction of the outstanding principal balance hereof. 
  
 1.4 Rights of Offset. To the extent permitted or required by the
Purchase Agreement, Payor may offset any amounts owed to Payor by Payee against amounts owed by Payor hereunder. 
  
 2. Events of Default. If one or more of the following events of default (hereinafter an “Event of Default”) shall occur, then in
each and every occurrence of any such Event of Default, at the option of Payee, subject to Section 1.4 above, the then outstanding principal balance of this Note, plus all accrued but unpaid interest, shall without notice (except as provided below)
or demand (which is hereby waived) immediately mature and become forthwith due and payable: 
  
 2.1 Payor fails to make any payment of principal or interest hereunder when such payment is due and such failure shall not have been cured within ten (10) Business Days following Payor’s receipt of written notice
of such failure from Payee. 
  
 2.2 Payor (i) makes an assignment
for the benefit of creditors, (ii) admits in writing that it is unable to pay its debts generally as they become due, (iii) files a petition in bankruptcy, or for reorganization or for an adoption of an arrangement under the federal Bankruptcy Act
(as now or in the future amended), or an answer to a petition seeking relief therein provided, (iv) has a petition in bankruptcy filed against it which petition is not dismissed within ninety (90) days of the filing thereof, (v) consents to the
appointment of a custodian, conservator, liquidator, receiver or trustee for all or a substantial part of its property, or (vi) has a petition filed against it for the appointment of a custodian, conservator, liquidator, receiver or trustee for all
or a substantial part of its property and such petition is not dismissed within ninety (90) days of the filing thereof. 
  
 2.3 Payor causes the aggregate principal amount of the indebtedness to which this Note is subordinated to exceed $1,500,000, except with the prior written
consent of Payee, Payee agrees that such consent shall not be unreasonably withheld or delayed by Payee. Payee further agrees to consider in good faith any request by Payor to subordinate this Note to indebtedness replacing the existing indebtedness
to which this note is then subordinated and to act reasonably in connection with any such request. 
  
 3. Savings Clause. Notwithstanding any other provision of this Note or of any other agreement or instrument to which Payor and Payee are parties,
nothing herein contained or therein contained shall require the payment of any interest, expense or other charge by Payor which, when aggregated with all other interest, expenses and charges directly or indirectly paid by Payor or imposed by Payee
as a condition to extension of this credit, shall exceed the highest lawful rate permissible under any law applicable thereto (the “Highest Lawful Rate”). If, but for this provision, this Note or any other such agreement or
instrument would require any such payment in excess of such highest lawful rate, this Note and such other 
  
  

 2 

 agreement or instrument shall automatically be deemed amended so that all interest, charges, expenses and other payments
required hereunder or thereunder or so imposed, individually and in the aggregate, shall be equal to, but no greater than, the highest lawful rate therefor. If from any circumstances Payee should ever receive an amount which, but for this provision,
would constitute an unlawful payment hereunder or thereunder, then, ipso facto, such amount shall be applied to the reduction of the outstanding principal balance of this Note and not to the payment of interest, expenses and charges.

  
 4. Pledge Agreement. This Note, including the principal
and interest payable pursuant hereto, is secured by that certain Stock Pledge Agreement, of even date herewith, between Payor and Payee (the “Pledge Agreement”). 
  
 5. Time of the Essence. Time is of the essence under this Note. 
  
 6. Notices. All notices, requests, demands, tenders or other
communications required or permitted hereunder (“Notices”) must be in writing and are deemed to have been duly given if (a) delivered personally, (b) sent by facsimile, followed with an original by mail, (c) mailed, certified or registered
mail, return receipt requested, postage prepaid, provided that any Notice sent only pursuant to this clause (c) shall be effective on the third (3rd) Business Day following deposit with the U.S. Mail, (d) sent by Federal Express or other nationally recognized overnight courier service or overnight express U.S. Mail, postage prepaid, as follows:

  
 If to Payee to: 
  
 Susan McGrogan 
 10109 Cortez Boulevard 
 Brooksville, FL 34613 
 Facsimile:
                                 
  
 With a copy in like manner (which shall not constitute
notice) to: 
  
 Johnston and Sasser, P.A.

 29 South Brooksville Avenue 
 Brooksville, FL 34605 
 Facsimile (352) 799-3187 
 Attention: Darryl W. Johnston, Esquire 
  
 If to Payor to: 
  
 Transcend Services, Inc. 
 945 East Paces Ferry Road, Suite 1475 
 Atlanta, Georgia 30326 
 Facsimile: (404) 364-8009 
 Attention: Chief Executive Officer 
  

 3 

 With a copy in like manner (which shall not constitute notice) to: 
  
 Smith, Gambrell & Russell, LLP 
 1230 Peachtree Street, N.E. 
 Suite 3100, Promenade II 
 Atlanta, Georgia 30309-3592 
 Facsimile: (404) 685-6923 
 Attention: Richard G. Greenstein, Esquire 
  
 Each party may change its address for the giving of notices and communications to it, and/or copies thereof, by written notice to the other parties in conformity with the foregoing. 
  
 7. Binding Effect; Assignment. This Note shall be binding upon Payor
and its successors and permitted assigns and shall inure to the benefit of Payee and its successors and permitted assigns. This Note may not be assigned, in whole or in part, by Payee, without the consent of Payor. 
  
 8. Headings. The paragraph headings contained in this Note are for
reference purposes only and shall not affect in any way the meaning or interpretation of this Note. 
  
 9. Governing Law. This Note shall be governed by and construed in accordance with the internal laws of the State of Georgia without regard to its
conflicts of laws principles. 
  
 10. Subordination Legend.

  
 THIS PROMISSORY NOTE IS SUBORDINATED TO ANY PRESENT OR FUTURE
INDEBTEDNESS OWING FROM THE MAKER TO BANK OF AMERICA, N.A. AND ITS ASSIGNS, AND MAY BE ENFORCED ONLY IN ACCORDANCE WITH THAT CERTAIN SUBORDINATION AGREEMENT DATED JANUARY 31, 2005 BETWEEN SUE MCGROGAN, TRANSCEND SERVICES, INC. AND BANK OF AMERICA,
N.A. 
  
 [Signatures appear on following page] 
  

 4 

 IN WITNESS WHEREOF, Payor has caused this Note to be executed as of the day and year above first written.

  

			
	 “PAYOR”

	
	 TRANSCEND SERVICES, INC.

		
	 By:
	 	  

	 Name:
	 	  

	 Title:
	 	  

  
 ACCEPTED AND AGREED TO THIS
         DAY OF 
 JANUARY, 2005 
  

	
	 “PAYEE”

	  
  

 Susan McGrogan

  
  

 5

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